ÜNİVERSİTE ÖĞRENCİLERİNDE AKDENİZ DİYETİNE BAĞLILIK VE UYKU KALİTESİ

Year 2024, Volume: 7 Issue: 1, 16 - 28, 29.05.2024

Merve İnce Palamutoğlu , Kezban Esen Karaca , Abdülhamit Kara , Betül Ürgün , Buse Melike Çam , Zehra Nur İncikuş , Beril Ekşioğlu

https://doi.org/10.52538/iduhes.1329497

Abstract

Bu çalışma, üniversite öğrencilerinin Akdeniz diyetine bağlılık ve uyku kalitesini saptanması amacıyla yapılmıştır. Çalışma, Türkiye Cumhuriyetindeki Yüksek Öğretim Kurumlarında öğrenim gören ve çalışmaya katılmayı gönüllü olarak kabul eden, 331 kadın, 149 erkek toplam 480 kişi üzerinde yapılmıştır. Bireylerin, demografik özellikleri, sigara, alkol ile kafeinli içecek kullanımı, beslenme alışkanlıkları anket formuyla sorgulanmıştır. Akdeniz diyetine bağlılığı değerlendirmek için Akdeniz Diyetine bağlılık ölçeği (MEDAS) ile uyku kalitesinin değerlendirilmesinde Pittsburgh Uyku Kalitesi İndeksi (PUKI) uygulanmıştır. Katılımcıların %69.0 (n=331) kadın, %31 (n=149) erkektir. Yaş ortalaması; 21.00±2.853, beden kütle indeksi ortalaması kadınlarda 21.23±4.921 kg/m2; erkeklerde ise 24±3.223 kg/m2 bulunmuştur. Çalışmaya katılanların Akdeniz diyetine bağlılıkları %47.3’ü (n=227) yetersiz bağlılık olan 7 puanın altında, %27.1’i (n=130) kabul edilebilir bağlılık olan 7-8 puan aralığında iken, %25.6’sı (n=123) sıkı bağlılık olan 9 puanın üzerinde bulunmuştur. Yine katılımcıların, toplam PUKI puanı ortalaması 6.293.06, kadınların ortalama PUKI puanı 6.332.93 iken erkeklerin ortalama PUKI puanı 6.193.36’dır. Kadın ve erkeklerin PUKI puanları arasında anlamlı düzeyde farklılık bulunmamaktadır (p>0.05). Uyku ve beslenme durumunun sağlık üzerinde birçok etkisi bulunmaktadır. Bu nedenle öğrencilerin uyku kalitesinin artırılması ve beslenme durumlarının iyileştirilmesi için bireylere eğitimler verilmelidir.

Keywords

Nutrition, Mediterranean Diet, Sleep Quality, MEDAS, PSQI

Adherence to Mediterranean Diet and Sleep Quality in University Students

Abstract

A healthy diet is an important supporter of quality of life. Food is a basic human right. Sleep, like food, is an indispensable part of life. A healthy diet and quality sleep can contribute to our health and well-being. This study was conducted to determine the adherence to the Mediterranean diet and the sleep quality of university students. The study was carried out on 480 people, 331 women and 149 men, who were studying at Higher Education Institutions in the Republic of Türkiye and voluntarily accepted to participate in the study. The demographic characteristics of the individuals, smoking, alcohol and caffeinated beverage use, and dietary habits were questioned with a questionnaire. The Mediterranean Diet Adherence Scale (MEDAS) was used to assess adherence to the Mediterranean diet, and the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. Participants were made up of 69.0% (n=331) females and 31% (n=149) males. The average age; was 21.00±2.853, mean body mass index was 21.23±4.921 kg/m2 in women; in males, it was found to be 24±3.223 kg/m2. Adherence to the Mediterranean diet of the participants was 47.3% (n=227) below 7 points, which was insufficient adherence, 27.1% (n=130) were within the range of 7-8 points, which was acceptable adherence, and 25.6% (n=123) It was found above 9 points, which is strict adherence. Again, the average PSQI score of the participants is 6.29±3.06, the average PSQI score of women is 6.33±2.93 while the average PSQI score of men is 6.19±3.36. There was no significant difference between the PSQI scores of women and men (p>0.05). Sleep and nutritional status have many effects on health. For this reason, training should be given to individuals to increase the sleep quality of the students and to improve their nutritional status.

