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Öğe Association of sarcopenia with depressive symptoms and functional status among ambulatory community-dwelling elderly(Elsevier Ireland Ltd, 2018) Kilavuz, Asli; Meseri, Reci; Savas, Sumru; Simsek, Hatice; Sahin, Sevnaz; Bicakli, Derya Hopanci; Sarac, Fulden; Uyar, Mehmet; Akcicek, FehmiObjective: Sarcopenia, functional disability, and depression are common problems in the elderly. Sarcopenia is associated with physical disability, functional impairment, depression, cardiometabolic diseases, and even mortality. This study aims to determine the association of sarcopenia with depression and functional status among ambulatory community-dwelling elderly aged 65 years and older. Materials and method: The sample of this cross-sectional study consisted of 28,323 people, aged 65 years and older, living in Bornova, Izmir. Multi-stage sample selection was performed to reach 1007 individuals. However, 966 elderly people could be reached, and 861 elderly people who can walk were included in the study. The data were collected by the interviewers at home through face-to-face interview. Results: The mean age was 72.2 +/- 5.8 (65-100) years. The prevalence of functional disability, depressive symptoms, and sarcopenia were 21.7%, 25.2%, and 4.6%, respectively. In multivariate analysis depression was associated with sarcopenia, being illiterate and divorced, perception of the economic situation as poor/moderate, increased number of chronic diseases, and having at least one physical disability. IADL associated functional disability with sarcopenia, being illiterate/literate and female, increased age and number of medications, and the BMI. Conclusion: Sarcopenia in ambulatory community-dwelling elderly is significantly associated with depressive symptoms and functional disability. Elderly people at high risk of sarcopenia should be screened for functional disability and depression. Appropriate interventions should also be implemented.Öğe Comparison of malnutrition and malnutrition screening tools in pediatric oncology patients: A cross-sectional study(Elsevier Science Inc, 2021) Bicakli, Derya Hopanci; Kantar, MehmetObjectives: The aim of this study was to determine the prevalence of malnutrition, to compare nutritional evaluation tools, and to highlight the importance of nutritional status in pediatric oncology patients.& nbsp; Methods: This study evaluated the nutritional status, based on height, weight, and midupper arm circumfer-ence, of 170 patients ages 5 months to 18 years who were hospitalized at the Ege University Hospital Pediat-ric Oncology Clinic. The prevalence of malnutrition was determined using the malnutrition screening tools, STRONGkids (SK) and Pediatric Yorkhill Malnutrition Score (PYMS). Correlations, sensitivity, specificity, and the positive and negative predictive values between the screening tools were calculated.& nbsp; Results: In all, 68.2% of the patients were diagnosed with a solid tumor. According to SK, 59.4% had a moder-ate risk of malnutrition, and 40.6% had a high risk. According to PYMS, 30.6% of patients had a low to moder-ate risk of malnutrition, and 69.4% had a high risk of malnutrition. Minimal agreement was noted between SK and PYMS (Kappa value: 0.40 and 0.18, respectively). The sensitivity of PYMS was higher than that of SK (92.68 and 78.05, respectively). In total, 22.9% of the patients had a body mass index of <5%, and 21.2% had a midupper arm circumference of <5.& nbsp; Conclusions: The present findings show that, in general, pediatric oncology patients have a high risk of mal-nutrition. Although SK and PYMS do not differ significantly, PYMS has higher sensitivity for detecting malnu-trition. The nutritional status of pediatric oncology patients should be monitored using appropriate screening techniques throughout their treatment.& nbsp; (c) 2021 Elsevier Inc. All rights reserved.