Browsing by Author "Bayram, Sinem"

Now showing 1 - 11 of 11

Adölesanların dikkat, iştah ve beslenme durumlarının incelenmesi
(Başkent Üniverstiesi Sağlık Bilimleri Enstitüsü, 2020) Çelen, Fatma Nur; Bayram, Sinem
Fizyolojik ve psikolojik geçiş sürecinde olan adölesanlar, duygusal yeme bozuklukları açısından risk altındadır. Akademik başarı ve sosyal hayatı etkileyen dikkat dağınıklığı ve dürtüsel eğilimler bireylerin yeme davranışını da etkileyebilmektedir. Bu çalışma, erken adölesan dönemdeki bireylerin dikkat düzeylerini, hangi duygu durumlarında yeme eğilimi gösterdiğini, beslenme alışkanlıklarını ve bunlar arasındaki ilişkiyi incelemek amacıyla planlanmıştır. Çalışma, Şubat 2020 tarihinde Süleymaniye Eğitim Kurumları Bağlıca Ortaokulunda öğrenim gören 69 (%48.6) kız, 73 (%51.6) erkek olmak üzere toplam 142 ortaokul öğrencisi ile yürütülmüştür. Adölesanların kişisel özellikleri ve beslenme alışkanlıklarını belirlemek için 38 soruluk bir anket ve 24 saatlik hatırlatma, dikkat düzeylerini belirlemek için D2 Dikkat Testi, iştah düzeylerini belirlemek için Duygusal İştah Anketi (DİA) kullanılmıştır. Bireylerin %38.7’si fazla kilolu ve %23.2’si obezdir. Duygusal İştah Anketi olumlu toplam puan ortalaması kız öğrencilerde 43.5±13.4, erkek öğrencilerde 43.3±16.9 iken olumsuz toplam puan ortalaması kız öğrencilerde 44.2±18.5, erkek öğrencilerde 42.6±18.3 olarak bulunmuştur (p>0.05). Yaşa göre Beden Kütle İndeksi (BKİ) persentil değerleri ile olumlu toplam puan arasında negatif yönlü önemli korelasyon bulunmuştur (r= -0.193 p=0.021). D2 Dikkat testi sonuçlarına göre TN (toplam işaretleme) ve CP (doğru sayısı) puan ortalaması erkek öğrencilerde önemli olarak daha yüksek bulunmakla beraber bu puanlar ile yaş arasında pozitif, yaşa göre BKİ z skor değerleri ile negatif yönlü önemli ilişkiler bulunmuştur. Diyetle glikoz alımı ile TN (toplam işaretleme) puanı arasında negatif yönlü önemli ilişki bulunmuştur. Diyetle çinko alımı ile TN (toplam işaretleme) ve CP (doğru sayısı) puanı arasında pozitif yönlü önemli ilişki bulunmuştur. Bu çalışmanın sonucuna göre ortaokul öğrencilerinde artmış obezite sıklığı ve buna paralel olarak bilişsel fonksiyonlarda bozulma gözlemlenmiştir. Gelecek nesiller için kritik bir süreç olan adölesan dönemde bireylerin beslenme düzenindeki hataları saptayarak düzeltmek önemlidir. Adolescents in the physiological and psychological transition are at risk for emotional eating disorders. Distraction and impulsive tendencies that affect academic success and social life can also affect the eating behavior of individuals. The aim of this study was to examine adolescent’s attention levels, in which mood they tend to eat, eating habits and the relationship among them. This study was conducted at February 2020 on 142 students in total, 69 (48.6%) of them girls and 73 (51.6%) of them boys who are studying at Süleymaniye Educational Institutions Middle School. Data was collected by a questionnaire with 38 questions and a 24-h dietary recall to determine the personal characteristics and the eating habits of adolescents; the D2 Attention Test is used to determine attention levels and the Emotional Appetite Questionnaire is used to identify appetite. 38.7% of the participants in the study have overweight and 23.2% of them have obesity. The mean of the positive total scores on the Emotional Appetite Questionnaire was founded 43.5 ± 13.4 in female students and 43.3 ± 16.9 in male students whereas the mean of the negative total scores was 44.2 ± 18.5 in female students and 42.6 ± 18.3 in male students (p> 0.05). A statistically significant and negative correlation was found between the BMI for age percentile and the positive total scores. According to the D2 Attention test results, mean TN (total number) and CP (concentration) scores were significantly higher in male students than in females whereas there was a positive correlation with age and a negative correlation with Body Mass Index (BMI) for age for the same scores. A significant and negative correlation was found between glucose intake and the TN (total number) scores. There was a positive correlation between zinc intake and both TN (total number) and CP (concentration) scores (p <0.05). According to the results of this study, an increased risk of obesity and a parallel impairment in cognitive functions were founded in secondary school students. For this reason, it is important to detect and improve dietary habits of adolescence, which is a critical process for future generations.
