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Öğe A Comparison of Caffeine Intake and Physical Activity According to Fatigue Severity in University Students(Sage Publications Inc, 2023) Gunes, Musa; Demirer, BusraThis study aims to compare caffeine intake and physical activity levels in university students with severe and ineffective fatigue and examine the relationship between them. A total of 647 (F:527; M:120) university students were included in this cross-sectional study. Individuals' socio-demographic information, severity of fatigue (Fatigue Severity Scale (FSS)), amount of caffeine intake and physical activity level (International Physical Activity Questionnaire-Short Form (IPAQ-SF)) were evaluated. It was determined that 56.5% of the university students (age: 21.21 +/- 2.57) participating in the study had severe fatigue. Caffeine intake and physical activity level of students with severe fatigue were statistically significantly lower than those with ineffective fatigue (p < 0.05). In addition, there was a weak negative correlation between fatigue and caffeine intake (r = -0.157; p < 0.001) and physical activity level (r = -0.096; p < 0.017). There was a significant positive correlation between caffeine intake and physical activity (r = 0.143; p < 0.001). This study showed that a significant portion of university students have severe fatigue. In addition, individuals with severe fatigue have decreased caffeine intake and lower physical activity levels. To reduce fatigue, caffeine intake in safe doses should be encouraged in accordance with the individual's metabolic and physiological parameters. In addition, physical activity counseling should be given to encourage physical activity.Öğe Does Prebiotic Food Consumption Reduce Sleep Disorder Symptoms in Children With and Without Asthma? A Case-control Study(Galenos Publ House, 2024) Sahin, Ozlem Ozturk; Dogan, Erkan; Topan, Aysel; Demirer, Busra; Tasdelen, YelizObjective: This study aims to evaluate the impact of prebiotic food consumption on sleep disturbance symptoms in children with and without asthma. Method: This is a case -control study. Data were collected from 55 children with asthma and 70 children without asthma, aged 6 to 12 years. Data collection included the Sleep Disturbance Scale for Children (SDSC), Prebiotic Food Consumption Frequency Form, and Childhood Asthma Control Test. The asthma control level of children was determined by a pediatrician following the Global Initiative for Asthma's guidelines. Results: The average age of children with asthma was 9.16 +/- 3.11, while for children without asthma, it was 9.39 +/- 3.24. No significant differences were found between children with and without asthma in daytime napping, nighttime awakening, SDSC score, and daily prebiotic food consumption (p>0.05). It was observed that children with asthma used more prebiotic-enriched products than children without asthma (p<0.012). There was no significant difference in asthma control level, SDSC score, and prebiotic food consumption between children with and without asthma (p>0.05). Furthermore, no significant relationship was found between the SDSC score and prebiotic food consumption in children with and without asthma (p>0.05). Conclusion: Prebiotic food consumption's role in determining sleep disturbances and asthma control levels in children with asthma remains uncertain. Further research is needed on the use of prebiotics in children with asthma.Öğe The effect of orthorexia nervosa on food label reading habits among university students(Springer, 2022) Yardimci, Hulya; Demirer, BusraPurpose This observational cross-sectional study aimed to evaluate university students' food label reading habits with and without orthorexia nervosa (ON) tendency. Methods Data were collected online with a questionnaire. The questionnaire form included sociodemographic variables, the ORTO-11 scale, the reading frequency of some components on the food label, and the evaluation of some opinions about the food label. The obtained data were evaluated with SPSS 25.0 statistical package program and GraphPad Prism program. Results A total of 674 university students (mean age: 21.03 +/- 2.43 years), 537 women (79.7%) and 137 men (20.3%) were included in the study. It was determined that individuals with ON tendency read some nutrients, content information, serving size, health information, instructions for use, additives and brand more frequently compared to individuals without ON tendency (p < 0.05). At the same time, it was determined that individuals with ON tendency were more likely to agree with the idea that reading food labels is important for a healthy diet, compared to individuals with normal eating behavior (p < 0.001). Conclusion The study findings show that individuals with ON tendency have a higher habits of reading food labels compared to individuals with normal eating behavior. To reach a decision on this issue and to determine the diagnostic criteria for ON, future studies should be conducted on different groups and samples with higher participation, as well as studies using different screening tools to determine the tendency for ON.