Atatürk Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bölümü Koleksiyonu

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https://hdl.handle.net/11468/10437

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“The association between HALP score and infection in acute ischemic stroke patients”
(W.B. Saunders, 2024) Öztürk, Ünal; Nergiz, Şebnem; Öztürk, Önder
Background and purpose: Stroke-associated infection (SAI) is related to increased mortality in acute ischemic stroke (AIS) cases. The HALP index is used to evaluate nutrition and inflammation. Our research aimed to assess the relation between HALP scores and infection risk in AIS cases. Materials and methods: 132 cases of acute ischemic stroke were registered. 77 cases were male and 55 cases were female. The median age of the attending cases was 66 (35–104) years. Laboratory variables were assessed within 24 h after hospitalization in the neurology care unit. The HALP score is evaluated utilizing the formula “Hemoglobin (g/dL) × Albumin (g/dL) × Lymphocyte (/10^3/uL) / Platelet (/10^3/uL)”. Results: Cases were separated into two groups according to their corresponding HALP score. Group-1 cases have a low HALP score (HALP score ≤ 18227,93). Group-2 cases have a high HALP score (HALP score > 18227,93). 26 (19.6 %) cases were diagnosed with various infections after hospitalization in the neurology care unit. Urinary tract infections were frequent infection causes in AIS cases (13 cases, 50 %). Pneumonia was observed in 8 cases, making up 30 % of the total cases. Another infection was seen in 5 (20 %) of the cases. The frequently encountered bacteria were Escherichia coli ESBL + (n = 7, 27 %) and Staphylococcus aureus (n = 6, 23 %). The mortality ratio was higher in Group-1 cases than in Group-2 cases (34 % vs 7 %). Conclusions: This investigation has suggested a relationship between infection and HALP score in AIS patients.
Assessment of micronutrient intakes, anxiety states and risk factors affecting disease development in individuals with hypothyroidism
(Pontificia Universidade Catolica de Campinas, 2024) Uçar, Esra; Alim, Nural Erzurum; Tuncer, Sibel Çiğdem; Korkmaz, Özlem Zekiye
Objective This study aimed to assessment the risk factors affecting development of hypothyroidism and to examine the selected dietary micronutrient intakes of primary hypothyroidism, subclinical hypothyroidism and euthyroid individuals comparing the healthy control group, and to evaluate the relationship between dietary micronutrient intakes and serum thyroid hormones. Additionally, this study planned to observe anxiety severities in different hypothyroidism groups. Methods This case-control study was carried out with 120 individuals: 60 in the patient group and 60 in the control group. The patient group was further subdivided into primary hypothyroidism, subclinical hypothyroidism, and euthyroid groups. A questionnaire and the Beck Anxiety Inventory were administered to all participants. 24-hour food consumption records, anthropometric measurements, biochemical parameters were taken. Results When serum vitamin D level increased by one unit (ng/mL), risk of disease decreased by 1%; and when age (year) increased by one unit, risk of disease increased by 5.1%. Dietary micronutrient intakes were similar in all groups. There were negative correlations between serum T4 levels and selenium intake in primary hypothyroidism group, and serum TSH levels and copper intake in subclinical hypothyroidism group, and serum TSH levels and iodine intake in control group. Beck Anxiety Inventory scores of patient groups were higher than control group. There was no statistically difference between primary, subclinical and euthyroid hypothyroidism groups in terms of anxiety scores. Conclusion Serum vitamin D level and age affected the risk of hypothyroidism. Micronutrient intake was associated with thyroid parameters. Anxiety was higher in hypothyroid patients, independent of thyroid hormone levels.
Evaluation of Hedera species as herbal medicine raw materials
(Taylor and Francis Ltd., 2024) Gökkaya, İçim; Yazıcı, Nurdan; Seyhan, Gökçe; Çakır, Oğuz; Yılmaz, Mustafa Abdullah; Barut, Burak; Renda, Gülin
This study aimed to evaluate the potential of Hedera colchica as an alternative to Hedera helix species for the treatment of mild inflammatory conditions of the upper respiratory tract and chronic inflammatory bronchial diseases. The H. colchica extract with the highest saponin content (C3S; 468.19 ± 16.01 mg HE/g dry weight) and the extract with the highest total phenol content (C1F; 108.60 ± 5.61 mg GAE/g dry weight). Chemical analysis and standardisation of the extract with the highest selective COX-2 inhibitory effect was performed using the LC-MS/MS technique. It was determined that the substances found in the highest ratio in the C1F extract were quinic acid (45.909 µg/g extract) and hesperidin (37.077 µg/g extract). As a result, secondary metabolites, in addition to saponins, found in Hedera species may also contribute to the extract’s effectiveness, more potent extracts can be obtained compared to the total extract-containing preparations available in the market.
