Abstract
Giriş: Ortoreksiya nervoza (ON), sağlıklı besinlerin tüketilmesine karşı patolojik bir saplantıdır. Kişinin amacı sağlığını korumaktır. Diğer yandan öğün tüketim sıklığı ve zamanlaması ile öğünler arasındaki sürenin de sağlıkla ilgili etkileri olduğu bilinmektedir.
Amaç: Bu çalışmada, ON eğilimi olan bireylerin öğün düzenlerinin nasıl olduğunun belirlenmesi ve öğün sıklığı ile ON arasındaki ilişkinin belirlenmesi amaçlanmıştır.
Yöntem: Google formlar ile 15 soruluk anket formu ile ORTO-11 ölçeğini içeren bir anket hazırlanmıştır. Anketin sosyal medya üzerinden, haberleşme grupları ve sosyal medya hesapları aracılığıyla dağılması ve uygulaması sağlanmıştır. Ankete Ocak - Nisan 2021 tarihleri arasında erişim sağlanmıştır. Elde edilen veriler SPSS 25 İstatistik paket programı kullanılarak uygun istatistiksel yöntemlerle değerlendirilmiştir.
Bulgular: Çalışmaya katılan bireylerin %87.1’i kadın, %12.9’u erkektir. Kadın ve erkeklerin yaş ortalaması sırası ile 29.2±11.90 ve 41.6±11.96 yıl, genel yaş ortalaması ise 30.8±12.55 yıldır. Kadınların sırası ile ağırlık, boy uzunluğu ve beden kütle indeksi (BKİ) ortalamaları 58.7±21.90 kg, 164.0±5.95 cm ve 21.9±5.07 kg/m2, erkeklerin sırası ile 94.6±15.71 kg, 176.8±5.91 cm ve 30.4±5.80 kg/m2’dir. Kadınların sırası ile ana öğün, ara öğün günlük öğün sayısı ile ORTA-11 puan ortalamaları 2.5±0.55, 1.7±0.99, 4.1±1.09 ve 25.8±4.17’dir, erkeklerin ise 2.6±0.50, 2.5±2.08, 4.8±1.20 ve 27.6±6.29 olarak belirlenmiştir. ORTO-11 puanları ile ağırlık, BKİ, ana öğün sayısı, ara öğün sayısı, toplam öğün sayısı arasında negatif yönlü ilişki, istatistikse olarak anlamlı değildir.
Sonuç: Bu çalışmada, ağırlık, BKİ, ana öğün, ara öğün, toplam öğün sayıları arasında istatistiksel olarak önemsiz olsa da, negatif bir ilişki bulunmuştur. Konu ile ilgili daha fazla çalışmaya ihtiyaç vardır.
Supporting Institution
Başkent Üniversitesi
Project Number
KA20/481
References
- 1. Toschke AM, Küchenhoff H, Koletzko B, von Kries R. Meal frequency and childhood obesity. Obes Res. 2005 Nov;13(11):1932-8.
- 2. Murakami K, Shinozaki N, McCaffrey TA, Livingstone MBE, Sasaki S. Data-driven development of the Meal-based Diet History Questionnaire for Japanese adults. Br J Nutr. 2020 Dec 10:1-9.
- 3. Englund-Ögge L, Birgisdottir BE, Sengpiel V, Brantsæter AL, Haugen M, Myhre R, Meltzer HM, Jacobsson B. Meal frequency patterns and glycemic properties of maternal diet in relation to preterm delivery: Results from a large prospective cohort study. PLoS One. 2017 Mar 1;12(3)
- 4. Mills S, Brown H, Wrieden W, White M, Adams J. Frequency of eating home cooked meals and potential benefits for diet and health: cross-sectional analysis of a population-based cohort study. Int J Behav Nutr Phys Act. 2017 Aug 17;14(1):109.
- 5. Catterson JH, Khericha M, Dyson MC, Vincent AJ, Callard R, Haveron SM, Rajasingam A, Ahmad M, Partridge L. Short-Term, Intermittent Fasting Induces Long-Lasting Gut Health and TOR-Independent Lifespan Extension. Curr Biol. 2018 Jun 4;28(11):1714-1724.
