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    BARRIERS AND FACILITATORS TO PHYSICAL ACTIVITY PARTICIPATION IN OLDER ADULTS: A TURKİYE-USA COMPARISON
    (Turkish Geriatrics Soc, 2025) Sahin, Gulsah; Meng, Hongdao; Dobbs, Debra; Yalcin, Ebru
    Introduction: Although physical activity is a key component of healthy aging, engagement levels among older adults are influenced by sociocultural, economic, and environmental factors that vary across countries. This study aimed to compare these barriers and facilitators of physical activity participation among American and Turkish older adults. Materials and Method: Data were collected from 128 older adults (64 per country), aged >= 65 years and older, through structured interviews and surveys conducted in parks and senior activity centers in Turkiye, and Florida, United States. The San Diego Health and Exercise Questionnaire and the Structured Interview Questions on Physical Activity Participation Factors were utilized to assess participation patterns and influencing factors. A mixed-methods research design was employed; qualitative data from interviews were analyzed using content analysis, and cross-country differences in questionnaire responses were assessed using the chi-squared test. Results: Turkish participants reported significantly higher psychological (chi(2) =15.7-42.5, p<0.001), individual (chi(2)=3.9-8.4, p<0.05), social (chi(2)=20.2-52.5, p<0.001) and environmental (chi(2)=27.2-34.2, p<0.001) barriers compared to their American older adults. Structured interviews result further showed that social pressure (chi(2)= 8.5-39.2, p<0.001), gender influence (chi(2)=7.3-66.0, p<0.05) had more pronounced effects on Turkish older adults. Additionally, Turkish participants reported limited access to exercise facilities and insufficient support(p<0.05). Conclusion: Older adults in Turkiye face more pronounced sociocultural and infrastructural barriers to physical activity compared with their counterparts in the United States. Addressing these challenges requires comprehensive reforms in education, economic investment, and cultural awareness. Without targeted and sustainable interventions, opportunities for active aging will remain limited. Culturally informed strategies are essential to promote equitable access to physical activity and to enhance the overall health and well-being of older adults in Turkiye.
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    Effect of high-intensity interval training vs. moderate-intensity continuous training in young trained cyclists
    (Editura Universitatii din Pitesti, 2022) Yalcin, Ebru; Sahin, Gulsah; Coskun, Ali; Yalcin, Onur
    Purpose: The aim of this study was to determine the effect of high intensity interval training (HIIT) vs moderate-intensity continuous training (MICT) on VO2max and anaerobic power in trained young cyclists in short period. Methods: Eighteen cyclists (between 15 and 20 years, n= 7 women, n= 11 men) were included in this study (age:17.50 years, height: 173.22 cm, body mass: 63.38 kg and body-mass index: 20.95 kg/m2). The cyclists were randomly divided into two groups. The training group (GHIIT, n= 9) participated in high intensity interval training two times per week for 6 weeks, while the Control Group (GCON, n= 9) completed moderate intensity continuous training (MICT). The training’ HR was conducted at 80%-95% HRmax for the first four weeks. In the last two weeks, the training’ HR was increased to %100 HRmax. The height, body mass, body fat %, aerobic and anaerobic power were measured. The maximal oxygen consumption (VO2max) was measured using a portable metabolic analyzer and, the traditional VO2max test followed a standard incremental design. Anaerobic capacity was evaluated by Wingate Anaerobic Test (WAnT) in 30sec. Results: There was no significant difference in body fat %, body mass, BMI, powerpeak, powermean, and powermin between GHIIT and GCON at the end of the training program (p>0.05). However, there was a significant difference in VO2max (p= 0.001) between GHIIT and GCON at the end of training (p<0.05). Conclusion: The high intensity interval training occurred a significant increase in VO2max. Anaerobic power improved but this result was not significant. Nevertheless, HIIT may use to improve in VO2max in young trained cyclists in short period. © JPES.
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    Morphological and Postural Characteristics of MarathonRunners: A Large-Scale Field Study from the Gallipoli Marathon
    (Soc Chilena Anatomia, 2025) Sanal, Alperen; Acak, Mahmut; Yalcin, Ebru; Acar, Kaan Baris
    This study was conducted to examine the morphological characteristics of marathon athletes according to foot biomechanics, age group and regular exercise status. Runners who participated in the Gallipoli Marathon organized in 2024includedwere in the study. In this context, 571 (300 male, 271 female) marathon runners aged 18 and over participated in the study.Aresearchmixed design was used in the study. In this context, morphological measurements and foot posture of the runners were analyzed.5SPSS 2 program was used for data analysis. The normality test of the data was performed with Skewness-Kurtosis values. In the findings,research no significant difference was found in morphological characteristics according to foot posture status (p>0.05). Significantdiferenceswere found in body mass index (BMI), fat percentage (Fat%), fat mass (Fat Mass), fat free mass (FFM), total body mass (TBM), ArchStaheli Index (p<0.05), while no significant difference was found in basal metabolic rate (BMR) (p>0.05). According to age groups, significant differences were found in BMI, Fat%, Fat Mass, FFM, CPC, Staheli Arch Index (p<0.05), while no difference was found in basal metabolic rate (p>0.05). As a result of the research, it was seen that regular exercise and age group were effective in the morphologicalcharacteristics of marathon runners, but flat feet were not effective.
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    Swallowing dysfunction as a factor that should be remembered in recurrent pneumonia: videofluoroscopic swallow study
    (Edizioni Minerva Medica, 2017) Kaymaz, Nazan; Ozcelik, Ugur; Demir, Numan; Cinel, Guzin; Yalcin, Ebru; Ersoz, Deniz D.; Kiper, Nural
    BACKGROUND: The swallow function is one of the strong defense mechanism against aspiration. Aspiration and pneumonia are unavoidable in patients with defective mechanism of swallowing. The aim of this study was to evaluate patients with recurrent pneumonia in terms of videofluoroscopic examination results. METHODS: The study comprised fifty pediatric cases (22 boys, 28 girls) with an average age of 2.9 years (2 months-7.5 years) who were referred to our clinic due to suffering from recurrent pneumonia. The videofluoroscopic swallow study (VFSS) was performed on all patients. The presence of a correlation with pneumonia was investigated. RESULTS: In 45 of the children, VFSS results were not normal. Of the children, 41 had mental-motor retardation. The results of the videofluoroscopic study show that silent aspiration was the most common pathology in participants with the percentage of 40 (27.5% mild, 17.5% severe). Patients in the study had pneumonia with an incidence of 2.6 illnesses per year. Having one than more results on VFSS was found to be associated with more number of annual pneumonia episodes. CONCLUSIONS: Children with neurological impairments are at risk of recurrent acute pneumonia due to aspiration. Disturbances of swallowing phases should be remembered as a cause of pneumonia in these patients.