Beslenme ve Diyetetik Bölümü / Department of Nutrition and Dietetic

Permanent URI for this collectionhttps://hdl.handle.net/11413/6827

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Open Access
Çocuk ve Adölesanlarda Şeker İlaveli İçeceklerin Tüketimi ve Sağlık Üzerine Etkileri
(Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü, 2020) Uslu, Mücahit; KERMEN, SEDA
Çocuk ve adölesanlar tarafından sık tüketilen şeker ilaveli içecekler, yüksek enerji içeriğine sahip en büyük ilave şeker kaynağıdır. Meyve suları, gazlı içecekler, enerji içecekleri gibi içecekler bu gruba girmektedir. İçeriğinde bulunan şeker türleri, tatlandırıcılar, kafein, uyarıcı maddeler çocuk sağlığı açısından risk taşıyabilmektedir. Bu içeceklerin tüketimi cinsiyet, yaş, etnisite, sosyoekonomik durum, eğitim seviyesi gibi birçok faktörden etkilenmektedir. Kronik kullanımının fazla kilo, kalp damar problemleri, metabolik sendrom, tip 2 diyabet, kan lipidlerinde ve kan basıncında artış, gibi birçok hastalık ile ilişkili olabileceğini gösteren çalışmalar mevcuttur. Olumsuz sağlık etkileri çok küçük yaştan başlayarak yetişkinlik döneminde devam edebilmektedir. Bu nedenle çocuk sağlığı açısından erken dönemde bilimsel öneriler çerçevesinde çocuk, aile, çevre ve politikalar üzerinde çalışmalar yapılarak sağlıklı besin tüketimleri desteklenmelidir.
Open Access
Determination of the Connection Between the Asthma Patients and Mycobiota in the Environment They Live in
(Selçuk Üniversitesi Mantarcılık Uygulama ve Araştırma Merkezi Müdürlüğü, 2023) KORKMAZ, ARAS FAHRETTİN; Çolakoğlu, Günay Tülay; Karaltı, İskender
In the 12-month period between February 2014 and January 2015, this study was carried out in the homes of 55 asthma patients living in 14 different regions of Istanbul (Ataşehir, Bulgurlu, Fikirtepe, Hasanpaşa, İçerenköy, Moda, Göztepe, Çekmeköy, Ümraniye, Altayçeşme Neighborhood, Esenkent Neighborhood, Feyzullah Neighborhood, Gülsuyu Neighborhood, Yalı Neighborhood). Air ideal (Biomerieux, France) air vacuuming device was used to determine the fungal flora in the domestic ambient air of the relevant patients. In this context, in order to prevent bacterial growth, Streptomycin antibiotic was added and Rose Bengali potato dextrose agar was placed in the slot of the device and the air filter of the device was installed. The device, which was placed at a height of 75-85 cm from the ground, was operated for 3-5 minutes and 200 liters of domestic ambient air was vacuumed. A total of 1071 microfungi colonies isolated in the study were found to belong to a total of 10 genuses and 23 species. The obtained genera are Alternaria (Arıküfü), Aspergillus (Asper), Aureobasidium (Karamaya), Chaetomium (Günoku), Cladosporium (Havaküfü), Fusarium (Solduran), Mucor (Ekmekküfü), Paecilomyces (Günküfü), Penicillium (Penisilyum) and Rhizopus (Karaküf). Among them, the most isolated genera were Aspergillus, Penicillium, Cladosporium, Alternaria and Fusarium. The most isolated species in this study were Aspergillus niger (Kara asper), Fusarium poae (Buğday solduran), Alternaria alternata (Astımküfü), Cladosporium cladosporioides (Karakökküfü), Penicillium brevicompactum (Sağlam penisilyum), Cladosporium macrocarpum (İrikurutan), Cladosporium sphaerospermum (Güllekurutan) and Penicillium glabrum (Bol penisilyum). In the 12-month period, the lowest microfungi concentration was observed in January and the highest microfungi concentration was observed in May. During the study, the temperature of the sample areas were measured with a thermometer and the humidity rates were measured with a hygrometer. In this study, the types of allergen microfungus that cause the onset of asthma disease or the progression of the degree of disease are stated. These were determined as Alternaria alternariae (Fıstık küfü), Alternaria alternata, Aspergillus fumigatus (Kıran asper), Aspergillus niger, Aureobasidium pullulans (Karamaya), Chaetomium globosum (Top günoku), Cladosporium cladosporioides, Cladosporium herbarum (Yaygınkurutan), Cladosporium sphaerospermum, Penicillium chrysogenum (Penisilyum), Penicillium glabrum.
