Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Evaluation of the Relationship Between Chronotype, Sleep Quality and Adaptation to Mediterranean Diet in University Students: A Descriptive Study
Üniversite Öğrencilerinde Kronotip, Uyku Kalitesi ve Akdeniz Diyetine Uyum Arasındaki İlişkinin Değerlendirilmesi: Tanımlayıcı Bir Araştırma
Filiz YANGILARa, Sevil KARAHAN YILMAZa
aDepartment of Nutrition and Dietetics, Erzincan Binali Yıldırım University Faculty of Health Sciences, Erzincan, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(4):976-85
doi: 10.5336/healthsci.2022-90729
Article Language: EN
Full Text
ABSTRACT
Objective: This study aimed to examine the relations between chronotype, sleep quality, and adherence to the Mediterranean diet in university students. Material and Methods: Sampling included 244 students from Türkiye university and data were collected between May 2021 and June 2021 with the general information form, the 'Morningness-Eveningness Questionnaire', 'Pittsburgh Sleep Quality Index (PSQI)' and 'Mediterranean Diet Adherence Screen (MEDAS)' via online. Results: Two hundred forty four students, 69 (28.3%) males and 175 (71.7%) females, with a mean age of 21.8±3.3 years, were joined. The chronotype scale average of the participants was calculated to be 47.1±6.9. Their 11 (4.5%) were of the morningness-type, 172 (70.5%) were of the intermediate-type, and 61 (25.0%) were of eveningness- type. The MEDAS mean score of the students was 5.6±1.9, and 50.4% of them had low adherence to the Mediterranean diet, 47.1% had medium adherence, and 2.5% had high adherence. The total PSQI score of the students was 8.7±3.8, and 77.5% of the participants had poor sleep quality. A significant correlation was found between physical activity status and the number of caffeinated beverages consumed daily according to chronotype (p<0.05). Chronotype score was negatively correlated with PSQI score (r=-0.175, p<0.01). Conclusion: It was determined that the chronotypes of the students were intermediate-type, and their sleep quality and adherence to the Mediterranean diet were low.

Keywords: Chronotype; sleep quality; Mediterranean diet; university students; caffeine drinks
ÖZET
Amaç: Bu çalışmanın amacı, üniversite öğrencilerinde kronotip, uyku kalitesi ve Akdeniz diyetine uyum arasındaki ilişkilerin değerlendirilmesidir. Gereç ve Yöntemler: Örneklem, Türkiye'deki üniversitelerde öğrenim gören 244 öğrenci üzerinde yürütülmüştür. Verilerin toplanmasında genel bilgi formu, 'Sabahlık-Akşamlık Anketi', 'Pittsburgh Uyku Kalitesi İndeksi (PUKİ)' ve 'Akdeniz Diyetine Uyum Ölçeği [Mediterranean Diet Adherence Screen (MEDAS)]' kullanılmıştır. Bulgular: Çalışmaya yaş ortalaması 21,8±3,3 yıl olan 69 (%28,3) erkek ve 175 (%71,7) kız olmak üzere 244 öğrenci katılmıştır. Katılımcıların kronotip ölçeği ortalaması 47,1±6,9 olarak hesaplanmıştır. Öğrencilerin 11'i (%4,5) sabahlık, 172'si (%70,5) orta, 61'i (%25,0) akşamlık tip grubunda yer almıştır. Araştırmaya alınan öğrencilerin MEDAS puan ortalaması 5,6±1,9 olup, %50,4'ünün Akdeniz diyetine uyumlarının düşük, %47,1'inin orta, %2,5'inin ise yüksek düzeyde uyduğu tespit edilmiştir. Öğrencilerin toplam PUKİ puanı 8,7±3,8 olup, katılımcıların %77,5'inin uyku kalitesinin kötü olduğu saptanmıştır. Kronotipe göre fiziksel aktivite durumu ile günlük tüketilen kafeinli içecek miktarı arasında anlamlı bir ilişki bulunmuştur (p<0,05). Kronotip skoru, PUKİ skoru ile negatif korelasyon göstermiştir (r=-0,175, p<0,01). Sonuç: Bu çalışmada, öğrencilerin kronotiplerinin orta tip olduğu, uyku kalitelerinin ve Akdeniz diyetine uyumlarının düşük olduğu belirlenmiştir.

