alev keser | Ankara University (original) (raw)
Papers by alev keser
Immunopharmacology and immunotoxicology, May 29, 2024
Arsiv Kaynak Tarama Dergisi, Jun 30, 2022
It is a systematically examine of randomized controlled studies in mice and rats examining effect... more It is a systematically examine of randomized controlled studies in mice and rats examining effects of artificial sweeteners on gut microbiota. Based on the PRISMA declaration, 4 databases were used, namely PubMed, Web of Science, EBSCOHost and Google Scholar, and a systematic search was conducted to identify randomized controlled studies on all rats and mice published between January 1, 2000-December 31, 2020. Studies using advantam, acesulfame-K, aspartame, neotame, saccharine, cyclamate, and sucralose as artificial sweeteners are included. As a result of first screening, a total of 901 studies on mice and rats were obtained. Eleven randomized controlled trials that met the study objective and inclusion criteria were included in systematic review. Two of studies were carried out on rats and nine of them were performed on mice. No study with advantam and cyclamate meeting the inclusion criteria was found in literature. Due to small sample size, meta-analysis could not be performed. Although artificial sweeteners have an effect on intestinal microbiota in mice and rats, no clear evidence for its effect has been demonstrated. It is important to investigate how changes in gut microbiome affect human health, and therefore it is essential to increase number of randomized controlled clinical trials evaluating effect of artificial sweetener consumption on the microbiota.
DergiPark (Istanbul University), May 29, 2022
How does an additional insulin dose for a high-fat, high-protein breakfast affect glysemic respon... more How does an additional insulin dose for a high-fat, high-protein breakfast affect glysemic response in adolescents with type 1 diabetes?
Journal of Hygienic Engineering and Design, 2020
Clinical and Experimental Health Sciences, Sep 29, 2020
Pregorexia is a condition describing women who reduce energy intake and increase exercising durin... more Pregorexia is a condition describing women who reduce energy intake and increase exercising during pregnancy to control weight gain. Although pregorexia is not formally recognized as a medical diagnosis, the term may be considered as an eating disorder in pregnancy. Because in pregorexia as in eating disorder behaviors such as the fear of weight gain and the worry about body appearance is observed. The abnormal weight gain in pregnant women may cause adverse obstetric and fetal outcomes. Eating disorders in pregnancy may cause serious problems for both mother and infant, such as infants of small for gestational age, spontaneous abortion, microcephaly, low birth weight babies, maternal hypertension and anemia. This review aims to increase awareness about eating disorders in pregnancy, particularly pregorexia.
Türkiye klinikleri sağlık bilimleri dergisi, 2022
Tıp literatürüne XIX. yüzyılda giren mastalji, memede 5 günden fazla süren şiddetli ağrı olarak t... more Tıp literatürüne XIX. yüzyılda giren mastalji, memede 5 günden fazla süren şiddetli ağrı olarak tanımlanmaktadır. 1 Temelde mastalji; siklik, siklik olmayan ve meme dışı ağrı olmak üzere 3 grupta sınıflandırılmaktadır. 2 Siklik mastalji, en sık karşılaşılan mastalji türüdür ve menstrüel siklustan yaklaşık olarak 1-2 hafta önce ortaya çıkmaktadır. Siklik olmayan mastaljinin oluşumu, menstrüel siklustan
IGI Global eBooks, 2018
The purpose of this study was to determine nutritional status and its influence on their quality ... more The purpose of this study was to determine nutritional status and its influence on their quality of life in Alzheimer's disease (AD) patients with Mini Nutritional Assessment (MNA) and anthropometric measurements. This study was conducted with 57 Alzheimer type dementia patients between the ages of 52 and 89 who live in nursing homes in Ankara/Turkey. In this study, it was found that the 57.9% of the AD patients were at risk of malnutrition, and that 19.3% were malnourished. Malnutrition risk rises as the length of stay increases (p< .05). A significant correlation between body weight and quality of life as well as one between calf circumference and quality of life was detected (p< .05). In this study, nutrient intake among aged individuals with AD was found unbalanced; a statistically significant correlation between energy / nutrient intake and quality of life also was not detected.
