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Background/Objectives: Obesity after kidney transplantation impairs graft function, but the time course of lean tissue loss after sleeve gastrectomy in this population is poorly described. Methods: A 46-year-old woman underwent sleeve gastrectomy five years after kidney transplantation and was followed for 33 months with bioelectrical impedance analysis (BIA) and three 24-h dietary recalls per visit. Results: Weight fell from 103.4 to 69.4 kg by month 6, with mild regain to 71.9 kg at month 33. BIA-derived fat-free mass, BIA-predicted total muscle mass and BIA-derived skeletal muscle mass reached their lowest recorded values at month 3, each 21.3% below baseline, and were essentially unchanged at month 6; fat-free mass loss corresponded to 34.1% of the weight lost by month 6, above the thresholds proposed for excessive loss in a bariatric cohort which are research rather than clinical definitions. This early loss coincided with three concurrent exposures: energy restriction (521 and 466 kcal/day at months 1 and 3), protein intake below target during a period of aversion to protein-rich foods (33.2 g/day against a 60 g/day target), and absence of structured physical activity; anaemia was present throughout and may have contributed to both. Graft function was clinically stable but not unchanged, with estimated glomerular filtration rate 25% below baseline at month 33 and persistent proteinuria; biopsy was not performed. Conclusions: Early postoperative nutritional vulnerability was temporally associated with substantial lean tissue loss. The estimates are BIA-derived and hydration-dependent, muscle function was not assessed, and the concurrent exposures cannot be separated in a single case, so no causal relationship can be inferred.

Amaç: Bu çalışmada, üniversite öğrencilerinin besin alımlarının hedonik açlıkla olan ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntemler: Kesitsel, tanımlayıcı tipte olan bu çalışma Şubat- Mayıs 2022 tarihleri arasında bir vakıf üniversitesinin sağlık bilimleri fakültesinde öğrenim gören gönüllü katılımcılar ile yürütülmüştür. Örneklem büyüklüğü G*Power 3.1.9.7 programı ile etki büyüklüğü 0,25 hata oranı 0,05 ve yüzde 95 güçle 197 kişi olarak belirlenmiştir. Çalışmanın örneklemini çalışmaya katılmayı kabul eden 199 öğrenci oluşturmuştur. Katılımcıların demografik bilgileri ve beslenme alışkanlıkları genel bilgi formu ile hedonik açlık durumu ise besin gücü ölçeği (BGÖ) ile çevrimiçi olarak sorgulanmıştır. Beslenme alışkanlıkları BGÖ puanı ile ilişkilendirilmiştir. Bulgular: Erkek cinsiyette kadın cinsiyetine göre BGÖ puanı daha yüksek bulunmuştur. (p

Objective The aim of this study was to investigate the effect of eating disorder risk and physical activity level on diabetes risk in students enrolled in the Department of Nutrition and Dietetics. Methods This cross-sectional descriptive study was conducted with 313 students enrolled in the Department of Nutrition and Dietetics at a private foundation university during the academic year of 2021-2022. Data was collected through face-to-face interviews using the Information Form, International Physical Activity Questionnaire, SCOFF Eating Disorders Scale, and Finnish Type-2 Diabetes Risk Questionnaire. The data was analyzed using IBM®SPSS® v.26 statistical software. Results Among the Nutrition and Dietetics students, 91.1% were female, mean age was 21.42±3.62 years, and mean body mass ındex was 21.72±3.25 kg/m2. According to International Physical Activity Questionnaire assessment, 8.9% of the students were categorized as inactive. The SCOFF Eating Disorders Scale assessment revealed that 25.6% of the students were at risk of developing an eating disorder. The Finnish Type-2 Diabetes Risk Questionnaire assessment indicated that 90.7% of the students had a low to slight risk of diabetes. The results of the correlation analysis showed that as International Physical Activity Questionnaire scores increased, Finnish Type-2 Diabetes Risk Questionnaire scores decreased by 16.8% (p=0.003), and as SCOFF Eating Disorders Scale scores increased, Finnish Type-2 Diabetes Risk Questionnaire scores also increased by 28% (p<0.001). The results of the multiple regression analysis showed that International Physical Activity Questionnaire significantly predicted Finnish Type-2 Diabetes Risk Questionnaire score, accounting for 3.8% of the variance, while SCOFF Eating Disorders Scale predicted Finnish Type-2 Diabetes Risk Questionnaire score, accounting for 8% of the variance (p<0.001). Conclusion The findings of this study suggest that physical activity level and susceptibility to eating disorders have a significant effect on the development of diabetes mellitus.

Background: This study aims to evaluate the relationship between weight loss, dietary inflammatory index (DII), and serum C-reactive protein (CRP) levels in patients who underwent sleeve gastrectomy (SG). Materials and Methods: This research is a retrospective cross-sectional study. We enrolled patients who had obesity surgery in a private clinic in Istanbul, Turkey, between February 1, 2014, and February 1, 2018. Pre-operative (pre-op) and 12th, 18th, and 24th month post-operative (post-op) weight, nutritional consumption, and CRP levels of the participants were evaluated. The DII scores of the individuals were calculated from the obtained dietary data. Results: In this study, a total of 140 SG patients, 100 women and 40 men, were evaluated. It was found that there was a positive and significant correlation between the decreasing body mass index (BMI) value and CRP value of the individuals. It was concluded that for all measurements of BMI, excessive weight loss, DII, and CRP, at least one measurement significantly differentiated from the other measurements. Post-op 18th month DII was significantly higher than the post-op 24th month DII value. Conclusions: Long-term follow-up of patients by a multidisciplinary team in the pre-op and post-op periods is required to ensure success in bariatric surgery results. Dieticians play an important role in changing and sustaining eating habits.

