TİP 2 Diyabetli Bireylerde Beslenme Durumu ve Sağlıklı Beslenme Takıntısı Arasındaki İlişkinin Değerlendirilmesi

Abstract

Kamanlı, B. Assessment of Relationship Between The Nutritional Status and Orthorexia Nervosa of Patients with Type 2 Diabetes. Hacettepe University, Institute of Health Sciences, The Community Nutrition Program M.Sc. Thesis, Ankara, 2017. The purpose of the study was to determine the level of orthorexia nervosa and eating behavior in adult subjects with type 2 diabetic patient and examine the effect of this situation on nutritional habits, nutritional status, anthropometric measurements, physical activity levels and some biochemical parameters of individuals. In this study, one hundred and eighty patients who applied to Internal Medicine Department of Bozok University Medical Faculty, aged between 19-65 years, at least one year ago Type 2 diabetes was diagnosed, insülin and/or oral antidiabetic use or not use, were randomly selected. The general characteristics, health status, food consumption status, anthropometric measurements, biochemical findings and physical activity level of individuals under survey, recorded in the questionnaire form by face to face interview method. The biochemical values of fasting blood glucose, glycolized hemoglobin, total cholesterol, LDL-Cholesterol, HDL-Cholesterol and triglyceride were analyzed. Eating attitude scale (EAT-40) for eating attitudes and behaviors disorder, ORTO-11 questionnaire for orthorexia nervosa were applied. The subjects with type 2 diabetes who participated in the study 50,0% were female, 50,0% were male. When the fasting blood glucose, glycolized hemoglobin, HDL-C and triglyceride levels were evaluated in the patients with type 2 diabetes, a statistically significant difference was found according to sex. The ratio of orthorexia nervosa was found to be higher in males (41,1%) than in females. It was determined that 30,6% of individuals with type 2 diabetes had eating attitudes and behaviors disorder, the ratio in male and female respectively; %18,9 and %42,2. Positive correlation seen with dietary fiber (p<0,01) and ORTO-11 Scores and negative correlation seen with energy intake and EAT-40 Scores were significant (p<0,05). No significant correlation was found between ORTO-11 Scores and the receiving percentages of vitamin and mineral (p>0,05). The correlation found significant between EAT-40 Scores with receiving percentages of iron (mg) and B12 (p<0,01). The ratio of the subjects with orthorexia nervosa who had HbA1c level ≥6,5% were 79,7%, of them 20,3% had HbA1c level <6,5% (p>0,05). 23,6% of the subjects with risk of eating behavior disorder had HbA1c level <6,5%, 76,4% of them had HbA1c level ≥6,5% was determined (p>0,05). In conclusion, evaluating the relationship betweeen nutritional status and orthorexia nervosa in type 2 diabetes shows that it will have a significant impact on some biochemical and antropometric measurements.