Diyetisyene başvuran Türk kadınlarında tıkınırcasına yeme davranışının klinik önemi: Hedonik açlık, beslenme durumu ve diyet alışkanlıkları üzerine bir araştırma

Öz

Diyetisyene başvuran kadınlarda tıkanırcasına yeme bozukluğunun saptanması ve bu durumun hedonik açlık ve obezite ile ilişkisinin incelenmesi amacıyla bu çalışma planlanmıştır. 19-50 yaş aralığındaki 400 yetişkin kadın değerlendirilmiştir. Tıkınırcasına yeme davranışı bozukluğunu incelemek için Edinburgh Bulimiya Araştırma Testi, hedonik açlık durumunu belirlemek için ise Besin Gücü Ölçeği kullanılmıştır. Katılımcıların %25.2’sinde tıkınırcasına yeme davranışı bozukluğu, %74.7’sinde ise hedonik açlık mevcuttur. Tıkınırcasına yeme davranışı bozukluğu olan kadınların büyük bir çoğunluğunda (%87.0) hedonik açlık durumu görülürken, tıkınırcasına yeme davranışı bozukluğu olmayan kadınların beden kütle indeksi değeri olan kadınlara göre anlamlı derecede daha düşüktür (25.3 ±5.12 kg/m2’ye karşı 27.0 ±5.46 kg/m2, p=0.005). Tıkınırcasına yeme davranışı bozukluğu olan kadınların olmayanlara göre daha sık diyete başladıkları (%87.1’e karşı %41,8), daha iştahlı oldukları (%78,2’e karşı %29.8) ve daha düzensiz öğün alışkanlıklarına sahip oldukları (%68.3’e karşı %41.3) bulunmuştur (p=0.001). Tıkınırcasına yeme davranışı bozukluğu olmayan kadınların %64.3’ünün 15 günde 1 kereden daha seyrek şekilde hazır/işlenmiş/paketli ürünleri tükettiği, tıkınırcasına yeme davranışı bozukluğu olan kadınların ise %57.5’inin haftada 1-4 kereden daha sık tükettikleri bulunmuştur (p=0.007). Tıkınırcasına yeme bozukluğu ile hedonik açlık ve beden kütle indeksi pozitif yönde anlamlı derecede ilişkilidir (sırasıyla r= 0.522, p=0,001; r= 0.234, p=0.001). Tıkınırcasına yeme bozukluğu, diyetisyene başvuran kadınların beslenme durumu ve besin tercihinde önemli bir faktördür.

Anahtar Kelimeler

• Hedonik açlık
• Tıkınırcasına yeme bozukluğu
• Beslenme alışkanlıkları

Clinical significance of binge eating behavior in Turkish women who applied to a dietician: A research on hedonic hunger, nutritional status and dietary habits

Abstract

It is conducted to detect binge eating disorder in women who apply to a dietitian and to examine its relationship with hedonic hunger and obesity. This study was conducted with 400 adult women aged 19-50 years. Bulimic Investigatory Test Edinburgh was used to examine binge eating disorder, and The Power of Food Scale was used to determine hedonic hunger status. 25.2% of the participants had binge eating disorder and 74.7% had hedonic hunger. While most women with binge eating disorder (87.0%) have hedonic hunger, women without binge eating disorder have a significantly lower body mass index (25.3 ±5.12 kg/m2 vs 27.0±5.46 kg/m2, p=0.005). It was found that women with binge eating disorder diet more frequently (87.1% vs. 41.8%), have more appetite (78.2% vs. 29.8%), and have more irregular meals than those without binge eating disorder (68.3% vs. 41.3% (p=0.001). While 64.3% of women without binge eating disorder consume processed/packaged products less than once in 15 days, 57.5% consume more than 1-4 times a week (p=0.007). Binge eating disorder positively and significantly correlated with hedonic hunger and body mass index (r= 0.522, p=0.001; r= 0.234, p=0.001, respectively). Binge eating disorder is an important factor in the nutritional status and food preference of women who apply to a dietitian.

Keywords

• Hedonic hunger
• Binge eating disorder
• Dietary habits

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