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İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı ve Akdeniz Diyetine Uyumun Değerlendirilmesi

Year 2024, Volume: 7 Issue: 1, 7 - 16, 15.01.2024

Sena Nur Kumral Beyza Katırcıoğlu Nasminel Tekin Semiha Nur Öztürk Feride Ayyıldız

https://doi.org/10.19127/bshealthscience.1362512

Abstract

Bu araştırma, inflamatuvar bağırsak hastalığı (İBH) tanılı ve sağlıklı bireylerde mikrobiyota farkındalığı ve Akdeniz diyetine uyumun değerlendirilmesi amacıyla yapılmıştır. Araştırmanın örneklemini 18-65 yaş aralığındaki 148 İBH tanılı ve 156 sağlıklı birey olmak üzere toplam 304 gönüllü katılımcı oluşturmuştur. Veriler, katılımcıların genel özellikleri, sağlık bilgileri ve beslenme alışkanlıklarını içeren bilgi formu, Akdeniz Diyetine Bağlılık Ölçeği (MEDAS) ve Mikrobiyota Farkındalık Ölçeği (MFÖ) kullanılarak çevrimiçi anket yöntemiyle toplanmıştır. Çalışma sonucunda İBH’li bireylerin mikrobiyota farkındalık puanları ve Akdeniz diyetine uyum puanları sağlıklı bireylerden anlamlı olarak düşük bulunmuştur. MFÖ puanının, MEDAS puanı ile pozitif; yaş ve BKİ ile ise negatif korelasyon gösterdiği görülmüştür. İBH’li bireyler için mikrobiyota ve Akdeniz diyetine yönelik eğitimlerin planlanması, İBH’li bireylerin bu konular hakkındaki farkındalığının artmasına katkı sunabilir. Mikrobiyota ve Akdeniz diyeti hakkında bilgi artışının hastalık prognozu ve beslenme durumunun iyileşmesini olumlu etkileyeceği düşünülmektedir.

Keywords

İnflamatuvar bağırsak hastalıkları Mikrobiyota farkındalığı Akdeniz diyeti

References

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Evaluation of Microbiota Awareness and Adherence to the Mediterranean Diet in Adults with Inflammatory Bowel Disease

Year 2024, Volume: 7 Issue: 1, 7 - 16, 15.01.2024

Sena Nur Kumral Beyza Katırcıoğlu Nasminel Tekin Semiha Nur Öztürk Feride Ayyıldız

https://doi.org/10.19127/bshealthscience.1362512

Abstract

This study was conducted to evaluate microbiota awareness and adherence to the Mediterranean diet in individuals diagnosed with inflammatory bowel disease (IBD) and healthy individuals. A total of 304 volunteer participants, including 148 individuals diagnosed with IBD and 156 healthy individuals between the ages of 18-65 years, constituted the sample of the study. Data were collected using an online questionnaire including general characteristics, health information and dietary habits, Mediterranean Diet Adherence Scale (MEDAS) and Microbiota Awareness Scale (MAS). As a result of the study, microbiota awareness scores and Mediterranean diet adherence scores of individuals with IBD were found to be significantly lower than healthy individuals. It was observed that the MAS score was positively correlated with MEDAS score and negatively correlated with age and BMI. Planning trainings on microbiota and Mediterranean diet for individuals with IBD may contribute to increasing awareness of these issues. Increased knowledge about microbiota and Mediterranean diet is thought to positively affect disease prognosis and improvement of nutritional status.

