Gece Yeme Bozuklukları ile Obezite Arasındaki İlişki

Öz

Amaç: Günümüzde teknolojinin ilerlemesiyle günlük yaşamı kolaylaştıran faktörlerin artması kişilerin hareketini azaltmıştır. Bu da kilo alımı ve obeziteye neden olmuştur. Obezite dünyada giderek artan bir sorundur. Gece yeme bozuklukları; gece yeme sendromu ile uykuyla ilişkili yeme bozukluğu olarak sınıflandırılır. Çalışmada, gece yeme bozuklukları ile obezite arasındaki ilişkiyi araştırmayı amaçladık.
Materyal ve Metot: Çalışma Ocak-Mart 2015'te herhangi bir sebepten dolayı Aile Hekimliği Kliniğine müracaat eden ve uygun kriterleri bulunan 290 katılımcı ile gerçekleştirildi. Dâhil etme kriterleri; 18 yaş üstü olma, psikolojik veya kronik hastalığı olmama ve anketi cevaplamayı kabul etme idi. Gece vardiyasında çalışan, fiziksel ve psikolojik rahatsızlıkları olan ve kronik hastalığı olan katılımcılar çalışmadan dışlandı. Anketler doktorlar tarafından katılımcılar ile yüz yüze görüşme yöntemiyle dolduruldu. Sosyo-demografik faktörlere ek olarak, gece yeme bozuklukları kriterleri sorgulandı ve veriler kaydedildi. Sonrasında katılımcıların boy, kilo ve bel çevresi ölçüldü. Hastalar beden kitle indekslerine göre 2 gruba ayrılarak [obez (BKİ ≥30 kg/m²) ve obez değil (BMI <30 kg/m²)] analiz edildi. p≤ 0,05 anlamlı kabul edildi.

Bulgular: Cinsiyet, eğitim durumu, ekonomik durum ile gece yeme sendromu arasında herhangi bir ilişki olmamasına rağmen; yaş ve obezite gece yeme sendromu ile ilişkili bulundu (p<0,001). Yaş, cinsiyet, eğitim durumu, ekonomik durum ile uyku ile ilişkili yeme bozukluğu arasında bir ilişki saptanmadı. Obezite, uyku ile ilişkili yeme bozukluğu ile ilişkili bulundu (p<0,001).

Sonuç: Gece yeme bozuklukları ile obezite arasında güçlü bir ilişki bulduk. Bu nedenle obez hastalarda gece yeme bozukluklarının sorgulanmasının tedavi açısından önemli olduğunu düşünmekteyiz.

Anahtar Kelimeler

• Beslenme ve yeme bozuklukları,obezite,yeme davranışı,gece yeme bozuklukları

Relationship Between Night Eating Disorders and Obesity

Öz

Abstract

Objectives: Today, with the advance of technology, increasing factors that facilitate daily life have reduced the movement of people, leading to weight gain and obesity. Obesity is a growing problem in the world. Night eating disorders, (NED)s were classified as night eating syndrome and sleep related eating disorder. In the study, we aimed to investigate the relationship between night eating disorders and obesity.

Materials and Methods: The study was performed with 290 participants who have inclusion criteria and applied to Family Medicine Clinic for any reason between January-March 2015. Inclusion criteria were being over 18 years of age, having no psychological or chronic illness and accepting to answer the questionnaire. Participants who worked at night, had physical and psychological problems and had chronic illness were excluded from the study. The questionnaires were performed by doctors with face-to-face interview technique with the participants. In addition to socio-demographic factors, the criteria for NEDs were investigated and recorded. After this; the weight (kg), height (cm) and waist circumference (WC; cm) of all participants were measured. Participants were divided into two groups, according to BMI [obese (BMI ≥30 kg/m2) and non-obese (BMI <30 kg/m2)] and analyzed. A p value of p≤ 0.05 was considered to be statistically significant.

Results: Although there was no relation between gender, education status, economic status and night eating syndrome; age and obesity were related with night eating syndrome (p<0,001). There was no relation between age, gender, education status, economic status and sleep related eating disorder but obesity was related sleep related eating disorder (p<0.001).

Conclusion: We found that, there is a strong relationship between NEDs and obesity. For this reason, we think that the questioning of NEDs in obese patients is important for treatment.

Anahtar Kelimeler

• Feeding and eating disorders,obesity,eating behavior,night eating disorders

Kaynakça

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