Effect of adherence to carbohydrate counting on metabolic control in children and adolescents with type 1 diabetes mellitus
(2020) Bayram, Sinem; Kiziltan, Gul; Akin, Onur; 0000-0003-1569-7747; 32871653
Purpose: Carbohydrate counting provides better glycemic control and flexibility than other food planning methods. Consistent adherence to such a complex method is difficult, especially for youth. However, studies that determine adherence to this method and whether it alters metabolic control are limited. The aim of the current study was to determine adherence to this method and investigate its effect on metabolic control, anthropometric measurements, insulin dose, and energy intake. Methods: In this prospective cross-sectional study, 53 children and adolescents with type 1 diabetes mellitus aged 2 to18 years and receiving intensive insulin therapy were trained and followed for 6 months. Demographics, anthropometrics, insulin requirements, hemoglobin A1c (HbA1c), fasting lipids, and food records at baseline and study conclusion were evaluated. At the end of the study patients were divided into adherer and nonadherer groups according to carbohydrate estimate deviations from standardized daily sample menus and calculations for accurate insulin doses. More than 10-g variation in daily consumed carbohydrate amount or failure to decide bolus insulin dose was defined as a nonadherer. Results: The mean HbA1c, low-density lipoprotein cholesterol, and body mass index standard deviation score changed after the carbohydrate counting training while the mean HbA1c between groups was significant (P<0.05). Total daily insulin doses increased, and the mean high-density lipoprotein cholesterol levels decreased in both groups. There were significant correlations between HbA1c and carbohydrate deviation scores as well as HbA1c and caregiver's education level. Conclusion: Since adherence to carbohydrate counting may affect metabolic control, health professionals should evaluate and monitor carbohydrate counting skills of caregivers and patients in order to improve efficiency.
Effects of reproductive and sociodemographic factors on obesity in Turkish women: a pilot study
(2019) Bayram, Sinem; Koseler, Esra; Kiziltan, Gul; Ok, Mebtap Akcil; Yesil, Esen; Kose, Beril; Ozdemir, Merve; Muftuoglu, Selen; Saka, Mendane; Aksoydan, Emine; Tayfur, Muhittin; Turker, Perim Fatma; Ercan, Aydan; 0000-0003-1569-7747; 0000-0002-4254-3711; AAF-4491-2021; AAG-6763-2020
Background and aim: Obesity has become a global epidemic. The current research aimed to determine sociodemographic and reproductive predictors of obesity among Turkish women. Materials and methods: Eligible subjects (n:833) were 40-64 years-old women living in Turkey. A questionnaire consisted of questions about sociodemographic and reproductive factors and the International Physical Activity Questionnaire were applied to participants by face to face interviews. Multivariate logistic regression examined the risk of being obese with a range of sociodemographic and reproductive factors. All analyses were performed with SPSS software (version 17.0; SPSS, Chicago, Ill., USA). Results: The mean BMI of women aged 51-64 years was 30.59 +/- 6.35 kg/m(2). After adjustments for all other variables, increased obesity risk remained significant in women who had two children, housewifes, minimum active ones, ex smokers and had less than high school education. For multiple regression analysis sociodemographic factors from the bivariate analyses were entered, controlling for menarch age, menopausal age, hormone RT, parity, number of stillbirth, abortion. There was significant association between family income, occupation, education and BMI. Conclusion. In summary these findings showed comparable patterns of association of sociodemographic and reproductive factors with obesity in Turkey. Specific healthy lifestyle counseling is important for decreasing obesity in childbearing age women.
Evaluation of the Knowledge Level, Practice and Attitudes of the Caregivers on Ketogenic Diet Management
(2022) Bayram, Sinem; Caliskan, Hilal
Objective: Patients with intractable childhood epilepsy may benefit from ketogenic diet treatment. Management of ketogenic diet depends on the knowledge level and practice and attitudes of their caregivers. Although advances have been made on early diagnosis and treatment options, there is still a lack of knowledge in children with epilepsy and their caregivers. Methods: In the study, 40 voluntary individuals caring for a child with intractable childhood epilepsy who is under a ketogenic diet were included. The visual analog scale was used to determine adherence to the ketogenic diet for both caregivers and children. Dietary adherence of young children (<10 years) was assessed by the caregiver. Ketogenic diet knowledge of caregivers was determined to form with 40 questions (free/prohibited foods, meal contents, any form of carbohydrate sources, label reading, side effect awareness, and management practices). Results: Availability of ketogenic products, feeling of hunger, frequent glucose, and ketone measurement were determined to be the most difficulties in adherence to the ketogenic diet. According to the visual analog scale results, the mean knowledge level of the caregivers was 3.55 +/- 3.67, ketogenic diet adherence was 7.52 +/- 2.40 for the caregivers, and 8.42 +/- 1.62 for the patients. 25% of the caregivers have high, 65% of them have low knowledge. The number of antiepileptic drugs used decreased. The number of seizures per week was 32.65 +/- 21.15 before the ketogenic diet, it decreased to 21.54 +/- 15.69. Conclusions: The effectiveness of the ketogenic diet was better in medium and high knowledge levels. As the competence increases, ketogenic diet management will be easier. Therefore, it would be beneficial to visit a dietitian during clinic visits and to seek answers to food-related problems.
