Diet quality and snack preferences of Turkish adolescents in private and public schools.

Introduction: Socioeconomic level is one of the important factors determining diet quality. Snack preferences are affected by socioeconomic level. The objective of this research was to determine the effect of socioeconomic levels on diet quality and snack preferences among adolescents from different socioeconomic backgrounds. Methods: The study involved 118 adolescents aged between 10-18 years residing in Istanbul. A questionnaire prepared by the researchers was used to obtain information on the adolescents' dietary habits, consumption of main meals and snacks, habits, and food consumption records. The participants' food consumption was assessed using the retrospective 24-hour recall method, and diet quality was evaluated using the calculated nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR). Results: The mean age of the adolescents was 16.42±0.89 years. The number of snacks consumed in private schools was found to be higher than in public schools (p < 0.05). The NAR score for vitamin C consumption was significantly higher in private schools compared to public schools (p < 0.05). Although the MAR scores of adolescents in private schools were higher than those in public schools, this difference was not statistically significant. The majority of adolescents in private schools regularly consumed fresh fruit (67.2%), milk (60.3%), yogurt (60.3%), and nuts (56.9%) as snacks. In contrast, 45% of adolescents in public schools regularly consumed pastries (p < 0.05). Discussion: It was observed that adolescents studying in public schools had a lower tendency to prefer healthy foods for snacks compared to those in private schools. Socioeconomic level was identified as an important factor influencing eating habits during adolescence. Considering that the level of income is significantly different between the adolescents studying at private and public schools, the higher consumption of snacks by the adolescents studying at private school may be associated with higher income.

Water and beverage consumption habits of adults in Turkey by gender and BMI: a cross-sectional survey.

The study aims to determine water and beverage consumption status and related factors in daily nutrition of adults living in Turkey. This study was conducted with 6332 adults aged 18-65 years across Turkey. Demographics and anthropometric data of subjects, their daily water and beverage consumption habits were explored using the retrospective 24-hour recall method. Water and black tea were the most consumed beverages (1801.38 ± 11.06 mL/day, 455 ± 6.10 mL/day, respectively). Increased BMI was associated with a significantly decreased rate of insufficient fluid intake among the participants. Underweight individuals were found to be consuming less (by 0.558 times) fluid compared to those with normal BMI, while obese individuals appeared to have greater energy intake from daily fluid consumption (by 1.111 times). This study showed a relationship between water and beverage intake and anthropometric measurements, suggesting that further research on personalized water intake strategies is beneficial in weight management.

The Effect of Fear of Happiness as a Cultural Phenomenon on Anxiety and Self-Efficacy in the Puerperae.

INTRODUCTION: Individuals who believe that experiencing positive emotions such as happiness could lead to negative results can suppress their authentic positive feelings to prevent undesired consequences. The aim of this study was to determine the levels of fear of happiness as a cultural phenomenon among puerperal women and the effects of fear of happiness on anxiety and self-efficacy in these women. METHOD: This cross-sectional study was conducted in the puerperal service of a hospital in Turkey between September 2021 and June 2022 (n = 287). The study data were collected through State-Trait Anxiety Inventory Scale (STAI-I and STAI-II), General Self-Efficacy (GSE) Scale, and Fear of Happiness Scale (FHS). RESULTS: There was a significant relationship between STAI-II and GSE and FHS scores, which explained 43.4% (R2 = .434) of the variance (p < .001). Also, a significant relationship of GSE with working at an income-generating job, STAI-I, and STAI-II was found (p = .008, p = .040, p < .001, respectively). It was found that the puerperae who stated that they needed training on the postpartum process and baby care had high levels of fear of happiness (p = .007). DISCUSSION: Screening puerperae in terms of fear of happiness is important for determining their psychological well-being. Health care professionals should be aware that fear of happiness as a cultural approach negatively affects anxiety and therefore self-efficacy levels of puerperae. Providing a comprehensive training to the puerperae on parenthood and self-efficacy as well as mental health support is important for them to cope with fear of happiness.

Vegetable and Fruit Consumption and Its Relationship with Body Mass Index in Adults: A Cross-Sectional and Seasonal Research from Türkiye.

This study examines the relationship between fruit and vegetable consumption and the BMI in Türkiye. In this cross-sectional study, which 6332 adults were included, fruit and vegetable consumption, and preferences were collected. The quantities of vegetables and fruits were classified based on the WHO and the national recommendations. Of the adults (33.39 ± 12.59 years), 52.9% of men and 39.7% of women had an above-normal BMI. Based on WHO recommendations, overweight and obese people consumed less vegetables and fruits compared to their counterparts (ORs for women, overweight: 1.2, obese: 1.3; ORs for men, overweight: 1.3, obese: 1.5; 95% CI). The regression analysis revealed that the quantities of vegetable and fruit intake were higher in young individuals, men, and married people. Although the majority consume more than 400 g/day of vegetables and fruits, the intake is inadequate in people with obesity.

