Sağlık Bilimleri Fakültesi

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https://dspace.mudanya.edu.tr/handle/20.500.14362/82

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    Conversion Bariatric Surgery, Ketogenic Diet, and Intermittent Fasting in Bariatric Surgery Patients with Recurrent Weight Gain: a Prospective Randomized Controlled Trial
    (Springer, 2026-04) Şen, Seher; Erdem, Nihal Zekiye; Durak, Doğukan; 409851
    Background Recurrent weight gain (RWG) after metabolic and bariatric surgery (MBS) increases the need for alternative treatment strategies. This study evaluated the effects of conversion bariatric surgery (CBS), very low-calorie ketogenic diet (VLCKD), and time-restricted intermittent fasting (TRIF) on anthropometric measurements, biochemical parameters, and dietary habits in patients who experienced suboptimal clinical response (SCR) or RWG after bariatric surgery. Methods This study included 56 patients, allocated to four groups (CBS, VLCKD, TRIF, and control; n = 14 each). Weight, waist-hip measurements, body composition, glycemic/lipid profile, and serum levels of specific vitamins and minerals were assessed at baseline and at week 6. Energy and nutrient intakes were calculated using BeBiS-9. Results Data were analyzed with SPSS 22.0. The percentages of total and excess weight loss differed significantly among the groups (p < 0.001), with CBS (9.07–28.5%), VLCKD (9.12–31.85%), TRIF (5.09–14.97%), and control (0.97–3.40%). Additionally, the pre- and post-intervention differences in fasting insulin, HOMA-IR, HbA1c, cholesterol, LDL-C, triglyceride, and uric acid levels varied significantly among the groups. VLCKD showed a more prominent effect on glycemic parameters, whereas CBS had a more beneficial impact on the lipid profile. In intervention groups, daily energy, carbohydrate and fat intake (g/day) decreased; protein percentages increased; the frequency of consumption of energy-dense foods decreased; and healthy food preferences increased. Conclusions Consequently, clinically significant improvements in weight management and metabolic parameters were observed in CBS, VLCKD, and TRIF groups under multidisciplinary team follow-up. These findings suggest that dietitian-led VLCKD and TRIF interventions may be considered as alternative treatment options before deciding on CBS.
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    Environmental impact of athletes’ diets greenhouse gas emissions, water footprint, and sustainability awareness
    (Springer, 2026-01) Acar, Selva; Tuna, Tuğba; Ersoy, Nesli; 336342
    This cross-sectional study evaluated the environmental impact of athletes’ dietary patterns by estimating greenhouse gas emissions (GHGE) and water footprint (WF). It also assessed knowledge, attitudes, and behaviors related to sustainable nutrition using a structured questionnaire aligned with the FAO definition of sustainable diets. Conducted between January and August 2023 in Ankara, the study included 100 elite athletes (mean age: 21.0 ± 3.3 years; 65% female) from various sports disciplines. Dietary intake was assessed using a semi-quantitative food frequency questionnaire, and GHGE and WF values were calculated based on life cycle assessment data. The mean GHGE and WF values of athletes’ diets were 3017.1 ± 1877.4 g CO₂-eq/day and 5.4 ± 3.2 mL/g, respectively. Male athletes and strength/power athletes exhibited significantly higher dietary environmental impacts than female and team sports athletes (p < 0.001 and p < 0.05, respectively). Red meat and animal protein consumption were strongly associated with higher GHGE and WF values (p < 0.001). Despite the increasing importance of sustainability, more than 90% of participants lacked accurate knowledge of sustainable nutrition. Moreover, a discrepancy was observed between athletes’ stated willingness to support environmental values and their actual food choices, indicating an intention–behavior gap. This study contributes to the limited literature by quantifying the environmental impact of athletes’ diets while concurrently examining sustainability-related behavioral factors. The findings underscore the importance of integrating sustainability principles into sports nutrition planning and education to reduce environmental impacts while maintaining performance goals.