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Öğe Association of cardiometabolic risks with body composition in hemodialysis patients(Verduci Editore s.r.l, 2023) Arslan, NurgülOBJECTIVE: High body fat ratio is known as one of the main reasons that increase the risk of cardiovascular disease. This study examined the relationship between body composition and cardiometabolic risks in hemodialysis (HD) patients. PATIENTS AND METHODS: This study was conducted with chronic kidney disease (CKD) patients who received HD treatment between March 2020 and September 2021. Anthropometric measurements of the individuals and their body composition analyses were performed using the bioelectrical impedance analysis (BIA) method. Framingham risk scores were calculated in order to determine the cardiometabolic risk factors of individuals. RESULTS: According to the Framingham risk score, 15.96% of individuals were found to have a high cardiometabolic risk. The lean-fat tissue index (LTI)/(FTI), body shape index (BSI) and visceral adiposity index (VAI) (female-male) values of individuals with high risk according to the Framingham risk score were found to be 11.34±2.29, 13.52±2.88, 8.50±3.89, 9.60±3.07, 0.086±0.024, respectively. The effect of anthropometric measurements in estimating the Framingham risk score was examined using the linear regression analysis. The regression analysis performed with BMI, LTI, VAI values, it was determined that 1-unit increase in VAI increased the Framingham risk score by 1,468 units (OR: 0.951-1.952) (p=0.002). CONCLUSIONS: It has been discovered that indices indicating adipose tissue increase the Framingham risk score in HD patients, independent of BMI. It is recommended to evaluate the ratios showing body fat ratio in cardiovascular diseases.Öğe Depression and alexithymia’s effects on emotional eating in people with type 2 diabetes(İnönü Üniversitesi Tıp Fakültesi, 2023) Yaprak, Bülent; Alataş, Hacer; Aytaş, Özgür; Arslan, NurgülAim: Examining the impact of depression and alexithymia related to emotional eating in people with type 2 diabetes is the goal. Materials and Methods: The study included 180 people with type 2 diabetes be- tween the ages of 18 and 65 who applied to the internal medicine outpatient clinic at Malatya Turgut zal University Training and Research Hospital. The patients were given the Toronto Alexithymia Scale (TAS-20), the Dutch Eating Behavior Scale (DEBQ), and the Depression, Anxiety, and Stress Scale (DAS-21). Results: The study’s participants had an average age of 44.21±11.33 years. The study discovered a significant positive correlation between emotional eating and the challenge of defining stress and emotions (p<0.05). The sub-dimensions of emotional eating of depression, extroverted thinking, female gender, difficulty identifying and differentiating emotions and bodily sensations, and regression analysis were used to explain 18% of the total variance in Type-2 diabetes patients (R2=0.18). Conclusion: It has been found that emotional eating in type-2 diabetes patients is influenced by the gender factor, depression, and difficulty identifying and differentiating bodily sensations.Öğe Evaluation of attitudes, behaviors and knowledge levels of students functional foods(MediHealth Academy Yayıncılık, 2023) Arslan, Nurgül; Alataş, HacerAim: In this study, it was aimed to determine the knowledge level of students studying at a public university in Malatya, about functional foods, and to evaluate the factors affecting their attitudes and behaviors. Material and methods: A total of 618 individuals, 363 women and 255 men, studying at universities in Malatya were included in the study. Research data were collected by face-to-face survey method. The questionnaire consists of questions about demographic characteristics, questions about eating habits, questions about general health, anthropometric measurements (body weight, height) and functional foods knowledge level and food preference scale sections. The data were analyzed using the SPSS program. Results: The mean age of the individuals participating in the study was 23.15±4.25 years. It was determined that 65.04% of the individuals had heard the term functional food before. It was determined that the YETBİD-Basic Nutritional Knowledge Scores were higher in females (54.66±8.85) than males (51.14±8.22) (p=0.031). Individuals' knowledge attitude scale confidence subheading score for functional foods was found to be higher in women (3.95±1.04) than in men (3.15±1.04) (p=0.044). It was observed that as the basic nutrition score increased in both women and men, the score of the attitude scale towards functional foods also