- 6. Kristin K. Marlatt HKL, Çetinkaya H, Ravussin E. Intermittent Fasting and Metabolic Health: From Religious Fast to Time‐Restricted Feeding. Obesity. 2020; 28, S29-S37
- 7. Mattson MP, Longo VD, Harvie M. Impact of intermittent fasting on health and disease processes. Ageing Res Rev. 2017 Oct;39:46-58.
- 8. Ozier AD, Henry BW; American Dietetic Association. Position of the American Dietetic Association: nutrition intervention in the treatment of eating disorders. J Am Diet Assoc. 2011 Aug;111(8):1236-41.
- 9. American Psychiatric Association, eating disorders.What are eating disorders? https://www.psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders. Accessed on December 28 2020.
- 10. Zickgraf HF, Ellis JM, Essayli JH. Disentangling orthorexia nervosa from healthy eating and other eating disorder symptoms: Relationships with clinical impairment, comorbidity, and self-reported food choices. Appetite. 2019 Mar 1;134:40-49
- 11. Yeşil E, Turhan B, Tatan D, Şaharman C, Saka M. Yetişkin bireylerde cinsiyetin ortoreksiya nervoza eğilimine etkisi. Ankara Sağlık Bilimleri Dergisi 2018, 7, (1), 1-9.
- 12. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord. 2005 Jun;10(2):e28-32.
- 13. Arusoğlu G, Kabakçi E, Köksal G, Merdol TK. Ortoreksiya nervoza ve Orto-11'in türkçeye uyarlama çalişmasi [Orthorexia nervosa and adaptation of ORTO-11 into Turkish]. Turk Psikiyatri Derg. 2008 Fall;19(3):283-91.
- 14. Arslantaş H, Adana F, Öğüt S, Ayakdaş D, Korkmaz A. Hemşirelik Öğrencilerinin Yeme Davranışları ve Ortoreksiya Nervoza (Sağlıklı Beslenme Takıntısı) İlişkisi: Kesitsel Bir Çalışma. Psikiyatri Hemşireliği Dergisi - Journal of Psychiatric Nursing 2017;8(3):137–144.
- 15. Öcal EE, Ünsal A, Demirtaş Z, Öztürk Emiral G, Arslantaş D. Araştırma Görevlilerinde Ortoreksiya Nervoza ve Sosyal Değerlendirilmesi. Cumhuriyet Üniv. Sağ. Bil. Enst. Derg. 2020;(5)2: 49-50.
- 16. Pulat Demir H, Can B, Can M. Farklı bölümlerde okuyan üniversite öğrencilerinin beslenme alışkanlıkları, ortoreksiya nevroza puanları ve beden kütle indekslerinin karşılaştırılması. AMUSBFD 2020;4(3); 233-243.
- 17. Baysal I, Kızıltan G. Spor Yapan Bireylerin Ortoreksiya Nervoza Eğilimleri ile Beslenme Durumları Arasındaki İlişkinin Belirlenmesi. BÜSBİD, 2020, 5(3), 204-214.
- 18. Kahleova H, Lloren JI, Mashchak A, Hill M, Fraser GE. Meal Frequency and Timing Are Associated with Changes in Body Mass Index in Adventist Health Study 2. J Nutr. 2017 Sep;147(9):1722-1728.
- 19. World Health Organization Regional Office for Europe. Body mass index (BMI). https://www.euro.who.int/en/healh topics/diseaseprevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Accessed on Augost 6, 2020.
- 20. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: A preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord. 2004; 9(2):151–157.
- 21. Sanlıer N, Yassibas E, Bilici S, Sahin G, Celik B. Does the rise in eating disorders lead to increasing risk of orthorexia nervosa? Correlations with gender, education, and body mass index. Ecol Food Nutr 2016, 15:1-13.
- 22. Jung CH, Lee JS, Ahn HJ, Choi JS, Noh MY, Lee JJ, et al. Association of meal frequency with metabolic syndrome in Korean adults: From the Korea National Health and Nutrition Examination Survey (NHANES). Diabetol. Metab. Syndr. 2017; (9) 72-77.
- 23. Kim S, Park GH, Yang JH, Chun SH, Yoon HJ, Park MS. Eating frequency is inversely associated with blood pressure and hypertension in Korean adults: analysis of the Third Korean National Health and Nutrition Examination Survey. Eur J Clin Nutr. 2014 Apr;68(4):481-9.
