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Öğe ADHERENCE TO GLUTEN-FREE DIET AND THE SOCIAL RELATED FACTORS IN ADULTS WITH THE CELIAC DISEASE(Dokuz Eylul Univ Inst Health Sciences, 2024) Oner, Neslihan; Borlu, Arda; Çapar, Aslı Gizem; Aykut, MuallaPurpose: Lifelong dietary adherence is very important in celiac disease. Several factors may affect adherence to a gluten -free diet (GFD). In this study, it was aimed to determine the adherence to a glutenfree diet (GFD) and the factors affecting social life in adults with celiac disease. Material and Methods: This cross-sectional study was conducted on 98 adults diagnosed with celiac disease, using the telephone interview method of data collection. The level of adherence to GFD was accepted as the dependent variable. Several factors including age, gender, economic status, educational level, and marital status were considered as independent variables. Quantitative variables were compared using the student's t -test, while the Chi-square test was used for qualitative variables. Multiple logistic regression analysis was performed to determine related factors associated with excellent adherence to GFD. Results: 53.1% of the celiac patients reported their adherence to GFD was excellent, 46.9% was poor. The celiac patients' 61.2% reported difficulties about to access GFPs and 49.0% of them never consume commercial GFPs. Before eating out, 67.3% of the celiac patients call the restaurant to ask if they have a gluten -free menu. The celiac patients' 69.4% reported that they use a gluten -scanner application. The rate of excellent adherence to GFD of the celiac patients who had >= 4 family members were significantly lower (OR: 0.112 CI: 0.15-0.832, p=0.017). The celiac patients with >= 10 diagnosis years had significantly lower adherence to GFD (OR: 0.053 CI: 0.010-0.292, p=0.001). Gluten -scanner applications non -users had 0.163 -fold lower excellent adherence to GFD (OR: 0.163 CI: 0.034-0.779, p=0.016). Conclusion: This study emphasizes that having nuclear family, new diagnosis, and use of mobile applications positively affect adherence to GFD.Öğe Are low self-esteem and body image dissatisfaction related with body mass index?(Mattioli 1885, 2019) Unlu, Sukran; Aykut, Mualla; Borlu, Arda; Kaner, GulsaAim: To determine the prevalence of self-esteem and body image dissatisfaction and its association with body mass index as well as other related factors. Material/Methods: A total of 240 women in the age range of 18 to 64 with normal weight (n=80), overweight (n=80), and obesity (n=80) were involved in this cross-sectional study. Body weight and height were measured and BMI was calculated according to WHO criteria. Individuals' self-esteem has been evaluated through Self-Esteem Inventory developed by Coopersmith. On the other hand, body image concern degrees have been evaluated by Body Image Concern Inventory. Data were statistically analyzed by chi-square, ANOVA tests, logistic regression and correlation analysis on SPSS version 16. Results: The average of self-esteem and body image concern scores is the highest in normal-weight women and the difference between the groups has been detected to be statistically significant. Self-esteem of 7.5% of the women and body image concern of 64.2% of them are low whereas self-esteem of 49.6% and body image concern of 35.8% of them are high. An inverse relationship was found among BMI, body image and self-esteem. Having low levels of socio-economic status and education, being married, having chronical diseases and obese individuals in family were determined to be associated with low self-esteem. Moreover, older age and lower socio-economic status were related with body image dissatisfaction. Conclusion: Obesity negatively affects self-esteem and body image. Overweight and obesity must be prevented not only for decreasing non-communicable diseases, but also decreasing psychosocial and physical problems in the population.