Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Mastaljisi Olan Kadınların Beslenme Durumlarının Değerlendirilmesi: Olgu-Kontrol Araştırması
Evaluation of the Nutritional Status of Women with Mastalgia: Case-Control Research
Gülsüm ŞAHİN BODURa, Alev KESERa, İlknur KEPENEKÇİ BAYRAMb
aAnkara Üniversitesi Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik Bölümü, Ankara, Türkiye
bAnkara Üniversitesi Tıp Fakültesi, Genel Cerrahi ABD, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(3):652-9
doi: 10.5336/healthsci.2021-86045
Article Language: TR
Full Text
ÖZET
 Amaç: Mastaljiyi etkileyen beslenme ile ilgili faktörlerin araştırıldığı çalışmalar az sayıda olup, sonuçlar tutarlı değildir. Bu nedenle bu çalışma, mastaljisi olan kadınların beslenme durumlarının değerlendirilmesi amacıyla yürütülmüştür. Gereç ve Yöntemler: Araştırmanın örneklemini, 2016-2017 yılları arasında Ankara Üniversitesi Tıp Fakültesi İbni Sina Hastanesi Genel Cerrahi Polikliniğine başvuran 20- 67 yaş arasındaki kadınlar oluşturmaktadır. Mastalji tanısı konulan 70 kadın mastalji grubunu, aynı yaş aralığında meme ile ilgili herhangi bir hastalığı olmayan 107 kadın kontrol grubunu oluşturmaktadır. Anket formu; genel bilgiler, antropometrik ölçümler ve 24 saatlik geriye dönük besin tüketim kaydı olmak üzere 3 bölümden oluşmaktadır. Tüketilen besinlerden sağlanan enerji ve besin ögesi alımlarını hesaplamak için Beslenme Bilgi Sistemi (BeBiS) kullanılmıştır. Elde edilen veriler, tavsiye edilen günlük besin ögesi alımına göre değerlendirilmiştir. Bulgular: Bu çalışmada, mastalji grubunda yer alan kadınların ağırlık, beden kitle indeksi, bel çevresi, bel/kalça oranı ve vücut yağ yüzdesi ortalamaları, kontrol grubuna kıyasla istatistiksel olarak anlamlı düzeyde daha yüksektir. Çalışmaya alınan mastalji grubundaki kadınların %27,1'inin, proteinleri istatistiksel olarak anlamlı düzeyde yetersiz aldığı bulunmuştur. Mastalji grubunda yer alan bireylerin %28,6'sının A vitaminini, %42,9'unun E vitaminini, %11,4'ünün çinkoyu istatistiksel olarak anlamlı düzeyde daha fazla aldığı saptanmıştır. Sonuç: Beslenme davranışının, mastaljinin etiyolojisinde önemli rol oynadığı düşünülmektedir. Bu nedenle bu bireylere diyetisyenler tarafından sağlıklı beslenme eğitimleri verilmeli, obez/fazla ağırlıklı olan bireyleri optimal vücut ağırlığına getirecek ve kaybedilen ağırlığı koruyabilecek bir öğün planı hazırlanmalı, ağırlık takibi yapılmalıdır.

Anahtar Kelimeler: Mastalji; beslenme durumu; antropometri
ABSTRACT
 Objective: Studies investigating nutritional factors affecting mastalgia are few and the results are not consistent. Therefore, this study was conducted to evaluate the nutritional status of women with mastalgia. Material and Methods: The sample of the study consists of women between the ages of 20-67 who applied to Ankara University Faculty of Medicine İbni Sina Hospital General Surgery Outpatient Clinic between 2016-2017. Seventy women diagnosed with mastalgia constitute the mastalgia group and 107 women who do not have any breast related disease in the same age range constitute the control group. The questionnaire consists of general information, anthropometric measurements and a 3 day 24-hour retrospective food consumption record. Nutrition Information System (BeBiS) was used to calculate the intake of energy and nutrients from consumed foods. The data obtained were evaluated according to the recommended daily nutrient intake. Results: In this study, the mean weight, body mass index, waist circumference, waist/hip ratio and body fat percentage of the women in the mastalgia group were higher than the control group. It was found that 27.1% of the women in the mastalgia group included in the study had a statistically significant insufficient intake of proteins. It was determined that 28.6% of individuals in the mastalgia group took vitamin A, 42.9% vitamin E, and 11.4% zinc statistically significantly higher. Conclusion: It is thought that eating behavior plays an important role in the etiology of mastalgia. Therefore, these individuals should be given healthy nutrition training by dietitians, a meal plan that will bring the obese/overweight individuals to optimal body weight and maintain the lost weight should be prepared and weight tracking should be done.

Keywords: Mastalgia; nutritional status; anthropometry
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