DASH Diyetine Uyumun Premenstrüel Sendrom ile İlişkisinin Belirlenmesi

Yıl 2023, Cilt: 12 Sayı: 4, 1605 - 1614, 26.12.2023

Hacı Ömer Yılmaz , Çağdaş Salih Meriç

https://doi.org/10.37989/gumussagbil.1271053

Öz

Bu araştırma, sağlıklı beslenme düzenlerinden birisi olan DASH diyetinin, kadınlarda sıklıkla görülebilen premenstrüel sendrom ile ilişkisini belirlemek amacıyla planlanmış ve yürütülmüştür. Tanımlayıcı-kesitsel tipte olan bu araştırmanın örneklemini Gümüşhane Üniversitesi Sağlık Bilimleri Fakültesi’nde Kasım-Aralık 2022 tarihlerinde eğitim gören kadın öğrenciler oluşturmaktadır. Basit rastgele örneklem metodu kullanılarak ve çevrimiçi anket formu oluşturularak (Google Forms) dijital iletişim araçları ile 314 kadın öğrencinin verileri değerlendirilmiştir. Araştırmacılar tarafından literatür incelenerek hazırlanan anket formunda, katılımcıların sosyo demografik özellikleri, beslenme alışkanlıkları, DASH diyetinde tüketim miktarı önerilen besin grupları tüketimi ve Premenstrüel Semptomlar Tanılama Ölçeği yer almaktadır. Elde edilen verilerin istatistiksel analizinde Ki-Kare, ANOVA ve Pearson Kolerasyon testleri kullanılmıştır. Sonuç olarak; kadın öğrenciler arasında hem premenstrüel sendrom (%47,1) hem de premenstrüel disforik bozukluk (%44,2) oranının oldukça yüksek olduğu saptanmıştır. DASH diyetine uyum düzeyi en yüksek grupta, en düşük olan gruba göre daha düşük şiddette premenstrüel semptom düzeyleri tespit edilmiştir. Ayrıca DASH diyetine uyum puanı ile Premenstrüel Semptom Tanılama Ölçeği toplam puanı ve alt boyutlarıyla negatif anlamlı korelasyon ilişkisi tespit edilmiştir. Sonuç olarak DASH diyetine yüksek düzeyde uyumun, premenstrüel semptomların şiddet ve sıklığını azaltabileceği düşünülmektedir.

Anahtar Kelimeler

DASH Diyeti, Kadın Öğrenciler, Premenstrüel Disforik Bozukluk, Premenstrüel Sendrom, Sağlıklı Beslenme

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Araştırmaya katılan tüm kadın öğrencilere teşekkür ederiz.

Determining the Relationship Between Adherence to DASH Diet and Premenstrual Syndrome

Öz

This study was planned and conducted to determine the relationship between the DASH diet, one of the healthy eating patterns, and premenstrual syndrome, can be frequently seen in women. The sample of this descriptive cross-sectional study consisted of female students studying at Gümüşhane University Faculty of Health Sciences in November-December 2022. Using a simple random sampling method, the data of 314 female students were evaluated using the questionnaire form created online (Google Forms) through digital communication tools. The questionnaire was prepared by the researchers by reviewing the literature, included the socio-demographic characteristics of the participants, eating habits, consumption of food groups recommended for consumption in the DASH diet, and the Premenstrual Symptoms Diagnostic Scale. Chi-Square, ANOVA and Pearson Correlation tests were used in the statistical analysis of the data obtained. As a result, it was found that the rate of both premenstrual syndrome (47.1%) and premenstrual dysphoric disorder (44.2%) was quite high among female students. The group with the highest DASH diet adherence level had lower levels of premenstrual symptoms than the group with the lowest DASH diet adherence level. In addition, a negative correlation was found between the DASH diet adherence score and the total score and subscales of the Premenstrual Symptom Diagnostic Scale. In conclusion, it is thought that a high level of adherence with the DASH diet may reduce the severity and frequency of premenstrual symptoms.