Öğe Changes in physical activity among adults in Turkiye(Who Eastern Mediterranean Regional Office, 2024) Oner, Neslihan; Durmus, Hasan; Senturk, Halime; Aslan, Tugba Coskun; Borlu, Arda; Aykut, MuallaBackground: Physical inactivity is a significant public health problem and a contributor to noncommunicable disease and worsening health status. It causes morbidity and an estimated 6-10% of premature deaths globally. Aim: To investigate changes in physical activity among adults in Turkiye between 2014 and 2023 and the factors that influenced the changes. Methods: Two cross-sectional studies were conducted in 2014 (N = 1228) and 2023 (N = 1517) on the same population of adults aged 25-64 years, using the same methodology. The data were analysed using SPSS 24.0. The relationship between variables believed to influence physical activity and the changes in variables within the groups over the years were assessed using the chi(2 )test. P < 0.005 was considered significant. Results: The mean age of participants was 41.25 +/- 12.06 years, 51.4% of them were female, 70.8% were married, and 72.2% had children. The mean total metabolic equivalent of the task score was 2285 in 2014 and 2288 in 2023 (P = 0.984). There was no significant change in physical activity over the years and the inactivity rate had increased from 37.3% in 2014 to 39.9% by 2023 (P = 0.222). In 2023, men were 1.91 times more active than women (P < 0.001). There were differences in the level of physical activity across the age groups; older individuals were more inactive. The mean body mass index did not change over the years (P = 0.09). Conclusion: The results show no significant change in the level of physical activity and prevalence of obesity among adults aged 25-64 years in Turkiye between 2014 and 2023. This indicates that the campaigns conducted by the Ministry of Health alone were not sufficient to increase physical activity among the study population. We recommend more intensive community level campaigns that could result in increased physical activity, with greater attention on women and older people.Öğe FACTORS AND BARRIERS RELATED TO FRUIT AND VEGETABLE CONSUMPTION OF UNIVERSITY STUDENTS: KAYSERİ, TÜRKİYE(2024) Çapar, Aslı Gizem; Öner, Neslihan; Beşparmak, Aslıhan; Aykut, MuallaThis study aimed to examine university students' fruit and vegetable (F/V) consumption status and related factors and determine the influencing factors and barriers. The study was conducted with 630 students studying at university in the 2016-2017 academic year. Data were collected using a questionnaire questioning students' sociodemographic characteristics, daily fruit and vegetable (F/V) consumption, factors and barriers affecting F/V consumption. F/V intake status was assessed according to World Health Organization (WHO) recommendations, and the adequacy of F/V intake was compared with nutrition and health habits. The mean daily total F/V consumption of students was 3.1 (1-5) portions. According to WHO recommendations, 71.4% had inadequate daily F/V consumption, while only 28.6% had adequate F/V consumption. As vegetable consumption increased, fruit consumption also increased (r=0.398, p<0.001). The correlation between body weight and fruit and vegetable consumption was statistically not significant (r=-0.007, r=-0.026, respectively) (p>0.05). A significant difference was found only between place of living and adequate F/V consumption (p<0.001). There were no significant differences between gender, socioeconomic status and Body Mass Index (BMI) and adequate F/V consumption. The main factors preventing F/V consumption were; long preparation and cooking times (52.0%), vegetable dishes were not found to be satisfying (48.7%), and vegetable consumption was not liked (36.2%). The most important barrier is the perception of adequate consumption. A significant difference was found between students' perceptions of their F/V consumption and current status (p<0.001). Of the students who thought their F/V consumption was adequate, 58.1% consumed inadequate among the students who consume inadequate F/V, 50.0% think of increasing their F/V consumption. The F/V consumption of 71.4% of the students was inadequate, and the inadequate F/V consumption status of students living in dormitories, students who consumed biscuits-chocolates at snacks, and students who preferred fast food for meals outside the home was higher than the other groups. University students do not consume adequate F/V. Therefore, it is necessary to improve the knowledge and behaviors of university students regarding F/V consumption and overcoming the barriers to F/V consumption.