| Abstract | Cilj istraživanja: Glavni cilj ovog istraživanja je ispitati pridržavanje mediteranskom tipu
prehrane u osoba oboljelih od PTSP-a. Dodatni cilj bio je ispitati povezanost adherencije
mediteranskoj prehrani s antropometrijskim obilježjima, socioekonomskim statusom i
stavovima ispitanika o prehrani.
Ispitanici i postupci: Istraživanje je provedeno u Kliničkom bolničkom centru Split, u
Regionalnom centru za psihotraumu, u periodu od siječnja do lipnja 2023. godine. U
istraživanje je uključeno 100 ispitanika, veterana Domovinskog rata, kojima je dijagnosticiran
PTSP. Svim ispitanicima su prikupljeni anamnestički i sociodemografski podaci te su obavljena
antropometrijska i mjerenja sastava tijela. Ispitanici su ispunili MDSS upitnik koji služi za
procjenu adherencije mediteranskoj prehrani te upitnik o vlastitim stavovima prema prehrani.
Rezultati: Ukupno 86% ispitanika s PTSP-om ne pridržava se mediteranskog tipa prehrane.
Ispitanici najviše konzumiraju žitarice (71%), potom mahunarke (45%) i jaja (45%), dok
najmanje konzumiraju povrće (11%) i maslinovo ulje (15%). Nije pronađena značajna
korelacija između ITM-e (r=-0,07, P=0,47), opsega struka (r=-0,04, P=0,69), postotka masti
(r=0,03, P=0,75) i pridržavanja mediteranskom tipu prehrane. Nije pronađena značajna
korelacija između vremena provedenog u ratu (r=-0,008, P=0,94), trajanja PTSP-a (r=-0,10,
P=0,32) i pridržavanja mediteranskom tipu prehrane. Ispitanici koji se pridržavaju
mediteranske prehrane imaju značajno manju tjelesnu masu u odnosu na ispitanike koji se ne
pridržavaju mediteranske prehrane (88,5 (78,3-98,8) vs 96,8 (93,9-99,7), P=0,04) i opseg
bokova (101,5 [97-105] vs 109 [103-113], P=0,009). Analizom utjecaja socioekonomskog
statusa na pridržavanje mediteranske prehrane nije se pokazala statistički značajna razlika
između skupina u stupnju obrazovanja (P=0,74), bračnom statusu (P=0,32) i zaposlenosti (P=
0,38). Ukupno 87% ispitanika smatra kako boljom prehranom mogu umanjiti svoje zdravstvene
tegobe, a 96% ispitanika nikad nije posjetilo nutricionistu.
Zaključci: Utvrđeno je da se ukupno 86% pacijenta s PTSP-om ne pridržava mediteranske
prehrane te da oni koji se pridržavaju mediteranske prehrane imaju značajno manju tjelesnu
masu u odnosu na one koji se ne pridržavaju. Ispitanici s PTSP-om imaju pozitivan stav prema
važnosti prehrane i poboljšanju vlastitih prehrambenih navika, a najveći postotak pacijenata s
PTSP-om nije posjetio nutricionistu. |
| Abstract (english) | Objectives: The main aim of this research is to examine adherence to Mediterranean diet in
patients with posttraumatic stress disorder. An additional aim is to investigate whether there is
a relationship between adherence to the Mediterranean diet with anthropometric measurements,
sociodemographic characteristics and respondents’ attitudes about nutrition.
Subjects and procedures: The research was conducted in the Clinical Hospital Center Split,
in the Regional Center for Psychotrauma, in the period from January to June 2023. 100
respondents, veterans of the Homeland War, who were diagnosed with post-traumatic stress
disorder, were included in the research. The subjects included were men, aged 45 to 65.
Anamnestic and sociodemographic data were collected for all subjects and anthropometric and
body composition measurements were performed. Respondents filled out the MDSS
questionnaire, which is used to assess adherence to the Mediterranean diet, and a questionnaire
about their own attitudes towards nutrition.
Results: A total of 86% of respondents with PTSD do not adhere to the Mediterranean diet.
Foods that respondents consume the most are cereals (71%), followed by legumes (45%) and
eggs (45%), while the least consumed are vegetables (11%) and olive oil (15%). No significant
correlation was found between BMI (r=-0.07, P=0.47), waist circumference (r=-0.04, P=0.69),
fat percentage (r=0.03, P =0.75) and adherence to the Mediterranean diet. No significant
correlation was found between the time spent in the war (r=-0.008, P=0.94), duration of PTSD
(r=-0.10, P=0.32) and adherence to the Mediterranean diet. Subjects who adhere to the
Mediterranean diet have a significantly lower body mass compared to subjects who do not
adhere to the Mediterranean diet (88.5 (78.3-98.8) vs 96.8 (93.9-99.7), P=0.04) and lower hip
circumference (101.5 [97-105] vs 109 [103-113], P=0.009). The analysis of the influence of
socioeconomic status on adherence to the Mediterranean diet did not show a significant
difference between the groups in the level of education (P=0.74), marital status (P=0.32) and
employment (P= 0.38). A total of 87% of subjects believe that they can reduce their health
problems with better nutrition, and 96% of respondents have never visited a nutritionist.
Conclusions: This research has shown that 86% of patients with PTSD don’t adhere to the
Mediterranean diet while those who do adhere to Mediterranean diet have significantly lower
body mass compared to those who don’t adhere to Mediterranean diet. Respondents with PTSD
have a positive attitude towards the importance of nutrition and improving their own eating
habits while the largest percentage of patients with PTSD have not visited a nutritionist. |
