Abstract | Cilj istraživanja: Cilj istraživanja bio je saznati razlikuju li se bolesnici oboljeli od arterijske hipertenzije koji se od iste liječe u adherenciji sastavnicama mediteranske prehrane od onih koji se ne liječe. Uz to, dodatni je cilj bio usporediti te dvije skupine u količini tjelesne aktivnosti te vidjeti adheriraju li bolesnici koji su tjelesno aktivniji više navedenoj prehrani u odnosu na one manje aktivne.
Materijali i metode: U ovo presječno istraživanje uključeno je 50 ispitanika dobi od 40 do 70 godina s esencijalnom arterijskom hipertenzijom, od čega je 27 bilo neliječeno, a 23 liječeno ACE inhibitorima. Antropometrijska mjerenja ispitanika izmjerena su kalibriranim medicinskim vagama, centimetarskom trakom te su iz navedenih podataka izračunati indeks tjelesne mase i omjer struka i bokova. Uz to, ispitanici su popunjavali medicinske upitnike vezane uz arterijski tlak i nosili uređaj za kontinuirano mjerenje arterijskog tlaka (KMAT) te su bili podvrgnuti uzimanju uzoraka periferne krvi na tašte. Također, pacijenti su popunjavali dva različita upitnika od kojih je prvi MDSS (eng. Mediterranean diet serving score), a drugi GPAQ (eng. Global physical activity questionnaire).
Rezultati: Nije utvrđena statistički značajna razlika u adherenciji mediteranskoj prehrani između skupine liječenih i ne liječenih (1/23 vs. 2/27, P=0,653). Bolesnici koji se liječe, manje su aktivni od bolesnika koji se ne liječe od arterijske hipertenzije (4502,9 ± 789,5 MET-minuta/tjedan vs. 2859 ± 765,2 MET-minuta/tjedan, P=0,012). Konačno, bolesnici s hipertenzijom koji su tjelesno aktivniji podjednako adheriraju sastavnicama mediteranske prehrane u odnosu na one koji su manje aktivni (6,7 ± 1,2 vs 7,5 ± 1,1, P=0,413).
Zaključak: U bolesnika s arterijskom hipretenzijom pronađena je loša adherencija na mediteransku prehranu. Nadalje, pokazano je da osobe koje nisu liječene imaju veći stupanj tjelesne aktivnosti od liječenih te nije pronađena korelacija između stupnja tjelesne aktivnosti i adherencije mediteranskoj prehrani. |
Abstract (english) | Aim of the study: The aim of the research was to find out whether patients suffering from arterial hypertension who are treated for it differ in their adherence to the components of the Mediterranean diet from those who are not treated. An additional goal was to compare the two groups in the amount of physical activity and to see if patients who are more physically active adhere more to the mentioned diet compared to those who are less active.
Methods: 50 subjects aged 40 to 70 with essential arterial hypertension were included in this cross-sectional study, of which 27 were untreated and 23 were treated with ACE inhibitors. The anthropometric measurements of the subjects were measured with calibrated medical scales, a centimeter tape, and the body mass index and waist-to-hip ratio were calculated from the above data. In addition, subjects filled out medical questionnaires related to arterial pressure and wore a device for continuous measurement of arterial pressure (CMAT) and underwent sampling of peripheral blood. Also, the patients filled out two different questionnaires, the first of which was the MDSS (Mediterranean diet serving score), and the second was the GPAQ (Global physical activity questionnaire).
Results: There was no statistically significant difference in adherence to the Mediterranean diet between the treated and untreated groups (1/23 vs. 2/27, P=0.653). Patients who are treated are less active than patients who are not treated for arterial hypertension (4502.9 ± 789.5 MET-minutes/week vs. 2859 ± 765.2 MET-minutes/week, P=0.012). Finally, patients with hypertension who are more physically active adhere equally to the components of the Mediterranean diet compared to those who are less active (6.7 ± 1.2 vs 7.5 ± 1.1, P=0.413).
Conclusion: Both groups (treated and untreated) have similar, low adherence to the Mediterranean diet. Untreated patients showed a higher level of physical activity than treated patients. Additionally, there is no correlation between physical activity levels and Mediterranean diet adherence. |