- 24. Gill S, Panda S. A Smartphone App Reveals Erratic Diurnal Eating Patterns in Humans that Can Be Modulated for Health Benefits. Cell Metab. 2015 Nov 3;22(5):789-98.
- 25. Ha K, Song Y. Associations of Meal Timing and Frequency with Obesity and Metabolic Syndrome among Korean Adults. Nutrients. 2019 Oct 13;11(10):2437
THE EVALUATION OF ADULT INDIVIDUALS' MEAL CONSUMPTION FREQUENCY AND THE TENDENCIES OF ORTHOREXIA NERVOSA
Abstract
Background: Orthorexia Nervosa (ON) is a pathological obsession with eating healthy foods. The purpose of the person is to protect his health. İt is known that the frequency and timing of meal consumption and the time between meals have health-related effects.
Aim: It was aimed to determine the tendency and the relationship between meal frequency and ON.
Method: A questionnaire and the ORTO-11 scale was prepared with Google forms. The distribution and application of the questionnaire through social media, communication accounts were ensured that was accessed between January - April 2021. The obtained data were evaluated with using SPSS 25.
Results: 87.1% of the individuals participating in the study were female and 12.9% were male. The mean age of women and men was 29.2±11.90 and 41.6±11.96 years, and the mean age was 30.8±12.55 years. The mean weight, height, BMI of women were 58.7±21.90 kg, 164.0±5.95 cm, 21.9±5.07 kg/m2, and 94.6±15.71 kg, 176.8±5.91 cm and 30.4±5.80 kg/m2 for men. The mean number of main meals and snacks/day and the ORTO-11 score of women, were 2.5±0.55, 1.7±0.99, 4.1±1.09, and 25.8±4.17, while for men it was 2.6±0.50, 2.5±2.08, 4.8±1.20, and 27.6. It was determined as ±6.29. The negative correlation between ORTO-11 scores and weight, BMI, number of main meals, number of snacks, and total number of meals is not statistically significant.
Conclusion: In this study, although statistically insignificant, a negative relationship was found between weight, BMI, main meal, snack, and the total number of meals. More work on the subject is needed.
Keywords
Project Number
KA20/481
References
- 1. Toschke AM, Küchenhoff H, Koletzko B, von Kries R. Meal frequency and childhood obesity. Obes Res. 2005 Nov;13(11):1932-8.
- 2. Murakami K, Shinozaki N, McCaffrey TA, Livingstone MBE, Sasaki S. Data-driven development of the Meal-based Diet History Questionnaire for Japanese adults. Br J Nutr. 2020 Dec 10:1-9.
- 3. Englund-Ögge L, Birgisdottir BE, Sengpiel V, Brantsæter AL, Haugen M, Myhre R, Meltzer HM, Jacobsson B. Meal frequency patterns and glycemic properties of maternal diet in relation to preterm delivery: Results from a large prospective cohort study. PLoS One. 2017 Mar 1;12(3)
- 4. Mills S, Brown H, Wrieden W, White M, Adams J. Frequency of eating home cooked meals and potential benefits for diet and health: cross-sectional analysis of a population-based cohort study. Int J Behav Nutr Phys Act. 2017 Aug 17;14(1):109.
- 5. Catterson JH, Khericha M, Dyson MC, Vincent AJ, Callard R, Haveron SM, Rajasingam A, Ahmad M, Partridge L. Short-Term, Intermittent Fasting Induces Long-Lasting Gut Health and TOR-Independent Lifespan Extension. Curr Biol. 2018 Jun 4;28(11):1714-1724.
- 6. Kristin K. Marlatt HKL, Çetinkaya H, Ravussin E. Intermittent Fasting and Metabolic Health: From Religious Fast to Time‐Restricted Feeding. Obesity. 2020; 28, S29-S37
- 7. Mattson MP, Longo VD, Harvie M. Impact of intermittent fasting on health and disease processes. Ageing Res Rev. 2017 Oct;39:46-58.
- 8. Ozier AD, Henry BW; American Dietetic Association. Position of the American Dietetic Association: nutrition intervention in the treatment of eating disorders. J Am Diet Assoc. 2011 Aug;111(8):1236-41.
- 9. American Psychiatric Association, eating disorders.What are eating disorders? https://www.psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders. Accessed on December 28 2020.
