Araştırma Makalesi
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The Relationship Between Eating Awareness Levels and Metabolic Parameters in Obese Individuals with Type 2 Diabetes

Yıl 2019, Cilt: 3 Sayı: 2, 93 - 98, 31.08.2019

Öz

Aim: There are little published data exploring mindful eating in diabetic population, and no work evaluating the relationship betweenmindful eating and metabolic parameters; thus, the purpose of this study was to examine the relationships of eating awareness to BMIand metabolic parameters among of obese individuals with type 2 diabetes

Material and Methods: In this cross-sectional study files of 94 type 2 diabetes mellitus patients who applied to Necmettin ErbakanUniversity Meram Medical Faculty Hospital Diet Clinic were examined. Participants completed the 30-item Mindful EatingQuestionnaire, consisting of five subscales (Disinhibition, Awareness, External Cues, Emotional Response, and Distraction) and dataabout height, weight, and sociodemography, duration of disease and metabolic parameters like fasting blood glucose, lipid profile, wererecorded and analyzed.

Results: In our study population, 26.6% (n=25) of the patients were male and 73.4% (n=69) were female. Correlation analysis resultsdemonstrated that lower mindful eating scores were associated significantly with higher BMI, weight, glucose and urea levels.

Conclusion: When evaluating obesity and diabetes diseases, it should be considered that mindful eating levels of patients may interact withanthropometric data and metabolic parameters. In order to manage these diseases, mindful eating is an issue that needs to be emphasized.

Kaynakça

  • 1. World Health Statistics 2018: Monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2018. Licence: CC BY-NCSA 3.0 IGO. (https://apps.who.int/iris/bitstream/handle/10665/272596/9789241565585-eng.pdf?ua=1, Accessed Date.10.06.2019)
  • 2. Satman İ ve TURDEP-II Çalışma. (2016). Türkiye Diyabet Prevalans Çalışmaları. Retrieved from diyabet.gov.tr/content/files/bilimsel_arastirmalar/turdep_1_turdep_2
  • 3. Wagenknecht LE, Langefeld CD, Scherzinger AL, Norris JM,Haffner SM, Saad MF, Bergman RN. Insulin sensitivity, insulin secretion, and abdominal fat: The Insulin Resistance Atherosclerosis Study (IRAS) Family Study. Diabetes 2003; 52: 2490–2496.
  • 4. Smith SR. Obesity: The endocrinology of obesity. Endocrinol Metab Clin North Am 1996; 25: 921-42.
  • 5. Hasselbaink D, Glatz J, Luiken J, Roemen T, Vusse G. Ketone bodies disturb fatty acid handling in isolated cardiomyocytes derived from control and diabetic rat. Biochem J 2003; 371:753–760.
  • 6. Doğan B, Yörük N, Öner C, Yavuz G, Oğuz A. Evaluation of diabetes risk and eating habits of university students and personnel. Türk Aile Hekimliği Dergisi 2017; 21(2):50–55.
  • 7. Arısoy E. Birinci Basamağa Yonelik Tanı ve Tedavi Rehberi. Diabetes Mellitus. Ankara, Sağlık Bakanlığı Yayınları. 2012; 03:271- 275.
  • 8. Yılmaz M, Bahceci M, Buyukbese MA. Diabetes Mellitus’un Modern Tedavisi. İstanbul, Turkiye Diabet Vakfı Yayınları 2003; 44- 49.
  • 9. Flegal KM, Graubard BI, Williamson DF, Gail MH. (2005). Excess deaths associated with underweight, overweight, and obesity. Jama, 2005; 293:1861–1867.10. Knecht S, Ellger T. Obesity in neurobiology. Progress in Neurobiology, 2008; 84: 85–103.
  • 11. Framson C, Kristal AR, Schenk JM, Littman AJ, Zeliadt S Development and validation of the mindful eating questionnaire. Journal of the American Dietetic Association, 2009; 109(8);1439–1444.
  • 12. Beshara M, Hutchinson AD. Does mindfulness matter? Everyday mindfulness, mindful eating and self-reported serving size of energy dense foods among a sample of South Australian adults. Appetite, 2013; 67: 25–29.
  • 13. Hirshmann J, Zaphiropoulos. Kids, carrots, and candy: A practical, positive approach to raising children free of food and weight problems. 2nd ed., United States of America, Creatspace Publisher, 2012
  • 14. Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J, Segal ZV, Abbey S, Speca M, Velting D. Mindfulness: a proposed operational definition. Clinical Psychology Science Practice 2004; 11(3): 230–241.
  • 15. Compare A, Callus E. Mindfulness trait, eating behaviours and body uneasiness: a case-control study of binge eating disorder. Eating and Weight Disorders, 2012; 17(4):244–251.
  • 16. Baer RA, Fischer S, H. D. Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 2005; 23(4): 281–300.
  • 17. Hulbert-Williams L, Nicholls W, Joy J, Hulbert-Williams N. Ini-tial validation of the Mindful Eating Scale. Mindfulness, 2014; 5(6): 719–729.
  • 18. Lindeman M, Stark K. Emotional eating and eat-ing disorder psychopathology. Eating Disorders, 2001; 9(3), 251 259
  • 19. Köse G, Tayfur M, Birincioğlu İ. Adaptation Study of the Mindful Eating Questiıonnare (MEQ) into Turkish. Journal of Cognitive-Behavioral Psychotherapy and Research, 2016; 5(3):125–134.
  • 20. Tovote KA, Fleer J, Snippe E. Individual mindfulness-based cognitive therapy and cognitive behavior therapy for treating depressive symptoms in patients with diabetes: results of a randomized controlled trial. Diabetes Care 2014;37:2427–2434.
  • 21. Hartmann M, Kopf S, Kircher C. Sustained effects of a mindfulness-based stress-reduction intervention in type 2 diabetic patients: design and first results of a randomized controlled trial (the Heidelberger Diabetes and Stress Study). Diabetes Care 2012;35:945–947
  • 22. van Son J, Nyklicek I, Pop VJ. The effects of a mindfulness-based intervention on emotional distress, quality of life and HbA1c in outpatients with diabetes (DiaMind): a randomized controlled trial. Diabetes Care 2013;36:823–830
  • 23. Olson KL, Emery CF. Mindfulness and weight loss: a systematic review. Psychosom.Med 2015;77:59–67
  • 24. Daubenmier J, Kristeller J, Hecht FM. Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study. J Obes 2011;2011:651936
  • 25. Miller CK, Kristeller JL, Headings A, Nagaraja H. Comparison of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a randomized controlled trial. Health Educ Behav 2014;12:145–154
  • 26. Jordan CH, Wang W, Donatoni L, Meier BP. Mindful eating: trait and state mindfulness predict healthier eating behavior. Pers Individ Dif 2014;68:107–111
  • 27. Forman EM, Shaw JA, Goldstein SP, et al. Mindful decision making and inhibitory control training as complementary means to decrease snack consumption. Appetite 2016;103:176–183
  • 28. Mantzios M, Wilson JC. Mindfulness, eating behaviours, and obesity: a review and reflection on current findings. Curr Obes Rep 2015;4:141–146

Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri ile Metabolik Parametreleri Arasındaki İlişki

Yıl 2019, Cilt: 3 Sayı: 2, 93 - 98, 31.08.2019

Öz



Amaç: Diyabetik popülasyonda yeme farkındalığını araştıran çok az yayınlanmış çalışma vardır ve yeme farkındalığı ile metabolikparametreler arasındaki ilişkiyi değerlendiren bir çalışma yoktur; Bu nedenle, bu çalışmanın amacı, tip 2 diyabetli obez bireyler arasındayeme farkındalığının beden kütle indeksi (BKİ) ile bazı metabolik parametreler arasındaki ilişkilerini incelemektir.

Gereç ve Yöntemler: Bu kesitsel çalışmada, Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Hastanesi Diyet Kliniğine başvuran94 tip 2 diabetes mellitus hastasının dosyaları incelendi. Katılımcılar, beş alt boyuttan (disinhibisyon, farkındalık, dış etkenler, duygusalcevap ve dikkat dağılması) oluşan 30 maddelik yeme farkındalığı ölçeğini doldurdu ve boy, kilo, hastalık süresi ve açlık kan glukozu, lipitprofili gibi metabolik parametreleri kaydedildi ve analiz edildi.

Bulgular: Çalışma popülasyonumuzda hastaların % 26.6’sı (n = 25) erkek,% 73.4’ü (n = 69) kadındı. Korelasyon analizi sonuçları, düşükyeme farkındalığı puanlarının, yüksek BMI, kilo, glukoz ve üre seviyeleri ile anlamlı şekilde ilişkili olduğunu göstermiştir.

Sonuç: Obezite ve diyabet hastalıklarını değerlendirirken hastaların yeme farkındalık düzeylerinin antropometrik verilerle ve metabolikparametrelerle etkileşim içinde olabileceği göz önünde bulundurulmalıdır. Bu hastalıkların yönetilmesinde yeme farkındalığı oluşturmaüzerinde durulması gereken bir konudur.