increased. In the multiple regression, it was determined that the total score of the attitude scale towards functional foods was significantly affected by the variables of female gender, duration of education, basic nutrition score, and food preference score (pÖğe Examination of the relationship between eating behavior disorder and emotional eating behavior in university students(Gaziosmanpaşa Eğitim ve Araştırma Hastanesi, 2023) Arslan, Nurgül; Alataş, HacerObjective: This study was conducted to evaluate the eating habits, eating attitudes, and behaviors of university students and to determine the relationship between binge eating disorder and emotional eating. Method: This study was conducted with individuals studying at a university in Malatya. In the study, the Dutch Eating Behaviors scale was used to determine the emotional eating status of individuals, and the Edinburgh Bulimia Research Test scale was used to detect the binge eating disorder of individuals. Results: The mean age of the subjects was found to be 24.21±6.21 years. It was determined that 12.58% of individuals had an Edinburgh Bulimia Research Test scale score of 20 points and above. The mean Edinburgh Bulimia Research Test scale score of the female students participating in the study was 8.24±2.78, and it was 6.18±2.01 for male students (p=0.013). When the distribution of the external eating mean scores was examined according to the Edinburgh Bulimia Research Test scale score categories, it was seen that the external eating scores of the individuals with the Edinburgh Bulimia Research Test scale scores of 20 and above were 28.87±9.44 (p=0.019). For every 0.021 unit increase in BMI, it leads to a 1.031-fold increase in emotional eating. In the model created with the same variables for the presence of binge eating disorder, it was found that the restrictive eating variable contributed significantly to the model and each 1.078 unit increase increased the risk of binge eating disorder 2.708 times (p<0.05). Conclusion: According to the study results, there are many factors that increase the risk of binge eating disorder in university students. In this study, increased BMI and emotional eating were determined as factors that increase the risk of binge eating disorder.Öğe Factors affect the quality of sleep in elderly people with metabolic syndrome(Galenos Yayınevi, 2023) Yaprak, Bülent; Arslan, Nurgül; Alataş, HacerAim: As more studies are conducted on the effects of metabolic syndrome (MetS) on the elderly, it becomes clear that these individuals suffer from worse sleep. In this study, we examined the factors affecting sleep quality in the elderly diagnosed with MetS. Materials and Methods: The study was conducted in the Internal Medicine Clinic of Malatya Training and Research Hospital. Elderly people over the age of 65 years, willing to cooperate, able to communicate, and scored 23 and above on the Standard Mini Mental Test were recruited. The individuals included in the study were individuals who met the criteria for MetS. A comprehensive geriatric evaluation form was applied to elderly individuals. Results: The study’s 378 participants had mean age of 72.05±6.56 years. People over the age of 60 who had high values for both their body mass index (BMI) and their waist-hip ratio also had high Pittsburgh Sleep Quality Index scores (p<0.05). The factors affecting sleep quality were examined by regression analysis. As a result of, having a BMI of 30 or higher [odds ratio (OR): 2.831, confidence interval (CI): 0.081-2.525], being 75 or older (OR: 2.021, CI: 0.081-2.525), being totally or partially dependent on others for the performance of daily activities (OR: 5.024, CI: 2.408-5.165), and using multiple drugs (OR: 2.831, 0.734-2.901), an increased likelihood of falling (OR: 4.871, CI: 1.056-6.146), an increased likelihood of depression (OR: 3.850, CI: 1.355-3.973) increases sleep quality index scores. Conclusion: The elderly individuals who already have MetS are more likely to have poor sleep quality due to the accumulation of many detrimental factors that arise as a direct result of MetS.