Relationship between respiratory functions and feeding habits of the university students

Öz

Objective: As a major social problem unhealthy diet, especially among university students in the adolescent period, may lead to a variety of complications. In this study, the relationship between pulmonary functions and nutritional habits of the Suleyman Demirel University students was investigated. Material and Methods: Study was conducted between April-June 2010. Participants were 94 university students who were having formal education in the Suleyman Demirel University central campus and selected by simple random sampling method. To determine feeding habits, we used a survey that was created by researchers. The height and weight measurements were made with a standard scale and mezura. Lung functions were assessed by spirometry. For statistical analysis SPSS 18.0 pocket program was used, and data were analysed by ANOVA tests. For all analysis a p value of <0.05 was taken as significant. Results: Students' mean age was 19.9±0.9 years and 74 of all students (78.7%) were undergraduate students. The remaining 20 students (21.3%) were graduate students. Of all the students, 27 which comprised the largest group of the students (28.7%) were living in state dormitory. Four-person nuclear family structure was the highest group (39.4%) for family structure. Body mass index (BMI) was examined for the study group; according to BMI, body weight was generally within normal limits, but 17.39% of girls' was found to be underweight. There was a statistically significant difference between forced vital capacity (FVC), forced expiratory volume in 1st second (FEV1), FEV1/FVC at 1st second, peak expiratuar flow rate (PEF), maximal forced expiratory flow between 25% and 75% of forced vital capacity (FEF25-75) and the place that the students most often eat meals (p<0.05). A statistically significant difference was found between PEF and BMI, and between FEF25-75 and the frequency of fresh fruit and vegetables intake (p<0.05). Conclusions: The relationship between students respiratory parameters and where they eat meals and also the relationship of VKI with fresh fruit/vegetable intake emphasize the importance of adequate and balanced nutrition. In this way, development of chronic disease such as chronic obstructive pulmonary disease may be slowed or halted. Key words: Respiratory function tests, nutrition, university students, dormitory

Anahtar Kelimeler

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Üniversite öğrencilerinde solunum fonksiyonları ile beslenme alışkanlıkları arasındaki ilişki

Öz

Amaç: Önemli bir sosyal problem olan sağlıksız beslenme, özellikle adolesan dönemdeki üniversite öğrencilerinde, bir dizi komplikasyonlara yol açabilir. Bu çalışmada Süleyman Demirel Üniversitesi öğrencilerinde solunum fonksiyonları ile beslenme alışkanlıkları arasındaki ilişki araştırılmıştır. Gereç ve Yöntem: Çalışma Nisan-Haziran 2010 tarihlerinde gerçekleştirilmiştir. Çalışmaya Süleyman Demirel Üniversitesi merkez kampüsü içinde örgün eğitim gören öğrencilerden basit rastgele örneklemle belirlenen 94 yüksek öğrenim öğrencisi dahil edilmiştir. Beslenme alışkanlıklarının belirlenmesinde, araştırmacılar tarafından oluşturulan anket yöntemi kullanılmıştır. Boy ve ağırlık ölçümleri standart baskül ve mezür ile alınmıştır. Olguların solunum fonksiyonları, spirometri ile yapılmıştır. Veriler SPSS 18.0 bilgisayar programında ve ANOVA testiyle değerlendirilmiştir. İstatiksel değerlendirmelerde p<0.05 anlamlı olarak kabul edilmiştir. Bulgular: Araştırmaya katılan 94 öğrencinin 74'ü (%78.7) lisans öğrencisi 20'si ise (%21.3) lisans üstü öğrencisi olup, yaş ortalamaları 19.9±0.9 yıldı.. Öğrencilerin ikamet ettikleri yer açısından devlet yurdu 27 kişi (%28.7) ile en büyük grubu oluşturmaktaydı. Olguların %39.4'ü 4 kişilik çekirdek aile yapısından gelmekteydi. Vücut kitle indeksine göre (VKI) göre çalışma grubu incelendiğinde; öğrencilerin vücut ağırlıklarının normal sınırlarda olduğu ancak kız öğrencilerin %17.39'unun düşük kilolu olduğu görüldü. Zorlu vital kapasite (FVC), 1. saniyedeki zorlu ekspirasyon hacmi (FEV1), 1. saniyedeki zorlu ekspirasyon hacmi/zorlu vital kapasite (FEV1/FVC), tepe ekspiratuar akım hızı (PEF), maksimum ekspiryum ortası akım hızı (FEF25-75) ile yemeklerini en sık yedikleri yer arasında istatiksel olarak anlamlı farklılık bulundu (p<0.05). PEF vücut kitle indeksi (VKİ) arasında ve FEF25-75 ile taze meyve sebze yeme sıklığı arasında istatiksel olarak anlamlı farklılık bulundu (p<0.05). Sonuç: Öğrencilerin solunum parametreleri ile yemeklerini en sık yedikleri yer arasındaki ilişki ve yine VKİ ile taze mevye sebze yeme sıklığı arasındaki ilişki yeterli ve dengeli beslenmenin önemini göstermektedir. Bu sayede kronik obstrüktif akciğer hastalığı gibi kronik hastalıkların gelişimi yavaşlatılabilir veya engellenebilir. Anahtar kelimeler: Solunum fonksiyon testleri, beslenme, üniversite öğrencileri, yurt Abstract Objective: As a major social problem unhealthy diet, especially among university students in the adolescent period, may lead to a variety of complications. In this study, the relationship between pulmonary functions and nutritional habits of the Suleyman Demirel University students was investigated. Material and Methods: Study was conducted between April-June 2010. Participants were 94 university students who were having formal education in the Suleyman Demirel University central campus and selected by simple random sampling method. To determine feeding habits, we used a survey that was created by researchers. The height and weight measurements were made with a standard scale and mezura. Lung functions were assessed by spirometry. For statistical analysis SPSS 18.0 pocket program was used, and data were analysed by ANOVA tests. For all analysis a p value of <0.05 was taken as significant. Results: Students' mean age was 19.9±0.9 years and 74 of all students (78.7%) were undergraduate students. The remaining 20 students (21.3%) were graduate students. Of all the students, 27 which comprised the largest group of the students (28.7%) were living in state dormitory. Four-person nuclear family structure was the highest group (39.4%) for family structure. Body mass index (BMI) was examined for the study group; according to BMI, body weight was generally within normal limits, but 17.39% of girls' was found to be underweight. There was a statistically significant difference between forced vital capacity (FVC), forced expiratory volume in 1st second (FEV1), FEV1/FVC at 1st second, peak expiratuar flow rate (PEF), maximal forced expiratory flow between 25% and 75% of forced vital capacity (FEF25-75) and the place that the students most often eat meals (p<0.05). A statistically significant difference was found between PEF and BMI, and between FEF25-75 and the frequency of fresh fruit and vegetables intake (p<0.05). Conclusions: The relationship between students respiratory parameters and where they eat meals and also the relationship of VKI with fresh fruit/vegetable intake emphasize the importance of adequate and balanced nutrition. In this way, development of chronic disease such as chronic obstructive pulmonary disease may be slowed or halted. Key words: Respiratory function tests, nutrition, university students, dormitory

