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    Assessment of nutritional status and quality of life among patients with cancer who underwent major upper gastrointestinal system cancer surgery
    (Mattioli 1885, 2018) Kaner, Gulsah; Yilmaz, Ahmet Zeki; İnanç, Neriman; Yildirim, Merve Nur Sultan; Kurklu, Nilgun Seremet; Koyu, Ezgi Bellikci
    Aim: The risk of developing complications following major gastrointestinal system surgeries has risen in recent years despite of the development of methods and techniques for cancer surgery and increased preoperative care. Complications following surgical intervention reduce the quality of life of the patient, while increasing hospitalization time and mortality rates. In addition, surgery can lead to malnutrition in the postoperative period resulting from catabolism, which is caused by increasing the release of stress hormones and inflammatory mediators. This study was conducted to evaluate the nutritional status and quality of life and to determine the relationship between the two in patients with cancer who underwent major gastrointestinal surgery. Methods: Postoperative patients who underwent major upper gastrointestinal system cancer surgery by a general surgeon in the province of Kayseri, Turkey, aged between 20 and 80 years, and who met the criteria of the study, were included in the study. Socio-demographic characteristics, body composition, anthropometric measurements, and biochemical findings of the patients were recorded. NRS-2002 (Nutritional Risk Screening-2002) was used to evaluate the nutritional status of individuals and EORTC QLQ-C30 Version 3.0 (European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire) was used for the assessment of quality of life. Results: A total of 119 participants, 69 (58%) male and 50 (42%) female, participated in the research. The most common type of operation was partial/subtotal gastrectomy (41%). According to the NRS-2002 score, malnutrition risk was high in almost all males (98.6%) and females (88.0%), and nutritional support was necessary. It was determined that the albumin values of the individuals who were at risk of malnutrition are lower, and their length of stay in the hospital was longer. When the EORTC QLQ-C30 scores of the individuals were evaluated, the general health status score average was 45.2 +/- 18.20, the physical function score average was 67.3 +/- 16.72, and the symptom score average was 36.1 +/- 16.56 points. Symptom scores were found to be lower in women than men (p<0.05). It was determined that there was a negative significant correlation between NRS score and general health status score (r = -0.154, p <0.05). Conclusion: It was determined that nearly all of the participants who participated in the study had NRS scores >= 3 and were at risk of malnutrition. It was observed that the increased risk of malnutrition may negatively affect the quality of life.
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    Evaluation of nutritional status and social conditions of street children: Kayseri province from Turkey
    (Mattioli 1885, 2019) Kaner, Gulsah; İnanç, Neriman; Unal, Gizem; Sivri, Emine; Kurklu, Nilgun Seremet
    Aim: To evaluate the nutritional status and social conditions of a group of street children in Central Anatolia. Methods: A general questionnaire was applied to 75 children via a face-to-face interview. Body weight and height were measured and body mass index was calculated. Children were distributed according to the height for age and weight for height by using WHO 2007 reference criteria. Results: The majority of the children were boys. Approximately half of the children were attending primary school. Incidence of working on the street was higher in 10-12 age groups. It was seen that 37.3% of the children working on the street were having 2 main meals, while 56.0% were having 3; that the 72.0% of them were skipping meals. The nutritional status of children did not seem satisfactory, since none of them gained sufficient energy and nutrients intakes. The distribution of height-for-age showed that 12.0% of the children were stunted. More than half of the children were normal weight; while 36.0% of them were overweight. Conclusion: The children who are put to work in the streets do not have a balanced diet. This subject is in need of extensive studies with control groups including all the cities in Turkey.
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    Evaluation of Nutritional Status of Patients with Depression
    (Hindawi Ltd, 2015) Kaner, Gulsah; Soylu, Meltem; Yuksel, Nimet; İnanç, Neriman; Ongan, Dilek; Başmısırlı, Eda
    Aims and Objectives. Our goal was to determine nutritional status, body composition, and biochemical parameters of patients diagnosed with depression based on DSM-IV-TR criteria. Methods. A total of 59 individuals, aged 18-60 years admitted to Mental Health Centre of Kayseri Education and Research Hospital, were included in the study. The participants were randomly assigned to two groups; depression group (n = 29) and control group (n = 30). Anthropometric measurements, some biochemical parameters, demographic data, and 24-hour dietary recall were evaluated. Results. 65.5% of depression and 60.0% of control group were female. Intake of vitamins A, thiamine, riboflavin, B6, folate, C, Na, K, Mg, Ca, P, Fe, Zn, and fibre (P < 0.05) were lower in depression group. Median levels of body weight, waist circumference, hip circumference, waist-to-hip ratio (P < 0.05) were significantly higher in depression group. Fasting blood glucose levels, serum vitamins B12, and folic acid (P < 0.05) in depression group were lower than controls. Serum insulin and HOMA levels of two groups were similar. Conclusion. Some vitamin B consumption and serum vitamin B12 and folic acid levels were low while signs of abdominal obesity were high among patients with depression. Future research exploring nutritional status of individuals with depression is warranted.