Öğe Evaluation of the effects of dietary advanced glycation end products on inflammation(Wiley, 2024) Demirer, Busra; Fisunoglu, MehmetAdvanced glycation end products (AGEs) are a large number of heterogeneous compounds formed by the glycation of proteins, fats or nucleic acids. Endogenous AGEs have been associated with various health problems such as obesity, type 2 diabetes mellitus and cardiovascular disease. Inflammation is thought to be one of the main mechanisms in the development of these disorders. Although AGEs are produced endogenously in the body, exogenous sources such as smoking and diet also contribute to the body pool. Therefore, when the AGE pool in the body rises above physiological levels, different pathological conditions may occur through various mechanisms, especially inflammation. While the effects of endogenous AGEs on the development of inflammation have been studied relatively extensively, and current evidence indicates that dietary AGEs (dAGEs) contribute to the body's AGE pool, it is not yet known whether dAGEs have the same effect on the development of inflammation as endogenous AGEs. Therefore, this review aimed to evaluate the results of cross-sectional and intervention studies to understand whether dAGEs are associated with inflammation and, if there is an effect on inflammation, through which mechanisms this effect might occur.Öğe Inflammation level in type 2 diabetes is associated with dietary advanced glycation end products, Mediterranean diet adherence and oxidative balance score: A pathway analysis(Elsevier Science Inc, 2023) Demirer, Busra; Yardimci, Hulya; Basmaz, Seda EremAims: The aim of this study was to evaluate the effects of dietary advanced glycation end products (dAGE) intake, Mediterranean diet adherence screener (MEDAS), and oxidative balance score (OBS) on inflammation among individuals with type 2 diabetes. Methods: The study was conducted with 96 adults (aged between 32 and 64 years) with type 2 diabetes. The average daily dAGE intakes, energy and macronutrient intakes of the participants were taken with the three-day food consumption recording method. OBS and MEDAS score was used. At the same time, routine blood lipids, HbA1c, fasting blood glucose and inflammation marker C-reactive protein (CRP) were measured. Results: Dietary AGE intake was associated with fasting blood glucose, HbA1c, CRP and blood pressures (p < 0.01). The relationship between OBS and dAGE intake was significant (8 = -0.36; 95 % Cl = -0.500, -0.220; p < 0.001). MEDAS has a negative and statistically significant effect on dAGE intake (8 = -0.56; 95 % Cl = -0.696, -0.444; p < 0.001). There was a significant and positive effect of dAGE on CRP when other variables (MEDAS, OBS) affecting dAGE were also included in the analysis (8 = 0.79; 95 % CI = 0.664, 0.917; p < 0.001). Conclusions: Our findings may have important implications for explaining the development of inflammation in type 2 diabetes patients with high dAGE intake.Öğe Intake of dietary advanced glycation end products may be associated with depression and sleep quality in young adults(Elsevier, 2024) Demirer, Busra; Samur, GulhanBackground: This study examined the relationship between dietary intake of advanced glycation end products (dAGEs) and depression and sleep quality in young adults. Methods: This study, which included 420 university students (F = 80.2 %; M = 19.8 %), is observational and cross-sectional. Dietary AGEs intakes of individuals were taken with a 24-h food consumption record system. Measuring the depression status of the participants was evaluated with the Beck Depression Inventory (BDI), and the assessment of their sleep quality was evaluated with the Pittsburg Sleep Quality Index (PSQI). Individuals' dAGEs intakes were divided into three equal groups (low, medium, and high). The energy was adjusted in all analyzes of