{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T03:01:59Z","timestamp":1789786919505,"version":"4.0.1"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1007\/s11845-026-04395-y","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T01:10:31Z","timestamp":1776647431000},"page":"2447-2456","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The association of oral health status and oral health\u2013related quality of life with malnutrition, sarcopenia, and frailty in older adults"],"prefix":"10.1007","volume":"195","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1607-0712","authenticated-orcid":false,"given":"Zeynep Iclal","family":"Turgut","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulbeddin","family":"Yaliniz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tunahan","family":"Turgut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammet Cemal","family":"Kizilarslanoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"issue":"8","key":"4395_CR1","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1016\/j.nrleng.2016.02.009","volume":"32","author":"H Niu","year":"2017","unstructured":"Niu H, \u00c1lvarez-\u00c1lvarez I, Guill\u00e9n-Grima F, Aguinaga-Ontoso I (2017) Prevalence and incidence of Alzheimer\u2019s disease in Europe: a meta-analysis. Neurolog\u00eda (English Edition) 32(8):523\u2013532","journal-title":"Neurolog\u00eda (English Edition)"},{"issue":"3","key":"4395_CR2","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/j.jormas.2019.02.004","volume":"120","author":"J Spanemberg","year":"2019","unstructured":"Spanemberg J, Cardoso J, Slob E, L\u00f3pez-L\u00f3pez J (2019) Quality of life related to oral health and its impact in adults. J Stomatol Oral Maxillofac Surg 120(3):234\u2013239. https:\/\/doi.org\/10.1016\/j.jormas.2019.02.004","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"4395_CR3","unstructured":"U.S. Department of Health and Human Services (2000) Oral health in America: A report of the Surgeon General (NIH Publication No. 00-4713). National Institute of Dental and Craniofacial Research, National Institutes of Health"},{"issue":"11","key":"4395_CR4","doi-asserted-by":"publisher","first-page":"1264","DOI":"10.1177\/0022034511399918","volume":"90","author":"L Sischo","year":"2011","unstructured":"Sischo L, Broder H (2011) Oral health-related quality of life: what, why, how, and future implications. J Dent Res 90(11):1264\u20131270","journal-title":"J Dent Res"},{"issue":"7","key":"4395_CR5","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1111\/joor.12396","volume":"43","author":"MT John","year":"2016","unstructured":"John MT, Rener-Sitar K, Baba K et al (2016) Patterns of impaired oral health-related quality of life dimensions. J Oral Rehabil 43(7):519\u2013527","journal-title":"J Oral Rehabil"},{"issue":"6","key":"4395_CR6","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1111\/ggi.13921","volume":"20","author":"Y Watanabe","year":"2020","unstructured":"Watanabe Y, Okada K, Kondo M et al (2020) Oral health for achieving longevity. Geriatr Gerontol Int 20(6):526\u2013538","journal-title":"Geriatr Gerontol Int"},{"issue":"1","key":"4395_CR7","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1007\/s00784-015-1484-6","volume":"20","author":"N Waller","year":"2016","unstructured":"Waller N, John MT, Feuerstahler L and others (2016) A 7-day recall period for a clinical application of the oral health impact profile questionnaire. Clin Oral Invest 20(1):91\u201399","journal-title":"Clin Oral Invest"},{"issue":"1","key":"4395_CR8","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1111\/ger.12237","volume":"34","author":"AG Barbe","year":"2017","unstructured":"Barbe AG, Bock N, Derman SHM et al (2017) Self-assessment of oral health, dental health care and oral health-related quality of life among Parkinson\u2019s disease patients. Gerodontology 34(1):135\u2013143","journal-title":"Gerodontology"},{"issue":"1","key":"4395_CR9","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1111\/1747-0080.12546","volume":"77","author":"M Fleurke","year":"2020","unstructured":"Fleurke M, Voskuil DW, Beneken genaamd Kolmer DM (2020) The role of the dietitian in the