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Öğe Depression and alexithymia’s effects on emotional eating in people with type 2 diabetes(2023) YAPRAK, BÜLENT; ALATAŞ, HACER; Aytaş, Özgür; Arslan, NurgülAim: Examining the impact of depression and alexithymia related to emotional eating in people with type 2 diabetes is the goal. Materials and Methods: The study included 180 people with type 2 diabetes be- tween the ages of 18 and 65 who applied to the internal medicine outpatient clinic at Malatya Turgut zal University Training and Research Hospital. The patients were given the Toronto Alexithymia Scale (TAS-20), the Dutch Eating Behavior Scale (DEBQ), and the Depression, Anxiety, and Stress Scale (DAS-21). Results: The study’s participants had an average age of 44.21±11.33 years. The study discovered a significant positive correlation between emotional eating and the challenge of defining stress and emotions (p<0.05). The sub-dimensions of emotional eating of depression, extroverted thinking, female gender, difficulty identifying and differentiating emotions and bodily sensations, and regression analysis were used to explain 18% of the total variance in Type-2 diabetes patients (R2=0.18). Conclusion: It has been found that emotional eating in type-2 diabetes patients is influenced by the gender factor, depression, and difficulty identifying and differentiating bodily sensations.Öğe FARKLI PROTEİN KAYNAKLARI İÇEREN BESİNLERİN KISA SÜRELİ TOKLUK BELİRTEÇLERİ, SERUM İNSÜLİN VE GLUKOZ DÜZEYLERİ ÜZERİNE ETKİSİ(2023) Arslan, Nurgül; ÇAKIROĞLU, FUNDA PINAR; ALATAŞ, HACER; keskin, lezanAmaç: Proteinlerin besin kaynağından dolayı tokluk üzerine etkileri de farklı olabilmektedir. Bu çalışmada iki farklı protein kaynaklı kahvaltının tokluk belirteçleri, serum insülin ve glikoz üzerine etkisini incelemek amaçlandı. Yöntem: Bu çalışma 18-45 yaş arası 31 sağlıklı birey ile randomize çapraz geçişli olarak yürütüldü. Çalışmada farklı protein kaynağına sahip iki farklı kahvaltı bireylere sunuldu. Kahvaltılar bitkisel ve hayvansal kaynaklı besinlerden oluşturuldu. Bireylere kahvaltı sonrasında tokluk durumunu ölçmeyi amaçlayan VAS skalası 30 dakikalık aralıklar ile uygulandı. Bireylerden kahvaltılar sonrası serum insülin ve glikoz seviyesinin ölçümü için 30 dakika aralıklar ile kan numunesi alındı. Bireylerin kahvaltı sonrası ad libitium beslenme ile enerji alım miktarları BEBİS programı ile saptandı ve karşılaştırıldı. Bulgular: İki farklı kahvaltı sonrası bireylerin kombine tokluk skorları arasında 30.,60.,90. ve 210. dakikalardaki farklılıklar istatiksel olarak anlamlı bulundu (p<0.05). Bireylerin serum insülin düzeyleri hayvansal kaynaklı kahvaltıda bitkisel kaynaklı kahvaltıya göre her ölçümde daha yüksek bulundu. Serum glikoz düzeylerinin bitkisel kaynaklı kahvaltıda hayvansal kaynaklı kahvaltıya göre başlangıçta hızlı bir yükseliş görülürken 90. dakikadan sonra hızlı bir düşüşün olduğu saptandı. Ad libitium beslenme sonrası bireylerin bitkisel kaynaklı kahvaltıdan sonra alınan enerjinin ortalamasının daha yüksek olduğu ve her iki kahvaltı arasındaki ortalamalar arasındaki farkın istatiksel olarak anlamlı olduğu saptandı (p<0.05). Sonuç: Hayvansal kaynaklı kahvaltı sonrası bireylerin daha uzun süre kombine tokluk skoruna sahip olduğu, daha yüksek serum insülin düzeyi daha düşük glikoz düzeylerinin olduğu saptandı. Kahvaltı sonrası alınan enerji miktarının hayvansal kaynaklı kahvaltı sonrası daha düşük olduğu saptandı. Çalışma sonuçlarına göre özellikle hayvansal kaynaklı besinlerin daha uzun süre tokluk belirteçlerine neden olduğu sonucuna varıldı.