Öğe Farklı protein kaynakları içeren besinlerin kısa süreli tokluk belirteçleri, serum insülin ve glukoz düzeyleri üzerine etkisi(Kılıçhan BAYAR, 2023) Arslan, Nurgül; Çakıroğlu, Funda Pınar; Alataş, Hacer; Keskin, LezanAmaç: Proteinlerin besin kaynağından dolayı tokluk üzerine etkileri de farklı olabilmektedir. Bu çalışmada iki farklı protein kaynaklı kahvaltının tokluk belirteçleri, serum insülin ve glikoz üzerine etkisini incelemek amaçlandı. Yöntem: Bu çalışma 18-45 yaş arası 31 sağlıklı birey ile randomize çapraz geçişli olarak yürütüldü. Çalışmada farklı protein kaynağına sahip iki farklı kahvaltı bireylere sunuldu. Kahvaltılar bitkisel ve hayvansal kaynaklı besinlerden oluşturuldu. Bireylere kahvaltı sonrasında tokluk durumunu ölçmeyi amaçlayan VAS skalası 30 dakikalık aralıklar ile uygulandı. Bireylerden kahvaltılar sonrası serum insülin ve glikoz seviyesinin ölçümü için 30 dakika aralıklar ile kan numunesi alındı. Bireylerin kahvaltı sonrası ad libitium beslenme ile enerji alım miktarları BEBİS programı ile saptandı ve karşılaştırıldı. Bulgular: İki farklı kahvaltı sonrası bireylerin kombine tokluk skorları arasında 30.,60.,90. ve 210. dakikalardaki farklılıklar istatiksel olarak anlamlı bulundu (p<0.05). Bireylerin serum insülin düzeyleri hayvansal kaynaklı kahvaltıda bitkisel kaynaklı kahvaltıya göre her ölçümde daha yüksek bulundu. Serum glikoz düzeylerinin bitkisel kaynaklı kahvaltıda hayvansal kaynaklı kahvaltıya göre başlangıçta hızlı bir yükseliş görülürken 90. dakikadan sonra hızlı bir düşüşün olduğu saptandı. Ad libitium beslenme sonrası bireylerin bitkisel kaynaklı kahvaltıdan sonra alınan enerjinin ortalamasının daha yüksek olduğu ve her iki kahvaltı arasındaki ortalamalar arasındaki farkın istatiksel olarak anlamlı olduğu saptandı (p<0.05). Sonuç: Hayvansal kaynaklı kahvaltı sonrası bireylerin daha uzun süre kombine tokluk skoruna sahip olduğu, daha yüksek serum insülin düzeyi daha düşük glikoz düzeylerinin olduğu saptandı. Kahvaltı sonrası alınan enerji miktarının hayvansal kaynaklı kahvaltı sonrası daha düşük olduğu saptandı. Çalışma sonuçlarına göre özellikle hayvansal kaynaklı besinlerin daha uzun süre tokluk belirteçlerine neden olduğu sonucuna varıldı.Öğe Nutritional status and risk of sarcopenia among hospitalized older adults residing in a rural region in Turkey(Korean Geriatrics Society, 2023) Alataş, Hacer; Serin, Yeliz; Arslan, NurgülBackground: This study aimed to determine the prevalence of sarcopenia and its associated factors in community-dwelling older adults at risk of malnutrition based on the Mini Nutritional Assessment (MNA), Prognostic Nutritional Index (PNI), and Geriatric Nutritional Risk Index (GNRI). Methods: The study participants were 345 adults aged >65 years who visited Geriatric Internal Medicine outpatient clinics. The study included people without acute illness for whom the risk of malnutrition could be assessed and appropriate measurements taken. At the baseline visit, participants’ data and measurements were gathered. The primary data included sociodemographic details, anthropometric measurements, malnutrition screening tests, and functional assessments. Results: The participants’ mean age was 76.21±5.59 years, and 57.1% were men (n=97). The prevalence rate of sarcopenia was 45.5%. Compared to individuals without sarcopenia, those with it were older; had lower MNA, PNI, and GNRI scores; and had lower muscle mass, muscle strength, and lower leg circumferences (p<0.001). After adjusting for potential confounding factors, we found that sarcopenia, advanced age, male sex, high risk of malnutrition, calf circumference, and a low PNI score were all significantly associated with a low GNRI score (p<0.001). Conclusion: Sarcopenia was significantly associated with advanced age, male sex, and high risk of malnutrition. Patients’ nutritional and functional status should always be assessed for therapeutic interventions and lifestyle changes.Öğe Nutritional status of Syrian female migrants in Turkey: a cross-sectional study(Intelektual Pustaka Media Utama, 2023) Arslan, Nurgül; Çifçi, Sema; Değer, Vasfiye BayramIt is known that individuals who are immigrants experience malnutrition due to various reasons. The present study was conducted to compare the nutritional status of immigrant women, who arrive in Turkey from Syria, before and after migration, and to determine the factors that affect their current healthy eating index scores. The individuals participating in the study were recruited from Immigrant Health Unit in Mardin-Turkey. The sampling of this cross-sectional study consisted of the women who were between the ages of 15-49, 450 Syrian migrant women participated in the study. The data were collected with face-to-face interview technique and with a questionnaire that consisted of 2 parts. According to the Healthy Eating Index (HEI)-2015 score of the individuals mean was found to be 52.90±9.40. According to the hierarchical regression model, the monthly income, life expectancy in Turkey, body mass index (BMI), and the number of individuals in the family were statistically significant components to predict the mean HEI score. It was determined that the basic eating habits of individuals changed in the country of immigration, and more foods with high carbohydrate and saturated fat contents were consumed. It is required to design comprehensive studies and policies.