EVALUATION OF THE RELATIONSHIP BETWEEN MEDICAL NUTRITION TREATMENT, PENTRAXIN-3, HSCRP AND BODY COMPOSITION ANALYSIS IN TYPE 2 DIABETIC PATIENTS.

Objective: Medical Nutrition Therapy (MNT) is important in the treatment and regulation of diabetic patients. In this study, it was aimed to evaluate the effects of medical nutrition therapy on Pentraxin-3, hsCRP and body composition analysis in Type 2 diabetes patients (DM). Methods: This study included 160 individuals who were admitted and diagnosed with Type 2 DM. Laboratory, clinical, anthropometric and body composition parameters were obtained 3 months after baseline evaluation of the patients and the MNT was given by the dietitian. Results: After 3 months MNT, weight, body mass index, waist circumference, body fat weight, body fat ratio and visceral fat area (p<0.001), glucose (p<0.001), insulin (p=0.033), HOMA index (p=0.004), HbA1c (p<0.001), total cholesterol (p=0.001), LDL (p=0.008), ALT (p<0.001) and hsCRP (p<0.001) levels were significantly lower than they were before MNT. There wasn't significant difference in triglyceride (p=0.509), HDL (p=0.079), Pentraxin-3 (p=0.706) levels and waist-to-hip ratio (p=0.802). The level of Framingham risk score after MNT was significantly lower (p<0.001). Conclusion: In this study, it was cocluded that MNT, applied to patients with Type 2 DM decreased cardiovascular risk and inflammation, contributed to the maintenance of glycemic control, and a significantly improved the body composition.

The effects of smoking cessation on visceral adiposity index levels.

BACKGROUND: : Known to cause important metabolic disturbances, weight gain becomes a major health problem after smoking cessation. Visceral adiposity index (VAI) is becoming increasingly popular in the detection of cardiometabolic risks in several disorders and general population. Here, we aimed to investigate the effects of quitting smoking on VAI levels. MATERIALS AND METHODS: : Of 350 participants included into the cigarette cessation program, 70 (20%) completed the study and were enrolled into the analyses. VAI levels were calculated at the baseline and 3rd month after cigarette cessation. RESULTS: : Thirty-eight (54.3%) out of 70 participants were male. While the mean age was found as 42 ± 1.0 years, mean starting age of smoking was found to be 16.87 ± 0.45 years, and mean smoking time was 23.07 ± 1.18 years. While VAI levels were found higher in men at the baseline, VAI levels were found similar in both genders at the end of the study. Higher VAI levels were found in those smoking >20 cigarettes/day, compared to those smoking ≤20 cigarettes/day. Although weight, waist circumference, body mass index (BMI), and high-density lipoprotein cholesterol levels increased, VAI levels were found to decrease significantly at the 3rd month. In subgroup analyses, VAI levels were seen to decrease significantly only in men (P = 0.005). Furthermore, VAI levels were found to decrease (P < 0.001) in those with BMI ≥25 kg/m2, whereas no significant change was observed in those with BMI <25 kg/m2. CONCLUSIONS: Although body weight increases significantly after quitting smoking, VAI levels, an indicator of cardiovascular risks, decrease significantly, especially in men or obese patients.

EVALUATION OF URINARY IODINE LEVELS AND THYROID FUNCTION TESTS IN PREGNANT WOMEN AND THEIR INFANTS.

INTRODUCTION: In this study we aimed to evaluate urinary iodine excretion and the serum levels of thyroid-stimulating hormone (TSH), free triiodothyronine (fT3), free thyroxine (fT4) and thyroglobulin (Tg) in pregnants and their newborn infants. MATERIALS AND METHODS: This study was performed in Konya Faruk Sukan Children and Maternity Hospital, Konya Beyhekim State Hospital and Hospital of Selcuk University Medical Faculty. 180 pregnant women and their healthy infants born at 37-40 gestational weeks.Term infants included in this study were aged between 1-7 days, healthy. Midurination urine samples were taken into deiodinized plastic bottles and 2 mL of these samples were aliquoted to deiodinized eppendorf tubes. RESULTS: Median urinary iodine concentration (UIC) was 95.5 µg/L for pregnant women and 245 µg/L for their infants. Frequency of iodine deficiency was observed as 63.3% (n=114) (<150 µg/L) and 24.4% (n=44) (<100 µg/L) in mothers and their infants, respectively. UIC of the infants whose mothers used iodized salt was significantly higher than the one whose mothers used rocksalt (p=0.030). CONCLUSIONS: It was stated in our study that UIC of pregnants was lower than the target limit (<150 µg/L), suggested by World Health Organisation (WHO) and iodine deficiency in pregnants is still a problem in our city located in the centre of Turkey. Iodine deficiency was observed in 24.4% of the infants and this prevalence suggests us that iodine deficiency is still an important health problem in infants.

The frequency of smoking, quitting and socio-demographic characteristics of physicians of a medical faculty.

