METABOLİK SENDROMLU HASTALARDA AKDENİZ DİYETİNE

Gülnur Pürdik TATIK, Anıl Evrim GÜNGÖR
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Abstract

This descriptive and cross-sectional study evaluated the adherence of patients with Metabolic Syndrome (MetS) to the Mediterranean Diet (MedDiet). Patients who met the National Cholesterol Education Program Adult Panel III (NCEP ATP III) criteria enrolled. Socio-demographic characteristics, physical activity levels, blood tests and anthropometric variables were recorded and evaluated. A 24-hour retrospective record form and Mediterranean Diet Adherence Scale (MEDAS) were used to assess nutritional consumption and adherence, respectively. Of the patients (n=203) 50.2%, 39.9% and 9.9% were non-, moderately and strictly adherent to MedDiet, respectively. MEDAS scores were correlated with body weight (r=-0.147; P =0.036), waist circumference (r=-0.141; P =0.044), HDL cholesterol (r=0.193; P =0.006). Daily omega-3 fatty acids intake increased with higher adherence to MedDiet (P <0.001). Significant differences were observed between non-adherent and adherent subjects in daily intakes of dietary fiber, oleic acid and total monounsaturated fatty acids.This study showed low adherence to MedDiet in patients with MetS.
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地中海饮食对代谢综合征患者的影响
这项描述性和横断面研究评估了代谢综合征(MetS)患者对地中海饮食(MedDiet)的依从性。符合国家胆固醇教育计划成人小组III (NCEP ATP III)标准的患者入组。记录和评估社会人口特征、身体活动水平、血液检查和人体测量变量。24小时回顾性记录表和地中海饮食依从性量表(MEDAS)分别用于评估营养消耗和依从性。203例患者中,50.2%、39.9%和9.9%的患者不遵守MedDiet、中度遵守MedDiet、严格遵守MedDiet。MEDAS评分与体重相关(r=-0.147;P =0.036)、腰围(r=-0.141;P =0.044),高密度脂蛋白胆固醇(r=0.193;P = 0.006)。每日omega-3脂肪酸摄入量随MedDiet依从性的提高而增加(P <0.001)。在膳食纤维、油酸和总单不饱和脂肪酸的日摄入量方面,未粘附组和粘附组之间存在显著差异。这项研究显示met患者对MedDiet的依从性较低。
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