Keywords

nutrition, Mediterranean diet, Sleep quality, MEDAS, PSQI

References

• Ağargün, M.Y., Kara,H., and Anlar, Ö. (1996). Pittsburg The Validity and Reliability of the Pittsburgh Sleep Quality Index. Türk Psikiyatri Dergisi, 7(2), 107–115.
• Bakır, B., and Çalapkorur, S. (2020). Effect of Academicians’ Sleep Duration and Quality on Nutritional Status. Journal of Nutrition and Dietetics, 48(2), 1–10. https://doi.org/10.33076/2020.bdd.1340
• Balcı, K. (2017). Evaluation of the Relationship Between Nutritional Status and Sleep Quality of Adult Individuals Working at Başkent University Ankara Hospital. Başkent University, Institute of Health Sciences, Department of Nutrition and Dietetics (Master's Thesis).
• Bozkul, G., and Karakul, A. (2023). The relationship between Sleep Quality and Job Satisfaction of Nurses working in the pediatric surgery clinic during the COVID-19 pandemic. Health & Research Journal, 9(1), 13–22. https://doi.org/10.12681/healthresj.30283
• Buysse, D.J., Reynolds, C.F., Monk, T.H., Berman, S.R., and Kupfer, D.J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res., 28, 193–213.
• Deniz, M.Ş. (2021). Evaluation of the Relationship Between Adherence to the Mediterranean Diet and Blood TMAO Level. Acıbadem University, Health Sciences Institute, Department of Nutrition and Dietetics (PhD Thesis).
• Dilmaç, P., and Kalkan, İ. (2020). Evaluation of the Effect of Nutritional Habits on Sleep Quality of 15-18 Year Old Student Group in Adana. Tıp Fakültesi Klinikleri, 3(1), 41–47.
• Estruch, R., Ros, E., Salas-Salvado, J., Covas, M.I., Corella, D., Aros, F., Gomez-Gracia, E., Ruiz-Gutierrez, V., Fiol, M., Lapetra, J., Lamuel-Raventos, R.M., Serra-Majem, L., Pinto, X., Basora, J., Munoz, A., Sorli, J.V., Martinez, J.A., and Martinez-Gonzalez, M.A. (2018). Primary prevention of cardiovascular disease with a mediterranean diet. N Engl J Med, 378(25), 1279–1290. https://doi.org/10.1056/nejmoa1200303
• Gezmen Karadaǧ, M., and Aksoy, M. (2009). Sleep regulation and nutrition. Goztepe Tip Dergisi, 24(1), 9–15.
• Javed, M., Qureshi, M. A., & Latif, M. Z. (2023). Assessment of Qualıty of Sleep in Medıcal Students By Usıng Pıttsburgh Sleep Qualıty Index. Pak Postgrad Med J, 34(01), 12–17.
• Kızıl Ekinci, G. (2019). Determination of the Effect of Sleep Quality on Diet Quality and Anthropometric Measurements of Individuals Applying to Yenişehir Community Health Center in Diyarbakır Province. Hasan Kalyoncu University, Institute of Health Sciences, Department of Nutrition and Dietetics (Master's Thesis).
• Lodewijks, Y., Schonck, F., and Nienhuijs, S. (2023). Sleep Quality Before and After Bariatric Surgery. Obesity Surgery, 33(1), 279–283. https://doi.org/10.1007/s11695-022-06387-0
• Malakieh, R., Khoury, V. El, Boumosleh, J. M., Obeid, C., and Jaalouk, D. (2022). Individual determinants of Mediterranean diet adherence among urban Lebanese adult residents. Nutrition & Food Science, 53(6), 1033-1044. https://doi.org/10.1108/NFS-08-2022-0267
