Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Sağlıklı Yetişkin Bireylerde Hindistan Cevizi Tüketiminin Beden Kompozisyonu Üzerine Etkileri: Randomize Klinik Çalışma
Effects of Coconut Consumption on Body Composition in Healthy Adult Individuals: Randomized Clinical Study
Betül ÜNER YILMAZa , Can ERGÜNb
aMuğla Sıtkı Koçman Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Muğla, Türkiye
bİstanbul Aydın Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):436-43
doi: 10.5336/healthsci.2024-102838
Article Language: TR
Full Text
ÖZET
 Amaç: Rutin beslenme programında tercih edilen yağın miktarı ve türü oldukça önemlidir. Yağ içeriği kompozisyonu ile dikkat çeken hindistan cevizi ve yağı; genel sağlık ile beden kompozisyonunun iyileştirilmesi gibi amaçlarla günümüzde sıklıkla kullanılmaktadır. Ancak, bu alandaki mevcut bulgular hâla çelişkilidir. Bu nedenle, çalışmamız düzenli Hindistan cevizi tüketiminin beden kompozisyonuna etkilerini araştırmak amacı ile planlanmıştır. Gereç ve Yöntemler: Çalışmamız, sağlık yetişkin bireyler ile yapılan deneysel tipte randomize kontrollü bir çalışmadır. Tüm katılımcılara (n: 51), 4 hafta süren sağlıklı beslenme eğitimi verilmiştir. Eğitim sonrasında katılımcılar kontrol (n: 27) ve deney (n: 24) gruplarına randomize edilmiştir. Her iki gruptaki katılımcılara %55 karbonhidrat, %15 protein ve %30 yağ içeren izokalorik sağlıklı diyet programı verilmiştir. Müdahale grubundan sağlıklı diyet programına ek, her gün düzenli olarak, taze Hindistan cevizi tüketmeleri istenmiştir. Yapılan müdahale 4 hafta sürdü. Gönüllülerin müdahale öncesinde ve sonrasında antropometrik ölçümleri alınmıştır. İstatistiksel analiz, Windows platformunda SPSS kullanılarak yapılmıştır. Verilerin normal dağılıma uygunluğu Kolmogorov-Smirnov testi ile belirlenmiştir İstatistiksel analizlerde grup içi ve gruplar arası anlamlılık değeri p<0,05 olarak alınmıştır. Bu araştırma, ClinicalTrials.gov'da NCT06226623 tanımlayıcıyla kaydedilmiştir. Bulgular: Yapılan istatistiksel analizler sonucu başlangıçta iki grubun beden kütle indeksi (BKİ), vücut ağırlığı, yağ kütlesi ve yüzdesi ile bel çevresi değerleri arasında önemli bir fark yoktu. Müdahale sonunda gruplar başlangıca göre kıyaslandığında BKİ, vücut ağırlığı, yağ kütlesi ve yüzdesi ile bel çevresi değerlerinde azalma olduğu belirlenmiştir (p<0,05). Gruplar kıyaslandığında, beden kompozisyonu bileşenlerinden sadece vücut yağ kütlesi ve yağ yüzdesindeki azalmanın müdahale grubu lehine istatistiksel olarak anlamlı düzeyde olduğu belirlenmiştir (p<0,05). Sonuç: Günlük beslenme programına hindistan cevizi eklenmesinin beden kompozisyonu üzerine olumlu etkileri vardır. Bu konuda daha kapsamlı çalışmalara ihtiyaç vardır.

Anahtar Kelimeler: Hindistan cevizi; yetişkin; beden kompozisyonu; yağ dokusu; antropometri
ABSTRACT
 Objective: The amount and type of fat preferred in the routine nutrition program is very important. Coconut, distinguished by its composition of fat content, is commonly utilized nowadays for purposes such as enhancing overall health and improving body composition. However, current findings in this area are still contradictory. For this reason, our study was planned to investigate the effects of regular coconut consumption on body composition. Material and Methods: Our study is a randomized controlled study conducted with healthy adult individuals. All participants (n: 51) were given healthy nutrition training for 4 weeks. After the training, participants were randomized into control (n: 27) and experimental (n: 24) groups. Both groups were given an isocaloric healthy nutrition program containing 55% carbohydrate, 15% protein and 30% fat. In addition to the healthy diet program in the intervention package, they were asked to consume fresh coconut regularly every day. The intervention lasted 4 weeks. Anthropometric measurements of the volunteers were taken during and after the intervention. Statistical analysis was performed using SPSS on the Windows platform. Compliance of the data with normal distribution was determined by Kolmogorov-Smirnov test. In statistical analysis, the significance value within and between groups was taken as p<0.05. This trial was registered with ClinicalTrials.gov under the identifier NCT06226623. Results: As a result of the analysis, there was no significant difference between the two groups at baseline in body mass index (BMI), body weight, fat percentage and waist values. During the intervention, it was determined that there was a decrease in BMI, body weight, fat amount and percentage, and waist value compared to the groups (p<0.05). When the groups were compared, it was determined that only the decrease in body fat mass and fat percentage, among the body composition components, decreased statistically significantly in favor of the intervention group (p<0.05). Conclusion: Adding coconut to the daily nutrition program has positive effects on body composition. More comprehensive studies are needed on this subject.

