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Articles by Ayfer GEMALMAZ
Total Records ( 3 ) for Ayfer GEMALMAZ
  Ayfer GEMALMAZ , Serpil AYDIN , Okay BASAK , Guzel DISCIGIL and Aslihan KARUL

Aim: This study was performed to compare the prevalence of the metabolic syndrome (MES) according to the International Diabetes Federation (IDF) and Adult Treatment Panel III (ATPIII) definitions in a population-based sample and to determine the concordance of the definitions.

Materials and Methods: A total of 244 adults aged ≥20 years (145 women and 99 men), selected systematically from household registration cards in a rural village in West Anatolia, were analyzed. Kappa test was done to examine the agreement between the definitions.

Results: The mean age of the group was 46.9 ± 14.9 years. The prevalence of MES using ATPIII and IDF definitions was 38.1% and 41.4%, respectively. MES prevalence increased with age 50 in both genders using both criteria (P < 0.001). Only 9.8% and 6.3% of the population had none of the components of MES according to ATPIII and IDF, respectively. The agreement rate between the IDF and ATPIII was 91.1% ± 0.04% (Kappa = 0.812). The subjects defined only with ATPIII and not IDF were all men and had lower body mass index and waist circumference than those defined by both ATPIII and IDF.

Conclusions: The MES was common among our population using either ATPIII or IDF definition. The agreement between the two definitions was good. The insufficiency of IDF definition for detecting leaner but metabolically abnormal men should be kept in mind. Screening, prevention and treatment interventions for this syndrome seem to be organized promptly.

  Serpil AYDIN , Ayfer O. BOZKAYA , Mumtaz MAZICIOGLU , Ayfer GEMALMAZ , Alis OZCAKIR and Ahmet OZTURK

Aims: The use and cost of complementary/alternative medicine (CAM) has been gaining in importance worldwide. Herbal medicine is one of the most commonly used methods. To understand the effectiveness, reliability, and quality of CAM and provide standardization in its analysis, its prevalence and the factors influencing its use must be identified. This study was conducted to identify the prevalence of CAM use and the effective factors in our population.
Materials and Methods: A stratified multistage probability sampling design was used in this cross-sectional, population-based study, which was conducted in Aydin. Participants were interviewed face to face by trained interviewers with a questionnaire. The answers for the open-ended questions were categorized. Univariate and multiple (backward Wald) logistic regression and chi-square test were used for the statistical analysis. A P value <0.05 was considered as statistically significant.
Results: Totally, 873 people completed the questionnaire; 539 (61.7%) were female, 334 (38.3%) were male. Fifty-eight percent of the participants (n: 511) reported that they had used a CAM method at least once in the previous year. More than half of the participants had used herbal medicine (55.4%), and the most commonly used herb was lime (n: 426, 88.1%). The reasons for the use of herbal medicine were mostly for prevention and for treatment. In the previous year, 233 (26.7%) of the participants stated that they had applied one of the CAM methods as a treatment for their children. Health status perception, being a nonsmoker and belief that “CAM was superior to conventional medicine? were determined as the factors that influenced CAM use.
Conclusions: CAM, especially herbal medicine, is commonly used in our population, and individuals use these methods not only for themselves but also for their children.

  Serpil AYDIN , Ayfer GEMALMAZ , Tufan NAYIR and Sule OZKAN
  Aim: As metabolic syndrome (MetS) is one of the major determinants of cardiovascular disease, it is important to detect and intervene with MetS in order to minimize cardiovascular risk. The objectives of this study were to identify the prevalence of MetS in our elderly patients and to evaluate the ability IDF and ATP III to predict the cardiovascular risk. Materials and methods: This cross-sectional study included patients above 65 years attending the outpatient clinic of a hospital over a 4-year period and who gave oral informed consent for participation in the study. ATP III and IDF criteria were compared according to their predictive value for identifying cardiovascular risk factors detected by Framingham risk scoring. SPSS ver. 11 was used for statistical analysis. Results: Of the 211 patients (114 men, 97 women) included in the study, mean age was 70.1 ± 4.1 years for women and 70.6 ± 4.6 years for men (P > 0.05). Using the ATP III definition, metabolic syndrome prevalence was 29.9%. Based on the IDF definition, this rate was 46.4%. ATP III criteria had a better likelihood ratio for estimating cardiovascular risk than did IDF criteria (4 vs. 2.58). Conclusion: MetS prevalence was high in our elderly population. MetS defined by ATP III criteria has a higher predictive ability for estimating cardiovascular risk in the elderly group than IDF criteria.
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