Turkish Journal of Medical Sciences
Aim: To investigate the effects of socioeconomic status (SES) on the dietary intakes of fatty aci... more Aim: To investigate the effects of socioeconomic status (SES) on the dietary intakes of fatty acids in a group of Turkish women. Materials and methods: Five hundred and sixty three women were randomly enrolled into the study. They were classified into 3 SES groups: group 1 high (n = 186), group 2 medium (n = 186), and group 3 low (n = 191). The groups were determined by the SES distribution of Ankara as determined by the 2000 census. Each participant was investigated with a questionnaire consisting of demographic characteristics, physical activity level (24-h record), and dietary intake (24-h recall) by dietetics interns. Body weight, height, waist, and hip measurements were taken. Results: Dietary protein, fat and carbohydrate intakes and their respective percentages of total energy were significantly different among the SES groups (P < 0.05). Based on the detailed dietary fat analysis, saturated and monounsaturated fatty acid intakes were highest in group 1, polyunsaturated fatty acids intake and ω-6:ω-3 ratio was highest in group 3 (P < 0.05). Body mass index, waist to hip ratio, and physical activity expenditure differed significantly between groups (P < 0.05). Conclusion: SES seems to be associated with dietary fat, fatty acid intake, and ω-6:ω-3 ratio. Thus, to maintain proper dietary balances, SES should be also verified in conjunction with the dietary modifications.
Turkiye Klinikleri Nutrition and Dietetics - Special Topics, 2021
Clinical and Experimental Health Sciences, 2020
Pregorexia is a condition describing women who reduce energy intake and increase exercising durin... more Pregorexia is a condition describing women who reduce energy intake and increase exercising during pregnancy to control weight gain. Although pregorexia is not formally recognized as a medical diagnosis, the term may be considered as an eating disorder in pregnancy. Because in pregorexia as in eating disorder behaviors such as the fear of weight gain and the worry about body appearance is observed. The abnormal weight gain in pregnant women may cause adverse obstetric and fetal outcomes. Eating disorders in pregnancy may cause serious problems for both mother and infant, such as infants of small for gestational age, spontaneous abortion, microcephaly, low birth weight babies, maternal hypertension and anemia. This review aims to increase awareness about eating disorders in pregnancy, particularly pregorexia.
Journal of Hygienic Engineering and Design, 2020
International Journal of Diabetes in Developing Countries, Jan 5, 2021
In addition to carbohydrate count, this study aims to investigate the impact of the determination... more In addition to carbohydrate count, this study aims to investigate the impact of the determination of bolus insulin doses by fat and protein counts on postprandial blood glucose level for adolescents having type 1 diabetes mellitus. The study was crossover and randomized; and all of participants were given standard breakfast (insulin dose according to carbohydrate/insulin ratio) for 1 day, and high-fat and high-protein breakfast for 2 days. The insulin dose for one of test meal was determined based on carbohydrate/insulin ratio. In the second application, in addition to carbohydrate/insulin ratios of the adolescents, 1 unit of insulin per what was added for each 200 kcal of energy provided from fat and protein of the meal. Postprandial blood glucose was recorded for 4 h using a continuous glucose monitoring system at intervals of 30 min. The mean blood glucose level between 0 and 240 min following consumption of different meals increased significantly in second application after 150th minute comparing with first application (p < 0.05).In addition to this, between 30 and 240 min glycemic response of second application seemed to be higher than those responses in first and third application. The difference among them was not significant (p > 0.05).However, the glycemic excursion of 30–0 min in third application was higher than the excursion in first and second applications while the glycemic excursion in first application between 150 and 120 min was higher than in third application (p < 0.05). These evidences demonstrated that high-fat and high-protein meal increases the requirement of insulin. Eventually, this study shows that there could be alternative algorithms to carbohydrate-based approach for the determination of the bolus insulin dose.
