Araştırma Makalesi
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Polikistik Over Sendromunda Yeme Tutumu, Diyet Kalitesi ve Beslenme Bilgilerinin Karşılaştırılması

Yıl 2022, Cilt 12, Sayı 5, 733 - 737, 30.09.2022
https://doi.org/10.16899/jcm.1138300

Öz

Amaç: Araştırmanın amacı Konya'daki erişkin kadınların yeme tutumu, diyet kalitesi ve beslenme bilgilerini Polikistik Over Sendromu (PCOS) olan ve olmayanlara göre karşılaştırmaktır. Gereç ve Yöntem: Araştırma tarama modelinde tasarlanmış olup, örneklem 80'i tıp doktoru tarafından PKOS tanısı almış ve 320'si almayan olmak üzere iki grup halinde 400 yetişkin kadından oluşmaktadır. Veriler, beş bölümden oluşan anket formu ile yüz yüze görüşme yöntemiyle elde edilmiştir. Bulgular: PKOS tanısı olan ve olmayan kadınların EAT-40 puan ortalamaları sırasıyla 22,2±1,270 ve 18,9±0,538 bulundu. PKOS tanısı alan kadınlar yeme davranışı bozukluklarına daha yatkın olduğu belirlendi (p=0,008). Her iki grubun diyet kalitesi kötü olarak değerlendirildi. Toplam beslenme bilgi puan ortalaması 68,4±0,670 olarak elde edildi. Regresyon modeline göre EAT-40 puanları ve BKİ'nin, farklılaştığı saptandı (p=0,000). DQI-I puanları ile BKİ (p=0,029) ve DQI-I puanları ile beslenme bilgisi arasında ilişki arasında pozitif korelasyon (p=0,000) belirlendi. Sonuç: Çalışmanın sonuçları, PKOS'lu kadınların daha fazla yeme davranışı bozukluğuna sahip olduğunu ve her iki grupta da diyet kalitesinin kötü olduğunu gösterdi. Bu nedenle PKOS'lu kadınların daha sağlıklı bir yaşam sürdürmeleri için yeme farkındalıkları ve diyet kalitelerinin artırılması, yeme tutum ve beslenme bilgilerinin sağlanması gerekmektedir.