Gestasyonel diyabetli kadınların beslenme durumlarının yeme farkındalığının ve kan glukoz profillerinin incelenmesi
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2021) Özbay, Hatice Nur; Bayram, Sinem
Bu çalışma gebelerin beslenme alışkanlıkları, yeme farkındalığı puanları, beslenme durumunu değerlendirmek ve gestasyonel diyabet arasındaki ilişkiyi tespit etme amacıyla yürütülmüştür. Çalışma, Şubat 2020-Mayıs 2020 tarihleri arasında İzmir Katip Çelebi Eğitim ve Araştırma Hastanesi Kadın Doğum Polikliniğine başvuran, çalışmaya katılmayı gönüllü olarak kabul eden 19-45 yaş arasında, gebeliğin 24-28. haftalarda OGTT yaptıran 21 GDM ve 47 sağlıklı gebeyle yürütülmüştür. Gebelerin demografik özelliklerinin, antrometrik ölçümlerinin, gebelik bilgileri ve Yeme farkındalığı ölçeğinin (YFÖ) olduğu anket formu doldurulmuştur, beslenme durumlarını öğrenebilmek için besin tüketim kaydı alınmıştır ve sağlıklı yeme indeksine (SYİ-2015) göre değerlendirilmiştir. Gebelerin gebelik öncesi BKİ ortalamaları 27.42±5.44 kg/m2 bulunmuştur. Gebelerin gebelik öncesi BKİ’ye göre gebelikte ağırlık kazanımının ortalama %20.6’sının az, % 25’inin normal ve %54.4’ünün fazla bulunmuştur. GDM’li gebeler ile sağlıklı gebelerin bebek doğum ağırlığı ortalamaları arasındaki fark istatistiksel olarak anlamlı bulunmuştur (p<0.05). GDM grubunun günlük diyetle alınan enerji ortalaması 2138.1±266.5 kkal olarak saptanmıştır. Kontrol grubunun günlük diyetle enerji alım ortalaması 1462.8±281.8 kkal olarak belirlenmiştir. GDM tanısı olan ve olmayan gruplar arasında enerji ve makro besin öğesi alım ortalamaları açısından istatistiksel olarak anlamlı fark bulunmuştur (p<0.05). GDM grubunun %52.4’ünün diyet kalitesi “kötü” %47.6’sının “geliştirilmesi gereken” olduğu bulunurken; kontrol grubunun %21.3’ünün diyet kalitesi “kötü” %74.5’inin “geliştirilmesi gereken” %4.3’ünün “iyi” olduğu bulunmuştur. İki grup arasında istatistiksel olarak önemli bir fark saptanmamıştır (p>0.05). GDM grubunun yeme farkındalığı puan ortalaması 2.85±0.34 bulunurken; kontrol grubunda 3.13±0.44 (2.20-4.36) olarak bulunmuştur. Gruplar arasındaki yeme farkındalığı puan ortalaması arasında istatistiksel olarak önemli bir fark saptanmıştır (p<0.05). GDM’li gebelerde YFÖ ve SYİ arasında orta dereceli pozitif yönlü ilişki ve istatistiksel bir önemlilik saptanmıştır (r:0.61, p<0.05). GDM’li gebelerde YFÖ’ye göre; enerji tüketimi, BKİ, yaş arasında zayıf veya çok zayıf dereceli ilişki ve istatistiksel bir önemlilik saptanmazken (p>0.05), kontrol grubunda ise enerji tüketimi, BKİ ve yaş arasında zayıf dereceli ilişki ve istatistiksel bir önemlilik saptanmıştır (p<0.05). Gebelikte yeterli ve dengeli beslenme programları oluşturularak GDM riskinin azaltabileceği tahmin edilmektedir. Sağlıklı nesiller için en önemli unsur olan gebelerin beslenmesinde yeme farkındalığının önemli bir unsur olabileceği ve bu konuda daha fazla çalışmaya gereksinim olduğu düşünülmektedir. The study aimed to detect the relationship between gestational diabetes and nutritional habits of pregnant by evaluating pregnant women's score of eating mindfulness and nutritional conditions. The study was conducted with 21 GDM pregnant and 47 healthy ones between February 2020 and May 2020 in University of Katip Celebi, Research Hospital, in pregnants aged between 19 and 45, admitted to the obstetric outpatient clinic and accepted to be included in the study voluntarily, who make performed OGTT in the weeks 24th to 28th. We filled out questionnaire forms containing general information, anthropometric measurements, and a scale of eating awareness. A registry of food consumption was taken to learn their eating conditions and evaluated according to the healthy eating index (HEI). Mean BMI of pregnant women before pregnancy was found to be 27.42 ± 5.44 kg/m2. Means of weight gaining of healthy and pregnant with GDM were lessin 20.6 %, normal in 25 %, and excessive in 54.4 %. The difference between the mean birth weight of pregnant women with GDM and healthy pregnant women was statistically