Background: Irritable Bowel Syndrome (IBS) is a chronic and common functional bowel disorder that currently has no definite treatment. Depending on the type and severity of the individual's symptoms, medication, diet, and/or lifestyle changes are recommended. Aims: This study aimed to determine the relationship between the quality of life, perceived stress levels, and nutrition of individuals diagnosed with IBS. Subjects and Methods: Between March 2020 and March 2021, 340 patients with IBS volunteered for this study. The demographic information questionnaire, Irritable Bowel Syndrome Quality of Life (IBS-QOL) scale, Perceived Stress Scale-14 (PSS-14), and Food Frequency Questionnaire were applied via an online form. Results: From the 340 patients, 230 were eligible. Out of them, 27% followed a special diet for IBS. When the IBS-QOL scores of men were compared according to their educational status, the scores of those with a high school or higher education level (109.7±32.8) were found to be higher than those with a lower education level than high school (95.4±17.5) (p=0.008), while the educational status of women did not affect the IBS-QOL scores (p>0.05). The mean IBS-QOL score of men was 44.8 ± 20.1 and lower than women (50.9±21.7) (p=0.030). The mean IBS-QOL score of women following an IBS-specific diet was 57.6 ± 22.6 and higher than women who did not follow an IBS-specific diet (48.2±20.9) (p=0.023). The IBS-QOL scores of women with gluten or lactose intolerance were lower than women without any intolerances (p=0.004). The mean IBS-QOL score for women with lactose intolerance was higher than those with gluten intolerance (p=0.004). When the IBS-QOL scores were evaluated according to the frequency of food consumption, no significant differences were found in the food groups (p>0.05). In this study, no significant correlation was found between IBS-QOL scores and PSS-14 scores (p>0.05). Conclusions: The prediction equations developed for healthy populations are not accurate enough to determine the energy requirements in SCD.
Keywords: Irritable bowel syndrome, nutrition, stress, quality of life, patients.
Dünyada ve ülkemizde böbrekten sonra transplantasyonu en sık yapılan solid organ karaciğerdir. Vücuttaki en büyük ve en önemli metabolik organ karaciğer olduğu için yetersizliğinde vücutta pek çok metabolik yolak aksamaktadır. Son dönem karaciğer yetmezliği (SDKY) görülen hastalarda insülin direnci ve glikoz intoleransı gelişebilmektedir. Karaciğer transplantasyonuna hazırlanan hastaların ameliyat öncesi süreçte ameliyatın risklerinin en aza indirilmesi ve ameliyattan sonraki süreçte komplikasyonların önlenmesi için beslenme müdahalesi tedavinin önemli bir parçasıdır. Bu makalede, literatürde bulunan karaciğer transplantasyonu öncesi ve sonrası beslenme yaklaşımlarıyla ilgili yayınlar derlenmiştir.
Lifestyle modifications, including positive changes in nutritional behaviors can develop a helthier life by significantly reducing the possible chronic diseases in further life [1]. With the developing technology in our age, the media can reach the masses in a short time and affect the behaviors of individuals in many areas [2]. A variety of media have been used to deliver mass-reach health campaigns, like radio, television, advertising on billboards [3]. and recently, online social media networks [4]. In our country where the literacy rate is 93%, individuals access information about health, mostly use health programs, social media, newspapers, magazines, blogs, web pages and television [2]. Social media and modern technology have opened a new era in how health-related information is transmitted and sought by users [5]. The number of information shared in the media on issues such as nutrition, diet and healthy living is increasing day by day.
Objective: Failure to maintain blood sugar control over a long period of time in diabetic patients may cause impairment of kidney functions. In addition to uremic symptoms, impaired glucose metabolism causes difficulties in obtaining adequate nutrition. The aim of this study is to determine the possible impact of type 2 diabetes (T2DM) on the nutritional status of hemodialysis (HD) patients.Methods: Patients between the ages of 18-65 who received HD treatment regularly were included in this study. A demographic characteristics questionnaire was applied to the patients and two 24-hour food recall records were obtained. The patient's height, dry weight and fluid gain were taken from their files.Results: This study was conducted with a total of 275 HD patients, 33.1% with and 66.9% without diabetes. The median values of dietary energy (18.2 kcal/kg), carbohydrate (2.1 g/kg), protein (46.2 g/kg) and fat (0.7 g/kg) intake of the non-diabetic group was found to be higher (p<0.05). The median of BMI was found higher in the T2DM group than the non-diabetic group (p<0.05). A weak positive correlation was found between the duration of HD (years) and carbohydrate intake in patients with T2DM (p<0.05) and a very weak positive correlation between the hemoglobin levels and duration of hemodialysis in the non-diabetic group (p<0.05).Conclusions: In this study, it was determined that although HD patients with T2DM have less energy intake, their BMI was higher; in addition, over time, a decrease in dietary compliance triggers a deterioration in biochemical parameters.
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