Research Article
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Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye

Year 2024, , 414 - 422, 28.06.2024
https://doi.org/10.33808/clinexphealthsci.1326381

Abstract

Objective: Since airports operate in foreign currency and are far from cities, employees could be limited to purchase food and beverages from more expensive sales points. Additionally, air services employees may be at risk for poor nutritional status due to job-specific unhealthy dietary habits and lifestyle behaviors. Yet, air services as workplaces have been understudied in terms of nutritional environment. Hence, in this study the aim is to assess food security (FS) and Mediterranean diet adherence (MDA) among Atatürk and Istanbul airports’ employees.
Methods: The face-to-face cross-sectional study was conducted with a non-probability sample of 381 employees that were recruited between February and May 2022. FS was assessed with Food Insecurity Experience Scale and MDA with Mediterranean Diet Adherence Screener (MEDAS). Regression analyses were conducted to analyze the independent variables affecting FS.
Results: MDA was found to be 7.6±2.07 and most of the participants were within a moderate adherence range. While 14.6% (n: 55) of the participants have moderate or severe food insecurity, 2.9% (n: 11) have severe food insecurity. The regression analyses revealed the factors affecting food insecurity as education, income, smoking, use of medication, and dieting status (p<.05). On the other hand, MDA was not found to be an effective factor of food security status of air services employees.
Conclusion: Ultimately, addressing food insecurity among airport staff will require systemic changes to ensure that all workers are paid fair wages and have access to essential benefits like affordable food and supportive food environment that encourages healthy eating.

Supporting Institution

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Project Number

This study was approved by Ethics Committee of Istanbul Aydin University Non-Interventional Clinical Research Ethics Committee (Date: 14/02/2022, Number of Approval: B.30.2.AYD.0.00.00-050.06.04/30)

Thanks

The authors express their sincere gratitude to all participants who agreed to take part in the study. The authors would also like thank Dr. Naci Murat (eistatistik.com Company) for his help regarding the statistical analyses of this study.

