Hipotiroidi Tanısı Almış Kadınların Yaşam Kalitesi İle Besin Tüketim Alışkanlıkları Ve Bazı Antropometrik Parametreler Arasındaki İlişkinin Saptanması
Öz
Amaç: Bu çalışma, hipotiroidi tanısı almış kadınların yaşam kalitesi ile besin tüketim alışkanlıkları ve bazı antropometrik parametreler arasındaki ilişkiyi saptamak amacıyla planlanmıştır.
Hastalar ve Yöntem: Araştırma, Avicenna Umut Hastanesi Endokrinoloji Bölümü’ne başvuran 18-65 yaş aralığındaki 136 hipotiroidi tanısı konmuş kadın ile Ekim 2018- Ocak 2019 tarihleri arasında yapılmıştır. Araştırmaya katılan bireylere yüz yüze görüşme yöntemi ile anket uygulanmış, besin tüketim kayıtları ve antropometrik ölçümleri alınmıştır. Bireylere Short Form-36 (SF-36) yaşam kalitesi ölçeği, Beck Depresyon Ölçeği (BDÖ) ve Algılanan Stres Ölçeği (ASÖ) uygulanmıştır.
Bulgular: Çalışmadaki kadınların yaş ortalaması 44.35 ± 13.37 yıldır. Bireylerin yaşam kalitesi alt ölçeklerden aldıkları en düşük ortalamanın 38.52 ile genel sağlık algısında, en yüksek ortalamanın 74.19 ile fiziksel fonksiyon alt ölçeğinde olduğu saptanmıştır. Vücut ağırlığı, beden kütle indeksi (BKİ), bel çevresi, vücut yağ yüzdesi ve vücut yağ kütlesi değişkenlerinin; yaşam kalitesi alt ölçeklerinden emosyonel rol fonksiyon hariç tüm alt ölçek puanları ile arasında istatistiksel olarak anlamlı negatif ilişki görülürken; BDÖ ve ASÖ puanları ile arasında istatistiksel olarak anlamlı pozitif ilişki olduğu saptanmıştır (p<0.01). Bireylerin yaşam kalitesi alt ölçekleri puanları ile BDÖ ve ASÖ puanları arasında anlamlı negatif ilişki olduğu belirlenmiştir (p<0.01).
Sonuç: Hipotiroidi tanısı almış kadınların çeşitli faktörlere bağlı olarak yaşam kalite düzeylerinin düşük olduğu saptanmış, bu bireylerde yaşam kalitesini arttırmak için fiziksel ve ruhsal sağlığı iyileştirici çalışmalar yapılması gerektiği belirlenmiştir.
Anahtar Kelimeler
Antropometrik ölçümler beslenme depresyon hipotiroid yaşam kalitesi
Kaynakça
- 1. Mullur R, Liu YY, Brent GA. Thyroid hormone regulation of metabolism. Physiological Reviews 2014; 94(2), 355-382.
- 2. Baskin HJ, Cobin RH, Duick DS, Gharib H, Guttler RB, Kaplan MM, Segal RL; American association of clinical endocrinologists medical Guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism. Endocr Pract 2002; 8:457.
- 3. Kajantie E, Phillips DI, Osmond C. Spontaneous hypothyroidism in adult women is predicted by small body size at birth and during childhood. The Journal of Clinical Endocrinology and Metabolism 2006; 91:4953.
- 4. Braclik M, Marcisz C, Giebel S, Orzel A. Serum leptin and ghrelin levels in premenopausal women with stable body mass index during treatment of thyroid dysfunction. Thyroid: Official Journal of the American Thyroid Association 2008; 18:545-50.
- 5. Özdel O, Sözeri-Varma G, Fenkçi S, Değirmenci T, Karadağ F, Kalkan-Oğuzhanoğlu N, Ateşçi F. Obez kadınlarda psikyatrik tanı sıklığı. Klinik Psikiyatri. 2011;14:210-217.
- 6. Knudsen N, Laurberg P, Rasmussen LB. Small differences in thyroid function may be important for body mass index and the occurrence of obesity in the population. J Clin Endocrinol Metab. 2005; 90:4019-24.
- 7. Akranavičiūtė D, Ruževičius J. Quality of life and its components’ measurement. Engineering economics, 2007; 52(2).
- 8. World Health Organization. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Vol. 916. World Health Organization, 2003.
- 9. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). Conceptual framework and item selection. Medical Care 1992; 30(6): 473 - 483.
- 10. Razvi S, McMillan CV, Weaver JU. Instruments used in measuring symptoms, health status and quality of life in hypothyroidism: a systematic qualitative review. Clinical Endocrinology 2005; 63(6), 617–624.