significant (p<0.05). While the diet quality of 52.4% of the GDM group was found to be "poor", 47.6% "needed improvement"; The diet quality of 21.3% of the control group was found to be "poor", 74.5% "to be improved" and 4.3% "good". There was no statistically significant difference between the two groups (p>0.05). Means of eating mindfulness score were 2.85+0.34 and 3.13+0.44 in the group of GDM and controls, respectively (p<0.05). A statistically significant difference was found between the eating awareness mean scores between the groups (p<0.05). A moderate positive correlation and a statistical significance were found between MEQ and HEI in pregnant women with GDM (r:0.61, p<0.05).While a weak or very weak correlation was found between MEQ and energy intake, BMI, and age with no statistical difference (p<0.05), there was also a weak correlation between MEQ and energy intake, BMI, and age but the statistically significant difference (p<0.05) in controls. It is estimated that GDM risk can be reduced by creating adequate and balanced nutrition programs during pregnancy. It is considered that eating awerenes, which is the most important element for healthy people, can be an important subject on nutrition of pregnants, and more studies are needed on the more studies eating awareness of pregnant women.
Menopoz döneminde antidepresan kullanan kadınların beslenme alışkanlıkları, uyku durumları ve magnezyum alımlarının değerlendirilmesi
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2021) Kabadayı, Cansu; Bayram, Sinem
Depresyon, tüm dünyada prevelansı hızla artan mental bir sağlık sorunudur ve kadınlarda daha yaygındır. Menopoz döneminde de depresyon yaygın görülmektedir. Bu çalışma, Şubat 2020-Ekim 2020 tarihleri arasında Ankara’da özel bir beslenme ve danışmanlık merkezine gelen, menopoza girmiş (menstruasyonun kalıcı olarak kesilmesiyle en az 12 aydır adet görmemiş) ve antidepresan kullanmakta olan 48 gönüllü kadın birey ile yürütülmüştür. Bireylerin kişisel özellikleri, beslenme alışkanlıkları, uyku durumları ve depresyon durumları anket formu ile yüz yüze görüşme yöntemi kullanılarak belirlenmiştir. Günlük enerji ve besin ögeleri alımını belirlemek için geriye dönük hatırlatma yöntemiyle 3 günlük besin tüketim kaydı alınmış ve fiziksel aktivite durumları saptanmıştır. Bireylerin antropometrik ölçümleri alınmış ve vücut kompozisyonları biyoelektrik impedans analizi cihazı ile değerlendirilmiştir. Bireylere Pittsburgh Uyku Kalitesi Ölçeği (PUKİ) ve Depresyon Anksiyete Stres Ölçeği (DASÖ) uygulanmıştır. Menopoza girmiş bireylerin yaş ortalaması 57.1±8.67 yıl olup, düzenli adet görmeme süresi ortalama 9.1±8.25 yıldır. Bireylerin bel çevresi ortalaması 89.1±13.38 cm, bel/kalça oranı 0.86±0.04 ve vücut yağ oranı %35.21±4.83 olarak belirlenmiştir. Bireylerin çoğunluğu (%85.4) seçici serotonin gerialım inhibitörü (SSRI) türü antidepresan kullanmaktadır. Bireylerin diyetle günlük enerji (1238.5±371.94 kkal) ve karbonhidrat (114.6±54.43 g) alımları Türkiye Beslenme Rehberi (TÜBER) 2015 önerilerinin altında, diyetle protein alımları önerilen düzeyde ve yağ alımları ise önerilerin üzerindedir. Posa gereksinmesini yeterli düzeyde karşılamayan bireylerin, yeterli düzeyde karşılayanlara göre depresyon puanının daha yüksek olduğu belirlenmiştir (p>0.05). Tüm bireylerin diyetle magnezyum alımı (225.0±67.61 mg) önerilerin altındadır. Bireylerin %52.1’i kötü uyku kalitesine ve %47.9’u iyi uyku kalitesine sahiptir. Kötü uyku kalitesine sahip bireylerin, iyi uyku kalitesine sahip olanlara göre diyetle magnezyum alımı daha düşüktür (p>0.05). Uyku kalitesinin artmasıyla, depresyon puanının düştüğü belirlenmiştir (p>0.05). Aynı zamanda magnezyumun yeterli düzeyde karşılanmasıyla depresyon puanının azaldığı saptanmıştır (p>0.05). Sonuç olarak, menopoza girmiş kadınların beslenme alışkanlıkları, magnezyum alımları, uyku kalitesi ve depresyon durumları birbiriyle ilişkilidir; menopozal semptomlarla birlikte kadın sağlığını etkilemektedir. Depression is a mental health problem that is rapidly increasing