References

  • Erzurum Alim N, Kalyoncu Atasoy ZB. İşçi Beslenmesi. Türkiye Beslenme Rehberi(TÜBER); 2022. Sağlık Bakanlığı Yayın No: 1031, Ankara, 2022. p.167-79. (Turkish)
  • Serrano F, Kazda A. The future of airports post COVID-19. J. Air Transp. Manag. 2020;89:101900. DOI: 10.1016/j.jairtraman.2020.101900
  • Dube K, Nhamo G, Chikodzi D. COVID-19 pandemic and prospects for recovery of the global aviation industry. J. Air Transp. Manag. 2021;92:102022. DOI: 10.1016/j.jairtraman.2021.102022
  • Walter KGA. Airport Service Workers Deserve Good Jobs. The Center for American Progress; 2023. Published [7 March 2023]. Accessed [7 July 2023]. https://www.americanprogress.org/article/airport-service-workers-deserve-good-jobs/
  • European Commission, Directorate-General for Mobility and Transport, Molina, C., Levin, S., Castillo. Study on employment and working conditions of aircrews in the EU internal aviation market–Final report, Publications Office, 2019, https://data.europa.eu/doi/10.2832/37654
  • Oronce CIA, Miake-Lye IM, Begashaw MM, Booth M, Shrank WH, Shekelle PG, editors. Interventions to address food insecurity among adults in Canada and the US: A systematic review and meta-analysis. JAMA Health Forum; 2021: American Medical Association. DOI: 10.1001/jamahealthforum.2021.2001
  • McNeely E, Gale S, Tager I, Kincl L, Bradley J, Coull B. The self-reported health of US flight attendants compared to the general population. J. Environ. Health. 2014;13:1-11. DOI: 10.1186/1476-069X-13-13
  • Scheibler C, Toprani SM, Mordukhovich I, Schaefer M, Staffa S, Nagel ZD. Cancer risks from cosmic radiation exposure in flight: A review. Front. Public Health 2022;10:947068. DOI: 10.3389/fpubh.2022.947068
  • dos Santos Silva I, De Stavola B, Pizzi C, Evans AD, Evans SA. Cancer incidence in professional flight crew and air traffic control officers: Disentangling the effect of occupational versus lifestyle exposures. Int. J. Cancer 2013;132(2):374-384. DOI: 10.1002/ijc.27612
  • Herforth A, Arimond M, Álvarez-Sánchez C, Coates J, Christianson K, Muehlhoff E. A global review of food-based dietary guidelines. Adv Nutr. 2019;10(4):590-605. DOI: 10.1093/advances/nmy130
  • Guasch‐Ferré M, Willett W. The Mediterranean diet and health: A comprehensive overview. J. Intern. Med. 2021;290(3):549-566. DOI: 10.1111/joim.13333
  • Finicelli M, Di Salle A, Galderisi U, Peluso G. The Mediterranean diet: An update of the clinical trials. Nutrients 2022;14(14):2956. DOI: 10.3390/nu14142956
  • Grammatikopoulou MG, Gkiouras K, Tranidou A, Goulis DG. Food security and adherence to the Mediterranean diet: An interplay of socio-demographic characteristics. The Mediterranean Diet: Elsevier; 2020. p. 79-87. DOI: 10.1016/B978-0-12-818649-7.00008-4
  • Radimer KL, Olson CM, Greene JC, Campbell CC, Habicht JP. Understanding hunger and developing indicators to assess it in women and children. J. Nutr. Educ. 1992;24(1):36S-44S. DOI: 10.1016/S0022-3182(12)80137-3
  • Bonaccio M, Bonanni AE, Di Castelnuovo A, De Lucia F, Donati MB, de Gaetano G. Low income is associated with poor adherence to a Mediterranean diet and a higher prevalence of obesity: Cross-sectional results from the Moli-sani study. BMJ 2012;2(6):e001685. DOI: 10.1136/bmjopen-2012-001685
  • Rubini A, Vilaplana-Prieto C, Flor-Alemany M, Yeguas-Rosa L, Hernández-González M, Félix-García FJ. Assessment of the cost of the Mediterranean diet in a low-income region: Adherence and relationship with available incomes. BMC Public Health. 2022;22:1-8. DOI: 10.1186/s12889-021-12433-w
  • Mendonça N, Gregório MJ, Salvador C, Henriques AR, Canhão H, Rodrigues AM. Low adherence to the Mediterranean diet is associated with poor socioeconomic status and younger age: A cross-sectional analysis of the EpiDoC cohort. Nutrients 2022;14(6):1239. DOI: 10.3390/nu14061239