Gümüşhane üniversitesi sağlık bilimleri dergisi, Mar 31, 2018
Bu calismada, Pediatrik Endokrinoloji Bilim Dali’na basvuran cocuklarin beslenme durumlarinin ve ... more Bu calismada, Pediatrik Endokrinoloji Bilim Dali’na basvuran cocuklarin beslenme durumlarinin ve beslenme aliskanliklarinin saptanmasi, beslenme durumlari ile bazi biyokimyasal parametreler arasindaki iliskinin degerlendirilmesi amaclanmistir. Calisma, 7-11 yas arasi (9,0±1,4 yil) 300 cocuk (150 erkek/150 kiz) uzerinde yurutulmustur. Beslenme durumlarinin degerlendirilebilmesi icin 3 gunluk besin tuketim kayitlari alinmistir. Elde edilen veriler Turkiye’ye Ozgu Besin ve Beslenme Rehberi’ndeki (2015) besinlerin tuketilmesi onerilen porsiyon miktarlari ile karsilastirilmistir. Cocuklarin antropometrik olcumleri (vucut agirligi, boy uzunlugu, bel cevresi, triseps deri kivrim kalinligi, ust orta kol cevresi) arastirmacilar tarafindan alinmistir. Biyokimyasal parametreler hasta dosyalarindan kaydedilmistir. Beden kutle indeksi siniflandirmasina gore arastirmaya katilan cocuklarin %22,3’u normal agirlikli, %15,3’u fazla kilolu ve %62,4’u obez grubundandir. Obez cocuklarin cogunlugu sut (%43,3), et (%53,5) ve ekmek-tahil grubunu (%54,0) onerilenden fazla, sebze-meyve grubunu (%41,7) onerilenden az miktarda tuketmektedir. Genel olarak sut, et, ekmek-tahil, yag-seker gruplari tuketim miktarlari ile tum antropometrik olcumleri arasinda pozitif yonde, sebze-meyve grubu tuketimleriyle ise negatif yonde bir korelasyon saptanmistir (p<0,01) Et, ekmek-tahil ve yag-seker grubu tuketimiyle glukoz, insulin, toplam kolesterol, LDL kolesterol, trigliserid, ALT ve AST degerleri arasinda pozitif yonde, sebze-meyve tuketimleriyle glukoz, insulin, toplam kolesterol, LDL kolesterol degerleri arasinda ise negatif yonde bir iliski saptanmistir (p<0,05, p<0,01). Yeterli ve dengeli bir beslenme programi antropometrik olcumlerde, lipid ve glisemi parametre duzeylerinde iyilesme saglayabilir. Cocuklarin saglikli beslenme ile ilgili bilgilerini ve farkindaliklarini artiracak ulusal egitim programlarinin belirli araliklarla yapilmasi onemlidir.
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü dergisi, Jan 25, 2018
Bu araştırmada üniversite sınavına hazırlanan öğrencilerin kaygı puanları ile beslenme durumları ... more Bu araştırmada üniversite sınavına hazırlanan öğrencilerin kaygı puanları ile beslenme durumları ve bazı antropometrik ölçümleri arasındaki ilişkilerin değerlendirilip yorumlanması amaçlanmıştır. Gereç ve Yöntemler: Araştırmaya Ankara'da eğitim gören ve üniversite sınavına hazırlanan 450 gönüllü birey dahil edilmiş, bireylerin yaş aralığını (16-19 yıl) çalışmanın süresi belirlemiştir. Bireylerin kaygı düzeylerini belirlemek için Durumluk-Sürekli Kaygı Envanteri kullanılmış, veriler anket formu kullanılarak araştırmacılar tarafından toplanmıştır. Verilerin değerlendirilmesinde SPSS istatistik paket programı kullanılmış, değişkenler arasındaki ilişkinin saptanması amacıyla uygun istatistiksel testler yapılmıştır. Bulgular: Araştırmada cinsiyete göre ortalama durumluk kaygı puanı istatistiksel olarak anlamlılık göstermezken (p>0.05), sürekli kaygı puanı kızlarda daha yüksek saptanmıştır (p=0.004). Yaş arttıkça bireylerin durumluk kaygı puanı artmaktadır (p=0.006). Günlük tüketilen öğün sayısı arttıkça durumluk kaygı puanı azalmaktadır (p=0.030). Kahvaltı öğününü ev dışında yemek zorunda kalanların durumluk kaygı puanı, öğle öğününü dışarıda yemek zorunda kalanlara kıyasla daha yüksek bulunmuştur (p=0.003). Ev dışında yemek yediklerinde okul/dershane kantinini tercih edenlerde lokantayı tercih edenlere kıyasla durumluk kaygı puanı daha düşük saptanmıştır (p=0.026). Ancak günlük besin öğesi alımı ve antropometrik ölçümler ile kaygı puanları arasındaki ilişki incelendiğinde, protein alımı ile durumluk kaygı puanı arasında ve erkeklerde beden kütle indeksi ile sürekli kaygı puanı arasındaki ilişki dışında anlamlı bir ilişki bulunmamıştır (p>0.05). Sonuç: Araştırma üniversite sınavının öğrencilerde kaygı düzeylerini arttırdığını, bazı beslenme alışkanlıkları ve antropometrik ölçümler ile kaygı puanları arasında anlamlı ilişkiler olduğunu göstermektedir. Anahtar Kelimeler: Kaygı puanı; öğün tüketimi; üniversite sınavı; bel çevresi; ev dışı beslenme. Evaluation of Nutritional Situations according to Anxiety Score of Students Prepared for Exam ABSTRACT Aim: It was aimed to evaluate and interpret the relationship between anxiety score and nutritional status and some anthropometric measurements of students preparing for university admission exam in this research. Material and Methods: The study included 450 volunteers who were studying in Ankara and preparing for university admission exam, and the age range of individuals (16-19 years) was determined by the duration of research. State Trait Anxiety Inventory was used to determine anxiety levels of individuals and data were collected by researchers using a questionnaire form. SPSS statistical package program was used to evaluate data and appropriate statistical tests were used to determine relationship between variables. Results: While mean state anxiety score was not statistically significant between gender (p>0.05), trait anxiety score was found higher in females (p=0.004). As age increases, state anxiety scores of individuals increase (p=0.006). As number of daily consumed meals increased, state anxiety score decreases (p=0.030). State anxiety scores of those had to eat breakfast outside home were found higher than those had to eat lunch outside home (p=0.003). State anxiety score of those preferring school/course canteen when eating outside home were found lower than those preferring restaurant (p=0.026). However, when relation between daily food intake and anthropometric measurements and anxiety scores was examined, no significant relation was found except for relationships between protein intake and state anxiety score, and between male body mass index and trait anxiety score (p>0.05).