management of malnutrition in the elderly: a systematic review of current practices. Nutr Diet 77(1):60\u201375","journal-title":"Nutr Diet"},{"issue":"6","key":"4395_CR10","doi-asserted-by":"publisher","first-page":"1282","DOI":"10.1016\/j.clnu.2016.03.008","volume":"35","author":"E Cereda","year":"2016","unstructured":"Cereda E, Pedrolli C, Klersy C and others (2016) Nutritional status in older persons according to healthcare setting: a systematic review and meta-analysis of prevalence data using MNA\u00ae. Clin Nutr 35(6):1282\u20131290","journal-title":"Clin Nutr"},{"issue":"2","key":"4395_CR11","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3390\/nu8020069","volume":"8","author":"F Landi","year":"2016","unstructured":"Landi F, Calvani R, Tosato M and others (2016) Anorexia of aging: risk factors, consequences, and potential treatments. Nutrients 8(2):69","journal-title":"Nutrients"},{"key":"4395_CR12","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/s40520-017-0756-1","volume":"30","author":"K Naruishi","year":"2018","unstructured":"Naruishi K, Nishikawa Y (2018) Swallowing impairment is a significant factor for predicting life prognosis of elderly at the end of life. Aging Clin Exp Res 30:77\u201380","journal-title":"Aging Clin Exp Res"},{"key":"4395_CR13","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s40520-018-0944-7","volume":"31","author":"P H\u00e4gglund","year":"2019","unstructured":"H\u00e4gglund P, F\u00e4lt A, H\u00e4gg M et al (2019) Swallowing dysfunction as risk factor for undernutrition in older people admitted to Swedish short-term care: a cross-sectional study. Aging Clin Exp Res 31:85\u201394","journal-title":"Aging Clin Exp Res"},{"key":"4395_CR14","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1007\/s12603-013-0358-3","volume":"18","author":"RK Saarela","year":"2014","unstructured":"Saarela RK, Soini H, Hiltunen K et al (2014) Dentition status, malnutrition and mortality among older service housing residents. J Nutr Health Aging 18:34\u201338","journal-title":"J Nutr Health Aging"},{"issue":"4","key":"4395_CR15","doi-asserted-by":"publisher","first-page":"459","DOI":"10.14219\/jada.archive.1996.0237","volume":"127","author":"KJ Joshipura","year":"1996","unstructured":"Joshipura KJ, Willett WC, Douglass CW (1996) The impact of edentulousness on food and nutrient intake. J Am Dent Assoc 127(4):459\u2013467","journal-title":"J Am Dent Assoc"},{"issue":"2","key":"4395_CR16","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1093\/nutrit\/nuz035","volume":"78","author":"J-LP O\u2019Connor","year":"2020","unstructured":"O\u2019Connor J-LP, Milledge KL, O\u2019Leary F et al (2020) Poor dietary intake of nutrients and food groups are associated with increased risk of periodontal disease among community-dwelling older adults: a systematic literature review. Nutr Rev 78(2):175\u2013188","journal-title":"Nutr Rev"},{"issue":"4","key":"4395_CR17","doi-asserted-by":"publisher","first-page":"1306","DOI":"10.1016\/j.clnu.2017.06.001","volume":"37","author":"GA Kotsakis","year":"2018","unstructured":"Kotsakis GA, Chrepa V, Shivappa N and others (2018) Diet-borne systemic inflammation is associated with prevalent tooth loss. Clin Nutr 37(4):1306\u20131312","journal-title":"Clin Nutr"},{"issue":"7","key":"4395_CR18","doi-asserted-by":"publisher","first-page":"828","DOI":"10.1016\/j.jacc.2020.06.058","volume":"76","author":"S Raposeiras Roubin","year":"2020","unstructured":"Raposeiras Roubin S, Abu Assi E, Cespon Fernandez M and others (2020) Prevalence and prognostic significance of malnutrition in patients with acute coronary syndrome. J Am Coll Cardiol 76(7):828\u2013840","journal-title":"J Am Coll Cardiol"},{"issue":"10217","key":"4395_CR19","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/S0140-6736(19)32472-9","volume":"395","author":"JC Wells","year":"2020","unstructured":"Wells JC, Sawaya AL, Wibaek R and others (2020) The double burden of malnutrition: aetiological pathways and consequences for health. The Lancet 395(10217):75\u201388","journal-title":"The Lancet"},{"key":"4395_CR20","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1007\/s40520-016-0709-0","volume":"29","author":"AJ Cruz-Jentoft","year":"2017","unstructured":"Cruz-Jentoft AJ, Kiesswetter E, Drey M, Sieber CC (2017) Nutrition, frailty, and sarcopenia. Aging Clin Exp Res 29:43\u201348","journal-title":"Aging Clin Exp Res"},{"issue":"6","key":"4395_CR21","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/j.beem.2014.08.003","volume":"28","author":"R Rizzoli","year":"2014","unstructured":"Rizzoli R (2014) Nutritional aspects of bone health. Best Pract Res Clin Endocrinol Metab 28(6):795\u2013808","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"issue":"7","key":"4395_CR22","doi-asserted-by":"publisher","first-page":"456","DOI":"10.5312\/wjo.v12.i7.456","volume":"12","author":"A de Sire","year":"2021","unstructured":"de Sire A, Invernizzi M, Baricich A and others (2021) Optimization of transdisciplinary management of elderly with femur proximal extremity fracture: A patient-tailored plan from orthopaedics to rehabilitation. World J Orthop 12(7):456","journal-title":"World J Orthop"},{"issue":"4","key":"4395_CR23","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1016\/j.maturitas.2015.08.006","volume":"82","author":"HE Senior","year":"2015","unstructured":"Senior HE, Henwood TR, Beller EM et al (2015) Prevalence and risk factors of sarcopenia among adults living in nursing homes. Maturitas 82(4):418\u2013423","journal-title":"Maturitas"},{"issue":"6","key":"4395_CR24","doi-asserted-by":"publisher","first-page":"748","DOI":"10.1093\/ageing\/afu115","volume":"43","author":"AJ Cruz-Jentoft","year":"2014","unstructured":"Cruz-Jentoft AJ, Landi F, Schneider SM, Z\u00fa\u00f1iga C, Arai H, Boirie Y et al (2014) Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the international sarcopenia initiative (EWGSOP and IWGS). Age Ageing 43(6):748\u2013759","journal-title":"Age Ageing"},{"issue":"10","key":"4395_CR25","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19106136","volume":"19","author":"A Kodama","year":"2022","unstructured":"Kodama A, Kume Y, Iwakura M et al (2022) A pilot survey: Oral function as one of the risk factors for physical frailty. Int J Environ Res Public Health 19(10):6136","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"4395_CR26","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1111\/ger.12123","volume":"33","author":"P Poisson","year":"2016","unstructured":"Poisson P, Laffond T, Campos S et al (2016) Relationships between oral health, dysphagia and undernutrition in hospitalised elderly patients. Gerodontology 33(2):161\u2013168","journal-title":"Gerodontology"},{"issue":"4","key":"4395_CR27","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1111\/ger.12577","volume":"38","author":"LD Slashcheva","year":"2021","unstructured":"Slashcheva LD, Karjalahti E, Hassett LC et al (2021) A systematic review and gap analysis of frailty and oral health characteristics in older adults: a call for clinical translation. Gerodontology 38(4):338\u2013350","journal-title":"Gerodontology"},{"issue":"6","key":"4395_CR28","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1111\/ggi.13279","volume":"18","author":"M Takahashi","year":"2018","unstructured":"Takahashi M, Maeda K, Wakabayashi H (2018) Prevalence of sarcopenia and association with oral health\u2010related quality of life and oral health status in older dental clinic outpatients. Geriatr Gerontol Int 18(6):915\u2013921","journal-title":"Geriatr Gerontol Int"},{"key":"4395_CR29","unstructured":"Organization WH (2013) Oral health surveys: basic methods: World Health Organization"},{"issue":"2","key":"4395_CR30","first-page":"85","volume":"20","author":"ME Ba\u015fol","year":"2014","unstructured":"Ba\u015fol ME, Karaa\u011fa\u00e7lio\u011flu L, Yilmaz B (2014) T\u00fcrk\u00e7e A\u011f\u0131z Sa\u011fl\u0131\u011f\u0131 Etki \u00d6l\u00e7e\u011finin Geli\u015ftirilmesi-OHIP-14-TR. Turkiye Klinikleri J Dent Sci 20(2):85\u201392","journal-title":"Turkiye Klinikleri J Dent Sci"},{"issue":"1","key":"4395_CR31","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1016\/j.archger.2015.04.006","volume":"61","author":"D Sarikaya","year":"2015","unstructured":"Sarikaya D, Halil M, Kuyumcu ME and others (2015) Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr 61(1):56\u201360","journal-title":"Arch Gerontol Geriatr"},{"key":"4395_CR32","doi-asserted-by":"publisher","DOI":"10.1080\/17843286.2019.1597457","author":"C \u00d6zs\u00fcrekci","year":"2020","unstructured":"\u00d6zs\u00fcrekci C, Balc\u0131 C, K\u0131z\u0131larslano\u011flu MC and others (2020) An important problem in an aging country: identifying the frailty via 9 point clinical frailty scale. Acta Clin Belg. 75(3):200\u2013204. https:\/\/doi.org\/10.1080\/17843286.2019.1597457","journal-title":"Acta Clin Belg"},{"issue":"8","key":"4395_CR33","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.jamda.2013.05.018","volume":"14","author":"TK Malmstrom","year":"2013","unstructured":"Malmstrom TK, Morley JE (2013) SARC-F: a simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc 14(8):531\u2013532","journal-title":"J Am Med Dir Assoc"},{"issue":"8","key":"4395_CR34","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1177\/0022034517709737","volume":"96","author":"D Haag","year":"2017","unstructured":"Haag D, Peres K, Balasubramanian M, Brennan D (2017) Oral conditions and health-related quality of life: a systematic review. J Dent Res 96(8):864\u2013874","journal-title":"J Dent Res"},{"issue":"8","key":"4395_CR35","doi-asserted-by":"publisher","first-page":"e507","DOI":"10.1016\/S2666-7568(21)00143-4","volume":"2","author":"V Dibello","year":"2021","unstructured":"Dibello V, Zupo R, Sardone R and others (2021) Oral frailty and its determinants in older age: a systematic review. Lancet Healthy Longevity 2(8):e507\u2013e520","journal-title":"Lancet Healthy Longevity"},{"issue":"8","key":"4395_CR36","doi-asserted-by":"publisher","first-page":"3134","DOI":"10.1111\/jan.16042","volume":"80","author":"C Yang","year":"2024","unstructured":"Yang C, Gao Y, An R et al (2024) Oral frailty: a concept analysis. J Adv Nurs 80(8):3134\u20133145","journal-title":"J Adv Nurs"},{"issue":"12","key":"4395_CR37","doi-asserted-by":"publisher","first-page":"2634","DOI":"10.1111\/joor.13858","volume":"51","author":"D Morinaga","year":"2024","unstructured":"Morinaga D, Itoh T, Soejima Y and others (2024) Relationships between test results for oral hypofunction, subjective frailty symptoms and oral health-related quality of life of Japanese dental outpatients: a multicentre cross-sectional study. J Oral Rehab 51(12):2634\u20132642","journal-title":"J Oral Rehab"},{"issue":"13","key":"4395_CR38","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19137654","volume":"19","author":"C Dros","year":"2022","unstructured":"Dros C, Sealy MJ, Krijnen WP et al (2022) Oral health and frailty in community-dwelling older adults in the Northern Netherlands: a cross-sectional study. Int J Environ Res Public Health 19(13):7654","journal-title":"Int J Environ Res Public Health"},{"key":"4395_CR39","doi-asserted-by":"crossref","unstructured":"Hakeem FF, Bernab\u00e9 E, Sabbah W (2021) Association between oral health and frailty among American older adults. J Am Med Dir Assoc 22(3):559\u201363. e2","DOI":"10.1016\/j.jamda.2020.07.023"},{"key":"4395_CR40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12903-019-0778-5","volume":"19","author":"N Okamoto","year":"2019","unstructured":"Okamoto N, Amano N, Nakamura T, Yanagi M (2019) Relationship between tooth loss, low masticatory ability, and nutritional indices in the elderly: a cross-sectional study. BMC Oral Health 19:1\u201310","journal-title":"BMC Oral Health"},{"key":"4395_CR41","doi-asserted-by":"crossref","unstructured":"Kobayashi S, Asakura K, Suga H, Sasaki S, Diets T-gSoWo, Group HS (2013) High protein intake is associated with low prevalence of frailty among old Japanese women: a multicenter cross-sectional study. Nutr J12(1):164","DOI":"10.1186\/1475-2891-12-164"},{"issue":"2","key":"4395_CR42","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1111\/ger.12649","volume":"40","author":"SH Henni","year":"2023","unstructured":"Henni SH, Skudutyte\u2010Rysstad R, Ansteinsson V et al (2023) Oral health and oral health\u2010related quality of life among older adults receiving home health care services: a scoping review. Gerodontology 