Which is the best diet to reduce cardiometabolic risk: dietary counseling or home-delivered diet?
(Swedish Nutrition Foundation, 2023) Yılmaz, Feray Çağıran; Atılgan, Aysun; Saka, Günay
Background: Non-compliance with medical nutrition therapy can lead to an increase in cardiometabolic risk factors, resulting in an increase in the frequency of morbidity and mortality. Objective: This study aims to compare the effectiveness of two different medical nutrition therapies designed to reduce cardiometabolic risk factors. Design: The study was conducted on voluntary overweight and obese women who sought services at a special-ized Nutrition and Dietary Counseling Clinic. The clinic offered dietary counseling (n = 47) and home-deliv-ered diet (n = 53) services, and the participants themselves decided which method they preferred. Both groups were followed for a period of 4 weeks. The general information, physical activity (PA) status, biochemical findings, blood pressure, anthropometric measurements, and bioelectrical impedance analysis (BIA) of the voluntary participants were evaluated. Taking into consideration the participants’ dietary habits and health status, an appropriate dietary plan (55–60% carbohydrates, 15–20 protein%, 25–30% fat) was prepared. Results: The anthropometric measurements, blood pressure, and biochemical parameters of overweight and obese individuals who received dietary counseling and home-delivered diet services were evaluated before and after the diet. In both groups, cardiometabolic risk factors were found to decrease. It was determined that those who received the home-delivered diet service had a greater reduction in body weight, Body Mass Index values, body fat percentages, and waist circumferences compared to those who received dietary counseling (P < 0.001). Similarly, fasting blood glucose, triglyceride, and blood pressure values were found to decrease more significantly in individuals receiving the home-delivered diet service (P < 0.001). Additionally, both groups showed an increase in High-Density Lipoprotein Cholesterol (HDL-C) levels, with a greater increase observed in those receiving the home-delivered diet service (P < 0.001). Conclusion: According to the findings of this study, participants who received the home-delivered diet service, which is particularly beneficial for individuals who struggle with healthy meal preparation and portion con-trol, exhibited better adherence to medical nutrition therapy and experienced a greater reduction in cardiomet-abolic risk factors compared to those who received dietary counseling.
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, Nurgül
Background: 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.
Comparison between laser and transobturator tape therapy in the treatment of stress urinary incontinence and role of overweight in treatment: a prospective observational study
(Institute for Ionics, 2023) Yılmaz, Feray Çağıran; Açık, Murat; Çağıran, Fatma
Introduction and hypothesis: Stress urinary incontinence (SUI) is treated with transobturator tape (TOT) sling procedures, but problems arise with artificial mesh in certain instances. Hence, non-invasive laser therapy may be useful under such circumstances. The current study was aimed at comparing the effects of these two treatments and at checking their applicability in various body mass index (BMI) groups. Methods: Seventy-nine patients, who were clinically diagnosed with SUI, were divided into two groups, those who preferred TOT and those who preferred the transvaginal fractional micro-ablative CO2 laser system. The SUI symptoms and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) scores of the patients were determined before and at the 12th month after the treatment. General linear model, Stuart–Maxwell, and Bonferroni correction for pairwise comparison analyses were performed to compare the efficacy of the treatment type. Results: The ICIQ-SF score decreased by 56.8% for laser therapy and 43.5% for TOT therapy (mean ± SE = 5.97 ± 0.16 and 5.09 ± 0.14 respectively). Laser therapy had a better effect on ICIQ-SF than TOT therapy (η2p: 0.176, ptime*group < 0.001). Regardless of the types of treatment, the ICIQ-SF scores of healthy-weight participants decreased more than those of overweight participants (η2p:0.050, ptime*group = 0.045). In the TOT group, healthy-weight participants were more than twice as likely to recover fully from SUI symptoms as overweight participants, 1 year after the treatment. In the laser group, the majority of healthy-weight participants (88.8%) did not report any SUI symptoms after the treatment. Conclusions: The efficacy of laser therapy for urinary incontinence was confirmed. Furthermore, it was observed that being overweight may be a risk factor for the failure of laser therapy.