İstanbul tıp fakültesi dergisi, Sep 29, 2021
Objective: The diet quality of adolescents with type 1 diabetes is shaped by some individual fact... more Objective: The diet quality of adolescents with type 1 diabetes is shaped by some individual factors. These include age, gender, sociodemographic characteristics, lifestyle habits, and adaptation to diabetes treatment. This study aims to investigate the factors affecting the diet quality of adolescents with type 1 diabetes. Material and Methods: The sample in this study consisted of adolescents with type 1 diabetes who were followed in the Department of Pediatric Endocrinology of the Faculty of Medicine at the University of Ankara between July 2017-January 2018. The research data was collected using the face-to-face interview technique with a questionnaire. The physical activity levels of the individuals were determined using a '24-hour physical activity level detection form (short)'. Three-day food consumption records were taken and evaluated via BeBiS. The Healthy Eating Index-2010 was used to determine diet quality. Results: The study was conducted with a total of 110 adolescents (M:51.8%; F:48.2%) with type 1 diabetes in the 10-19 age range (mean age:14.0±2.40 years). Only 15.5% of all individuals have good diet quality. In a linear regression model formed by the variables of exercise status, physical activity type, and PAL value of individuals, a positive significant relationship was found between exercise status and diet quality (χ 2 (1,n=110)=1.392, p<0.05). Conclusion: As a result, it was found that the majority of individuals needed to improve their diet quality and that exercise affected the diet quality of type 1 diabetic adolescents. In addition, exercise levels, which have an important role in both diabetes management and improvement of diet quality, should be increased.
Medicine Science | International Medical Journal, 2022
The aim of this study is to evaluate the effect of emotional nutrition on body weight and eating ... more The aim of this study is to evaluate the effect of emotional nutrition on body weight and eating habits in adults. 2461 volunteers between the ages of 18-and 65 (40.7±13.6 years) participated in this cross-sectional study (M=677, F=1784). Research data were collected with a face-to-face questionnaire. The participants' nutritional habits and status were evaluated with the three-factor eating questionnaire (TFEQ) and a 24-hour dietary recall form. The “International Physical Activity Assessment Questionnaire - Short Form” was used to determine the physical activity level of individuals. Body mass index was calculated by measuring height and body weight. At the end of the study, it was found that 34.5% of the participants were overweight, and 25.1% were obese. The uncontrolled eating and hunger score were significantly higher, whereas it was low in cognitive restraint in individuals who consumed grains as much or more than recommended (p<0.05). And higher cognitive restraint score was found in those who stated that they consumed the milk and dairy products, vegetable and fruit groups as much or more than recommended and the grains less than recommended (p<0.05). In addition, dietary disinhibition (OR=1.142, 95% CI=1.097-1.189), cognitive restriction (OR=1.076, 95% CI=1.050-1.103) and fasting (OR=1.084, 95% CI=1.033-1.137) scores of TEFQ sub-factors been shown to significantly increase the risk of being overweight/obese (p<0.001). These results show that emotional eating has a significant effect on body weight. For this reason, a multidisciplinary approach is required to evaluate the effect of diet therapy and nutrition on the patient and take into account the patient's emotional state, especially in the treatment and control of obesity.
