Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Yılmaz, Hacı Ömer(5)
- Duman, Zekiye Çetinkaya(2)
- Tuncer, Gülsüm Zekiye(2)
- Tuncer, Metin(2)
- Altay, Diler Us(1)
- Alver, Ahmet(1)
- Atuk Kahraman, Tutku(1)
- Ayhan, Nurcan Yabancı(1)
- Ayvaz, Hilal(1)
- Ağagündüz, Duygu(1)
- Bektemur, Güven(1)
- Borlu, Murat(1)
- Demir, Selim(1)
- Dogramaci, Seniz(1)
- Doğan, Gökcen(1)
- Eker, Hasan Hüseyin(1)
- Elifnaz Ergül(1)
- Erdem, Mehmet(1)
- Günen, Mehmet Akif(1)
- Icer, Mehmet Arif(1)
- Ince, Imran(1)
- Kartal, Fatma(1)
- Konyalıgil Öztürk, Nurefşan(1)
- Koçak, Tevfik(1)
- Kurtbeyoğlu, Emine(1)
- Mentese, Ahmet(1)
- Mercan, Sümeyye(1)
- Meriç, Çağdaş Salih(1)
- Mucaz, Meltem(1)
- Ozkaya, Emin(1)
- Rakicioglu, Neslisah(1)
- Sahinoz, Saime(1)
- Taşdemir, Mustafa(1)
- Tokaç Er, Nida(1)
- Turan, Ibrahim(1)
- Yabancı Ayhan, Nurcan(1)
- Yaman, Serap Ozer(1)
- Yıldıran, Hilal(1)
- Zemzemoglu, Tuba Eda Arpa(1)
- Çiçek, Betül(1)
Yayınlar
- Yüksek Lisans TeziAçık Erişim2026Sağlık yönetimi perspektifinden Türkiye’de obezite: Sorunlar, politikalar ve çözüm önerileri
Elifnaz Ergül
Obezite, bireysel yaşam tarzı tercihleriyle sınırlı biçimde açıklanamayacak; sağlık sistemlerinin örgütlenmesini, koruyucu sağlık hizmetlerini, kronik hastalık yönetimini, sağlık harcamalarını ve toplum düzeyindeki eşitsizlikleri doğrudan etkileyen çok boyutlu bir halk sağlığı sorunudur. Bu tezde, Türkiye’de obezitenin mevcut görünümü sağlık yönetimi perspektifinden değerlendirilmiş; obezite göstergeleri yaş, cinsiyet, uluslararası karşılaştırmalar ve obeziteyle ilişkili biyokimyasal risk göstergeleri temelinde incelenmiştir. Araştırma, tanımlayıcı ve karşılaştırmalı ikincil veri analizi deseninde yürütülmüştür. Çalışmada Türkiye Cumhuriyeti Sağlık Bakanlığı, Türkiye İstatistik Kurumu, Dünya Sağlık Örgütü ve Ekonomik Kalkınma ve İş Birliği Örgütü (OECD) gibi kurumsal kaynaklardan elde edilen veriler kullanılmıştır. Bulgular, mevcut göstergelerin dağılımını, farklılaşma örüntülerini ve sağlık yönetimi açısından işaret ettiği öncelik alanlarını ortaya koymak üzere yorumlanmıştır. Araştırma bulguları, Türkiye’de obezitenin özellikle kadınlarda ve ileri yaş gruplarında daha yüksek düzeyde görüldüğünü; obez öncesi nüfusun da sağlık sistemi açısından önemli bir risk alanı oluşturduğunu göstermektedir. Uluslararası karşılaştırmalar, Türkiye’nin obezite ve obez öncesi nüfus oranları bakımından dikkatle izlenmesi gereken bir konumda bulunduğuna işaret etmektedir. Biyokimyasal göstergeler açısından ise kolesterol ve trigliserid gibi risk alanlarının cinsiyete göre farklılaştığı görülmektedir. Tezde obezite, sağlık politikası döngüsü ve sağlık sistemleri yaklaşımı çerçevesinde değerlendirilmiş; politika geliştirme, uygulama kapasitesi, birinci basamak hizmetleri, okul sağlığı uygulamaları, veri temelli izleme-değerlendirme ve sektörler arası koordinasyon temel öncelikler olarak ele alınmıştır. Sonuç olarak Türkiye’de obeziteyle mücadelede koruyucu sağlık hizmetlerinin güçlendirilmesi, aile hekimliği ve toplum sağlığı hizmetlerinde düzenli tarama ve danışmanlığın yaygınlaştırılması, okul temelli sağlıklı beslenme ve fiziksel aktivite programlarının desteklenmesi, ulusal izleme sistemlerinin geliştirilmesi ve sağlık, eğitim, yerel yönetimler, gıda politikaları ve sosyal politika alanları arasında sürdürülebilir iş birliği kurulması gerekmektedir.