Anahtar Kelimeler

DASH Diet, Female Students, Healthy Eating, Premenstrual Dysphoric Disorder, Premenstrual Syndrome

Proje Numarası

Yok

Kaynakça

• 1. Gnanasambanthan, S. and Datta, S. (2019). "Premenstrual Syndrome". Obstetrics, Gynaecology & Reproductive Medicine, 29 (10), 281–285.
• 2. Direkvand-Moghadam, A, Sayehmiri, K, Delpisheh, A. and Sattar, K. (2014). "Epidemiology of Premenstrual Syndrome (PMS)-A Systematic Review and Meta-Analysis Study". Journal of Clinical & Diagnostic Research, 8 (2).
• 3. Chumpalova, P, Iakimova, R, Stoimenova-Popova, M, Aptalidis, D, Pandova, M. and Stoyanova, M. (2020). "Prevalence and Clinical Picture of Premenstrual Syndrome in Females from Bulgaria". Annals of General Psychiatry, 19 (1), 1–7.
• 4. Dilbaz, B. and Aksan, A. (2021). "Premenstrual Syndrome, a Common but Underrated Entity: Review of the Clinical Literature". Journal of the Turkish German Gynecological Association, 22 (2), 139.
• 5. Bhuvaneswari, K, Rabindran, P. and Bharadwaj, B. (2019). "Prevalence of Premenstrual Syndrome and Its Impact on Quality of Life among Selected College Students in Puducherry". National Medical Journal of India, 32 (1), 17–19.
• 6. Geta, T.G, Woldeamanuel, G.G. and Dassa, T.T. (2020). "Prevalence and Associated Factors of Premenstrual Syndrome among Women of the Reproductive Age Group in Ethiopia: Systematic Review and Meta-Analysis". PloS One, 15 (11), e0241702.
• 7. Tiranini, L. and Nappi, R.E. (2022). "Recent Advances in Understanding/Management of Premenstrual Dysphoric Disorder/Premenstrual Syndrome". Faculty Reviews, 11 (11).
• 8. Takeda, T. (2023). "Premenstrual Disorders: Premenstrual Syndrome and Premenstrual Dysphoric Disorder". Journal of Obstetrics and Gynaecology Research, 49 (2), 510–518.
• 9. Siminiuc, R. and Turcanu, D. (2023). "Impact of Nutritional Diet Therapy on Premenstrual Syndrome". Frontiers in Nutrition, 10, 118.
• 10. Campbell, A.P. (2017). "DASH Eating Plan: An Eating Pattern for Diabetes Management". Diabetes Spectrum, 30 (2), 76–81.
• 11. Kwon, Y.J, Sung, D.I. and Lee, J.W. (2022). "Association among Premenstrual Syndrome, Dietary Patterns, and Adherence to Mediterranean Diet". Nutrients, 14 (12), 2460.
• 12. MoradiFili, B, Ghiasvand, R, Pourmasoumi, M, Feizi, A. Shahdadian, F. and Shahshahan, Z. (2020). "Dietary Patterns Are Associated with Premenstrual Syndrome: Evidence from a Case-Control Study". Public health nutrition, 23 (5), 833–842.
• 13. Victor, F.F, Souza, A.I. Barreiros, C.D.T, Barros, J.L.N, de Silva, F.A.C. and Ferreira, A.L.C.G. (2019). "Quality of Life among University Students with Premenstrual Syndrome". Revista Brasileira de Ginecologia e Obstetrícia, 41, 312–317.
• 14. Prasad, D, Wollenhaupt-Aguiar, B, Kidd, K.N, de Azevedo Cardoso, T. and Frey, B.N. (2021). "Suicidal Risk in Women with Premenstrual Syndrome and Premenstrual Dysphoric Disorder: A Systematic Review and Meta-Analysis". Journal of Women’s Health, 30 (12), 1693–1707.
