Sürdürülebilir Kalkınma Amaçları

Yazarlar

  • MakaleAçık Erişim2026Scopus SJRQ1
    Effects of putrescine and MAP on quality, phenolics, and organic acids in strawberry tree fruits

    Gundogdu, Muttalip; Yücel, Gül; Çolak, Ayşen Melda; Aglar, Erdal

    Background: Strawberry tree (Arbutus unedo L.) fruits are rich in bioactive compounds but are highly perishable due to their high respiration rate and soft tissue structure, leading to rapid post-harvest quality losses. Therefore, developing sustainable strategies to maintain quality and extend shelf life is of great importance. Methods: In this study, the individual and combined effects of putrescine (1 mM) and modified atmosphere packaging (MAP) on the post-harvest quality and biochemical properties of strawberry tree fruits were investigated. Fruits harvested at full maturity were stored at 4 ± 1 °C and 90 ± 5% relative humidity for 15 days, and key quality parameters including weight loss, decay rate, respiration rate, soluble solids content, titratable acidity, vitamin C, organic acids, and phenolic compounds were periodically analyzed. Additionally, correlation analysis and principal component analysis (PCA) were performed to evaluate the relationships among variables. Results: Storage duration significantly increased weight loss and decay rate, while decreasing organic acids, vitamin C, and phenolic compounds (p ≤ 0.001). At the end of storage, weight loss reached 2.97% in control fruits, whereas it decreased to 1.14% in the Put + MAP treatment, representing a reduction of approximately 61.6%. Similarly, decay rate decreased from 6.55% (control) to 3.34% (Put + MAP). Respiration rate was also significantly suppressed, with the lowest values observed in the combined treatment. Furthermore, malic acid (1.38 vs. 0.80 g/100 g) and vitamin C (36.90 vs. 28.37 mg/100 g) were better preserved in Put + MAP-treated fruits compared to control at day 15. PCA results confirmed that Put + MAP treatment maintained the most balanced profile between quality attributes and biochemical stability. Conclusion: The combined application of putrescine and MAP exhibited a strong synergistic effect by simultaneously reducing respiration, limiting water loss and decay, and preserving bioactive compounds. This study demonstrates that integrating a natural bioregulator (putrescine) with an environmentally friendly packaging system (MAP) represents an innovative and practical approach for extending the shelf life and maintaining the nutritional quality of strawberry tree fruits. This strategy also has high potential for application in other highly perishable soft fruits.

    • SDG 2 · Açlığa Son
    • SDG 12 · Sorumlu Üretim ve Tüketim
  • MakaleAçık Erişim2026Scopus SJRQ2
    Reliability and validity of the Turkish version of the pain attention and awareness questionnaire for nonspecific musculoskeletal pain

