Obezite Tedavisinde Tartışmalı Bir Konu: Öğün Sıklığı
Year 2022,
Volume: 5 Issue: 3, 69 - 75, 05.09.2022
Sevinç Bakan
,
Makbule Gezmen Karadağ
Abstract
Obezite, dünya çapında giderek yaygınlaşan tüm yaş gruplarını tehdit eden önlenebilir bir hastalıktır. Obezitenin önlenmesi ve tedavisinde etkili olabilecek birçok yöntem mevcuttur. Sağlıklı beslenme, fiziksel aktivitenin arttırılması ve davranış değişikliği terapilerinin bir arada uygulanması sağlıklı vücut ağırlığına ulaşmada en etkili yöntem olarak önerilmektedir. Öğün sıklığı, obezitenin tıbbi beslenme tedavisinde yer alan tartışmalı konulardan biridir. Öğün sıklığının arttırılmasının sağlıklı vücut ağırlığının korunması ve iştah kontrolünde faydalı olabileceğini bildiren araştırmalar olsa da öğün sayısını azaltarak daha büyük porsiyonlu öğünler tüketmenin tokluk ve enerji harcamasını arttırdığını rapor eden çalışmalar da yapılmıştır. Özellikle kahvaltıyı atlamanın obezite riski ile ilişkisine dair birçok çalışma mevcuttur. İlgili çalışmalarda konu hakkında kabul görmüş bir terminolojinin olmayışı, değişik grupların birbiri ile kıyaslanması ve araştırmaların farklı yöntemler ile yapılması obezite ile öğün sıklığı ilişkisi hakkında genel ve net çıkarımlar yapmayı engelleyen temel sebepler olarak bildirilmiştir. Öğün sıklığındaki değişimlerin obezitenin önlenmesi ve tedavisindeki olası rolünü incelemek için yapılan bu derleme çalışmasında da benzer engeller ile karşılaşılmıştır. Sonuç olarak öğün sıklığının obezite ile ilişkisini açıklayabilmek için farklı yaş gruplarında ortak metodoloji ve terminoloji oluşturularak, öğün sayısı ile birlikte diyet kalitesinin de sorgulandığı daha uzun vadeli çalışmalara ihtiyaç olduğu vurgulanmıştır.
Supporting Institution
Yok
References
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Year 2022,
Volume: 5 Issue: 3, 69 - 75, 05.09.2022
Sevinç Bakan
,
Makbule Gezmen Karadağ
References
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- Bachman, J. L., & Raynor, H. A. (2012). Effects of manipulating eating frequency during a behavioral weight loss intervention: A pilot randomized controlled trial. Obesity, 20(5), 985–992. https://doi.org/10.1038/oby.2011.360
- Barrington, W. E., & Beresford, S. A. A. (2019). Eating occasions, obesity and related behaviors in working adults: Does it matter when you snack? Nutrients, 11(10), 1–13. https://doi.org/10.3390/nu11102320
- Błaszczyk-Bębenek, E., Jagielski, P., Bolesławska, I., Jagielska, A., Nitsch-Osuch, A., & Kawalec, P. (2020). Nutrition behaviors in polish adults before and during COVID-19 lockdown. Nutrients, 12(10), 1–16. https://doi.org/10.3390/nu12103084
- Bonnet, J. P., Cardel, M. I., Cellini, J., Hu, F. B., & Guasch-Ferré, M. (2020). Breakfast Skipping, Body Composition, and Cardiometabolic Risk: A Systematic Review and Meta-Analysis of Randomized Trials. Obesity, 28(6), 1098–1109. https://doi.org/10.1002/oby.22791
- Canuto, R., Garcez, S., Kac, G., Israel, P., Lira, C. De, Teresa, M., & Olinto, A. (2017). Review Article Eating frequency and weight and body composition : a systematic review of observational studies. Public Health Nutrition, 20(12), 2079–2095. https://doi.org/10.1017/S1368980017000994
- Cowan, A. E., Higgins, K. A., Fisher, J. O., Tripicchio, G. L., Mattes, R. D., Zou, P., & Bailey, R. L. (2020). Examination of different definitions of snacking frequency and associations with weight status among U.S. adults. PLoS ONE, 15(6), 1–19. https://doi.org/10.1371/journal.pone.0234355
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- Fábry, P., Hejl, Z., Fodor, J., & Braun, T. (1964). The frequency of meals: Its relation to overweight, hypercholesterolaemia, and decreased glucose-tolerance. Lancet, 2, 614–615.
- Fitch, A., Everling, L., Fox, C., Goldberg, J., Heim, C., Johnson, K., Kaufman, T., Kennedy, E., Kestenbaun, C., Leslie, D., Newell, T., Connor, O. P., Slusarek, B., Spaniol, A., & Stovitz, S. (2015). Prevention and Management of Obesity for Adults How to cite this document : Copies of this ICSI Health Care Guideline may be distributed by any organization to the organization ’ s Health Care Guideline : Prevention and Management of Obesity for Adults.
