Bozbulut Rukiye, Soysal Acar Azime Şebnem, Döğer Esra, Orhun Çamurdan Mahmut, Bideci Aysun
Faculty of Medicine, Department of Pediatric Endocrinology, Gazi University, Ankara, Türkiye.
Faculty of Medicine, Department of Pediatric Neurology, Gazi University, Ankara, Türkiye.
J Pediatr Endocrinol Metab. 2023 Jan 3;36(2):137-146. doi: 10.1515/jpem-2022-0405. Print 2023 Feb 23.
Alexithymia and low health literacy are the barriers of self-management. This study aims to examine the relationship between alexithymia, health literacy and diet quality in obese adolescents, and their effects on anthropometric and biochemical markers.
The 20-item Toronto alexithymia scale (TAS-20) was used to determine the alexithymic traits of the adolescents, and "The Newest Vital Sign" (NVS) scales were used to determine their health literacy levels. Diet quality was evaluated with the Healthy Eating Index-2010 (HEI-2010).
39.7% of the obese adolescents were alexithymic, and 69.4% of alexithymics and 35.1% of non-alexithymics had metabolic syndrome. Alexithymic adolescents were lack of adequate health literacy. There were positive correlations between alexithymia scores and insulin, triglyceride, systolic and diastolic blood pressure levels, and all anthropometric values except height (p<0.05). There was a negative correlation between alexithymia scores and health literacy scores (p<0.05). There were negative correlations between health literacy and alexithymia scores, insulin, total cholesterol, triglyceride, ALT, systolic, diastolic blood pressure levels and all anthropometric values except height, and positive correlation was observed between health literacy scores and diet quality (p<0.05). Total HEI score was negatively correlated with waist circumference, neck circumference, body weight, BMI, triglyceride, AST, ALT, systolic and diastolic blood pressure, and positively correlated with health literacy and HDL levels (p<0.05).
As alexithymia severity increased in obese adolescents, the degree of obesity and the incidence of metabolic syndrome increased while the level of health literacy decreased. The increase in health literacy levels, on the other hand, decreased the level of alexithymia and increased the quality of the diet.
述情障碍和健康素养低下是自我管理的障碍。本研究旨在探讨肥胖青少年述情障碍、健康素养与饮食质量之间的关系，以及它们对人体测量和生化指标的影响。
采用20项多伦多述情障碍量表（TAS-20）来确定青少年的述情障碍特征，并用“最新生命体征”（NVS）量表来确定他们的健康素养水平。饮食质量通过2010年健康饮食指数（HEI-2010）进行评估。
39.7%的肥胖青少年存在述情障碍，69.4%的述情障碍者和35.1%的非述情障碍者患有代谢综合征。存在述情障碍的青少年缺乏足够的健康素养。述情障碍得分与胰岛素、甘油三酯、收缩压和舒张压水平以及除身高外的所有人体测量值之间存在正相关（p<0.05）。述情障碍得分与健康素养得分之间存在负相关（p<0.05）。健康素养与述情障碍得分、胰岛素、总胆固醇、甘油三酯、谷丙转氨酶、收缩压、舒张压水平以及除身高外的所有人体测量值之间存在负相关，健康素养得分与饮食质量之间存在正相关（p<0.05）。HEI总分与腰围、颈围、体重、BMI、甘油三酯、谷草转氨酶、谷丙转氨酶、收缩压和舒张压呈负相关，与健康素养和高密度脂蛋白水平呈正相关（p<0.05）。
随着肥胖青少年述情障碍严重程度的增加，肥胖程度和代谢综合征的发病率增加，而健康素养水平下降。另一方面，健康素养水平的提高降低了述情障碍的程度，提高了饮食质量。
