Bilici M. | Yılmaz F. | İlikhan S.U. | Borazan A.

Article | 2016 | Medeniyet medical journal31 ( 4 ) , pp.237 - 240

In the present study, we investigated the impact of the awareness of the daily salt intake on dietary salt consumption in patients with primary hypertension. One hundred and fifty-four patients (male, 80, and female, 74) treated with the established diagnosis of hypertension, and also followed up after providing information about salt consumption were enrolled in the present study. Urinary sodium was measured in 24-hour urine samples, and the patients were informed about their salt consumption together with their laboratory results. Three months later urinary sodium levels were measured in 24-hour urine samples again. Changes in blo . . .od pressure, and salt consumption were compared statistically. Mean age of 154 patients enralled in the study was 48.4±14.9 years. It was observed that the patients had not known their daily salt consumption. Their daily salt intake had been 12.6±4.8 g, while their daily intake dropped to 7.4±3.7 g after control of salt intake with monitorization of urinary sodium. Baseline systolic/diastolic blood pressure (p=0.024 and =0.034, respectively) values decreased, in parallel with reduction in daily salt intake (12.6±4.8 g/day to 7.4±3.7 g/day) ( Daha fazlası Daha az

Akbaş E. | Ünver B. | Erdem E.U.

Article | 2019 | Complementary Medicine Research26 ( 4 ) , pp.250 - 257

Background: Connective tissue manipulation (CTM) has therapeutic effects on diseases with autonomic imbalance, yet its mechanisms of action are not clearly identified. Objective: The aim of this study was to investigate acute autonomic responses to CTM in healthy young women with various physical activity levels. Method: The study was designed as a nonrandomized, controlled single-center study. Healthy women aged between 18 and 25 years were assigned to a connective tissue manipulation group (CTMG) (n = 150) or a control group (CG) (n = 60). CTM was applied to the CTMG while the CG did not receive any intervention. Respiratory rate . . .(RR), heart rate, systolic/diastolic blood pressures (SP/DP), oxygen saturation (OS) and body temperature were measured. The International Physical Activity Questionnaire short form was used to determine physical activity levels. -Results: Analysis revealed significant reduction in SP and DP and an increment in RR in the CTMG (p < 0.05). RR increased and SP decreased among inactive, SP decreased among moderately active, and SP and OS decreased among highly active participants in the CTMG (p < 0.05). There were no significant alterations in the CG (p > 0.05). Conclusions: CTM has an immediate reducing effect on sympathetic activity in healthy young women independently from the physical activity level. Future studies are needed to clarify long-term effects of CTM on autonomic functions in healthy individuals. © 2019 S. Karger AG, Basel. All rights reserved Daha fazlası Daha az

Alemdar R. | Cil H. | Besir F.H. | Ozhan H. | Aydin Y. | Bulur S. | Yazgan O.

Article | 2014 | Acta Medica Mediterranea30 ( 4 ) , pp.941 - 945

Aims: We aimed to investigate the predictors of Carotid intima media thickness (CIMT) in premenopausal women. Background: CIMT was shown to be a strong coronary artery disease predictor in both pre- and postmenopausal women. Materials and methods: The study was conducted on 2298 participants. The final cohort included 783 pre-menopausal women (with a mean age of 39 ± 11). Carotid intima media thickness was measured in all of the participants. Results: Mean CIMT of premenopausal women was 0.51 ± 0.14 mm. Age- adjusted correlates of CIMT was SBP (r = 0.138; p=

Sonmez, Alper | Yumuk, Volkan | Haymana, Cem | Demirci, Ibrahim | Barcin, Cem | Kiyici, Sinem | Guldiken, Sibel

Article | 2019 | OBESITY FACTS12 ( 2 ) , pp.167 - 178

Background: Obesity is the main obstacle for metabolic control in patients with type 2 diabetes. Turkey has the highest prevalence of obesity and type 2 diabetes in Europe. The effect of obesity on the metabolic control, and the macro-and microvascular complications of patients are not apparent. Objectives: This nationwide survey aimed to investigate the prevalence of overweight and obesity among patients with type 2 diabetes and to search for the impact of obesity on the metabolic control of these patients. We also investigated the independent associates of obesity in patients with type 2 diabetes. Methods: We consecutively enrolle . . .d patients who were under follow-up for at least 1 year in 69 tertiary healthcare units in 37 cities. The demographic, anthropometric, and clinical data including medications were recorded. Patients were excluded if they were pregnant, younger than 18 years, had decompensated liver disease, psychiatric disorders interfering with cognition or compliance, had bariatric surgery, or were undergoing renal replacement therapy. Results: Only 10% of patients with type 2 diabetes (n = 4,648) had normal body mass indexes (BMI), while the others were affected by overweight (31%) or obesity (59%). Women had a significantly higher prevalence of obesity (53.4 vs. 40%) and severe obesity (16.6 vs. 3.3%). Significant associations were present between high BMI levels and lower education levels, intake of insulin, antihypertensives and statins, poor metabolic control, or the presence of microvascular complications. Age, gender, level of education, smoking, and physical inactivity were the independent associates of obesity in patients with type 2 diabetes. Conclusion: The TEMD Obesity Study shows that obesity is a major determinant of the poor metabolic control in patients with type 2 diabetes. These results underline the importance of prevention and management of obesity to improve health care in patients with type 2 diabetes. Also, the results point out the independent sociodemographic and clinical associates of obesity, which should be the prior targets to overcome, in the national fight with obesity. (c) 2019 The Author(s) Published by S. Karger AG, Base Daha fazlası Daha az

Aydin M. | Ozeren A. | Bilge M. | Atmaca H. | Unalacak M. | Dursun A. | Elbey M.A.

Article | 2005 | Texas Heart Institute Journal32 ( 1 ) , pp.28 - 34

The purpose of this prospective study was to determine the relationship between circadian blood pressure and left ventricular diastolic function in essential hypertension. The study population included 25 patients aged 56 ± 18 years with non-dipper hypertension and 25 age- and sex-matched patients with dipper hypertension. They underwent conventional Doppler echocardiography and color tissue Doppler from apical 4-and 2-chamber views. In non-dipper patients, diastolic left ventricular function was reduced significantly. The transmitral E wave decreased (0.55 ± 0.2 vs 0.62 ± 0.2 m/s, P