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    Chronotype and eating behavior patterns in mothers of children with disabilities: a case-control study on sleep and nutritional tendencies
    (Springer Japan Kk, 2026) Toguc, Hakan; Aydin, Hakan; Fidan, Zehra
    Purpose The increasing burden of caring for children with disabilities brings about various psychological and physiological difficulties for mothers. The objective of this study was to investigate the relationship between chronotype characteristics and eating disorders and intuitive eating behavior tendencies of mothers with disabled children. Methods The study was a case-control study conducted in a private rehabilitation center in Turkey and included 50 mothers of disabled children with cerebral palsy and 56 mothers of healthy children. Socio-demographic information, Morningness-Eveningness Scale, Pittsburgh Sleep Quality Index (PSQI), Eating Disorder Examination Questionnaire-13 (EDE-Q-13), Intuitive Eating Scale-2 (IES-2) and anthropometric measurements were taken from the participants. Results Mothers of children with disabilities had significantly lower chronotype scores (47.20 +/- 4.65) compared with mothers of healthy children (53.66 +/- 5.31) (p < 0.001), with a lower proportion of morningness (p = 0.004). The EDE-Q-13 scores were higher for mothers of children with disabilities (1.72 +/- 1.08) compared with those with healthy children (1.32 +/- 0.97) (p = 0.046). In addition, mothers with disabled children showed higher rates in the subscales of binge eating and purging behaviors (p = 0.001 and p < 0.001, respectively) and sleep medication use (p = 0.002). Conclusions Mothers with disabled children were found to have higher predisposition to evening chronotype, eating disorder scores and use of medical sleep medication than mothers with healthy children. Because this situation increases the risk of diseases such as obesity, cardiovascular diseases, type 2 diabetes and metabolic syndrome, it reveals the necessity of special nutrition and health follow-up programmes.
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    Epileptic Seizures and Nutritional Status in Children with Cerebral Palsy: Unraveling the Interconnections
    (Galenos Publ House, 2025) Toguc, Hakan; Aydin, Hakan
    Objective: This cross-sectional study explores the complex relationship between nutritional status and the prevalence of epileptic seizures in children with cerebral palsy (CP). Methods: Conducted between September and October 2024 at a private physiotherapy and rehabilitation center in T & uuml;rkiye, the study included 58 participants aged 3-15 years diagnosed with CP. The research focused on evaluating socio-demographic data, health information, and detailed 24-hour food consumption patterns alongside anthropometric measurements and the Gross Motor Function Classification System. Results: Our findings reveal a significantly higher risk of epileptic seizures in children born via cesarean section compared to vaginal delivery (p=0.014). No significant direct correlation was identified between the specific components of food consumed and the occurrence of epileptic seizures. However, children with epilepsy demonstrated dietary preferences that were higher in energy, carbohydrates, and saturated fats, potentially affecting their overall nutritional status and exacerbating existing health conditions. Furthermore, malnutrition, particularly marked by lower Mid-Upper Arm Circumference Z-scores in children experiencing seizures, suggests a potential worsening of their seizure condition and general health (p=0.022). Additionally, higher incidences of chewing difficulties and swallowing disorders were observed in children with seizures compared to those without. Conclusion: This study underscores the necessity for specialized nutritional strategies to address malnutrition, improve health, and manage seizures in children with CP, emphasizing the role of balanced dietary intake over diets high in energy and fats.