“Sabit Ortodontik Tedavinin ilk Üç Ayında Gözlenen Kilo Kaybı ve Beslenme Değişiklikleri”

Yıl 2019, Cilt: 6 Sayı: 1, 18 - 22, 01.04.2019

Delal Dara Kılınç Gülşilay Sayar

https://doi.org/10.15311/selcukdentj.368827

Cited By: 2

Öz

Amaç: Sabit ortodontik tedavinin ilk üç ayında beslenme, beslenme değişiklikleri ve kilo değişimini değerlendirmek.

Gereç ve Yöntem: Sabit ortodontik tedaviye ihtiyaç duyan 53 hasta (13 erkek, 41 kadın) seçildi. Benzer koşullara sahip 50 birey(14 erkek ve 36 kadın) kontrol olarak seçildi. Kontrol grubunda yaş ortalaması 17.44 ± 0.75, tedavi grubunda 17.67 ± 0.85 idi. Tedavi başlangıcında, braketleme sonrası 1. hafta ve 1., 2. ve 3. ay düzenli şekilde hastaların kilo değerleri kaydedildi. Aynı değerler kontrol grubu için de kaydedildi. Tedavi grubuna tedavinin ilk ayında diyet değişikliklerini kaydetmesi için bir anket uygulandı.

Bulgular: Tekrarlanan Varyans Analizi sonuçlarına göre zaman bağımlı değişmeler istatistiksel olarak anlamlıydı (p: 0.015), ancak Zaman-Grup etkileşimi sonuçları istatistiksel olarak anlamlı değildi (p: 0.051). Başlangıç ​​değerleri ile 1. hafta ve 1. ay değerleri arasındaki zaman aralıklarına göre ağırlık değerleri arasında istatistiksel olarak anlamlı fark vardı; diğer zaman aralıkları arasında istatistiksel olarak anlamlı bir fark yoktu. Tedavi grubunun ortalama ağırlık değerlerinde, ortalama başlangıç ​​değerlerine göre istatistiksel olarak önemli bir düşüş vardı.

Sonuçlar: Tedavinin ilk ayında kayda değer diyet değişiklikleri ve klinik olarak gözle görülür kilo kaybı tedavi gurubundaki tüm hastalarda gözlendi. Tedavinin ikinci ayından sonra hastalar tekrar kilo almaya başladılar.

Anahtar Kelimeler

Sabit Ortodontik Tedavi, Diyet Değişimleri, Kilo Kaybı, Beslenme

Weight Loss and Dietary Changes in the First Three Months of Fixed Orthodontic Treatment.

Öz

Background: To asses nutrition, dietary changes and weight change in patients in the first three months of fixed orthodontic treatment.  

Methods:  53 patients(13 males, 41 females) in test group who needed fixed orthodontic treatment were selected. 50 subjects(14 males and 36 females) with similar conditions were selected as control. The mean age was for treatment group was 17.44±0.75 and was 17.67±0.85 for control group. Weight values of patients recorded immediately before bonding of brackets at beginning of treatment,1 week after bonding and in orderly 1, 2 and 3 months after bonding. The same values were recorded also for the control group. A questionnaire was conducted for the treatment group to record dietary changes in the first month of the treatment. 

Results: According to the results of Repeated Variance Analysis: time dependent changes were statistically significant (p:0.015) but,Time-Group interaction results were not statistically significant (p: 0.051). There was a statistically significant difference between the weight values according to the time intervals between the baseline values and 1.week and 1.month values; while there was not a statistically significant difference between the other time intervals. There was a statistically significant decrease in the mean weight values of treatment group according to the mean baseline values.

Conclusions: Remarkable dietary changes and clinically noticeable weight loss was observed in all patients in the first month of the treatment. Patients started to regain their weight losses by degrees after second month of treatment. 