    Sürmeli, Mahmut; Özdemir, Özlem Çinar; Topcuoğlu, Ceyhun

    Background: Reliable and valid assessments of pain vigilance and awareness are crucial for understanding and treating pain within cognitive-behavioral frameworks, such as the fear-Avoidance Model. While the Pain Vigilance and Awareness Questionnaire (PVAQ) is a widely used tool for this purpose, no culturally adapted and validated version exists for the Turkish-speaking population, creating an instrumental and clinical gap. Objective: This study aimed to translate, culturally adapt, and comprehensively evaluate the psychometric properties of the Turkish version of the PVAQ in a sample of patients with nonspecific musculoskeletal pain. Methods: An instrumental, cross-sectional study was conducted. The PVAQ was translated and adapted into Turkish according to established guidelines. A sample of 131 patients with low back, neck, or shoulder pain completed the PVAQ-T, the Pain Catastrophizing Scale (PCS), the Tampa Scale for Kinesiophobia (TSK), the Hospital Anxiety and Depression Scale (HADS), and a visual analog scale (VAS) for pain intensity. Reliability was assessed via internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficient - ICC). Construct validity was examined via exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Criterion validity was evaluated through Pearson correlations with the PCS, TSK, and HADS. Results: The PVAQ-T demonstrated acceptable internal consistency (Cronbach’s α = 0.83) and good test-retest reliability (ICC = 0.918). EFA supported a two-factor structure (vigilance and awareness), explaining 62.3% of the variance. CFA indicated that the original 16-item model had a suboptimal fit (CFI = 0.807; GFI = 0.732; SRMR = 0.060; RMSEA = 0.138, and χ²/df = 3.46). Following the removal of items 4 and 12 based on exploratory and item-level findings, some fit indices showed modest improvement (CFI = 0.836; GFI = 0.768; SRMR = 0.006), whereas others remained unchanged or worsened (RMSEA = 0.144; χ²/df = 3.69). The PVAQ-T total score showed moderately to strongly, statistically significant (p < 0.001) correlations with the PCS (r = 0.681), TSK (r = 0.694), HADS-Anxiety (r = 0.491), and HADS-Depression (r = 0.416) scores, supporting its criterion validity. Conclusion: Within a Turkish sample of individuals with nonspecific musculoskeletal pain, the 14-item Turkish version of the PVAQ demonstrates adequate reliability and validity for assessing pain-related attention and awareness. While the two-factor structure was supported at the exploratory level, confirmatory findings suggest that results should be interpreted with caution. The PVAQ-TR may be a useful instrument for research and clinical assessment of pain-related attentional processes, highlighting the importance of cultural adaptation and empirical evaluation of psychometric instruments.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2026Scopus SJRQ1
    Loneliness as a predictor of quality of life in older adults receiving primary health care in Türkiye: a cross-sectional study

    Atila, Dinçer; Yeşiltepe, Akgün; Çal, Ayşe

    Background: Loneliness and social isolation among older adults is a growing concern in many societies, as the aging population continues to increase. The aim of the study is to examine the relationship between loneliness and quality of life in individuals aged 65 and over who apply to primary health care institutions. Methods: This descriptive-correlational study was conducted face-to-face with 216 individuals aged 65 and over. The socio-demographic form and the Loneliness Scale for Elderly and Quality of Life Scale were used as data collection tools in the study. JASP 0.19, SPSS 26 analysis programs were used to perform t test, One Way ANOVA Bonferrroni test, Pearson correlation, and regression analysis. Results: According to Pearson correlation analysis, strong negative relationships were found between quality of life and loneliness in the elderly. As quality of life increased, levels of loneliness, social loneliness, and emotional loneliness decreased (r = −0.854, r = −0.737, r = −0.717; p <0.001). While there was a strong positive relationship between the loneliness scale for elderly and the social loneliness sub-dimension (r = 0.867, p < 0.001), there was also a positive relationship between the loneliness scale for elderly and the emotional loneliness sub-dimension (r = 0.835, p < 0.001). A statistically significant difference was found between chronic disease, educational status, income status, marital status, and both loneliness and quality of life. Conclusion: Loneliness is an important predictor of quality of life among older adults. Both social and emotional loneliness are negatively associated with quality of life, indicating that higher levels of loneliness are linked to lower quality of life in this population.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2026Scopus SJRQ1
    Structural alignment and thematic complementarity between ISO 7101:2023 and Türkiye’s hospital quality standards: a qualitative document analysis