Öğe The effect of chemotherapy on nutritional status and weakness in geriatric gastrointestinal system cancer patients(Elsevier Science Inc, 2018) Bicakli, Derya Hopanci; Ozveren, Ahmet; Uslu, Ruchan; Dalak, Reci Meseri; Cehreli, Ruksan; Uyar, Mehmet; Karabulut, Bulent; Akcicek, FehmiObjectives: Malnutrition is common in patients with geriatric gastrointestinal system (GIS) cancer. This study aimed to evaluate patients with geriatric GIS cancer in terms of nutritional status and weakness and determine the changes caused by chemotherapy (CT). Methods: Patients with geriatric GIS cancer who received CT were included in the study. Their nutritional status was assessed with the Mini Nutritional Assessment, and weakness was assessed with the handgrip strength/body mass index ratio. After CT (minimum 4 wk and maximum 6 wk later), patients were assessed for the same parameters. Results: A total of 153 patients aged >= 65 y (mean age, 70.5 +/- 5.6 y; 44 female and 109 male) were evaluated. The population consisted of patients who were diagnosed with colorectal (51.6%), gastric (26.8%), pancreatic (11.8%), hepatic (7.2%), biliary tract (2%), and esophageal (0.7%) cancer. Of these patients, 37.9% were malnourished, 34.6% were at risk of malnutrition, and 27.5% were well nourished. After one course of CT, the frequency of malnutrition increased to 46.4% (P = 0.001). The patient groups with the highest rates of weakness were those who were diagnosed with biliary tract, hepatic, and colorectal cancer (33.3%, 27.3%, and 20%, respectively). Weakness was significantly increased after one course of CT in patients who received CT before (P = 0.039). Conclusions: Malnutrition and weakness were common in patients with geriatric GIS cancer, and even one course of CT worsened the nutritional status of the patients. Patients who have received CT previously should be carefully monitored for weakness. (C) 2017 Elsevier Inc. All rights reserved.Öğe Enteral nutrition is feasible in pediatric stem cell transplantation patients(Wiley Periodicals, Inc, 2012) Bicakli, Derya Hopanci; Yilmaz, Medine C.; Aksoylar, Serap; Kantar, Mehmet; Cetingul, Nazan; Kansoy, SavasWe aimed to demonstrate whether enteral nutrition (EN) is feasible in daily practice of hematopoietic stem cell transplantation (HSCT).Nutritional records of 100 patients were evaluated. Patients with poor oral intake were fed by EN with tube. A total of 79 patients required nutritional support. Of them, 71 were fed by EN only. Five were fed by EN plus parenteral nutrition (PN),three were fed by PN only. Median duration of EN was 21 days. In the EN only group, 68% gained or maintained their weight. EN should be considered as a feasible option for nutrition support in children undergoing HSCT. Pediatr Blood Cancer 2012; 59: 13271329. (C) 2012 Wiley Periodicals, Inc.Öğe MALNUTRITION RISK AND INTERVENTIONS FOR CHILDREN WITH CENTRAL NERVOUS SYSTEM TUMORS(Wiley, 2022) Bicakli, Derya Hopanci; Ataseven, Eda; Kantar, Mehmet[No Abstract Available]Öğe Nasogastric Tube Feeding Experiences in Pediatric Oncology Patients and Their Mothers A Qualitative Study(Lippincott Williams & Wilkins, 2019) Bicakli, Derya Hopanci; Sari, Hatice Yildirim; Yilmaz, Medine; Cetingul, Nazan; Kantar, MehmetThe aim of this qualitative research study is to reveal children's and their mothers' views and experiences related to nasogastric tube feeding, which is the most frequently performed nutrition delivery method in pediatric oncology. The present study was carried out at an university pediatric oncology inpatient service. A total of three children and 14 mothers participated in the study. The analysis of the data was conducted according to Kolcaba's Comfort Theory. The findings resulting from the content analysis were explained under four main themes: (1) physical: includes the inability to be fed orally, nasogastric tube intervention, comfort because of feeding, medication administration, and satisfaction; (2) psychospiritual: includes anxiety, fear, distorted body image, and compliance; (3) sociocultural: includes conflicts with the child about feeding and advice on feeding via the nasogastric tube to other mothers and children; and (4) environmental: includes unrestricted/freedom of feeding. Gastroenterology professionals can also provide basic counseling and resources to children and mothers about the importance of maintaining an optimal weight and of enteral nutrition.