Çağiran Yilmaz Feray, Çağiran Derya, Özçelik Ayşe Özfer
a Nutrition and Dietetic Department , Ankara University , Ankara , Turkey.
b Faculty of Health Sciences, Department of Nutrition and Dietetics , Fırat University , Elazığ , Turkey.
Ecol Food Nutr. 2019 May-Jun;58(3):207-218. doi: 10.1080/03670244.2019.1580581. Epub 2019 Feb 21.
: This study aimed to evaluate the adolescent obesity and its association with Mediterranean Diet Quality Index (KIDMED) and cardiovascular risk factors in adolescents. : This cross sectional study included 95 adolescents aged between 10 and 18 who visited a Primary Health Service Center in Turkey. Participants' biochemical parameters, anthropometric measurements and blood pressures were measured. The level of adherence to Mediterranean Diet was evaluated by a clinical questionnaire, the Mediterranean Diet Quality Index for children and adolescents (KIDMED). : Overweight adolescents had significantly higher systolic blood pressure, diastolic blood pressure, total cholesterol, very low-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, hemoglobin A1c, C-reactive protein, alanine aminotransferase, than normal-weight adolescents. Overweight/obese subjects also had significantly lower HDL cholesterol than normal-weight subjects. Results indicated that 60.0% of the adolescents had a low quality diet, 34.7% had a mid-quality/needs-improvement diet, and 5.3% had an optimal quality diet. No association was found between diet quality and obesity and cardiovascular risk factors. : Overweight and obese children are strongly associated with multiple cardiovascular risk factors. To avoid health problems arising from obesity, adolescents should refer to global solutions. Mediterranean diet is a good measure against adverse cardiovascular risk factors in adolescence.
本研究旨在评估青少年肥胖及其与地中海饮食质量指数（KIDMED）以及青少年心血管危险因素之间的关联。本横断面研究纳入了95名年龄在10至18岁之间、前往土耳其一家初级卫生服务中心就诊的青少年。对参与者的生化参数、人体测量指标和血压进行了测量。通过一份临床问卷，即儿童和青少年地中海饮食质量指数（KIDMED），评估其对地中海饮食的依从程度。超重青少年的收缩压、舒张压、总胆固醇、极低密度脂蛋白胆固醇、低密度脂蛋白胆固醇、甘油三酯、糖化血红蛋白、C反应蛋白、丙氨酸转氨酶显著高于正常体重青少年。超重/肥胖受试者的高密度脂蛋白胆固醇也显著低于正常体重受试者。结果表明，60.0%的青少年饮食质量低，34.7%的青少年饮食质量中等/需要改进，5.3%的青少年饮食质量最佳。未发现饮食质量与肥胖及心血管危险因素之间存在关联。超重和肥胖儿童与多种心血管危险因素密切相关。为避免肥胖引发的健康问题，青少年应寻求全球通用的解决办法。地中海饮食是应对青少年不良心血管危险因素的一项有效措施。
