Publication: Polikistik over sendromu ve beslenme ilişkisi
Abstract
1.ÖZET POLİKİSTİK OVER SENDROMU ve BESLENME İLİŞKİSİ Bu araştırma, Nisan-Ekim 2007 tarihleri arasında Özel Göztepe Hastanesi jinekoloji polikliniğine başvurmuş ve Polikistik over sendromu tanısı konularak diyet polikliniğine yönlendirilmiş 20 kadın hastanın 3 ay boyunca polikistik over sendromuna uygun beslenme tedavisi ile takip edilmesi ve bu beslenme tedavisinin ağırlıklarına ve doğru beslenme alışkanlıklarına etkisini belirlemek amacıyla planlanıp yürütülmüştür. Diyet öncesi ve sonrasında değerlendirilen veriler, vücut analizleri (yaş, boy, ağırlık, beden kitle indeksi, yağdan gelen vücut ağırlığı, yağ yüzdesi, bel/ kalça oranı, bazal metabolizma hızları), biyokimyasal testleridir (AKŞ, Total Kolesterol, HDL, LDL, VLDL, açlık insülini). Beslenme tedavisine alınan bireylerin araştırmanın başlangıcında antropometrik ölçümlerinin ortalamaları sırasıyla; boy;163,45 ± 6,065cm, ağırlık; 81,95 ± 12,32kg ve BKI; 30,59 ± 3,98 kg/ m²’dir. Diyet öncesi hastaların bazal metabolizma hızlarının düşük ve %85’inin fiziksel aktivitelerinin olmadığı saptanmıştır. Hastaların tedaviye alınmadan önceki kan tetkiklerine bakıldığında şeker ve kolesterol ortalamaları; sırasıyla; 137,20±23,78mg/ dl ve 236,90±37,13mg/ dl, HDL değerlerinin 37,75±12,82mg/ dl ve LDL değerlerinin 160,95±29,51mg/ dl olduğu saptanmıştır. Diyet sonrası verilere bakıldığında, bireylerin şeker ve total kolesterol değerlerinin sırasıyla; 108,7±18,85mg/ dl ve 201,55±25mg/ dl’ye düştüğü görülmüştür. Beslenme tedavisi öncesi bireylerin %95’inde adet düzensizliği ve tamamında kıllanma şikayeti olup, ağırlık kaybıyla kıllanma %100 düzelmiştir. Araştırmaya katılan bireylerin çok sık öğün atladığı ve yüksek kalorili yiyecekler tükettiği saptanmıştır. Bu çalışmada PCOS’un seyrinin ve risklerinin, beslenme tedavisi ile beslenme alışkanlıklarının düzeltilmesi ve düzenli egzersiz ırlık kaybı sonucu azaltılabileceği belirlenmiştir, 2.
POLYCYSTIC OVARY SYNDROME and NUTRITION RELATIONSHIP This study, conducted on 20 women patients who applied to the Private Göztepe Hospital Gynecology Department during the period of April to October 2007 and who are diagnosed with PCOS and recommended nutrition therapy, concerns to follow the patients during 3 months with suitable nutrition pattern and see the effects of this pattern to their weight and nutritional habits. The data which will be considered before and after the diet therapy are body analyzes, (age, height, weight, body mass index, body fat mass, percentage of body fat, waist/ hip ratio, basal metabolic rate), biochemical tests (fasting blood sugar, total cholesterol, HDL, LDL, VLDL, fasting insulin). The average anthropometric measurements of the patients with PCOS at the study are; height; 163,45±6,065cm, weight; 81,95 ± 12,32kg, and BKI 30,59 ± 3,98 kg/ m², respectively. The basal metabolic rate of the patients before the diet therapy was low and %85 of the patients had no physical activity. The blood tests before the nutrition therapy show that the fasting blood sugar and cholesterol, HDL and LDL values were; 137,20±23,78mg/ dl and 236,90±37,13 mg/ dl, 37,75±12,82mg/ dl, 160,95±29,51 mg/ dl, respectively. After the nutrition therapy fasting blood sugar and cholesterol HDL and LDL levels are checked, the values are; 108,75±18,85 mg/ dl, 201,55±25 mg/ dl, 44,60±13,95, and 135,70 ± 27,88, respectively. And it’s also found that, patients who had irregular or absent periods and hirsutism (facial and body hair) at the beginning of the nutrition therapy, irregular period and hirsutism problem got better at range of %100. And also it’s found that the patients with PCOS in the study skip the main meals very often and consume junk food everyday. In this study it’s determined that how the process of PCOS and its risks are effected from the nutrition therapy and changing nutritional habits, regular physical activity and loosing weight.
POLYCYSTIC OVARY SYNDROME and NUTRITION RELATIONSHIP This study, conducted on 20 women patients who applied to the Private Göztepe Hospital Gynecology Department during the period of April to October 2007 and who are diagnosed with PCOS and recommended nutrition therapy, concerns to follow the patients during 3 months with suitable nutrition pattern and see the effects of this pattern to their weight and nutritional habits. The data which will be considered before and after the diet therapy are body analyzes, (age, height, weight, body mass index, body fat mass, percentage of body fat, waist/ hip ratio, basal metabolic rate), biochemical tests (fasting blood sugar, total cholesterol, HDL, LDL, VLDL, fasting insulin). The average anthropometric measurements of the patients with PCOS at the study are; height; 163,45±6,065cm, weight; 81,95 ± 12,32kg, and BKI 30,59 ± 3,98 kg/ m², respectively. The basal metabolic rate of the patients before the diet therapy was low and %85 of the patients had no physical activity. The blood tests before the nutrition therapy show that the fasting blood sugar and cholesterol, HDL and LDL values were; 137,20±23,78mg/ dl and 236,90±37,13 mg/ dl, 37,75±12,82mg/ dl, 160,95±29,51 mg/ dl, respectively. After the nutrition therapy fasting blood sugar and cholesterol HDL and LDL levels are checked, the values are; 108,75±18,85 mg/ dl, 201,55±25 mg/ dl, 44,60±13,95, and 135,70 ± 27,88, respectively. And it’s also found that, patients who had irregular or absent periods and hirsutism (facial and body hair) at the beginning of the nutrition therapy, irregular period and hirsutism problem got better at range of %100. And also it’s found that the patients with PCOS in the study skip the main meals very often and consume junk food everyday. In this study it’s determined that how the process of PCOS and its risks are effected from the nutrition therapy and changing nutritional habits, regular physical activity and loosing weight.