    Karahüseyinoğlu, Furkan

    Background: ISO 7101:2023, adopted in Türkiye as TS ISO 7101:2023, is an international management system standard for healthcare quality management published by the International Organization for Standardization (ISO) in October 2023 and structured according to ISO’s harmonised high-level architecture. SKS Hastane Sürüm 6.1 (Sağlıkta Kalite Standartları Hastane Sürüm 6.1) is Türkiye’s national hospital quality standards framework, comprising 5 dimensions, 46 sections, 523 standards, and 1,599 assessment criteria calibrated to hospital practice. Both documents coexisted within the Turkish health system at the time of this analysis: TS ISO 7101:2023 was adopted by the Turkish Standards Institution (TSE) in November 2023, while SKS Hastane Sürüm 6.1 has been in use since its publication in 2021. Despite the potential relevance of both frameworks to hospital quality governance, to the author’s knowledge, no published study has systematically compared the structural and thematic alignment of ISO 7101:2023 and SKS Hastane Sürüm 6.1. This study aimed to examine the degree and nature of correspondence between ISO 7101:2023 and SKS Hastane Sürüm 6.1 across a comprehensive set of hospital quality management domains. Methods: A qualitative document analysis with structured comparative mapping was conducted using the primary texts of ISO 7101:2023 (accessed as TS ISO 7101:2023) and SKS Hastane Sürüm 6.1. Fourteen analytical dimensions were specified a priori, covering organisational context, leadership and governance, quality planning, patient/person-centred care, patient safety and risk management, workforce competence, clinical and service delivery processes, information management, resource and infrastructure management, external provider management, performance measurement, incident reporting and learning, continuous improvement, and accessibility and equity. A seven-category coding scheme was applied to each dimension: Full Convergence (FC), Partial Convergence (PC), ISO-Dominant Management System Emphasis (ISO-D), SKS-Dominant Operational Specificity (SKS-D), Complementarity (COMP), Limited Explicit Correspondence (LEC), and No Direct Correspondence (NDC). Coding categories are analytical, not evaluative. Standard-level verification extending to confirmed standard codes and assessment-criteria-level content was conducted for five dimensions (D2, D3, D5, D8, D11). ISO 7101:2023 text is paraphrased with clause references; the document is copyrighted and is not extensively quoted. Results: Thirteen of the fourteen analytical dimensions were classified as Partial Convergence (PC). Dimension 7 (Clinical and Service Delivery Processes) was classified as Complementarity (COMP). No dimension was classified as Full Convergence or No Direct Correspondence. The Partial Convergence pattern reflects shared quality management intent across all domains, accompanied by systematic differences in documentary logic, prescriptive specificity, and regulatory mechanism. ISO 7101:2023 addresses quality domains through normative “shall” obligations within a harmonised management system architecture, leaving implementation methods to the organisation. SKS Hastane Sürüm 6.1 addresses the same domains through prescriptive, surveyable hospital standards and assessment criteria. Standard-level verification confirmed operationally specific requirements in SKS across governance committee structures (KKY06-10), risk management (KRY01-05), patient safety (KKY07), information system security and backup (DBY05, DBY10, DBY13), indicator management (GGİ01–07), and national performance reporting. Several ISO constructs — including formal change management planning (Cl. 6.3), risk awareness culture monitoring (Cl. 6.1.2), structured internal audit with independence criteria (Cl. 9.2), and eleven-input management review (Cl. 9.3) — were not confirmed as single equivalent standards in the verified SKS sections. Conclusions: ISO 7101:2023 and SKS Hastane Sürüm 6.1 show broad thematic overlap across hospital quality domains. SKS Hastane Sürüm 6.1 provides an operationally specific, nationally calibrated quality infrastructure for hospitals in Türkiye. ISO 7101:2023 provides a complementary management-system architecture that may supplement SKS’s operational standards with structural constructs for leadership accountability, quality objective documentation, change management planning, and cyclical system evaluation. The two frameworks are better characterised as potentially complementary than as competing. These findings are based on document-level analysis and cannot be interpreted as evidence of implementation effectiveness. Empirical research is needed to assess how the frameworks interact in hospital practice and to determine what benefits, if any, alignment may offer for hospital quality governance in Türkiye.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2026Scopus SJRQ1
    Short-term effects of powerlifting-based training on hormonal, metabolic, and lipid profile markers in male basketball players: a randomized controlled trial

