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Yaşlılarda Akdeniz Diyeti ve DASH Diyetinin Kan Glukoz Düzeyinin Korunmasına Etkisi

Yıl 2022, Cilt: 6 Sayı: 3, 226 - 235, 20.12.2022

Öz

Diyabet, yaşlanan nüfus için önemli bir sağlık sorunudur. Diyabetik bireylerde sağlıklı beslenme modellerinin teşvik edilmesine odaklanılmalıdır ve bu durum sağlanırken bireylerin yemek yeme zevkini sürdürmek de önemlidir. “Akdeniz Mutfağı”; sağlığın geliştirilmesi ve korunmasında etkili olan, aromalar açısından zengin, doğayla uyum içinde yaşayanların zevklerini ve ruhunu öne çıkaran bir kalıp veya geleneği ifade etmektedir. Akdeniz tarzı beslenme modeli ve yaşam boyu sağlıklı beslenme alışkanlıklarıyla diyabet, kardiyovasküler hastalıklar gibi kronik hastalıkların oluşma ihtimali azaltılabilmekte hatta önlenebilmektedir. Akdeniz diyeti diyabet insidansı için daha düşük risk, daha iyi glisemik kontrol ve diyabetik hastalarda kardiyovasküler risk faktörlerinde iyileşme ile ilişkilidir. Bu faktörler üzerinde etkili olabilecek beslenme alışkanlıklarından biri olan DASH diyeti, meyve ve sebze, tam tahıllı besinler, mineral açısından zengin besinler, düşük doymuş yağ alımı ve düşük sodyumlu diyete vurgu yapılmasıyla karakterize edilmektedir. DASH diyeti kardiyovasküler sağlık ve hipertansiyonun kontrol edilmesi için kullanılsa da uzun süreli glisemik kontrolün sağlanmasında ve Tip 2 diyabetin yönetiminde de etkili olabilmektedir. Bu makalede, diyabetik yaşlı bireylerde Akdeniz diyeti ve DASH diyetinin glisemik kontrole etkisi literatürdeki kanıta dayalı son yayınlar incelenerek derlenmiştir.

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

Makalemizin başından sonuna kadar bana yol gösterip rehberlik yapan sayın danışmanım Dr. Öğr. Üyesi Seda ÇİFTÇİ'ye teşekkür ederim.

Kaynakça

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  • Alonso-Domínguez, R., García-Ortiz, L., Patino-Alonso, M. C., Sánchez-Aguadero, N., Gómez-Marcos, M. A., & Recio-Rodríguez, J. I. (2019). Effectiveness of a multifactorial intervention in increasing adherence to the Mediterranean diet among patients with diabetes mellitus type 2: a controlled and randomized study (EMID study). Nutrients, 11(1), 162.
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The Effect of Mediterranean Diet and DASH Diet on the Maintenance and Sustain of Blood Sugar Levels in the Elderly

Yıl 2022, Cilt: 6 Sayı: 3, 226 - 235, 20.12.2022

Öz

Diabetes prevalence is high in elderly individuals. The focus should be on promoting healthier eating patterns in diabetic individuals, and it is also important to maintain individuals' enjoyment of eating while ensuring this. “Mediterranean cuisine"; It refers to a pattern or tradition that is effective in the development and protection of health, rich in aromas, highlighting the tastes and spirit of those who live in harmony with nature. With the Mediterranean-style diet and lifelong healthy eating habits, the possibility of chronic disease can be reduced or even prevented. The Mediterranean diet is associated with a lower risk for the incidence of diabetes, better glycemic control, and improved cardiovascular risk factors in diabetic patients. The DASH diet, which is one of the dietary habits that may have an effect on these factors, is characterized by emphasizing fruit and vegetables, whole grain foods, mineral-rich foods, low saturated fat intake and low sodium diet. Although the DASH diet is used to control cardiovascular health and hypertension, it can also be effective in providing long-term glycemic control and in the management of Type 2 diabetes. In this article, the effects of the Mediterranean diet and DASH diet on glycaemic control in diabetic elderly individuals were reviewed by examining recent evidence-based publications in the literature.