Keywords

Inflammatory bowel diseases Microbiota awareness Mediterranean diet

References

  • Balestrieri P, Ribolsi M, Guarino, MPL, Emerenziani S, Altomare A, Cicala M. 2020. Nutritional aspects in inflammatory bowel diseases. Nutrients, 12(2): 372.
  • Barqawi HJ, Adra SF, Ramzi HR, Abouaggour MA, Almehairi SK. 2021. Evaluating the knowledge, attitudes and practices of the UAE community on microbiota composition and the main factors affecting it: A cross-sectional study. BMJ Open, 11(8): e047869.
  • Barrea L, Muscogiuri G, Frias-Toral E, Laudisio D, Pugliese G, Castellucci B, Garcia-Velasquez E, Savastano S, Colao A. 2021. Nutrition and immune system: from the Mediterranean diet to dietary supplementary through the microbiota. Crit Rev Food Sci Nutr, 61(18): 3066-3090.
  • Beam A, Clinger E, Hao L. 2021. Effect of diet and dietary components on the composition of the gut microbiota. Nutrients, 13(8): 2795.
  • Chen Y, Zhou J, Wang L. 2021. Role and mechanism of gut microbiota in human disease. Front Cell Infect Microbiol, 11: 625913.
  • Chicco F, Magrì S, Cingolani A, Paduano D, Pesenti M, Zara F, Tumbarello F, Urru E, Melis A, Casula L, Fantini MC, Usai P. 2021. Multidimensional impact of Mediterranean diet on IBD patients. Inflamm Bowel Dis, 27(1): 1-9.
  • Cox SR, Lindsay JO, Fromentin S, Stagg AJ, McCarthy NE, Galleron N, Ibraim SB, Roume H, Levenez F, Pons N, Maziers N, Lomer MC, Ehrlich SD, Irving PM, Whelan K. 2020. Effects of low FODMAP diet on symptoms, fecal microbiome, and markers of ınflammation in patients with quiescent ınflammatory bowel disease in a randomized trial. Gastroenterology, 158(1): 176-188.e7.
  • Cusimano FA, Damas OM. 2022. Diet as a treatment for inflammatory bowel disease: Is it ready for prime time? Curr Opin Gastroenterol, 38(4): 358-372.
  • Çelik K, Güveli H, Erzin YZ, Kenger EB, Özlü T. 2023. The effect of adherence to Mediterranean diet on disease activity in patients with inflammatory bowel disease. Turk J Gastroenterol, 34(7): 714-719.
  • de Castro MM, Pascoal LB, Steigleder KM, Siqueira BP, Corona LP, Ayrizono MLS, Milanski M, Leal RF. 2021. Role of diet and nutrition in inflammatory bowel disease. World J Exp Med, 11(1): 1-16.
  • De Filippis F, Pellegrini N, Vannini L, Jeffery IB, La Storia A, Laghi L, Serrazanetti DI, Di Cagno R, Ferrocino I, Lazzi C, Turroni S, Cocolin L, Brigidi P, Neviani E, Gobbetti M, O'Toole PW, Ercolini D. 2016. High-level adherence to a Mediterranean diet beneficially impacts the gut microbiota and associated metabolome. Gut, 65(11): 1812-1821.
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  • Fiorindi C, Dinu M, Gavazzi E, Scaringi S, Ficari F, Nannoni A, Sofi F, Giudici F. 2021. Adherence to mediterranean diet in patients with inflammatory bowel disease. Clin Nutr ESPEN, 46: 416-423.
  • Flynn S, Eisenstein S. 2019. Inflammatory bowel disease presentation and diagnosis. Surg Clin North Amerika, 99(6): 1051-1062.
  • Fritsch J, Garces L, Quintero MA, Pignac-Kobinger J, Santander AM, Fernández I, Ban YJ, Kwon D, Phillips MC, Knight K, Mao Q, Santaolalla R, Chen XS, Maruthamuthu M, Solis N, Damas OM, Kerman DH, Deshpande AR, Lewis JE, Chen C, Abreu MT. 2021. Low-fat, high-fiber diet reduces markers of inflammation and dysbiosis and improves quality of life in patients with ulcerative colitis. Clin Gastroenterol Hepatol, 19(6): 1189-1199.
  • Garcia-Mantrana I, Selma-Royo M, Alcantara C, Collado MC. 2018. Shifts on gut microbiota associated to Mediterranean diet adherence and specific dietary intakes on general adult population. Front Microbiol, 9: 890.
  • García-Montero C, Fraile-Martínez O, Gómez-Lahoz AM, Pekarek L, Castellanos AJ, Noguerales-Fraguas F, Coca S, Guijarro LG, García-Honduvilla N, Asúnsolo A, Sanchez-Trujillo L, Lahera G, Bujan J, Monserrat J, Álvarez-Mon MA, Ortega MA. 2021. Nutritional components in Western diet versus Mediterranean diet at the gut microbiota-immune system interplay. Implications for health and disease. Nutrients, 13(2): 699.
  • GBD Collaborators, Ärnlöv J. 2020. Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet, 396(10258): 1223-1249.
  • Ghouri YA, Tahan V, Shen B. 2020. Secondary causes of inflammatory bowel diseases. World J Gastroenterol, 26(28): 3998.