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Diyet Öz Yeterlilik Ölçeği Türkçe Uyarlamasının Geçerlilik ve Güvenilirlik Çalışması
(Eskişehir Osmangazi Üniversitesi Rektörlüğü, 2023) Hamurcu, Pınar; Şahin, İrem Nur; BATAR, NAZLI; Çelik, Abdullah
Bu çalışmada Diyet Öz Yeterlilik Ölçeği’nin (DÖYÖ) Türkçe Formu’nun geçerlilik ve güvenilirliğini ortaya koymak amaçlanmıştır. Metodolojik araştırma tasarımı kullanılan çalışma, 2021-2022 akademik yılında Üsküdar Üniversitesi’nde 475 katılımcıyla yürütülmüştür. Google Formlar’da yapılandırılmış bir anket aracılığıyla Bilgi Formu, Diyet Öz Yeterlilik Ölçeği ve Genel Öz Yeterlik Ölçeği uygulanmıştır. İstatistiksel değerlendirmede iç tutarlılık katsayısı, faktör analizleri ve korelasyonları IBM SPSS26® yazılımı ile yapılmıştır. DÖYÖ’nün 146 kişi ile yürütülen pilot çalışmasında, Cronbach’s Alpha değeri 0.787 bulunarak, ölçeğin oldukça güvenilir olduğu ve ölçekten madde çıkartılmadan, geçerlilik analizine uygun olduğu belirlenmiştir. Asıl çalışmanın Açımlayıcı Faktör Analizi’nde, Kaiser-Mayer-Olkin değeri 0.907 ile örneklem hacminin süper düzeyde yeterli olduğu ve Bartlett Küresellik testi ile χ2=1107.066 ve p=0.000 düzeyinde istatistiki açıdan anlamlı olduğu bulunmuştur. Faktör yükleri >0.20, öz değerleri >1 olan ve toplam varyansın %67.44’ünü açıklayan 3 faktörlü bir yapı saptanmıştır. Çalışmanın Doğrulayıcı Faktör Analizi’nde 11 maddelik versiyonun uyum iyiliği indeksleri RMSEA=0.022; CFI=0.997; GFI=0.992; NFI=0.981; SRMR=0.054; AGFI=0.987; χ2/df=1.126 olarak yeterli uyum gösterdiği saptanmıştır. İç tutarlılık analizinde Cronbach’s Alpha katsayısı 0.900 olarak bulunmuştur. Diyet öz yeterliliğini ölçmeye yarayan Diyet Öz Yeterlilik Ölçeği’nin (DÖYÖ) Türkçe Formu’nun geçerli ve güvenilir olduğu gösterilmiştir.