Objective: This study was conducted to examine the relationship between intuitive eating behaviour, body mass index (BMI), and waist-hip circumference among university students. Methods: This study was conducted on 146 students studying at the Department of Nutrition and Dietetics of a foundation university on the European side of Istanbul in the 2020-2021 academic year. Socio-demographic characteristics, anthropometric measurements, and intuitive eating habits of the students were taken through an online questionnaire. Intuitive Eating Scale-2 (IES-2) was used to determine students’ intuitive eating behaviour. Results: 146 students with a mean age of 20.64±1.69 participated in the study. 62.3% of the students were female and 37.7% were male. Intuitive eating scale total score mean ± standard deviation values ​​were found to be 3.40±0.55. BMI mean ± standard deviation values were found to be 21.89 ± 3.94 kg / m2 while waist circumference mean ± standard deviation values were 69.78±9.32 cm. eating due to physical rather than emotional causes sub-dimension has a positive and significant correlation with the eating sub-dimension related to hunger and fullness signals, body-food choice congruity, and intuitive eating scale-total score. There is a significant and positive relationship between the eating sub-dimension related to hunger and fullness signals and the body-food choice congruity sub-dimension and the total score of the intuitive eating scale. A significant and positive correlation was found between the body-food choice congruity sub-dimension and the total score of the intuitive eating scale. Comparing the intuitive eating scale total scores and sub-dimensions according to BMI groups, there is a significant difference in the mean score of the body-food choice congruity sub-dimension according to the BMI classification. Conclusion: As intuitive eating increases in university students, the body mass index decreases.

Objective: Surgical weight loss is seen as an option for individuals with obesity. In this case study, it was aimed to evaluate the nutritional status of a vegan obese patient before and after bariatric surgery. Methods: A 26-year-old vegan obese male patient underwent sleeve gastrectomy in May 2016. He was followed up for one month preoperatively and two years postoperatively. The number of individuals adopting vegetarian/vegan lifestyle for various reasons has been increasing recently. To prevent nutrient deficiency after bariatric surgery, lifelong vitamin-mineral supplements and vitamin-minerals-rich food consumption are recommended. Results: A 26-year-old vegan obese male patient body mass index was 38.6kg/m2 and the postoperative 2nd year body mass index was 24.1kg/m2. Preoperative muscle mass was 76.2 kg, postoperative 2nd year 63 kg, preoperative body fat mass was 47.9 kg, postoperative 2nd year 9.2 kg. Conclusion: In this vegan case, preoperative and postoperative medical nutrition treatments were planned considering the type of surgery specific to the individual. Medical nutrition treatment is an important part of the multidisciplinary bariatric surgery process.

Aim: This study was conducted to determine nutritional changes in the working environment of resident physicians before and during the coronavirus 2019 (COVID-19) pandemic. Methods: Resident physicians working at Prof. Dr. Cemil Taşçıoğlu City Hospital and who agreed to participate were included in the study. Data were collected using an online questionnaire method developed by the researchers for determining demographic characteristics and nutritional changes in the study participants. Results were analyzed with the SPSS statistical program. Results: The COVID-19 outbreak affected the nutritional status of 82.2% of the resident physicians. The rate of physicians trying to eat a healthy diet during the pandemic was 79.1%. However, the number of physicians who increased their consumption of fruits and vegetables during the epidemic was 58.2%. During the pandemic, water consumption of the resident physicians was evaluated, and a 51.1% decrease in water consumption was found. While 78.3% of the physicians slept 6–8 hours per night before the pandemic, this rate decreased to 56.6% during the pandemic while the number of physicians who slept for 1 to 5 hours increased to 38% during the Covid-19 outbreak. A significant relationship between sleep duration before and during the pandemic was found (p < 0.05). Conclusion: The Covid-19 outbreak has greatly and continues to affect the living standards of resident physicians. During the study period, it was observed that the diet and sleep patterns of resident physicians who worked in an intense environment had been disrupted.

Background YouTube™ is a platform that many people, including patients, use to access health information. Recent studies have revealed that videos on YouTube™ are misleading or that medical videos may not contain appropriate information. This study aimed to assess the quality and reliability of videos on nutrition after bariatric surgery. Materials and Methods The keywords “after bariatric surgery diet” and “weight loss surgery postop diet” were used, and the first 100 videos for each keyword on YouTube™ were analyzed by considering the source, duration, content, and the number of likes of the video. The popularity of the video was calculated using the video power index (VPI) and view rate. The educational quality of the videos was evaluated using the DISCERN score, the Journal of the American Medical Association (JAMA) score, the Global Quality Score (GQS), the usefulness score, and a novel postoperation nutrition score (PONS). Results One hundred fourteen patients were included in the study. The mean duration and number of views were 12.51 min and 87,558.46, respectively. The DISCERN score, JAMA score, GQS, and usefulness score of the physicians or dietician-based videos were significantly higher than those of the patient-based videos (p < 0.001). Positive correlations were found between the VPI and view ratio, as well as between the duration and number of likes. Additionally, the DISCERN score was significant correlated with the duration and number of likes. Significantly positive correlations were found between the usefulness score and duration, usefulness score and number of likes, and PONS and duration (p < 0.01). Conclusions Informational videos on nutrition after bariatric surgery on YouTube™ are of low quality. Although the videos uploaded by physicians and dieticians have higher quality, only a few are available. Additionally, patients prefer to watch low-quality videos.