  • Akgün, S., Pekcan, G., Aksoydan, E., Kızıltan, G., Karaağaoğlu, E., Karahan, S., Kelat, E. Z. (2019). Türkiye beslenme ve sağlık araştırması (TBSA). Ankara: Sağlık Bakanlığı, Halk Sağlığı Genel Müdürlüğü (Turkish)
  • Weir CB, Jan A. BMI Classification percentile and cut off Points. [Updated 2020 Jul 10]. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan.
  • Koç İ, Kaptanoğlu İY, Eryurt MA. Türkiye Nüfus ve Sağlık Araştırması (TNSA) 2013. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Devlet Planlama Teşkilatı ve Avrupa Birliği, Ankara, Türkiye. 2003:17-32. (Turkish)
  • Martínez-González MÁ, Corella D, Salas-Salvadó J, Ros E, Covas MI, Fiol M. Cohort profile: Design and methods of the PREDIMED study. Int. J. Epidemiol. 2012;41(2):377-385. DOI: 10.1093/ije/dyq250
  • Pehlivanoğlu EFÖ, Balcioğlu H, Ünlüoğlu İ. Akdeniz diyeti bağlılık ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Osmangazi Tıp Dergisi 2020;42(2):160-164. (Turkish) DOI: 10.20515/otd.504188
  • Nord M, Cafiero C, Viviani S, editors. Methods for estimating comparable prevalence rates of food insecurity experienced by adults in 147 countries and areas. Journal of Physics: Conference Series; 2016: IOP Publishing. DOI: 10.1088/1742-6596/772/1/012060
  • Wambogo EA, Ghattas H, Leonard KL, Sahyoun NR. Validity of the food insecurity experience scale for use in sub-Saharan Africa and characteristics of food-insecure individuals. Curr. Dev. Nutr. 2018;2(9):nzy062. DOI: 10.1093/cdn/nzy062
  • FAO. Using the FIES app a simple tool for the analysis of Food Insecurity Experience Scale. Published [2 September 2020]. Accessed [7 July 2023]. https://www.fao.org/publications/card/fr/c/CA9318EN/.
  • Özcan BA, Yeşilkaya B, Yilmaz HÖ, Günal AM, Özdemir AA. Effects of adherence to the Mediterranean diet on depression, anxiety, and sleep quality during the Covid-19 pandemic in Turkey. International Journal of Innovative Research and Reviews. 2021;5(2):39-44.
  • Yousefirad N, Sezer FE, Pehlivan M, Özyürek F, Bakirhan H, Özkaya V, et al. Lifestyle Behaviour Changes and Adherence to the Mediterranean Diet during the COVID-19 Pandemic: A Cross-Sectional Study from Turkey. Journal of Health Sciences (FBU-JOHS). 2022;2(3):624-638. DOI: 10.56061/fbujohs.1146324
  • Asit M, Duran S. Relationship between Adherence to the Traditional Mediterranean Diet and Body Compositions in a Turkish Population. Int. J. Caring Sci. 2021;14(2):1419-1427.
  • Bekar C, Goktas Z. Validation of the 14-item mediterranean diet adherence screener. Clinical Nutrition ESPEN. 2023;53:238-243. DOI: 10.1016/j.clnesp.2022.12.026
  • Baş M, Güneş F, Urhan M, Olcay Eminsoy İ, Gümüş D, Mortaş H. 2020. Toplu Beslenme Sistemleri (Toplu Tüketim Yerleri) için Ulusal Menü Planlama ve Uygulama Rehberi (pp.1-48), Ankara: T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Sağlıklı Beslenme ve Hareketli Hayat Dairesi Başkanlığı (Turkish).
  • Rizk R, Haddad C, Sacre H, Malaeb D, Wachten H, Strahler J, et al. Assessing the relationship between food insecurity and lifestyle behaviors among university students: A comparative study between Lebanon and Germany. BMC Public Health. 2023;23(1):1-16. DOI: 10.1186/s12889-023-15694-9
  • Korre M, Tsoukas MA, Frantzeskou E, Yang J, Kales SN. Mediterranean diet and workplace health promotion. Current cardiovascular risk reports. 2014;8:1-7. DOI: 10.1007/s12170-014-0416-3
  • Leung CW, Fulay AP, Parnarouskis L, Martinez-Steele E, Gearhardt AN, Wolfson JA. Food insecurity and ultra-processed food consumption: The modifying role of participation in the Supplemental Nutrition Assistance Program (SNAP). Am. J. Clin. Nutr. 2022;116(1):197-205. DOI: 10.1093/ajcn/nqac049
  • Mandracchia F, Tarro L, Llauradó E, Valls RM, Solà R. Interventions to promote healthy meals in full-service restaurants and canteens: a systematic review and meta-analysis. Nutrients. 2021;13(4):1350. DOI: 10.3390/nu13041350
Year 2024, , 414 - 422, 28.06.2024
https://doi.org/10.33808/clinexphealthsci.1326381