Nutrition clinique et métabolisme, Nov 1, 2021
Immunopharmacology and immunotoxicology, May 29, 2024
Arsiv Kaynak Tarama Dergisi, Jun 30, 2022
It is a systematically examine of randomized controlled studies in mice and rats examining effect... more It is a systematically examine of randomized controlled studies in mice and rats examining effects of artificial sweeteners on gut microbiota. Based on the PRISMA declaration, 4 databases were used, namely PubMed, Web of Science, EBSCOHost and Google Scholar, and a systematic search was conducted to identify randomized controlled studies on all rats and mice published between January 1, 2000-December 31, 2020. Studies using advantam, acesulfame-K, aspartame, neotame, saccharine, cyclamate, and sucralose as artificial sweeteners are included. As a result of first screening, a total of 901 studies on mice and rats were obtained. Eleven randomized controlled trials that met the study objective and inclusion criteria were included in systematic review. Two of studies were carried out on rats and nine of them were performed on mice. No study with advantam and cyclamate meeting the inclusion criteria was found in literature. Due to small sample size, meta-analysis could not be performed. Although artificial sweeteners have an effect on intestinal microbiota in mice and rats, no clear evidence for its effect has been demonstrated. It is important to investigate how changes in gut microbiome affect human health, and therefore it is essential to increase number of randomized controlled clinical trials evaluating effect of artificial sweetener consumption on the microbiota.
DergiPark (Istanbul University), May 29, 2022
How does an additional insulin dose for a high-fat, high-protein breakfast affect glysemic respon... more How does an additional insulin dose for a high-fat, high-protein breakfast affect glysemic response in adolescents with type 1 diabetes?
Journal of Hygienic Engineering and Design, 2020
Clinical and Experimental Health Sciences, Sep 29, 2020
Pregorexia is a condition describing women who reduce energy intake and increase exercising durin... more Pregorexia is a condition describing women who reduce energy intake and increase exercising during pregnancy to control weight gain. Although pregorexia is not formally recognized as a medical diagnosis, the term may be considered as an eating disorder in pregnancy. Because in pregorexia as in eating disorder behaviors such as the fear of weight gain and the worry about body appearance is observed. The abnormal weight gain in pregnant women may cause adverse obstetric and fetal outcomes. Eating disorders in pregnancy may cause serious problems for both mother and infant, such as infants of small for gestational age, spontaneous abortion, microcephaly, low birth weight babies, maternal hypertension and anemia. This review aims to increase awareness about eating disorders in pregnancy, particularly pregorexia.
Türkiye klinikleri sağlık bilimleri dergisi, 2022
Tıp literatürüne XIX. yüzyılda giren mastalji, memede 5 günden fazla süren şiddetli ağrı olarak t... more Tıp literatürüne XIX. yüzyılda giren mastalji, memede 5 günden fazla süren şiddetli ağrı olarak tanımlanmaktadır. 1 Temelde mastalji; siklik, siklik olmayan ve meme dışı ağrı olmak üzere 3 grupta sınıflandırılmaktadır. 2 Siklik mastalji, en sık karşılaşılan mastalji türüdür ve menstrüel siklustan yaklaşık olarak 1-2 hafta önce ortaya çıkmaktadır. Siklik olmayan mastaljinin oluşumu, menstrüel siklustan
IGI Global eBooks, 2018
The purpose of this study was to determine nutritional status and its influence on their quality ... more The purpose of this study was to determine nutritional status and its influence on their quality of life in Alzheimer's disease (AD) patients with Mini Nutritional Assessment (MNA) and anthropometric measurements. This study was conducted with 57 Alzheimer type dementia patients between the ages of 52 and 89 who live in nursing homes in Ankara/Turkey. In this study, it was found that the 57.9% of the AD patients were at risk of malnutrition, and that 19.3% were malnourished. Malnutrition risk rises as the length of stay increases (p< .05). A significant correlation between body weight and quality of life as well as one between calf circumference and quality of life was detected (p< .05). In this study, nutrient intake among aged individuals with AD was found unbalanced; a statistically significant correlation between energy / nutrient intake and quality of life also was not detected.