Öğe NUTRITIONAL STATUS AND INTERVENTIONS OF CHILDREN WITH BONE AND SOFT TISSUE SARCOMAS(Wiley, 2022) Ataseven, Eda; Bicakli, Derya Hopanci; Kantar, Mehmet[No Abstract Available]Öğe Optimal use of oral nutritional supplements (ONS) in medical nutrition therapy: ONS consensus report from KEPAN(Springernature, 2022) Bahat, Gulistan; Akmansu, Muge; Gungor, Levent; Halil, Meltem; Bicakli, Derya Hopanci; Koc, Nevra; Ozogul, YusufMedical nutrition therapy is one of the core components of the patient management, although its implication is still limited in daily practice globally. Clinicians are in need of guidance that will ease the application of medical nutrition therapy. The first treatment choice in medical nutrition therapy is the use of oral nutritional supplements (ONS) after or concomitant with dietary interventions. The pre and post-graduate curriculum for medical nutrition therapy is limited in most regions, worldwide. A report that is short, clear, and having clear-cut recommendations that will guide the primary healthcare professionals in indications, choice, practical application, follow-up, and stopping ONS would facilitate the application and success of medical nutrition therapy. KEPAN is the Clinical Enteral and Parenteral Nutrition Society of Turkey and is an active member of the European Society for Clinical Nutrition and Metabolism (ESPEN). In this study, we present the KEPAN ONS consensus report on optimal ONS use in medical nutrition therapy as outlined by works of academicians experienced in clinical application of ONS (eight working group academicians and 19 expert group academicians). This report provides 22 clear-cut recommendations in a question-answer format. We believe that this report could have a significant impact in the ideal use of ONS in the context of medical nutrition therapy when clinicians manage everyday patients.Öğe The Relationship Between Nutritional Status, Performance Status, and Survival Among Pancreatic Cancer Patients(Routledge Journals, Taylor & Francis Ltd, 2020) Bicakli, Derya Hopanci; Uslu, Ruchan; Guney, Sedat Can; Coker, AhmetAim: The purpose of this study was to identify the nutritional and performance status of Pancreatic Cancer (PanCa) patients and to determine the relationship between these parameters and their survival time. Material and Methods: Ninety-six PanCa patients [59.6% F, 61.4% M; mean age: 60.7 (min:28, max:80) years] were followed up for 6-24 months. The Patient Generated Subjective Global Assessment (PG-SGA) and Eastern Comparative Oncology Group (ECOG) scale were performed. Anthropometric measurements [height, weight, mid-upper arm circumference (MUAC), calf circumference (CC) and triceps skin fold thickness (TSF)], hand grip strength (HGS) were recorded. Survival analyses were conducted using Kaplan-Meier curves. Results: Malnutrition was observed in 85.5% (n = 82) and 54.2% of all patients had poor performance status. A positive correlation was observed between malnutrition and ECOG scale of the patients (P < .01). Antropometric measurements for women and men, respectively, were 34.4 +/- 3.03-34.6 +/- 3.43 cm for CC; 26.9 +/- 3.47-26.05 +/- 3.37 cm for MUAC; 20.5 +/- 6.3-13.02 +/- 7.7 mm for TSF; - 31.02 +/- 7.64-20.13 +/- 6.04 kg for HGS. Survival time of patients with SGA-A and B was 38.0 +/- 6.6 months and of those with SGA-C was 12.0 +/- 3.1 months (P = .000). Conclusion: Malnutrition negatively affected both performance status and survival time among PanCa patients.Öğe The Relationship Between Nutritional Status, Performance Status, and Survival Among Pancreatic Cancer Patients(Routledge Journals, Taylor & Francis Ltd, 2019) Bicakli, Derya Hopanci; Uslu, Ruchan; Guney, Sedat Can; Coker, AhmetAim: The purpose of this study was to identify the nutritional and performance status of Pancreatic Cancer (PanCa) patients and to determine the relationship between these parameters and their survival time. Material and Methods: Ninety-six PanCa patients [59.6% F, 61.4% M; mean age: 60.7 (min:28, max:80) years] were followed up for 6-24 months. The Patient Generated Subjective Global Assessment (PG-SGA) and Eastern Comparative Oncology Group (ECOG) scale were performed. Anthropometric measurements [height, weight, mid-upper arm circumference (MUAC), calf circumference (CC) and triceps skin fold thickness (TSF)], hand grip strength (HGS) were recorded. Survival analyses were conducted using Kaplan-Meier curves. Results: Malnutrition was observed in 85.5% (n = 82) and 54.2% of all patients had poor performance status. A positive correlation was observed between malnutrition and ECOG scale of the patients (P < .01). Antropometric measurements for women and men, respectively, were 34.4 +/- 3.03-34.6 +/- 3.43 cm for CC; 26.9 +/- 3.47-26.05 +/- 3.37 cm for MUAC; 20.5 +/- 6.3-13.02 +/- 7.7 mm for TSF; - 31.02 +/- 7.64-20.13 +/- 6.04 kg for HGS. Survival time of patients with SGA-A and B was 38.0 +/- 6.6 months and of those with SGA-C was 12.0 +/- 3.1 months (P = .000). Conclusion: Malnutrition negatively affected both performance status and survival time among PanCa patients.