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    Gastroesophageal Reflux Symptoms and Nutritional Preferences
    (Kamla-Raj Enterprises, 2015) Seremet, Nilgun; Karaagaoglu, Nilgun; Kaner, Gulsah; Tel, Kubra
    The increase in the prevalence of symptoms of Gastroesophageal Reflux Disease (GERD) demonstrates the importance of defining the changeable risk factors. Diet is the primary one among the changeable risk factors. The objective of this research is to identify the general characteristics of patients who are newly diagnosed with gastroesophageal reflux by using endoscopy, their eating habits before and after GERD symptoms, and their anthropometric measurements. In order to identify the general characteristics, eating habits, food consumption status, and some anthropometric measurements of individuals comprising 150 newly diagnosed GER outpatients were selected by using the random sampling method. When the eating habits of individuals were examined according to their status before and after experiencing GERD symptoms, significant changes were detected in their number of meals, meal skipping status, eating speed, and food temperatures (p<0.05). After experiencing GERD symptoms, individuals reduced their consumption of carbonated beverages, coffee, artificial juice, spices, chocolate, deep-fried food, onions, tomatoes, and citrus fruits, which are refluxogenic foods. The study showed that changes in eating habits are effective in decreasing the prevalence and severity of GERD symptoms.
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    The Relationship between Dietary Calcium Intake and Serum Lipoprotein Levels and Anthropometric Measurements
    (Kamla-Raj Enterprises, 2016) Gulmez, Melek Oguzhan; İnanç, Neriman; Oguzhan, Abdurrahman; Soylu, Meltem; Kaner, Gulsah; Erez, Rusen
    This study was conducted to evaluate the association between daily calcium (Ca) consumption and serum lipid levels and some anthropometric measurements. Subjects were divided into 3 groups based on Ca consumption as Group 1 (<600 mg/d), Group 2 (600-1000 mg/d) and Group 3 (>1000 mg/d). A positive significant association was found between daily calcium consumption and body weight (BW), BMI and hip circumference (HC) of women in Group 1. BW, BMI, waist circumference (WC) and HC were negatively associated with daily Ca consumption of women in Group 3. Daily Ca consumption was correlated negatively with serum total cholesterol level in women of Group 2 whereas a significantly positive and strong association was found between Ca and HDL C level in women of Group 3. The results of this study have shown that daily Ca consumption is of importance in protection of obesity and cardiovascular diseases, and it can be suggested that more related studies have to be conducted.
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    The relationship between plasma total antioxidant capacity and dietary antioxidant status in adults with type 2 diabetes
    (Mattioli 1885, 2018) Capas, Merve; Kaner, Gulsah; Soylu, Meltem; İnanç, Neriman; Başmısırlı, Eda
    Background and aim: There is limited information available on the association of plasma total antioxidant capacity (TAC) with dietary TAC in DM. The aim of this study was to evaluate the plasma TAC and its association with dietary antioxidant status in adults with Type 2 diabetes. Methods: Thirty outpatients diagnosed with type 2 DM (diabetics, n = 29) and 15 healthy subjects (control, n = 15) aged 40-70 with BMI <= 30 kg/m(2) were recruited to the study. Energy and nutrients intake, anthropometric measurements, dietary and plasma TAC, and some biochemical parameters were evaluated. The calculation of dietary TAC was based on previously published databases in which modified version of the FRAP. Results: Serum triglyceride, uric acid, and HbA1c levels in diabetics were higher than controls. A negative and statistically significant correlation was found between plasma TAC and HbA1c for diabetics. A negative and statistically significant correlation was observed between dietary TAC, HbA1c and fasting plasma glucose in diabetics. A positive and statistically significant correlation was found between plasma TAC and dietary intake of niacin in diabetics. No remarkable differences were found between dietary and plasma TAC in either group. Conclusion: This study provides evidence that dietary TAC is not an important modulator of antioxidant status in diabetic subjects. But, it showed that the increase in niacin and antioxidant taken with foods can be effective in controlling HbA1c and fasting plasma glucose.