Adolesan dönemde premenstrual sendromun obezite ile ilişkisi
(Gümüşhane Üniversitesi, 2023) Yılmaz, Feray Çağıran; Çağıran, Derya
Bu kesitsel çalışma ile, adolesan dönemde premenstrual sendromun obezite ile ilişkisinin incelenmesi amaçlanmaktadır. Kesitsel olarak yürütülen bu çalışma Çocuk Adolesan Polikliniği’ne başvuran 12-18 yaş grubu araştırmaya katılmayı gönüllü olarak kabul eden 650 adolesan ile yürütülmüştür. Adolesanların antropometrik ölçümleri alınarak, Premenstrual Sendrom Ölçeği uygulanmıştır. Çalışmaya katılan adolesanların tamamında premenstrual sendrom varlığı saptanmıştır. Premenstrual sendrom ile adolesanların beden kütle indeksi sınıflaması arasında istatistiksel olarak anlamlı bir farklılık olduğu belirlenmiştir (p<0,001). Adolesanların beden kütle indeksi değeri arttıkça premenstrual sendrom düzeylerinin arttığı bulunmuştur. Bu çalışma adolesan dönemde premenstrual sendrom ile obezite ilişkisinin incelendiği bir çalışma olup, Hafif şişman/obez adolesanlarda premenstrual sendrom sıklığının yüksek olduğu belirlenmiştir. Bu çalışma ile, adolesanların sağlıklı vücut ağırlığına sahip olmaları ile premenstrual sendrom düzeylerinin azalacağı öngörülmektedir. Adolesanların sağlıklı beslenme alışkanlığı edinmeleri için hem tıp doktorlarının hem de diyetisyenlerin birlikte çalışmaları önem arz etmektedir.
Identifying phenolics by UPLC–MS/MS in some Prangos Lindl. species and ?-glucosidase inhibitory activities
(Elsevier B.V., 2023) Önder, Alev; Gülmez, Nazif; Baran, Merve Yüzbaşıoğlu; Uz, Ayşe Kuruüzüm; Trandifilova, Antoanetta; Çakır, Oğuz; Yılmaz, Mustafa Abdullah; Koç, Ahsen Sevde Çınar
Diabetes mellitus is a chronic metabolic disorder associated with biochemical, physiological, and pathological changes in the liver and characterized by some deficiencies in insulin secretion or insulin action. Prangos Lindl. species are important plants used as spice and medicine in Asian countries, including Türkiye. This study first aimed to evaluate the antidiabetic potential of the aerial parts of the 5 different Prangos species (Apiaceae) collected from various locations to discover and identify bioactive phenolic components. The results revealed that the methanolic extract of P. heyniae exhibited the highest activity against α-glucosidase inhibition compared to the other Prangos species (IC50 = 458.54 ± 5.62 μg/mL). For this reason, the active species P. heyniae (an endemic species) was subjected to UPLC–MS/MS to evaluate the possible active phenolic components. The results showed that 53 phenolic compounds were correctly screened, 21 were precisely determined by UPLC–MS/MS in P. heyniae. Therefore, it was concluded that the aerial parts of P. heyniae might have therapeutic potential for hyperglycemia due to its phenolic compounds. Moreover, quinic acid (3.66%), chlorogenic acid (2.35%), rutin (2.96%), and hesperidin (0.79%) might be potential markers of the methanolic extract of P. heyniae. In the end, this study provides comprehensive knowledge regarding the phenolic profile of P. heyniae related to antidiabetic activity for the first time in this study.
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, Bülent
Purpose: 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.
Relationship between catheter related cerebrospinal fluid infections and systemic immune-inflammation index
(PeerJ Inc., 2023) Nergiz, Şebnem; Öztürk, Pınar Aydın
Background. This study investigated the relationship between the systemic immune inflammation index (SII) and catheter-related infections and their effects on prognosis in pediatric patients. Methods. A total of 56 pediatric patients diagnosed with ventriculoperitoneal (VP) shunt infection between January 2017 and October 2019 were included. V-P shunt infection diagnosis was made based on clinical findings. All cerebrospinal fluid (CSF) samples were subjected to direct microscopic examination and culture. Protein, glucose, and sodium levels in CSF, CSF leukocytes, and hematological and biochemical parameters were measured. Results. Fifty-six patients with growth in CSF culture were included in this study. 55.4% of the cases were female and 44.6% male. V-P shunt was detected in 82.1% of the cases and external ventricular drainage (EVD) catheter-related infection in 17.9%. The CSF/blood glucose ratio was significantly lower (p = 0.046), and SII was significantly increased (p = 0.002) in non-coagulase-negative staphylococci. Conclusions. Early and appropriate antibiotic therapy reduces morbidity and mortality in catheter-related infections. However, it is important to start empirical antibiotherapy until culture results are expected. Therefore, further research on the estimation of possible factors is needed.