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The Effect of Fruit Consumption Time on Glucose Regulation in Pregnancy With Gestational Diabetes
(Pontificia Universidade Catolica Campinas, 2023) NAS, SEVİL; Yılmaz, Hande Öngün
ObjectiveThis study aims to determine the effect of fruit consumption time on blood glucose regulation in pregnant women with gestational diabetes.MethodsThe study was carried out with 64 volunteer participants diagnosed with gestational diabetes. Participants who were directed to the Department of Nutrition and Dietetics were divided into two groups according to the order of application; Group 1 was included in the nutrition treatment program for a week, consuming fruit for the main meal and Group 2 for the snack. During this process, the participants were applied a personalized nutrition plan that was adjusted equally for macronutrients of all meals containing isocaloric 3 main and 4 snacks. In this process, blood glucose values were measured six times a day by the participants and the blood glucose results of both groups before starting the nutrition therapy and on the seventh day after starting the medical nutrition therapy were compared.ResultsThe mean age of the women participating in the study was 33.50 +/- 4.95 years and 32.28 +/- 5.18 years for the 1st and 2nd groups, respectively, and the groups were similar in terms of anthropometric measurements. The post-diet average of postprandial blood glucose levels in the morning within each group dropped from 180mg/d to 115mg/dL (p<0,001) for Group 1 and from 185mg/dL to 110mg/dL (p<0,001) for Group 2. There was a decrease in the fasting plasma glucose and postprandial blood glucose levels measured in the morning, noon and evening before and after the medical nutrition therapy of the groups, but no statistically significant difference was found between the groups (p>0.05). All participants on the gestational diabetes diet had normal blood sugar levels without the need for insulin. A statistically significant decrease was observed in the postprandial blood glucose-fasting plasma glucose difference levels of the pregnant women in the group that consumed fruit for snacks (Group 2) on the seventh day of the study (p<0,001). There was no significant difference in the pre-diet and post-diet morning fasting plasma glucose values of both groups (p>0,05).ConclusionThis study found that medical nutrition therapy in pregnant women with gestational diabetes led to a decrease in blood glucose levels, but consuming fruits as a snack or at the main meal did not make a significant difference on fasting plasma glucose and postprandial blood glucose. It was concluded that the type and amount of carbohydrates consumed daily in gestational diabetes are determinative on blood glucose level.
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Effect of Pilates Exercises on the Body Composition of Fasting Females
(Bezmialem Vakif University, 2022) BATAR, NAZLI; Ersin, Aybüke; Güçlü, Duygu; SEVDİN, SEZEN; KERMEN, SEDA
Objective: This study aimed to evaluate the changes in the body composition of individuals who fasted and did Pilates at least twice a week during Ramadan versus those who fasted but did no Pilates. Methods: This was an experimental study conducted on 60 healthy women who were admitted to the Noi Pilates in Istanbul Turkey, which was a private Pilates studio. The study was carried out on 60 grown-up, healthy women between 18 and 65 years of age who fasted in Ramadan 2019, some of whom did Pilates and some who did not. The women involved in the study had been doing Pilates for 6 months prior to Ramadan and did Pilates at least 3 times a week during Ramadan. Results: Significant increases were observed in body mass index (BMI), triceps skin-fold thickness (SFT), muscle mass and fat percentage in the fasting and non-pilates group (p<0.05). Our study found the change in the percentage of triceps SFT and fat in women who did Pilates to be more than those who did not. BMI, muscle mass, waist circumference and hip circumference of women who did Pilates and who did not do Pilates during Ramadan did not differ compared to the first measurements, and neither of the two methods dominated in terms of these variables. Conclusion: While a long period of fasting in Ramadan leads people to inactivity, personalized exercise and nutrition programs planned by experts may result in weight loss, especially for obese and slightly overweight people.
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Effect of Probiotic Supplementation After Laparoscopic Sleeve Gastrectomy on Constipation and Gastrointestinal Quality of Life
(Doç. Dr. Mustafa Hasbahçeci, 2021) Yıldız, Nida; Baş, Murat; Coşkun, Halil; Yardımcı, Erkan; BATAR, NAZLI
In this study, we aimed to investigate the early effect of probiotic supplementation after Laparoscopic Sleeve Gastrectomy (LSG) on constipation and gastrointestinal quality of life compared to control group. Methods: This study was a prospective, randomized clinical trial. Participants were recruited to Bariatriklab Obesity and Metabolic Surgery Center for LSG. All patients were divided into 2 groups as probiotic and control by using simple randomization. The probiotic group consumed Bifidobacterium animalis lactis BB-12 strain as a probiotic supplement during 6 weeks after LSG. Gastrointestinal Symptom Rating Scale (GSRS), Constipation Severity Instrument (CSI), Patient Assessment of Constipation Quality of Life Scale (PAC-QOL), Bristol Stool Form Scale (BSFS), Gastrointestinal Quality of Life Index (GIQLI) of the patients were recorded before LSG and at the 2nd, 4th, 6th weeks after LSG. Results: The probiotic group had an average age of 37.00±8.92 years (18 female, 12 male), the control group had an average age of 41.03±11.29 years (23 female, 7 male). CSI (16.50 ± 14.76 vs. 31.37 ± 15.34), PAC-QOL (58.53 ± 12.59 vs 72.30 ± 19.70), GSRS (26.83 ± 9.14 vs. 37.93 ± 16.59) and total score mean were lower compared to the control group, GIQLI total score average (147.50 ± 11.79 vs 136.87 ± 18.98) was found higher (p <0.05) in probiotic group. Conclusion: Probiotic supplementation improved the constipation and gastrointestinal quality of life in the early post-LSG period in the probiotic group compared to the control group.
