Beslenme ve Diyetetik Bölümü / Department of Nutrition and Dietetic

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    PublicationOpen 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.
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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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    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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    PublicationOpen 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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    Evaluation of Diet Quality and Associated Factors in Geriatric Outpatients: A Cross-Sectional Study
    (IOS Press, 2023) BALTACI, PELİN CİN; Tanrıöver, Özlem; Yavuzer, Hakan; Erdinçler, Deniz Suna; Eyüpoğlu, Ozan Emre
    BACKGROUND: In this study, our aim was to investigate the quality of dietary intake of elderly individuals and to identify the factors that may be associated with their diet quality. METHODS: This cross-sectional study was conducted with 198 elderly participants. Mini Nutritional Assessment (MNA) was used to evaluate nutritional status. The frequency of dietary intake was assessed using the Elderly Diet Index (EDI) score. RESULTS: The median age of study population was 76.0 years. The median EDI score was 27.0, moreover, only 27.3% of the study population had moderate or high diet quality. The results of the univariate analysis revealed that having an average or a poor appetite reduced the diet quality in the elderly which was statistically significantly (p = 0.010 and p = 0.019, respectively), and each point increase in the MNA score statistically significantly increased the chance of moderate/good diet quality by 1.16 times. CONCLUSIONS: The poor diet quality of the elderly was associated with their education, appetite, nutritional, and smoking status.
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    PublicationOpen 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.
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    Anxiolytic-Like Effects of Extremely Low Frequency Electric Field in Stressed Rats: Involvement of 5-HT2C Receptors
    (Taylor & Francis Ltd., 2022) Kantar, Deniz; Acun, Alev Duygu; AFŞAR, EBRU; Yargıçoğlu, Piraye
    Background Possible modulatory effects of noninvasive brain stimulation have gained interest recently. In our study, the effect of low frequency electric fields (LF-EF) on stress-induced electrophysiological, behavioral changes and the possible involvement of serotonergic 5-HT2C receptors were investigated. Materials and methods A total of eight groups including the control groups were formed by applying LF-EF with or without a 5-HT2C receptor agonist to naive or acute stress exposed rats to demonstrate the effects of LF-EF. LF-EF administration at 10 kV/m was started 30 min before acute stress application and lasted for 1 h in total. Anxiety levels and social interaction were evaluated using the elevated plus maze test and social interaction test, respectively. Auditory evoked potentials (AEP) were recorded by using ascending loudness paradigms. Loudness dependence AEP (LDAEP) was calculated by using amplitude values to analyze serotonergic transmission. Serotonin and glucocorticoid levels were measured in the frontal cortex and hippocampus. Results It was observed that the applied LF-EF reduced the anxiety behavior, and attenuated the LDAEP responses in stress and/or 5-HT2C receptor agonist applied groups. In parallel, an increase in serotonin levels and a decrease in glucocorticoid levels were observed. However, LF-EF exposure was ineffective in impaired social interaction. Conclusions Our findings show that 10 kV/m LF-EF administration may modulate the neural network and physiological responses associated with mild acute stress. 5-HT2C receptor dependent functions are thought to play a role in the anxiolytic effect of LF-EF.
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    PublicationOpen Access
    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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    Relationship Between Weight Loss and Dietary Inflammatory Index and Serum C-Reactive Protein Level Before and After Bariatric Surgery
    (Mary Ann Liebert, Inc., 2022) BATAR, NAZLI; ÖZTÜRK, ELİF SILA; Yıldız, Nida; SEVDİN, SEZEN
    Background: This study aims to evaluate the relationship between weight loss, dietary inflammatory index (DII), and serum C-reactive protein (CRP) levels in patients who underwent sleeve gastrectomy (SG).Materials and Methods: This research is a retrospective cross-sectional study. We enrolled patients who had obesity surgery in a private clinic in Istanbul, Turkey, between February 1, 2014, and February 1, 2018. Pre-operative (pre-op) and 12th, 18th, and 24th month post-operative (post-op) weight, nutritional consumption, and CRP levels of the participants were evaluated. The DII scores of the individuals were calculated from the obtained dietary data.Results: In this study, a total of 140 SG patients, 100 women and 40 men, were evaluated. It was found that there was a positive and significant correlation between the decreasing body mass index (BMI) value and CRP value of the individuals. It was concluded that for all measurements of BMI, excessive weight loss, DII, and CRP, at least one measurement significantly differentiated from the other measurements. Post-op 18th month DII was significantly higher than the post-op 24th month DII value.Conclusions: Long-term follow-up of patients by a multidisciplinary team in the pre-op and post-op periods is required to ensure success in bariatric surgery results. Dieticians play an important role in changing and sustaining eating habits.
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    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.
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    Lockdown Changed Us in Turkey Eating Behaviors, Depression Levels, and Body Weight Changes During Lockdown
    (Mattioli 1885, 2021) BİÇER, NİHAN ÇAKIR; Baş, Murat; Köse, Gizem; Duru, Pırıl Şenol; Baş, Dilşat; Karaca, Esen; Köseoğlu, Selen
    Nationwide lockdown is a proven strategy to decrease inter-human transmission of the COVID-19. Prolonged home stay may be associated with some potential side effects as weight gain, depression, physical inactivity, unbalanced diet, and behavioral addiction disorders. During March-May of the social lockdown, Turkish adults (n:2955) completed an online sociodemographic form, Beck Depression Inventory (BDI) and Three Factor Eating Questionnaire (TFEQ)-21. During lockdown, 51.1% of the participants gained weight and TFEQ-21, emotional and uncontrolled eating scores were increased (p<0.001). Analysis showed that incraese in body weight was significantly related to the TFEQ-21 score, depression level, having a disease, decreased exercise, increased alcohol consumption, dismissal from work and reduced smoking (p<0.001). There were significant changes in uncontrolled and emotional eating, and cognitive restriction during the lockdown period. Additionally, changes in eating habits and physical activity may influence weight gain.