• 15. Yang, Q, Lagerberg, T, Sjölander, A, Bertone-Johnson, E.R, Fang, F. and Ye, W. (2022). "Use of Hormonal Contraceptives and Antidepressants and Risks of Suicidal Behavior and Accidents among Women with Premenstrual Disorders: A Nationwide Cohort Study". BMC Medicine, 20 (1), 1–10.
• 16. Faul, F, Erdfelder, E, Buchner, A. and Lang, A.G. (2009). "Statistical Power Analyses Using G* Power 3.1: Tests for Correlation and Regression Analyses". Behavior Research Methods, 41 (4), 1149–1160.
• 17. T.C. Sağlık Bakanlığı (2015). Türkiye Beslenme Rehberi. Erişim Adresi: https://dosyasb.saglik.gov.tr/Eklenti/10915 ,tuber-turkiye-beslenme-rehberipdf.pdf (Erişim Tarihi: 25.01.2023)
• 18. Soltani, S, Arablou, T, Jayedi, A. ve Salehi-Abargouei, A. (2020). "Adherence to the Dietary Approaches to Stop Hypertension (DASH) Diet in Relation to All-Cause and Cause-Specific Mortality: A Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies". Nutrition Journal, 19, 1–13.
• 19. Cheung, M.M, DeLuccia, R, Ramadoss, R.K, Aljahdali, A, Volpe, S.L. and Shewokis, P.A. (2019). "Low Dietary Magnesium Intake Alters Vitamin D-Parathyroid Hormone Relationship in Adults Who Are Overweight or Obese". Nutrition Research, 69, 82–93.
• 20. Yıldırım, D. (2022). Premenstrual Semptomlar Tanılama Ölçeği ve Günlüğünün Geliştirilmesi.Doktora Tezi. Gazi Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
• 21. Ott, R.L. and Longnecker, M.T. (2015). An Introduction To Statistical Methods And Data Analysis. USA: Cengage Learning.
• 22. Bansal, D, Raman, R. and Rao, T.S.S. (2019). "Premenstrual Dysphoric Disorder: Ranking the Symptoms and Severity in Indian College Students". Journal of Psychosexual Health, 1 (2), 159–163.
• 23. Yun, T.C, Ahmad, S.R. and Quee, D.K.S. (2018). "Dietary Habits and Lifestyle Practices among University Students in Universiti Brunei Darussalam". The Malaysian Journal of Medical Sciences, 25 (3), 56.
• 24. Yukie, M, Aoi, I, Mizuki, K. and Toshiyuki, Y. (2020). "Change in Appetite and Food Craving during Menstrual Cycle in Young Students". International Journal of Nutrition and Metabolism, 12 (2), 25–30.
• 25. Hashim, M.S, Obaideen, A.A, Jahrami, H.A, Radwan, H, Hamad, H.J. and Owais, A.A. (2019). "Premenstrual Syndrome Is Associated with Dietary and Lifestyle Behaviors among University Students: A Cross-Sectional Study from Sharjah, UAE". Nutrients, 11 (8), 1939.
• 26. Rad, M, Sabzevary, M.T. and Dehnavi, Z.M. (2018). "Factors Associated with Premenstrual Syndrome in Female High School Students". Journal of Education and Health Promotion, 7.
• 27. Farasati, N, Siassi, F, Koohdani, F, Qorbani, M, Abashzadeh, K. and Sotoudeh, G. (2015). "Western Dietary Pattern Is Related to Premenstrual Syndrome: A Case–Control Study". British Journal of Nutrition, 114 (12), 2016–2021.
• 28. Farhadnejad, H, Darand, M, Teymoori, F, Asghari, G. Mirmiran, P. and Azizi, F. (2019). "The Association of Dietary Approach to Stop Hypertension (DASH) Diet with Metabolic Healthy and Metabolic Unhealthy Obesity Phenotypes". Scientific Reports, 9 (1), 18690.