in prevalence worldwide and is more common in women. Depression is also common during menopause. This study was carried out with 48 volunteer female individuals between February-October 2020 who came to a private nutrition and counseling center in Ankara, entered menopause (had not had menstruation for at least 12 months after the permanent cessation of menstruation) and were using antidepressants. Individuals' personal characteristics, eating habits, sleep conditions and depression status were determined using a questionnaire form using face-to-face interview method. In order to determine the daily energy and nutrient intake, 3-day food consumption records were taken with a retrospective reminder method and their physical activity status was determined. Anthropometric measurements of the individuals were taken and their body composition was evaluated with the bioelectrical impedance analysis device. Pittsburgh Sleep Quality Scale (PSQI) and Depression Anxiety Stress Scale (DASS) were applied to the individuals. The average age of individuals who have entered menopause is 57.1 ± 8.67 years, and the average period of not having regular menstruation is 9.1 ± 8.25 years. The waist circumference of the individuals was determined as 89.1 ± 13.38 cm, waist / hip ratio was 0.86 ± 0.04 and body fat ratio was 35.21 ± 4.83%. The majority of individuals (85.4%) use selective serotonin reuptake inhibitor (SSRI) type antidepressants. Dietary energy (1238.5±371.94 kcal) and carbohydrate (114.6±54.43 g) intakes of women are below the recommendations of Turkey Nutrition Guide 2015, while the dietary protein intake of women is normal for recommendations and the dietary fat intake of women is above the recommendations. It was determined that individuals who did not take their fiber need at a sufficient level had higher depression scores compared to those who took them adequately (p> 0.05). Magnesium intake for all individuals is below recommendations. 52.1% of the individuals have poor sleep quality and 47.9% have good sleep quality. Individuals with poor sleep quality had lower magnesium intake than those with good sleep quality (p> 0.05). It was determined that with increasing sleep quality, depression score decreased (p> 0.05). At the same time, it was found that the depression score decreased with sufficient magnesium (p> 0.05). In conclusion, dietary habits, magnesium intake, sleep quality and depression of menopausal women are interrelated; It affects women's health along with menopausal symptoms.
The Relation Between Meal Frequency and Obesity in Adults
(2018) Muftuoglu, Selen; Ozdemir, Merve; Saka, Mendane; Ok, Mehtap Akcil; Koseler, Esra; Bayram, Sinem; Yesil, Esen; Kose, Beril; Turker, Perim; Ercan, Aydan; Aksoydan, Emine; Tayfur, Muhittin; Kiziltan, Gul; 0000-0003-1569-7747; AAF-4491-2021; AAX-4714-2021; AAG-6763-2020; AAZ-8170-2020
Objective: To determine the relation between meal frequency and obesity in adults. Methods: A cross-sectional study was done among 1829 volunteer (520 men, 1309 women) selected through a multi-stage stratified random sampling method during 2015/2016. A standardized, confidential data collection sheet was used. It included socio-demographic factors, dietary behaviors, anthropometric measurements and energy-macro and micronutrient intakes. Results: The median meal frequency of women and men were 4 and 3, respectively. Approximately 57% of men and 61% of women have skipped meals and 76.8% of them were skipped their lunch. In addition, the individuals whose BMI were under and over 25 kg/m(2) (72.4%, 78.3%, respectively) often skipped lunch. The meal frequency positively correlated with waist to hip ratio in women (p<0.05). Additionally, there were positively significant correlations between meal frequency and saturated fatty acids, fiber, vitamin A, vitamin C, calcium and iron intake (p<0.05). Conclusion: This study indicated that increased meal frequency may have a beneficial effect on micronutrients intakes and some anthropometric measurements among adults.