Kaynakça

  • 1. World Health Statistics 2018: Monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2018. Licence: CC BY-NCSA 3.0 IGO. (https://apps.who.int/iris/bitstream/handle/10665/272596/9789241565585-eng.pdf?ua=1, Accessed Date.10.06.2019)
  • 2. Satman İ ve TURDEP-II Çalışma. (2016). Türkiye Diyabet Prevalans Çalışmaları. Retrieved from diyabet.gov.tr/content/files/bilimsel_arastirmalar/turdep_1_turdep_2
  • 3. Wagenknecht LE, Langefeld CD, Scherzinger AL, Norris JM,Haffner SM, Saad MF, Bergman RN. Insulin sensitivity, insulin secretion, and abdominal fat: The Insulin Resistance Atherosclerosis Study (IRAS) Family Study. Diabetes 2003; 52: 2490–2496.
  • 4. Smith SR. Obesity: The endocrinology of obesity. Endocrinol Metab Clin North Am 1996; 25: 921-42.
  • 5. Hasselbaink D, Glatz J, Luiken J, Roemen T, Vusse G. Ketone bodies disturb fatty acid handling in isolated cardiomyocytes derived from control and diabetic rat. Biochem J 2003; 371:753–760.
  • 6. Doğan B, Yörük N, Öner C, Yavuz G, Oğuz A. Evaluation of diabetes risk and eating habits of university students and personnel. Türk Aile Hekimliği Dergisi 2017; 21(2):50–55.
  • 7. Arısoy E. Birinci Basamağa Yonelik Tanı ve Tedavi Rehberi. Diabetes Mellitus. Ankara, Sağlık Bakanlığı Yayınları. 2012; 03:271- 275.
  • 8. Yılmaz M, Bahceci M, Buyukbese MA. Diabetes Mellitus’un Modern Tedavisi. İstanbul, Turkiye Diabet Vakfı Yayınları 2003; 44- 49.
  • 9. Flegal KM, Graubard BI, Williamson DF, Gail MH. (2005). Excess deaths associated with underweight, overweight, and obesity. Jama, 2005; 293:1861–1867.10. Knecht S, Ellger T. Obesity in neurobiology. Progress in Neurobiology, 2008; 84: 85–103.
  • 11. Framson C, Kristal AR, Schenk JM, Littman AJ, Zeliadt S Development and validation of the mindful eating questionnaire. Journal of the American Dietetic Association, 2009; 109(8);1439–1444.
  • 12. Beshara M, Hutchinson AD. Does mindfulness matter? Everyday mindfulness, mindful eating and self-reported serving size of energy dense foods among a sample of South Australian adults. Appetite, 2013; 67: 25–29.
  • 13. Hirshmann J, Zaphiropoulos. Kids, carrots, and candy: A practical, positive approach to raising children free of food and weight problems. 2nd ed., United States of America, Creatspace Publisher, 2012
  • 14. Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J, Segal ZV, Abbey S, Speca M, Velting D. Mindfulness: a proposed operational definition. Clinical Psychology Science Practice 2004; 11(3): 230–241.
  • 15. Compare A, Callus E. Mindfulness trait, eating behaviours and body uneasiness: a case-control study of binge eating disorder. Eating and Weight Disorders, 2012; 17(4):244–251.
  • 16. Baer RA, Fischer S, H. D. Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 2005; 23(4): 281–300.
  • 17. Hulbert-Williams L, Nicholls W, Joy J, Hulbert-Williams N. Ini-tial validation of the Mindful Eating Scale. Mindfulness, 2014; 5(6): 719–729.
  • 18. Lindeman M, Stark K. Emotional eating and eat-ing disorder psychopathology. Eating Disorders, 2001; 9(3), 251 259
  • 19. Köse G, Tayfur M, Birincioğlu İ. Adaptation Study of the Mindful Eating Questiıonnare (MEQ) into Turkish. Journal of Cognitive-Behavioral Psychotherapy and Research, 2016; 5(3):125–134.
  • 20. Tovote KA, Fleer J, Snippe E. Individual mindfulness-based cognitive therapy and cognitive behavior therapy for treating depressive symptoms in patients with diabetes: results of a randomized controlled trial. Diabetes Care 2014;37:2427–2434.
  • 21. Hartmann M, Kopf S, Kircher C. Sustained effects of a mindfulness-based stress-reduction intervention in type 2 diabetic patients: design and first results of a randomized controlled trial (the Heidelberger Diabetes and Stress Study). Diabetes Care 2012;35:945–947
  • 22. van Son J, Nyklicek I, Pop VJ. The effects of a mindfulness-based intervention on emotional distress, quality of life and HbA1c in outpatients with diabetes (DiaMind): a randomized controlled trial. Diabetes Care 2013;36:823–830
  • 23. Olson KL, Emery CF. Mindfulness and weight loss: a systematic review. Psychosom.Med 2015;77:59–67
  • 24. Daubenmier J, Kristeller J, Hecht FM. Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study. J Obes 2011;2011:651936
  • 25. Miller CK, Kristeller JL, Headings A, Nagaraja H. Comparison of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a randomized controlled trial. Health Educ Behav 2014;12:145–154
  • 26. Jordan CH, Wang W, Donatoni L, Meier BP. Mindful eating: trait and state mindfulness predict healthier eating behavior. Pers Individ Dif 2014;68:107–111
  • 27. Forman EM, Shaw JA, Goldstein SP, et al. Mindful decision making and inhibitory control training as complementary means to decrease snack consumption. Appetite 2016;103:176–183
  • 28. Mantzios M, Wilson JC. Mindfulness, eating behaviours, and obesity: a review and reflection on current findings. Curr Obes Rep 2015;4:141–146
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Fatma Kübra Sayın

