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.
Objective: The aim of the present study was to determine the knowledge, attitude, and practices of mothers about wetnursing 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.
Objective: School Nutrition Programs (SNPs) may have positive effects on children’s food choices through high nutritional quality meals. This cross-sectional & descriptive study was conducted to determine nutritional quality of school lunch and to compare lunch consumption of students who participated in SNP and who did not, at the first governmental school serving school lunch in Kayseri, Turkey. Methods: One hundred and sixteen students aged 9-14 years were divided into two groups after being matched according to gender, age, grade; 58 participants (school lunch group; SL-G) and 58 nonparticipants (school canteen group; SC-G) were recruited. Energy-nutrient content of 5-day school lunch was determined by recipes. Socio-demographic data and lunch consumption on 5 consecutive weekdays with weighed left overs were obtained. Lunch energy-nutrient intakes and anthropometric measurements were compared. Results: School lunch was adequate for vitamins (E & C), fibre, iron, inadequate for energy, carbohydrate, folate, calcium. Contribution of fat (36.6±6.8%) and saturated fat (12.2±3.5%) to energy and sodium content was high (1001 mg) in school lunch. SL-G consumed significantly higher protein, vitamin C, thiamine, vitamin B6, potassium, magnesium, iron, zinc (p<0.001 for each) than SC-G. Energy (p<0.001), carbohydrate (p<0.001), fat (p<0.05), vitamin E (p<0.001) intakes of SC-G were significantly higher than SL-G. Body weights, height, body mass index of groups were similar. Conclusions: Foodservice at school should be revised with collaboration of school management, catering firm, dietetic professionals. Policy should focus on reducing fat, saturated fat, sodium content and meeting energy-nutrient requirements of school aged children.
Objective:Sleeping disorders are common among Haemodialysis-HD patients. In addition to well-known factors, food consumption impact on sleep quality needs being discovered. Aim was to examine the nutrition-related factors that may influence sleep quality in HD patients.Methods:One hundred and three patients in three HD centres participated. Data were collected with Pittsburgh Sleep Quality Index-PSQI and Questionnaire Form about socio-demographic characteristics and appetite. Biochemical findings were obtained; food consumption for three consecutive days was recorded. Independent Samples t/Mann Whitney U tests for mean comparison; Logistic Regression Analysis for determining variables affecting sleep quality, were used.Results:Mean age was 59.19±14.57 years. 51.5% were women. 37.9% had good (PSQI<5) and 62.1% had poor (PSQI≥5) sleep quality. Appetite had significant impact on sleep quality; poor sleeping risk was 4.194 fold higher in patients with bad appetite than those with good appetite (p=0.038). Biochemical findings of poor and good sleepers were similar, except for potassium and creatinine. Vitamins B1, B6 and folate intake of good and poor sleepers were significantly different. Patients with good sleep quality consumed significantly higher amounts of above B vitamins (p=0.030, p=0.036, p=0.034, respectively).Conclusions:Favourable effect of appetite and certain nutrients intake on sleep quality in HD patients was shown. Improving nutritional status of HD patients has potential to increase their sleep quality.
Amaç: Diyetisyenlerin iş doyumunu etkileyen faktörlerin iyileştirilmesi, iş doyumunun yükseltilmesi, bireylerin/toplumun beslenme ve sağlık durumunun iyileştirilmesine katkıda bulunabilir. İzmir'de çalışan diyetisyenlerin bireysel beslenme danışmanlığı ile ilişkili faktörler hakkındaki düşüncelerinin incelenmesi, iş doyumu ile iş doyumunu etkileyen faktörlerin saptanması amaçlanmıştır. Yöntem: Tanımlayıcı tipteki bu araştırma, İzmir'de çalışan diyetisyenlerle (n=183) yürütülmüştür. Verilerin elde edilmesinde literatür taramasıyla oluşturulan anket formu ve İş Doyumu Ölçeği (Job Satisfaction Survey-JSS) kullanılmıştır. Ki-kare, bağımsız gruplarda t testi, one-way ANOVA, tukey testi, lineer regresyon analizi (enter modeli) kullanılmış, p<0.05 istatistiksel olarak önemli kabul edilmiştir. Bulgular: Diyetisyenlerin yaş ortalaması 31.9±8.84 yıl olup, %89.1'i kadındır. Diyetisyenlerin %34.4'ü kamuda, %38.8'i özel sektörde, %26.8'i kendi iş yerinde çalışmaktadır. Diyetisyenlerin JSS puanı 127.72±34.47 olup, iş doyumu düşüktür. Yüksek lisans mezunlarının, özel sektörde ve klinik alanda çalışanların, gelirini yeterli bulan, mesleğini çevresine öneren diyetisyenlerin ortalama iş doyumu puanı daha yüksektir (p<0.05). Lineer regresyon analizine göre diyetisyenlerin çalışma sektörü; özelden kamuya, kamudan iş yeri sahibine doğru ilerledikçe iş doyumu azalmaktadır. Diyetisyenler beslenme danışmanlığında sosyal medyanın etkili olduğunu, sosyal medyanın insanları beslenme açısından kısmen doğru yönlendirdiğini düşünmekte, medyada beslenme bilgisi verilmesini doğru bulmamakta, internet üzerinden verilen beslenme danışmanlığını yeterli bulmamaktadır. Diyetisyenlere göre danışan motivasyonunda en önemli etmenler; diyetisyenin yüz ifadesi, beden dili, kararlı tutumu, gerçekçi hedefler belirlemesi, görünüşü ve özgüvenidir. Sonuç: Beslenme danışmanlığı ve iş doyumuna ilişkin bu veriler, mesleki kuruluşlar ve eğitim planlayıcıları için yol gösterici olabilir. İş doyumunu etkileyen etmenlerin daha derinlemesine incelenmesi için nitel verilerle desteklenen daha fazla nicel çalışmaya ve iş doyumunu arttıracak faktörlere odaklanan çalışmalara ihtiyaç vardır.
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