dAGEs intake. Study data were analyzed with the SPSS (27.0 version) and GraphPad program (8.0 version). Results: The BDI and PSQI total score averages of individuals in the high dAGEs intake group were higher than the other groups, and this difference was statistically significant (p < 0.001). There is no significant difference between individuals' dAGEs intakes and energy and macronutrient intakes. Students' dAGEs intake was affected by BDI (beta = 0.722, 95 % Cl = 0.639;0.811) and PSQI (beta = 0.286, 95 % Cl = 0.179;0.431) scores (p < 0.001). This effect persisted even when various confounding factors were included (age, gender, smoking, body mass index, chronic disease) (p < 0.001). Limitations: These data are cross-sectional, which limits the generalizability of results and establishing causeeffect relationships. Conclusion: There may be an association between dAGEs intake and the development of depression and sleep quality in young adults. Clinical intervention studies using objective measurement methods should be conducted on this issue in the future.Öğe Is high adaptation to the Mediterranean diet effective in increasing ecological footprint awareness? A cross-sectional study from Turkey(Wiley, 2022) Yardimci, Hulya; Demirer, BusraBACKGROUND The effect of diet type on sustainable environment is known. It is important to understand the adaptation of individuals with high ecological footprint awareness to the Mediterranean type diet, especially under the assumption that the Mediterranean diet will reduce the ecological footprint. In the study, it is aimed to examine the relationship between the level of adherence to the Mediterranean diet and Ecological Footprint awareness of adults. RESULTS The sample of the study consisted of 395 individuals with a mean age of 26.2 +/- 8.7 years: 293 females (74.2%) and 102 males (25.8%). As the Mediterranean Diet Adherence Scale (MDAS) score of individuals increased, the Ecological Footprint Awareness Scale score also increased. Similarly, a positive correlation was found between the participants' MDAS score and the awareness of food (r = 0.157; P = 0.002), energy (r = 0.133; P = 0.008), waste (r = 0.149; P = 0.003) and water consumption (r = 0.101; P = 0.045), which are sub-factors of the Ecological Footprint Awareness Scale. CONCLUSION As far as is known, this cross-sectional study is one of the first studies on compliance with the Mediterranean diet and awareness of the ecological footprint. The findings of the study show that as individuals' compliance with the Mediterranean diet increases, their awareness of their ecological footprint will also increase. To reach a conclusion on this issue, future studies should evaluate the relationship between adherence to the Mediterranean diet and awareness of food-environmental impact on different samples. (c) 2021 Society of Chemical Industry.Öğe Is mindful eating higher in individuals with orthorexia nervosa?: a cross-sectional study(Springer Heidelberg, 2024) Demirer, Busra; Yardimci, HulyaAimThe present study aimed to investigate the relationship between mindful eating and orthorexia nervosa (ON) among adults and contribute to establishing ON diagnostic criteria.Subject and methodsIn the current cross-sectional study, 105 women and 92 men (aged 19-64 years) were enrolled whose scores on the Orthorexia Nervosa Questionnaire-15 (ORTO-15), the Eating Attitudes Test-26 (EAT-26), and SCOFF scales indicated a prevalence of ON and eating disorder risk. In addition, the Mindful Eating Questionnaire (MEQ) was applied to participants to determine mindful eating. Descriptive and inferential statistics were computed using the Statistical Package for Social Sciences (SPSS) version 25.ResultsIn participants with ON, the scores of emotional eating and conscious eating scores, which are MEQ sub-factors, and the total score of MEQ are higher than those who do not have ON (p < 0.05). There was a negative correlation between MEQ and ORTO-15 scores (r = -0.269; p < 0.01). In addition, the one-point increase in the ORTO-15 scores of the participants led to 0.094 decrease in MEQ scores (B = -0.094; SE = 0.021; p < 0.001) and 0.175 decrease in EAT-26 scores (B = -0.175; SE = 0.033; p < 0.001).ConclusionsThe data obtained from our study show that mindful eating of individuals with ON is higher than those who do not have ON, and this is important in determining the diagnostic criteria of ON.