• Onurlubaş, E., Doğan, H. G., and Demirkıran, S. (2015). Dietary Habits of College Student. Journal of Agricultural Faculty of Gaziosmanpasa University, 32(3), 61–69.
• Özakar Akça, S., and Selen, F. (2015). The effect of skipping meals and daily activities of university students regarding the body mass index (BMI). TAF Preventive Medicine Bulletin, 14(5), 394–400. https://doi.org/10.5455/pmb.1-1423989744
• Özkan Pehlivanoğlu, E. F., Balcıoğlu, H., and Ünlüoğlu, İ. (2020). Turkish Validation and Reliability of Mediterranean Diet Adherence Screener. Osmangazi Journal of Medicine, 42(2), 160–164. https://doi.org/10.20515/otd
• Ruini, L. F., Ciati, R., Pratesi, C. A., Marino, M., Principato, L., and Vannuzzi, E. (2015). Working toward Healthy and Sustainable Diets: The “Double Pyramid Model” Developed by the Barilla Center for Food and Nutrition to Raise Awareness about the Environmental and Nutritional Impact of Foods. Frontiers in Nutrition, 2(9), 1–6. https://doi.org/10.3389/fnut.2015.00009
• Şahin, H., Yıldırım, A., Aşılar, R., Çebi, K., and Güneş, D. (2020). The Relationship Between Nutritional Behaviors and Sleep Quality in Individuals Applying to Primary Healthcare Organizations. Journal of Turkish Sleep Medicine, 29–39.
• Şenol, V., Soyuer, F., Pekşen Akça, R., and Argün, M. (2012). The Sleep Quality in Adolescents and the Factors that Affect It, 14(Mayıs), 93–102.
• SSC. (2023). Sample size calculator. Creative Research Sys-tems survey software. https://www.surveysystem.com/sscalc.htm
• Trichopoulou, A., Kouris-Blazos, A., Wahlqvist, M. L., Gnardellis, C., Lagiou, P., Polychronopoulos, E., Vassilakou, T., Lipworth, L., and Trichopoulos, D. (1995). Diet and overall survival in elderly people. BMJ, 311, 1457–1460. https://doi.org/10.1136/bmj.311.7018.1457
• Üstün, Y., and Çınar Yücel, Ş. (2011). Examination of nurses' sleep quality. Maltepe Üniv Hem Bilim Sanat Derg, 4, 29–38.
• Uysal, H., Ayvaz, M.Y., Oruçoğlu, H.B., and Say, E. (2018). Assessment of Nutritional Status and Sleep Quality of University Students. Türk Uyku Tıbbı Dergisi, 5, 31–39.
• Vélez-Toral, M., Morales-Domínguez, Z., Granado-Alcón, M. D. C., Díaz-Milanés, D., & Andrés-Villas, M. (2021). Mediterranean diet, psychological adjustment and health perception in university students: The mediating effect of healthy and unhealthy food groups. Nutrients, 13(11), 3769, 1-17. https://doi.org/10.3390/nu13113769
• Yalcin, T., and Ozturk, E.E. (2023). Associations Between Chronotype, Adherence to the Mediterranean Diet , and Attitude to Healthy Nutrition. Galician Medical Journal, 30(1), 1–8. https://doi.org/10.21802/gmj.2023.1.2
• Yangılar, F., and Karahan Yılmaz, S. (2022). Evaluation of the Relationship Between Chronotype, Sleep Quality and Adaptation to Mediterranean Diet in University Students: A Descriptive Study. Turkiye Klinikleri Journal of Health Sciences, 7(4), 976–985. https://doi.org/10.5336/healthsci.2022-90729
• YOK. (2023). https://istatistik.yok.gov.tr.