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    Effects of sleep quality and insomnia severity on metabolic and anthropometric parameters in elderly individuals
    (2023) METE, BURAK; keskin, lezan
    Purpose: This study aimed to investigate the relationship of sleep quality and insomnia with metabolic/anthropometric parameters in elderly individuals. Materials and Methods: This cross-sectional study was conducted with 474 elderly individuals. Their fasting blood glucose, haemoglobin A1c, total cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein, cortisol, C-reactive protein, weight, waist circumference, waist-to-hip ratio, skeletal muscle mass, body fat mass and body mass index were measured. Their sleep quality was evaluated using the Pittsburgh Sleep Quality Index, and insomnia was assessed using the Insomnia Severity Index. Results: The mean age of the 474 elderly individuals included in the study was 71.02±4.90 years. Poor sleep quality prevalence was found to be 71.1% among the elderly participants and the prevalence of mild to moderate insomnia was 55.1%. The sleep quality score was positively correlated with the postprandial blood glucose level (r=0.121, p
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    Mediatory effect of alexythymia on the relationship between cyberchondria and somatosensory amplification in psoriasis patients
    (2024) KALAYCI, BÜLENT NURİ; KARTAL, fatma; SALCAN, TARIK; METE, BURAK
    Purpose: We hypothesized that the level of cyberchondria may be related to exaggeration of bodily sensations in patients diagnosed with psoriasis and that the level of alexithymia may have a mediating effect on this relationship. Materials and Methods: Our research sample consists of 101 patients diagnosed with Psoriasis and 89 healthy controls. Psoriasis Area and Severity Index (PASI) was applied to patients diagnosed with psoriasis. All participants completed the Sociodemographic Data Form, Cyberchondria Severity Scale (CCS), Toronto Alexithymia Scale (TAS), Beck Depression Inventory (BDI), Beck AnxietyInventory (BAI) and Somatosensory Amplification Scale (SSAS). Results: SCÖ F1, F2 subscale and total scores in the control group; f5 scores were statistically significantly higher in the psoriasis group. SSAS total scores in the psoriasis group were statistically significantly higher than in the control group. A significant, positive and low level correlation was found between PASI and SCS f1, BD and ssas scores in psoriasis patients. There is a significant, positive and significant difference between PASI and BA scores. A moderate correlation was found. The mediating effect of alexithymia in the relationship between cyberchondria and exaggeration of bodily sensations. In the mediation analysis examined, alexithymia was found to be a partial mediator. Both the direct and indirect (mediating effect) effects of cyberchondria on alexithymia are significant. Conclusion: Alexithymia has a mediating effect on the relationship between cyberchondria and exaggeration of bodily sensations in patients with psoriasis. In clinical practice, assessing the level of exaggeration of bodily sensations and alexithymia may be predictive to determine the pathological level of health information seeking behavior in people suffering from chronic diseases such as psoriasis.
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    The Role of Hedonic Hunger As a Moderator and Mediator in Older Adults Obesity
    (2024) METE, BURAK; keskin, lezan; Demirhindi, Hakan; Şahin, Ceren Kanat; METE, ESRA DOĞAN; Bayram, Ertuğrul
    Objective: In the modern age, the pursuit of food is now a means of pleasure and of satisfying hunger. This study examined the role of hedonic hunger and eating behaviors on obesity in older adults. Materials and Methods: This cross-sectional study was conducted on 400 older adults. The nutrition information system (BeBiS), bioelectrical impedance analysis, power of food scale-Turkish version (PFS-Tr), and Dutch eating behaviour questionnaire (DEBQ) were used to evaluate the subjects. Results: The mean age of 400 people included in the study was 67.82±2.77 years. It was found that the moderator effect of the interaction of daily energy intake and hedonic hunger behaviour (PFS-Tr) on the waist-to-hip ratio was significant. In particular, the regulatory effect of low hedonic hunger scores (PFS-Tr) was significant (p=0.019) and the waist-to-hip ratio decreased as the scores obtained from the scale decreased. The mediator effect of the restrained eating (ResE) sub-dimension (DEBQ) between the average daily energy intake and body fat mass was significant (estimate =0.221, p=0.021), and an increase in ResE behavior scores resulted in an increase in body fat mass. It was found that 89.4% of the effect of ResE behaviour on body fat mass was direct and large. There was a weak positive correlation between the average daily energy intake and food available subscale of PFS-Tr (r=0.157) and food present subscale (r=0.017). Total daily energy intake had a direct effect on body fat mass (estimate =0.008, p=0.005). Conclusion: The results of our study support a positive relationship between hedonic hunger and abdominal obesity in older adults. Decreased ResE behaviour increases the whole-body fat mass. Evaluation of hunger and implementation of programmes that support ResE behaviour may be useful in controlling obesity and its negative consequences in older adults.