Is Obesity Surgery Becoming a History? | HORECA TREND
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Is Bariatric Surgery Becoming a History?

Obesity surgeries are known to have many metabolic side effects as well as benefits. Experts have reported that medical treatments provide weight loss similar to surgical intervention. 

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Obesity surgeries are known to have many metabolic side effects as well as benefits. Experts have reported that medical treatments provide weight loss similar to surgical intervention.

Obesity, which is rapidly spreading especially in developed and developing countries, has reached a rate of 30 percent in our country. Although surgical interventions are the first thing that comes to mind when it comes to obesity treatment, recently developed medical treatments also yield successful results. Underlining that some medical treatments increase weight loss by up to 24 percent and some can even reach weight loss close to that provided by bariatric (obesity) surgery, Liv Hospital Vadistanbul Endocrinology and Metabolic Diseases Specialist Prof. Dr. Berçem Ayçiçek, on the other hand, drew attention to the side effects of these treatments and said, “Patients should be carefully informed about the risks in question and the treatment process should be continued under the supervision of a specialist physician.”

Medical Treatment Options for Obesity Are Increasing Rapidly

According to the World Health Organization, the prevalence of obesity, a global health problem that causes various serious illnesses, primarily cardiovascular diseases, has tripled since 1975 and has reached 30 percent in Turkey… While the increase in consumption of high-calorie, processed, industrial foods, portion sizes, physical inactivity, and psychic/physical stress play an important role in the increase in obesity rates, in addition to genetic predisposition, recent studies also point to the “Epigenetic Effect” as the cause of the transfer of obesity from generation to generation. In addition to the health problems it creates, obesity, which also causes an increase in healthcare expenses, accounts for 27 percent of physician visits and outpatient treatment expenses, 46 percent of inpatient treatment expenses, and 80 percent of prescription drug expenses, according to US data. On the other hand, the medical treatment options used in the treatment of obesity have been rapidly increasing in recent years. Stating that these options are an effective approach that increases the success of treatment, Liv Hospital Vadistanbul Endocrinology and Metabolic Diseases Specialist Prof. Dr. Berçem Ayçiçek states that among the expectations from obesity drugs are that they provide effective weight loss in relation to the dose, support the sustainability of the targeted weight and are reliable in long-term use. Prof. Dr. Ayçiçek also noted that the characteristics of these drugs such as not developing tolerance, not causing the risk of abuse or addiction are also very important, and according to Prof. Dr. Ayçiçek, these expectations play a critical role in determining the ideal treatment options that are suitable for patient needs in terms of both effectiveness and safety in the treatment of obesity.

Drugs Are Available That Increase Weight Loss by Up to 24%

Success in obesity treatment can be increased with medical methods that continuously support the weight loss process of patients. Stating that even small amounts of weight loss (5-10 percent) can make a big difference on metabolic health, Prof. Dr. Ayçiçek said, “For example, GLP-1 receptor agonists such as semaglutide and liraglutide provide weight loss between 7 and 17 percent, while also showing positive effects on blood sugar control and cardiovascular health. GLP-1 receptor agonists suppress appetite, delay gastric emptying and increase insulin secretion by binding to GLP-1 receptors in the gastrointestinal system. The drugs we call dual agonist drugs affect another target in addition to GLP-1 receptor agonists, usually containing a combination of GIP (gastric inhibitory polypeptide) or GLP-1. Tirzepatide is in this class and has been observed to increase weight loss rates by up to 20 percent in clinical studies. It is also seen to provide benefits on cardiovascular health. We expect it to be among our treatment options very soon. Triple agonists, It acts on three receptors such as GLP-1, GIP and glucagon and seems to be at the top of the list of medical treatments so far with its weight loss enhancing effect. Retatrutid is a new drug in this group and shows very promising results in clinical trials (Phase 1-2). This drug, which has been observed to increase weight loss by up to 24 percent, supports glucose control by increasing insulin secretion and improves fat metabolism,” he said.

In Which Situations Should GLP-1 Receptor Agonists Not Be Used?

