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    Challenges in the food supply chain following the great earthquake disaster in Turkey: A study of the regions of Malatya, Adıyaman and Kahramanmaraş
    (Wolters Kluwer Medknow Publications, 2024) Alatas, Hacer; Arslan, Nurgul
    BACKGROUND:The consequences of natural disasters, such as damage to food systems, destruction of transport infrastructure, and organizational issues, can threaten the food security of people. Hence, food security measures are among the most important responses in the management of natural disasters. This study was conducted to identify the challenges in food security response following a great earthquake in Turkey.MATERIALS AND METHODS:This study used a qualitative approach. Within the scope of this study, 37 food cooking and preparation points were examined in the Malatya, Ad & imath;yaman, and Kahramanmara & scedil;-Pazarc & imath;k regions. Forty-five authorized individuals working at KIZILAY, who were responsible for all aspects of nutrition, were interviewed. Data were collected through semi-structured interviews, with 27 inquiries selected using purposive sampling. Qualitative content analysis was performed to analyze the data. The data analysis process utilized inductive qualitative content analysis to produce themes and categories.RESULTS:Most participants (%80.00) stated that there was no food variety. Menus generally consists of foods with a low nutritional value such as refined grains, legumes, sweets, spices, seasonings, oils, and sugary drinks (particularly soft drinks). The majority of the participants stated that they could not give milk group (%91.11), vegetables (%93.33), fruits (%97.78), and eggs (%100.00). The participants stated that organizational problems (%77.77), transportation problems (%64.44), cold weather conditions (%84.44), and a lack of stock (%64.44) prevent food safety.CONCLUSION:According to the findings of this study, underlying challenges such as geographical and weather conditions, organizational problems, and vulnerability of part of the population threatened food security. The lack of nutritional diversity can cause health problems such as obesity, malnutrition, and anemia, especially in vulnerable people.
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    The relationship between dietary antioxidant capacity and serum oxidative stress index of hemodialysis patients
    (Cukurova Univ, Fac Medicine, 2023) Alatas, Hacer; Saka, Mendane; Arslan, Nurgul; Yaprak, Bulent; Otlu, Onder; Pembegul, Irem
    Purpose: Oxidative stress increases in uremic conditions such as kidney failure and during hemodialysis. In this study, it was aimed to examine the relationship between the total antioxidant capacity of the diet and the serum oxidative stress (sOSI) index in hemodialysis patients.Materials and Methods: In this study conducted with 82 individuals (41 patients and 41 controls). Demographic characteristics and anthropometric measurements of the individuals were taken by researchers. In order to determine the nutritional status of the individuals, 3-day food consumption records were taken and the total antioxidant capacity of the diet was calculated. Results: The mean age of the individuals participating in the study was found to be 54.01 +/- 2.24 years. Hemodialysis treatment mean for 4.8 +/- 3.12 years. While 41.46% of hemodialysis patients were moderately malnourished. Dietary Oxygen Radical Absorption Capacity (dORAC) (mu mol) measurement result was found to be 2415.3 +/- 1073.45, 5468.4 +/- 2393.85 in the hemodialysis and control groups, respectively. In the multiple logistic regression analysis performed, the decrease in body mass index (OR 2.21 95% CI 1.050-2.317) and triceps skinfold thickness values (OR 3.22 95% CI 1.722-4.001) in hemodialysis patients led to an increase in the sOSI value. It has been observed that when dietary protein (OR 1.23 95% CI 1.003-3.189), vitamin C (OR 2.88 95% CI 1.004-3.106) and dTAC (OR 2.04 95% CI 1.967-2.001) increase, the sOSI value decreases in hemodialysis patients.Conclusion: There is a positive relationship between diet total antioxidant capacity and serum antioxidant level, and it was determined that the dietary antioxidant capacity of hemodialysis patients was significantly lower than that of healthy individuals. According to the results of the study, it is recommended to monitor the food consumption status of hemodialysis patients in order to increase the dietary antioxidant capacity.
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    The relationship of depression and malnutrition with healthy eating index in elderly individuals
    (2023) Alatas, Hacer; Arslan, Nurgul; Aytas, Ozgur
    Depression, malnutrition, and the healthy eating index were assessed in this study of people aged 65 and up who sought treatment at an outpatient clinic for internal medicine. Participants were elderly people from Malatya, Türkiye, who had applied to the outpatient clinic for internal medicine. The three-day dietary recall method was used to obtain the records of food consumption among the elderly. The calculation of Healthy Eating Index-2015 (HEI-2015) scores from food consumption. Geriatric Depression Scale (GDS) was used to define probable depression, and Mini Nutrition Questionnaire-Short Form (MNA-SF) was used to determine nutritional status, using face-to-face interviews. The study were 185 individuals included. The mean age of individuals was 72.19±6.92 years. According to MNA-SF results, 32.3% of women and 27.4% of men were found to be malnourished. The mean body mass ındex (BMI) value of the individuals was 25.73±2.85 kg/cm2, and the BMI value of 56.22% of the individuals was within the normal range. The depression score mean was 8.86±4.73. Depression scores are higher in women, those with low monthly education and income, those who use multiple drugs, those with a low HEI-2015 score, and those who use them. There is a relationship between depression score and eating score. As the nutrition score and the HEI-2015 score decrease, the depression score increases. This study indicates that depressed older people consume less food. Early detection of depression and malnutrition is beneficial. Older adults should routinely use brief, easy-to-obtain diagnostic tools such as the MNA and GDS questionnaires to treat these related health issues quickly and effectively.
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    Sleep, malnutrition, and quality of life in elderly hemodialysis patients: A cross-sectional study
    (Elsevier, 2023) Alatas, Hacer; Arslan, Nurgul
    Objective. - The goal of this study was to establish a connection between sleep quality (SQ), quality of life, nutritional status, and independent variables of SQ in hemodialysis (HD) patients over the age of 65. Material and method. - The study included 91 HD patients. Every patient was given Post-Sleep Inventory (PSI). The Short-Form Quality of Life-36 scale was used to measure quality of life. MIS score was used together with Geriatric Nutritional Risk Index for nutrition and malnutrition inflammation index. Results. - Patients had been receiving dialysis for a mean of 54.21 +/- 11.33 months and were an age of 72.33 +/- 6.45 years. A negative relationship was found to exist between the sleep quality score and the quality of life scale SF-36 (r = -0.301, p = 0.003). It was found that GNRI and MIS scores have a direct effect on how well you sleep. Conclusion. - HD morbidity and mortality are affected by malnutrition, quality of life, and sleep disorders; these elements are interconnected. (c) 2023 Elsevier Masson SAS. All rights reserved.