- 10. Zickgraf HF, Ellis JM, Essayli JH. Disentangling orthorexia nervosa from healthy eating and other eating disorder symptoms: Relationships with clinical impairment, comorbidity, and self-reported food choices. Appetite. 2019 Mar 1;134:40-49
- 11. Yeşil E, Turhan B, Tatan D, Şaharman C, Saka M. Yetişkin bireylerde cinsiyetin ortoreksiya nervoza eğilimine etkisi. Ankara Sağlık Bilimleri Dergisi 2018, 7, (1), 1-9.
- 12. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord. 2005 Jun;10(2):e28-32.
- 13. Arusoğlu G, Kabakçi E, Köksal G, Merdol TK. Ortoreksiya nervoza ve Orto-11'in türkçeye uyarlama çalişmasi [Orthorexia nervosa and adaptation of ORTO-11 into Turkish]. Turk Psikiyatri Derg. 2008 Fall;19(3):283-91.
- 14. Arslantaş H, Adana F, Öğüt S, Ayakdaş D, Korkmaz A. Hemşirelik Öğrencilerinin Yeme Davranışları ve Ortoreksiya Nervoza (Sağlıklı Beslenme Takıntısı) İlişkisi: Kesitsel Bir Çalışma. Psikiyatri Hemşireliği Dergisi - Journal of Psychiatric Nursing 2017;8(3):137–144.
- 15. Öcal EE, Ünsal A, Demirtaş Z, Öztürk Emiral G, Arslantaş D. Araştırma Görevlilerinde Ortoreksiya Nervoza ve Sosyal Değerlendirilmesi. Cumhuriyet Üniv. Sağ. Bil. Enst. Derg. 2020;(5)2: 49-50.
- 16. Pulat Demir H, Can B, Can M. Farklı bölümlerde okuyan üniversite öğrencilerinin beslenme alışkanlıkları, ortoreksiya nevroza puanları ve beden kütle indekslerinin karşılaştırılması. AMUSBFD 2020;4(3); 233-243.
- 17. Baysal I, Kızıltan G. Spor Yapan Bireylerin Ortoreksiya Nervoza Eğilimleri ile Beslenme Durumları Arasındaki İlişkinin Belirlenmesi. BÜSBİD, 2020, 5(3), 204-214.
- 18. Kahleova H, Lloren JI, Mashchak A, Hill M, Fraser GE. Meal Frequency and Timing Are Associated with Changes in Body Mass Index in Adventist Health Study 2. J Nutr. 2017 Sep;147(9):1722-1728.
- 19. World Health Organization Regional Office for Europe. Body mass index (BMI). https://www.euro.who.int/en/healh topics/diseaseprevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Accessed on Augost 6, 2020.
- 20. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: A preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord. 2004; 9(2):151–157.
- 21. Sanlıer N, Yassibas E, Bilici S, Sahin G, Celik B. Does the rise in eating disorders lead to increasing risk of orthorexia nervosa? Correlations with gender, education, and body mass index. Ecol Food Nutr 2016, 15:1-13.
- 22. Jung CH, Lee JS, Ahn HJ, Choi JS, Noh MY, Lee JJ, et al. Association of meal frequency with metabolic syndrome in Korean adults: From the Korea National Health and Nutrition Examination Survey (NHANES). Diabetol. Metab. Syndr. 2017; (9) 72-77.
- 23. Kim S, Park GH, Yang JH, Chun SH, Yoon HJ, Park MS. Eating frequency is inversely associated with blood pressure and hypertension in Korean adults: analysis of the Third Korean National Health and Nutrition Examination Survey. Eur J Clin Nutr. 2014 Apr;68(4):481-9.
- 24. Gill S, Panda S. A Smartphone App Reveals Erratic Diurnal Eating Patterns in Humans that Can Be Modulated for Health Benefits. Cell Metab. 2015 Nov 3;22(5):789-98.
- 25. Ha K, Song Y. Associations of Meal Timing and Frequency with Obesity and Metabolic Syndrome among Korean Adults. Nutrients. 2019 Oct 13;11(10):2437
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Makaleler |
| Authors | |
| Project Number | KA20/481 |
| Publication Date | December 24, 2021 |
| Submission Date | August 8, 2021 |
| Acceptance Date | November 23, 2021 |
| Published in Issue | Year 2021 Volume: 6 Issue: 3 |