Anahtar Kelimeler

• Solunum fonksiyon testleri, beslenme, üniversite öğrencileri, yurt

Kaynakça

1. Baysal A. Genel beslenme. Hatipoğlu Yayınevi, Ankara, 1997; 9.
2. Açık Y, Çelik G, Ozan AT, Oğuzöncül AF, Deveci SE, Gülbayrak C. Üniversite öğrencilerinin beslenme alışkanlıkları. Sağlık ve Toplum 2003;13(4):74–80
3. Belmaker E, Cohen JD. The advisability of the prudent diet in adolescence. J Adolesc Health Care 1985;6(3):224–232
4. Benjelloun S. Nutrition transition in morocco. 5(1A):135–140
5. Noor MI. The nutrition and health transition in malaysia. Public Health Nutr. 2000;5(1A):191–195
6. Romieu I, Hernandez-Avila M, Rivera JA, Ruel MT, Parra S. Dietary studies in countries experiencing a health transition. Mexico And Central America. Am J Clin Nutr. 1997;65– 74
7. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN 2002;26(suppl.1):63
8. Öz H. Kronik solunum yetersizliklerinde beslenme. Solunum 2002; 4(ek2):339-342

9. Prescott E, Vestbo J: Socioeconomic status and chronic obstructive pulmonary disease. Thorax 1999;54:737–741
10. Tabak C, Smit HA, Räsänen L, Fidanza F, Menotti A, Nissinen A, Feskens EJM, Heederik D, Kromhout D. Dietary factors and pulmonary function: a cross sectional study in middle aged men from three European countries. Thorax 1999;54:1021–1026
11. Ferreira IM, Brooks D, Lacasse Y, Goldstein RS. Nutritional intervention in COPD. A systematic overview. Chest 2001;119:353–363
12. Pauwels RA, Rabe KF. Burden and clinical features of chronic obstructive pulmonary 2004;364:613–620
13. Vollmer WM. Epidemiology of COPD: overview and the US perspective. Eur Respir J 2003;22(43):1-3
14. Mannino DM. Chronic obstructive pulmonary
15. epidemiology. Respir Care 2003;48:1185- 1191
16. Sağlık İstatistikleri 1964–1994. SB APK Dairesi Yayınları, Ankara; 1995
17. Kocabas A ve ark. BOLD-Adana çalışması (yayınlanmamış çalışma)
18. Hansel TT, Barnes PJ. An atlas of chronic obstructive pulmonary disease (COPD). Parthenon Publishing Group, New York 2004;1–19
19. Busset AS. Risk factors for COPD. Eur Respir Rev 1996;6:253–258 Nutr 2000; disease (COPD). Lancet disease: definition and 2092–2102
20. Weiss ST. Early life predictors of adult chronic obstructive lung disease. Eur Respir Rev 1995;5:303-309
21. Silverman EK, Speizer FE. Risk factors for the development of chronic obstructive pulmonary disease. Med Clin North Ame 1996;80:501–522
22. Mergen H, Ongel K, Mergen EB. Is Medical Check-up Useful for Physician among New University Students during Enrolling Time to University? A Survey of 640 New University Students. European Journal of General Medicine 2009;6(2):10–14