• 29. Onieva-Zafra, M.D, Fernández-Martínez, E, Abreu-Sánchez, A. Iglesias-López, M.T, García-Padilla, F.M. and Pedregal-González, M. (2020). "Relationship between Diet, Menstrual Pain and Other Menstrual Characteristics among Spanish Students". Nutrients, 12 (6), 1759.
• 30. AlQuaiz, A, Albugami, M, Kazi, A, Alshobaili, F, Habib, F. and Gold, E.B. (2022). "Dietary, Psychological and Lifestyle Factors Associated with Premenstrual Symptoms". International Journal of Women’s Health, 16 (14), 1709–1722.
• 31. Khayyatzadeh, S.S, Bagherniya, M, Fazeli, M, Khorasanchi, Z, Bidokhti, M.S. and Ahmadinejad, M. (2018). "A Western Dietary Pattern Is Associated with Elevated Level of High Sensitive C‐reactive Protein among Adolescent Girls". European Journal of Clinical Investigation, 48 (4), e12897.
• 32. Bertone-Johnson, E.R, Ronnenberg, A.G, Houghton, S.C, Nobles, C, Zagarins, S.E. and Takashima-Uebelhoer, B.B. (2014). "Association of Inflammation Markers with Menstrual Symptom Severity and Premenstrual Syndrome in Young Women". Human Reproduction, 29 (9), 1987–1994.
• 33. Duvan, C.I, Cumaoglu, A, Turhan, N.O, Karasu, C. and Kafali, H. (2011). "Oxidant/Antioxidant Status in Premenstrual Syndrome". Archives of Gynecology and Obstetrics, 283, 299–304.
• 34. Inam, Q.U, Haleem, M.A. and Haleem, D.J. (2006). "Effects of Long Term Consumption of Sugar as Part of Meal on Serotonin 1-a Receptor Dependent Responses.". Pakistan Journal of Pharmaceutical Sciences, 19 (2), 94–98.
• 35. Liu, S, Manson, J.E, Buring, J.E, Stampfer, M.J, Willett, W.C. and Ridker, P.M. (2002). "Relation between a Diet with a High Glycemic Load and Plasma Concentrations of High-Sensitivity C-Reactive Protein in Middle-Aged Women". The American Journal of Clinical Nutrition, 75 (3), 492–498.
• 36. Banas, S.M, Rouch, C, Kassis, N, Markaki, E.M. and Gerozissis, K. (2009). "A Dietary Fat Excess Alters Metabolic and Neuroendocrine Responses before the Onset of Metabolic Diseases". Cellular and Molecular Neurobiology, 29, 157–168.
• 37. Yu, C, Shi, Z, Lv, J, Guo, Y, Bian, Z. and Du, H. (2017). "Dietary Patterns and Insomnia Symptoms in Chinese Adults: The China Kadoorie Biobank". Nutrients, 9 (3), 232.
• 38. Facchinetti, F, Borella, P, Sances, G, Fioroni, L, Nappi, R.E. and Genazzani, A.R. (1991). "Oral Magnesium Successfully Relieves Premenstrual Mood Changes". Obstetrics & Gynecology, 78 (2), 177.
• 39. Chocano-Bedoya, P.O, Manson, J.E, Hankinson, S.E, Johnson, S.R, Chasan-Taber, L, Ronnenberg, A.G, Bigelov C. and Bertone-Johnson E. R (2013). "Intake of Selected Minerals and Risk of Premenstrual Syndrome". American Journal of Epidemiology, 177 (10), 1118–1127.
• 40. N-Wihlbäck, A.C, Sundström-Poromaa, I. and Bäckström, T. (2006). "Action by and Sensitivity to Neuroactive Steroids in Menstrual Cycle Related CNS Disorders". Psychopharmacology, 186, 388–401.