Kaynakça

  • Badri-Fariman M, Naeini AA, Mirzaei K, et al. Association between the food security status and dietary patterns with polycystic ovary syndrome (PCOS) in overweight and obese Iranian women: a case-control study. J Ovarian Res 2021;14:134.
  • Lin AW, Lujan ME. Comparison of dietary intake and physical activity between women with and without polycystic ovary syndrome: A Review12. Adv Nutr 2014;5(5):486–96.
  • Orbetzova MM. Clinical impact of insulin resistance in women with polycystic ovary syndrome.[internet] polycystic ovarian syndrome. IntechOpen; 2020. [cited 2022 Jun 2] Available from: https://www.intechopen.com/chapters/undefined/state.item.id
  • Pohlmeier AM, Phy JL, Watkins P, et al. Effect of a low starch/low dairy diet on fat oxidation in overweight and obese women with polycystic ovary syndrome. Appl Physiol Nutr Metab 2014;39(11):1237–44.
  • Ciebiera M, Esfandyari S, Siblini H, et al. Nutrition in gynecological diseases: current perspectives. Nutrients 2021;13(4):1178.
  • Wang Z, Groen H, Cantineau AEP, et al. Dietary intake, eating behavior, physical activity, and quality of life in infertile women with PCOS and obesity compared with Non-PCOS obese controls. Nutrients 2021;13(10):3526.
  • Rojas J, Chávez M, Olivar L, et al. Polycystic ovary syndrome, insulin resistance, and obesity: navigating the pathophysiologic labyrinth. Int J Reprod Med 2014;2014:719050.
  • Rosenfield RL. The Polycystic ovary morphology-polycystic ovary syndrome spectrum. J Pediatr Adolesc Gynecol 2015;28(6):412–9.
  • Hajivandi L, Noroozi M, Mostafavi F, Ekramzadeh M. Food habits in overweight and obese adolescent girls with Polycystic ovary syndrome (PCOS): a qualitative study in Iran. BMC Pediatr 2020; 4;20:277.
  • Thannickal A, Brutocao C, Alsawas M, et al. Eating, sleeping and sexual function disorders in women with polycystic ovary syndrome (PCOS): A systematic review and meta-analysis. Clin Endocrinol (Oxf) 2020;92(4):338–49.
  • Wong JE, Parnell WR, Howe AS, Black KE, Skidmore PM. Development and validation of a food-based diet quality index for New Zealand adolescents. BMC Public Health 2013;8;13(1):562.
  • Gil Á, Martinez de Victoria E, Olza J. Indicators for the evaluation of diet quality. Nutr Hosp 2015; 26;31 Suppl 3:128–44.
  • Turner-McGrievy G, Davidson CR, Billings DL. Dietary intake, eating behaviors, and quality of life in women with polycystic ovary syndrome who are trying to conceive. Hum Fertil (Camb) 2015;18(1):16–21.
  • Xenou M, Gourounti K. Dietary patterns and polycystic ovary syndrome: a systematic review. Maedica (Bucur) 2021;16(3):516–21.
  • Rodino IS, Byrne S, Sanders KA. Disordered eating attitudes and exercise in women undergoing fertility treatment. Aust N Z J Obstet Gynaecol 2016;56(1):82–7.
  • Vaux DL, Fidler F, Cumming G. Replicates and repeats—what is the difference and is it significant? EMBO Rep 2012;13(4):291–6.
  • Turkish Dietary Guideline, TUBER-turkiye-beslenme-rehberipdf.pdf.[Internet] .[cited 2022 Jun 21] Available from: https://dosyasb.saglik.gov.tr/Eklenti/10915,tuber-turkiye-beslenme-rehberipdf.pdf
  • Kim S, Haines PS, Siega-Riz AM, Popkin BM. The diet quality index-international (dqi-i) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. The Journal of Nutrition 2003;133(11):3476–84.
  • Phy JL, Pohlmeier AM, Cooper JA, et al. Low starch/low dairy diet results in successful treatment of obesity and co-morbidities linked to polycystic ovary syndrome (PCOS). J Obes Weight Loss Ther 2015;5(2):259.
  • Shishehgar F, Mirmiran P, Rahmati M, Tohidi M, Ramezani Tehrani F. Does a restricted energy low glycemic index diet have a different effect on overweight women with or without polycystic ovary syndrome? BMC Endocr Disord 2019;19:93.
  • Kazemi M, Jarrett BY, Vanden Brink H, et al. Obesity, Insulin resistance, and hyperandrogenism mediate the link between poor diet quality and ovarian dysmorphology in reproductive-aged women. Nutrients 2020;12(7):1953.
  • Dokras A, Stener-Victorin E, Yildiz BO, et al. Androgen excess- polycystic ovary syndrome society: position statement on depression, anxiety, quality of life, and eating disorders in polycystic ovary syndrome. Fertil Steril 2018;109(5):888–99.
  • Lee I, Cooney LG, Saini S, Sammel MD, Allison KC, Dokras A. Increased odds of disordered eating in polycystic ovary syndrome: a systematic review and meta-analysis. Eat Weight Disord 2019;24(5):787–97.
  • Jeanes YM, Reeves S, Gibson EL, Piggott C, May VA, Hart KH. Binge eating behaviours and food cravings in women with Polycystic Ovary Syndrome. Appetite 2017;109:24–32.
  • Barrea L, Frias-Toral E, Verde L, et al. PCOS and nutritional approaches: differences between lean and obese phenotype. Metabol Open 2021;12:100123.
  • Moran LJ, Ranasinha S, Zoungas S, McNaughton SA, Brown WJ, Teede HJ. The contribution of diet, physical activity and sedentary behaviour to body mass index in women with and without polycystic ovary syndrome. Hum Reprod 2013;28(8):2276–83.