Öğe Nutritional literacy levels of university academic and administrative staff: A cross-sectional study from Turkey(Sage Publications Inc, 2023) Demirer, Busra; Yardimci, HulyaAim This study aimed to evaluate the nutritional literacy levels of university academic and administrative staff. Methods Data were collected with a questionnaire including sociodemographic variables, some eating habits, and the Nutritional Literacy Assessment Tool of Adults. A total of 413 individuals, 211 women (51.1%) and 202 men (48.9%), aged 23-64 (mean: 37.41 +/- 10.04 years), were included in the study. The data obtained were evaluated with the SPSS 25.0 statistical package program. Results It was found that the nutritional literacy level of 18.15% of the participants is at the borderline, 81.85 are sufficient. Women's nutrition literacy scores are significantly higher than men's (p = 0.034). A significant relationship was found between nutritional literacy, socioeconomic status, and some eating habits (p < 0.05). The average daily water consumption of individuals with sufficient nutritional literacy is statistically significantly higher than those with borderline nutritional literacy (p < 0.001). It was determined that individuals with borderline nutritional literacy skipped meals more frequently (p < 0.05). Conclusion The present study suggests that nutritional literacy may be effective in developing healthy eating behaviors. The study's results can guide the determination of methods that will improve nutritional literacy and increase awareness in the future.Öğe Possible effects of dietary advanced glycation end products on maternal and fetal health: a review(Oxford Univ Press Inc, 2023) Demirer, Busra; Samur, GulhanExcessive accumulation of advanced glycation end products (AGEs) in the body has been associated with many adverse health conditions. The common point of the pathologies associated at this point is oxidative stress and inflammation. Pregnancy is an important period in which many physiological, psychological, and biological changes are experienced. Along with the physiological changes that occur during this period, the mother maintaining an AGE-rich diet may cause an increase in the body's AGE pool and may increase oxidative stress and inflammation, as seen in healthy individuals. Studies have reported the negative effects of maternal AGE levels on maternal and fetal health during pregnancy. Although gestational diabetes, preeclampsia, endothelial dysfunction, and pelvic diseases constitute maternal complications, a number of pathological conditions such as intrauterine growth retardation, premature birth, neural tube defect, neurobehavioral developmental disorders, fetal death, and neonatal asphyxia constitute fetal complications. It is thought that the mechanisms of these complications have not been confirmed yet and more clinical studies are needed on this subject. The possible effects of dietary AGE levels during pregnancy on maternal and fetal health are examined in this review.Öğe The relationship between internet addiction with eating disorders and musculoskeletal health among university students(Springer Heidelberg, 2023) Gunes, Musa; Demirer, Busra; Simsek, AyseAim This study aimed to examine the relationship between internet addiction (IA) with eating disorders and musculoskeletal health problems among university students. Subject and methods This study was cross-sectional. A total of 581 students (female 459; male 122) were included in the study. Data were collected through an online survey system. The questionnaire form included some socio-demographic information, Young Internet Addiction Test (YIAT), Eating Attitude Test-26 Scale (EAT-26), and Musculoskeletal System Health Questionnaire Scale (MSK-HQ). The data were evaluated with IBM SPSS 25 statistical package program and the GraphPad program. Results The prevalence of IA of the students participating in the study (mean age 21.24 +/- 2.03 years) is 8.4%. It was determined that individuals with IA had statistically significantly more back pain during their internet use compared to individuals who did not (p < 0.05). In addition, it was determined that individuals with IA had a higher risk of eating disorders and as the EAT-26 score increased, the risk of IA increased 1.02 times (OR 1.022; CI 1.001-1.044; p = 0.044). As the MSK-HQ score increases, the probability of being internet addicted also decreases (OR 0.747; CI 0.565-0.987; p = 0.040). Conclusion This study shows that IA is associated with eating disorders and deterioration in musculoskeletal health problems among university students.