Keywords: Fixed Orthodontic Treatment, Dietary Changes, Weight Loss, Nutrition

Anahtar Kelimeler

Dietary Changes, Weight Loss, Fixed orthodontic treatment

Kaynakça

• 1- Johal A, Al Jawad FA, Marcenes W, Croft N. Does orthodontic treatment harm children's diets?. Journal of dentistry. 2013;41(11): 949-954.
• 2- Ajmera AJ, Tarvade SS, Patni VR. A systematic nutritional and dietary guideline for orthodontic patients. Journal of Orthodontic Research. 2015;3(2): 88
• 3- Riordan DJ. Effects of orthodontic treatment on nutrient intake. American journal of orthodontics and dentofacial orthopedics. 1997;111(5):554-561.
• 4- Miresmaili A. Orthodontic Appliance Effect on Nutrition. Nutrition Bytes. 2016;20(1).
• 5- Krishnan V. Orthodontic pain: from causes to management—a review. The European Journal of Orthodontics. 2007;29(2): 170-179.
• 6- Carter LA, Geldenhuys M, Moynihan PJ, Slater DR, Exley CE, Rolland SL. The impact of orthodontic appliances on eating—young people’s views and experiences. Journal of orthodontics. 2015;42(2): 114-122.
• 7- Sandeep KS, Singaraju GS, Reddy VK, Mandava P, Bhavikati VN, Reddy R. Evaluation of body weight, body mass index, and body fat percentage changes in early stages of fixed orthodontic therapy. Journal of International Society of Preventive & Community Dentistry. 2016;6(4): 349.
• 8- Hickory W, Nanda R. Nutritional considerations in orthodontics. Dental clinics of North America. 1981;25(1): 195-201.
• 9- Sharma R, Mittal SK, Singla A, Virdi MS. Nutritional Guidelines for Orthodontic Patients. Internet Journal of Nutrition & Wellness. 2011;10(2).
• 10- Schmitz KE, Liles S, Hyman AN, Hofstetter CR, Obayashi S, Parker M, Hovell MF. Youth receiving orthodontic care are not immune to poor diet and overweight: a call for dental providers to participate in prevention efforts. Pediatric dimensions. 2016;1(3): 59.
• 11- Lee JY, Kim SW, Kim JM, Shin IS, Yoon JS. Two Cases of Eating Disorders in Adolescents with Dental Braces Fitted Prior to the Onset of Anorexia Nervosa. Psychiatry investigation,.2015;12(3): 411-414.
• 12- Simopoulos AP. Obesity and carcinogenesis: historical perspective. The American journal of clinical nutrition. 1987;45(1): 271-276.
• 13- Shiffman ML, Sugerman HJ, Kellum JM, Brewer WH, Moore EW. Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity. American Journal of Gastroenterology. 1991;86(8).
• 14- Foster GD, Makris AP, Bailer BA. Behavioral treatment of obesity. The American journal of clinical nutrition. 2005;82(1): 230S-235S.
• 15- Weinstock RS, Dai H, Wadden TA. Diet and exercise in the treatment of obesity: effects of 3 interventions on insulin resistance. Archives of internal medicine. 1998;158(22): 2477-2483.
• 16- Spieth LE, Harnish JD, Lenders CM, Raezer LB, Pereira MA, Hangen SJ, Ludwig DS. A low–glycemic index diet in the treatment of pediatric obesity. Archives of Pediatrics & Adolescent Medicine. 2000;154(9): 947-951.
• 17- Kharma MY, Aws G, Tarakji B. Are dentists involved in the treatment of obesity?. Journal of International Society of Preventive & Community Dentistry. 2016;6(3): 183.
• 18- Abed Al Jawad F, Cunningham SJ, Croft N, Johal A. A qualitative study of the early effects of fixed orthodontic treatment on dietary intake and behaviour in adolescent patients. The European Journal of Orthodontics. 2011;34(4): 432-436.
• 19- Azaripour A, Willershausen I, Hassan M, Ebenezer S, Willershausen B. Oral Hygiene and Dietary Habits in Adolescents with Fixed Orthodontic Appliances: A Cross-sectional Study. The journal of contemporary dental practice. 2016;17(3): 179-183.
• 20- Shirazi AS, Mobarhan MG, Nik E, Kerayechian N, Ferns GA. Comparison of dietary intake between fixed orthodontic patients and control subjects. Australian orthodontic journal. 2011;27(1): 17.