The Mediterranean Diet Effects on Atrial Premature Complexes
Yıl 2023,
Cilt: 14 Sayı: 1, 122 - 127, 23.03.2023
Yasin Özen
,
Aliye Kuyumcu
Öz
Aim: The aim of this study was to evaluate the relationship between atrial premature complexes (APC) and Mediterranean diet score. Rhythm disturbances in the heart significantly affect the quality of life of the patients.
Material and Methods: This study was conducted on 50 patients with palpitations who were referred to the cardiology outpatient clinic and had more than 10000 APC per day as a result of a 24-hour holter, and 50 patients who presented with palpitations but had less than 10,000 APC in the holter. Diet quality was determined by scoring method (5, 6-9 and ≥10 points) ‘Mediterranean Diet Adaptation Scale’ and compared between groups.
Results: There was no difference between the two groups in terms of clinical and demographic characteristics. Mediterranean diet scores were found lower in patients with APC’s ≥10.000/day (p<0.001). A significant negative correlation was found between APC and Mediterranean diet score (p<0.001, r = -0.560).
Conclusion: The protective role of Mediterranean diet type nutrition on the frequency of APC was clearly observed in our study. This study, which is one of the limited numbers of studies examining the relationship between Mediterranean diet and APC, may be helpful in understanding the pathophysiology of APC.
Kaynakça
- 1. Yalin S, Gök H, Toksöz R. [The effects of the short-term regular exercise-diet program on lipid profile in sedentary subjects]. Anadolu Kardiyol Derg 2001; 1(3): 179-8, axv. 2002/07/10.
- 2. Kurçer MA, Ozbay A. [Effects of patient education and counseling about life style on quality of life in patients with coronary artery disease]. Anadolu Kardiyol Derg 2011; 11(2): 107-13. 2011/02/03. doi: 10.5152/akd.2011.028.
- 3. Adalet K. [Atrial fibrillation in the elderly]. Turk Kardiyol Dern Ars 2017; 45(Suppl 5): 75-82. 2017/10/05. doi: 10.5543/tkda.2017.37863.
- 4. Camm AJ, Evans K, Ward D, Martin AJAhj. The rhythm of the heart in active elderly subjects. 1980; 99(5): 598-603.
- 5. Kisheva A, Yotov Y. Risk factors for recurrence of atrial fibrillation. Anatol J Cardiol 2021; 25(5): 338-45. 2021/05/08. doi: 10.14744/AnatolJCardiol.2020.80914.
- 6. Wallmann D, Tüller D, Wustmann K, Meier P, Isenegger Jr, Arnold M, et al. Frequent atrial premature beats predict paroxysmal atrial fibrillation in stroke patients: an opportunity for a new diagnostic strategy. 2007; 38(8): 2292-94.
- 7. Haissaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. 1998; 339(10): 659-66.
- 8. Ephrem G, Levine M, Friedmann P, Schweitzer PJAoNE. The prognostic significance of frequency and morphology of premature ventricular complexes during ambulatory holter monitoring. 2013; 18(2): 118-25.
- 9. PEHLİVANOĞLU EFÖ, BALCIOĞLU H, ÜNLÜOĞLU İJOTD. Akdeniz diyeti bağlılık ölçeği’nin türkçe’ye uyarlanması geçerlilik ve güvenilirliği. 2020; 42(2): 160-64.
- 10. Martínez-González MA, García-Arellano A, Toledo E, Salas-Salvado J, Buil-Cosiales P, Corella D, et al. A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. 2012.
- 11. Uzun Ş, Kara B, Yokuşoğlu M, Arslan F, Yılmaz MB, Karaeren HJAJoCAKD. The assessment of adherence of hypertensive individuals to treatment and lifestyle change recommendations. 2009; 9(2).
- 12. Kuyumcu MS, Kuyumcu A. High fructose consumption may be associated with slow coronary flow. Turk Kardiyol Dern Ars 2020; 48(7): 690-97. 2020/10/10. doi: 10.5543/tkda.2020.03205.
- 13. Tokgözoğlu LJTKDA. Ateroskleroz ve enflamasyonun rolü. 2009; 37(4): 1-6.