Evaluation of psychosocial status and nutritional awareness in municipal employees during the coronavirus disease 2019 outbreak: A cross-sectional study.

Background: Coronavirus disease 2019 emerged in China in December 2019 as a disease spreading from person to person by rapid droplet transmission, and which eventually evolved into a pandemic. Aim: This study aims to examine the psychosocial state, nutritional awareness, and physical activity level of municipal employees who provided services under changing working conditions during the coronavirus disease 2019 pandemic. Methods: A total of 220 employees working in two different municipalities in Istanbul were included in this study during March and April of 2021. For data collection, a questionnaire form was used. The form consisted of questions about the demographics and nutritional awareness of individuals, the Coronavirus-19 Phobia Scale, and the International Physical Activity Questionnaire (short form). Results: The mean total coronaphobia score was 51.08 ± 14.47 with the mean score for women being significantly higher than that for men (p < 0.05). The mean score obtained by the responses of participants to questions about nutritional awareness during the pandemic was significantly higher than the mean score referring to the period before the pandemic. The examination of the physical activity level of employees revealed that 62.4% of the men and 60% of the women were physically inactive during the pandemic. Conclusion: It was found that the coronaphobia scores of municipal employees during the coronavirus disease 2019 pandemic were at an average level, their nutritional awareness levels increased in general compared to the pre-pandemic period, and municipal employees were mostly inactive physically during the pandemic.

Hand Washing in Primary School Students Using "Demonstration, Puzzle, Dance, Song": A Nursing Project Based on Multifaceted Skills Training.

BACKGROUND: The effects of an educational strategy, "demonstration, puzzle, dance, song (DPDS)," on the hand washing skills of primary school students was examined. METHOD: This study used a quasi-experimental, training research format with a pre- and posttest research design and was conducted by a research team from a university department of public health nursing. The study included 671 (90.2%) of 744 students who attended primary schools in Nevsehir, Turkey. Data were collected with a demographic data collection form and a Hand Washing Skills Evaluation List. McNemar, Friedman, and Wilcoxon tests were used to analyze findings. RESULTS: Immediately after training, all steps of hand washing were performed at higher levels than before training (p < .01), and the difference between hand washing times was significant (p < .001). CONCLUSION: Hand washing skills and times increased after undergoing hand washing training using the DPDS method. [J Contin Educ Nurs. 2020;51(4):158-166.].

In vitro cholinesterase inhibitory and antioxidant effect of selected coniferous tree species

Objective: To explore cholinesterase inhibitory and antioxidant effect of six coniferous trees (Abies bornmulleriana, Picea pungens, Juniperus communis, Cedrus libani, Taxus baccata, and Cupressus sempervirens var. horizantalis). Methods: Acetone (Ace), ethyl acetate (EtOAc), and ethanol (EtOH) extracts prepared from the needles and shoots of the six coniferous trees were screened for their acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) inhibitory activity at 100 μg/mL. Antioxidant activity of the extracts was tested using 2,2-diphenyl-1-picrylhydrazyl (DPPH) and N,N-dimethyl-p-phenylendiamine (DMPD) radical scavenging, metal-chelation capacity, ferric-(FRAP) and phosphomolibdenum-reducing antioxidant power (PRAP) assays. All of the assays were performed in ELISA microplate reader. Total phenol and flavonoid amounts in the extracts were determined spectrophotometrically. Results: Among thirty-six extracts in total, the shoot-Ace extract of Cupressus sempervirens var. horizantalis exerted the highest inhibition against AChE [(54.84±2.51)%], while the needle-Ace extract of Cedrus libani was the most effective in inhibiting BChE [(67.54±0.30)%]. The highest DPPH radical scavenging effect, FRAP and PRAP was observed in the shoot-Ace and EtOAc extracts from Taxus baccata, whereas all the extracts showed a variable degree of scavenging effect against DPMD radical. The shoot-EtOAc extract of Cedrus libani had the highest metal-chelation capacity [(58.04±0.70)%]. The shoot extracts of Taxus baccata were determined to have the richest total phenol content, which may contribute to its marked antioxidant activity. Conclusions: The conifer species screened in this study may contain cholinesterase-inhibiting and antioxidant properties, which might be useful against Alzheimer’s disease.