- 11. Vigário P, Teixeira P, Reuters V, Almeida C, Maia M, Silva M, Vaisman M. Perceived health status of women with overt and subclinical hypothyroidism. Medical Principles and Practice 2009; 18(4), 317-322.
- 12. Chaker L, Bianco AC, Jonklaas J, Peeters RP. Hypothyroidism. Lancet 2017; 390, 1550–1562.
- 13. Sanyal D, Raychaudhuri M. Hypothyroidism and obesity: An intriguing link. Indian Journal of Endocrinology and Metabolism 2016; 20(4), 554.
- 14. Biondi B. Thyroid and obesity: an intriguing relationship. The Journal of Clinical Endocrinology & Metabolism 2010; 3614-3617.
- 15. Reinehr T, de Sousa G, Andler W. Hyperthyrotropinemia in obese children is reversible after weight loss and is not related to lipids. The Journal of Clinical Endocrinology & Metabolism 2006; 91(8), 3088-3091.
- 16. Kulie T, Slattengren A, Redmer J, Counts H, Eglash A, Schrager S. Obesity and women's health: an evidence-based review. The Journal of the American Board of Family Medicine 2011; 24(1), 75-85.
- 17. Gallagher D, Heymsfield SB, Heo M. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. The American Journal of Clinical Nutrition 1990; 72(3): 694-701.
- 18. Bukvic B, Sipetic S, Stanisavljevic D, Diklic A, Tausanovic K, Paunovic I. Quality of life, anxiety and depression in patients with thyroid diseases and correlating factors. Acta Med Mediterranea 2014; 30, 731.
- 19. Vigário P, Teixeira P, Reuters V, Almeida C, Maia M, Silva M, Vaisman M. Perceived health status of women with overt and subclinical hypothyroidism. Medical Principles and Practice 2009; 18(4), 317-322.
- 20. Talaei A, Rafee N, Rafei F, Chehrei A. TSH cut off point based on depression in hypothyroid patients. BMC psychiatry 2017; 17(1), 327.
- 21. Demartini B, Masu A, Scarone S, Pontiroli AE, Gambini O. Prevalence of depression in patients affected by subclinical hypothyroidism. Panminerva Medica 2010; 52(4), 277-282.
- 22. Guimarães JMN, de Souza Lopes C, Baima J, Sichieri R. Depression symptoms and hypothyroidism in a population-based study of middle-aged Brazilian women. Journal of Affective Disorders 2009; 117(1-2), 120-123.
- 23. Chueire VB, Romaldini JH, Ward LS. Subclinical hypothyroidism increases the risk for depression in the elderly. Archives of gerontology and geriatrics 2007; 44(1), 21-28.
- 24. Almeida OP, Ford AH, Flicker L. Systematic review and meta-analysis of randomized placebo-controlled trials of folate and vitamin B12 for depression. International Psychogeriatrics / IPA 2015, 27, (5), 727-737.
The Relationship Between Quality of Life and Dietary Habits and Some Anthropometric Parameters of Women With Hypothyroid
Öz
Purpose:This study is planned to determine the relationship between quality of life, dietary habits and some anthropometric parameters in hypothyroid women.
Patients and Methods:The study had been conducted between from October 2018 to January 2019 with 136 volunteer hypothyroid women, 18-65 age group, applied to Avicenna Umut Hospital Endocrinology Department. Questionnaires were applied to the individuals by face to face interview method, dietary records and anthropometric measurements were taken. Short Form-36 (SF-36) life quality scale, Beck Depression Inventory (BDI) and Perceived Stress Scale (PSS) were applied.
Results:The mean age of women was 44.35±13.37 years. It was determined that the lowest average the individuals’ quality of life was 38.52 and the highest average was 74.19 with physical function subscale. Body weight, body mass index (BMI), waist circumference, body fat percentage and body fat mass variables were statistically significant negative correlations between all quality of life subscale scores except emotional role function. Those parameters were statistically significant positive correlations between BDI and PSS scores (p<0.01). Significant negative correlations were found between the scores of quality of life subscale scores and depression and stress scales (p<0.01).
Conclusion:The hypothyroid womens’ life quality was low, due to various factors. It was determined that physical and mental health measures should be done to improve the quality of life in these individuals.
Anahtar Kelimeler
Anthropometric parameters depression hypothyroid nutrition quality of life
Kaynakça
- 1. Mullur R, Liu YY, Brent GA. Thyroid hormone regulation of metabolism. Physiological Reviews 2014; 94(2), 355-382.
- 2. Baskin HJ, Cobin RH, Duick DS, Gharib H, Guttler RB, Kaplan MM, Segal RL; American association of clinical endocrinologists medical Guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism. Endocr Pract 2002; 8:457.