- 14. Martínez-González MÁ, Toledo E, Arós F, Fiol M, Corella D, Salas-Salvadó J, et al. Extravirgin olive oil consumption reduces risk of atrial fibrillation: the PREDIMED (Prevención con Dieta Mediterránea) trial. 2014; 130(1): 18-26.
- 15. Gücük İpek E, Güray Y, Demirkan B, Güray U, Kafes H, Başyiğit F. [The prevalence of alternative herbal medicine and nutritional complementary product intake in patients admitted to out-patient cardiology departments]. Turk Kardiyol Dern Ars 2013; 41(3): 218-24. 2013/05/25. doi: 10.5543/tkda.2013.15146.
- 16. Altuntaş Y, Batman A. [Microbiota and metabolic syndrome]. Turk Kardiyol Dern Ars 2017; 45(3): 286-96. 2017/04/22. doi: 10.5543/tkda.2016.72461.
- 17. Mattioli AV, Miloro C, Pennella S, Pedrazzi P, Farinetti A. Adherence to Mediterranean diet and intake of antioxidants influence spontaneous conversion of atrial fibrillation. Nutrition, metabolism, and cardiovascular diseases : NMCD 2013; 23(2): 115-21. 2011/07/30. doi: 10.1016/j.numecd.2011.03.005.
- 18. İşcan Ş, Eygi B, Beşir Y, Gökalp O. Perioperative predictors of atrial fibrillation. Anatol J Cardiol 2018; 20(3): 194. 2018/08/29. doi: 10.14744/AnatolJCardiol.2018.34946.
- 19. Chong BH, Pong V, Lam KF, Liu S, Zuo ML, Lau YF, et al. Frequent premature atrial complexes predict new occurrence of atrial fibrillation and adverse cardiovascular events. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 2012; 14(7): 942-7. 2011/12/21. doi: 10.1093/europace/eur389.
- 20. Rodrigo R, Korantzopoulos P, Cereceda M, Asenjo R, Zamorano J, Villalabeitia E, et al. A randomized controlled trial to prevent post-operative atrial fibrillation by antioxidant reinforcement. Journal of the American College of Cardiology 2013; 62(16): 1457-65. 2013/08/07. doi: 10.1016/j.jacc.2013.07.014.
- 21. Costanzo S, De Curtis A, di Niro V, Olivieri M, Morena M, De Filippo CM, et al. Postoperative atrial fibrillation and total dietary antioxidant capacity in patients undergoing cardiac surgery: The Polyphemus Observational Study. The Journal of thoracic and cardiovascular surgery 2015; 149(4): 1175-82.e1. 2014/12/24. doi: 10.1016/j.jtcvs.2014.11.035.
- 22. Altay S. What is the association between obesity and diastolic dysfunction: Obesity or obesity phenotype? Turk Kardiyol Dern Ars 2018; 46(8): 649-50. 2018/12/06. doi: 10.5543/tkda.2018.10.5543/tkda.2018.16626.
- 23. Billman GE, Kang JX, Leaf A. Prevention of sudden cardiac death by dietary pure omega-3 polyunsaturated fatty acids in dogs. Circulation 1999; 99(18): 2452-7. 1999/05/11. doi: 10.1161/01.cir.99.18.2452.
- 24. McLennan PL, Bridle TM, Abeywardena MY, Charnock JS. Comparative efficacy of n-3 and n-6 polyunsaturated fatty acids in modulating ventricular fibrillation threshold in marmoset monkeys. The American journal of clinical nutrition 1993; 58(5): 666-9. 1993/11/01. doi: 10.1093/ajcn/58.5.666.
- 25. Leaf A, Kang JX, Xiao YF, Billman GE. n-3 fatty acids in the prevention of cardiac arrhythmias. Lipids 1999; 34 Suppl: S187-9. 1999/07/27. doi: 10.1007/bf02562284.
