Determining The Relationship Between Diet Inflammatory Index Score, Depression and Chronotype In Individuals with Metabolic Syndrome: An Example of a Training and Research Hospital

Öz

Aim: This study aimed to examine the relationship between the depression, chronotype and Dietary Inflammatory Index score in individuals diagnosed with metabolic syndrome. Material and Methods: This study included 100 individuals with metabolic syndrome. The Depression-Anxiety Stress Scale was utilized to assess the depression, stress, and anxiety levels of the participants. Chronotypes were determined using the Morningness-Eveningness Questionnaire, and the Dietary Inflammatory Index (DII) was calculated based on a three-day food consumption record. Results: Of the participants, 53% were women and 47% were men. The depression (10.64±3.91), anxiety (10.38±3.51), and stress (13.12±3.89) scores were significantly higher in the "evening type" group. Female participants had significantly higher depression scores (9.68±4.39) compared to male participants (8.00±3.35) (p=0.033). Analysis of the Dietary Inflammatory Index (DII) scores revealed that women had a more pro-inflammatory diet (3.23±5.69). Additionally, a positive correlation was observed between depression scores and carbohydrate consumption (r=0.264, p=0.002), while a negative correlation was found with the percentage of protein intake (r=-0.336, p=0.001). Conclusion: The study revealed that the majority of individuals with metabolic syndrome exhibit an evening chronotype and are at increased risk for depression, anxiety, and stress. Additionally, it was found that these individuals tend to follow a pro-inflammatory diet. Therefore, it is recommended that the treatment of individuals with metabolic syndrome includes the assessment of their chronotypes, nutritional habits, and psychological states.

Anahtar Kelimeler

• Chronotype
• Dietary Inflammatory Index
• Depression and Anxiety
• Metabolic Syndrome

Etik Beyan

Informed consent in writing was obtained from all participants. Permission was received from Istanbul Bahçeşehir University Ethics Committee to conduct the research (approval number 2023-/03, dated 30.03.2023) and the study was conducted in accordance with the principles of the Declaration of Helsinki.

Metabolik Sendromlu Bireylerde Diyet İnflamatuar İndeks Skoru, Depresyon ve Kronotip Arasındaki İlişkinin Belirlenmesi: Bir Eğitim Araştırma Hastanesi Örneği

Öz

Amaç: Bu çalışma, metabolik sendromlu bireylerde diyet inflamatuar indeks skoru, depresyon ve kronotip arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Bu çalışmaya 100 metabolik sendromlu birey dahil edilmiştir. Katılımcıların, depresyon, stres ve anksiyete durumlarını değerlendirmek için Depresyon-Anksiyete Stres Ölçeği ölçeği, kronotiplerini belirlemek için sabahçıl-akşamcıl anketi ve Dİİ'lerini belirlemek için üç günlük besin tüketim kaydı yöntemi kullanılmıştır. Bulgular: Katılımcıların %53'ü kadın ve %47'si erkektir. Depresyon (10,64±3,91), anksiyete (10,38±3,51) ve stres skorları (13,12±3,89) "akşamcıl tip" grupta anlamlı şekilde yüksek çıkmıştır. Kadın katılımcıların depresyon skorları (9.68 ± 4.39) erkeklere (8.00 ± 3.35) göre anlamlı olarak daha yüksek bulunmuştur (p:0.033). Diyet inflamatuar indeks skorları incelendiğinde, kadınların daha pro-inflamatuar (3, 23 ± 5,69) bir beslenme tarzına sahip oldukları belirlenmiştir. Ayrıca, depresyon skoru ile karbonhidrat tüketimi arasında pozitif (r: 0.264; p: 0.002), protein yüzdesi ile ise negatif yönde (r:-0.336; p:0.001) korelasyon saptanmıştır. Sonuç: Çalışma, metabolik sendromlu bireylerin çoğunluğunun akşamcıl tipte olduğunu ve bu bireylerin depresyon, anksiyete ve stres açısından risk altında olduğunu göstermiştir. Ayrıca bireylerin pro-inflamatuar bir beslenme tarzına sahip olduğu saptanmıştır. Metabolik sendromlu bireylerin tedavisinde kronotiplerinin belirlenmesi, beslenme alışkanlıklarının ve psikolojik durumlarının değerlendirilmesi önerilmektedir.

Anahtar Kelimeler

• Diyet İnflamatuar İndeksi
• Depresyon ve Anksiyete
• Kronotip
• Metabolik Sendrom

Kaynakça

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