Journals / Türkiye Diyabet ve Obezite Dergisi / 2026 / Cilt: 10 Sayı: 2

Association of Mediterranean Diet Adherence With Anthropometric Measures and Lipid Profile in Adolescents With Overweight or Obesity

Fazla Kilolu ve Obez Adolesanlarda Akdeniz Diyetine Uyumun Antropometrik Ölçümler ve Lipid Profili ile İlişkisi

Didem Güneş Kaya(ISTANBUL UNIVERSITY-CERRAHPASA, CERRAHPAŞA SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES)0000-0003-0791-916X
Gökçe Velioğlu Haşlak(ISTANBUL UNIVERSITY-CERRAHPASA, CERRAHPAŞA SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, ENDOCRINOLOGY)0000-0001-9535-3295
Ece Doğan(ISTANBUL MEDIPOL UNIVERSITY, ACADEMY OF HEALTH SCIENCES, DEPARTMENT OF NUTRITION AND DIETETICS, NUTRITION AND DIETETICS PR. (%50 SCHOLARSHIP))0009-0000-4302-1969
Elvan Bayramoglu(ISTANBUL UNIVERSITY-CERRAHPASA, CERRAHPAŞA SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, ENDOCRINOLOGY)0000-0002-6732-8823
Saadet Olcay Evliyaoğlu(ISTANBUL UNIVERSITY-CERRAHPASA, CERRAHPAŞA SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, ENDOCRINOLOGY)0000-0003-4851-8637
Hande Turan(ISTANBUL UNIVERSITY-CERRAHPASA, CERRAHPAŞA SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, ENDOCRINOLOGY)0000-0003-0121-3756
Pages
176–186
Publication Date
2026-08-31
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No between-group differences were detected in body fat percentage, trunk fat percentage, visceral adiposity index, total cholesterol, HDL cholesterol, triglycerides, or dyslipidemia prevalence.Conclusion: Among adolescents with overweight or obesity, those with high Mediterranean diet adherence had lower values for weightrelated anthropometric indices and LDL cholesterol.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: This study examined the association of Mediterranean diet adherence with anthropometric measures, body composition, and lipid profile in adolescents with overweight or obesity.Material and Methods: Data from 246 adolescents aged 10–19 years were analyzed in this cross-sectional study.
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Key Findings & Data:Results: Low, moderate, and high Mediterranean diet adherence accounted for 32.5%, 48.8%, and 18.7% of cases, respectively.
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Conclusion & Impact:No between-group differences were detected in body fat percentage, trunk fat percentage, visceral adiposity index, total cholesterol, HDL cholesterol, triglycerides, or dyslipidemia prevalence.Conclusion: Among adolescents with overweight or obesity, those with high Mediterranean diet adherence had lower values for weightrelated anthropometric indices and LDL cholesterol.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Adölesan · Akdeniz diyeti · Antropometri

Abstract

Aim: This study examined the association of Mediterranean diet adherence with anthropometric measures, body composition, and lipid profile in adolescents with overweight or obesity.Material and Methods: Data from 246 adolescents aged 10–19 years were analyzed in this cross-sectional study. Mediterranean dietary adherence was scored with KIDMED. Anthropometric and body composition measurements were obtained during the study assessme nt, whereas lipid results were extracted from medical records. Comparisons across adherence categories were performed with parametric, nonparametric, or chi-square tests, as appropriate. Hierarchical linear regression was used to estimate independent associations. Age and sex were included in the anthropometric models, and body mass index standard deviation score (BMI-SDS) was added as a covariatein the LDL cholesterol model. Results: Low, moderate, and high Mediterranean diet adherence accounted for 32.5%, 48.8%, and 18.7% of cases, respectively. BMI-SDS, waist circumference, waist-to-height ratio, triponderal mass index, and LDL cholesterol varied across the three adherence categories. In the regression models, the coefficients for high versus low adherence were −0.386 for BMI-SDS (p=0.006), −0.032 for waist-to-height ratio (p=0.022), −1.464 for triponderal mass index (p=0.004), and −12.986 mg/dL for LDL cholesterol (p=0.003). No between-group differences were detected in body fat percentage, trunk fat percentage, visceral adiposity index, total cholesterol, HDL cholesterol, triglycerides, or dyslipidemia prevalence.Conclusion: Among adolescents with overweight or obesity, those with high Mediterranean diet adherence had lower values for weightrelated anthropometric indices and LDL cholesterol.

Özet

Amaç: Bu çalışmada, fazla kilolu veya obez adölesanlarda Akdeniz diyetine uyum ile antropometrik ölçümler, vücut kompozisyonu ve lipid profili arasındaki ilişki incelendi.Gereç ve Yöntemler: Bu kesitsel çalışmada 10–19 yaşlarındaki 246 adölesana ait veriler analiz edildi. Akdeniz diyetine uyum, Çocuklar ve Adölesanlar için Akdeniz Diyeti Kalite İndeksi (KIDMED) kullanılarak puanlandı. Antropometrik ölçümler ve vücut kompozisyonu verileri çalışma değerlendirmesi sırasında elde edilirken, lipid sonuçları tıbbi kayıtlardan alındı. Uyum grupları, verilerin özelliklerine göre parametrik, parametrik olmayan veya ki-kare testleriyle karşılaştırıldı. Bağımsız ilişkilerin belirlenmesinde hiyerarşik doğrusal regresyon kullanıldı. Antropometrik modellere yaş ve cinsiyet, LDL kolesterol modeline ise ek olarak beden kütle indeksi standart sapma skoru dahil edildi.Bulgular: Olguların %32,5’i düşük, %48,8’i orta ve %18,7’si yüksek Akdeniz diyeti uyum grubundaydı. Beden kütle indeksi standart sapma skoru standart sapma skoru, bel çevresi, bel-boy oranı, triponderal kütle indeksi ve LDL kolesterol düzeyi üç uyum kategorisi arasında farklılık gösterdi. Regresyon analizinde, yüksek uyum düşük uyumla karşılaştırıldığında beden kütle indeksi standart sapma skoru (B=−0,386; p=0,006), bel-boy oranı (B=−0,032; p=0,022), triponderal kütle indeksi (B=−1,464; p=0,004) ve LDL kolesterol düzeyi (B=−12,986 mg/dL; p=0,003) daha düşüktü. Vücut yağ yüzdesi, gövde yağ yüzdesi, visseral adipozite indeksi, total kolesterol, HDL kolesterol, trigliserit ve dislipidemi sıklığı açısından gruplar arasında fark saptanmadı.Sonuç: Fazla kilolu veya obez adölesanlar arasında Akdeniz diyetine uyumu yüksek olanlarda, ağırlıkla ilişkili antropometrik göstergeler ve LDL kolesterol değerleri daha düşüktü.

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Cite This Article

Kaya, D. G., Haşlak, G. V., Doğan, E., Bayramoglu, E., Evliyaoğlu, S. O., Turan, H. (2026). Association of Mediterranean Diet Adherence With Anthropometric Measures and Lipid Profile in Adolescents With Overweight or Obesity. Türkiye Diyabet ve Obezite Dergisi, Cilt: 10 Sayı: 2, 176–186. https://ajindex.com/articles/1436188

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