Turkish Journal of Medical Sciences
Aim: To investigate the effects of socioeconomic status (SES) on the dietary intakes of fatty aci... more Aim: To investigate the effects of socioeconomic status (SES) on the dietary intakes of fatty acids in a group of Turkish women. Materials and methods: Five hundred and sixty three women were randomly enrolled into the study. They were classified into 3 SES groups: group 1 high (n = 186), group 2 medium (n = 186), and group 3 low (n = 191). The groups were determined by the SES distribution of Ankara as determined by the 2000 census. Each participant was investigated with a questionnaire consisting of demographic characteristics, physical activity level (24-h record), and dietary intake (24-h recall) by dietetics interns. Body weight, height, waist, and hip measurements were taken. Results: Dietary protein, fat and carbohydrate intakes and their respective percentages of total energy were significantly different among the SES groups (P < 0.05). Based on the detailed dietary fat analysis, saturated and monounsaturated fatty acid intakes were highest in group 1, polyunsaturated fatty acids intake and ω-6:ω-3 ratio was highest in group 3 (P < 0.05). Body mass index, waist to hip ratio, and physical activity expenditure differed significantly between groups (P < 0.05). Conclusion: SES seems to be associated with dietary fat, fatty acid intake, and ω-6:ω-3 ratio. Thus, to maintain proper dietary balances, SES should be also verified in conjunction with the dietary modifications.
Turkiye Klinikleri Nutrition and Dietetics - Special Topics, 2021
Clinical and Experimental Health Sciences, 2020
Pregorexia is a condition describing women who reduce energy intake and increase exercising durin... more Pregorexia is a condition describing women who reduce energy intake and increase exercising during pregnancy to control weight gain. Although pregorexia is not formally recognized as a medical diagnosis, the term may be considered as an eating disorder in pregnancy. Because in pregorexia as in eating disorder behaviors such as the fear of weight gain and the worry about body appearance is observed. The abnormal weight gain in pregnant women may cause adverse obstetric and fetal outcomes. Eating disorders in pregnancy may cause serious problems for both mother and infant, such as infants of small for gestational age, spontaneous abortion, microcephaly, low birth weight babies, maternal hypertension and anemia. This review aims to increase awareness about eating disorders in pregnancy, particularly pregorexia.
Journal of Hygienic Engineering and Design, 2020
International Journal of Diabetes in Developing Countries, Jan 5, 2021
In addition to carbohydrate count, this study aims to investigate the impact of the determination... more In addition to carbohydrate count, this study aims to investigate the impact of the determination of bolus insulin doses by fat and protein counts on postprandial blood glucose level for adolescents having type 1 diabetes mellitus. The study was crossover and randomized; and all of participants were given standard breakfast (insulin dose according to carbohydrate/insulin ratio) for 1 day, and high-fat and high-protein breakfast for 2 days. The insulin dose for one of test meal was determined based on carbohydrate/insulin ratio. In the second application, in addition to carbohydrate/insulin ratios of the adolescents, 1 unit of insulin per what was added for each 200 kcal of energy provided from fat and protein of the meal. Postprandial blood glucose was recorded for 4 h using a continuous glucose monitoring system at intervals of 30 min. The mean blood glucose level between 0 and 240 min following consumption of different meals increased significantly in second application after 150th minute comparing with first application (p < 0.05).In addition to this, between 30 and 240 min glycemic response of second application seemed to be higher than those responses in first and third application. The difference among them was not significant (p > 0.05).However, the glycemic excursion of 30–0 min in third application was higher than the excursion in first and second applications while the glycemic excursion in first application between 150 and 120 min was higher than in third application (p < 0.05). These evidences demonstrated that high-fat and high-protein meal increases the requirement of insulin. Eventually, this study shows that there could be alternative algorithms to carbohydrate-based approach for the determination of the bolus insulin dose.