- MakaleAçık Erişim2026The Effect of a Psychiatric Nurse–Led AI-Based Online Group Guided Self-Help Program on Eating Behaviours and Body Image among Overweight and Obese Women Nurses: A Randomized Controlled Trial
Tuncer, Gülsüm Zekiye; Duman, Zekiye Çetinkaya; Tuncer, Metin
Aim: This study aimed to evaluate the effectiveness of a psychiatric nurse–led, AI-supported online group guided self-help programme on eating behaviours, body image, and body mass index (BMI) among overweight and obese women nurses. Method: A randomised controlled experimental design with pre-test, post-test, and three-month follow-up assessments was employed. Forty-four overweight and obese women nurses were randomly assigned to intervention (n = 22) and control (n = 22) groups. The intervention consisted of an 8-week online group guided self-help programme supported by a large language model (LLM), under the leadership of a psychiatric nurse. Participants did not interact directly with the LLM; all AI-generated feedback was clinically reviewed and delivered by the researcher. Results: The intervention group demonstrated significant reductions in emotional eating and external eating, along with significant improvements in body image scores and adaptive coping strategies. A significant decrease in BMI was also observed from baseline to three-month follow-up. Between-group comparisons at post-test and follow-up indicated statistically significant differences favouring the intervention for eating behaviours and selected body image–related outcomes, whereas between-group differences in BMI were not statistically significant. Conclusion: A multi-component online group guided self-help intervention incorporating structured AI-assisted feedback under psychiatric nurse leadership may represent a promising approach to improving eating behaviours, body image, and weight-related outcomes among overweight and obese women nurses.
- MakaleAçık Erişim2025The Correlation Between Circulating Fetuin-A Levels and Fetuin-A to Adiponectin Ratio With Obesity in a Turkish Population: A Case-Control Study
Icer, Mehmet Arif; Koçak, Tevfik; Ağagündüz, Duygu; Yıldıran, Hilal
The relationship between serum fetuin-A levels and obesity has not been fully understood. This study aims to elucidate the levels of serum fetuin-A and F/A ratio in obesity and contribute to the literature on whether they could be novel clinical predictors modulated through body composition and nutrition. The study included 73 participants who were obese and 71 participants with normal weight, aged between 18 and 65 years. Certain anthropometric measurements of the individuals were taken, and a body composition analysis was performed. In addition, 3-day food records (consecutive days: 2 weekdays and one weekend day) were taken. Serum levels of fetuin-A (ng/mL) and adiponectin (μg/mL) were measured using an enzyme-linked immunosorbent assay (ELISA) method. The F/A ratio was obtained by dividing fetuin-A (ng/mL) by adiponectin (μg/mL). Serum fetuin-A (ng/mL) level and F/A ratio are higher in obese participants than in normal weight (p < 0.05). Body weight (kg) (r = 0.553, p ≤ 0.001), body mass index (kg/m2) (r = 0.492, p ≤ 0.001), waist circumference (cm) (r = 0.522, p ≤ 0.001), body fat percentage (%) (r = 0.203, p = 0.015), serum fasting blood glucose levels (mg/dL) (r = 0.317, p ≤ 0.001), and dietary protein intake (kg) (r = 0.165, p = 0.048) were observed to be positively correlated with serum fetuin-A levels. Positive correlations were also observed between these parameters and the F/A ratio (p < 0.05). Negative correlations were found between serum adiponectin and these parameters (p < 0.05). In addition, when dietary cholesterol intake was kept constant, a 1-unit increase in dietary energy intake (kcal) resulted in a 0.043-fold increase in serum fetuin-A (p < 0.05). The study results support theories suggesting the involvement of serum fetuin-A levels and the F/A ratio in the pathogenesis of obesity. The higher serum fetuin-A levels and F/A ratio found in obese participants may be considered as new clinical determinants that could be regulated through body composition and nutrition.
