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A relationship has been detected among thyroid dysfunctions and vestibular pathologies. Our aim was to evaluate the vestibular system in cases with thyroid dysfunctions. Totally 71 patients between the ages of 20-50 with thyroid dysfunctions (35 hypothyroidic and 36 hyperthyroidic) and 36 participants with normal thyroid functions were included. Patients were also allocated as two groups based on antibody positivity. Pure tone audiometry and Vestibular Evoked Myogenic Potential tests were performed for all participants. In the left ear there was a numerically significance in the hypothyroids at 4000 and 8000 Hz (p=0.020 and p=0.014). In the right ear p13 and n23 latencies differed among the groups, (p=0.004 and p=0.001). The p13-n23 and n10-p15 amplitudes were decreased in both patient groups (p<0.001) (p=0.015). For the left ear, the p13 an n23 latencies was prolonged in both patient groups (p=0.044) (p=0.002). The p13-n23 amplitude value was distincted numerically significant (p<0.001). The n10-p15 amplitude was longer in the patients (p=0.004). We can not observe a numerically significance among groups according to antibody positivity (p>0.005). Thyroid dysfunctions may lead to subclinical changes on the vestibular system and the saccular and utriculer impairment may be an early indicator of endolymphatic hydrops. [ABSTRACT FROM AUTHOR]

Objective: In the modern age, the pursuit of food is now a means of pleasure and of satisfying hunger. This study examined the role of hedonic hunger and eating behaviors on obesity in older adults. Materials and Methods: This cross-sectional study was conducted on 400 older adults. The nutrition information system (BeBiS), bioelectrical impedance analysis, power of food scale-Turkish version (PFS-Tr), and Dutch eating behaviour questionnaire (DEBQ) were used to evaluate the subjects. Results: The mean age of 400 people included in the study was 67.82±2.77 years. It was found that the moderator effect of the interaction of daily energy intake and hedonic hunger behaviour (PFS-Tr) on the waist-to-hip ratio was significant. In particular, the regulatory effect of low hedonic hunger scores (PFS-Tr) was significant (p=0.019) and the waist-to-hip ratio decreased as the scores obtained from the scale decreased. The mediator effect of the restrained eating (ResE) sub-dimension (DEBQ) between the average daily energy intake and body fat mass was significant (estimate =0.221, p=0.021), and an increase in ResE behavior scores resulted in an increase in body fat mass. It was found that 89.4% of the effect of ResE behaviour on body fat mass was direct and large. There was a weak positive correlation between the average daily energy intake and food available subscale of PFS-Tr (r=0.157) and food present subscale (r=0.017). Total daily energy intake had a direct effect on body fat mass (estimate =0.008, p=0.005). Conclusion: The results of our study support a positive relationship between hedonic hunger and abdominal obesity in older adults. Decreased ResE behaviour increases the whole-body fat mass. Evaluation of hunger and implementation of programmes that support ResE behaviour may be useful in controlling obesity and its negative consequences in older adults. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to investigate the relationship of sleep quality and insomnia with metabolic/anthropometric parameters in elderly individuals. Materials and Methods: This cross-sectional study was conducted with 474 elderly individuals. Their fasting blood glucose, haemoglobin A1c, total cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein, cortisol, C-reactive protein, weight, waist circumference, waist-tohip ratio, skeletal muscle mass, body fat mass and body mass index were measured. Their sleep quality was evaluated using the Pittsburgh Sleep Quality Index, and insomnia was assessed using the Insomnia Severity Index. Results: The mean age of the 474 elderly individuals included in the study was 71.02±4.90 years. Poor sleep quality prevalence was found to be 71.1% among the elderly participants and the prevalence of mild to moderate insomnia was 55.1%. The sleep quality score was positively correlated with the postprandial blood glucose level (r=0.121, p<0.01) and comorbidity index and negatively correlated with muscle mass (r=-0.203, p<0.001). Elderly individuals with poor sleep quality had higher postprandial blood glucose levels (p=0.032) and lower skeletal muscle mass levels (p<0.001). In the patients clinically diagnosed with insomnia, the postprandial blood glucose (p=0.019), haemoglobin A1c (p=0.040) and low-density lipoprotein levels were higher (p=0.034), while the muscle mass was lower (p<0.001). The factors that were found to increase the risk of insomnia were age (OR=1.06), being female (OR=2.08) and increased comorbidity burden (OR=1.32) and the factors that were found to increase the risk of poor sleep quality were being female (OR=2.43), lack of exercise (OR=1.95), poor diet (OR=1.85), age (OR=1.05) and increased comorbidity burden (OR=1.17). Conclusion: Poor sleep quality and insomnia in elderly individuals were found to be associated with high blood glucose levels and low muscle mass levels. Regular exercise and a diet can help reduce sleep problems in elderly individuals. [ABSTRACT FROM AUTHOR]

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