Akdeniz Diyetinin Atriyal Prematür Kompleks Üzerine Etkileri
Yıl 2023,
Cilt: 14 Sayı: 1, 122 - 127, 23.03.2023
Yasin Özen
,
Aliye Kuyumcu
Öz
Amaç: Bu çalışmanın amacı, atriyal prematüre kompleksler (APC) ile Akdeniz diyeti skoru arasındaki ilişkiyi değerlendirmektir. Kalpteki ritim bozuklukları hastaların yaşam kalitesini önemli ölçüde etkiler.Gereç ve Yöntemler: Bu çalışma, çarpıntı şikayeti ile kardiyoloji polikliniğine başvuran ve 24 saatlik holter sonucu günde 10000 APC'nin üzerinde olan 50 hasta ile çarpıntı şikayeti ile başvuran ancak Holterde 10.000 APC altında olan hastalar 'Akdeniz Diyeti Uyum Ölçeği' ile diyet kalitesi puanlama yöntemi (5, 6-9 ve ≥10 puan) belirlendi ve gruplar arasında karşılaştırıldı. Bulgular: İki grup arasında klinik ve demografik özellikler açısından fark yoktu. APC ≥10.000/gün olan hastalarda Akdeniz diyeti skorları daha düşük bulundu (p<0.001). APC ile Akdeniz diyeti puanı arasında anlamlı bir negatif korelasyon bulundu (p<0.001, r = -0.560). Sonuç: Akdeniz diyeti tipi beslenmenin APC sıklığı üzerindeki koruyucu rolü çalışmamızda net bir şekilde gözlendi. Akdeniz diyeti ile APC ilişkisini inceleyen sınırlı sayıdaki çalışmalardan biri olan bu çalışma, APC'nin patofizyolojisinin anlaşılmasında yardımcı olabilir.
Kaynakça
- 1. Yalin S, Gök H, Toksöz R. [The effects of the short-term regular exercise-diet program on lipid profile in sedentary subjects]. Anadolu Kardiyol Derg 2001; 1(3): 179-8, axv. 2002/07/10.
- 2. Kurçer MA, Ozbay A. [Effects of patient education and counseling about life style on quality of life in patients with coronary artery disease]. Anadolu Kardiyol Derg 2011; 11(2): 107-13. 2011/02/03. doi: 10.5152/akd.2011.028.
- 3. Adalet K. [Atrial fibrillation in the elderly]. Turk Kardiyol Dern Ars 2017; 45(Suppl 5): 75-82. 2017/10/05. doi: 10.5543/tkda.2017.37863.
- 4. Camm AJ, Evans K, Ward D, Martin AJAhj. The rhythm of the heart in active elderly subjects. 1980; 99(5): 598-603.
- 5. Kisheva A, Yotov Y. Risk factors for recurrence of atrial fibrillation. Anatol J Cardiol 2021; 25(5): 338-45. 2021/05/08. doi: 10.14744/AnatolJCardiol.2020.80914.
- 6. Wallmann D, Tüller D, Wustmann K, Meier P, Isenegger Jr, Arnold M, et al. Frequent atrial premature beats predict paroxysmal atrial fibrillation in stroke patients: an opportunity for a new diagnostic strategy. 2007; 38(8): 2292-94.
- 7. Haissaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. 1998; 339(10): 659-66.
- 8. Ephrem G, Levine M, Friedmann P, Schweitzer PJAoNE. The prognostic significance of frequency and morphology of premature ventricular complexes during ambulatory holter monitoring. 2013; 18(2): 118-25.
- 9. PEHLİVANOĞLU EFÖ, BALCIOĞLU H, ÜNLÜOĞLU İJOTD. Akdeniz diyeti bağlılık ölçeği’nin türkçe’ye uyarlanması geçerlilik ve güvenilirliği. 2020; 42(2): 160-64.
- 10. Martínez-González MA, García-Arellano A, Toledo E, Salas-Salvado J, Buil-Cosiales P, Corella D, et al. A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. 2012.
- 11. Uzun Ş, Kara B, Yokuşoğlu M, Arslan F, Yılmaz MB, Karaeren HJAJoCAKD. The assessment of adherence of hypertensive individuals to treatment and lifestyle change recommendations. 2009; 9(2).