Nutritional status of Syrian female migrants in Turkey: a cross-sectional study
(Intelektual Pustaka Media Utama, 2023) Arslan, Nurgül; Çifçi, Sema; Değer, Vasfiye Bayram
It 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.
The impact of prognostic nutritional index on mortality in patients with COVID-19
(Emerald Publishing, 2023) Nergiz, Şebnem; Öztürk, Önder
Purpose: Malnutrition has a significant effect on the onset and progression of infective pathology. The malnutrition status in COVID-19 cases are not understood well. Prognostic Nutritional Index (PNI) is a new and detailed assessment of nutrition and inflammation cases. This study aims to investigate the effect of PNI on mortality in COVID-19 patients. Design/methodology/approach: In total, 334 patients (males, 142; females, 192; 64.5 ± 12.3 years of age) with COVID-19 bronchopneumonia were enrolled in this investigation. Cases were divided into two groups with respect to survival (Group 1: survivor patients, Group 2: non-survivor patients). Demographic and laboratory variables of COVID-19 cases were recorded. Laboratory parameters were calculated from blood samples taken following hospital admission. PNI was calculated according to this formula: PNI = 5 * Lymphocyte count (109/L) + Albumin value (g/L). Findings: When the patients were assessed with respect to laboratory values, leukocytes, neutrophils, CRP, ferritin, creatinine and D-Dimer parameters were significantly lower in Group 1 patients than Group 2 patients. Nevertheless, serum potassium value, lymphocyte count, calcium and albumin values were significantly higher in Group 1 cases than in Group 2 cases. PNI value was significantly lower in Group 2 cases than in Group 1 cases (39.4 ± 3.7 vs 53.1 ± 4.6). Originality/value: In this retrospective study of COVID-19 cases, it can be suggested that PNI may be a significant risk factor for mortality. In conclusion of this research, high-risk patients with COVID-19 can be determined early, and suitable medical therapy can be begun in the early duration.
Association of cardiometabolic risks with body composition in hemodialysis patients
(Verduci Editore s.r.l, 2023) Arslan, Nurgül
OBJECTIVE: 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.
The effect of prognostic nutritional index on infection in acute ischemic stroke patients
(MDPI, 2023) Nergiz, Şebnem; Öztürk, Ünal
Objectives: Malnutrition is frequently seen in stroke patients. Malnutrition worsens the prognosis and increases the mortality rate in acute ischemic stroke patients. Malnutrition is a significant factor not only in the initiation of infection but also in its progression. The prognostic nutritional index (PNI) is a new index that evaluates the nutrition and inflammatory status. This study aims to investigate the relationship between PNI and stroke-related infection (SRI) development during hospitalization in patients with acute ischemic stroke. Materials and Methods: Acute ischemic stroke was the primary diagnosis for 158 patients who were admitted to the neurology intensive care unit. Patients’ demographic, clinical, and laboratory parameters were recorded. PNI was calculated according to the formula given below. PNI: 10 × serum albumin (g/dL) + 0.005 × total lymphocyte count (mm3 ). PNI > 380 normal, PNI: 350–380 moderate malnutrition risk, PNI < 350 severe malnutrition risk. Results: A total of 158 patients with acute ischemic stroke were included in the study. There were 70 male and 88 female patients, whereas the mean age of the patients was 67.79 ± 14.0 years. Nosocomial infection developed in 34 (21%) of the patients. Compared to high PNI scores, patients with low PNI scores were generally older, and the National Institutes of Health Stroke Scale (NIHSS) score, atrial fibrillation, infection, mortality rate, and hospitalization rates were all significantly higher. Conclusions: In this study, we discovered that patients with poor PNI had a considerably increased rate of infection development. It is vital to evaluate the nutritional status of patients with acute ischemic stroke during hospitalization.
Factors affect the quality of sleep in elderly people with metabolic syndrome
(Galenos Yayınevi, 2023) Yaprak, Bülent; Arslan, Nurgül; Alataş, Hacer
Aim: 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.
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, Lezan
Amaç: 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.
Examination of the relationship between eating behavior disorder and emotional eating behavior in university students
(Gaziosmanpaşa Eğitim ve Araştırma Hastanesi, 2023) Arslan, Nurgül; Alataş, Hacer
Objective: 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.
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, Nurgül
Aim: 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.
The relationship between sustainable nutrition and healthy food choice: a cross-sectional study
(Prusa Medical Publishing, 2023) Arslan, Nurgül; Alataş, Hacer
Objectives: 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.

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