    Tizar, Ercan; Erdoğan, Ramazan

    Background: Powerlifting-based resistance training is increasingly incorporated into athletic conditioning programs; however, its short-term endocrine and metabolic responses remain insufficiently explored. Therefore, this study aimed to examine the short-term, exercise-induced changes associated with a powerlifting-based training program on selected hormonal, metabolic, and lipid profile parameters in male basketball players. Methods: This randomized controlled experimental study was conducted in accordance with CONSORT guidelines. Thirty male basketball players aged 18–24 years were randomly assigned to an exercise group (EG; n = 15) or a control group (CG; n = 15). Both groups continued their routine basketball training three days per week for six weeks, while the EG additionally performed a powerlifting-based training program. Serum concentrations of thyroid hormones (TSH, T3, and T4), insulin, glucose, growth hormone, testosterone, and lipid profile parameters were assessed before and after the intervention. Data were analyzed using two-way repeated-measures analysis of variance to evaluate group × time interactions. Results: Significant group × time interactions were observed for several biochemical parameters (p < 0.05). In the exercise group, insulin levels increased by 53.31%, while pre-exercise glucose levels under standardized conditions decreased by 14.46%. Thyroid hormones (TSH, T3, T4) increased by 45.26%, 18.85%, and 18.25%, respectively. Growth hormone and testosterone levels increased by 28.49% and 18.22%, respectively. In contrast, total cholesterol, LDL cholesterol, and triglyceride levels decreased by 2.49%, 4.28%, and 3.76%, respectively, while HDL cholesterol increased by 5.63%. No significant changes were observed in the control group. Effect size analyses indicated large interaction effects for key variables (e.g., insulin ηp² = 0.749; glucose ηp² = 0.757). The concurrent increase in insulin and decrease in glucose may reflect transient alterations in glucose–insulin dynamics rather than a direct improvement in insulin sensitivity. Conclusion: The inclusion of a powerlifting-based training program was associated with favorable short-term, exercise-induced changes in selected hormonal, metabolic, and lipid profile parameters in male basketball players. However, these findings should be interpreted with caution due to the limited sample size and intervention duration. Further studies employing larger cohorts and longer training periods are warranted to confirm these observations and to clarify their long-term physiological implications. Trial registration: ClinicalTrials.gov (NCT07398248), registered on 29/12/2025.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025Scopus SJRQ1
    Physiological effects of MAP and calcium chloride treatments on biochemical metabolites and quality stability by reducing respiration rate in sweet cherry fruit during storage

    Çolak, Ayşen Melda; Çelik, Kenan; Gündeşli, Muhammed Ali; Gündoğdu, Özlem; Küçüker, Emine; Berk, Selma Kuru; Aglar, Erdal; Gundogdu, Muttalip

    Background: Sweet cherry (Prunus avium L.) is an important fruit species with its high nutritional value and fresh consumption rate. However, it is very sensitive to mechanical damage, decay, water loss and microbial spoilage in the post-harvest period. Therefore, new preservation methods are needed to extend shelf life and preserve quality. In this study, the effects of postharvest 4% calcium chloride (CaCl₂) and modified atmosphere packaging (MAP) treatments on quality traits (weight loss, decay rate, SSC, titratable acidity, pH, respiration rate) and biochemical compounds (organic acids, vitamin C and phenolic compounds) of sweet cherry fruit were investigated. Results: During the storage period, the weight loss reached 7.14%, the lowest loss was observed in the CaCl₂+MAP group. The highest decay rate was measured in the control group with 11.30%, and the CaCl₂+MAP combination was the method that limited decay the most. SSC increased over time, but the lowest levels remained in the CaCl₂+MAP group. The titratable acidity value decreased from 1.12% to 0.82%, CaCl₂+MAP application was the method that best preserved acidity. The pH value increased by 25.2%, the lowest pH was again determined in the CaCl₂+MAP group. The respiration rate decreased by 77%, the lowest respiration rate was determined in the CaCl₂+MAP application. Organic acid and vitamin C contents decreased over time, and the application that best limited these losses was CaCl₂+MAP. Significant decreases were also observed in phenolic compounds, and the combined application preserved phenolic stability at the highest level. Conclusion: CaCl₂ and MAP applications were effective in preserving the quality characteristics and bioactive compounds of sweet cherry fruit, especially the combined application (CaCl₂+MAP) gave the most successful results. Therefore, in order to prevent post-harvest quality losses and extend shelf life, it is recommended that CaCl₂ and MAP applications be evaluated together by the producer and the supply chain.

