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    Effect of emotional eating and social media on nutritional behavior and obesity in university students who were receiving distance education due to the COVID-19 pandemic
    (Springer Heidelberg, 2023) Durmaz, Sevinc Eser; Keser, Alev; Tuncer, Esra
    Aim This study aimed to evaluate the effects of emotional eating and social media on nutritional behavior and obesity in university students receiving distance education during the pandemic. Subject and methods This cross-sectional study was performed with 1000 undergraduate students who were receiving distance education due to COVID-19 in Turkiye. Data were collected using an online questionnaire that included demographic information, height, body weight, eating habits, the Scale of Effects of Social Media on Eating Behavior (SESMEB), and the Emotional Eating Scale (EES). A p value less than 0.05 was considered as statistically significant for statistical tests. Results During the distance education period, more than half of both male and female students (61.7%; 58.2%) changed their meal pattern, 31.7% of them started to consume their main meals more regularly, and 31.2% of them began to skip their main meals. Of the participants, 52.6% spent more than 2 hours a day on social media. The female students who spend more than 2 hours a day on social media have higher SESMEB and EES scores than those who spend 2 hours or less a day (p < 0.01). The score SESMEB is positively weakly correlated with body mass index (BMI) (rho 0.132, p < 0.01) and positively moderately associated with the EES score (rho 0.334, p < 0.01). The interaction between the SESMEB and EES scores increases the risk of overweight/obesity (odds ratio (OR) 1.002, p = 0.009). Conclusion For the students who received distance education, social media affects eating behavior, BMI, and emotional eating. Additionally, these effects may increase the risk of overweight/obesity.
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    Evaluation of obesity in university students with neck circumference and determination of emotional appetite
    (Mattioli 1885, 2019) Kilinc, Fatma Nisanci; Cakir, Biriz; Durmaz, Sevinc Eser; Ozenir, Ciler; Ekici, Emine Merve
    Objective: In this study, it was aimed to evaluate obesity in university students with neck circumference and other anthropometric measurements and to determine their emotional appetite. Method: The study was conducted within the scope of Scientific Research Projects Coordination Unit of Kirikkale University in June-December 2017 in June-December 2017 term and 4873 students were reached. A questionnaire consisting of descriptive information and emotional appetite scale was applied to students and their obesity status were determined by taking anthropometric measurements. Results: Students consist of 56.3% females and 43.7% males. Mean body mass index (BMI) is 23.62 +/- 3.03 kg/m(2) in males and 21.66 +/- 3.08 kg/m(2) in females (p<0.001). Mean neck circumference is 37.50 +/- 2.49 cm in males and 32.18 +/- 3.51 cm in females (p<0.001). According to student's BMI, 18.5% are overweight and obese, to neck circumference 36.6% are obese, and to waist circumference 22.4% are in the risk and high-risk group. 65.8% of males and 19.4% of females are obese according to neck circumference (p<0.001). Waist circumference/height ratio of males is 0.478 +/- 0.054 while that of females is 0.452 +/- 0.053. Central obesity was observed in 30.2% of males and 16.3% of females (p<0.001). A positive correlation was found between body weight, BMI, waist circumference, wrist circumference, waist/height ratio and neck circumference. Emotional appetite status of students and values of total positive scores are different from others in at least one of BMI groups (chi(2) =14.503; p=0.002). Total positive scores of thin students are higher than those who are overweight and obese (p<0.001). Total score in negative emotions/conditions is high in students who are obese according to neck circumference (Z=4.539; p<0.001). In negative and positive emotions/conditions, median score of total emotional appetite scale of males is higher than that of females (p<0.001). Conclusion: According to neck circumference, it is determined that obesity more common in males than females, males' appetites increase more than females' in positive and negative situations, and overweight and obese students exhibit more eating behaviour when they experience negative emotions.
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    Health Star Rating of Nonalcoholic, Packaged, and Ready-to-Drink
    (Korean Soc Food Science Nutrition, 2024) Gumus, Aylin Bayindir; Acik, Murat; Durmaz, Sevinc Eser
    This study aimed to compare the nutritional quality of beverages sold in T & uuml;rkiye according to their labeling profiles. A total of 304 nonalcoholic beverages sold in supermarkets and online markets with the highest market capacity in T & uuml;rkiye were included. Milk and dairy products, sports drinks, and beverages for children were excluded. The health star rating (HSR) was used to assess the nutritional quality of beverages. The nutritional quality of beverages was evaluated using a decision tree model according to the HSR score based on the variables presented on the beverage label. Moreover, confusion matrix tests were used to test the model's accuracy. The mean HSR score of beverages was 2.6 +/- 1.9, of which 30.2% were in the healthy category (HSR >= 3.5). Fermented and 100% fruit juice beverages had the highest mean HSR scores. According to the decision tree model of the training set, the predictors of HSR quality score, in order of importance, were as follows: added sugar (46%), sweetener (28%), additives (19%), fructose-glucose syrup (4%), and caffeine (3%). In the test set, the accuracy rate and F1 score were 0.90 and 0.82, respectively, suggesting that the prediction performance of our model had the perfect fit. According to the HSR classification, most beverages were found to be unhealthy. Thus, they increase the risk of the development of obesity and other diseases because of their easy consumption. The decision tree learning algorithm could guide the population to choose healthy beverages based on their labeling information.
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    The Importance of Micronutrients in Cystic Fibrosis
    (Bursa Uludag Univ, 2021) Durmaz, Sevinc Eser; Yabancı, Nurcan
    Cystic fibrosis is an inherited disease with an autosomal recessive transition, characterized by a clinically progressive lung disease, which is caused by mutations occurring in the transmembrane conductance regulator (KFTR) gene, affecting all cells with epithelial tissue, especially the respiratory system. Approximately 90% of individuals experience pancreatic insufficiency and malabsorption. Chronic infection and increased energy requirement in the pathogenesis of the disease, together with malabsorption, pose a risk for malnutrition. Decreased absorption of micronutrients due to malabsorptions, increase in the requirement, inadequate intake, and as a result, poor prognosis of the disease leads to decreased quality of life and duration. Nutritional status changes should be determined in cystic fibrosis and early and appropriate nutritional interventions should be made. It is recommended to follow the growth and nutritional status throughout life in cystic fibrosis. Optimal nutritional status should be provided in the early stages of life, under the control of a dietitian, with pancreatic enzyme replacement therapy (PERT), hydration and electrolyte balance. Although optimal nutrition in cystic fibrosis is effective in diet and micronutrient intake with proper cooking methods, deficiency of micronutrients in these patients can not be prevented. In this case, taking into account the recommendations of the guidelines along with optimal nutrition, vitamin-mineral supplements in accordance with the needs and biochemical values of individuals are needed.