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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 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 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.