Sevim Kuşdemir Bu kişi benim 0000-0003-0367-4054

Gizem Büyüksütçü Bu kişi benim 0000-0002-0174-6686

Şeyma Merve Çetinkaya Bu kişi benim 0000-0002-5687-4327

Sedanur Seyfi Bu kişi benim 0000-0002-4135-2147

Esra Zeren Bu kişi benim 0000-0003-4486-0072

Yayımlanma Tarihi 31 Ağustos 2019
Kabul Tarihi 30 Ağustos 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 3 Sayı: 2

Kaynak Göster

APA Sayın, F. K., Kuşdemir, S., Büyüksütçü, G., Çetinkaya, Ş. M., vd. (2019). Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri ile Metabolik Parametreleri Arasındaki İlişki. Turkish Journal of Diabetes and Obesity, 3(2), 93-98.
AMA Sayın FK, Kuşdemir S, Büyüksütçü G, Çetinkaya ŞM, Seyfi S, Zeren E. Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri ile Metabolik Parametreleri Arasındaki İlişki. Turk J Diab Obes. Ağustos 2019;3(2):93-98.
Chicago Sayın, Fatma Kübra, Sevim Kuşdemir, Gizem Büyüksütçü, Şeyma Merve Çetinkaya, Sedanur Seyfi, ve Esra Zeren. “Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri Ile Metabolik Parametreleri Arasındaki İlişki”. Turkish Journal of Diabetes and Obesity 3, sy. 2 (Ağustos 2019): 93-98.
EndNote Sayın FK, Kuşdemir S, Büyüksütçü G, Çetinkaya ŞM, Seyfi S, Zeren E (01 Ağustos 2019) Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri ile Metabolik Parametreleri Arasındaki İlişki. Turkish Journal of Diabetes and Obesity 3 2 93–98.
IEEE F. K. Sayın, S. Kuşdemir, G. Büyüksütçü, Ş. M. Çetinkaya, S. Seyfi, ve E. Zeren, “Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri ile Metabolik Parametreleri Arasındaki İlişki”, Turk J Diab Obes, c. 3, sy. 2, ss. 93–98, 2019.
ISNAD Sayın, Fatma Kübra vd. “Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri Ile Metabolik Parametreleri Arasındaki İlişki”. Turkish Journal of Diabetes and Obesity 3/2 (Ağustos 2019), 93-98.
JAMA Sayın FK, Kuşdemir S, Büyüksütçü G, Çetinkaya ŞM, Seyfi S, Zeren E. Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri ile Metabolik Parametreleri Arasındaki İlişki. Turk J Diab Obes. 2019;3:93–98.
MLA Sayın, Fatma Kübra vd. “Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri Ile Metabolik Parametreleri Arasındaki İlişki”. Turkish Journal of Diabetes and Obesity, c. 3, sy. 2, 2019, ss. 93-98.
Vancouver Sayın FK, Kuşdemir S, Büyüksütçü G, Çetinkaya ŞM, Seyfi S, Zeren E. Tip 2 Diyabetli Obez Bireylerin Yeme Farkındalığı Düzeyleri ile Metabolik Parametreleri Arasındaki İlişki. Turk J Diab Obes. 2019;3(2):93-8.

Zonguldak Bülent Ecevit Üniversitesi Obezite ve Diyabet Uygulama ve Araştırma Merkezi’nin bilimsel yayım organıdır.

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