Anahtar Kelimeler: Kronotip; uyku kalitesi; Akdeniz diyeti; üniversite öğrencileri; kafeinli içecekler
REFERENCES:
  1. Maultsby KD, Luk JW, Sita KR, Lewin D, Simons-Morton BG, Haynie DL. Three dimensions of sleep, somatic symptoms, and marijuana use in U.S. high school students. J Adolesc Health. 2021;69(1):50-6. [Crossref]  [PubMed] 
  2. Gümüş AB, Yardımcı H. Üniversite öğrencilerinin günlük besin ögesi alımlarının Akdeniz diyeti kalite indeksi (KIDMED) ile ilişkisi [The relationship between intakes of daily nutrients and the Mediterranean diet quality index (KIDMED) in university students]. Adıyaman University Journal of Health Sciences. 2020;6(2):167-73. [Crossref] 
  3. Aguiar SO, Auad SM, Silveira KS, Hermont AP, Prado IM, Vitória Diniz Reis T, et al. The impact of social distancing caused by the COVID-19 pandemic in dietary and sleep features of graduate and postgraduate university students with different chronotype profiles. Biol. Rhythm Res. 2022;53(8):1244-60. [Crossref] 
  4. Bakotic M, Radosevic-Vidacek B, Koscec Bjelajac A. Morningness-eveningness and daytime functioning in university students: the mediating role of sleep characteristics. J Sleep Res. 2017;26(2):210-8. [Crossref]  [PubMed] 
  5. Dos Santos Quaresma MV, Marques CG, Magalhães ACO, Dos Santos RVT. Emotional eating, binge eating, physical inactivity, and vespertine chronotype are negative predictors of dietary practices during COVID-19 social isolation: A cross-sectional study. Nutrition. 2021;90:111223. [Crossref]  [PubMed]  [PMC] 
  6. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97-110. [PubMed] 
  7. Horzum MB, Önder I, Beşoluk Ş. Chronotype and academic achievement namong online learning students. Learn Individ Differ. 2014;30:106-11. [Crossref] 
  8. Sato-Mito N, Shibata S, Sasaki S, Sato K. Dietary intake is associated with human chronotype as assessed by both morningness-eveningness score and preferred midpoint of sleep in young Japanese women. Int J Food Sci Nutr. 2011;62(5):525-32. [Crossref]  [PubMed] 
  9. Randler C, Frech D. Young people's time-of-day preferences affect their school performance. J. Youth Stud. 2009;12(6):653-67. [Crossref] 
  10. Boschloo A, Ouwehand C, Dekker S, Lee N, De Groot R, Krabbendam L, et al. The relation between breakfast skipping and school performance in adolescents. Mind Brain Educ. 2012;6(2):81-8. [Crossref] 
  11. Yasumoto Y, Hashimoto C, Nakao R, Yamazaki H, Hiroyama H, Nemoto T, et al. Short-term feeding at the wrong time is sufficient to desynchronize peripheral clocks and induce obesity with hyperphagia, physical inactivity and metabolic disorders in mice. Metabolism. 2016;65(5):714-27. [Crossref]  [PubMed] 
  12. Zhang YC, Liu DY. Chronotype and sleep duration are associated with stimulant consumption and BMI among Chinese undergraduates. Sleep Biol. Rhythm. 2018;16(2):211-22. [Link] 
  13. Rodríguez-Mu-oz PM, Carmona-Torres JM, Rivera-Picón C, Fabbian F, Manfredini R, Rodríguez-Borrego MA, et al. Associations between chronotype, adherence to the mediterranean diet and sexual opinion among university students. Nutrients. 2020;12(6):1900. [Crossref]  [PubMed]  [PMC] 
  14. Bayram SS, Aktaş N. Selçuk üniversitesi öğrencilerinin Akdeniz diyet kalitelerinin değerlendirilmesi [Evaluation of Mediterranean diet quality of Selcuk University students]. Journal of Nutrition and Diet. 2020;48(3):65-75. [Link] 
  15. Pehlivanoğlu EFO, Balcıoglu H, Unluoglu I. Akdeniz diyeti bağlılık ölçeğinin Türkçeye uyarlanması geçerlilik ve güvenilirliği [Turkish validation and reliability of Mediterranean diet adherence screener]. Osmangazi Journal of Medicine. 2020;42(2):160-4. [Link] 
  16. Özkan ÖP, Erginbaş Ç. Koroner arter hastalarının Akdeniz diyetine bağlılık durumunun değerlendirilmesi [Evaluation of coronary artery disease patients' adherence to Mediterranean diet]. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2022;16:123-35. [Crossref] 
  17. Lăcătușu CM, Grigorescu ED, Floria M, Onofriescu A, Mihai BM. The mediterranean diet: from an environment-driven food culture to an emerging medical prescription. Int J Environ Res Public Health. 2019;16(6):942. [Crossref]  [PubMed]  [PMC] 
