Clinical and Experimental Contents Health Sciences ORIGINAL ARTICLES The Seasonal Variations of Energy Expenditure and Physical Activity in Turkish Older Adults ............................................327 Nesli Ersoy, Ilker Tasci, Huseyin Doruk, Neslisah Rakicioglu The Association between Quality of Perioperative Nursing Care and Comfort among Neurosurgery Patients......................332 Yesim Yaman Aktas, Neziha Karabulut Lean Approach to Processes Regarding Nursing Activities at Hospital: Evaluation of Nurses’ Views....................................337 Cigdem Torun Kilic, Havva Ozturk Determining Individual Workload Perceptions and Malpractice Tendencies Among Operating Room Nurses ....................348 Aysegul Savci, Kevser Karacabay, Saadet Comez, Selda Karaveli, Nigar Celik The Effects of Cord Clamping Time and Early Skin-to-Skin Contact on Maternal Birth Satisfaction in Term Infants .............355 Kubra Genc, Ayse Karakoc, Taner Celikel The Epidemiology of Students Injuries in a Private Primary School in Turkey from 2012 to 2018 .......................................362 Ayşe Şengel, Kamer Gür, Eda Kılınç Validity and Reliability of the Exercise Health Belief Model Scale ......................................................................................369 Necmettin Ciftci, Hasibe Kadioglu Identifying Genital Hygiene Behaviours of Pregnant Women in Rural and Urban Regions: A Cross-Sectional Study ...........375 Sibel Seker, Funda Citil Canbay, Nasim Firouz, Ceylan Cesur Effect of Midwifery Students’ Negative Clinical Experiences on Their Emotional Labor Behaviors .....................................382 Fadime Bayri Bingol, Meltem Demirgoz Bal, Merve Aygun, Edanur Bilgic Does Total Rotation Range of Motion Asymmetry Have an Effect on Shoulder Isometric Muscle Strength in Young Swimmers? .......................................................................................................................................................................389 Ferhat Ozturk, Aykut Ozcadirci, Sukru Alpan Cinemre, Gizem Irem Kinikli Awareness of Human Papillomavirus Vaccine Among Dental Students .............................................................................395 Gaye Keser, Filiz Namdar Pekiner Comparison of the Effects of Three Different Methods in Reducing Primary Postpartum Hemorrhage ..............................400 Zumrut Bilgin, Nuran Komurcu Experiences of Women in Turkey on Using Complementary and Alternative Medicine Methods Against the Symptoms of Menopause: A Descriptive Study ......................................................................................................................................407 Hacer Ataman, Yilda Arzu Aba, Melike Dissiz, Sevcan Sevimli Knowledge, Attitude and Clinical Decision-Making Abilities of Pediatric Nurses Regarding Pain Management ..................416 Nesrin Sen Celasin, Sadiye Dur, Dilek Ergin, Duygu Karaarslan Contents Is Standard Urine Bag or Urofix? Which is More Usefull in Surgical Nursing Care? Accuracy of Urine Output Monitoring ..423 Tulin Yildiz, Cenk Murat Yazici, Polat Turker, Ebru Onler, Arzu Malak, Elif Eren The Frequency of and Contributing Factors to the Psychological Abuse of Older People in Nursing Homes in Turkey ........428 Saime Erol, Kamer Gur, Feyza Hellac, Tugba Canbay Fracture Resistance of Lithium Disilicate, Indirect Resin Composite and Zirconia By Using Dual Cure Resin Cements .........435 Mohammed Badwan, Erkut Kahramanoglu Usage and Results of Levosimendan in Ischemic Mitral Valve Surgery ...............................................................................443 Murat B. Rabus, Mehmet Dedemoglu, Ozge Altas, Davut Cekmecelioglu,Mehmet Aksut, Rahmi Zeybek Colorimetric Assessment of Surface Sealants for Discoloration of a Nanofilled Resin Composite .......................................448 Bora Korkut Color Stability of Flowable Composites in Different Viscosities .........................................................................................454 Bora Korkut, Cigdem Haciali REVIEW Is Depression Associated with the Risk of Cardiovascular Disease or Vice Versa? ..............................................................462 Erensu Baysak, Feyza Aricioglu CASE REPORT Cemento-Ossifying Fibroma: Clinical, Radiological, and Histopathological Findings ...........................................................468 Melda Pelin Akkitap, Birsay Gumru, Ender Idman, Necip Fazil Erdem, Zeynep Gumuser, Fatma Nihan Aksakalli ERRATUM Cytotoxicity and Collagen Expression Effects of Tideglusib Administration on Human Periodontal Cells: An In-Vitro Study... ....................................................................................................................................................................................... .473 Omer Birkan Agrali Clinical and Experimental Health Sciences The Seasonal Variations of Energy Expenditure and Physical Activity in Turkish Older Adults 1 2 3 1 Nesli Ersoy , Ilker Tasci , Huseyin Doruk , Neslisah Rakicioglu 1 Hacettepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, Ankara, Turkey. 