Doğu Karadeniz Bölgesi’nde Sık Tüketilen Brassica Oleracea Var. Acephala (Karalahana) Bitkisi ve Kırmızı Et Tüketiminin Mide ve Kan Parametreleri Üzerine Etkileri

Yıl 2024, , 305 - 311, 08.10.2024

Hüseyin Emre Aydın , Muhammed Aydın , Özge Aydın , Ahmet Dülger

https://doi.org/10.32708/uutfd.1443391

Öz

"En sağlıklı yiyecekler" veya "süper gıdalar" listelerindeki sebzeler arasında yer alan Brassica Oleracea var. acephala (Karalahana) bitkisi, özellikle Karadeniz Bölgesi’nde sıklıkla tüketilmektedir. Bu çalışmada Doğu Karadeniz Bölgesi’nde gastroskopi ile değerlendirilmiş olan hastalarda karalahana ve kırmızı et tüketiminin mide histopatolojisi ve kan laboratuvar parametreleri üzerine olan etkisinin saptanması amaçlandı. Bu kesitsel araştırma 1 Mart 2022 – 30 Nisan 2022 tarihleri arasında Giresun Üniversitesi Eğitim ve Araştırma Hastanesi Gastroenteroloji Polikliniği’ne başvuran gastroskopi yapılmış ve mide biyopsisi alınmış olguların sonuçlarının retrospektif olarak değerlendirilmesi ile gerçekleştirilmiştir. Hastalar telefonla aranarak aylık karalahana ve kırmızı et tüketim sıklıkları sorulmuştur. Olguların % 60,1’i kadındı ve ortalama yaş 55,44 ± 14,34’tü. Hastaların bir ayda, karalahana tükettiği gün sayısı medyan 4 [0 - 30] gün, kırmızı et tükettiği gün sayısı ise medyan 2 [0 - 20] gündü. Erkek hastaların gastrik biyopsilerinde Helicobacter pylori (H. pylori) pozitifliği kadınlara göre anlamlı derecede fazlaydı (sırasıyla % 50,8 ve % 32,7; p = 0,021). Karalahana ve kırmızı et tüketimi ile hastaların gastrik biyopsilerinde H. pylori, intestinal metaplazi ve atrofi varlığı arasında istatistiksel olarak anlamlı bir ilişki saptanmadı. Hastaların yaşı arttıkça kırmızı et tüketimlerinin anlamlı derecede azaldığı belirlendi (p=0,014). Hastaların aylık kırmızı et tüketimi arttıkça serum kalsiyum düzeyinin de anlamlı derecede arttığı belirlendi (p=0,025). Sonuç olarak karalahana ve kırmızı et tüketim sıklığı ile mide biyopsisinde H. pylori pozitifliği, atrofi ve intestinal metaplazi saptanma sıklığı arasında anlamlı bir ilişki bulunmazken, bu konuda yapılacak daha kapsamlı ve prospektif çalışmalarla daha net sonuçlar ortaya konulabilir.

Anahtar Kelimeler

Karalahana, Helikobakter pilori, İntestinal metaplazi, Mide

The Effects of Brassica Oleracea Var. Acephala (Kale) Plant Consumption, which is Commonly Consumed in The Eastern Black Sea Region and Red Meat Consumption, On Stomach and Blood Parameters

Öz

Among the vegetables on the "healthiest diet" or "superfoods" lists is Brassica Oleracea. acephala (Kale) plant is frequently consumed, especially in the Black Sea Region. This study aimed to determine the effect of kale consumption on gastric histopathology and blood laboratory parameters in patients who underwent gastroscopy in the Eastern Black Sea Region. This cross-sectional study retrospectively evaluated the results of patients who presented to the Gastroenterology Polyclinic at Giresun University Research and Training Hospital between March 1, 2022, and April 30, 2022, and underwent gastroscopy with gastric biopsy. Patients were called by phone and asked about their monthly kale and red meat consumption. Of the cases, 60,1 % were female, and the mean age was 55,44 ± 14,34 years. The median number of days patients consumed kale per month was 4 [0-30], and the median number of days that patients consumed meat per month was 2 [0-20]. H. pylori positivity in gastric biopsies of male patients was significantly higher than in female patients (50,8 % vs. 32,7 %, respectively; p=0,021). No significant relationship was found between the frequency of kale and meat consumption and the presence of H. pylori, intestinal metaplasia, and atrophy in the gastric biopsies of the patients. It was determined that as the age of the patients increased, their meat consumption decreased significantly (p=0.014). Furthermore, it was determined that as the monthly meat consumption of the patients increased, the serum calcium level also increased significantly (p=0.025). In conclusion, this study found no significant association between the frequency of kale and meat consumption and the frequency of H. pylori positivity, atrophy, and intestinal metaplasia in gastric biopsy. Further comprehensive and prospective studies are required to obtain more precise results.

Anahtar Kelimeler

Kale, Helicobacter Pylori, Intestinal metaplasia, Stomach, Meat

Kaynakça

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