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    Healthcare Professionals, How They Evaluate Themselves About Physical Image, Healthy Orthorexia, And Physical Activity
    (NUTRICION CLINICA Y DIETETICA HOSPITALARIA, 2024-12-18) Ozer, Tugce; Olcay Eminsoy, Irem
    Objective: This study was conducted to change the nutritional choices of healthcare professionals according to body image, healthy orthorexia and physical activity. Methods: This study was conducted in a private hospital between December 2022 and February 2023 with 95 female and 42 male healthcare professionals who agreed to participate in the research. A face-to-face survey form was used for healthcare workers and general information, information on health and nutritional status, anthropometric measurements (height (cm), body weight ((kg)), Body Shape Questionnaire (BSQ-34), Teruel Orthorexia Scale (TOS) were collected, Food Choice Questionnaire (FCQ), International Physical Activity Questionnaire (IPAQ). Results: The average BMI of healthcare workers is within the normal range (24.8 +/- 4.43kg/m2). There was a significant difference between genders in terms of body shape dissatisfaction, and it was found that women were more likely than men (p<0.05). While the average BSQ-34 score of obese people is highest, the average decreases as the BMI level decreases. There is a significant relationship between gender and BMI in those who do not have body shape dissatisfaction and those who have mild dissatisfaction (p<0.05). There is a significant difference between genders in terms of mood, fitness and body weight control factors in food selection, and the average for women is higher than for men (p<0.05). As body shape dissatisfaction increases, the average mood factor in food selection increases. Age positively affects healthy orthorexia (p<0.05, beta=0.269). The level of body shape dissatisfaction positively affects orthorexia nervosa (beta=0.409, p<0.05). In the case of healthy orthorexia, there is a significant positive relationship between food choice and health (beta=0.326, p<0.05), and a negative relationship between the sensory attractiveness factor (beta=-0.248, p<0.05). In the case of orthorexia nervosa, emotional state is positive (beta= 0.260, p<0.05), sensory appeal is negative (beta=-0.426, p<0.05), natural content is negative (beta=-0.267, p<0.05) and body weight control in food selection. There is a positive relationship (beta=0.291, p<0.05). It was found that 44.2% of women and 45.2% of men were inactive. Conclusion: It has been determined that women's body shape dissatisfaction, emotional state, fitness, and body weight control factors that they pay attention to in food selection have a greater impact than men, and body shape dissatisfaction affects food choice. It has been found that food choice affects healthy orthorexia.
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    Achalasia as a complication of bulimia nervosa: A case report
    (2017) Kutuk, Meryem Ozlem; Guler, Gulen; Tufan, Ali Evren; Toros, Fevziye; Kaytanli, Umut; 0000-0002-2918-7871; 30263180; AAI-9626-2021
    Objective: Oesophageal achalasia is a medical condition characterised by oesophageal aperistalsis, an increased resting pressure with partial or incomplete relaxation of the lower oesophageal sphincter. Bulimia nervosa (BN) is an eating disorder manifested by binge eating attacks followed by recurrent inappropriate compensatory behaviours, such as self-induced vomiting and excessive exercise. Dysphagia, regurgitation, vomiting, retrosternal pain, heartburn, weight loss, avoidance of eating, consumption of large amount of liquids and aberrant eating behaviours are symptoms of both achalasia and BN. Owing to these common signs and symptoms, oesophageal achalasia can be misdiagnosed as an eating disorder. In addition, oesophageal achalasia can occur as a complication of BN. It is often difficult to distinguish organic and psychological vomiting or comorbidity because of overlapping of the symptoms. Case report: We report the case of a patient who developed oesophageal achalasia following severe, repetitive vomiting as a complication of BN. Conclusion: We want to raise awareness regarding the development of a medical illness in the presence of a psychiatric disorder. Importantly, physicians should have a fundamental knowledge of these two diseases regarding their clinical patterns to differentially diagnose one or both disorders as quickly as possible.