TY - JOUR T1 - DO DISABILITY TYPE AND SEVERITY AFFECT OBESITY AND MEAL CONSUMPTION IN INDIVIDUALS WITH DISABILITIES? TT - Engelli Bireylerde Engellilik Türü ve Engellilik Düzeyi Obezite ve Öğün Tüketimini Etkiliyor mu? AU - Özenir, Çiler AU - Nişancı Kılınç, Fatma AU - Çakır, Biriz AU - Ekici, Emine Merve PY - 2025 DA - October Y2 - 2025 DO - 10.33715/inonusaglik.1642347 JF - İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi JO - JHVS PB - Inonu University WT - DergiPark SN - 2147-7892 SP - 693 EP - 706 VL - 13 IS - 3 LA - en AB - The aim of this study was to determine obesity and meal consumption patterns among adults with different types and severity of disability. The study was conducted with 209 adults with disabilities attending special education and rehabilitation centers in Kırıkkale. Participants were assigned to three groups: individuals with mental, physical, or combined mental and physical disabilities. Body weight, height, waist circumference, and body fat percentage were measured, and body mass index (BMI) and waist-to-height ratio (WHR) were calculated. In addition, participants’ main and snack meal consumption habits were assessed. 56.9% of the participants had mental disabilities. 36.8% had a disability severity between 51–75%. While the body fat percentage differed significantly between groups based on disability type (p=0.035), both BMI and body fat percentage varied significantly according to disability severity (p=0.030; p=0.011). Obesity prevalence that was determined by WHR, was higher than other parameters in adults with disabilities. The proportion of adults with mental disabilities who consumed three main meals per day was higher than those with a physical disability (p=0.021). Eating habits play a key role in preventing and managing obesity in individuals with disabilities; therefore, public health policies should address their specific needs. KW - Body mass index KW - Disabled adult KW - Meal consumption KW - Obesity KW - Waist Circumference N2 - Bu çalışmanın amacı farklı engel türü ve düzeyine sahip yetişkinlerde obezite ve öğün tüketimini belirlemektir. Çalışma Kırıkkale ilinde özel eğitim ve rehabilitasyon merkezlerine devam eden 209 yetişkin engelli ile yürütülmüştür. Engellilik “zihinsel”, “bedensel” ve “zihinsel ve bedensel” olmak üzere sınıflandırılmıştır. Engellilerin vücut ağırlığı, boy uzunluğu, bel çevresi, vücut yağ yüzdesi ölçülmüş, beden kütle indeksi ve bel/boy oranı hesaplanmıştır. Engellilerin ana ve ara öğün tüketimleri sorgulanmıştır. Engellilerin %56,9’u zihinsel engellidir. Engellilerin %36,8’inin engel oranı %51-75’tir. Engellilik türüne göre sadece vücut yağ yüzdesi gruplar arasında farklılık gösterirken (p=0,035); hem beden kütle indeksi hem de yağ yüzdesi engellilik düzeyine göre farklıdır (p=0,030; p=0,011). Bel/boy oranına göre belirlenen obezite yaygınlığı diğer parametrelere göre daha yüksektir. Zihinsel engelli yetişkinlerin günde 3 ana öğün tüketme yüzdesi fiziksel engelli bireylerden daha yüksek bulunmuştur (p=0,021). Beden kütle indeksine göre engellilerin dörtte birinde obezite, bel çevresine göre ise %34,6'sında santral obezite saptanmıştır. Ayrıca engelli bireyler çoğunlukla 3 ana öğün tüketmektedir. CR - Ashwell, M. & Gibson, S. (2016). Waist-to-height ratio as an indicator of ‘early health risk’: simpler and more predictive than using a ‘matrix’ based on BMI and waist circumference. BMJ Open, 6, e010159. CR - Azevedo, ERFBM., Alonso, K. C. & Cliquet, A. (2016). Body composition assessment by bioelectrical impedance analysis and body mass index in individuals with chronic spinal cord injury. J Electr Bioimp, 7, 2-5. CR - Bertoli, S., Battezzati, A., Merati, G., Margonato, V., Maggioni, M., Testolin, G. & Veicsteinas, A. (2006). 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Retrieved from https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/world-report-on-disability UR - https://doi.org/10.33715/inonusaglik.1642347 L1 - https://dergipark.org.tr/en/download/article-file/4620758 ER -