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Evaluation of Malnutrition Status and Related Risk Factors in Geriatric Outpatient Clinic
(Korean Nutrition Society, 2021) Tanrıöver, Özlem; Yavuzer, Hakan; Erdinçler, Deniz Suna; BALTACI, PELİN CİN
Background/objectives: Malnutrition risk and malnutrition among the elderly is a public health concern. In combating this health-related problem, it is critically important to evaluate the risk factors in a multidimensional way and to apply appropriate nutrition intervention based on the results. Subjects/methods: A cross-sectional study was conducted on 215 elderly patients (32.6% male, 67.4% female) in a geriatric outpatient clinic of a hospital in Turkey. Nutritional questionnaires that incorporated the 24-h recall method were applied to determine general characteristics of patients, their health status, nutritional habits, and daily energy and nutrient intakes. Mini Nutritional Assessment was used to determine nutritional status. Relevant anthropometric measurements were obtained. Results: The subjects' mean age was 76.1 ± 7.0 years, and the prevalence of malnutrition (n = 7) and risk of malnutrition (n = 53) among the 215 subjects was 3.2% and 24.7%, respectively. Patients with malnutrition or risk of malnutrition were found to be single, have a depression diagnosis, in an older age group, have less appetite, more tooth loss, have more frequent swallowing/chewing difficulty, and have more frequent meal skipping. In addition, mean daily energy, carbohydrate, fat, fiber, vitamin E, vitamin B1, vitamin B2, vitamin B6, vitamin C, folates, potassium, magnesium, phosphorus, iron intake, and water consumption were found to be statistically significantly low in subjects with malnutrition or risk of malnutrition. After performing regression analysis to determine confounding factors, malnutrition risk was significantly associated with marital status, loss of teeth, appetite status, and depression. Conclusions: Routine nutritional screening and assessment of the elderly should be performed. If nutritional deficiencies cannot be diagnosed early and treated, self-sufficiency in the elderly may deteriorate, resulting in increased institutionalization.
Open Access
Evaluation of the Amount and Type of Beverages Consumed by University Students
(Balıkesir Üniversitesi, 2021) BATAR, NAZLI; ÖZUĞURLU, İREM BERFE; KOÇAK, BETÜL; Hamurcu, Pınar; SEVDİN, SEZEN
Objective: This study aims to evaluate the effect of beverage consumption amount and type on body composition of the university students. Materials and Methods: A questionnaire form that contains beverage consumption questions was applied to 201 students studying at the Department of Nutrition and Dietetics, Faculty of Health Sciences, Istanbul Kültür University. The research data were evaluated using the SPSS 25th version program. Results: Of students participated in this study, 91.5% were female and 8.5% male. All 201 students who participated in this study were the students of Nutrition and Dietetics Department. The average age of these students was 20.5±2.1 years. Anthropometric measurements of the students were done, and the mean height was 166.1±7.6 cm, body weight was 59.7±11.3 kg, BMI was 21.54±3.1 kg / m², and hip circumference was 93.6±8.9 cm. In the study, significant relationship was found between BMI and beer types (p=0.028), wine (p=0.019), hard drinks (p=0.016), mineral water and soda (p=0.030) consumption amounts. A very weak statistically significant positive correlation was found between the daily sugared tea consumption and the body weight of university students (rs=0.149; p=0.035). It was observed that there was a statistically positive and weakly significant relationship between daily energy drink consumption and the body weight (rs=0.202; p=0.004). A very weak statistically significant positive correlation was found between the daily consumption of energy drinks and the BMI value (rs=0.163; p=0.021). Conclusion: It was concluded that depending on the consumption amount and variety of the beverages, beverage consumption has a relationship with body weight and BMI.