Öğe Fruit and vegetable consumption of last grade medical students and related factors(Mattioli 1885, 2019) Borlu, Arda; Aykut, Mualla; Celik, Nesliban; Gun, Iskender; Timur, Abmet; Karaca, SabriObjective: This study aimed to determine consumption of fruit and vegetable (F&V) among last grade medical students who will have important roles in community nutrition and health. Material methods: This cross-sectional study was conducted on 246 last grade students of Erciyes University School of Medicine (Kayseri, Central Anatolian, Turkey) at 2014-2015 academic terms in June and July 2015.We examined gender, accommodation, marital status, family type, number of individuals living together, homeland, weight and socioeconomic status, number of meals, having regular snacks, eating away from home, water intake, tobacco and alcohol using, regular physical activity. Weight and height was measured and BMI was calculated. Main outcome measure was the intake of F&V by WHO recommendations. Percentage values were used for qualitative data. Comparisons between eating and health habits and adequacy of F&V intake were analyzed using chi-square test. Results: Only 38.6% of students consumed adequate F&V. Rate of adequate F&V intake was higher in students who had regular snacks, ate away from home less than once a week, used no tobacco and lived not alone. Conclusions and Implications: The adequate consumption of F&V among last grade medical students' was low. Knowledge and behaviors of last grade medical students about F&V consumption must be improved.Öğe Gebelik Döneminde Verilen Emzirme Eğitiminin Anne Sütüyle Beslenme ve Emzirmeye İlişkin Davranışlara Etkisi(Beslenme ve Diyet Dergisi, 2012) Kaya, Neşe; Aykut, Mualla; İnanç, NerimanAmaç: Türkiye’de bebeklerin neredeyse tamamı doğumdan sonra bir süre anne sütüyle beslenmekteyken, ilk 6 ay sadece anne sütüyle beslenen bebeklerin oranı %41.6’dır. Çalışmalar, sadece anne sütüyle beslenme ve emzirme süresinin arttırılması için annelere verilen eğitimin etkisini ortaya koymuştur. Bu araştırma gebelere verilen emzirme eğitiminin anne sütüyle beslenme ve emzirmeye ilişkin davranışlara etkisini belirlemek amacıyla yapılmıştır. Bireyler ve yöntem: 2008’de Kayseri Melikgazi Sağlık Grup Başkanlığı Sağlık Ocağı Bölgeleri’nde gebeliklerinin son trimesterlerindeki tüm kadınların araştırma kapsamına alınması planlanmış, eğitim ve kontrol grupları belirlenmiştir. Eğitim (155) ve kontrol (149) grubundan 304 kadınla araştırma tamamlanmıştır. Eğitim öncesinde gebelerin anne sütü, emzirme konusundaki bilgi düzeyleri ölçülmüş, eğitim grubuna anne sütü ve emzirme konusunda eğitim verilmiştir. Doğumdan sonra iki grubun emzirmeye ilişkin davranışları sorgulanarak eğitimin etkinliği değerlendirilmiştir. Veriler anket formuyla yüz yüze görüşülerek toplanmış, SPSS 13.0 paket programında ki-kare, Student t testiyle analiz edilmiştir. Bulgular: İki gruptaki annelerin sosyodemografik özellikleri istatistiksel açısından farklı değildir. Gebeliklerinde “bebeğe kaç ay sadece anne sütü verilmelidir?” sorusuna 6 ay cevabını verenlerin oranı kontrol grubunda (%94.6), eğitim grubundan (%82.6) yüksektir (p<0.05). Eğitim sonrasında, 6 aylık bebeği olan annelerde ilk 6 ay sadece anne sütü verenlerin oranı eğitim grubunda %33.3, kontrol grubunda %37.5’tir (p>0.05). Eğitim grubundaki annelerin gece emzirmeleri %78.1, kontrol grubundakilerin %67.1’dir (p<0.05). Eğitim sonrasında ilk 6 ay sadece anne sütüyle beslenenlerin oranı ve annelerin emzirme davranışları iki grupta benzerdir. Eğitimin anne sütüyle beslenme süresi ve emzirme davranışlarına etkisi istenilen düzeyde bulunamamış, sadece gece emzirme oranlarındaki artışa yansımıştır. Sonuç: Çalışma sonuçları doğrultusunda, eğitim yöntem ve araçlarının gözden geçirilmesi, eğitimin etkinliği ve sürekliliğinin sağlanması gerektiği düşünülmektedir.Öğe Hipertansif kişilerin hipertansiyon konusundaki tutum ve davranışları(2019) Arslantaş, Ebru Ergün; Sevinç, Nergiz; Çetinkaya, Fevziye; Günay, Osman; Aykut, MuallaAmaç: Hipertansiyon tüm dünyada sık görülen bir hastalıktır ve hipertansif hastalarda farkındalık oranıdüşüktür. Bu nedenle hastaların sağlığını etkileyen uygun davranışları kontrol etmesi gerekmektedir. İdealvücut ağırlığı, hareketli yaşam, tuz ve doymuş yağlardan fakir diyetle beslenme, sigara ve alkolkullanmama ve stresten uzak durma önerilmektedir. Bu araştırma hipertansiyon tanısı almış erişkinkişilerin hastalıklarının kontrolü ile ilgili tutum ve davranışları ile bunları etkileyen faktörleri belirlemekamacıyla yapılmıştır.Gereç ve Yöntem: Bu kesitsel araştırma Kayseri ili Kocasinan, Melikgazi, Talas ve Hacılar ilçelerinebağlı 4 ayrı Aile Sağlığı Merkezi?nde yürütülmüştür. Daha önce hipertansiyon tanısı almış ve aile sağlığımerkezlerine herhangi bir nedenle başvuranlardan araştırmaya katılmayı kabul eden, 18 yaş ve üzeri 525kişi araştırma kapsamına alınmıştır. Veri toplama aracı olarak, hastaların sosyodemografik özellikleri vehipertansiyonla ilgili tutum ve davranışları ile ilgili 37 sorudan oluşan anket formu kullanılmıştır. Verilerinanalizinde Pearson Ki-Kare testi kullanılmıştır.Bulgular: Araştırma grubunda, düzenli ilaç kullandığını belirtenlerin oranı %80,8, düzenli doktor kontrolüyaptıranların oranı %62,9 bulunmuştur. Katılımcıların %27,6?sı sigara, %9,3?