Abstract

Project Number

This study was approved by Ethics Committee of Istanbul Aydin University Non-Interventional Clinical Research Ethics Committee (Date: 14/02/2022, Number of Approval: B.30.2.AYD.0.00.00-050.06.04/30)

References

  • Erzurum Alim N, Kalyoncu Atasoy ZB. İşçi Beslenmesi. Türkiye Beslenme Rehberi(TÜBER); 2022. Sağlık Bakanlığı Yayın No: 1031, Ankara, 2022. p.167-79. (Turkish)
  • Serrano F, Kazda A. The future of airports post COVID-19. J. Air Transp. Manag. 2020;89:101900. DOI: 10.1016/j.jairtraman.2020.101900
  • Dube K, Nhamo G, Chikodzi D. COVID-19 pandemic and prospects for recovery of the global aviation industry. J. Air Transp. Manag. 2021;92:102022. DOI: 10.1016/j.jairtraman.2021.102022
  • Walter KGA. Airport Service Workers Deserve Good Jobs. The Center for American Progress; 2023. Published [7 March 2023]. Accessed [7 July 2023]. https://www.americanprogress.org/article/airport-service-workers-deserve-good-jobs/
  • European Commission, Directorate-General for Mobility and Transport, Molina, C., Levin, S., Castillo. Study on employment and working conditions of aircrews in the EU internal aviation market–Final report, Publications Office, 2019, https://data.europa.eu/doi/10.2832/37654
  • Oronce CIA, Miake-Lye IM, Begashaw MM, Booth M, Shrank WH, Shekelle PG, editors. Interventions to address food insecurity among adults in Canada and the US: A systematic review and meta-analysis. JAMA Health Forum; 2021: American Medical Association. DOI: 10.1001/jamahealthforum.2021.2001
  • McNeely E, Gale S, Tager I, Kincl L, Bradley J, Coull B. The self-reported health of US flight attendants compared to the general population. J. Environ. Health. 2014;13:1-11. DOI: 10.1186/1476-069X-13-13
  • Scheibler C, Toprani SM, Mordukhovich I, Schaefer M, Staffa S, Nagel ZD. Cancer risks from cosmic radiation exposure in flight: A review. Front. Public Health 2022;10:947068. DOI: 10.3389/fpubh.2022.947068
  • dos Santos Silva I, De Stavola B, Pizzi C, Evans AD, Evans SA. Cancer incidence in professional flight crew and air traffic control officers: Disentangling the effect of occupational versus lifestyle exposures. Int. J. Cancer 2013;132(2):374-384. DOI: 10.1002/ijc.27612
  • Herforth A, Arimond M, Álvarez-Sánchez C, Coates J, Christianson K, Muehlhoff E. A global review of food-based dietary guidelines. Adv Nutr. 2019;10(4):590-605. DOI: 10.1093/advances/nmy130
  • Guasch‐Ferré M, Willett W. The Mediterranean diet and health: A comprehensive overview. J. Intern. Med. 2021;290(3):549-566. DOI: 10.1111/joim.13333
  • Finicelli M, Di Salle A, Galderisi U, Peluso G. The Mediterranean diet: An update of the clinical trials. Nutrients 2022;14(14):2956. DOI: 10.3390/nu14142956
  • Grammatikopoulou MG, Gkiouras K, Tranidou A, Goulis DG. Food security and adherence to the Mediterranean diet: An interplay of socio-demographic characteristics. The Mediterranean Diet: Elsevier; 2020. p. 79-87. DOI: 10.1016/B978-0-12-818649-7.00008-4
  • Radimer KL, Olson CM, Greene JC, Campbell CC, Habicht JP. Understanding hunger and developing indicators to assess it in women and children. J. Nutr. Educ. 1992;24(1):36S-44S. DOI: 10.1016/S0022-3182(12)80137-3
  • Bonaccio M, Bonanni AE, Di Castelnuovo A, De Lucia F, Donati MB, de Gaetano G. Low income is associated with poor adherence to a Mediterranean diet and a higher prevalence of obesity: Cross-sectional results from the Moli-sani study. BMJ 2012;2(6):e001685. DOI: 10.1136/bmjopen-2012-001685
  • Rubini A, Vilaplana-Prieto C, Flor-Alemany M, Yeguas-Rosa L, Hernández-González M, Félix-García FJ. Assessment of the cost of the Mediterranean diet in a low-income region: Adherence and relationship with available incomes. BMC Public Health. 2022;22:1-8. DOI: 10.1186/s12889-021-12433-w
  • Mendonça N, Gregório MJ, Salvador C, Henriques AR, Canhão H, Rodrigues AM. Low adherence to the Mediterranean diet is associated with poor socioeconomic status and younger age: A cross-sectional analysis of the EpiDoC cohort. Nutrients 2022;14(6):1239. DOI: 10.3390/nu14061239
