Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Relationship Between Adherence to the Mediterranean Diet and Quality of Life, Sleep Quality: Cross-Sectional Research
Akdeniz Diyetine Uyum ile Yaşam Kalitesi ve Uyku Kalitesi Arasındaki İlişki: Kesitsel Araştırma
Tuba YALÇINa , Seda ÇİFTÇİb , Elif Esra ÖZTÜRKc
aDepartment of Nutrition and Dietetics, İzmir Kâtip Çelebi University Faculty of Health Sciences, İzmir, Türkiye
bDepartment of Nutrition and Dietetics, İzmir Demokrasi University Faculty of Health Sciences, İzmir, Türkiye
cDepartment of Nutrition and Dietetics, Gaziantep İslam Science and Technology University Faculty of Fine Arts and Architecture, Gaziantep, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(1):11-8
doi: 10.5336/healthsci.2023-98964
Article Language: EN
Full Text
ABSTRACT
 Objective: This study examines the association between adherence to the Mediterranean diet (MD) and its impact on various aspects of well-being, including sleep quality (SQ) and overall quality of life (QOL). Material and Methods: A total of 702 healthy adults aged 18-65 in this cross-sectional research. The study utilized questionnaires to assess sociodemographic information, anthropometric measurements, MD adherence (using the Mediterranean Diet Adherence Scale), SQ (using the Richard-Campbell Sleep Scale), and overall QOL [using the Short Form of the Quality-of-Life Scale (SF-36)]. Results: Most participants demonstrated low or moderate adherence to the MD, irrespective of gender. Adherence to MD was negatively correlated with waist circumference (r=-0.169, p<0.01) and waist-to-hip ratio (r=-0.177, p<0.01). However, no significant associations were found between MD adherence and SQ or overall QOL (p>0.05). Age was positively correlated with MD adherence (r=0.106, p<0.01). Participants with high MD adherence had a higher mean health perception score than those with average and low adherence. In addition, MD adherence was positively correlated with certain subscales of the SF-36, such as role limitation (emotional problems) (r=0.132, p=<0.01), energy and vitality (r=0.092, p<0.05), mental health (r=0.084, p<0.05) even after controlling for age. Conclusion: This study highlights that most participants exhibited low to moderate adherence to the MD, and while adherence was associated with improved body composition, no significant relationship was observed with SQ and overall QOL. The complexity of the relationship between adherence to the MD and wellbeing underscores the need for further research in this area.

Keywords: Mediterranean diet; sleep quality; quality of life
ÖZET
 Amaç: Bu çalışma, Akdeniz diyetine (AD) uyum ile uyku kalitesi (UK) ve genel yaşam kalitesini (YK) içeren refahın çeşitli yönleri arasındaki ilişkiyi incelemektedir. Gereç ve Yöntemler: Bu kesitsel araştırmaya yaşları 18-65 arasında değişen toplam 702 sağlıklı erişkin birey katılmıştır. Çalışmada kullanılan anket formu ile bireylerin sosyodemografik bilgileri, antropometrik ölçümleri, AD'ye uyumu (Akdeniz Diyet Uyum Ölçeği kullanılarak), UK (Richard-Campbell Uyku Ölçeği kullanılarak) ve genel YK [Yaşam Kalitesi Ölçeği-Kısa Formu (SF-36) kullanılarak] değerlendirilmiştir. Bulgular: Katılımcıların çoğu, cinsiyetten bağımsız olarak AD'ye düşük veya orta düzeyde uyum göstermektedir. AD uyum, bel çevresi (r=-0,169, p<0,01) ve bel-kalça oranı (r=-0,177, p<0,01) ile negatif korelasyon göstermiştir. Bununla birlikte, AD uyum ile UK veya YK arasında anlamlı bir ilişki bulunmamıştır (p>0,05). Yaş, AD'ye uyum ile pozitif korelasyon göstermiştir (r=0,106, p<0,01). AD'ye uyumu yüksek olan katılımcıların ortalama sağlık algısı puanları, orta ve düşük uyuma sahip olanlardan daha yüksektir. Ayrıca AD'ye uyum, yaşa göre düzeltme yapıldığında bile SF-36'nın rol sınırlaması (duygusal sorunlar) (r=0,132, p=<0,01), enerji ve zindelik (r=0,092, p<0,05), zihinsel sağlık (r=0,084, p<0,05) alt ölçekleriyle pozitif korelasyon göstermiştir. Sonuç: Bu çalışmada, çoğu katılımcı AD'ye düşük ila orta düzeyde uyum göstermiştir ve AD'ye uyum daha iyi vücut kompozisyonu ile ilişkili bulunmasına rağmen, UK ve genel YK ile anlamlı bir ilişki gözlenmemiştir. AD'ye uyum ile refah arasındaki ilişkinin karmaşıklığı, bu alanda daha fazla araştırmaya duyulan ihtiyacı vurgulamaktadır.