- MakaleYalnız künye2025A comparative study of cognitive function and reaction time in obese and non-obese adults
Yılmaz, Hacı Ömer; Şahin, Kezban; Ayvaz, Hilal
Objective: Obesity may negatively affect the physical health and cognitive functions of individuals and delay their reaction time to stimuli. However, the association among obesity, cognitive functions, and reaction times is yet to be fully elucidated. The aim of this study was to assess the effect of obesity on cognitive functions and visual and auditory reaction times in adults. Methods: Data of 100 participants (50 obese and 50 normal) were analyzed in the study. Anthropometric parameters and 24-h dietary recall data were recorded. The Montreal Cognitive Assessment (MoCA) was used to evaluate the cognitive functions, Simple Reaction Time Task (SRTT)-Visual and SRTT-Auditory were used to assess visual and auditory reaction times of the participants, respectively. Results: The mean MoCA score of the obese was significantly lower than normal (17.46 and 25.22, respectively; p < 0.001). In addition, the mean auditory (p < 0.001) and visual (p < 0.05) reaction times of obese were significantly longer than normal. Similarly, this condition was also observed for the fastest and lowest values of auditory and visual reaction times. Additionally, obesity caused a decrease in the MoCA score (β = -0.762; p < 0.001) and delayed visual (β = 0.423; p < 0.001) and auditory (β = 0.590; p < 0.001) reactions. The negative effect of obesity was maintained after controlling for potential factors (MoCA, β = -0.594; p < 0.001; SRTT-Auditory, β = 0.409; p < 0.01; SRTT-Visual, β = 0.330; p < 0.05). Conclusion: Obese participants showed worse cognitive, auditory and visual performance. Additional research will be necessary in the future to shed light on the fundamental mechanisms involved.
- MakaleYalnız künye2025The interaction between the Mediterranean diet, obesity, and disease severity: A case–control study on psoriatic patients
Konyalıgil Öztürk, Nurefşan; Kurtbeyoğlu, Emine; Atuk Kahraman, Tutku; Çiçek, Betül; Çınar, Salih Levent; Borlu, Murat
Background: Psoriasis is a chronic inflammatory disease that can be influenced by nutritional status and dietary habits. In particular, adherence to the Mediterranean diet, known for its anti-inflammatory properties, is increasingly being investigated in relation to disease severity and nutritional status. Aims: This case–control study, including 50 psoriatic patients and 40 healthy controls, aimed to examine the correlation between adherence to the Mediterranean diet and disease severity, nutritional status, and disease presence in patients with psoriasis. Methods: The clinical severity of psoriasis was assessed using the Psoriasis Area and Severity Index (PASI) score. Anthropometric measurements were taken, and body composition was determined using bioelectrical impedance analysis. All participants’ Mediterranean Diet Adherence Screener (PREDIMED) scores and 24-h food consumption records were evaluated. Results: The body weight (BW), waist circumference (WC), hip circumference (HC), and fat mass (FM) values of psoriatic patients were found to be significantly higher than those of the healthy control group (p < 0.05). The PREDIMED score of psoriatic patients was found to be significantly lower than that of the control group (p < 0.001). A negative correlation was observed between the PREDIMED score and BW, FM, and HC (p < 0.05). PASI levels decreased as PREDIMED scores increased (r = −0.314, p = 0.048). According to logistic regression analysis, after adjusting for age and sex, the likelihood of being healthy was approximately 6.363 times higher in those with high adherence to the Mediterranean diet (p < 0.001). Conclusion: When psoriatic patients were compared with healthy controls, significant differences were observed in PREDIMED scores. Notably, greater adherence to the Mediterranean diet was associated with reduced disease severity, suggesting a potential mitigating effect even in the presence of obesity.
