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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 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 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.
