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Zararlı bir uyaranın algılanması sırasında savaş ya da kaç tepkisine bir adaptasyon olarak gelişen stres, bazı koşullar altında (sinir, endokrin ve bağışıklık sistemleri dahil) zararlı olabilecek bir dizi fizyolojik tepkiyi uyarır. Bu tepkiler arasında hipotalamus- hipofiz- adrenal aksının hiperaktivitesi, depresif hastalarda en yaygın görülen nörobiyolojik değişikliklerden biridir. Özellikle gebelikte depresyon, ruh sağlığını tehlikeye atan sinsi bir halk sağlığı sorunudur. Ciddiye alınmadığı durumlarda intihara kadar giden vakalar ile karşılaşılabilmektedir. Doğum öncesi depresyonun olumsuz sonuçları yalnız annede değil, ileri dönemde çocuk üzerinde de görülmektedir. Gebeliğe bağlı depresyon, genellikle birden çok sebebe bağlı olup birçok farklı fizyolojik etkenle ilişkilidir. Hamilelik sırasında ortaya çıkan fizyolojik kaymalar, maternal stres koruma mekanizmasında hipotalamus- hipofiz- adrenal aksı düzensizliği ve kortizolün aşırı salgılanması gibi değişikliklerin oluşmasına sebep olur. Vücudun strese gösterdiği tepkiyle ilişkili olan aşırı kortizol salınımı, gebelik süresince görülen depresif belirtilerle ilişkilidir. Yakın zamanda yapılan çalışmalar belirli diyet etkenlerinin özellikle diyet liflerinin, stres hormonunu zayıflattığını vurgulamaktadır. Vücuda alınan diyet lifi, bağırsak bakterileri vasıtasıyla sindirilir ve kısa zincirli yağ asitlerinin ortaya çıkarılmasını sağlar. Söz konusu metabolitlerin hipotalamus- hipofiz- adrenal aksı başta olmak üzere pek çok değişik nörolojik fonksiyonu etkilediği düşünülmektedir. Bu derleme makale, kortizol salınımnda rol oynadığı düşünülen lif tüketiminin yaptığı değişiklikleri belirlemeyi hedeflemektedir

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Copyright of Istanbul Gelisim University Journal of Health Sciences / İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi is the property of Istanbul Gelisim Universitesi Saglik Bilimleri Yuksekokulu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ESTUDAM Public Health Journal is the property of ESTUDAM Public Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Karya Journal of Health Science is the property of Karya Journal of Health Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Traditional Medical Complementary Therapies is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Istanbul Gelisim University Journal of Health Sciences / İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi is the property of Istanbul Gelisim Universitesi Saglik Bilimleri Yuksekokulu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: The aim of this study is evaluating the relation between dietary fiber intake amount and dietary fiber knowledge level of adult women lived in Afyonkarahisar city center. Methods: The sample of the research was composed of 385 adult women live in Afyonkarahisar city center. Body weight, height, waist circumference, hip circumference measurements were measured. The 24-hour retrospective food consumption record technique was used to determine the amount of daily fiber intake, and Dietary Fiber Knowledge Scale was used to determine fiber knowledge level. Required statistical applications were carried out with Statistical Package for the Social Sciences 18.0 statistical program. Results: The mean value of daily dietary fiber intake and mean value of total dietary fiber knowledge score of the individuals were determined as 17.2±4.17 g and 5.2±1.65, respectively. No statistically significant difference were found between individuals' daily intake of dietary fiber and dietary fiber knowledge scale score according to age, education level and occupation. However, as the age group increased, dietary fiber knowledge scores increased (p>0.05). In addition, it was determined that the self-employed occupations had the lowest daily fiber intake and total score of the dietary fiber knowledge scale, whereas those of the civil servants were the highest. No statistically significant difference was found between daily dietary fiber intake and dietary fiber knowledge scale score of individuals according to body mass index, waist circumference, waist/hip ratio and waist/height ratios. No correlation was determined between daily fiber intake and dietary fiber knowledge scale score (p> 0.05). Conclusion: In conclusion, dietary fiber knowledge level and the amount of fiber intake of adult women living in the Afyonkarahisar city center were low. In order to raise the knowledge level of women about fiber, it may be useful to create practical, interactive training programs in public education centers. Multicentre descriptive and experimental studies with wider sample size may be planned to investigate the factors that affect the fiber intake and fiber knowledge level of individuals in detail. [ABSTRACT FROM AUTHOR]

Alterations of gut microbiota composition and function in CKD may be due to ureamic state, metabolic acidosis, slow colonic transit, dietary restrictions and pharmacological therapies. These alterations induce microbial fermentation of protein in the colon and formation of ureamic toxins. Ureamic toxins can normally be excreted by the kidney, but may contribute to inflammation and impaired nephron function in patients with chronic kidney disease. Dietary restriction of potassium-rich fruits and vegetables which are common sources of fermentable dietary fiber inhibit the conversion of dietary fiber to short chain fatty acids (SCFA) which are the primary nutrient source for the symbiotic gut microbiota. Reduced consumption of fermentable dietary fiber limits the population of SCFA-forming bacteria and causes disbiosis of the gut microbiota. It may also cause reduction of the regulatory T lymphocyte (T-reg) population and function and result in systemic inflammation. The use of prebiotics may be a therapeutic choice to modulate gut microbiota and reduce ureamic toxin formation that aggravates the progression of chronic kidney disease.Alterations of gut microbiota composition and function in CKD may be due to ureamic state, metabolic acidosis, slow colonic transit, dietary restrictions and pharmacological therapies. These alterations induce microbial fermentation of protein in the colon and formation of ureamic toxins. Ureamic toxins can normally be excreted by the kidney, but may contribute to inflammation and impaired nephron function in patients with chronic kidney disease. Dietary restriction of potassium-rich fruits and vegetables which are common sources of fermentable dietary fiber inhibit the conversion of dietary fiber to short chain fatty acids (SCFA) which are the primary nutrient source for the symbiotic gut microbiota. Reduced consumption of fermentable dietary fiber limits the population of SCFA-forming bacteria and causes disbiosis of the gut microbiota. It may also cause reduction of the regulatory T lymphocyte (T-reg) population and function and result in systemic inflammation. The use of prebiotics may be a therapeutic choice to modulate gut microbiota and reduce ureamic toxin formation that aggravates the progression of chronic kidney disease. [ABSTRACT FROM AUTHOR]