  • Gomaa EZ. 2020. Human gut microbiota/microbiome in health and diseases: a review. Antonie Van Leeuwenhoek, 113(12): 2019-2040.
  • Hamurcu P, İsmailoğlu Ö. 2022. Mikrobiyota farkındalığı: Beslenme ve Diyetetik öğrencileri üzerine bir araştırma. J Immunol Clin Microbiol, 7(1): 5-18.
  • Hedin CR, Mullard M, Sharratt E, Jansen C, Sanderson JD, Shirlaw P, Howe LC, Djemal S, Stagg AJ, Lindsay JO, Whelan K. 2010. Probiotic and prebiotic use in patients with inflammatory bowel disease: a case-control study. Inflamm Bowel Dis, 16(12): 2099-2108.
  • İnce Palamutoğlu M, Bilgi E, Horzum M, Kılıç Z, Karaca Çelik KE. 2023. Determination of consumers’ knowledge levels and consumption status on probiotic and prebiotic products. Food Health, 9(3): 193-200.
  • Jairath V, Feagan BG. 2020. Global burden of inflammatory bowel disease. Lancet Gastroenterol Hepatol, 5(1): 2-3.
  • Külcü A, Önal Ö. 2022. Microbiota Awareness Scale validity and reliability study. Med J SDU, 29(2): 205-212.
  • Laass, MW, Roggenbuck D, Conrad K. 2014. Diagnosis and classification of ulcerative colitis. Autoimmun Rev, 13(4-5): 463-466.
  • Limketkai BN, Sepulveda R, Hing T, Shah ND, Choe M, Limsui D, Shah S. 2018. Prevalence and factors associated with gluten sensitivity in inflammatory bowel disease. Scand J Gastroenterol, 53(2): 147-151.
  • M’Koma AE. 2019. The multifactorial etiopathogeneses interplay of inflammatory bowel disease: An overview. Gastrointest Disord, 1(1): 75-105.
  • Mak WY, Zhao M, Ng SC, Burisch J. 2020. The epidemiology of inflammatory bowel disease: East meets west. J Gastroenterol Hepatol, 35(3): 380-389.
  • Marsh A, Radford‐Smith G, Banks M, Lord A, Chachay V. 2022. Dietary intake of patients with inflammatory bowel disease aligns poorly with traditional Mediterranean diet principles. Nutr Diet, 79(2): 229-237.
  • Martínez-González MA, García-Arellano A, Toledo E, Salas-Salvado J, Buil-Cosiales P, Corella D, Covas MI, Schröder H, Arós F, Gómez-Garcia E, Fiol M, Ruiz-Gutiérrez V, Lapetra J, Lamuela-Raventos RM, Serra-Majem L, Pintó X, Muñoz MA, Wärnberg J, Ros E, Estruch R, PREDIMED Study Investigators. 2012. A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. PloS One, 7(8): e43134.
  • Mentella MC, Scaldaferri F, Pizzoferrato M, Gasbarrini A, Miggiano GAD. 2020. Nutrition, IBD and gut microbiota: a review. Nutrients, 12(4): 944.
  • Merra G, Noce A, Marrone G, Cintoni M, Tarsitano MG, Capacci A, De Lorenzo A. 2020. Influence of Mediterranean diet on human gut microbiota. Nutrients, 13(1): 7.
  • Mitsou EK, Kakali A, Antonopoulou S, Mountzouris KC, Yannakoulia M, Panagiotakos DB, Kyriacou A. 2017. Adherence to the Mediterranean diet is associated with the gut microbiota pattern and gastrointestinal characteristics in an adult population. Br J Nutr, 117(12): 1645-1655.
  • Nishida A, Inoue R, Inatomi O, Bamba S, Naito Y, Andoh A. 2018. Gut microbiota in the pathogenesis of inflammatory bowel disease. Clin J Gastroenterol, 11(1): 1-10.
  • Opstelten JL, de Vries JHM, Wools A, Siersema PD, Oldenburg B, Witteman BJM. 2019. Dietary intake of patients with inflammatory bowel disease: A comparison with individuals from a general population and associations with relapse. Clin Nutr, 38(4): 1892-1898.
  • Owczarek D, Rodacki T, Domagała-Rodacka R, Cibor D, Mach T. 2016. Diet and nutritional factors in inflammatory bowel diseases. World J Gastroenterol, 22(3): 895-905.
  • Papada E, Amerikanou C, Forbes A, Kaliora AC. 2020. Adherence to Mediterranean diet in Crohn’s disease. Eur J Nutr, 59: 1115-1121.
  • Pedersen N, Ankersen DV, Felding M, Wachmann H, Végh Z, Molzen L, Burisch J, Andersen JR, Munkholm P. 2017. Low-FODMAP diet reduces irritable bowel symptoms in patients with inflammatory bowel disease. World J Gastroenterol, 23(18): 3356-3366.
  • Pehlivanoglu Ozkan EF, Balcioglu H, Unluoglu I. 2020. Turkish validation and reliability of Mediterranean Diet Adherence Screener. Osmangazi J Medic, 42(2): 160-164.
  • Prince AC, Myers CE, Joyce T, Irving P, Lomer M, Whelan K. 2016. Fermentable carbohydrate restriction (low FODMAP diet) in clinical practice ımproves functional gastrointestinal symptoms in patients with ınflammatory bowel disease. Inflamm Bowel Dis, 22(5): 1129-36.
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There are 59 citations in total.