- MakaleAçık Erişim2024Investigation of the Relationship Between Nursing Students’ Attitudes Toward and Beliefs About Individuals With Obesity, Their Empathy Level, and Body Image Flexibility
Tuncer, Gülsüm Zekiye; Tuncer, Metin; Duman, Zekiye Çetinkaya
Negative attitudes and beliefs leading to discrimination against individuals with obesity and to their exclusion can cause these individuals to experience various biological, psychological, and social problems. Nursing students constitute the group that will provide care, services, and counseling to individuals with obesity in the future. The present study was aimed at determining the relationship between nursing students’ attitudes toward and beliefs about individuals with obesity and their empathy and body image flexibility levels. This study that has a cross-sectional correlational research design was conducted with 445 students studying at Dokuz Eylül University Faculty of Nursing between February 2023 and July 2023. The Sociodemographic Information Form, Beliefs About Obese Persons (BAOP) scale, Attitudes Toward Obese Persons (ATOP) scale, Body Image Flexibility Scale (BIFS), and Toronto Empathy Scale (TES) were used as data collection tools. In order to ensure explanatoriness in the analysis of the data, the multiple regression/ correlation analysis was performed to determine the relationship between the scores for the overall BAOP and ATOP scales, which were dependent variables, and BMI and the scores for the overall TES and BIFS, which were the independent variables. The mean scores that the students participating in this study obtained from the overall BAOP and ATOP were 23.89 ± 4.49 and 72.48 ± 11.19, respectively. The mean scores they obtained from the overall TES and BIFS were 51.61 ± 8.80 and 52.19 ± 15.28, respectively. The results demonstrated that higher levels of empathy and body image flexibility were significantly associated with lower levels of negative beliefs about individuals with obesity (B = −0.107, p =.026; B = 0.271, p <.001) and positive attitudes toward individuals with obesity (B = −0.143, p =.002; B = 0.343, p <.001). In the study, as the students’ empathy and body image flexibility levels increased so did their positive perceptions toward individuals with obesity. Nurses should acquire empathic skills during their education in order to demonstrate an equitable and inclusive approach to care and to provide positive health experiences to individuals with obesity. In order for young people studying at university to be more responsive to others, they should be encouraged to develop body image flexibility for their own and others’ bodies. It is also recommended that topics on combating stigma and discrimination to prevent negative attitudes toward and beliefs about individuals with obesity should be added to the curriculum of nursing students.
- MakaleYalnız künye2024Is environment destiny? Spatial analysis of the relationship between geographic factors and obesity in Türkiye
Yılmaz, Hacı Ömer; Günen, Mehmet Akif
This study aims to evaluate the relationship of geographical factors, including precipitation, slope, air pollution and elevation with adult obesity prevalence in Türkiye (TR) using a cross-regional study design. Ordinary least squares (OLS) and geographically weighted regression (GWR) were performed to evaluate the spatial variation in the relationship between all geographic factors and obesity prevalence. In the model, a positive relationship was found between obesity prevalence and slope, whereas a negative significant relationship was determined between obesity prevalence and elevation (p < 0.05). These results, revealing spatially varying associations, were very useful in refining the interpretations of the statistical results on adult obesity. This research suggests that geographical factors should be considered as one of the components of the obesogenic environment. In addition, it is recommended that national and international strategies to overcome obesity should be restructured by taking into account the geographical characteristics of the region.