Proje Numarası

yok

Kaynakça

  • Alì, S., Davinelli, S., Accardi, G., Aiello, A., Caruso, C., Duro, G., Ligotti, M. E., Pojero, F., Scapagnini, G., & Candore, G. (2021). Healthy ageing and Mediterranean diet: A focus on hormetic phytochemicals. Mechanisms of Ageing and Development, 200, 1-11. doi:https://doi.org/10.1016/j.mad.2021.111592.
  • Alonso-Domínguez, R., García-Ortiz, L., Patino-Alonso, M. C., Sánchez-Aguadero, N., Gómez-Marcos, M. A., & Recio-Rodríguez, J. I. (2019). Effectiveness of a multifactorial intervention in increasing adherence to the Mediterranean diet among patients with diabetes mellitus type 2: a controlled and randomized study (EMID study). Nutrients, 11(1), 162.
  • Angelo, M., Ruchalski, C., & Sproge, B. J. (2011). An approach to diabetes mellitus in hospice and palliative medicine. J Palliat Med, 14(1), 83-87. doi:10.1089/jpm.2010.0191.
  • American Diabetes Association. (2022). 11. Older adults. Diabetes Care, 45(1), 195-207. doi.org/10.2337/dc22-S013.
  • American Diabetes Association (2019). 12. Older adults: standards of medical care in diabetes—2019. Diabetes Care, 42(1), 139-147. https://doi.org/10.2337/dc21-S012.
  • Azadbakht, L., Mirmiran, P., Esmaillzadeh, A., Azizi, T., & Azizi, F. (2005). Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome. Diabetes Care, 28(12), 2823-2831. doi:10.2337/diacare.28.12.2823.
  • Bach-Faig, A., Berry, E. M., Lairon, D., Reguant, J., Trichopoulou, A., Dernini, S., Medina, X. F., & Battino, M., Belahsen, R., Miranda, G., & Serra-Majem, L. (2011). Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr, 14(12A), 2274-2284. doi:10.1017/S1368980011002515.
  • Banerjee, T., Crews, D. C., Tuot, D. S., Pavkov, M. E., Burrows, N. R., Stack, A. G., Saran, R., Bragg-Gresham, J., & Poew, N. R. (2019). Poor accordance to a DASH dietary pattern is associated with higher risk of ESRD among adults with moderate chronic kidney disease and hypertension. Kidney Int, 95(6), 1433-1442. doi:10.1016/j.kint.2018.12.027.
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  • Gao, H., Geng, T., Huang, T., & Zhao, Q. (2017). Fish oil supplementation and insulin sensitivity: a systematic review and meta-analysis. Lipids in Health and Disease, 16(1), 131. doi:10.1186/s12944-017-0528-0.
  • Gómez-Huelgas, R., Gómez Peralta, F., Rodríguez Mañas, L., Formiga, F., Puig Domingo, M., Mediavilla Bravo, J. J., . . . Ena, J. (2018). Treatment of type 2 diabetes mellitus in elderly patients. Rev Clin Esp (Barc), 218(2), 74-88. doi:10.1016/j.rce.2017.12.003
  • Gündoğdu, A. (2020). Türkiye Endokrinoloji ve Metabolizma Derneği (TEMD). Diyabetes mellitüs ve komplikasyonlarının tanı, tedavi ve izlem klavuz, 14. Baskı. Ankara. Grafik Tasarım ve Yayın Hizmetleri. Hacettepe Üniversitesi (2015). Türkiye’ye Özgü Besin ve Beslenme Rehberi. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bölümü, Merdiven Reklam Tanıtım. Ankara.
  • Sánchez-Hernández, M.S., Rodríguez-Caldero, M.C., Martín-Pérez, M.P., & Mira-Solves, J.J., Vitaller-Burillo, J., Conception, M. (2020). Impact of adherence to Mediterranean diet and/or drug treatment on glycaemic control in type 2 diabetes mellitus patients: DM2-CUMCYL study. Primary Care Diabetes, 14(6), 685-691.
  • Hashemi, R., Mehdizadeh Khalifani, A., Rahimlou, M., & Manafi, M. (2020). Comparison of the effect of Dietary Approaches to Stop Hypertension diet and American Diabetes Association nutrition guidelines on lipid profiles in patients with type 2 diabetes: A comparative clinical trial. Nutr Diet, 77(2), 204-211. doi:10.1111/1747-0080.12543.
