Determination of obesity, stunting, and nutritional habits in disabled children and adolescents

KILINC, FATMA/0000-0001-8297-958XWOS: 000446210800020Objective: This study was conducted to determine obesity, stunting and nutritional habits in children and adolescents with disabilities. Methods: The study was carried out in 612 disabled children and adolescents in a 2-19 age group enrolled in 8 special education practice and rehabilitation institutions in Kirikkale city center in Turkey. The general characteristics and eating habits of the participants were examined and body mass indexes (BMI) were calculated (n=527) to determine obesity and stunting. Results: Of the participants (n=612), 39.2% were female and 60.8% were male, of whom 39.4% were mentally disabled, 37.1% were physically disabled, 12.3% were mentally and physically disabled, and 11.3% were suffering other types of disabilities (speech disorders, learning disability, etc.). Of the participants (n=527), 18.8% were overweight and 17.8% were obese. The rate of overweight (Male:18.5%, Female:19.2%) and obesity (Male:19.1%, Female:15.9%) was higher in males compared to females (p>0.05). The correlation between BMI classification and disability type, disability level, and income level was not statistically significant (p>0.05). The rate of stunting was 24.5%, which was lower in males compared to females (Male: 20.4%, Female: 30.8%) (p>0.05). There was no statistically significant difference between height-for-age classifications and the type of disability (p>0.05); however, the difference between disability level and income level was significant (p<0.05). It was observed that 50.0% of the participants had eating problems and 45.5% had the habit of skipping breakfasts. Conclusion: In this study, it was observed that overweight, obesity, and stunting are very high in disabled children and adolescents. This field warrants further research

Reliability and Validity Study of the Turkish Version of Child and Adolescent Social Support Scale for Healthy Behaviors

KILINC, FATMA/0000-0001-8297-958X; VERGILI, OZGE/0000-0002-5312-7684; CAKIR, Biriz/0000-0002-3501-3253; albayrak, sevil/0000-0001-9787-5716WOS: 000453817000006PubMed: 30394354Purpose: The purpose of this study is to investigate adaptation, validity, and reliability of the Turkish version of the Child and Adolescent Social Support Scale for Healthy Behaviors (CASSS-HB). Methods: The CASSS-HB was translated using translation and back-translation. This was a methodological study conducted with 860 students (11-14 years old). Content and construct validity were assessed to test the validity of the CASSS-HB. Exploratory and confirmatory factor analysis of the scale was performed and the reliability of the scale over time (the test-retest method) was examined. Results: Psychometric analyses of the Turkish version of the CASSS-HB indicate high reliability and good content and construct validity. Conclusions: It can be seen that the items comprising the scale appear to be acceptably capable of measuring the variable of social support in terms of healthy behavior in children and adolescents. Healthcare professionals can thus use the scale for determining the degree of social support students of the ages 11-14 receive in terms of developing healthy behavior. (C) 2018 Korean Society of Nursing Science, Published by Elsevier Korea LLC.Kirikkale University Scientific Research Projects Coordination UnitKirikkale University [10/05]This study was supported by the Kirikkale University Scientific Research Projects Coordination Unit (Approval no. 10/05 dated 25-Mar-2014). The authors acknowledge the cooperation of the Kirikkale Provincial Directorate of National Education, as well as the many principals, teachers, parents and students who participated in this study. In addition, the authors acknowledge the support of biostatistician Dr. Mesut Akyol for statistical analysis of the study

Evaluation of obesity in university students with neck circumference and determination of emotional appetite

KILINC, FATMA/0000-0001-8297-958XWOS: 000470862800012Objective: 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

The relationship between sleep duration, sleep quality and dietary intake in adults

KILINC, FATMA/0000-0001-8297-958X; Karaismailoglu, Eda/0000-0003-3085-7809WOS: 000494785800001To determine the relationship of specific macro- and micro-nutrients and food groups with sleep duration and sleep quality in adults. This cross-sectional descriptive study was conducted on 2446 adults aged between 20 and 64 years in Turkey. The participants' socio-demographic characteristics, anthropometric measurements, and dietary intake (24-h recall) were taken. The Pittsburgh Sleep Quality Index was used to assess sleep quality. In the study, 48.9% of the participants were male and 51.1% were female, with an average age of 38.7 +/- 12.70 years. Total protein, meat, and processed meat product consumption rates of long sleepers were found to be lower than those of normal sleepers (p < 0.05). Saturated fat intake of short sleepers was higher than that of long sleepers (p < 0.018). Participants with good sleep quality were found to consume higher carbohydrate, fiber, beta-carotene, vitamin E, thiamine, vitamin B-6, total folate, vitamin C, calcium, magnesium, potassium, and iron compared to those with poor sleep quality (p < 0.05). When examined in terms of food groups, fruit consumption was higher in individuals with good sleep quality compared to those with poor sleep quality (p < 0.05). In this study, some macro- and micro-nutrients of the diet were found correlated with sleep duration and quality. Mechanisms mediating the relationship between sleep duration and dietary intake are multi-factorial. Because of the differences in appetite-related hormones, such as leptin and ghrelin, and hedonic factors, future studies will benefit from assessing sleep duration/quality and dietary intake