- MakaleAçık Erişim2021Prevalence of overweight, obesity and abdominal obesity in Health Sciences Faculty students
Tokaç Er, Nida; Doğan, Gökcen; Meriç, Çağdaş Salih; Yılmaz, Hacı Ömer; Öztürk, Meryem Elif; Ayhan, Nurcan Yabancı
Objectives: This study was carried out in order to determine the prevalence of obesity among the students of the Faculty of Health Sciences and to evaluate the anthropometric measurements of the students. Materials and methods: The population of the study was in total 984 volunteering undergraduate students from Ankara University Faculty of Health Sciences, Child Development, Midwifery, Nursing, Health Management and Social Work departments. The sociodemographic characteristics of the students were obtained with the help of the questionnaire and the anthropometric measurements by the researchers. SPSS package program was used for descriptive statistics, chi-square test and multiple logistic regression analysis for assessment of data. Results: 16.5% of the students participating in the study were overweight and 4.5% were obese. Approximately half of the students who are overweight and obese reported staying in the dormitory. Average BMI value in males is 23.1 kg/m2 and 22.3 kg/m2 in females. 29.1% of females are at risk in terms of abdominal obesity and 30.6% of males in terms of waist/height ratio. Male gender and presence of an obese person in the family increases the risk of being overweight or obese. Conclusions: Risky health behaviors are observed among university students and in order to avoid such behaviors, it is necessary to provide training especially on subjects such as nutrition and physical activity. Adopting the right nutritional habits and healthy lifestyle is important in individuals who will be the future healthcare professionals, for both their and future generations' health.
- MakaleYalnız künye2021The effect of homocysteine on the expression of CD36, PPARγ, and C/EBPα in adipose tissue of normal and obese mice
Mentese, Ahmet; Dogramaci, Seniz; Demir, Selim; Yaman, Serap Ozer; Ince, Imran; Altay, Diler Us; Erdem, Mehmet; Turan, Ibrahim; Alver, Ahmet
The purpose of this study was to investigate the effect of homocysteine (Hcy) on CD36, PPARγ, and C/EBPα gene and protein expression in adipose tissue obtained from normal and high-calorie diet obesity models. CD36, PPARγ, and C/EBPα gene expression and protein levels in adipose tissue specimens were determined using the RT-PCR and ELISA methods, respectively. Significantly increased CD36 gene expression was observed in adipose tissue from obese mice, while Hcy significantly reduced CD36 gene expression in adipose tissue from normal and obese mice. PPARγ and C/EBPα gene expression levels decreased significantly in all groups compared to the normal group. In addition, levels of both PPARγ and C/EBPα gene expression were lower with Hcy supplementation compared to their own controls. In conclusion, Hcy’s reduction of CD36 gene expression in adipose tissue may be one probable factor in hyperhomocysteinemia representing an independent risk factor for cardiovascular diseases.
- MakaleYalnız künye2021The Relationship between Body Mass Index and Eating Disorder Risk and Intuitive Eating among Young Adults
Yılmaz, Hacı Ömer; Zemzemoglu, Tuba Eda Arpa
Background: Obesity is a serious health problem that threatens public health. There are limited researches exploring the relationship between obesity and eating disorder risk and intuitive eating. The purpose of this study was to determine the rate of eating disorder risk and obesity, and identify the relationship between body mass index (BMI) and eating disorder risk and intuitive eating among young adults. Methods: This cross-sectional study enrolled 1216 young adults. The data were obtained through a questionnaire consisted of three sections of socio-demographic information in the first part, Intuitive Eating Scale-2 (IES-2) in second part and Eating Attitudes Test-26 (EAT-26) in third part. Weight, height, and BMI of participants were also measured by researchers. Results: The overall overweight/obesity rate of the participants was 16% (male=25.9%; female=10.9%). The rate of eating disorders risk was 24.3% in general (male=21.5%; female=25.4%). Overweight/obese had higher eating disorders risk than normal and underweight (26.7%, 23.8%, 21.6%, respectively). IES-2 score of underweight was significantly higher than overweight/obese (3.33±0.35, 3.20±0.37, respectively). Conclusion: This is the first study to examine the relationship between BMI and EAT-26 subscale showing that BMI was positively correlated with EAT-26 and negatively was correlated with IES-2 score. Therefore, BMI may be affected by eating behaviors and intuitive eating. Also, intuitive eating can be a new method of eating, and weight control and management.