  • Hosseinpour-Niazi, S., Mirmiran, P., Hadaegh, F., Mahdavi, M., Khalili, D., Daneshpour, M. S., Momenan, A. A., & Azizi, F. (2022). Improvement of glycemic indices by a hypocaloric legume-based DASH diet in adults with type 2 diabetes: a randomized controlled trial. European Journal of Nutrition, 61(6), 1-13. doi: 10.1007/s00394-022-02869-0.
  • Huang, E. S., Liu, J. Y., Moffet, H. H., John, P. M., & Karter, A. J. (2011). Glycemic control, complications, and death in older diabetic patients: the diabetes and aging study. Diabetes Care, 34(6), 1329-1336. doi:10.2337/dc10-2377.
  • Huang, J., Wang, X., & Zhang, Y. (2017). Specific types of alcoholic beverage consumption and risk of type 2 diabetes: A systematic review and meta‐analysis. Journal of Diabetes Investigation, 8(1), 56-68.
  • Jalilpiran, Y., Mofrad, M. D., Mozaffari, H., Bellissimo, N., & Azadbakht, L. (2020). Adherence to dietary approaches to stop hypertension (DASH) and Mediterranean dietary patterns in relation to cardiovascular risk factors in older adults. Clinical Nutrition ESPEN, 39, 87-95.
  • Jayedi, A., Mirzaei, K., Rashidy-Pour, A., Yekaninejad, M. S., Zargar, M.-S., & Eidgahi, M. R. A. (2019). Dietary approaches to stop hypertension, mediterranean dietary pattern, and diabetic nephropathy in women with type 2 diabetes: a case-control study. Clinical nutrition ESPEN, 33, 164-170.
  • Kalra, S., & Sharma, S. K. (2018). Diabetes in the Elderly. Diabetes Ther, 9(2), 493-500. doi:10.1007/s13300-018-0380-x.
  • Kimura, Y., Yoshida, D., Hirakawa, Y., Hata, J., Honda, T., Shibata, M., Sakata, S., Uchida, K., Kitazono, T., Ninomiya, T. (2021). Dietary fiber intake and risk of type 2 diabetes in a general Japanese population: The Hisayama Study. J Diabetic İnvesting , 12, 527-53. doi: 10.1111/jdi.13377.
  • Lampropoulos, C. E., Konsta, M., Dradaki, V., Roumpou, A., Dri, I., & Papaioannou, I. (2020). Effects of Mediterranean diet on hospital length of stay, medical expenses, and mortality in elderly, hospitalized patients: A 2-year observational study. Nutrition, 79(80), 110868. doi:10.1016/j.nut.2020.110868.
  • Ley, S. H., Hamdy, O., Mohan, V., & Hu, F. B. (2014). Prevention and management of type 2 diabetes: dietary components and nutritional strategies. The Lancet, 383(9933), 1999-2007. 10.1016/S0140-6736(14)60613-9.
  • Lim, H., Kim, J., & Kim, D.-Y. (2019). Nutritional Therapy for Asian Patients at Risk for Atherosclerotic Cardiovascular Disease. Journal of lipid and atherosclerosis, 8(2), 192-203. doi:10.12997/jla.2019.8.2.192.
  • Lock, K., Pomerleau, J., Causer, L., Altmann, D. R., & McKee, M. (2005). The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Bulletin of the World Health Organization, 83, 100-108.
  • Mamalaki, E., Balomenos, V., Scarmeas, N., & Yannakoulia, M. (2020). Type 2 Diabetes and Mediterranean Diet in Older Adults: A Brief Review of the Evidence. Current Geriatrics Reports, 9, 237-241. https://doi.org/10.1007/s13670-020-00340-8.
  • Martín-Peláez, S., Fito, M., & Castaner, O. (2020). Mediterranean Diet Effects on Type 2 Diabetes Prevention, Disease Progression, and Related Mechanisms. A Review. Nutrients, 12(8), 2236. doi:10.3390/nu12082236.
  • Mattei, J., Bigornia, S. J., Sotos-Prieto, M., Scott, T., Gao, X., & Tucker, K. L. (2019). The Mediterranean diet and 2-year change in cognitive function by status of type 2 diabetes and glycemic control. Diabetes Care, 42(8), 1372-1379.
  • McGuire, S. (2016). Scientific Report of the 2015 Dietary Guidelines Advisory Committee. Washington, DC: US Departments of Agriculture and Health and Human Services, 2015. Adv Nutr, 7(1), 202-204. doi:10.3945/an.115.011684.
  • Mordarska, K., & Godziejewska-Zawada, M. (2017). Diabetes in the elderly. Prz Menopauzalny, 16(2), 38-43. doi:10.5114/pm.2017.68589.