Open Access
Evaluation of the Effect of Hedonic Hunger on Purchasing Behavior in Adult Individuals
(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2022) BİÇER, NİHAN ÇAKIR; AKBURAK, İPEK
Objective: The aim of this study is to evaluate the effect of individuals’ hedonic hunger status on their purchasing behaviors. Materials and Methods: This cross-sectional study was conducted with 218 individuals, 147 females and 71 males, aged 18-65 years. Questions about demographic characteristics and eating habits, Power of the Food Scale (PFS), Hedonic and Utilitarian Purchasing Behavior Scale were applied via an online questionnaire. The study protocol was approved by the Ethical Committee of the Acıbadem Mehmet Aydınlar University with the number of 2021-17/10. Results: PFS total score was determined as 3.03±0.82 in females and 2.51±0.90 in males (p<0.05). According to PFS, the frequency of hedonic hunger in females (70.7%) was higher than in males (49.3%) (p<0.05). Hedonic Consumption Behavior Scale (HCBS) total and subscale scores were higher in females than males (p<0.05). A positive correlation was found between PFS and HCBS scores in females and in males between PFS and HCBS and between PFS and Utilitarian Consumption Behaviors Scale scores (p<0.05). Conclusion: Hedonic hunger and hedonic consumption behavior frequency were found to be higher and related to each other in females. It is believed that practices aimed at raising awareness in the consumption of food and non-food products and developing utilitarian purchasing behavior will contribute to weight control and sustainability.
Open Access
Evaluation of the Nutritional Status Changes of Resident Physicians Before and During the Covid-19 Pandemic
(Doç. Dr. Mustafa Hasbahçeci, 2021) BATAR, NAZLI; PAK, CEREN; TÜFEKÇİ, R. NÜKRA; Koçak, Betül; ÖZÇALKAP, RÜMEYSA; Pak, Pelin; Arıca, Seçil
This study was conducted to determine nutritional changes in the working environment of resident physicians before and during the coronavirus 2019 (COVID-19) pandemic. Methods: Resident physicians working at Prof. Dr. Cemil Taşçıoğlu City Hospital and who agreed to participate were included in the study. Data were collected using an online questionnaire method developed by the researchers for determining demographic characteristics and nutritional changes in the study participants. Results were analyzed with the SPSS statistical program. Results: The COVID-19 outbreak affected the nutritional status of 82.2% of the resident physicians. The rate of physicians trying to eat a healthy diet during the pandemic was 79.1%. However, the number of physicians who increased their consumption of fruits and vegetables during the epidemic was 58.2%. During the pandemic, water consumption of the resident physicians was evaluated, and a 51.1% decrease in water consumption was found. While 78.3% of the physicians slept 6–8 hours per night before the pandemic, this rate decreased to 56.6% during the pandemic while the number of physicians who slept for 1 to 5 hours increased to 38% during the Covid-19 outbreak. A significant relationship between sleep duration before and during the pandemic was found (p < 0.05). Conclusion: The Covid-19 outbreak has greatly and continues to affect the living standards of resident physicians. During the study period, it was observed that the diet and sleep patterns of resident physicians who worked in an intense environment had been disrupted.
Open Access
Food Addiction: Association with Attention-Deficit/Hyperactivity Disorder and Impulsivity
(Yerküre Tanıtım ve Yayıncılık A.Ş., 2022) BATAR, NAZLI; Sevincer, Güzin Mukaddes; Konuk, Numan
Objective: The aim of the present research is to investigate food addiction and its relationship with ADHD symptoms and impulsivity in a non-clinical sample. Method: Eight hundred and twenty-six (women: 532; men: 294) university students volunteered and took part in the study. Yale Food Addiction Scale (YFAS), Adult ADHD Self-Report Scale (ASRS-v1.1), Barratt Impulsiveness Scale-11 (BIS-11) scales were applied to the participants and their anthropometric measurements were taken. Analyses were conducted using SPSS version 22. Results: 109 subjects were classified as food addicts. The food addict group significantly had higher Body Mass Index (BMI) (p <0.001). The subscore of inattentiveness, subscore of hyperactive/impulsiveness and total ASRS scores were significantly higher in food addicted group (p <0.001). BMI was greater in the food addiction and ADHD comorbidity group compared to the food addiction only group (X2=24.86; p=0.003). The lineer regression analysis revealed that the increased hyperactivity- impulsiveness measured by ASRS (ß=0,027), motor impulsiveness measured by BIS-11 (ß=0.030) and BMI (ß=0.037) found to be correlated with higher YFAS scores (F=10.384; p=0.000) when age and sex factors are controlled.) YFAS scores were statistically higher in potential ADHD group. (According to the ASRS cut-off score ≥24). Conclusion: Evaluation of the presence of ADHD might be an important issue in determining treatment for obesity in individuals with food addiction. The clinicians must be aware of the pitfalls associated with the comorbidity and consider screening patients with food addiction for ADHD.