Anahtar Kelimeler: Akdeniz diyeti; uyku kalitesi; yaşam kalitesi
REFERENCES:
  1. Andrade V, Jorge R, García-Conesa MT, Philippou E, Massaro M, Chervenkov M, et al. Mediterranean diet adherence and subjective well-being in a sample of portuguese adults. Nutrients. 2020;12(12):3837. [Crossref]  [PubMed]  [PMC] 
  2. Radd-Vagenas S, Kouris-Blazos A, Singh MF, Flood VM. Evolution of Mediterranean diets and cuisine: concepts and definitions. Asia Pac J Clin Nutr. 2017;26(5):749-63. [PubMed] 
  3. Guasch-Ferré M, Willett WC. The Mediterranean diet and health: a comprehensive overview. J Intern Med. 2021;290(3):549-66. [Crossref]  [PubMed] 
  4. Zaragoza-Martí A, Ferrer-Cascales R, Hurtado-Sánchez JA, Laguna-Pérez A, Cabañero-Martínez MJ. Relationship between adherence to the mediterranean diet and health-related quality of life and life satisfaction among older adults. J Nutr Health Aging. 2018;22(1):89-96. [Crossref]  [PubMed] 
  5. Scoditti E, Tumolo MR, Garbarino S. Mediterranean diet on sleep: a health alliance. Nutrients. 2022;14(14):2998. [Crossref]  [PubMed]  [PMC] 
  6. Palagini L, Hertenstein E, Riemann D, Nissen C. Sleep, insomnia and mental health. J Sleep Res. 2022;31(4):e13628. [Crossref]  [PubMed] 
  7. Pano O, Sayón-Orea C, Gea A, Bes-Rastrollo M, Martínez-González MÁ, Martínez JA. Nutritional determinants of quality of life in a mediterranean cohort: the SUN study. Int J Environ Res Public Health. 2020;17(11):3897. [Crossref]  [PubMed]  [PMC] 
  8. Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017;9:151-61. [Crossref]  [PubMed]  [PMC] 
  9. St-Onge MP, Mikic A, Pietrolungo CE. Effects of diet on sleep quality. Adv Nutr. 2016;7(5):938-49. [Crossref]  [PubMed]  [PMC] 
  10. Tan X, Alén M, Cheng SM, Mikkola TM, Tenhunen J, Lyytikäinen A, et al. Associations of disordered sleep with body fat distribution, physical activity and diet among overweight middle-aged men. J Sleep Res. 2015;24(4):414-24. [Crossref]  [PubMed] 
  11. Henríquez Sánchez P, Ruano C, de Irala J, Ruiz-Canela M, Martínez-González MA, Sánchez-Villegas A. Adherence to the Mediterranean diet and quality of life in the SUN Project. Eur J Clin Nutr. 2012;66(3):360-8. [Crossref]  [PubMed] 
  12. Baysal A, Aksoy M, Besler HT, Bozkurt N, Keçecioğlu S, Mercanlıgil SM, et al. Diyet El Kitabı. 5. Baskı. Ankara: Hatiboğlu Yayınları; 2008.
  13. World Health Organization. Physical Status: The use of and Interpretation of Anthropometry: Report of a WHO Expert Committee. Geneva (Switzerland): Office of Publications, WHO; 1995.
  14. World Health Organization. Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. Geneva (Switzerland): WHO Document Production Services; 2011.
  15. Martínez-González MA, García-Arellano A, Toledo E, Salas-Salvadó J, Buil-Cosiales P, Corella D, et al; PREDIMED Study Investigators. A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. PLoS One. 2012;7(8):e43134. [Crossref]  [PubMed]  [PMC] 
  16. Özkan Pehlivanoğlu EF, Balcıoğlu H, Ünlüoğlu İ. Akdeniz diyeti bağlılık ölçeği'nin türkçe'ye uyarlanması geçerlilik ve güvenilirliği [Turkish validation and reliability of mediterranean diet adherence screener]. Osmangazi Tıp Dergisi. 2020;42(2):160-4. [Crossref] 
  17. Özlü ZK, Özer N. Richard-Campbell Uyku Ölçeği geçerlilik ve güvenilirlik çalışması [Richard-Campbell Sleep Questionnaire validity and reliability study]. Journal of Turkish Sleep Medicine. 2015;2:29-32. [Crossref] 
  18. Ware JE Jr. SF-36 health survey update. Spine (Phila Pa 1976). 2000;25(24):3130-9. [Crossref]  [PubMed] 
  19. Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa Form-36 (KF-36)'nın Turkçe versiyonunun güvenilirliği ve geçerliliği [Reliability and validity of the Turkish Version of Short Form-36 (SF-36)]. Ilac ve Tedavi Dergisi. 1999;12(2):102-6. [Link] 
  20. Obeid CA, Gubbels JS, Jaalouk D, Kremers SPJ, Oenema A. Adherence to the Mediterranean diet among adults in Mediterranean countries: a systematic literature review. Eur J Nutr. 2022;61(7):3327-44. [Crossref]  [PubMed]  [PMC] 
  21. 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. [Crossref]  [PubMed]  [PMC] 
  22. Yu D, Zhang X, Xiang YB, Yang G, Li H, Gao YT, et al. Adherence to dietary guidelines and mortality: a report from prospective cohort studies of 134,000 Chinese adults in urban Shanghai. Am J Clin Nutr. 2014;100(2):693-700. [Crossref]  [PubMed]  [PMC] 
  23. Romaguera D, Norat T, Mouw T, May AM, Bamia C, Slimani N, et al. Adherence to the Mediterranean diet is associated with lower abdominal adiposity in European men and women. J Nutr. 2009;139(9):1728-37. [Crossref]  [PubMed] 
  24. Naja F, Hasan H, Khadem SH, Buanq MA, Al-Mulla HK, Aljassmi AK, et al. Adherence to the mediterranean diet and its association with sleep quality and chronotype among youth: a cross-sectional study. Front Nutr. 2022;8:805955. [Crossref]  [PubMed]  [PMC] 
  25. Mantzorou M, Mentzelou M, Vasios GK, Kontogiorgis C, Antasouras G, Vadikolias K, et al. Mediterranean diet adherence is associated with favorable health-related quality of life, physical activity, and sleep quality in a community-dwelling greek older population. Antioxidants (Basel). 2023;12(5):983. [Crossref]  [PubMed]  [PMC] 
  26. Grandner MA. Sleep, health, and society. Sleep Med Clin. 2017;12(1):1-22. [Crossref]  [PubMed]  [PMC] 
  27. Gungor S, Tosun B, Unal N, Dusak I. Evaluation of dyspnea severity and sleep quality in patients with novel coronavirus. Int J Clin Pract. 2021;75(10):e14631. [Crossref]  [PubMed]  [PMC] 
  28. López-Olivares M, Fernández-Gómez E, Mohatar-Barba M, Luque-Vara T, Nestares T, López-Bueno M, et al. Adherence to the mediterranean diet is associated with health-related quality of life and anthropometric measurements in university professors. Healthcare (Basel). 2023;11(13):1928. [Crossref]  [PubMed]  [PMC] 
  29. de-Mateo-Silleras B, Camina-Martín MA, Cartujo-Redondo A, Carreño- Enciso L, de-la-Cruz-Marcos S, Redondo-Del-Río P. Health perception according to the lifestyle of university students. J Community Health. 2019;44(1):74-80. [PubMed] 
  30. Romero-Robles MA, Ccami-Bernal F, Ortiz-Benique ZN, Pinto-Ruiz DF, Benites-Zapata VA, Casas Patiño D. Adherence to Mediterranean diet associated with health-related quality of life in children and adolescents: a systematic review. BMC Nutr. 2022;8(1):57. [Crossref]  [PubMed]  [PMC] 
  31. Alcubierre N, Martinez-Alonso M, Valls J, Rubinat E, Traveset A, Hernández M, et al. Relationship of the adherence to the Mediterranean diet with health-related quality of life and treatment satisfaction in patients with type 2 diabetes mellitus: a post-hoc analysis of a cross-sectional study. Health Qual Life Outcomes. 2016;14:69. [Crossref]  [PubMed]  [PMC] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

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