    • SDG 2 · Açlığa Son
    AtıfScopus4OpenAlex3
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ1
    Effect of neuro-linguistic programming on comfort after cesarean: a randomized controlled trial neuro-linguistic programming comfort level cesarean

    Doğan, Aysel; Dal, Nursel Alp; Beydag, Kerime Derya

    Background: Due to the deterioration in comfort experienced after cesarean section, mothers go through troubled hours, have problems with breastfeeding, and cannot even meet their own and their baby’s needs. This study was conducted to determine the effect of neuro-linguistic programming on mothers’ comfort levels following cesarean section in the postpartum period. Methods: This study was performed from 1 January to 1 September 2023 as a prospective randomized controlled single-blind clinical trial with 100 participants (50 experimental, 50 control). The research data were collected using the Personal Information Form and the Postpartum Comfort Scale. The dependent samples t test and independent samples t test were used in the analysis of research data as well as numbers, percentages, and means. Analysis of covariance (ANCOVA) was used to evaluate the effect of the NLP more accurately by controlling the pre-test scores. Results: There were statistically significant differences between the mean pretest and posttest postpartum comfort scale scores, physical comfort scores, psycho-spiritual comfort scores, and sociocultural comfort scores of mothers in the intervention group. In this regard, mothers in the intervention group had higher mean postpartum comfort scale scores, physical comfort scores, psycho-spiritual comfort scores, and sociocultural comfort scores in the posttest phase than in the pretest phase. Conclusions: This study revealed that neuro-linguistic programming enhanced the postpartum comfort levels of mothers who underwent cesarean delivery. In this context, it is recommended that nurses and midwives enhance participants’ comfort through the use of neuro-linguistic programming techniques in care processes. Trial registration: NCT05646537.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus3WoS2OpenAlex2
    ScopusWeb of SciencePubMedİncele
  • MakaleYayıncıda açık erişim2025Scopus SJRQ1
    Effect of postharvest melatonin and salicylic acid applications on quality characteristics and primary and secondary metabolite physiology of tomato fruits

    Kaygısız, Tansel; Sen, Fatih; Gundogdu, Muttalip; Ejaz, Shaghef; Aglar, Erdal

    Background: This study aims to investigate the effects of postharvest melatonin (ML) and salicylic acid (SA) applications on fruit quality and biochemical properties in tomatoes. The potential synergistic effects were investigated by applying these compounds to the ‘Depar’ tomato variety grown in Bolu in the 2024 production season. The tomato fruit that were mature and free from physical damage were selected and sterilized according to predetermined criteria. Afterwards, ML and SA solutions (1 mM) were sprayed on each fruit and then the fruit were stored at 5 ± 0.5 °C and 90 ± 5% relative humidity. Pomological and biochemical measurements and analyses were carried out on fruit stored for 24 days in three different periods (8th, 16th and 24th days). Results: With the extension of storage period, the increase in spoilage and ripening symptoms such as weight loss (8.53%), pH increase (5.01) and soluble solids content (SSC) accumulation (4.95%) was observed in tomatoes. In addition, the significant decreases occurred in malic acid, citric acid, tartaric acid, oxalic acid, vitamin C and phenolic compounds. However, SA and ML applications slowed down these negative changes, with the best results generally obtained in the SA + ML combination. This combination significantly limited the decreases in weight loss and chemical contents, delayed the ripening of tomatoes and maintained their nutritional value. Especially in early and middle storage periods (8th and 16th days of the cold storage), SA + ML applications gave the most effective results. However, some protective effects were reduced by the 24th day the cold storage. Conclusion: SA and ML applications are recommended as an effective biopreservation strategy to extend the shelf life of tomatoes, prevent commercial value loss and maintain quality. This study demonstrates the potential of using bioactive compounds to preserve the quality and nutritional values of tomatoes after harvest.