Open Access
Hedonik Açlık Durumunun Besinlere Karşı Duyulan İstek ve Beslenme Alışkanlıkları ile İlişkisi
(Düzce Üni̇versi̇tesi̇, 2024) İçöz, Rümeysa Özçalkap; SÖNMEZ, ALEYNA; Atar, Aslıhan; Batar, Nazlı; NAS, SEVİL
Amaç: Bu çalışmada, üniversite öğrencilerinin besin alımlarının hedonik açlıkla olan ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntemler: Kesitsel, tanımlayıcı tipte olan bu çalışma Şubat- Mayıs 2022 tarihleri arasında bir vakıf üniversitesinin sağlık bilimleri fakültesinde öğrenim gören gönüllü katılımcılar ile yürütülmüştür. Örneklem büyüklüğü G*Power 3.1.9.7 programı ile etki büyüklüğü 0,25 hata oranı 0,05 ve yüzde 95 güçle 197 kişi olarak belirlenmiştir. Çalışmanın örneklemini çalışmaya katılmayı kabul eden 199 öğrenci oluşturmuştur. Katılımcıların demografik bilgileri ve beslenme alışkanlıkları genel bilgi formu ile hedonik açlık durumu ise besin gücü ölçeği (BGÖ) ile çevrimiçi olarak sorgulanmıştır. Beslenme alışkanlıkları BGÖ puanı ile ilişkilendirilmiştir. Bulgular: Erkek cinsiyette kadın cinsiyetine göre BGÖ puanı daha yüksek bulunmuştur. (p<0,05). BKİ sınıflandırmasında da hafif şişman katılımcılarda BGÖ puanı daha yüksek bulunmuştur. (p<0,05). Yemek seçiminde bulunan katılımcıların BGÖ besine ulaşılabilirlik, besin mevcudiyeti, besin tadına bakılması düzeyleri yemek seçmeyenlere göre anlamlı derecede düşük bulunmuştur (p<0,05). Sonuç: Özellikle lezzetli besinlerin bulunduğu obezojenik ortamda hedonik açlığın obeziteye yol açacağını düşündürmektedir. Hedonik açlıkta cinsiyet farklılıkları ve BKİ ile BGÖ puanları arasında korelasyon gözlemlenmiştir. Ayrıca beslenme alışkanlıkları cinsiyet, BKİ ve hedonik açlığın ölçümünde kullanılan BGÖ puanları ile yakından ilişkili bulunmuştur. Bu alışkanlıkların saptanması obezite gibi beslenme alışkanlıkları ile ilişkili kronik hastalıkların önlenmesinde tedavi stratejisi olarak kullanılabilir.
