Kapadokya Üniversitesi Kurumsal Akademik Arşivi
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Güncel Gönderiler
Association of Disease Knowledge, Comorbidity, and Biochemical Parameters in Adults with Type 2 Diabetes
(23.01.2026) Küçükkatırcı Baykan, Hürmet
Purpose: This study examines how disease-related knowledge is associated with comorbidities, metabolic and anthropometric indicators, and dietary patterns in individuals with Type 2 diabetes.
Methods: This cross-sectional study included 184 adults with Type 2 diabetes. Data were collected using sociodemographic questionnaires, the Diabetes Knowledge Scale for Adults, and a food frequency questionnaire. Anthropometric and biochemical data were also obtained. Participants were grouped by median knowledge score (low or high). Mann–Whitney U and chi-square tests were used to analyze the data. Structural equation modeling (SEM) was used to model the effect of disease knowledge on health indicators.
Results: Participants with higher knowledge had lower total cholesterol, triglycerides, body weight, BMI, and neck circumference, and demonstrated better dietary compliance (p < 0.05). Retinopathy was more common in the high-knowledge group, while hypertension was more prevalent in the low-knowledge group (p=0.037 and p=0.002, respectively). SEM analysis revealed a weak yet directional relationship between knowledge level and health indicators.
Conclusion: The level of knowledge about the disease positively affects specific metabolic and behavioral indicators. Therefore, educational programmes aimed at increasing patients’ knowledge and supporting behavioural change should be developed and implemented at the primary care level.
Plain Language Summary: People with Type 2 diabetes who know more about their condition tend to have healthier body weight, lower cholesterol levels, and better eating habits. This study highlights that learning about diabetes and following nutrition advice can improve everyday health and help prevent complications.
Keywords: Biochemical parameters, comorbidities, disease knowledge, structural equation modeling, type 2 diabetes
A New Communication Model Between Clients/Patients and Dietitians: Telenutrition, Evaluation of the Perspectives of Clients/Patients and Dietitians
(Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 10.04.2025) Küçükkatırcı Baykan, Hürmet; Öner, Neslihan
Purpose: The aim of this cross-sectional study was to determine the status, advantages, and disadvantages of
telenutrition from the perspectives of clients/patients and dietitians.
Methods: A total of 100 clients/patients and 100 dietitians were assigned to this cross-sectional study. To assess the
status as well as the advantages and disadvantages of telenutrition, a set of inquiries, based on the literature review, were
posed to both clients/patients and dietitians.
Results: Both dietitians (%92) and clients/patients (%61) were found to use telenutrition mainly for weight loss diets.
It was found that clients/patients who had time constraints due to their busy lifestyle (63%) and whose dietitian was in
another city (36%) preferred telenutrition more frequently. Clients/patients (51%) were more concerned than dietitians
(32%) that anthropometric measurements were not taken by the expert (p<0.05). 44% of clients/ patients stated that
they frequently change their appointments due to the time-flexible system.
Conclusion: Telenutrition has become a necessity today due to the time constraints that many people complain about
due to their busy lifestyles, difficulties in traveling to and from hospital/clinic, especially in the elderly age group,
pandemics, or natural disasters. In this direction, the steps to be taken to improve telenutrition will increase the quality
of telemedicine services. When making relevant improvements, the opinions of the clients/patients group receiving
this service and the dietitians providing this service should be consulted and the participation of clients/patients in the
formation of health policies should be supported.
Keywords: Client, Dietitian, Patient, Telehealth, Telenutrition
Prevalence of voice problems and associated risk factors in electronic sports players
(Springer Nature, 2026) Birol, Namık Yücel; Yaşar Gündüz, Esra; Tutuş, Zübeyir
Background
Electronic sports (esports) has rapidly emerged as a global phenomenon, engaging millions of players and viewers. Previous research has extensively examined health concerns in this population, including musculoskeletal disorders, ocular fatigue, sleep disturbances, and cardiometabolic risks. However, despite the intensive and prolonged vocal use required during team-based gaming communication, voice disorders have not been investigated in esports players. This study aimed to examine the prevalence of voice problems and associated risk factors in this population.