Öğe The relationship between body mass index, anthropometric measurements and GRACE risk score in acute coronary syndrome(Emerald Publishing, 2023) Arslan, Nurgül; Akbulut, Gamze; Süleymanoğlu, Muhammed; Alataş, Hacer; Yaprak, BülentPurpose: This study aims to determine the relationship between body mass index (BMI) and Global Registry of Acute Coronary Events (GRACE) risk score in patients diagnosed with acute coronary syndrome (ACS) and to evaluate the results in this context. Design/methodology/approach: This was a prospective cohort study of ACS patients admitted to a cardiac care unit in high specialization hospital's cardiology service. The study included 140 men aged >35 years who were diagnosed with ACS. Findings: The mean age of the individuals participating in the study was 61.4 ± 10.9 years old. The mean BMI of the individuals was 25.3 ± 6.6 kg/m2, and the mean value of the waist/hip ratio was 0.85 ± 0.01. Individuals were divided into four quarters according to the GRACE score. It was determined that individuals with the highest GRACE score were very underweight or morbidly obese according to their BMI values (p = 0.04). Originality/value: It has been observed that there is a U-shaped relationship between the GRACE score and the BMI in individuals diagnosed with ACS. The risk of death of ACS patients with very high or very low BMI values was found to be close to each other. Although there is a relationship between BMI and GRACE score, it is concluded that it is insufficient to determine the risk in coronary disease alone, and body fat distribution should be examined together with BMI.Öğe The relationship between death risk and nutritional factors in individuals with acute coronary syndrome(2022) Arslan, Nurgül; Yaprak, Bülent; Akbulut, GamzeThere is a relationship between low food intake and risk of death in patients with acute coronary syndrome. In this study aimed to examine the relationship between The Global Registry of Acute Coronary Events (GRACE risk score) and food intake.: 140 men over 35 years of age with Acute Coronary Syndrome were included in the study. The 1-day energy and nutrient consumption of individuals was determined using a 24-hour food consumption recording method. Based on the GRACE risk score classification system, the patients were divided into four quartiles (89.5?Q1?72, 102.5?Q2?89.5, 117.75?Q3?102.51, 152?Q4?117.76). The macro and micronutrient intakes of individuals were compared between the four groups. Nutrient intake decreased in the group with the highest grace risk score. inadequate nutrient intake further increased the GRACE risk score. A negative correlation was found between the GRACE risk score and macro and micronutrients (p<0.05). We found that the increase in the GRACE risk score decreased the food intake otherwise a low level of food intake increased the risk of death.Öğe The relationship between sustainable nutrition and healthy food choice: a cross-sectional study(Prusa Medical Publishing, 2023) Arslan, Nurgül; Alataş, HacerObjectives: The aim of this study was to evaluate university students' attitudes toward sustainable nutrition, their level of knowledge in this area, and the associations between these variables and food preferences. Methods: This study was conducted with university students between the ages of 19-45. The study data were collected between May 2022 and July. In the study, the Scale of sustainable nutrition knowledge was used for the sustainable nutrition knowledge level of individuals. The food choice scale was used to determine the food preference and the Sustainable and Healthy Eating Behaviors scale was used to determine the health food choice preference. Results: The study involved 467 participants, and female made up 64.67% of the study's participants. The mean age of the group was 23.21 ± 6.13 years. Knowledge of sustainable nutrition increases by 1.365 for every 0.821 increase in educational level. The sustainable nutrition knowledge score increased by 1.529 points, the scale score for sustainable and healthy eating behaviors increased by 0.651 points, and the monthly income to the model increased by 1.611 times for every 1.109 unit (p = 0.005). Conclusions: Our survey shows that most college students believe eating sustainably is important. As people's education and knowledge about sustainable nutrition rise, so do their healthy eating habits. Expand sustainable nutrition education, add it to the curriculum, and create nutrition guides to promote this novel concept in our country.