Keywords: Coconut; adult; body composition; adipose tissue; anthropometry
REFERENCES:
  1. World Health Organization [Internet]. Healthy diet report. May. Geneva. 2015. 394. Erişim tarihi: 12.08.2019. [Link] 
  2. T.C. Sağlık Bakanlığı. 2022. Türkiye Beslenme Rehberi (TÜBER) 2022. Ankara: (Erişim tarihi: 07.01.2024). [Link] 
  3. Fernando WM, Martins IJ, Goozee KG, Brennan CS, Jayasena V, Martins RN. The role of dietary coconut for the prevention and treatment of Alzheimer's disease: potential mechanisms of action. Br J Nutr. 2015;114(1):1-14. [Crossref]  [PubMed] 
  4. Valente FX, Cândido FG, Lopes LL, Dias DM, Carvalho SDL, Pereira PF, et al.Effects of coconut oil consumption on energy metabolism, cardiometabolic risk markers, and appetitive responses in women with excess body fat. Eur J Nutr. 2018;57(4):1627-37. [Crossref]  [PubMed] 
  5. Nikooei P, Hosseinzadeh-Attar MJ, Asghari S, Norouzy A, Yaseri M, Vasheghani-Farahani A. Effects of virgin coconut oil consumption on metabolic syndrome components and asymmetric dimethylarginine: A randomized controlled clinical trial. Nutr Metab Cardiovasc Dis. 2021;31(3):939-49. [Crossref]  [PubMed] 
  6. LaBarrie J, St-Onge MP. A coconut oil-rich meal does not enhance thermogenesis compared to corn oil in a randomized trial in obese adolescents. Insights Nutr Metab. 2017;1(1):30-6. [PubMed]  [PMC] 
  7. Teng M, Zhao YJ, Khoo AL, Yeo TC, Yong QW, Lim BP. Impact of coconut oil consumption on cardiovascular health: a systematic review and meta-analysis. Nutr Rev. 2020;78(3):249-59. [Crossref]  [PubMed] 
  8. Cardoso DA, Moreira AS, de Oliveira GM, Raggio Luiz R, Rosa G. A coconut extra virgin oil-rich diet increases hdl cholesterol and decreases waist circumference and body mass in coronary artery disease patients. Nutr Hosp. 2015;32(5):2144-52. [PubMed] 
  9. U.S. Department OF Agriculture Agricultural Research Service [Internet]. [Cited: December 21, 2023]. Nuts, coconut meat, raw. Available from: [Link] 
  10. Boateng L, Ansong R, Owusu WB, Steiner-Asiedu M. Coconut oil and palm oil's role in nutrition, health and national development: a review. Ghana Med J. 2016;50(3):189-96. [Crossref]  [PubMed]  [PMC] 
  11. Kinsella R, Maher T, Clegg ME. Coconut oil has less satiating properties than medium chain triglyceride oil. Physiol Behav. 2017;179:422-6. [Crossref]  [PubMed] 
  12. Sankararaman S, Sferra TJ. Are we going nuts on coconut oil? Curr Nutr Rep. 2018;7(3):107-15. [Crossref]  [PubMed] 
  13. Clegg ME. They say coconut oil can aid weight loss, but can it really? Eur J Clin Nutr. 2017;71(10):1139-43. [Crossref]  [PubMed] 
  14. St-Onge MP, Mayrsohn B, O'Keeffe M, Kissileff HR, Choudhury AR, Laferrère B. Impact of medium and long chain triglycerides consumption on appetite and food intake in overweight men. Eur J Clin Nutr. 2014;68(10):1134-40. [Crossref]  [PubMed]  [PMC] 
  15. Harris M, Hutchins A, Fryda L. The impact of virgin coconut oil and high-oleic safflower oil on body composition, lipids, and inflammatory markers in postmenopausal women. J Med Food. 2017;20(4):345-51. [Crossref]  [PubMed] 
  16. Khaw KT, Sharp SJ, Finikarides L, Afzal I, Lentjes M, Luben R, et al. Randomised trial of coconut oil, olive oil or butter on blood lipids and other cardiovascular risk factors in healthy men and women. BMJ Open. 2018;8(3):e020167. [Crossref]  [PubMed]  [PMC] 