GLP-1 receptor agonists may not be safe in some cases and should not be used. Prof. Dr. Ayçiçek, who lists these conditions as pregnancy, history of pancreatitis, history of medullary thyroid cancer, cholelithiasis (gallstones), and severe renal failure, notes that since such clinical conditions may increase the risk of treatment, the patient's condition should be carefully evaluated and alternative treatment options should be preferred. Prof. Dr. Ayçiçek, who stated that GLP-1 drugs should be used with caution in people with diabetes and eye problems, continued his words as follows: “Rapidly lowering blood sugar can worsen eye problems. These drugs can be effective for treatment, but when making a decision, both the benefits and risks should be evaluated well. In short, in this case, 'proceeding slowly and carefully' is important to protect eye health. There are some publications indicating that semaglutide increases the risk of Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION), which can lead to nerve damage in the eye. Although the JAMA study reported this risk as 7,5 percent, the reliability of the data is questionable because the observed cases are very rare. If only 16 cases are mentioned in approximately 20 thousand patients, it is very difficult to know exactly the frequency and effectiveness of such rare side effects. In such studies, such as retrospective case-control studies, data reliability can sometimes be problematic. In such studies, control group selection and demographic matching processes can make the results misleading. In this respect, it is obvious that longer-term studies with a higher level of evidence are needed.”

Medical Treatments Provide Weight Loss Similar to Surgery

Drugs used in obesity treatment in recent years play an important role in providing effective weight loss. On the other hand, Prof. Dr. Ayçiçek stated that some concerns about the side effects of these drugs are a subject that both doctors and patients should carefully evaluate, and said, “Scientific studies indicate that new medical treatments are close to the weight loss provided by bariatric (obesity) surgery. However, if follow-up and precautions are not taken in the long term, both after bariatric surgery and after long-term use of medical treatments, some serious side effects such as micronutrient deficiencies, muscle loss, psychological problems and fracture risk can occur. For example, common side effects of GLP-1 receptor agonists include nausea, vomiting and abdominal pain, while serious complications such as ischemia-related optic neuropathy are rarely seen.”

Patients Should Be Carefully Informed

Prof. Dr. Ayçiçek, who argues that endocrinologist follow-up is also necessary in obesity treatment to maintain treatment success and minimize side effects, listed the reasons for this as follows: “During the use of GLP-1 receptor agonists, the doctor can increase compliance with the treatment, monitor side effects and determine complications in advance. Long-term follow-up allows rapid intervention in health problems that may occur during the treatment process. In conclusion, although the effects of this drug group in obesity treatment are quite promising, it requires that patients be carefully informed and the treatment process be continued under the supervision of a specialist physician when there is a risk of any side effect related to these treatment options.”

Preventing Obesity Is More Advantageous Than Treating It

Although obesity treatment options are increasing, preventing obesity continues to be much more advantageous than treating it. Stating that establishing healthy eating habits at an early age, encouraging physical activity and increasing awareness of obesity in society are important strategies to reduce the burden of the disease, Prof. Dr. Ayçiçek said, “Measures such as facilitating access to healthy foods, organizing school nutrition programs and urban planning to increase physical activity are the cornerstones of obesity prevention efforts.”

Source: HORECA TREND and Science and Health News Agency

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Fruits

Benefits of Kiwi and Its Importance for Health

Fruits are indispensable foods for health. Kiwi stands out among these fruits with both its flavor and the "benefits of kiwi".

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The key to a healthy life is a balanced diet. Fruits have a big place in a balanced diet. One of the fruits that stands out with their health benefits as well as their flavors is kiwi. So, what are the “benefits of kiwi”? In this article, we will get to know kiwi closely.

General Health Benefits of Fruits

Fruits are one of the cornerstones of a healthy life. Rich in vitamins, minerals and fiber, fruits help meet the body's daily nutritional needs naturally.

Regular fruit consumption speeds up metabolism, strengthens the immune system and provides vitality throughout the day as a natural energy source. Fruits, which are also a strong source of antioxidants, protect the body against the harmful effects of free radicals. Fruits, which provide benefits in many areas from skin health to digestion, are an indispensable part of healthy nutrition and balanced diet programs.

What is Kiwi? What are the benefits of Kiwi?

Kiwi is a fruit with a unique flavor profile, with a hairy brown exterior and a bright green interior. It is a versatile fruit that can be consumed alone or used in many recipes from salads to desserts, thanks to its sweet and slightly sour flavor.

The answer to the question “What is kiwi?” is interesting not only for its flavor but also for its origin: Originally from China, this fruit began to be cultivated in New Zealand in the early 20th century, from where it got its world-renowned name “kiwi.”