  • Mzoughi, Z., Chahdoura, H., Chakroun, Y., Cámara, M., Fernández-Ruiz, V., Morales, P., Mosbah , H., Flamini, G., Snoussi, M., & Majdoub, H. (2019). Wild edible Swiss chard leaves (Beta vulgaris L. var. cicla): Nutritional, phytochemical composition and biological activities. Food Research International, 119, 612-621. DOI: 10.1016/j.foodres.2018.10.039.
  • Papamichou, D., Panagiotakos, D. B., & Itsiopoulos, C. (2019). Dietary patterns and management of type 2 diabetes: A systematic review of randomised clinical trials. Nutr Metab Cardiovasc Dis, 29(6), 531-543. doi:10.1016/j.numecd.2019.02.004.
  • Perry, C. A., Van Guilder, G. P., Hossain, M., & Kauffman, A. (2021). Cardiometabolic Changes in Response to a Calorie-Restricted DASH Diet in Obese Older Adults. Front Nutr, 8, 647847. doi:10.3389/fnut.2021.647847.
  • Perry, C. A., Van Guilder, G. P., Kauffman, A., & Hossain, M. (2019). A Calorie-Restricted DASH Diet Reduces Body Fat and Maintains Muscle Strength in Obese Older Adults. Nutrients, 12(1). doi:10.3390/nu12010102.
  • Pinto, X., Fanlo-Maresme, M., Corbella, E., Corbella, X., Mitjavilla, MT., Morena, JJ., Casas, R., Estruch, R., Corella, D., Bulló, M., Ruiz-Canela, M., Castañer, O., Martinez, J. A., Ros, E., & PREDIMED Study Investigators Bullo, M. (2019). A Mediterranean Diet Rich in Extra-Virgin Olive Oil Is Associated with a Reduced Prevalence of Nonalcoholic Fatty Liver Disease in Older Individuals at High Cardiovascular Risk. The Journal of Nutrition., 149(11), 1920-29.
  • Ramesh, G., Wood, A. C., Allison, M. A., Rich, S. S., Jensen, E. T., Chen, Y.D.I., Rotter, J. I., Bertoni, A. G., & Goodarzi, M. O. (2022). Associations between adherence to the dietary approaches to stop hypertension (DASH) diet and six glucose homeostasis traits in the Microbiome and Insulin Longitudinal Evaluation Study (MILES). Nutrition, Metabolism and Cardiovascular Diseases. 32, 1418-1426. doi:https://doi.org/10.1016/j.numecd.2022.03.014.
  • Salas-Salvadó, J., Becerra-Tomás, N., García-Gavilán, J. F., Bulló, M., & Barrubés, L. (2018). Mediterranean Diet and Cardiovascular Disease Prevention: What Do We Know? Progress in Cardiovascular Diseases, 61(1), 62-67. doi:https://doi.org/10.1016/j.pcad.2018.04.006.
  • Salas-Salvadó, J., Tresserra-Rimbau, A., Guasch-Ferré, M., Toledo, E., Corella, D., Castañer, O., Guo, X., Gómez-Gracia, E., Lapetra, J., Arós, F., Fiol, M., Ros, E., Serra-Majem, L., Pintó, X., Fitó, M., Babio, N., Martínez-González, M. A., Sorli, J. V., López-Sabater, M. C., Estruch, R., & Lamuela-Raventós, R. M. (2016). Intake of total polyphenols and some classes of polyphenols is inversely associated with diabetes in elderly people at high cardiovascular disease risk. J Nutr,146,767–77. https://doi.org/10.3945/jn.115.223610.
  • Satman, I., Omer, B., Tutuncu, Y., Kalaca, S., Gedik, S., Dinccag, N., Karsidag, K., Genc, S., Telci, A., Canbaz, B., Turker, F., Yilmaz, T., Cakir, B., & Tuomilehto, J. (2013). Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol, 28(2), 169-180. doi:10.1007/s10654-013-9771-5.
  • Schröder, H. (2007). Protective mechanisms of the Mediterranean diet in obesity and type 2 diabetes. The Journal of Nutritional Biochemistry, 18(3), 149-160. doi:https://doi.org/10.1016/j.jnutbio.2006.05.006.
  • Schwingshackl, L., Chaimani, A., Hoffmann, G., Schwedhelm, C., & Boeing, H. (2018). A network meta-analysis on the comparative efficacy of different dietary approaches on glycaemic control in patients with type 2 diabetes mellitus. Eur J Epidemiol, 33(2), 157-170. doi:10.1007/s10654-017-0352-x.