  17. Swarnamali H, Ranasinghe P, Hills AP, Jayawardena R. Coconut oil consumption and bodyweight reduction: a systematic review and meta-analysis. Minerva Endocrinol (Torino). 2023;48(1):76-87. [Crossref]  [PubMed] 
  18. Vijayakumar V, Shankar NR, Mavathur R, Mooventhan A, Anju S, Manjunath NK. Diet enriched with fresh coconut decreases blood glucose levels and body weight in normal adults. J Complement Integr Med. 2018;15(3):/j/jcim.2018.15.issue-3/jcim-2017-0097/jcim-2017-0097.xml. [Crossref]  [PubMed] 
  19. Korrapati D, Jeyakumar SM, Putcha UK, Mendu VR, Ponday LR, Acharya V, et al. Coconut oil consumption improves fat-free mass, plasma HDL-cholesterol and insulin sensitivity in healthy men with normal BMI compared to peanut oil. Clin Nutr. 2019;38(6):2889-99. [Crossref]  [PubMed] 
  20. Vogel CÉ, Crovesy L, Rosado EL, Soares-Mota M. Effect of coconut oil on weight loss and metabolic parameters in men with obesity: a randomized controlled clinical trial. Food Funct. 2020;11(7):6588-94. [Crossref]  [PubMed] 
  21. Schofield WN. Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr. 1985;39 Suppl 1:5-41. [PubMed] 
  22. Olateju IV, Opaleye-Enakhimion T, Udeogu JE, Asuquo J, Olaleye KT, Osa E, et al. A systematic review on the effectiveness of diet and exercise in the management of obesity. Diabetes Metab Syndr. 2023;17(4):102759. [Crossref]  [PubMed] 
  23. Vetrani C, Verde L, Savastano S, Colao A, Muscogiuri G, Barrea L. Supplementation with medium-chain fatty acids increases body weight loss during very low-calorie ketogenic diet: a retrospective analysis in a real-life setting. J Transl Med. 2023;21(1):29. [Crossref]  [PubMed]  [PMC] 
  24. Sung MH, Liao FH, Chien YW. Medium-chain triglycerides lower blood lipids and body weight in streptozotocin-induced type 2 diabetes rats. Nutrients. 2018;10(8):963. [Crossref]  [PubMed]  [PMC] 
  25. Ibrahim KS, El-Sayed EM. Dietary conjugated linoleic acid and medium-chain triglycerides for obesity management. J Biosci. 2021;46:12. [Crossref]  [PubMed] 
  26. Bueno NB, de Melo IV, Florêncio TT, Sawaya AL. Dietary medium-chain triacylglycerols versus long-chain triacylglycerols for body composition in adults: systematic review and meta-analysis of randomized controlled trials. J Am Coll Nutr. 2015;34(2):175-83. [Crossref]  [PubMed] 
  27. Zhou S, Wang Y, Jacoby JJ, Jiang Y, Zhang Y, Yu LL. Effects of medium- and long-chain triacylglycerols on lipid metabolism and gut microbiota composition in C57BL/6J mice. J Agric Food Chem. 2017;65(31):6599-6607. [Crossref]  [PubMed] 
  28. Murata Y, Harada N, Yamane S, Iwasaki K, Ikeguchi E, Kanemaru Y, et al. Medium-chain triglyceride diet stimulates less GIP secretion and suppresses body weight and fat mass gain compared with long-chain triglyceride diet. Am J Physiol Endocrinol Metab. 2019;317(1):E53-E64. Erratum in: Am J Physiol Endocrinol Metab. 2020;318(3):E440. [Crossref]  [PubMed] 
  29. Oliveira-de-Lira L, Santos EMC, de Souza RF, Matos RJB, Silva MCD, Oliveira LDS, et al. Supplementation-dependent effects of vegetable oils with varying fatty acid compositions on anthropometric and biochemical parameters in obese women. Nutrients. 2018;10(7):932. [Crossref]  [PubMed]  [PMC] 

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