    • SDG 2 · Açlığa Son
    AtıfScopus10OpenAlex12
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ1
    The effect of motivational interviewing on healthy lifestyle behaviors and quality of life in on menopausal women: a pilot randomized controlled trial

    Orhan, İlksen; Yağmur, Yurdagül

    Background: This study aims to determine the effect of motivational interviewing (MI), an effective communication technique, on healthy lifestyle behaviors and quality of life in menopausal women. Methods: This is a randomized controlled empirical study. The study was conducted with a total of 136 women, including 68 for experimental group and 68 for control group. The data were collected using an introductory information form, the Health Promoting Lifestyle Profile II (HPLPL II) and the Menopause-Specific Quality of Life (MENQOL). Women in the experimental group received 6 sessions of motivational interviewing and 2 follow-up interviews in two family health centers (FHCs) from the researcher. No intervention was applied to women in the control group. The data were analyzed using number, percentage, mean, standard deviation, chi-square test, Bonferroni test, independent samples t test and repeated ANOVA. Results: There was a statistically significant difference between the HPLPL II total scale and health responsibility, nutrition, spiritual development, interpersonal relationships, and stress management subscales pre-test, interim test and post-test mean scores of women in the experimental group, and their mean scores increased positively (p < 0.001). In addition, a statistically significant difference was also found between their MENQOL vasomotor, psychosocial, physical and sexual domains pre-test, mid-test and post-test mean scores (p < 0.05). Conclusion: Motivational interviewing was found to be effective in increasing healthy lifestyle behaviors and quality of life in menopausal women. Trial registration: Current Controlled Trials NCT06802458, 17/01/2025 (https//clinicaltrials.gov/study/NCT06802458), “Retrospectively registered”.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus3WoS3OpenAlex4
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ1
    Maximal strength, sprint and jump performance in elite kumite karatekas

    Cinarli, Fahri Safa; Aydogdu, Onur; Aydin, Yalcin; Tokgöz, Gürkan; Kahraman, Abdulselam; Beykumül, Ayşegül; Aygoren, Caner; Yılmaz, Nurkan; Ramirez-Campillo, Rodrigo

    Background: Both maximal muscle strength and muscle power are independently important for karatekas. However, the relationship between strength and power in elite male kumite karatekas is under researched. This study aimed to determine the relationship between back-leg-chest (BLC) isometric muscle strength with sprint and jump variables in elite male karatekas. Methods: Male elite/international level (tier 4) kumite karatekas (n = 14; age, 20.79 ± 1.67 year; height, 1.77 ± 0.06 m; weight, 72.21 ± 5.20 kg) were recruited. BLC strength, sprint and jump values were measured with a dynamometer, a photocell, and an application, respectively. Pearson correlation (trivial r < 0.1; small r < 0.3; moderate r < 0.5; large r < 0.7; very large r < 0.9; nearly perfect/perfect r ≥ 0.9) and linear regression analyses were performed to determine the relationship and shared variance between BLC strength, sprint, and jump performance. Results: There were large to very large correlations between BLC strength and sprint time (r = − 0.930, p < 0.01), velocity (r = 0.918; p < 0.01), acceleration (r = 0.913; p < 0.01) and running momentum (r = 0.721; p < 0.01). Additionally, BLC strength correlated with jump height (moderate, r = 0.550, p < 0.05), peak anaerobic power (moderate, r = 0.672, p < 0.01) and power to body mass ratio (moderate, r = 0.545, p < 0.05). BLC strength and sprint variables showed an r2 = 0.52–0.86 (p < 0.01), while BLC strength and jump variables showed an r2 = 0.29–0.45 (p < 0.05). Conclusions: BLC strength is related to jump and sprint performance in male elite karate athletes. This relationship underscores the importance of including strength training that targets BLC muscle strength in training programs for coaches and athletes.

