Objective: The objective of this study is to investigate the effect of consumption of wheat germ on the anthropometric measurements, severity of tinnitus and blood biochemical parameters in patients with tinnitus. Material and Methods: The study was performed on 40 adult patients between the ages of 19-65, who have had tinnitus complaints for at least one month between October 2014 and April 2015. Fifty g of wheat germ was added to the diet of 20 randomly selected tinnitus patients for 1 month (study group) while 20 tinnitus patients made no change to their diet (control group). None of the patients received medical treatment. A Tinnitus Disability Questionnaire (TDQ), Visual Analog Scale (VAS) and Beck Depression Inventory were applied to the patients. Biochemical parameters were retrieved from their records at the beginning and end of the study. Results: As a result, a decrease was observed in VAS and TDQ scores of the patients in the study group at the end of the study compared to the beginning of the study (p=0.011, p=0.048), in the control group, only TDQ score decreased (p=0.016). No difference was found between VAS and TDQ at the beginning and at the end. Also in the study group; a significant negative correlation was found between the change in VAS and TDQ scales and dietary protein intake (r=-0.599, p=0.005; r=-0.468, p=0.038), and a positive correlation was found between soluble fiber intake (r=0.478, p=0.033; r=0.638, p=0.002). Conclusion: When the decrease in VAS and TDQ scores of tinnitus patients who are not trained about nutrition is evaluated, it can contribute to the decrease in the severity of rhinney tinnitus, which is rich in some minerals and dietary fiber added to their diet. In addition, the closer followup of the patients included in the study may have provided psychological support and decreased the perception of tinnitus. Further studies are needed in this regard.
Keywords: Tinnitus; nutrition therapy; whole grains; wheat germ
Amaç: Bu çalışmanın amacı, buğday ruşeymi tüketiminin antropometrik ölçümler, tinnitus şiddeti ve biyokimyasal parametreler üzerindeki etkisini araştırmaktır. Gereç ve Yöntemler: Çalışma, Ekim 2014 ve Nisan 2015 tarihleri arasında, 19-65 yaş arası, en az 1 aydır tinnitus şikâyeti süren 40 erişkin hasta üzerinde yapılmıştır. Rastgele seçilen 20 tinnitus hastasının diyetine 1 ay boyunca 50 g buğday ruşeymi eklenirken (çalışma grubu), diyetinde herhangi bir değişiklik yapılmayan 20 tinnituslu hasta kontrol grubu olarak alınmıştır. Hastaların hiçbiri tıbbi bir tedavi almamıştır. Hastalara, Tinnitus Engellilik Anketi (TEA) Ölçeği, Vizüel Analog Skala (VAS) ve Beck Depresyon Ölçeği uygulanmıştır. Çalışma başlangıcı ve sonunda biyokimyasal parametreler, hasta dosyalarından alınmıştır. Bulgular: Çalışma sonunda, çalışma grubundaki hastaların VAS ve TEA skorlarında, çalışmanın başlangıcına göre azalma gözlenirken (p=0,011, p=0,048), kontrol grubunda yalnızca TEA skorunda azalma görülmüştür (p=0,016). Gruplar arası karşılaştırmalarda, VAS ve TEA arasında başlangıçta ve bitişte fark bulunmamıştır. Ayrıca çalışma grubunda; VAS ve TEA ölçeklerinde gözlenen değişiklik ile diyet proteini alımı arasında negatif (r=-0,599, p=0,005; r=-0,468, p=0,038), çözünür lif alımı arasında pozitif (r=0,478, p=0,033; r=0,638, p=0,002) yönlü bir ilişki bulunmuştur. Sonuç: Beslenme hakkında herhangi bir eğitim verilmeyen tinnitus hastalarında, VAS ve TEA skorlarındaki azalma değerlen-dirildiğinde, beslenmelerine eklenen bazı mineraller ve diyet lifi açısından zengin olan ruşeym, tinnitus şiddetinde azalmaya katkıda bulunabilir. Bununla birlikte çalışmaya alınan hastaların daha yakın takip edilmiş olması da psikolojik destek sağlayarak tinnitusun algılanmasında azalma sağlamış olabilir. Bu konuda daha ileri çalışmalara ihtiyaç vardır.
Anahtar Kelimeler: Tinnitus; beslenme tedavisi; tam tahıl; buğday ruşeymi
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