Methods
A cross-sectional survey was conducted with 87 esports players aged 18–32 years in Türkiye. Data were collected using a researcher-developed questionnaire that addressed vocal symptoms, phonotraumatic behaviors, lifestyle, and health-related factors. In addition, the Voice Handicap Index-10 (VHI-10-TR) was administered. A cutoff score of ≥ 7 on the VHI-10-TR was used to identify players at risk for voice disorders. Descriptive statistics, chi-square tests, and logistic regression analyses were performed.
Results
Based on the VHI-10-TR cutoff score (≥ 7), 20.7% of the participants were classified as having voice problems. Significant associations were found between voice problems and longer daily speaking time during gameplay (p = .009) as well as weekly gaming hours exceeding 21 (p = .009). Commonly reported symptoms included throat dryness (49.4%), vocal fatigue (35.6%), and throat discomfort (26.4%). Poor air quality in gaming environments (p = .036) and frequent consumption of spicy/fatty foods (p = .037) were significant lifestyle-related risk factors. Difficulty hearing conversational speech was also associated with increased likelihood of voice problems (p = .045). Logistic regression indicated that unadjusted odds of reporting voice problems were three to five times higher in relation to these factors, though none remained significant in the adjusted model.
Conclusions
Approximately one in five esports players reported voice problems, highlighting their potential vulnerability as a risk group. Environmental and lifestyle conditions, alongside prolonged gaming and communication, contribute to vocal strain. Preventive strategies focusing on vocal hygiene, gaming environment improvement, and early screening may help safeguard vocal health in this population.
Noise-induced hearing loss in firefighters: an audiological evaluation
(SPRINGER, 13 January 2026) Osmanoğlu, Hülya; Bayrak, Nevruz Nur; Köroğlu Koçyiğit, Azize Arzu; Altun, Eymen; Hüyüktepe, Veli Can
Abstract
Background The aim of this study was to evaluate the hearing thresholds, speech understanding abilities, and otoa
coustic emissions tests of firefighters to determine the effects of occupational noise exposure on auditory health. This
descriptive study consisted of 25 firefighters and 25 healthy individuals with normal hearing as the control group. Fire
f
ighters exposed to noise outside of working hours, those using ototoxic medications, or those with other health risk
factors were excluded from the study. Hearing functions of all participants were assessed using pure-tone and high
frequency audiometry, speech tests, and otoacoustic emissions measurements.
Results Firefighters’ pure-tone hearing thresholds were significantly higher compared to the control group,
and hearing loss was observed, particularly at high frequencies (4000 Hz and above). In the speech test results,
SRT thresholds were also found to be statistically significantly higher in the study group (p<0.05). Dynamic range
was found to be narrower in the study group. DPOAE and TEOAE results showed that firefighters exposed to noise
at certain frequencies had significantly lower SNRs.
Conclusions These findings support similar studies in the literature, demonstrating that long-term noise exposure
has potential negative effects on hearing health in firefighters, particularly high frequencies indicate that hearing
thresholds can be affected.
Keywords Occupational noise, Noise pollution, Vulnerable occupations, Workplace exposures
Functional and sensory properties of legume-derived aquafaba in angel cakes
(05.01.2026) Sarı Gençağ, Burcu; Turhan, Gülşah
This study evaluated aquafaba obtained from four legumes: chickpea (CP), mung bean (MB), green lentil (GL), and dermason/white bean (WB) as a complete egg-white substitute in angel cake. Functional properties (foaming capacity and stability; emulsion stability) and cake quality (pH, protein, ash, moisture, colour, baking loss, volume index, and sensory evaluation, n=25) were assessed. The egg-white control (C) showed the highest foaming capacity (608.52%) and stability (92.04%). Among aquafaba samples, CP, MB, and GL exhibited comparable foaming performance (≈145–148% capacity; ≈76–78% stability), whereas WB was significantly lower (116.59%; 56.37%) (p < 0.05). Cakes with aquafaba had lower pH and generally lower protein than the con- trol, with GL the lowest; moisture was highest in MB and WB, while ash showed no difference. Colour analysis revealed darker crumbs with reduced lightness and yellowness. Baking loss in- creased with aquafaba (MB and WB highest), while volume index decreased; CP retained the most significant volume among the aquafaba groups. Sensory results showed no significant differences among C, CP, and GL, while MB and WB scored lower. Overall, CP and to some extent GL provided the most favourable technological and sensory performance, emphasising legume type as a key factor for successful egg replacement in cakes.