The Relationship Between Body Image and Anthropometric Measurements Among Adolescent Girls During Menstrual and Non-menstrualtime Periods: A Cross-Sectional Study
(2022) Turker, Perim Fatma; Caliskan, Hilal; Bayram, Sinem
Introduction: In recent studies, it has been suggested that anxiety about body image increases during menstruation in adolescents and may affect nutritional status. This study aimed to evaluate the relationship between adolescents' body images, body perceptions and anthropometric measurements during menstrual and non-menstrual time periods.Methods: This cross-sectional study was carried out in a private high school between September November 2021. Participants were adolescent girls aged 14-18. The questionnaire included information about menstruation, anthropometric measurements, and the Body Cathexis Scale (BCS) and Stunkard Figure Rating Scale.Results: The mean age (total=291) was 15.9(1.13) years, body mass index (BMI) was 21.13(3.33) kg/m2, waist circumference was 70.48(8.87) cm and the BCS was 97.39(24.59). The majority of students have normal BMI. However, according to waist circumference 28.5% of the them were obese (>= 90th percentile). Difference between actual BMIs and body image in the menstrual period was significant (p<0.001), the agreement with each other was slight (K=0.172). There was a significant difference (p<0.001) between actual BMIs and body image in the non-menstrual period and the agreement with each other was moderate (K=0.474). During non-menstrual periods, 79.7% of students with normal BMI perceived their body images as normal, and 70.5% of overweight students perceived as overweight.Conclusions: Since the menstruation is a period in which body image is perceived differently than it is, special consideration of adolescent girls in terms for eating disorders should be encouraged.
The relationship between quality of life and anthropometric measurements in premenopausal and postmenopausal among turkish women
(2019) Kose, Beril; Yesil, Esen; Turker, Perim Fatma; Ok, Mehtap Akcil; Bayram, Sinem; Beyaz, Esra Koseler; Ozdemir, Merve; Muftuoglu, Selen; Tayfur, Muhittin; Aksoydan, Emine; Ercan, Aydan; Saka, Mendane; Kiziltan, Gul; 0000-0003-1569-7747; AAG-6763-2020
The aim of this work was to investigate whether there is a relationship between anthropometric measurements and quality of life scores during pre and postmenopouse period. A descriptive study was carried out on 1276 women (40-64 years). Demographic features, socioeconomic attributes and anthropometric measurements were considered using a validated instrument the Turkish version of the EUROHIS (WHOQOL-8.Tr) was performed. Significant body mass index (BMI), height, waist circumference, hip circumference, waist/ height ratio differences were determined by comparing pre and postmenopausal women (p <0.05). Significantly lower quality of life scores were observed in premenopausal women (p<0.05). BMI was determined as significant predictor for quality of life for each group. The number of pregnancy, number of live birth, number of stillbirth and waist/height ratio did not show significant association with quality of life. The age of first pregnancy was stated as significant predictor for quality of life just for premenopausal women. In our study, quality of life increased as the BMI decreased in pre and postmenopausal women. Significantly lower WHO-8 EUROHIS scores were observed in premenopausal women. The age of first pregnancy affected the life quality in positive way in just premenopausal women. As the age of first pregnancy increased, quality of life score increased in premenopausal women.
Tip 2 diyabet tanısı almış yetişkin bireylerde akdeniz diyetine uyum, duygusal iştah ve metabolik kontrol parametreleri arasındaki ilişkinin değerlendirilmesi
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2021) Altuner, Arife Derya; Bayram, Sinem
Çalışma, Tip 2 diyabet tanısı almış yetişkin bireylerde Akdeniz diyetine uyum, duygusal iştah ve metabolik kontrol parametreleri arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. Çalışma, Kasım 2019- Şubat 2020 tarihleri arasında, Özel Olbamed Hastanesi İç Hastalıkları (Dahiliye) Polikliniğine başvuran 19-64 yaş arası 101 Tip 2 diyabet hastası ile yapılmıştır. Bireylerin genel özellikleri, sağlık durumları, beslenme alışkanlıkları, antropometrik ölçümleri ve biyokimyasal parametreleri anket formuna kaydedilmiştir. Bireylerin Akdeniz diyetine uyumlarının değerlendirilmesinde Akdeniz Diyeti Uyum Ölçeği, duygusal iştah durumunun değerlendirilmesinde Duygusal İştah Anketi ve fiziksel aktivite durumlarının değerlendirilmesinde Uluslararası Fiziksel Aktivite Anketi kullanılmıştır. Çalışmaya katılan hastaların yaş ortalaması 55.1±7.23 yıldır. Çalışmada, Akdeniz diyetine kadınların % 3’ü düşük uyum, %70.1’ i orta uyum ve %26.9’u yüksek uyum, erkeklerin %2.9’u düşük uyum, % 64.7’si orta uyum ve %32.4’ü yüksek uyum göstermiştir. Akdeniz diyetine uyum ile biyokimyasal parametreler ve antropometrik ölçümler arasında istatiksel olarak anlamlı