Öğe The relationship between dietary antioxidant capacity and serum oxidative stress index of hemodialysis patients(2023) ALATAŞ, HACER; Saka, Mendane; Arslan, Nurgül; YAPRAK, BÜLENT; Otlu, Önder; Pembegul, IremPurpose: Oxidative stress increases in uremic conditions such as kidney failure and during hemodialysis. In this study, it was aimed to examine the relationship between the total antioxidant capacity of the diet and the serum oxidative stress (sOSI) index in hemodialysis patients. Materials and Methods: In this study conducted with 82 individuals (41 patients and 41 controls). Demographic characteristics and anthropometric measurements of the individuals were taken by researchers. In order to determine the nutritional status of the individuals, 3-day food consumption records were taken and the total antioxidant capacity of the diet was calculated. Results: The mean age of the individuals participating in the study was found to be 54.01±2.24 years. Hemodialysis treatment mean for 4.8±3.12 years. While 41.46% of hemodialysis patients were moderately malnourished. Dietary Oxygen Radical Absorption Capacity (dORAC) (?mol) measurement result was found to be 2415.3±1073.45, 5468.4±2393.85 in the hemodialysis and control groups, respectively. In the multiple logistic regression analysis performed, the decrease in body mass index (OR 2.21 95% CI 1.050-2.317) and triceps skinfold thickness values (OR 3.22 95% CI 1.722-4.001) in hemodialysis patients led to an increase in the sOSI value. It has been observed that when dietary protein (OR 1.23 95% CI 1.003-3.189), vitamin C (OR 2.88 95% CI 1.004-3.106) and dTAC (OR 2.04 95% CI 1.967-2.001) increase, the sOSI value decreases in hemodialysis patients. Conclusion: There is a positive relationship between diet total antioxidant capacity and serum antioxidant level, and it was determined that the dietary antioxidant capacity of hemodialysis patients was significantly lower than that of healthy individuals. According to the results of the study, it is recommended to monitor the food consumption status of hemodialysis patients in order to increase the dietary antioxidant capacity.Öğe The relationship of depression and malnutrition with healthy eating index in elderly individuals(2023) ALATAŞ, HACER; Arslan, Nurgül; Aytaş, ÖzgürDepression, malnutrition, and the healthy eating index were assessed in this study of people aged 65 and up who sought treatment at an outpatient clinic for internal medicine. Participants were elderly people from Malatya, Türkiye, who had applied to the outpatient clinic for internal medicine. The three-day dietary recall method was used to obtain the records of food consumption among the elderly. The calculation of Healthy Eating Index-2015 (HEI-2015) scores from food consumption. Geriatric Depression Scale (GDS) was used to define probable depression, and Mini Nutrition Questionnaire-Short Form (MNA-SF) was used to determine nutritional status, using face-to-face interviews. The study were 185 individuals included. The mean age of individuals was 72.19±6.92 years. According to MNA-SF results, 32.3% of women and 27.4% of men were found to be malnourished. The mean body mass ındex (BMI) value of the individuals was 25.73±2.85 kg/cm2, and the BMI value of 56.22% of the individuals was within the normal range. The depression score mean was 8.86±4.73. Depression scores are higher in women, those with low monthly education and income, those who use multiple drugs, those with a low HEI-2015 score, and those who use them. There is a relationship between depression score and eating score. As the nutrition score and the HEI-2015 score decrease, the depression score increases. This study indicates that depressed older people consume less food. Early detection of depression and malnutrition is beneficial. Older adults should routinely use brief, easy-to-obtain diagnostic tools such as the MNA and GDS questionnaires to treat these related health issues quickly and effectively.