- 3. Kajantie E, Phillips DI, Osmond C. Spontaneous hypothyroidism in adult women is predicted by small body size at birth and during childhood. The Journal of Clinical Endocrinology and Metabolism 2006; 91:4953.
- 4. Braclik M, Marcisz C, Giebel S, Orzel A. Serum leptin and ghrelin levels in premenopausal women with stable body mass index during treatment of thyroid dysfunction. Thyroid: Official Journal of the American Thyroid Association 2008; 18:545-50.
- 5. Özdel O, Sözeri-Varma G, Fenkçi S, Değirmenci T, Karadağ F, Kalkan-Oğuzhanoğlu N, Ateşçi F. Obez kadınlarda psikyatrik tanı sıklığı. Klinik Psikiyatri. 2011;14:210-217.
- 6. Knudsen N, Laurberg P, Rasmussen LB. Small differences in thyroid function may be important for body mass index and the occurrence of obesity in the population. J Clin Endocrinol Metab. 2005; 90:4019-24.
- 7. Akranavičiūtė D, Ruževičius J. Quality of life and its components’ measurement. Engineering economics, 2007; 52(2).
- 8. World Health Organization. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Vol. 916. World Health Organization, 2003.
- 9. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). Conceptual framework and item selection. Medical Care 1992; 30(6): 473 - 483.
- 10. Razvi S, McMillan CV, Weaver JU. Instruments used in measuring symptoms, health status and quality of life in hypothyroidism: a systematic qualitative review. Clinical Endocrinology 2005; 63(6), 617–624.
- 11. Vigário P, Teixeira P, Reuters V, Almeida C, Maia M, Silva M, Vaisman M. Perceived health status of women with overt and subclinical hypothyroidism. Medical Principles and Practice 2009; 18(4), 317-322.
- 12. Chaker L, Bianco AC, Jonklaas J, Peeters RP. Hypothyroidism. Lancet 2017; 390, 1550–1562.
- 13. Sanyal D, Raychaudhuri M. Hypothyroidism and obesity: An intriguing link. Indian Journal of Endocrinology and Metabolism 2016; 20(4), 554.
- 14. Biondi B. Thyroid and obesity: an intriguing relationship. The Journal of Clinical Endocrinology & Metabolism 2010; 3614-3617.
- 15. Reinehr T, de Sousa G, Andler W. Hyperthyrotropinemia in obese children is reversible after weight loss and is not related to lipids. The Journal of Clinical Endocrinology & Metabolism 2006; 91(8), 3088-3091.
- 16. Kulie T, Slattengren A, Redmer J, Counts H, Eglash A, Schrager S. Obesity and women's health: an evidence-based review. The Journal of the American Board of Family Medicine 2011; 24(1), 75-85.
- 17. Gallagher D, Heymsfield SB, Heo M. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. The American Journal of Clinical Nutrition 1990; 72(3): 694-701.
- 18. Bukvic B, Sipetic S, Stanisavljevic D, Diklic A, Tausanovic K, Paunovic I. Quality of life, anxiety and depression in patients with thyroid diseases and correlating factors. Acta Med Mediterranea 2014; 30, 731.
- 19. Vigário P, Teixeira P, Reuters V, Almeida C, Maia M, Silva M, Vaisman M. Perceived health status of women with overt and subclinical hypothyroidism. Medical Principles and Practice 2009; 18(4), 317-322.
- 20. Talaei A, Rafee N, Rafei F, Chehrei A. TSH cut off point based on depression in hypothyroid patients. BMC psychiatry 2017; 17(1), 327.
- 21. Demartini B, Masu A, Scarone S, Pontiroli AE, Gambini O. Prevalence of depression in patients affected by subclinical hypothyroidism. Panminerva Medica 2010; 52(4), 277-282.
- 22. Guimarães JMN, de Souza Lopes C, Baima J, Sichieri R. Depression symptoms and hypothyroidism in a population-based study of middle-aged Brazilian women. Journal of Affective Disorders 2009; 117(1-2), 120-123.
- 23. Chueire VB, Romaldini JH, Ward LS. Subclinical hypothyroidism increases the risk for depression in the elderly. Archives of gerontology and geriatrics 2007; 44(1), 21-28.
- 24. Almeida OP, Ford AH, Flicker L. Systematic review and meta-analysis of randomized placebo-controlled trials of folate and vitamin B12 for depression. International Psychogeriatrics / IPA 2015, 27, (5), 727-737.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 16 Aralık 2020 |
| Gönderilme Tarihi | 2 Ağustos 2019 |
| Yayımlandığı Sayı | Yıl 2021Cilt: 12 Sayı: 1 |