- Grangeiro, É. D., Trigueiro, M. S., Siais, L. D. O., Paiva, H. M., Sola-Penna, M., & Rosado, E. L. (2020). Effect of Meal Frequency on the Loss Weight , Glycemia , Lipid Profile , Plasma Ghrelin and Energy Expenditure of Women with Obesity : A Clinical Trial. May, 1–18. https://doi.org/10.20944/preprints202005.0436.v1
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- Joo, H. J., Kim, G. R., & Park, E. (2018). Association between Frequency of Breakfast Consumption and Insulin Resistance Using Triglyceride-Glucose Index : A Cross-Sectional Study of the Korea National Health and Nutrition Examination Survey ( 2016 – 2018 ). International Journal of Environmental Research and Public Health, 17. https://doi.org/10.3390/ijerph17093322
- Kaczmarek, J. L., Thompson, S. V., & Holscher, H. D. (2017). Complex interactions of circadian rhythms, eating behaviors, and the gastrointestinal microbiota and their potential impact on health. Nutrition Reviews, 75(9), 673–682. https://doi.org/10.1093/nutrit/nux036
- Kahleova, H., Lloren, J. I., Mashchak, A., Hill, M., & Fraser, G. E. (2017). Meal Frequency and Timing Are Associated with Changes in Body Mass Index in Adventist Health Study 2. The Journal of Nutrition, 147, 1722–1728. https://doi.org/10.3945/jn.116.244749
- Keller, K., Rodríguez López, S., & Carmenate Moreno, M. M. (2015). Association between meal intake behaviour and abdominal obesity in Spanish adults. Appetite, 92, 1–6. https://doi.org/10.1016/j.appet.2015.04.077
- Kriaucioniene, V., Bagdonaviciene, L., Rodríguez-Pérez, C., & Petkeviciene, J. (2020). Associations between changes in health behaviours and body weight during the covid-19 quarantine in lithuania: The lithuanian covidiet study. Nutrients, 12(10), 1–9. https://doi.org/10.3390/nu12103119
- Kulovitz, M. G., Kravitz, L. R., Mermier, C., Gibson, A. L., Conn, C. A., Kolkmeyer, D., & Kerksick, C. M. (2014). Potential role of meal frequency as a strategy for weight loss and health in overweight or obese adults. Nutrition, 30(4), 386–392. https://doi.org/10.1016/j.nut.2013.08.009
- Lee, J. S., Mishra, G., Hayashi, K., Watanabe, E., Mori, K., & Kawakubo, K. (2016). Combined eating behaviors and overweight: Eating quickly, late evening meals, and skipping breakfast. Eating Behaviors, 21, 84–88. https://doi.org/10.1016/j.eatbeh.2016.01.009
- Lhuissier, A., Tichit, C., Caillavet, F., Cardon, P., Masullo, A., Martin-fernandez, J., Parizot, I., & Chauvin, P. (2013). Who still eats three meals a day ? Findings from a quantitative survey in the Paris area q. Appetite, 63, 59–69. https://doi.org/10.1016/j.appet.2012.12.012
- Ma, X., Chen, Q., Pu, Y., Guo, M., Jiang, Z., Huang, W., Long, Y., & Xu, Y. (2020a). Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obesity Research and Clinical Practice, 14(1), 1–8. https://doi.org/10.1016/j.orcp.2019.12.002
- Ma, X., Chen, Q., Pu, Y., Guo, M., Jiang, Z., Huang, W., Long, Y., & Xu, Y. (2020b). Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obesity Research and Clinical Practice, 14(1), 1–8. https://doi.org/10.1016/j.orcp.2019.12.002
- Macit, M., & Akbulut, G. (2019). Obezite ve Yeme Bozukluklarında Tıbbi Beslenme Tedavisi. In Akbulut G. (Ed.), Endokrin ve Kardiyometabolik Hastalıklarda Tıbbi Beslenme Tedavisi (syf. 52–57). Nobel Tıp Kitabevi,Ankara.
- Marangoni, F., Martini, D., Scaglioni, S., Sculati, M., Donini, L. M., Leonardi, F., Agostoni, C., Castelnuovo, G., Ferrara, N., Ghiselli, A., Giampietro, M., Maffeis, C., Porrini, M., Barbi, B., & Poli, A. (2019). Snacking in nutrition and health. International Journal of Food Sciences and Nutrition, 70(8), 909–923. https://doi.org/10.1080/09637486.2019.1595543
- Megson, M., Wing, R., & Leahey, T. M. (2017). Effects of breakfast eating and eating frequency on body mass index and weight loss outcomes in adults enrolled in an obesity treatment program. Journal of Behavioral Medicine, 40(4), 595–601. https://doi.org/10.1007/s10865-017-9828-0
- Mogensen, C. S., Færch, K., Bruhn, L., Amadid, H., Tetens, I., Quist, J. S., & Clemmensen, K. K. B. (2020). Timing and frequency of daily energy intake in adults with prediabetes and overweight or obesity and their associations with body fat. Nutrients, 12(11), 1–11. https://doi.org/10.3390/nu12113484
- Munro JF, Seaton DA, D. L. (1966). Treatment of “Refractory Obesity” with a Diet of Five Meals a Day. British Medical Journal, 1(950), 952. https://doi.org/10.1136/bmj.1.5502.1540-a
- Murakami, K., & Livingstone, M. B. E. (2015). Eating frequency is positively associated with overweight and central obesity in US adults. Journal of Nutrition, 145(12), 2715–2724. https://doi.org/10.3945/jn.115.219808
- Murakami, K., & Livingstone, M. B. E. (2016). Associations between meal and snack frequency and overweight and abdominal obesity in US children and adolescents from National Health and Nutrition Examination Survey (NHANES) 2003-2012. British Journal of Nutrition, 115(10), 1819–1829. https://doi.org/10.1017/S0007114516000854
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