  18. Sağır GŞ, Yurttagül SM, Kıratlı B. Üniversite öğrencilerinin beslenme durumlarının Akdeniz diyet kalite indeksi ile değerlendirilmesi [Evaluation of nutritional status of university students by Mediterranean diet quality index]. ZEUGMA. 2019;2(3):98-106. [Link] 
  19. Yu JH, Yun CH, Ahn JH, Suh S, Cho HJ, Lee SK, et al. Evening chronotype is associated with metabolic disorders and body composition in middle-aged adults. J Clin Endocrinol Metab. 2015;100(4):1494-502. [Crossref]  [PubMed] 
  20. Pündük Z, Gür H, Ercan I. Sabahçil-akşamcil anketi Türkçe uyarlamasında güvenilirlik çalışması [A reliability study of the Turkish version of the mornings-evenings questionnaire]. Turk Psikiyatri Derg. 2005;16(1):40-5. Turkish. [PubMed] 
  21. Curcio G, Tempesta D, Scarlata S, Marzano C, Moroni F, Rossini PM, et al. Validity of the Italian version of the Pittsburgh Sleep Quality Index (PSQI). Neurol Sci. 2013;34(4):511-9. [Crossref]  [PubMed] 
  22. Glavin EE, Ceneus M, Chanowitz M, Kantilierakis J, Mendelow E, Mosquera J, et al. Relationships between sleep, exercise timing, and chronotype in young adults. J Health Psychol. 2021;26(13):2636-47. [Crossref]  [PubMed] 
  23. Kabrita CS, Hajjar-Muça TA, Duffy JF. Predictors of poor sleep quality among Lebanese university students: association between evening typology, lifestyle behaviors, and sleep habits. Nat Sci Sleep. 2014;6:11-8. [Crossref]  [PubMed]  [PMC] 
  24. Bodur M, Bidar ŞN, Yardımcı H. Effect of chronotype on diet and sleep quality in healthy female students: night lark versus early bird. Nutr. Food Sci. 2021. [Crossref] 
  25. Kintschev MR, Shimada SS, Silva MOD, Barros YVD, Hoffmann-Santos HD. Chronotype change in university students in the health area with excessive daytime sleepiness. Rev Bras Educ Med. 2021;45(1). [Crossref] 
  26. Kasap EG. Marmara üniversitesi 1. sınıf öğrencilerinin kardiyovasküler risk faktörleri ve bu faktörler hakkındaki bilgi, tutum ve davranışları [Uzmanlık tezi]. İstanbul: Marmara Üniversitesi; 2019. Anonymous, 2022.
  27. Giannotti F, Cortesi F, Sebastiani T, Ottaviano S. Circadian preference, sleep and daytime behaviour in adolescence. J Sleep Res. 2002;11(3):191-9. [Crossref]  [PubMed] 
  28. Zhang Y, Xiong Y, Dong J, Guo T, Tang X, Zhao Y. Caffeinated drinks intake, late chronotype, and increased body mass index among medical students in chongqing, china: a multiple mediation model. Int J Environ Res Public Health. 2018;15(8):1721. [Crossref]  [PubMed]  [PMC] 
  29. Jalali R, Khazaei H, Paveh BK, Hayrani Z, Menati L. The effect of sleep quality on students' academic achievement. Adv Med Educ Pract. 2020;11:497-502. [Crossref]  [PubMed]  [PMC] 
  30. Kabaran S, Gezer C. Kuzey Kıbrıs Türk Cumhuriyeti'ndeki çocuk ve adölesanlarda Akdeniz diyetine uyum ile obezitenin belirlenmesi [Determination of the Mediterranean diet and the obesity status of children and adolescents in Turkish Republic of Northern Cyprus]. Türkiye Çocuk Hastalıkları Dergisi. 2013;7(1):11-20. [Link] 
  31. Sönmez T. Üniversite öğrencilerinin Akdeniz diyetine uyumu ve beslenme durumunun belirlenmesi [Determination of university student's adherence to Mediterranen diet and dietary habits]. Journal of Health and Life Sciences. 2021;3(1):85-90. [Crossref] 
  32. Tárraga Marcos A, Panisello Royo JM, Carbayo Herencia JA, López Gil JF, García Cantó E, Tárraga López PJ. Valoración de la adherencia a la dieta mediterránea en estudiantes universitarios de Ciencias de la Salud y su relación con el nivel de actividad física [Assessment of adherence to the Mediterranean diet in university Health Sciences students and its relationship with level of physical activity]. Nutr Hosp. 2021;38(4):814-20. Spanish. [PubMed] 
  33. Silva VM, Magalhaes JEM, Duarte LL. Quality of sleep and anxiety are related to circadian preference in university students. PLoS One. 2020;15(9):e0238514. [Crossref]  [PubMed]  [PMC] 
  34. Nú-ez P, Perillan C, Arguelles J, Diaz E. Comparison of sleep and chronotype between senior and undergraduate university students. Chronobiol Int. 2019;36(12):1626-37. [Crossref]  [PubMed] 
  35. Üzer A, Yücens B. Chronotype and depressive symptoms in healthy subjects: the mediating role of hopelessness and subjective sleep quality. Chronobiol Int. 2020;37(8):1173-80. [Crossref]  [PubMed] 

.: Up To Date

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com