ü alkol kullanmaktadır,%36,8?i tansiyonları yükseldiğinde hekime başvurduğunu, % 63,2?si tansiyonu düşürdüğüne inandığıyiyecek ve içecek aldığını belirtmişlerdir. Araştırmaya katılanların % 41,1?i düzenli fiziksel aktiviteyapmakta olup, %70,5?i yemeklerinde tuz kısıtlaması yapmaktadır. BKI değerlerine göre, erkeklerin%7,0„si kadınların %16,1?i obez olarak değerlendirilmiştir.Sonuç: Araştırma grubunda, hipertansiyon farkındalığı istenilen düzeyde değildir. Hastalarınhipertansiyondan korunma önlemleri hakkında tutum ve davranışlarının yetersiz olduğu belirlenmiştir.Hipertansiyon hastalarının tedaviye uyumunu sağlamak için hipertansiyon konusunda bilgilendirilmesi,düzenli doktor kontrolü ve ilaç kullanımı konusunda yönlendirilmesi, evde kan basıncı ölçümününöğretilmesi gerekir.Öğe Knowledge, Attitude, and Practices About Wet-Nursing and Human Milk Banking in Kayseri, Turkey(Erciyes Univ Sch Medicine, 2018) Yılmaz, Müge; Aykut, Mualla; Şahin, Habibe; Ongan, Dilek; Balcı, Elçin; Gün, İskender; Öztürk, AhmetObjective: The aim of the present study was to determine the knowledge, attitude, and practices of mothers about wet-nursing and human milk banking in Kayseri, Turkey. Materials and Methods: This descriptive study was conducted in the family healthcare centers of four community health care centers in Kayseri Province. The questionnaire form was fulfilled with face-to-face interviews of 614 participants. Results: Of the mothers, 88.9% had heard about wet-nursing, 10.9% had a wet-nurse of her own, 5.2% had a wet-nurse of her child, and 5.0% had been a wet-nurse of another child. Wet-nurses were chosen mostly from relatives. Of the mothers, 93.6% stated that they had not heard about milk banking, whereas 97.2% did not know its purpose and services. More than half of the mothers (61.6%) thought human milk banking as a right application, whereas 75.4% of the mothers who thought that it was not right were against it because they believed marriage between foster milk siblings was religiously forbidden. Most of the mothers (79.8%) stated that they could milk for another child, and 56.2% identified that they could donate breast milk to the human milk bank. Conclusion: More than half of the mothers thought that milk banking was a correct application. Mothers who were opposed to milk banking showed religious justifications as reasons. Placing the subjects milk banks and human milk donorship during education on breast milk in hospitals is important in terms of increasing the awareness of mothers.Öğe May changes in nutritional habits be an indicator of fear during the COVID-19 pandemic period?(Emerald Group Publishing Ltd, 2024) Başmısırlı, Eda; Çapar, Aslı Gizem; Kaya, Neşe; Durmus, Hasan; Aykut, Mualla; İnanç, NerimanPurposeThe aim of this study was to determine the effect of anxiety levels of adults on their nutritional status during the COVID-19 pandemic in Kayseri province, Turkey. Design/methodology/approachA total of 898 adults consisting of 479 individuals with and 419 individuals without a positive diagnosis of COVID-19 were included in the study. The individuals' socio-demographic characteristics, health status, nutritional habits, anthropometric measurement and Fear of COVID-19 Scale (FCV-19S) information were obtained online. FindingsThe mean FCV-19S score of the participants was 17.49 +/- 6.02. FCV-19S score was higher in those who reduced their consumption of protein sources compared to those who did not change and those who increased (p < 0.001). It was determined that FCV-19S scores of participants who increased their consumption of fruit/vegetables, sweets and sugar were higher than those who did not change their consumption of such items (p = 0.007). The FCV-19S scores of individuals who did not change their onion/garlic and snack consumption were lower than those who decreased or increased the consumption of these nutrients (p = 0.001, p = 0.002). Practical implicationsEducation programs can be organized especially targeting vulnerable populations, such as women, individuals with chronic diseases and those experiencing COVID-19 symptoms. These programs can be conducted by dietitians and psychologists in collaboration, focusing on promoting healthy eating habits and coping strategies during stressful times. Originality/valueIt was determined that those who changed their nutrition habits during the COVID-19 pandemic had higher fear levels than those who did not. Individuals with high fear paid more attention to healthy nutrition than individuals without fear.