A Comparison of Eating Attitudes, Diet Quality, and Nutrition Knowledge in Polycystic Ovary Syndrome

Yıl 2022, Cilt 12, Sayı 5, 733 - 737, 30.09.2022
https://doi.org/10.16899/jcm.1138300

Öz

Aim: The purpose of the study was to compare the eating attitude, diet quality, and nutrition knowledge of adult women in Konya according to with and without Polycystic Ovary Syndrome (PCOS). Material and Method: The study is designed as a survey and the sample consists of 400 adult women in two groups, 80 of whom were diagnosed with PCOS by a medical doctor and 320 were not. The data were obtained using a face-to-face interview with a five parted questionnaire. Results: The mean scores of EAT-40 of women with and without PCOS diagnosis were 22.2±1.270 and 18.9±0.538, respectively. Women diagnosed with PCOS were more predisposed to eating behavior disorders (p=0.008). The diet quality of both groups was evaluated as poor. The total nutrition knowledge mean score is found 68.4±0.670. According to the regression model, EAT-40 scores and BMI found differed (p=0.000). A positive correlation between DQI-I scores and BMI (p=0.029) and a relation between DQI-I scores and nutrition knowledge (p=0.000). Conclusion: The results of the study showed that women with PCOS had more eating behavior disorders, and diet quality was poor in both groups. For this reason, women with PCOS should be made aware of eating, diet quality should be increased, and food attitudes and nutrition knowledge should be provided to maintain a healthier life.