    AtıfScopus6
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ2
    Determination of cardiometabolic risk in pre- and post-menopausal women

    Orhan, İlksen; Koçak, Hatice Serap; Kaplan, Emine

    Objective: The study was designed to determine and compare the cardiometabolic risk in premenopausal and postmenopausal women. Methods: Data were collected using cross-sectional and correlational study. In this study, the sociodemographic characteristics, anthropometric measurements, and biochemical parameters of menopausal women were examined. Results: The average age of menopausal women is higher compared to premenopausal women. Menopausal duration, number of children, daily cigarette consumption, body weight, body mass index (BMI), waist circumference, hip circumference, waist-to-hip ratio, systolic and diastolic blood pressure, fasting blood glucose, hemoglobin, AST (aspartate aminotransferase), and Framingham risk score are higher in menopausal women compared to premenopausal women. Conversely, height, HDL (high-density lipoprotein) level, LDL (low-density lipoprotein) level, TSH (thyroid-stimulating hormone), ALT (alanine aminotransferase), HbA1c (glycated hemoglobin), serum albumin, and visceral adiposity index (VAI) values are lower in menopausal women compared to premenopausal women. Conclusion: These findings indicate changes in the metabolic profiles of menopausal women. This study could serve as an important resource for assessing the health status of menopausal women and for implementing appropriate measures. Clinical trial number: not applicable.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus4WoS4OpenAlex5
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ1
    Effects of inspiratory muscle training on physical fitness in cystic fibrosis: a systematic review and meta-analysis

    Aksel-Uylar, Aydan Asli; Topcuoglu, Ceyhun; Saglam, Melda; Vardar-Yagli, Naciye

    Background: Cystic fibrosis (CF) is a multisystem disease primarily affecting the lungs. It impacts physical fitness due to increased bronchial secretions and exercise intolerance. Inspiratory muscle training (IMT) is recommended as a pulmonary rehabilitation approach. Therefore, we aimed to examine the effect of inspiratory muscle training on health-related physical fitness in CF. Methods: Articles were searched in five databases from inception to June 2025. All randomized controlled trials comparing IMT with a control group in individuals with cystic fibrosis were included. Four randomized controlled trials involving a total of 90 individuals with CF met the inclusion criteria. Results: A significant difference was found in the change in maximal work capacity, maximal minute ventilation, and exercise duration during the exercise test in the IMT group compared to the control group. However, no significant difference was observed in the change in maximal oxygen uptake, 6-minute walk test distance, and oxygen saturation during the 6-minute walk test between the IMT group and the control group. Conclusion: The therapeutic effectiveness of IMT for physical fitness is still uncertain. The evidence is not enough to assess how IMT can be used to enhance health-related physical fitness in CF. Further research should explore the optimal intensity and duration of IMT training needed to improve cardiorespiratory fitness. Additionally, future studies should evaluate how effective IMT is when examining its impact on health-related physical fitness.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025Scopus SJRQ1
    Impacts of methyl jasmonate treatments on quality properties and bioactive compounds of jujube fruit (Ziziphus jujuba) during cold storage

    Ozturk, Burhan; Karakaya, Orhan; Aglar, Erdal; Hancı, Mehmet Utku; Ozturk, Ahmet; Asghari, Mohammadreza

    Background: Jujube is an important fruit species due to its high nutritional value and health benefits. However, the short shelf life of fruit causes quality losses, making it difficult to trade. This study was conducted to determine the effects of postharvest methyl jasmonate (MeJA) applications on the fruit quality and biochemical properties of ‘Li’ jujube (Ziziphus jujuba Mill.) cultivar. In the study, fruits were pre-cooled at 7 °C and 85 ± 5% humidity for 24 h and those with diseases, pests, and mechanical damage were eliminated. Then, MeJA was applied to the fruits at concentrations of 0.2 mM and 0.4 mM and stored at 0 ± 0.5 °C and 90 ± 5% humidity for 45 days and analyzes were performed at 15-day intervals. Results: This study showed that MeJA applications positively affected the postharvest quality of jujube fruit. MeJA-applied fruits exhibited lower weight loss and lower respiration rates, and MeJA applications helped preserve fruit color and maintained fruit firmness for a longer time. MeJA was effective in maintaining the total phenolic and flavonoid content in fruit content and the loss of vitamin C content was lower with MeJA application. MeJA was effective for determining soluble solids content (SSC), and titratable acidity and delayed ripening in fruit. Conclussion: MeJA application increases the commercial value of fruits by reducing weight loss, slowing down the ripening process, and preserving higher nutritional content and antioxidant activities and suggest that it can be used as a feasible method for improving fruit protection strategies. MeJA application stands out as an effective method for extending the shelf life of jujube fruits by preserving their post-harvest quality and nutritional values.

