A close look at the nutritional status and mediterranean diet adherence in patients with behcet’s syndrome

Author:

Ersoy Nesli1,Bölek Ertuğrul Çağri2,Farisoğullari Bayram2,Çinar Nur3,Garipoğlu Gökçen4,Çolak Seda5,Tekgöz Emre5,Yilmaz Sedat5,Karadağ Ömer2,Özgürtaş Taner3

Affiliation:

1. Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey

2. Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey

3. Department of Medical Biochemistry, Faculty of Medicine, University of Health Sciences, Ankara, Turkey

4. Department of Nutrition and Dietetics, Faculty of Health Sciences, Bahçeşehir University, İstanbul, Turkey

5. Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, University of Health Sciences, Ankara, Turkey

Abstract

OBJECTIVE: This study aimed to investigate Behçet’s syndrome (BS) patients’ regarding anthropometric measurements, daily energy and nutrient intake, and the MD adherence of patients. METHODS: 100 consecutive patients with BS were prospectively enrolled in two rheumatology outpatient clinics. Mid Upper Arm circumference (MUAC), Triceps skinfold thickness (TST), Mid Upper Arm Muscle Circumference (MUAMC), and Mid Upper Arm Muscle Area (MUAMA) measurements of patients were compared with Turkish reference values. Participants’ daily energy and nutrient intake were categorized by the ‘MD Adherence Score.’ RESULTS: Thirty patients (30%) had only mucocutaneous involvement. According to reference values, 47%, 36%, 14%, and 27% of the participants had low percentile values (<50. percentile) for MUAC, TST, MUAMC, and MUAMA, respectively. Walnuts (35%), eggplant (35%), and tomatoes (13%) were reported as the most prominent foods for symptom exacerbations. The mean MD adherence score was 23.5±6.5 (male: 23.2±6.9; female: 24.2±5.9) points and the adherence status was average (60%) and poor (35%) in the majority of the patients. CONCLUSIONS: Food consumption is important regarding symptom occurrence and multidisciplinary management of BS. Some participants had poor adherence to the MD. Increased waist/hip ratio, BMI, and decreased TST and MUAMA may indicate body muscle mass and unhealthy eating patterns. Patients with BS need encouragement for healthy eating habits.

Publisher

IOS Press

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