Gümüşhane üniversitesi sağlık bilimleri dergisi, Mar 31, 2018
Bu calismada, Pediatrik Endokrinoloji Bilim Dali’na basvuran cocuklarin beslenme durumlarinin ve ... more Bu calismada, Pediatrik Endokrinoloji Bilim Dali’na basvuran cocuklarin beslenme durumlarinin ve beslenme aliskanliklarinin saptanmasi, beslenme durumlari ile bazi biyokimyasal parametreler arasindaki iliskinin degerlendirilmesi amaclanmistir. Calisma, 7-11 yas arasi (9,0±1,4 yil) 300 cocuk (150 erkek/150 kiz) uzerinde yurutulmustur. Beslenme durumlarinin degerlendirilebilmesi icin 3 gunluk besin tuketim kayitlari alinmistir. Elde edilen veriler Turkiye’ye Ozgu Besin ve Beslenme Rehberi’ndeki (2015) besinlerin tuketilmesi onerilen porsiyon miktarlari ile karsilastirilmistir. Cocuklarin antropometrik olcumleri (vucut agirligi, boy uzunlugu, bel cevresi, triseps deri kivrim kalinligi, ust orta kol cevresi) arastirmacilar tarafindan alinmistir. Biyokimyasal parametreler hasta dosyalarindan kaydedilmistir. Beden kutle indeksi siniflandirmasina gore arastirmaya katilan cocuklarin %22,3’u normal agirlikli, %15,3’u fazla kilolu ve %62,4’u obez grubundandir. Obez cocuklarin cogunlugu sut (%43,3), et (%53,5) ve ekmek-tahil grubunu (%54,0) onerilenden fazla, sebze-meyve grubunu (%41,7) onerilenden az miktarda tuketmektedir. Genel olarak sut, et, ekmek-tahil, yag-seker gruplari tuketim miktarlari ile tum antropometrik olcumleri arasinda pozitif yonde, sebze-meyve grubu tuketimleriyle ise negatif yonde bir korelasyon saptanmistir (p<0,01) Et, ekmek-tahil ve yag-seker grubu tuketimiyle glukoz, insulin, toplam kolesterol, LDL kolesterol, trigliserid, ALT ve AST degerleri arasinda pozitif yonde, sebze-meyve tuketimleriyle glukoz, insulin, toplam kolesterol, LDL kolesterol degerleri arasinda ise negatif yonde bir iliski saptanmistir (p<0,05, p<0,01). Yeterli ve dengeli bir beslenme programi antropometrik olcumlerde, lipid ve glisemi parametre duzeylerinde iyilesme saglayabilir. Cocuklarin saglikli beslenme ile ilgili bilgilerini ve farkindaliklarini artiracak ulusal egitim programlarinin belirli araliklarla yapilmasi onemlidir.
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü dergisi, Jan 25, 2018
Bu araştırmada üniversite sınavına hazırlanan öğrencilerin kaygı puanları ile beslenme durumları ... more Bu araştırmada üniversite sınavına hazırlanan öğrencilerin kaygı puanları ile beslenme durumları ve bazı antropometrik ölçümleri arasındaki ilişkilerin değerlendirilip yorumlanması amaçlanmıştır. Gereç ve Yöntemler: Araştırmaya Ankara'da eğitim gören ve üniversite sınavına hazırlanan 450 gönüllü birey dahil edilmiş, bireylerin yaş aralığını (16-19 yıl) çalışmanın süresi belirlemiştir. Bireylerin kaygı düzeylerini belirlemek için Durumluk-Sürekli Kaygı Envanteri kullanılmış, veriler anket formu kullanılarak araştırmacılar tarafından toplanmıştır. Verilerin değerlendirilmesinde SPSS istatistik paket programı kullanılmış, değişkenler arasındaki ilişkinin saptanması amacıyla uygun istatistiksel testler yapılmıştır. Bulgular: Araştırmada cinsiyete göre ortalama durumluk kaygı puanı istatistiksel olarak anlamlılık göstermezken (p>0.05), sürekli kaygı puanı kızlarda daha yüksek saptanmıştır (p=0.004). Yaş arttıkça bireylerin durumluk kaygı puanı artmaktadır (p=0.006). Günlük tüketilen öğün sayısı arttıkça durumluk kaygı puanı azalmaktadır (p=0.030). Kahvaltı öğününü ev dışında yemek zorunda kalanların durumluk kaygı puanı, öğle öğününü dışarıda yemek zorunda kalanlara kıyasla daha yüksek bulunmuştur (p=0.003). Ev dışında yemek yediklerinde okul/dershane kantinini tercih edenlerde lokantayı tercih edenlere kıyasla durumluk kaygı puanı daha düşük saptanmıştır (p=0.026). Ancak günlük besin öğesi alımı ve antropometrik ölçümler ile kaygı puanları arasındaki ilişki incelendiğinde, protein alımı ile durumluk kaygı puanı arasında ve erkeklerde beden kütle indeksi ile sürekli kaygı puanı arasındaki ilişki dışında anlamlı bir ilişki bulunmamıştır (p>0.05). Sonuç: Araştırma üniversite sınavının öğrencilerde kaygı düzeylerini arttırdığını, bazı beslenme alışkanlıkları ve antropometrik ölçümler ile kaygı puanları arasında anlamlı ilişkiler olduğunu göstermektedir. Anahtar Kelimeler: Kaygı puanı; öğün tüketimi; üniversite sınavı; bel çevresi; ev dışı beslenme. Evaluation of Nutritional Situations according to Anxiety Score of Students Prepared for Exam ABSTRACT Aim: It was aimed to evaluate and interpret the relationship between anxiety score and nutritional status and some anthropometric measurements of students preparing for university admission exam in this research. Material and Methods: The study included 450 volunteers who were studying in Ankara and preparing for university admission exam, and the age range of individuals (16-19 years) was determined by the duration of research. State Trait Anxiety Inventory was used to determine anxiety levels of individuals and data were collected by researchers using a questionnaire form. SPSS statistical package program was used to evaluate data and appropriate statistical tests were used to determine relationship between variables. Results: While mean state anxiety score was not statistically significant between gender (p>0.05), trait anxiety score was found higher in females (p=0.004). As age increases, state anxiety scores of individuals increase (p=0.006). As number of daily consumed meals increased, state anxiety score decreases (p=0.030). State anxiety scores of those had to eat breakfast outside home were found higher than those had to eat lunch outside home (p=0.003). State anxiety score of those preferring school/course canteen when eating outside home were found lower than those preferring restaurant (p=0.026). However, when relation between daily food intake and anthropometric measurements and anxiety scores was examined, no significant relation was found except for relationships between protein intake and state anxiety score, and between male body mass index and trait anxiety score (p>0.05).