    • SDG 2 · Açlığa Son
    AtıfScopus7OpenAlex6
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ1
    Evaluation of aerobic and anaerobic capacity in pubertal karate athletes: performance analysis and development strategies

    Korkmaz, Kübranur; Aygören, Caner; Düzova, Halil

    Background: This study investigated the effects of gender’s foot arch structure (normal arch vs. pes planus) on aerobic and anaerobic performance in pubertal karate athletes. Method: Children with chronic cardiovascular and musculoskeletal diseases were excluded from the study. Participants included boys with normal foot arches (B-nfa, n = 7), boys with pes planus (B-pp, n = 11), girls with normal foot arches (G-nfa, n = 16), and girls with pes planus (G-pp, n = 11). Aerobic capacity was evaluated using the 6-Minute Walk Test, while anaerobic performance was assessed through the Vertical Jump Test and sprint tests (10 m and 30 m). The height of the foot arch was measured using the Navicular Drop test. Nonparametric data were analyzed using the Kruskal–Wallis test and Dunn's post-hoc test to identify significant differences. Parametric data were analyzed using one-way ANOVA and Tukey's post hoc test. Pearson's test was used for parametric correlation, while Spearman's test was used for nonparametric correlation. The significance threshold was set at p < 0.05. Results: Individuals in the G-nfa group exhibited higher anaerobic power than those in the G-pp group (p = 0.0452). There was a strong negative correlation between arch pes planus and Spear equations (r = 0.63, p = 0.0004). B-nfa participants performed faster than both B-pp (p = 0.0015) and G-pp (p = 0.0015). The G-nfa completed the 10 m sprint test faster than both B-pp and G-pp (p = 0.0052). B-nfa outperformed G-pp in the 30 m sprint (p = 0.036) and covered greater distances in the six-minute walk test compared to B-pp (p = 0.034) and G-pp (p = 0.002). Conclusion: In this study, we concluded that flat feet do not negatively affect the development of aerobic capacity in prepubertal children undergoing professional karate training. Still, they may significantly impact the growth of anaerobic power.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025Scopus SJRQ1
    Quality preservation of jujube fruit during cold storage: effect of maturity stage and modified atmosphere packaging

    Gun, Sefa; Ozturk, Burhan; Aglar, Erdal; Karakaya, Orhan

    Bacground: This study, which examines the effect between the maturity stage and modified atmosphere packaging (MAP) in order to prevent post-harvest quality losses and extend the storage life of jujube (Ziziphus jujuba Mill.) fruit, offers an important contribution to supply chain management. The fruits harvested at different maturity stages were stored at 0 ± 0.5 °C and 90 ± 5 RH in MAP and control conditions for 42 d and changes in quality, physiological and biochemical parameters were evaluated. Results: The lowest value was recorded in the early maturity (M-1) + MAP group for weight loss. Respiration rate decreased with advancing maturity, MAP treatments slowed down this process. Oxygen consumption and CO₂ production changed according to maturity level, MAP applications balanced gas exchange. MAP maintained brightness and color intensity of the fruit better. It also slowed down the firmness loss. The highest soluble solid content (SSC) was determined in the late maturity (M-3) + MAP group. Titratable acidity (TA) showed lower increase in MAP treatments. MAP significantly reduced the losses of vitamin C. Total phenolic, total flavonoids and antioxidant activity decreased during storage, while MAP treatments limited this decrease. Conclusions: The findings revealed that packaging jujube fruit with MAP, especially in early and mid-maturity stages, better preserves its quality parameters. Accordingly, MAP applications appropriate to the ripeness stage are recommended as an effective strategy to extend the fresh consumption period of jujube fruit and preserve its bioactive compounds.

    • SDG 2 · Açlığa Son
    AtıfScopus6WoS5OpenAlex5
    ScopusWeb of SciencePubMedİncele
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    BMC Geriatrics