Details

Primary Language Turkish
Subjects Nutrition and Dietetics (Other)
Journal Section Research Article
Authors

Sena Nur Kumral 0009-0005-6020-6179

Beyza Katırcıoğlu 0009-0000-2013-9518

Nasminel Tekin 0009-0001-4163-1867

Semiha Nur Öztürk 0009-0005-8678-4882

Feride Ayyıldız 0000-0003-2828-3850

Early Pub Date December 10, 2023
Publication Date January 15, 2024
Submission Date September 20, 2023
Acceptance Date October 26, 2023
Published in Issue Year 2024 Volume: 7 Issue: 1

Cite

APA Kumral, S. N., Katırcıoğlu, B., Tekin, N., Öztürk, S. N., et al. (2024). İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı ve Akdeniz Diyetine Uyumun Değerlendirilmesi. Black Sea Journal of Health Science, 7(1), 7-16. https://doi.org/10.19127/bshealthscience.1362512
AMA Kumral SN, Katırcıoğlu B, Tekin N, Öztürk SN, Ayyıldız F. İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı ve Akdeniz Diyetine Uyumun Değerlendirilmesi. BSJ Health Sci. January 2024;7(1):7-16. doi:10.19127/bshealthscience.1362512
Chicago Kumral, Sena Nur, Beyza Katırcıoğlu, Nasminel Tekin, Semiha Nur Öztürk, and Feride Ayyıldız. “İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı Ve Akdeniz Diyetine Uyumun Değerlendirilmesi”. Black Sea Journal of Health Science 7, no. 1 (January 2024): 7-16. https://doi.org/10.19127/bshealthscience.1362512.
EndNote Kumral SN, Katırcıoğlu B, Tekin N, Öztürk SN, Ayyıldız F (January 1, 2024) İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı ve Akdeniz Diyetine Uyumun Değerlendirilmesi. Black Sea Journal of Health Science 7 1 7–16.
IEEE S. N. Kumral, B. Katırcıoğlu, N. Tekin, S. N. Öztürk, and F. Ayyıldız, “İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı ve Akdeniz Diyetine Uyumun Değerlendirilmesi”, BSJ Health Sci., vol. 7, no. 1, pp. 7–16, 2024, doi: 10.19127/bshealthscience.1362512.
ISNAD Kumral, Sena Nur et al. “İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı Ve Akdeniz Diyetine Uyumun Değerlendirilmesi”. Black Sea Journal of Health Science 7/1 (January 2024), 7-16. https://doi.org/10.19127/bshealthscience.1362512.
JAMA Kumral SN, Katırcıoğlu B, Tekin N, Öztürk SN, Ayyıldız F. İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı ve Akdeniz Diyetine Uyumun Değerlendirilmesi. BSJ Health Sci. 2024;7:7–16.
MLA Kumral, Sena Nur et al. “İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı Ve Akdeniz Diyetine Uyumun Değerlendirilmesi”. Black Sea Journal of Health Science, vol. 7, no. 1, 2024, pp. 7-16, doi:10.19127/bshealthscience.1362512.
Vancouver Kumral SN, Katırcıoğlu B, Tekin N, Öztürk SN, Ayyıldız F. İnflamatuvar Bağırsak Hastalığı Tanısı Alan Yetişkin Bireylerde Mikrobiyota Farkındalığı ve Akdeniz Diyetine Uyumun Değerlendirilmesi. BSJ Health Sci. 2024;7(1):7-16.
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