İstanbul tıp fakültesi dergisi, Sep 29, 2021
Objective: The diet quality of adolescents with type 1 diabetes is shaped by some individual fact... more Objective: The diet quality of adolescents with type 1 diabetes is shaped by some individual factors. These include age, gender, sociodemographic characteristics, lifestyle habits, and adaptation to diabetes treatment. This study aims to investigate the factors affecting the diet quality of adolescents with type 1 diabetes. Material and Methods: The sample in this study consisted of adolescents with type 1 diabetes who were followed in the Department of Pediatric Endocrinology of the Faculty of Medicine at the University of Ankara between July 2017-January 2018. The research data was collected using the face-to-face interview technique with a questionnaire. The physical activity levels of the individuals were determined using a '24-hour physical activity level detection form (short)'. Three-day food consumption records were taken and evaluated via BeBiS. The Healthy Eating Index-2010 was used to determine diet quality. Results: The study was conducted with a total of 110 adolescents (M:51.8%; F:48.2%) with type 1 diabetes in the 10-19 age range (mean age:14.0±2.40 years). Only 15.5% of all individuals have good diet quality. In a linear regression model formed by the variables of exercise status, physical activity type, and PAL value of individuals, a positive significant relationship was found between exercise status and diet quality (χ 2 (1,n=110)=1.392, p<0.05). Conclusion: As a result, it was found that the majority of individuals needed to improve their diet quality and that exercise affected the diet quality of type 1 diabetic adolescents. In addition, exercise levels, which have an important role in both diabetes management and improvement of diet quality, should be increased.
Medicine Science | International Medical Journal, 2022
The aim of this study is to evaluate the effect of emotional nutrition on body weight and eating ... more The aim of this study is to evaluate the effect of emotional nutrition on body weight and eating habits in adults. 2461 volunteers between the ages of 18-and 65 (40.7±13.6 years) participated in this cross-sectional study (M=677, F=1784). Research data were collected with a face-to-face questionnaire. The participants' nutritional habits and status were evaluated with the three-factor eating questionnaire (TFEQ) and a 24-hour dietary recall form. The “International Physical Activity Assessment Questionnaire - Short Form” was used to determine the physical activity level of individuals. Body mass index was calculated by measuring height and body weight. At the end of the study, it was found that 34.5% of the participants were overweight, and 25.1% were obese. The uncontrolled eating and hunger score were significantly higher, whereas it was low in cognitive restraint in individuals who consumed grains as much or more than recommended (p<0.05). And higher cognitive restraint score was found in those who stated that they consumed the milk and dairy products, vegetable and fruit groups as much or more than recommended and the grains less than recommended (p<0.05). In addition, dietary disinhibition (OR=1.142, 95% CI=1.097-1.189), cognitive restriction (OR=1.076, 95% CI=1.050-1.103) and fasting (OR=1.084, 95% CI=1.033-1.137) scores of TEFQ sub-factors been shown to significantly increase the risk of being overweight/obese (p<0.001). These results show that emotional eating has a significant effect on body weight. For this reason, a multidisciplinary approach is required to evaluate the effect of diet therapy and nutrition on the patient and take into account the patient's emotional state, especially in the treatment and control of obesity.
Nutrition clinique et métabolisme, Nov 1, 2021