BACKGROUND: The aim of this study was to determine the epidemiology of smoking among physicians and to describe their socio-demographic characteristics. SUBJECTS AND METHODS: All professors, associate professors, assistant professors, lecturers and research assistants working for the Faculty of Medicine of Meram, University of Selçuk, were included in the study. Of the 500 subjects, 363 (72.6%) completed the anonymous questionnaire of the survey satisfactorily. The smoking status, age at smoking initiation, daily cigarette consumption and association between current smoking and socio-demographic variables, family characteristics and body mass index were examined. The SPSS software was used to tabulate the data. The chi-square test was used for statistical analysis. RESULTS: The mean age was 34.2 +/- 9.1 years. The rate of ever-smokers was 28.7% (n = 104). The rates of smoking in females and males were 13.4% (n = 15) and 35.6% (n = 89), respectively (p = 0.000). The rate of ex-smokers was 9.9% (n = 36). The rate of never-smokers was 61.4% (n = 223). The mean age at starting smoking was 21.7 +/- 4.9 years. The quit ratio was 25.7% (36/140) [23.3% (27/116) for men and 37.5% (9/24) for women]. Fagerstrom score was averaged 2.8 +/- 2.7 among all smokers. The rate of smoking in the families (p = 0.003) and among close friends (p = 0.000) of the smoker-group was higher than in non-smokers. CONCLUSION: In Turkey, prevalence of tobacco smoking is high among physicians though lower than the general community. This may compromise their role in tobacco control unless they quit smoking.

The frequency of smoking, quitting and socio-demographic characteristics of physicians of a medical faculty / Frecuencia del hábito de fumar, su abandono, y las características sociodemográficas de los médicos de una facultad de medicina

BACKGROUND: The aim of this study was to determine the epidemiology of smoking among physicians and to describe their socio-demographic characteristics. SUBJECTS AND METHODS: All professors, associate professors, assistant professors, lecturers and research assistants working for the Faculty of Medicine of Meram, University of Selçuk, were included in the study. Of the 500 subjects, 363 (72.6) completed the anonymous questionnaire of the survey satisfactorily. The smoking status, age at smoking initiation, daily cigarette consumption and association between current smoking and socio-demographic variables, family characteristics and body mass index were examined. The SPSS software was used to tabulate the data. The chi-square test was used for statistical analysis. RESULTS: The mean age was 34.2 +/- 9.1 years. The rate of ever-smokers was 28.7(n = 104). The rates of smoking in females and males were 13.4(n = 15) and 35.6(n = 89), respectively (p = 0.000). The rate of ex-smokers was 9.9(n = 36). The rate of never-smokers was 61.4(n = 223). The mean age at starting smoking was 21.7 +/- 4.9 years. The quit ratio was 25.7(36/140) [23.3(27/116) for men and 37.5(9/24) for women]. Fagerstrom score was averaged 2.8 +/- 2.7 among all smokers. The rate of smoking in the families (p = 0.003) and among close friends (p = 0.000) of the smoker-group was higher than in non-smokers. CONCLUSION: In Turkey, prevalence of tobacco smoking is high among physicians though lower than the general community. This may compromise their role in tobacco control unless they quit smoking.

ANTECEDENTES: El objetivo de este estudio, fue determinar la epidemiología del hábito de fumar entre médicos y describir sus características socio-demográficas.SUJEITOS Y MÉTODOS: Todos los profesores universitarios – titulares, auxiliares, asistentes, conferen-cistas – y los auxiliares de investigación, que trabajan para la Facultad de Medicina de Meram, Universidad de Selçuk, fueron incluidos en el estudio. De los 500 sujetos, 363 (72.6%) completaron el cuestionario anónimo de la encuesta satisfactoriamente. Se examinó el estatus del hábito de fumar, la edad de iniciación en el hábito, el consumo de cigarrillos por día, así como la asociación entre el hábito de fumar corriente y las variables sociodemográficas, las características familiares y el índice de masa corporal. Para la tabulación de los datos, se usó el software SPSS. Para el análisis esta-dístico, se empleo la prueba de chi-cuadrado. RESULTADOS: La media de la edad fue de 34.2 B1 9.1 años. La tasa de fumadores consuetudinarios fue 28.7% (n = 104). La tasa del hábito de fumar en mujeres y hombres fue 13.4% (n = 15) y 35.6% (n = 89), respectivamente (p = 0.000). La tasa de los ex-fumadores fue 9.9% (n = 36). La tasa de los no fumadores en lo absoluto fue 61.4% (n = 223). La edad media al comienzo del hábito de fumar fue 21.7 B1 4.9 años. La proporción de abandono del hábito fue 25.7% (36/140) [23.3% (27/116) para los hombres y 37.5% (9/24) para las mujeres]. La puntuación en el test de Fagerstrom promedió 2.8 B1 2.7 entre todos los fumadores. La tasa del hábito de fumar en las familias (p = 0.003) y entre los amigos íntimos (p = 0.000) del grupo de fumadores, fue más alta que la de los no fumadores. CONCLUSIÓN: En Turquía, la prevalencia del hábito tabáquico es alta entre los médicos, aunque más baja que en la comunidad en general. Esto puede comprometer su papel en el control del tabaco, a menos que abandonen el hábito de fumar.