Today, kiwi is widely grown in suitable regions, especially in the Mediterranean climate, and is an indispensable part of the table with its nutritional value.

An image of 4 kiwis in a box to inform about the benefits of kiwi.

Kiwi, which is a very delicious fruit, also has many benefits.

What are the Benefits of Kiwi?

Kiwi is a super fruit that draws attention not only with its unique taste but also with its versatile health benefits. For those looking for answers to the question “What are the benefits of kiwi?” here are the prominent titles:

Vitamin C Depot

Kiwi contains even higher amounts of vitamin C than oranges and lemons. In this way, it strengthens the immune system, protects the body against diseases and supports skin health, giving it a brighter appearance.

Support for the Digestive System

Kiwi contains a natural enzyme called “actinidin”. This enzyme helps proteins digest more easily, preventing problems such as bloating and indigestion. Being rich in fiber, it positively affects intestinal health.

Heart-Friendly Fruit

Soluble fiber and antioxidants found in kiwi can help lower bad cholesterol (LDL) levels. It also helps protect cardiovascular health by reducing blood clotting.

Natural Energy Source

Thanks to the natural fruit sugars it contains, kiwi provides the energy needed during the day in a natural way. It is an energy fruit that is especially preferred for breakfast and snacks.

Supports Eye Health

Kiwi contains powerful antioxidants such as lutein and zeaxanthin. These components play an important role in preventing age-related eye diseases and maintaining retinal health.

May Improve Sleep Quality

While counting the benefits of kiwi, we should not forget about sleep. The serotonin and antioxidants contained in kiwi can have positive effects on sleep patterns. According to research, kiwi consumed in the evening can make it easier to fall asleep and improve sleep quality.

How to Consume Kiwi?

Kiwi is a very functional fruit in the kitchen with its different uses. It is also important to grow this fruit correctly to get the most out of its benefits. The first answer to the question of “How should kiwi be consumed?” is of course to eat it fresh by peeling it. However, kiwi is also frequently preferred in smoothie recipes, fruit salads, yogurt as a snack and even in light desserts. Thanks to its sweet-sour flavor, it can be easily consumed both for breakfast and as a snack during the day.

For the best flavor and nutritional value, choose ripe, slightly soft kiwis. Firm kiwis can be naturally ripened by leaving them at room temperature for a few days.

Fruits are an essential food group for overall health and kiwi is rich in this group. C vitamin It stands out with its content, enzymes that support digestion and antioxidant structure. The “benefits of kiwi” include strengthening the immune system, providing energy and supporting eye health. By including kiwi in your daily nutrition routine, you will both consume a delicious fruit and provide a multifaceted health contribution to your body.

 

Note: For more content in the healthy nutrition category, see HORECA TREND's “Healthy eatingYou can check the ” category.

 

Source: HORECA TREND

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Healthy eating

Nutrition Tips to Maintain Blood Sugar Balance During Ramadan

Staying hungry for a long time while fasting during Ramadan can cause fluctuations in blood sugar levels. This situation brings about problems such as weakness, dizziness and fatigue, and can lead to sudden hunger pangs after iftar. Drawing attention to the importance of maintaining energy levels and healthy nutrition throughout Ramadan, Duru Gıda Nutrition Consultant Emine Uluçay stated that foods with a low glycemic index should be preferred during this period.

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Staying hungry for long hours during the fast can cause sudden fluctuations in blood sugar. This can lead to fatigue, weakness and digestive problems, especially after iftar. Experts state that these effects can be minimized with the right food choices during Ramadan. Duru Food Nutrition Consultant Emine UluçayHe stated that consuming foods with a low glycemic index will help you go through Ramadan more comfortably.

Foods with a Low Glycemic Index Prevent Hunger Pangs

Emine Uluçay said, “The glycemic index is an important criterion that shows how quickly a food increases blood sugar. Foods with a high glycemic index can cause blood sugar to rise rapidly and then drop suddenly, leading to hunger pangs, fatigue and distraction.” Uluçay emphasized the importance of including low glycemic index, high fiber foods in sahur and iftar tables, and said, “These foods help balance blood sugar levels and maintain energy throughout the day. Complex carbohydrates, especially bulgur, help keep you full for a long time and positively affect digestive health.”