Open Access
Malnutrition, Dysphagia, Frailty and Health Risk in Community Dwelling Older People Reply = Reply - Letter to the Editor
(Elsevier, 2022) BATAR, NAZLI; Demir, Halime Pulat; Bayram, Hatice Merve
Open Access
Sleeve Gastrektomi Operasyonu Geçirmiş Hastaların Yeme Tutum ve Davranışlarını ile Beden Kütle İndeksi Değişiminin Değerlendirilmesi
(Kafkas Üniversitesi Tıp Fakültesi, 2020) Yıldız, Şükran; Alphan, Emel; BATAR, NAZLI
Amaç: Bu araştırma Sleeve Gastrektomi operasyonundan sonra beden kütle indeksi (BKİ) değişimi, görülebilen ağırlık geri kazanımının yeme tutum ve davranışlarla olan ilişkisini değerlendirmek amacıyla yapılmıştır. Materyal ve Metot: Bu araştırma Haziran 2018 – Eylül 2018 tarihleri arasında Liv Hospital Ulus Hastanesi’nde Sleeve Gastrektomi operasyonu olmuş ve operasyon öncesinde yeme tutum ölçeği olan Yeme Tutum Testi 26 (EAT 26) ölçeğini doldurmuş randomize olarak seçilen 200 obez ve morbid obez olgu üzerinde retrospektif klinik çalışma olarak yürütülmüştür. Bulgular: Belirtilen tarihler arasında Sleeve Gastrektomi operasyonu olan 200 hastanın ameliyat sonrası 1., 2., 3., 4. yılındaki ağırlık kayıpları istatistiksel olarak anlamlı bulunmuştur (p<0,01). Hastaların yıllara göre Yeme Tutum Testi 26 (EAT 26) ölçek puanları arasında anlamlı farklılık saptanmıştır (p<0,01). Yeme Tutum Testi 26 (EAT 26) ölçek puanlarında ameliyat sonrası 3. yıl ve 4. yıllarda anlamlı fark saptanmazken (p>0,05); 1. yıl ve 2. yıllar arasında görülen azalma anlamlı bulunmuştur (p<0,05). Hastaların vücut ağırlık değişim yüzdeleri ile Yeme Tutum Testi 26 (EAT 26) ölçek puanları arasında anlamlı ilişki saptanmamıştır (p>0,05). Yıllara göre 1. yılında olan hastaların operasyon sonrası Yeme Tutum Testi 26 (EAT 26) puanları ile 1 yıllık BKİ değişim değerleri arasında pozitif yönde 0,287 (zayıf) düzeyde istatistiksel olarak anlamlı ilişki olduğu saptanmışken (r=0,287, p=0,043), diğer yıllar için anlamlı bir ilişki saptanamamıştır. Sonuç: Bariatrik cerrahi planlanan her hasta operasyon öncesi ve sonrası diyetisyen ve psikiyatristin de içinde bulunduğu multidispliner bir ekip tarafından değerlendirilmeli, bu yaklaşımın istenen yaşam tarzı ve beslenme alışkanlıklarının değişmesinde önemli olacağı düşünülmektedir.
Open Access
Yaşlılarda Kırılganlık Sendromu ve Omega-3 Çoklu Doymamış Yağ Asitleri
(Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi, 2020) BALTACI, PELİN CİN; Büyükuslu, Nihal
Kırılganlık sendromu, yaşlanan nüfusun en önemli sorunlarından biridir. İnflamatuar süreçlerin düzensizliği, oksidatif stres, mitokondriyal işlev bozukluğu ve hücresel yaşlanma dahil olmak üzere çeşitli patofizyolojik etkenler, sendromun patofizyolojisini oluşturur. Sosyodemografik özellikler, psikolojik durumlar, beslenme durumu, fiziksel aktivite eksikliği ve mevcut komorbiditeler kırılganlığı etkileyen faktörlerdir. Omega-3 çoklu doymamış yağ asidinin (ÇDYA) akut veya kronik hastalığı olan yaşlılarda anti-inflamatuar etkisi sayesinde yararlı etkilerinin olduğu bilinmektedir. Bu derlemenin amacı, diyet kaynaklı veya destek olarak verilen omega-3 ÇDYA'nın yaşlı bireylerde kas kütlesi ve kas gücü, inflamatuar biyobelirteçler ve fonksiyonel kapasitedeki rolüne ilişkin kanıtları incelemek ve değerlendirmektir. Yapılan araştırmalar, omega-3 ÇDYA'nın pre-kırılganlık dönemde olan yaşlı bireylerde sendromun seyrini iyileştirici etki gösterebileceğini desteklemektedir. Kırılganlık evresinde olan yaşlılarda diyet kaynaklı veya destek olarak verilen omega-3 ÇDYA'nın etkileri tartışmalıdır. Tüm araştırmalar, sarkopeni ve kırılganlık gelişimini önlemek için rutin olarak beslenme durumunun kontrol edilmesi ve gerekli diyet müdahalelerinin yapılmasının önemini vurgulamaktadır.

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