Öğe Milk expression and maternity leave as determinants of breastfeeding among mothers employed in a baby friendly hospital(2019) Gunes, Meltem; Aykut, Mualla; Oner, Neslihan; Borlu, ArdaThis study aimed to evaluate breastfeeding behaviors among healthcare professional mothers employed in a hospital which support Baby Friendly Hospital (BFH) Initiative program. Methods: This cross-sectional and descriptive study was performed in Erciyes University Hospital between August 2011 and June 2012. 175 healthcare professional mothers who had 1-5 years old children recruited for the study. Data was collected via a questionnaire which contains 51 questions. The rate of exclusive breastfeeding (EB) was 33.1% among healthcare professional mothers employed in a BFH. The mean of total breastfeeding duration was 13.02±7.53 months. The rates of cesarean delivery and initiation breastfeeding in an hour were 77.7% and 61.7% respectively of the study group. Vaginal delivered mothers’ breastfeeding rates in first one hour (79.5%) were significantly higher than caesarean delivered mothers’ (56.6%) (p<0.05). Professions and expressing breastmilk were found to be effective variables for EB (p<0.05). Unpaid maternity leave was found significant for long-term breastfeeding. Expressing breastmilk and performing legal arrangements for prolonging maternity leave seems like important factors for encouraging breastfeeding.Öğe New Epidemics Are At The Door: Leveraging Unanticipated Lessons from COVID-19 on Nutrition(2024) Kaya, Neşe; Çapar, Aslı Gizem; Başmısırlı, Eda; Durmuş, Hasan; Aykut, Mualla; İnanç, NerimanABSTRACT The number of new cases of COVID-19 variants increasing globally in recent weeks. There is a need to learn lessons from COVID-19 experiences and take new measures to better respond to new epidemics and the devastating effects of the disease. This study aimed to investigate the changes in nutritional habits of individuals with COVID-19 diagnosis in the Kayseri sample in Turkey. This cross-sectional study was conducted with 479 participants aged 18-65 years who had positive COVID-19 PCR tests. The data were collected online using the sociodemographic data form. Changes in nutritional characteristics of participants compared to the pre-pandemic period were recorded. The results showed that the rate of participants who increased paying attention to a healthy diet during the pandemic was 83.1%. They changed their food choices towards a healthier pattern supporting immunity. Eating regularly, using nutritional and herbal supplements, and eating at home increased compared to the pre-pandemic period (pÖğe Nuh Naci Yazgan Üniversitesi öğrencilerinin meyve ve sebze tüketim durumu ve ilişkin faktörler(2017) Başmısırlı, Eda; İnanç, Neriman; Nisari, Mustafa; Aykut, Mualla; Altunkürek, Şerife Zehra[Abtsract Not Available]Öğe The effect of breastfeeding training on exclusive breastfeeding: a randomized controlled trial(Taylor & Francis Ltd, 2021) Yilmaz, Muge; Aykut, MuallaIntroduction: Although exclusive breastfeeding is very beneficial for children's and mothers' health, a limited number of infants are exclusively breastfed for 6 months. Aim: This randomized controlled intervention study aims to determine the effect of breastfeeding training on mothers' knowledge, behaviors, and exclusive breastfeeding for 6 months. Materials and methods: The participants were selected randomly for training (n = 60) and control groups (n = 60) among the pregnant women admitted to the obstetrics and gynecology polyclinics of a baby-friendly hospital. The training group received breastfeeding training during the prenatal and postnatal periods. The data were collected using a questionnaire during admission and at the postpartum 1st and 24th weeks through face-to-face interviews. The study was completed with 34 and 30 mother-infant pairs in the training and control groups, respectively. Analyzed using the chi-square, Student t, Mann-Whitney U, and Wilcoxon t-tests. Results: The difference between the number of correct answers in pre- and posttest was higher in the training group (four questions) than in the control group (two questions) (p < .001). The number of mothers exclusively breastfeeding for 6 months was significantly higher in the training group (26.5%) than in the control group (3.3%) (p = .015). The median of the exclusive breastfeeding period was longer in the training group (5 months) than in the control group (4 months) (p = .013). Conclusion: Training and supporting pregnant women and breastfeeding mothers on breastfeeding increased their knowledge, the period of exclusive breastfeeding, and the rate of 6-month exclusive breastfeeding.