“The Prebiotic Effect of Bulgur May Help Prevent Digestive Problems”

Uluçay stated that bulgur, which is especially rich in complex carbohydrates, will also prevent indigestion problems, which are frequently encountered during Ramadan, and added, “Bulgur also nourishes the beneficial bacteria in the intestines with its prebiotic effect that supports digestive system health and can help prevent digestive problems that may occur during Ramadan.”

Bulgur, Rich in Vitamins and Minerals, Reduces Low Energy

Emine Uluçay drew attention to the fatigue that will be felt during Ramadan due to the change in both nutrition and sleep patterns. Uluçay emphasized the importance of consuming foods rich in vitamins and minerals, and said, “Bulgur is a rich source of vitamins B1, B6, folic acid and iron, zinc, phosphorus and magnesium minerals. Vitamins and minerals in foods such as bulgur help reduce the feeling of fatigue by reducing the energy loss that may occur throughout the day. When consumed in a balanced way with foods such as meat, chicken, legumes and yogurt, bulgur offers a healthy and nutritious alternative during Ramadan.”

Create a Healthy and Balanced Nutrition Plan During Ramadan

Uluçay emphasized that creating a healthy and balanced nutrition plan during Ramadan is critical for maintaining physical health as well as keeping energy high throughout the day, and also emphasized that plenty of fluids should be consumed from iftar to sahur. “Actions such as taking a five-minute break after soup at iftar, consuming plenty of water until sahur, and adding foods that will balance blood sugar to meals will help you get through Ramadan more comfortably,” he said.

Source: HORECA TREND and Duru Bulgur

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Healthy eating

6 Tips for Healthy Eating at Sahur

Statements like “I don’t need to get up for sahur, I can handle the hunger” that we often hear during Ramadan can pose health risks. Not getting up for sahur can lead to headaches, low blood sugar, digestive problems, fatigue and loss of concentration. Acıbadem Ataşehir Hospital Nutrition and Diet Specialist Aybala Dönmez states that sahur is very important for a healthy Ramadan. Choosing the right food for sahur is very important for maintaining energy levels, relieving thirst and coping with hunger. Dönmez emphasizes that a healthy sahur habit will keep a person more energetic and healthy throughout Ramadan.

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Prefer Foods That Keep You Full

Consuming foods that are high in fiber, protein, and healthy fats, such as cheese, tomatoes, cucumbers, yogurt, whole grain bread, walnuts, almonds, and olive oil during sahur, makes you feel full and makes it easier to resist long-term hunger. Vegetables, fruits, whole grain products, and legumes are rich in fiber and slow down digestion, increasing the feeling of fullness. For example; adding sliced ​​fruit and almonds to a bowl of yogurt and oatmeal, or adding boiled eggs, cheese, and avocado slices to a slice of sourdough bread, you can maintain your fullness and energy levels throughout the day.

Avoid Fatty and Sugary Foods

Consuming fatty and sugary foods during sahur strains the digestive system and causes stomach problems. In addition, such foods increase blood sugar and then decrease it, making you hungry earlier, causing weakness and headaches throughout the day. Instead of roasted and fried foods in particular, you can use boiling or grilling cooking methods. Prefer natural sweets (dates or dried apricots) and healthy oils (such as olive oil).

Consume Protein Sources

Nutrition and Diet Expert Aybala Dönmez says, “Protein-rich foods keep you full for a long time and increase your energy level. Protein sources such as eggs, cheese, yogurt, milk, and legumes are ideal foods for sahur.”

Prefer Complex Carbohydrates

Instead of white bread or pastries that quickly raise blood sugar, complex carbohydrates such as whole wheat bread, oats, and brown rice slow down digestion and keep you full for a long time. These types of foods help balance blood sugar and prolong satiety with their fiber content.

 For Plenty of Water

It is very important to drink at least 2-3 glasses of water at sahur to meet the body's water needs. Water consumed at sahur prevents dehydration (thirst) that may occur throughout the day. Drinking coffee, tea or caffeinated drinks during sahur causes more water loss during fasting due to their diuretic properties. Therefore, water, decaffeinated drinks or herbal teas would be better choices. Also, be very careful to consume 2 liters of water at regular intervals from iftar to the end of sahur.

Avoid Excessive Salt

Nutrition and Diet Expert Aybala Dönmez says, “Consuming excessively salty foods (such as olives and salty cheese) during sahur causes the body to lose water and increases the feeling of thirst. Therefore, be sure to limit your salt intake.”

Source: HORECA TREND and Acıbadem Ataşehir Hospital

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