  • Seah, S. J., Zheng, H., & Lim, R. B. T. (2020). Efficacy of community-based self-care interventions to improve biophysical, psychosocial or behavioural outcomes among community-dwelling older adults with type 2 diabetes: A systematic review and meta-analysis. Diabetes Res Clin Pract, 169, 108411. doi:10.1016/j.diabres.2020.108411.
  • Sesti, G., Antonelli Incalzi, R., Bonora, E., Consoli, A., Giaccari, A., Maggi, S., Paolisso, G., Purrello, F., Vendemiale, G., & Ferrara, N. (2018). Management of diabetes in older adults. Nutr Metab Cardiovasc Dis, 28(3), 206-218. doi:10.1016/j.numecd.2017.11.007.
  • Sievenpiper, J. L., Chan, C. B., Dworatzek, P. D., Freeze, C., & Williams, S. L. (2018). Nutrition Therapy. Canadian Journal of Diabetes, 42, S64-S79. doi:https://doi.org/10.1016/j.jcjd.2017.10.009.
  • Sinclair, A. J., Abdelhafiz, A., Dunning, T., Izquierdo, M., Rodriguez Manas, L., Bourdel-Marchasson, I., Morley, J. E., Munshi, M., Woo, J., & Vellas, B. (2018). An international position statement on the management of frailty in diabetes mellitus: summary of recommendations 2017. J Frailty Aging, 7(1), 10-20. doi:10.14283/jfa.2017.39. Teodoro, A. J. (2019). Bioactive compounds of food: their role in the prevention and treatment of diseases. Hindawi, 1-4. https://doi.org/10.1155/2019/3765986.
  • Uzdil, Z., & Sökülmez Kaya, P. (2018). DASH diyeti ve sağlık üzerine etkileri. Geleneksel ve Tamamlayıcı Tıp Dergisi, 1(3), 141-145.
  • World Health Organization (WHO). (1984). The uses of epidemiology in the study of the elderly: Report of a WHO Scientific Group on the Epidemiology of Aging. World Health Organ Tech Rep Ser, 706, 1-84.
  • World Health Organization (WHO). (1972). Report of a WHO scientific group. World Health Organ Tech Rep Ser, 507, 1-48.
  • Vissers, M., Zock, P., & Katan, M. (2004). Bioavailability and antioxidant effects of olive oil phenols in humans: a review. European journal of clinical nutrition, 58(6), 955-965.
  • Vasei, MH., Niazi, S., Ayni, E., Mirmiran, P. (2022). Effect of dietary approaches to stop hypertension (DASH) diet, high in animal or plant protein on cardiometabolic risk factors in obese metabolic syndrome patients: A randomized clinical trial. Primary Care Diabetes, 16(5), 634-39.
  • Vitale, M., Masulli, M., Calabrese, I., Rivellese, A. A., Bonora, E., Signorini, S., Perriello, G., Squatrito, S., Buzzetti, R., Sartore, G., Babini, A. C., Gregori, G., Giordano, C., Clemente, G., Grioni, S., Dolce, P., Riccardi, G.,& Vaccaro, O. (2018). Impact of a Mediterranean Dietary Pattern and Its Components on Cardiovascular Risk Factors, Glucose Control, and Body Weight in People with Type 2 Diabetes: A Real-Life Study. Nutrients, 10(8). doi:10.3390/nu10081067.
  • Yakaryılmaz, F. D., & Öztürk, Z. A. (2017). Treatment of type 2 diabetes mellitus in the elderly. World J Diabetes, 8(6), 278-285. doi:10.4239/wjd.v8.i6.278.
Toplam 66 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Selin Sezgi Poyraz 0000-0003-4135-0157

Seda Çiftçi 0000-0002-4103-1618

Proje Numarası yok
Yayımlanma Tarihi 20 Aralık 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 6 Sayı: 3

Kaynak Göster

APA Poyraz, S. S., & Çiftçi, S. (2022). Yaşlılarda Akdeniz Diyeti ve DASH Diyetinin Kan Glukoz Düzeyinin Korunmasına Etkisi. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 226-235.

Dergimiz; Türk Medline, Sobiad Atıf Dizini, Türk Eğitim İndeksi, Türkiye Atıf Dizini (Turkiye Citation Index)' te taranmaktadır.


Dergimizin Önceki Editörleri:

2017-2019: Doç. Dr. Rıdvan Karabulut


Dr. Öğr. Üyesi Elif Tuba KOÇ, aniden aramızdan ayrıldığı güne kadar, dergimize Çocuk Sağlığı ve Hastalıkları Hemşireliği alanında alan editörü olarak önemli katkılar sağladı. Onun çaba ve gayretini, değerli emeğini ve aziz hatırasını saygı, sevgi ve özlemle anıyoruz.