Person: BATAR, NAZLI
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Dr. Öğr. Üyesi
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BATAR
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NAZLI
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Publication Effect of nutrient intake on some biochemical parameters in the first six months after sleeve gastrectomy(2019) Alphan, M.E.; BATAR, NAZLIAim: The aim of this study is to determine the possible nutrient and protein deficiency in the first six months after sleeve gastrectomy and to determine its effect on some biochemical parameters. Material and Methods: This study is an intervention study including 102 patients (75 female and 27 male) aged between 18-65 years, who had undergone sleeve gastrectomy operation at the General Surgery Clinic of Şişli Florence Nightingale Hospital between 13.07.2017 and 06.01.2018 and been followed up by a dietician for at least six months postoperatively. Anthropometric measurements, three-day food intake, and biochemical parameters were followed pre-operatively and during the first six months. Results: There was a 27.4% decrease in body weight of the patients in first six months after surgery. Both decrease in body weight, and decrease in body fat ratio and body mass index were found statistically significant (p<0.001). A statistically significant difference was found between preoperative and postoperative 6th month biochemical parameters; serum HbA1c, insulin, uric acid, total protein, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglyceride, iron, iron binding capacity, ferritin, zinc, vitamin D, calcium, parathormone, folate and vitamin B12 levels of the patients (p<0.001). The difference between 6th month serum total protein levels of patients using and not using whey protein powder in the first month after sleeve gastrectomy was found statistically significant (p=0.002). Conclusion: It should be kept in mind that regulating patients’ lifestyle with post-operative multidisciplinary team and regular follow-up, and supporting with active life are necessary for obesity treatment to be sustainable.Publication 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, SeçilThis 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.Publication 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, SEDAPurpose 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.Publication 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, SEZENObjective: 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.Publication 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 MerveBackground 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.Publication Effect of Pilates Exercises on the Body Composition of Fasting Females(Bezmialem Vakif University, 2022) BATAR, NAZLI; Ersin, Aybüke; Güçlü, Duygu; SEVDİN, SEZEN; KERMEN, SEDAObjective: 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.Publication Effect of Pilates on Body Composition and Some Biochemical Parameters of Women with Type 2 Diabetes on a Low-Carbohydrate or High-Complex-Carbohydrate Diabetic Diet(Zamensalamati Publishing Company, 2020) BATAR, NAZLI; Ersin, Aybüke; San, Sevil; Erdem, Mustafa Genco; Demir, Halime Pulat; Güçlü, Duygu; SEVDİN, SEZEN; KERMEN, SEDABackground: The prevalence of type 2 diabetes mellitus (T2DM) has increased dramatically in the past 30 years. The World Health Organization has prepared an action plan to stop the increase in diabetes and obesity by 2025. Objectives: This study was conducted to assess the effect of pilates on body composition and some biochemical parameters in women with T2DM on a high-complex-carbohydrate diabetic diet or a low-carbohydrate/high-monounsaturated fatty acids (MUFA) diet. Methods: This experimental study was conducted on 120 woman patients with T2DM, referring to the Fatih Medical Park Hospital's Internal Medicine Department, Istanbul, Turkey, between December 2018 and June 2019. Participants were divided into 4 groups and were followed up for 12 weeks. The mean participants' age was 41.67 +/- 3.83 years. The first group received a low-carbohydrate and high MUFA (LC, MUFA) diet, the second group received a low-carbohydrate and a high-MUFA diet and did pilates (LC, MUFA + PL), the third group received a higher complex carbohydrate (HCC) diet, and the fourth group took the HCC diet and did pilates (HCC + PL). Results: According to the applied intervention method, there were significant differences between the preliminary and final measurements of bodymass index, body fat percentage, muscle