Kaynakça

  • Badri-Fariman M, Naeini AA, Mirzaei K, et al. Association between the food security status and dietary patterns with polycystic ovary syndrome (PCOS) in overweight and obese Iranian women: a case-control study. J Ovarian Res 2021;14:134.
  • Lin AW, Lujan ME. Comparison of dietary intake and physical activity between women with and without polycystic ovary syndrome: A Review12. Adv Nutr 2014;5(5):486–96.
  • Orbetzova MM. Clinical impact of insulin resistance in women with polycystic ovary syndrome.[internet] polycystic ovarian syndrome. IntechOpen; 2020. [cited 2022 Jun 2] Available from: https://www.intechopen.com/chapters/undefined/state.item.id
  • Pohlmeier AM, Phy JL, Watkins P, et al. Effect of a low starch/low dairy diet on fat oxidation in overweight and obese women with polycystic ovary syndrome. Appl Physiol Nutr Metab 2014;39(11):1237–44.
  • Ciebiera M, Esfandyari S, Siblini H, et al. Nutrition in gynecological diseases: current perspectives. Nutrients 2021;13(4):1178.
  • Wang Z, Groen H, Cantineau AEP, et al. Dietary intake, eating behavior, physical activity, and quality of life in infertile women with PCOS and obesity compared with Non-PCOS obese controls. Nutrients 2021;13(10):3526.
  • Rojas J, Chávez M, Olivar L, et al. Polycystic ovary syndrome, insulin resistance, and obesity: navigating the pathophysiologic labyrinth. Int J Reprod Med 2014;2014:719050.
  • Rosenfield RL. The Polycystic ovary morphology-polycystic ovary syndrome spectrum. J Pediatr Adolesc Gynecol 2015;28(6):412–9.
  • Hajivandi L, Noroozi M, Mostafavi F, Ekramzadeh M. Food habits in overweight and obese adolescent girls with Polycystic ovary syndrome (PCOS): a qualitative study in Iran. BMC Pediatr 2020; 4;20:277.
  • Thannickal A, Brutocao C, Alsawas M, et al. Eating, sleeping and sexual function disorders in women with polycystic ovary syndrome (PCOS): A systematic review and meta-analysis. Clin Endocrinol (Oxf) 2020;92(4):338–49.
  • Wong JE, Parnell WR, Howe AS, Black KE, Skidmore PM. Development and validation of a food-based diet quality index for New Zealand adolescents. BMC Public Health 2013;8;13(1):562.
  • Gil Á, Martinez de Victoria E, Olza J. Indicators for the evaluation of diet quality. Nutr Hosp 2015; 26;31 Suppl 3:128–44.
  • Turner-McGrievy G, Davidson CR, Billings DL. Dietary intake, eating behaviors, and quality of life in women with polycystic ovary syndrome who are trying to conceive. Hum Fertil (Camb) 2015;18(1):16–21.
  • Xenou M, Gourounti K. Dietary patterns and polycystic ovary syndrome: a systematic review. Maedica (Bucur) 2021;16(3):516–21.
  • Rodino IS, Byrne S, Sanders KA. Disordered eating attitudes and exercise in women undergoing fertility treatment. Aust N Z J Obstet Gynaecol 2016;56(1):82–7.
  • Vaux DL, Fidler F, Cumming G. Replicates and repeats—what is the difference and is it significant? EMBO Rep 2012;13(4):291–6.
  • Turkish Dietary Guideline, TUBER-turkiye-beslenme-rehberipdf.pdf.[Internet] .[cited 2022 Jun 21] Available from: https://dosyasb.saglik.gov.tr/Eklenti/10915,tuber-turkiye-beslenme-rehberipdf.pdf
  • Kim S, Haines PS, Siega-Riz AM, Popkin BM. The diet quality index-international (dqi-i) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. The Journal of Nutrition 2003;133(11):3476–84.
  • Phy JL, Pohlmeier AM, Cooper JA, et al. Low starch/low dairy diet results in successful treatment of obesity and co-morbidities linked to polycystic ovary syndrome (PCOS). J Obes Weight Loss Ther 2015;5(2):259.
  • Shishehgar F, Mirmiran P, Rahmati M, Tohidi M, Ramezani Tehrani F. Does a restricted energy low glycemic index diet have a different effect on overweight women with or without polycystic ovary syndrome? BMC Endocr Disord 2019;19:93.
  • Kazemi M, Jarrett BY, Vanden Brink H, et al. Obesity, Insulin resistance, and hyperandrogenism mediate the link between poor diet quality and ovarian dysmorphology in reproductive-aged women. Nutrients 2020;12(7):1953.
  • Dokras A, Stener-Victorin E, Yildiz BO, et al. Androgen excess- polycystic ovary syndrome society: position statement on depression, anxiety, quality of life, and eating disorders in polycystic ovary syndrome. Fertil Steril 2018;109(5):888–99.
  • Lee I, Cooney LG, Saini S, Sammel MD, Allison KC, Dokras A. Increased odds of disordered eating in polycystic ovary syndrome: a systematic review and meta-analysis. Eat Weight Disord 2019;24(5):787–97.
  • Jeanes YM, Reeves S, Gibson EL, Piggott C, May VA, Hart KH. Binge eating behaviours and food cravings in women with Polycystic Ovary Syndrome. Appetite 2017;109:24–32.
  • Barrea L, Frias-Toral E, Verde L, et al. PCOS and nutritional approaches: differences between lean and obese phenotype. Metabol Open 2021;12:100123.
  • Moran LJ, Ranasinha S, Zoungas S, McNaughton SA, Brown WJ, Teede HJ. The contribution of diet, physical activity and sedentary behaviour to body mass index in women with and without polycystic ovary syndrome. Hum Reprod 2013;28(8):2276–83.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Büşra DAYIOĞLU ULUDAĞ>
Bir kuruma bağlı değildir
0000-0002-3586-5966
Türkiye


M. Ali CEBİRBAY> (Sorumlu Yazar)
Selçuk Üniversitesi
0000-0003-3484-7173
Türkiye

Erken Görünüm Tarihi 11 Temmuz 2022
Yayımlanma Tarihi 30 Eylül 2022
Kabul Tarihi 3 Ağustos 2022
Yayınlandığı Sayı Yıl 2022, Cilt 12, Sayı 5

Kaynak Göster

AMA Dayıoğlu Uludağ B. , Cebirbay M. A. A Comparison of Eating Attitudes, Diet Quality, and Nutrition Knowledge in Polycystic Ovary Syndrome. J Contemp Med. 2022; 12(5): 733-737.