- MakaleYalnız künye2020The effects of media tools on food consumption and obesity in adolescents
Kartal, Fatma; Rakicioglu, Neslisah
Purpose: The present study was aimed to define the quantities and types of foods consumed by adolescents during use of media tools to evaluate the contribution of energy and nutrient intake during the use of media tools to daily energy and nutrient intake. Methods: A total of 73 adolescents who visits an internet cafe, were included in the study. Participants were evaluated when they were using a computer in an internet cafe, food consumptions during the use of media tools and daily consumption and physical activity level were recorded. Results: It has been found that consumption of cakes, pastries and cookies during the use of media tools constitute more than half of daily consumption. At the same time, consumption of oily seeds, consumption of sweet foods and saturated fat consumption during the use of media tools were contributed to the daily consumption significantly. It was found that, adolescents consumed less egg, legumes, milk and dairy products, and vegetables in front of the media tools (p<0.05). A significant correlation was observed between the energy and fat content of foods consumed in front of media tools, and obesity. Also, time spend in the internet cafe are increasing as the energy intake during the use of the media tools increases (p<0.05). Conclusion: Consequently it is necessary to reduce the time spend in front of media tools and regulate the consumed foods during the use of media tools to live a healthier life and reduce the risks of development chronic disease in the future lives.
- MakaleAçık Erişim2019Is there prejudice against obese persons among health professionals? A sample of student nurses and registered nurses
Yılmaz, Hacı Ömer; Yabancı Ayhan, Nurcan
Purpose: The aim of this study was to assess whether there is prejudice toward obese persons among student nurses and registered nurses. Design and Method: A total of 379 participants were included (190 student nurses, 189 registered nurses). The Fat Phobia Scale and Belief About Obese Persons Scale were used to determine the prejudice. Findings: Registered nurses were found to have more negative prejudices toward obese persons than those of student nurses. These prejudices were determined to be influenced by the nurses' body mass index and having an obese person in the family. Practical Implications: Both groups had negative prejudices toward obese persons, there was a higher level of prejudice among the registered nurses. These prejudices can have a negative impact on healthcare practices.
- MakaleAçık Erişim2018Obesity in adolescents and the risk factors
Eker, Hasan Hüseyin; Taşdemir, Mustafa; Mercan, Sümeyye; Mucaz, Meltem; Bektemur, Güven; Sahinoz, Saime; Ozkaya, Emin
Objectives: This study aims to investigate the frequency of obesity and to identify possible risk factors affecting obesity in adolescents. Materials and methods: This cross-sectional study included a total of 1,357 adolescents between March 2011 and May 2012 in Beyoglu district of Istanbul province of Turkey. The questionnaire including 38 questions which was developed based on the Youth Risk Behavior Survey, which is used by the Center for Disease Control and Prevention (CDC), was used for the data collection. The weight and height of the participants were measured and their body mass index (BMI) values were calculated. Results: Of all participants, 54.8% were females, 5% of them were underweight, 12.6% were overweight, and 2.6% were obese. Among the male participants, the BMI values were higher (21.06±3.32 kg/m2) than females (20.26±2.88 kg/m2) (p<0.0001). The obesity ratio was higher in males (p<0.0001) and in children of highly educated parents (p<0.05). Of the participants, 23.5% were physically active. Physical activity level was higher in males, compared to females (p<0.0001). The rate of breakfast habit was higher in males than females (p=0.002). Healthy diets and losing weight in a healthy way were more commonly accepted by the students in the public schools, compared to those in private schools (p<0.0001). Conclusion: Obesity is an important public health problem and proper eating habits and regular physical activity should be encouraged. High-income families should also encourage their children to become more aware of the importance of physical activity. The right time for this is childhood and adolescence, in which permanent habits can be easily acquired.