mass, and fasting blood glucose, insulin, HbA1c, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), and triglyceride (TG) values (P < 0.05). In this study, only an increase in body muscle composition of the women in the LC, MUFA + PL group was found significant (P < 0.05). The highest decrease in body fat ratio was determined again in the LC, MUFA + PL group (P < 0.05). HDLlevels of the women who did pilates increased significantly than other groups (P < 0.05). Conclusions: In the treatment of diabetes, the patient should be evaluated with a multidisciplinary team. Diet and exercise are important non-pharmacological interventions in the treatment of diabetes.Publication Protein: Whey Protein(2019-10) BATAR, NAZLIPostoperatif dönemde hastalar protein eksikliği ve yağsız vücut kütlesi kaybı riski ile karşı karşıyadır. Bariatrik cerrahiyi daha güvenli bir prosedür haline getirmek için, beslenme yetersizliği riskinin azaltılması gerekmektedir. Erken dönem protein desteğinin bariatrik cerrahi hasta grubunda postoperatif dönemde vücut kompozisyonunu olumlu yönde etkilediği, böbrek fonksiyonlarını olumsuz yönde etkilemediğini belirten çalışmalar mevcuttur. Ameliyat sonrası ilk aylarda hedeflenen protein miktarına gastik hacim nedeniyle ulaşılamadığı, hedeflenen proteinin ancak 2/3’ünü tolere edebildiği göz önüne alınarak 15-35 gr protein/gün desteğinin gerekli olduğunu vurgulanmaktadır. Amerikan Metabolik ve Bariatrik Cerrahi Derneği (ASMBS) rehberinde, ameliyat sonrasında önerilen protein miktarı günlük en az 60 g ile 1,5 g/kg ideal vücut ağırlığı olacak şekilde hesaplanmalı, kişinin günlük besin tüketimi ve aktivite düzeyine göz önünde bulundurularak beslenme programına dahil edilmelidir. En fazla protein miktarı 2.1 g/kg ideal vücut ağırlığı olmalıdır. Tercih edilen protein desteği 14-25g protein içermeli, enerjisi 150-250 kkal yi aşmamak, 5 gramdan az şeker, 5 gramdan az yağ, mümkün oldukça az katkı maddesi içermelidir. Protein kaynağı olarak whey, soya ve yumurta proteini tercih edilmiş olmalıdır.Publication Diyet Öz Yeterlilik Ölçeği Türkçe Uyarlamasının Geçerlilik ve Güvenilirlik Çalışması(Eskişehir Osmangazi Üniversitesi Rektörlüğü, 2023) Hamurcu, Pınar; Şahin, İrem Nur; BATAR, NAZLI; Çelik, AbdullahBu 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.Publication Kalsiyum Mineralinin Obezite Üzerine Etkisi(2019-10) BATAR, NAZLI; 256218Amaç: Bu çalışma, yarım yağlı ve tam yağlı süt ürünleri ile zenginleştirilmiş zayıflama diyetlerinin, obez bireylerde ağırlık kaybı, bel-kalça çevresi, vücut yağı oranı ve yağsız vücut kitlesindeki değişiklikleri saptamak amacıyla yapılmıştır. M etod: Bu araştırma Bezmialem Vakıf Üniversitesi Tıp Fakültesi Hastanesi Beslenme ve Diyet Polikliniğine zayıflama amacıyla başvuran 45 kadın üzerinde yürütülmüştür. Çalışmaya herhangi bir sağlık problemi olmayan ve beden kütle indeksi (BKÎ) >25 kg/m2 olan kişiler dahil edilmiştir. Gebe, emzikli bayanlar, Tip 1 veya tip 2 DM tanısını almış olanlar, zayıflamaya yönelik ilaç kullananlar, endokrin, hepatik, renal bir hastalığı olanlar çalışma grubuna alınmamıştır. Bu araştırmada, kadınlar 15’erli üç gruba ayrılmış ve üç ayrı diyet uygulamışlardır, l.grup: 1600 kkal 500 mg kalsiyum minerali içeren zayıflama diyeti (%55 karbonhidrat, %15 protein, %30 yağ ), 2.grup: 1600 kkal 1000 mg kalsiyumlu (%52 karbonhidrat, %19 protein, %29 yağ) yarım yağlı süt ürünleri içeren zayıflama diyeti 3.grup: 1600 kkal 1000 mg kalsiyumlu (%46 karbonhidrat %17 protein, %37 yağ) tam yağlı süt ürünleri içeren zayıflama diyeti uygulanmıştır. Çalışmaya katılan kişilerin genel özelliklerini, beslenme alışkanlıklarını, aktivite durumlarını belirlemek amacıyla oluşturulan anket formu diyetisyen eşliğinde doldurulmuştur. Kişilerin günlük kalsiyum tüketimi, 3 günlük besin tüketim kaydı ( 2 hafta içi, 1 hafta sonu) alınarak belirlenmiştir. Bulgurlar: Kalsiyum ile zenginleştirilmiş zayıflama diyetleri uygulayanların BKÎ, bel-kalça çevrelerindeki azalmada istatistiksel olarak anlamlılık elde edilmiştir. Tam yağlı süt ürünleri ile kalsiyumdan zenginleştirilmiş zayıflama diyeti uygulayanlarda (3.grup) yağsız vücut kütlesindeki artış ve vücut yağı yüzdesindeki düşüş istatistiksel olarak anlamlı bulunmuştur. Sonuç: Zayıflama diyetlerinin kalsiyum ile zenginleştirilmesinin ağırlık kontrolüne yardımcı olabileceği düşünülerek böyle bir çalışma planlanmış ve çalışma sonucunda tam yağlı süt ürünlerinin ağırlık kontrolünde daha etkin olduğu sonucuna varılmıştır. Bu durum da Whey proteini ile ACE’nin baskılanması sonucu antiobezite etkisini ile açıklanabilir.