fark bulunmamıştır (p>0.05). Duygusal İştah Anketine göre; erkek hastaların olumlu duygu ve durum puanları kadın hastalardan (sırasıyla 44.0±6.25, 40.8±7.32) daha yüksektir ve bu istatiksel olarak önemli bulunmuştur (p<0.05). Olumsuz duygu ve durum puanları ile cinsiyet arasında önemli bir fark saptanmamıştır (p>0.05). Hastaların antropometrik ölçümleri ve biyokimyasal parametreleri ile duygusal iştah durumları arasında istatistiksel olarak anlamlı ilişki bulunmamıştır (p>0.05). Sonuç olarak, Tip 2 diyabet hastalarında Akdeniz diyetinin beslenme tedavisi yaklaşımı olarak değerlendirilmesi için daha fazla çalışmaya ihtiyaç vardır ve beslenmenin psikolojik tarafı dikkate alınmalıdır. The study was conducted to examine the relationship between Mediterranean diet compliance, emotional appetite and metabolic control parameters in patients with Type 2 diabetes. The study was conducted with 101 Type 2 diabetes patients aged between 19-64 years who applied to Private Olbamed Hospital Internal Medicine Outpatient Clinic between November 2019 and February 2020. General characteristics, health status, nutritional habits, anthropometric measurements and biochemical parameters of the individuals were recorded in the questionnaire form. Mediterranean Diet Compliance Scale was used to evaluate the compliance of individuals to the Mediterranean diet. The Emotional Appetite Questionnaire was used to evaluate the emotional appetite. International Physical Activity Questionnaire was used to evaluate physical activity states. The average age of the patients participating in the study is 55.1±7.23 years. In the study, %3 of women showed low adaptation, %70.1 of women showed a medium adaptation and % 26.9 of women showed a high adaptation to the Mediterranean diet. %2.9 of the men showed low adaptation, %64.7 showed a medium adaptation and %32.4 showed a high adaptation to the Mediterranean diet. There was no statistically significant difference between Mediterranean diet compliance with biochemical parameters and anthropometric measurements (p>0.05). According to the Emotional Appetite Questionnaire; positive emotion and state scores of male patients (44.0±6.25, 40.8±7.32, respectively) were higher than the female patients and this was found statistically significant (p<0.05). There was no significant difference between gender and negative emotion and state scores (p>0.05). There was no statistically significant relationship between emotional appetite and the anthropometric measurements and biochemical parameters (p>0.05). In conclusion, more studies are needed to evaluate the Mediterranean diet as a nutritional therapy approach in Type 2 diabetes patients and psychological side of nutrition should be taken into account.
Yetişkin inflamatuar bağırsak hastalarında diyet inflamatuvar indeksinin hastalık aktivitesi, depresif duygu durumu ve bazı biyokimyasal kan parametreleri ile ilişkisinin incelenmesi
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2022) Yüksel, Büşra; Bayram, Sinem
Yapılan bu araştırma, yetişkin inflamatuvar bağırsak hastalarında diyet inflamatuvar indeksinin(Dİİ) hastalık aktivitesi, depresif duygu durumu ve bazı biyokimyasal kan parametreleri ile arasındaki ilişkinin belirlenmesi amaçlanmıştır. Çalışmaya, Gazi Üniversitesi Hastanesi Gastroenteroloji Polikliniğine Haziran-Ekim 2021 tarihleri arasında başvuran daha önce teşhis almış, 31 crohn hastaları ve 63 ülseratf kolit hastası olmak üzere 94 birey dâhil edilmiştir. Katılımcıların sosyo-demografik bilgileri, hastalık aktivite indeksleri, genel sağlık bilgileri ile bazı biyokimyasal kan parametreleri anket formuna kaydedilmiştir. Bireylerin diyet inflamatuvar indeks skorları, katılımcılardan alınan üç günlük besin tüketim kaydı ile hesaplanmıştır. Bireylerin diyet inflamatuvar indeks skorları dört quartile ayrılarak değerlendirme yapılmış ve quartillerin sayısal değeri arttıkça diyetin inflamasyon yükü de artış göstermiştir. Ayrıca bireylerin depresif duygu durumunu belirlemek amacıyla Beck Depresyon Ölçeği kullanılmıştır. Hastalık aktivitesini belirlemek için crohn hastalarında Crohn Hastalığı Aktivite İndeksi ve ülseratif kolit hastalarında ise Truelove-witts Klinik Aktivite İndeksi kullanılmıştır. Çalışmaya dâhil olan bireylerin yaş ortalamaları crohn hastaları(CH) için 42.0±11.1 yıl ve ülseratif kolit(ÜK) hastaları için 42.5±15.3 yıl olarak saptanmıştır. Bireylerin diyet inflamatuvar indeks skorları ortalaması -3.15 ± 0.9 olarak belirlenmiştir. Daha fazla hastalık aktivitesine sahip crohn ve ülsratif kolit hastalarında depresyon varlığı istatistiksel açıdan önemli saptanmıştır (p<0.05). Hem crohn hastalarının hem de ülseratif kolit hastalarının hastalık aktivitesi arttıkça istatistiksel olarak anlamlı bir şekilde daha yüksek depresyon puanına sahip oldukları belirtilmiştir (p<0.05). Crohn hastaları ve ülseratif kolit hastaları arasında diyet inflamatuvar indeksi quartillerine göre önemli bir farklılık saptanmamıştır (p>0.05). Crohn hastalarının diyet inflamatuvar indeks quartillerine göre hastalık