- 12. Kuyumcu MS, Kuyumcu A. High fructose consumption may be associated with slow coronary flow. Turk Kardiyol Dern Ars 2020; 48(7): 690-97. 2020/10/10. doi: 10.5543/tkda.2020.03205.
- 13. Tokgözoğlu LJTKDA. Ateroskleroz ve enflamasyonun rolü. 2009; 37(4): 1-6.
- 14. Martínez-González MÁ, Toledo E, Arós F, Fiol M, Corella D, Salas-Salvadó J, et al. Extravirgin olive oil consumption reduces risk of atrial fibrillation: the PREDIMED (Prevención con Dieta Mediterránea) trial. 2014; 130(1): 18-26.
- 15. Gücük İpek E, Güray Y, Demirkan B, Güray U, Kafes H, Başyiğit F. [The prevalence of alternative herbal medicine and nutritional complementary product intake in patients admitted to out-patient cardiology departments]. Turk Kardiyol Dern Ars 2013; 41(3): 218-24. 2013/05/25. doi: 10.5543/tkda.2013.15146.
- 16. Altuntaş Y, Batman A. [Microbiota and metabolic syndrome]. Turk Kardiyol Dern Ars 2017; 45(3): 286-96. 2017/04/22. doi: 10.5543/tkda.2016.72461.
- 17. Mattioli AV, Miloro C, Pennella S, Pedrazzi P, Farinetti A. Adherence to Mediterranean diet and intake of antioxidants influence spontaneous conversion of atrial fibrillation. Nutrition, metabolism, and cardiovascular diseases : NMCD 2013; 23(2): 115-21. 2011/07/30. doi: 10.1016/j.numecd.2011.03.005.
- 18. İşcan Ş, Eygi B, Beşir Y, Gökalp O. Perioperative predictors of atrial fibrillation. Anatol J Cardiol 2018; 20(3): 194. 2018/08/29. doi: 10.14744/AnatolJCardiol.2018.34946.
- 19. Chong BH, Pong V, Lam KF, Liu S, Zuo ML, Lau YF, et al. Frequent premature atrial complexes predict new occurrence of atrial fibrillation and adverse cardiovascular events. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 2012; 14(7): 942-7. 2011/12/21. doi: 10.1093/europace/eur389.
- 20. Rodrigo R, Korantzopoulos P, Cereceda M, Asenjo R, Zamorano J, Villalabeitia E, et al. A randomized controlled trial to prevent post-operative atrial fibrillation by antioxidant reinforcement. Journal of the American College of Cardiology 2013; 62(16): 1457-65. 2013/08/07. doi: 10.1016/j.jacc.2013.07.014.
- 21. Costanzo S, De Curtis A, di Niro V, Olivieri M, Morena M, De Filippo CM, et al. Postoperative atrial fibrillation and total dietary antioxidant capacity in patients undergoing cardiac surgery: The Polyphemus Observational Study. The Journal of thoracic and cardiovascular surgery 2015; 149(4): 1175-82.e1. 2014/12/24. doi: 10.1016/j.jtcvs.2014.11.035.
- 22. Altay S. What is the association between obesity and diastolic dysfunction: Obesity or obesity phenotype? Turk Kardiyol Dern Ars 2018; 46(8): 649-50. 2018/12/06. doi: 10.5543/tkda.2018.10.5543/tkda.2018.16626.
- 23. Billman GE, Kang JX, Leaf A. Prevention of sudden cardiac death by dietary pure omega-3 polyunsaturated fatty acids in dogs. Circulation 1999; 99(18): 2452-7. 1999/05/11. doi: 10.1161/01.cir.99.18.2452.
- 24. McLennan PL, Bridle TM, Abeywardena MY, Charnock JS. Comparative efficacy of n-3 and n-6 polyunsaturated fatty acids in modulating ventricular fibrillation threshold in marmoset monkeys. The American journal of clinical nutrition 1993; 58(5): 666-9. 1993/11/01. doi: 10.1093/ajcn/58.5.666.
- 25. Leaf A, Kang JX, Xiao YF, Billman GE. n-3 fatty acids in the prevention of cardiac arrhythmias. Lipids 1999; 34 Suppl: S187-9. 1999/07/27. doi: 10.1007/bf02562284.