40(2):161\u2013171","journal-title":"Gerodontology"},{"issue":"6","key":"4395_CR43","doi-asserted-by":"publisher","first-page":"425","DOI":"10.26719\/emhj.22.034","volume":"28","author":"SE Andari","year":"2022","unstructured":"Andari SE, Ghandour LA, Chaaya M, Ghafari JG (2022) Oral health status in a Lebanese geriatric population. East Mediterr Health J 28(6):425\u2013433","journal-title":"East Mediterr Health J"},{"key":"4395_CR44","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2022.104351","volume":"127","author":"EKM Choong","year":"2022","unstructured":"Choong EKM, Shu X, Leung KCM, Lo ECM (2022) Oral health-related quality of life (OHRQoL) after rehabilitation with removable partial dentures (RPDs): a systematic review and meta-analysis. J Dent 127:104351","journal-title":"J Dent"},{"key":"4395_CR45","doi-asserted-by":"publisher","first-page":"3901","DOI":"10.1590\/1413-812320202510.02202019","volume":"25","author":"J Cola\u00e7o","year":"2020","unstructured":"Cola\u00e7o J, Muniz FWMG, Peron D and others (2020) Qualidade de vida relacionada \u00e0 sa\u00fade bucal e fatores associados em idosos: Um estudo transversal com amostra representativa. Cien Saude Colet 25:3901\u20133912","journal-title":"Cien Saude Colet"},{"issue":"1","key":"4395_CR46","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02104-6","volume":"22","author":"H Vu","year":"2022","unstructured":"Vu H, Vo PT-D, Kim H-D (2022) Gender modified association of oral health indicators with oral health-related quality of life among Korean elders. BMC Oral Health 22(1):168","journal-title":"BMC Oral Health"},{"key":"4395_CR47","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1356622","volume":"12","author":"V Beltr\u00e1n","year":"2024","unstructured":"Beltr\u00e1n V, Mu\u00f1oz-Sep\u00falveda F, Acevedo C and others (2024) A rural teledentistry care experience: a geriatric approach to assessing oral health status and treatment needs in older adults from a Mapuche community in Chile. Front Public Health 12:1356622","journal-title":"Front Public Health"},{"issue":"1","key":"4395_CR48","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-024-04872-9","volume":"24","author":"M Chen","year":"2024","unstructured":"Chen M, He M, Gu Q et al (2024) The current status and influencing factors of oral frailty in elderly maintenance hemodialysis patients based on the Andersen Oral Health Outcome Model. BMC Oral Health 24(1):1085","journal-title":"BMC Oral Health"},{"issue":"18","key":"4395_CR49","doi-asserted-by":"publisher","first-page":"4032","DOI":"10.3390\/nu15184032","volume":"15","author":"AA Alghofaili","year":"2023","unstructured":"Alghofaili AA, Aladel AI, Alsoghier AM and others (2023) Association of oral and general health with nutritional status of older adults attending two medical centers in Riyadh, Saudi Arabia: a cross-sectional study. Nutrients 15(18):4032","journal-title":"Nutrients"}],"container-title":["Irish Journal of Medical Science (1971 -)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11845-026-04395-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11845-026-04395-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11845-026-04395-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:11:56Z","timestamp":1789783916000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11845-026-04395-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":49,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["4395"],"URL":"https:\/\/doi.org\/10.1007\/s11845-026-04395-y","relation":{},"ISSN":["0021-1265","1863-4362"],"issn-type":[{"value":"0021-1265","type":"print"},{"value":"1863-4362","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]},"assertion":[{"value":"30 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was conducted according to the principles of the Declaration of Helsinki. Ethical approval for this study was obtained from the Hamidiye Scientific Research Ethics Committee of the University of Health Sciences (Meeting Date: 13.06.2024; Meeting No: 2024\/7; Decision No: 7\/36; File No: 24\/404).","order":1,"name":"Ethics","label":"Ethical statement","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest relevant to the content of this article.","order":2,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}