aktiviteleri arasında anlamlı farklılık belirlenmemiştir (p>0.05). Ülseratif kolit hastalarının diyet inflamatuvar indeks quartillerine göre hastalık aktiviteleri arasında anlamlı farklılık saptanmamıştır (p>0.05). Çalışmaya dahil olan katılımcıların kan biyokimyasal parametreleri diyet inflamatuvar indeks quartillerine göre incelendiğinde sadece CRP ve serum demir düzeyleri arasında anlamlı farklılık gözlenmiştir (p<0.05). Diyet inflamatuvar indeks quartillerine göre depresyon durumu arasında da anlamlı bir farklılık saptanmıştır (p<0.05). Yüksek diyet inflamatuvar indeks skorlarına sahip bireylerin düşük skorlara sahip olanlara göre diyetle aldıkları enerji, karbonhidrat, protein, yağ, doymuş yağ, çoklu doymamış yağ, omega-3, omega-6, kolesterol ile posa alım miktarları önemli şekilde düşük bulunmuştur (p<0.05). Diyet inflamatuvar indeksi düşük olan katılımcıların, günlük diyetle A vitamini, D vitamini, tiamin, riboflavin, niasin, vitamin B6, folik asit, vitamin B12, C vitamini, magnezyum, demir, çinko ile selenyum alımları Dİİ yüksek olan bireylere göre anlamlı olarak daha yüksek bulunmuştur (p<0.05). Sonuç olarak, inflamatuvar bağırsak hastalarında diyetin inflamatuvar indeksinin bireylerin duygu durumlarını ve bazı biyokimyasal parametreleri etkilediği gösterilmiştir. Bu çalışmanın sonuçlarına göre inflamatuvar bağırsak hastalığı olan bireylerde sağlıklı ve daha az inflamatuvar bir diyet ile inflamasyonun sebep olduğu birçok kronik hastalığın önlenebileceği yada geciktirilebileceği düşünülmektedir. In this study, it was aimed to determine the relationship between dietary inflammatory index (DII) and disease activity, depressive mood and some biochemical blood parameters in adult inflammatory bowel disease patients. The study included 94 individuals, 31 of whom were diagnosed with crohn's disease and 63 of whom were ulcerative colitis patients, who applied to the Gazi University Hospital Gastroenterology Polyclinic between June and October 2021. The participants' socio-demographic characteristics, general health information, disease activity indices and some biochemical blood parameters were recorded in the questionnaire. The dietary inflammatory index of the individuals was calculated by taking three-day food consumption records from the individuals. The dietary inflammatory index scores of the individuals were evaluated by dividing them into four quartiles, and as the numerical value of the quartiles increased, the inflammatory load of the diet also increased. In addition, Beck Depression Inventory was used to determine the depressive mood of individuals. The Crohn's Disease Activity Index in patients with crohn and the Truelove-witts Clinical Activity Index in ulcerative colitis patients were used to determine disease activity. The mean age of the individuals included in the study was 42.0±11.1 years for patients with crohn's (CH) and 42.5±15.3 years for patients with ulcerative colitis (UC). The mean dietary inflammatory index scores of the individuals were determined as -3.15 ± 0.9. Presence of depression was found to be statistically significant in crohn's and ulcerative colitis patients with more disease activity (p<0.05). It was stated that both crohn's patients and ulcerative colitis patients had a statistically significant higher depression score as the disease activity increased (p<0.05). There was no significant difference between Crohn's patients and ulcerative colitis patients according to dietary inflammatory index quartiles (p>0.05). There was no significant difference between the disease activities according to the dietary inflammatory index quartiles of Crohn's patients (p>0.05). There was no significant difference between disease activities according to dietary inflammatory index quartiles of ulcerative colitis patients (p>0.05). When the blood biochemical parameters of the individuals included in the study were examined according to the dietary inflammatory index quartiles, a significant difference was observed only between CRP and serum iron levels (p<0.05). There was also a significant difference between depression status according to diet inflammatory index quartiles (p<0.05). Individuals with high dietary inflammatory index had significantly lower intakes of energy, carbohydrate, protein, fat, saturated fat, polyunsaturated fat, omega-3, omega-6, cholesterol and fiber in daily diet compared to others (p<0.05). Individuals with a low dietary inflammatory index have a significantly higher daily intake of vitamin A, vitamin D, thiamine, riboflavin, niacin, vitamin B6, folic acid, vitamin B12, vitamin C, iron, magnesium, zinc and selenium compared to others (p<0.05). In conclusion, it has been shown that the inflammatory index of diet affects mood and some biochemical parameters in patients with inflammatory bowel disease. According to the results of this study, it is thought that many chronic diseases caused by inflammation can be prevented or delayed with a healthy and less inflammatory diet in individuals with inflammatory bowel disease.