Purpose: To determine effect of working in the night shift system on nutritional status, anthropometric measurements, and risk of cardiovascular disease of health staff. Materials and Methods: This cross-sectional study was conducted between August-November 2017 at Samsun Ondokuz Mayıs University among 111 health staff. Data was collected with a questionnaire form including questions about demographic characteristics, nutritional status and anthropometric measurements. SPSS 21.0 statistical package program was used for statistical analysis and p<0.05 was considered statistically significant. Results: Based on waist circumference, 14.3% of men and 31.1% of women were at high risk, and based on waist/hip ratio, 4.8% of men and 33.3% of women were at risk of cardiovascular diseases. It has been shown that eating patterns are disrupted during shifts (89.2%), and 73.9% of participants cannot eat because their meals cool down during shifts. The difference in the numbers of main and snack meals consumed by health staff during the night shift was statistically significant (p<0.05). Body mass index, waist circumference, and hip circumference measurements decreased with increasing shift time. However, body mass index, waist circumference, and hip circumference increased as time spent in the profession increased. Conclusion: It was seen that night shift health staff are at risk of cardiovascular disease due to insufficient and unhealthy nutrition. It is clear that nutrition education programs are required for health staff working night shifts to reduce excess weight and obesity in this population.

Purpose This study was conducted to investigate the relationship between the presence of orthorexia nervosa and diabetes self-management in individuals with type 2 diabetes. Methods The study included 373 individuals with type 2 diabetes between the ages of 18–65 who applied to Akdeniz University Hospital Endocrinology and Metabolic Diseases Polyclinic between January 2022 and May 2022. In the study, a questionnaire including sociodemographic data, information about diabetes, nutritional habits, ORTO-R and "Type 2 Diabetes Self-Management Scale" was used as a data collection tool. In addition, height and weight measurements were taken and body mass index (BMI) were calculated. Biochemical parameters were evaluated by accessing from the hospital system. Results 46.1% of the participants were men, 53.9% were women and mean age was 57.5 ± 9.6 years. Low diabetes self-management is associated with an increase in fasting glucose (p < 0,05), HbA1c (p < 0,05), BMI (p < 0,01). ORTO-R scores were significantly higher in the group with low diabetes self-management (p < 0,001). Education level, presence of non-diabetic disease and diabetes-related complication, treatment method are the factors affecting diabetes self-management and ON. While medical nutrition therapy provides better diabetes self-management, it increases the susceptibility to ON. Conclusion ON is common in people with type 2 diabetes. Although medical nutrition therapy provides better self-management, it may increase susceptibility to ON. Level of evidence: Level V, cross-sectional study

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Purpose This study aimed to determine the factors affecting the ORTO-R scores in individuals with T2DM and to investigate their effect on diabetes self-management. Methods The study included 373 individuals with type 2 diabetes between the ages of 18–65 who applied to Akdeniz University Hospital Endocrinology and Metabolic Diseases Polyclinic between January and May 2022. A questionnaire including sociodemographic data, information about diabetes, and nutritional habits, and the ORTO-R and Type 2 Diabetes Self-Management Scales were used to collect data. Linear regression analysis was performed to determine the factors affecting ORTO-R. Results The linear regression analysis showed that age, gender, education level, and duration of diabetes affected ORTO-R scores in patients with type 2 diabetes. Body mass index, comorbidities (cardiovascular diseases, kidney diseases and hypertension), diabetes-related complications, diabetes treatment method and dieting had no significant contribution to the model (p > 0.05). We also found that education level, comorbidities, diabetes-related complications, diabetes treatment method, dieting, and BMI can affect diabetes self-management. Conclusion It should be kept in mind that type 2 diabetes are at risk of orthorexia nervosa (ON) in terms of various aspects such as age, gender, education level and duration of diabetes. Since the factors affecting the risk of ON and the factors affecting diabetes self-management are intertwined, orthorexic tendencies should be kept under control while trying to increase self-management in these patients. In this respect, developing individual recommendations according to the psychosocial characteristics of patients may be an effective approach. Level of evidence Level V, cross-sectional study.

Type 2 diabetes is a metabolic disease that affects a significant population worldwide and increases the risk of morbidity and mortality. Nutritional habits play an important role in the development of type 2 diabetes along with genetic and environmental factors. In recent years, the effects of fatty acids on the development of type 2 diabetes have been the subject of studies. In addition to the total amount of dietary fat, the fatty acid pattern is thought to play an important role in the risk of developing type 2 diabetes. In this review article, it is aimed to discuss the role of fatty acids on the development of insulin resistance and type 2 diabetes based on the current literature.