  • Akgün, S., Pekcan, G., Aksoydan, E., Kızıltan, G., Karaağaoğlu, E., Karahan, S., Kelat, E. Z. (2019). Türkiye beslenme ve sağlık araştırması (TBSA). Ankara: Sağlık Bakanlığı, Halk Sağlığı Genel Müdürlüğü (Turkish)
  • Weir CB, Jan A. BMI Classification percentile and cut off Points. [Updated 2020 Jul 10]. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan.
  • Koç İ, Kaptanoğlu İY, Eryurt MA. Türkiye Nüfus ve Sağlık Araştırması (TNSA) 2013. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Devlet Planlama Teşkilatı ve Avrupa Birliği, Ankara, Türkiye. 2003:17-32. (Turkish)
  • Martínez-González MÁ, Corella D, Salas-Salvadó J, Ros E, Covas MI, Fiol M. Cohort profile: Design and methods of the PREDIMED study. Int. J. Epidemiol. 2012;41(2):377-385. DOI: 10.1093/ije/dyq250
  • Pehlivanoğlu EFÖ, Balcioğlu H, Ünlüoğlu İ. Akdeniz diyeti bağlılık ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Osmangazi Tıp Dergisi 2020;42(2):160-164. (Turkish) DOI: 10.20515/otd.504188
  • Nord M, Cafiero C, Viviani S, editors. Methods for estimating comparable prevalence rates of food insecurity experienced by adults in 147 countries and areas. Journal of Physics: Conference Series; 2016: IOP Publishing. DOI: 10.1088/1742-6596/772/1/012060
  • Wambogo EA, Ghattas H, Leonard KL, Sahyoun NR. Validity of the food insecurity experience scale for use in sub-Saharan Africa and characteristics of food-insecure individuals. Curr. Dev. Nutr. 2018;2(9):nzy062. DOI: 10.1093/cdn/nzy062
  • FAO. Using the FIES app a simple tool for the analysis of Food Insecurity Experience Scale. Published [2 September 2020]. Accessed [7 July 2023]. https://www.fao.org/publications/card/fr/c/CA9318EN/.
  • Özcan BA, Yeşilkaya B, Yilmaz HÖ, Günal AM, Özdemir AA. Effects of adherence to the Mediterranean diet on depression, anxiety, and sleep quality during the Covid-19 pandemic in Turkey. International Journal of Innovative Research and Reviews. 2021;5(2):39-44.
  • Yousefirad N, Sezer FE, Pehlivan M, Özyürek F, Bakirhan H, Özkaya V, et al. Lifestyle Behaviour Changes and Adherence to the Mediterranean Diet during the COVID-19 Pandemic: A Cross-Sectional Study from Turkey. Journal of Health Sciences (FBU-JOHS). 2022;2(3):624-638. DOI: 10.56061/fbujohs.1146324
  • Asit M, Duran S. Relationship between Adherence to the Traditional Mediterranean Diet and Body Compositions in a Turkish Population. Int. J. Caring Sci. 2021;14(2):1419-1427.
  • Bekar C, Goktas Z. Validation of the 14-item mediterranean diet adherence screener. Clinical Nutrition ESPEN. 2023;53:238-243. DOI: 10.1016/j.clnesp.2022.12.026
  • Baş M, Güneş F, Urhan M, Olcay Eminsoy İ, Gümüş D, Mortaş H. 2020. Toplu Beslenme Sistemleri (Toplu Tüketim Yerleri) için Ulusal Menü Planlama ve Uygulama Rehberi (pp.1-48), Ankara: T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Sağlıklı Beslenme ve Hareketli Hayat Dairesi Başkanlığı (Turkish).
  • Rizk R, Haddad C, Sacre H, Malaeb D, Wachten H, Strahler J, et al. Assessing the relationship between food insecurity and lifestyle behaviors among university students: A comparative study between Lebanon and Germany. BMC Public Health. 2023;23(1):1-16. DOI: 10.1186/s12889-023-15694-9
  • Korre M, Tsoukas MA, Frantzeskou E, Yang J, Kales SN. Mediterranean diet and workplace health promotion. Current cardiovascular risk reports. 2014;8:1-7. DOI: 10.1007/s12170-014-0416-3
  • Leung CW, Fulay AP, Parnarouskis L, Martinez-Steele E, Gearhardt AN, Wolfson JA. Food insecurity and ultra-processed food consumption: The modifying role of participation in the Supplemental Nutrition Assistance Program (SNAP). Am. J. Clin. Nutr. 2022;116(1):197-205. DOI: 10.1093/ajcn/nqac049
  • Mandracchia F, Tarro L, Llauradó E, Valls RM, Solà R. Interventions to promote healthy meals in full-service restaurants and canteens: a systematic review and meta-analysis. Nutrients. 2021;13(4):1350. DOI: 10.3390/nu13041350
There are 34 citations in total.