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    Assessment of Nutritional Status, Body Composition and Blood Biochemical Parameters of Patients Following Sleeve Gastrectomy: 6 Months Follow Up
    (Elsevier, 2021) BATAR, NAZLI; Demir, Halime Pulat; Bayram, Hatice Merve
    Background and aims: Today, Sleeve gastrectomy (SG) has recently become the most common bariatric procedure among various bariatric surgical procedures due to its advantages. The aim of this study is to investigate nutritional status, body composition and biochemical parameters following SG. Methods: This was a prospective study, the subjects were patients who underwent SG at a special obesity clinic in Istanbul, Turkey, between 01.05.2017 and 01.11.2017. The mean body mass index (BMI) of the participants was 42.15 +/- 4.84 kg/m(2) for men and 41.44 +/- 4.34 kg/m(2) for women, preoperatively. Nutritional status, some anthropometric measurements and blood sampling were taken at each visit. Data were collected and analyzed for the present study at the following periods: pre-operation (pre-op), 1 month, 3 months and 6 months after surgery. Results: A total of 47 SG patients (20 men, 27 women) were evaluated. The mean BMI was 30.23 +/- 3.56 kg/m(2) for men and 30.35 +/- 4.36 kg/m(2) for women after 6 months and the amount of excess weight loss (EWL) increased in the 3 months (p <.001). Mean energy, fiber, vitamin A, vitamin C, vitamin B-1, niacin, vitamin B-12, folate, calcium, magnesium, iron, zinc, phosphorus and iodine were above the Dietary Reference Intake (DRI) recommendations. A significant association was found between protein intake and fat free mass loss in both genders after SG at 6 months (p <.05). Conclusion: Nutrition deficiencies are common for patients after SG. Therefore, it is important to routinely monitor these patients with a professional team. (C) 2021 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.
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    PublicationOpen Access
    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 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.
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    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.
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    PublicationOpen 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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    PublicationOpen 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.
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    PublicationOpen Access
    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.
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    Assessment of the Quality and Reliability of Information on Nutrition After Bariatric Surgery on YouTube
    (Springer, 2020) BATAR, NAZLI; Yıldız, Nida; Güçlü, Duygu; SEVDİN, SEZEN; KERMEN, SEDA
    Background YouTube (TM) is a platform that many people, including patients, use to access health information. Recent studies have revealed that videos on YouTube (TM) are misleading or that medical videos may not contain appropriate information. This study aimed to assess the quality and reliability of videos on nutrition after bariatric surgery. Materials and Methods The keywords "after bariatric surgery diet" and "weight loss surgery postop diet" were used, and the first 100 videos for each keyword on YouTube (TM) were analyzed by considering the source, duration, content, and the number of likes of the video. The popularity of the video was calculated using the video power index (VPI) and view rate. The educational quality of the videos was evaluated using the DISCERN score, the Journal of the American Medical Association (JAMA) score, the Global Quality Score (GQS), the usefulness score, and a novel postoperation nutrition score (PONS). Results One hundred fourteen patients were included in the study. The mean duration and number of views were 12.51 min and 87,558.46, respectively. The DISCERN score, JAMA score, GQS, and usefulness score of the physicians or dietician-based videos were significantly higher than those of the patient-based videos (p < 0.001). Positive correlations were found between the VPI and view ratio, as well as between the duration and number of likes. Additionally, the DISCERN score was significant correlated with the duration and number of likes. Significantly positive correlations were found between the usefulness score and duration, usefulness score and number of likes, and PONS and duration (p < 0.01). Conclusions Informational videos on nutrition after bariatric surgery on YouTube (TM) are of low quality. Although the videos uploaded by physicians and dieticians have higher quality, only a few are available. Additionally, patients prefer to watch low-quality videos.
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    Assessment of the Correlation Between Weight Status and the Frequency of Dietician Interviews in Sleeve Gastrectomy Patients
    (Springer, 2021) BATAR, NAZLI; SEVDİN, SEZEN; Güçlü, Duygu; KERMEN, SEDA
    Purpose The aim of this study was to evaluate the relationship between the weight status of sleeve gastrectomy patients during the first two postoperative years and the frequency of dietician interviews. Materials and Methods This was a retrospective cross-sectional study, and the subjects were patients who had surgery at a special obesity clinic, Bariatriklab, in Istanbul, Turkey, between February 01, 2014, and February 01, 2018.The mean age +/- standard deviation of the participants was 38.8 +/- 11.9 years. The mean body mass index (BMI) +/- standard deviation was 44.2 +/- 6.1 kg/m(2)preoperatively. The preoperative (pre-op) and 12-, 18-, and 24-month postoperative (post-op) weights and the frequency of interviews with dieticians for 2 years after the operation were collected, and statistical analysis was performed using SPSS ver. 23.0. Results A total of 247 laparoscopic sleeve gastrectomy (LSG) patients, 161 women (65.2%) and 86 men (34.8%), were evaluated in this study. As the frequency of dietician interviews increased in the first year, the amount of excess weight loss (EWL) increased in the second year (p < 0.01). In addition, as the frequency of dietician interviews increased in the second year, the amount of EWL in the second year decreased (p < 0.01). The frequency of dietician counseling among participants who did not experience weight loss between 12 and 24 months was significantly higher than that among those who experienced weight loss (p < 0.05). Conclusion It should not be forgotten that bariatric surgery requires teamwork, and patients should be cared for with an interdisciplinary approach. Dieticians play an important role in changing nutritional habits and making them sustainable.