2 University of Health Sciences, Gulhane Faculty of Medicine, Department of Internal Medicine, Ankara, Turkey. 3 Başkent University, Faculty of Medicine, Department of Geriatrics, Ankara, Turkey. Correspondence Author: Neslisah Rakicioglu E-mail: [email protected] Received: 30.01.2019 Accepted: 14.10.2020 ABSTRACT Objective: Regular physical activities contributes to better health outcomes in all stages of life. Older adults may have altered levels of exercise at different times of the year. Methods: Community-dwelling older adults (≥65 years of age) in Ankara, is the capital city of Turkey were recruited prospectively. Physical activity status and the resting metabolic rate were assessed every three months (May, August, November, and February). Results: Overall, 31 individuals were analyzed (mean age women: 73.9±7.0 years, men: 75.5±5.7 years; women: 65.0%). The level of physical activity was highest in autumn (44.0±41.0 min) and summer (41.0±48.0 min) but lowest in winter (24.0±19.0 min) (p<0.05). The ratio of performing regular daily exercise was highest in summer (25.8%), which decreased significantly in winter (9.7%). No statistically significant changes were noted in the total daily energy expenditure and resting metabolic energy expenditure across four seasons. Conclusion: Although some increases were observed in autumn and summer, the level of physical activity in older adults was low in all seasons. However, daily energy expenditure remained constant. The study suggests that there is a need for improvement in lifestyle behaviors of Turkish older adults to increase health-related quality of life and also to prevent adverse outcomes. Keywords: Older adults, Seasonal changes, Physical activity, Resting metabolic energy expenditure. 1. INTRODUCTION People worldwide are living longer, and the world’s population behaviors, cultural infrastructure, and financial situation. aged 60 years and older is increasing (1,2). According to the Thus, information collected from a population may not be World Health Organization, between 2015 and 2050, the valid for another. The present study aimed to assess the proportion of the world’s population over 60 years will nearly level of daily exercise and energy expenditure in a group of double from 12% to 22% (2). Therefore, improvement of Turkish older adults. First hypothesis of this study is; Physical health and quality of life are critical, particularly for the aged activity level and energy expenditure of older adults can be individuals (1). Regular physical activity and exercise have affected by seasonal changes. Other hypothesis of this study been shown to improve not only the physical and mental is; Turkish older adults should be more active in spring and health but also the quality of life in older adults (3). summer, but more inactive in winter. Seasonal variations are among the critical environmental factors that have strong influences on duration and frequency 2. METHODS of physical activities at certain times of year (4,5). Studies In this single-center, prospective, non-interventional study, we have shown that the level of physical activity is dependent enrolled subjects aged 65 years or older living in the capital city on winds, rainfall, and altered humidity (6). In general, older Ankara, Turkey. Inclusion criteria were; having sufficient cognitive adults are more physically active in summer and spring, but and functional skills to adapt the study procedures, residing in they slowdown in winter mainly because of extreme cold, the same region at least for three years, and signing the informed slippery ground and shorter daytime (7). While evaluation consent. Exclusion criteria were being bedridden, having memory of physical activity in older adults needs consideration of and speech disorders, cancer, traumatic disease, arthritis, arm seasonal changes, lifestyle habits including eating and doing injury, or neuromuscular disorders. All participants underwent exercise in the old age may be dependent also on adulthood cognitive testing by the mini mental state examination test (8). Clin Exp Health Sci 2020; 10: 327-331 Copyright © 2020 Marmara University Press ISSN:2459-1459 DOI: 10.33808/clinexphealthsci.519430 Original Article Seasonal energy expenditure in older adults The ethics committee of Gülhane Military Medical Academy, women. We found no statistically significant difference in Turkey,