Details

Primary Language English
Subjects Food Nutritional Balance, Public Health Nutrition
Journal Section Articles
Authors

Begüm Rabia Demircioğlu 0000-0001-7263-2937

Zeynep Begüm Kalyoncu Atasoy 0000-0001-6208-3540

Project Number This study was approved by Ethics Committee of Istanbul Aydin University Non-Interventional Clinical Research Ethics Committee (Date: 14/02/2022, Number of Approval: B.30.2.AYD.0.00.00-050.06.04/30)
Publication Date June 28, 2024
Submission Date July 12, 2023
Published in Issue Year 2024

Cite

APA Demircioğlu, B. R., & Kalyoncu Atasoy, Z. B. (2024). Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye. Clinical and Experimental Health Sciences, 14(2), 414-422. https://doi.org/10.33808/clinexphealthsci.1326381
AMA Demircioğlu BR, Kalyoncu Atasoy ZB. Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye. Clinical and Experimental Health Sciences. June 2024;14(2):414-422. doi:10.33808/clinexphealthsci.1326381
Chicago Demircioğlu, Begüm Rabia, and Zeynep Begüm Kalyoncu Atasoy. “Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye”. Clinical and Experimental Health Sciences 14, no. 2 (June 2024): 414-22. https://doi.org/10.33808/clinexphealthsci.1326381.
EndNote Demircioğlu BR, Kalyoncu Atasoy ZB (June 1, 2024) Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye. Clinical and Experimental Health Sciences 14 2 414–422.
IEEE B. R. Demircioğlu and Z. B. Kalyoncu Atasoy, “Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye”, Clinical and Experimental Health Sciences, vol. 14, no. 2, pp. 414–422, 2024, doi: 10.33808/clinexphealthsci.1326381.
ISNAD Demircioğlu, Begüm Rabia - Kalyoncu Atasoy, Zeynep Begüm. “Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye”. Clinical and Experimental Health Sciences 14/2 (June 2024), 414-422. https://doi.org/10.33808/clinexphealthsci.1326381.
JAMA Demircioğlu BR, Kalyoncu Atasoy ZB. Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye. Clinical and Experimental Health Sciences. 2024;14:414–422.
MLA Demircioğlu, Begüm Rabia and Zeynep Begüm Kalyoncu Atasoy. “Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye”. Clinical and Experimental Health Sciences, vol. 14, no. 2, 2024, pp. 414-22, doi:10.33808/clinexphealthsci.1326381.
Vancouver Demircioğlu BR, Kalyoncu Atasoy ZB. Evaluation of Food Security Status and Mediterranean Diet Adherence of Air Services Employees in İstanbul, Türkiye. Clinical and Experimental Health Sciences. 2024;14(2):414-22.

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