OBEZ KADINLARDA YAŞAM KALİTESİ VE DİYET ASİT YÜKÜ ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ

Öz

Amaç: Bu çalışma; obez kadınların diyet asit yüklerinin belirlenmesi ve diyet asit yükü, antropometrik ölçümler ve yaşam kalitesi arasındaki ilişkinin incelenmesi amacıyla yürütülmüştür. Yöntem: Çalışmaya beden kütle indeksi ≥30-<40 kg/m² arasında olan 140 gönüllü yetişkin birey dahil edildi. Bireylerin besin tüketim durumlarını ve diyet asit yükünü belirlemek amacıyla üç günlük (iki gün hafta içi, bir gün hafta sonu) besin tüketim kaydı alındı. Besin alımına dayanarak potansiyel renal asit yükü (PRAL) ve net endojen asit üretimi (NEAP) çeşitli algoritmalar kullanılarak hesaplandı. Yaşam kalitesinin belirlenebilmesi için Obezlere Özgü Yaşam Kalitesi Ölçeği kullanıldı. Vücut ağırlığı, boy uzunluğu, bel, kalça ve boyun çevresi araştırmacı tarafından ölçüldü. Bulgular: Kadınların PRAL ve NEAP skorları obezite derecesi arttıkça artış gösterdi (p>0.05). Sigara kullanan obez kadınlarda PRAL skoru, sigara kullanmayanlardan yüksek bulundu (p<0.05). Kadınların vücut ağırlığı ile yaşam kalitesi arasında negatif yönlü bir ilişki bulundu (r=-0.234, p=0.005). Kadınların yaşam kalitesi, sosyo-ekonomik durumu ve konstipasyon durumları ile PRAL ve NEAP skorları arasında ilişki saptanmadı (p>0.05). Sonuç: Bu çalışmada obezite derecesi arttıkça diyet asit yükü artış göstermiştir. Sigara kullanımı diyet asit yükünü artıran diğer bir neden olarak saptanmıştır. Ayrıca sosyo-ekonomik durum, kabızlık gibi faktörler de diyet asit yükünü etkilemektedir. Bireylerin obezite durumu arttıkça yaşam kalitesi düşmektedir. Bu nedenle obez bireylerde beslenme tedavisi planlanırken diyet asit yükünün değerlendirilmesine ve ağırlık kontrolüne dikkat edilmelidir.

Anahtar Kelimeler

• Beslenme
• Obezite
• Yaşam Kalitesi
• PRAL
• NEAP

EVALUATION OF THE RELATIONSHİP BETWEEN QUALITY OF LIFE AND DIETARY ACID LOAD IN OBESE WOMEN

Öz

Objective: This study was conducted to determine the dietary acid load of obese women and to examine the relationship between dietary acid load, anthropometric measurements, and quality-of-life. Method: 140 volunteer adult individuals with body mass index 30-<40 kg/m² were included. To determine the food consumption status and the dietary acid load of the women, food consumption records were taken for three consecutive days (two days on weekdays, one day on the weekend). Potential renal acid load (PRAL) and net endogenous acid production (NEAP) were calculated by various algorithms based on food intake. The Obese-Specific Quality of Life Scale was used to determine the quality of life. The researcher measured body weight, height, waist, hip, and neck circumferences. Results: PRAL and NEAP scores increased with the increment in the degree of obesity but not significant for statistical (p>0.05). PRAL score in obese smokers was higher than the PRAL score of obese non-smokers (p<0.05). A negative correlation was detected between body weight and quality of life (r=-0.234, p=0.005). There was no significant relationship between quality of life and socio-economic status and constipation status and PRAL and NEAP scores (p>0.05). Conclusion: In this study, the dietary acid load increased with the increase in obesity. Smoking is another condition that increases dietary acid load. In addition, factors such as socioeconomic status and constipation also affect dietary acid load. Besides, as the obesity status of individuals increases, the quality-of-life decreases. Therefore, attention should be paid on assessing dietary acid load and weight control when planning nutritional therapy in obese individuals.

Anahtar Kelimeler

• Nutrition
• Obesity
• Quality of Life
• PRAL
• NEAP

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