Research Article
BibTex RIS Cite

Genel Cerrahi Polikliniğine Başvuran Normal Kilolu ve Obez Hastalarda Obezite Prevelans ve Farkındalık Çalışması

Year 2020, Volume: 73 Issue: 2, 176 - 182, 21.07.2020

Abstract

Amaç: Çalışmamızda genel cerrahi polikliniğine başka sebeplerle başvuran normal kilolu ve obez hastaların; obezite hastalığı hakkında ne kadar bilgi
sahibi olduğunu ortaya koymayı, farkındalığını tespit etmeyi ve obezite prevelansını bulmayı hedefledik.

Gereç ve Yöntem: Genel cerrahi kliniğine başvuran 18 yaş ve üzeri hastalardan kapalı ortamda yüz yüze görüşme metodu ile evet-hayır şeklinde
cevaplar içeren 23 soruluk daha önceden araştırmacılar tarafından hazırlanan anket formu doldurularak obezite ile ilişkili epidemiyolojik risk
faktörleri ve obeziteye eşlik edebilecek sağlık sorunları ile ilgili cevaplar alındı. Hastalar vücut kitle indekslerine (VKİ) göre; VKİ<30 olan hastalar grup
1, VKİ ≥30 olan hastalar grup 2 olarak sınıflandırıldı.

Bulgular: Toplam 956 hasta dahil edildi. Boy-kilo ortalaması sırasıyla 167,57±8,93 cm ve 71,88±14,34 kg idi. Obezite insidansı %13,2 olarak tespit
edildi. Gruplar arasında cinsiyet (p=0,007), medeni durum (p<0,0001), yaş (p=0,02), çocuk sayısı (p<0,0001), alkol kullanımı (p=0,028) ve sigara içme
(p=0,022) kullanımı açısından istatistiksel olarak anlamlı fark tespit edildi. Hastaların %61’i (n=51) obezitenin cerrahi olarak tedavi edilebilecek bir
hastalık olduğunu (p=0,037). Gruplar arasında ailesinde obezite olan hastalar ile VKİ’sinin ≥30 olması arasında istatistiksel olarak anlamlı (p=0,003)
bir bağ olduğu görüldü.

Sonuç: Çalışmamız toplumumuzun obezite ile ilgili bilinç düzeyini değerlendirmek amacıyla ülkemizde yapılan ilk çalışmadır. Obezitenin farkındalığı
ve sebep olduğu hastalıklar toplumun çoğunluğunca (>50’den fazla) bilinse de halen yeterli değildir. Obezite hakkında toplumda daha fazla
bilgilendirmeler yapılarak prevelansının azaltılabileceği ve neden olabileceği hastalıkların önüne geçilebileceği kanaatindeyiz.

Ethical Statement

Etik Kurul Onayı: Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu tarafından 21.01.2019 tarih ve 2019-02-10 karar numarası ile onay alınmıştır.

Supporting Institution

-

Project Number

-

Thanks

-

References

  • 1. Ljungvall Å, Zimmerman FJ. Bigger bodies: long-term trends and disparities in obesity and body-mass index among US adults, 1960-2008. Social science & medicine. 2012;75:109-119.
  • 2. Douketis JD, Macie C, Thabane L, et al. Systematic review of long-term weight loss studies in obese adults: clinical significance and applicability to clinical practice Int J Obes (Lond). 2005;29:1153.
  • 3. Jensen MD, Ryan DH, Apovian CM, et al. AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014;129:S102-S138.
  • 4. World Health Organization. Obesity preventing and managing the global epidemic. Report of a WHO consultation. Geneva, WHO technical report series 894, 2000.
  • 5. Flegal KM, Kit BK, Orpana H, et al. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309:71-82.
  • 6. Tokunaga K, Matsuzawa Y, Kotani K, et al. Ideal body weight estimated from the body mass index with the lowest morbidity. International Journal of Obesity. 1991;15:1-5.
  • 7. Yalçın BM, Şahin EM, Yalçın E. Prevalance and epidermiologıcal risk factors of obesity ın turkey, middle east journal of family madicine 2004;6. http:// mejfm.com/journal/Jul2004/Risk%20Factors%20of%20Obesity.pdf
  • 8. Yumuk VD. Prevalence of obesity in Turkey. Obesity reviews. 2005;6:9-10.
  • 9. Tsigos C, Hainer V, Basdevant A, et al. Management of obesity in adults: European clinical practice guidelines. Obesity facts. 2008;1:106-116.
  • 10. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724-1737.
  • 11. Satman I, Yilmaz T, Sengül A, et al. Population-based study of diabetes and risk characteristics in Turkey: results of the turkish diabetes epidemiology study (TURDEP). Diabetes Care. 2002;25:1551-1556.
  • 12. Satman I, Omer B, Tutuncu Y, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur j Epidemiol. 2013;28:169-180.
  • 13. Ghaderian SB, Yazdanpanah L, Shahbazıan H, et al. Prevalence And Correlated Factors Of Obesity, Overweight And Central Obesity İn Southwest Of Iran. Iranian Journal Of Public Health. 2019;48:1354-1361.
  • 14. Jacobs, Molly. “Adolescent smoking: The relationship between cigarette consumption and BMI.” Addictive behaviors reports 2019;9:100153.
  • 15. Brownell KD, Walsh TB, eds. Eating disorders and obesity: A comprehensive handbook. Guilford Publications, The Guilford Press; Third edition; 2017.
  • 16. Traversy G, Chaput JP. “Alcohol consumption and obesity: an update.” Current obesity reports. 2015;4:122-130.
  • 17. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724-1737.
  • 18. Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. New England journal of medicine. 2007;357:741-752.
  • 19. Taft C, Ryden A, Sjostrom L, et al. Ten-year trends in health-related quality of life after surgical and conventionaltreatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31:1248-1261.
  • 20. Glenn T, Harris AL, Lindheim SR. Impact of obesity on male and female reproductive outcomes. Curr Opin Obstet Gynecol. 2019;31:201-206.
  • 21. Kulie T, Slattengren A, Redmer J, et al. Obesity and women’s health: an evidence-based review. The Journal of the American Board of Family Medicine. 2011;24:75-85.
  • 22. Moodley LM, Rambiritch V. An assessment of the level of knowledge about diabetes mellitus among diabetic patients in a primary healthcare setting. South African Family Practice. 2007;49:16-16d.

Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic

Year 2020, Volume: 73 Issue: 2, 176 - 182, 21.07.2020

Abstract

Objectives: In our study, we aimed to reveal prevalence of obesity, obesity knowledge and awareness in normal weight and obese patients who
applied to the general surgery outpatient clinic for different reasons.

Materials and Methods: The questionnaire containing 23 yes-no questions, which was previously prepared by researchers, was filled in and answers
were received regarding epidemiological risk factors associated with obesity and health problems that may accompany obesity. Patients with body
mass index (BMI) <30 were classified as group 1 and those with BMI ≥30 were classified according to their BMIs.

Results: A total of 956 patients were included. The mean height-weight were 167.57±8.93 cm and 71.88±14.34 kg, respectively. The incidence
of obesity was determined as 13.2%. Gender (p=0.007), marital status (p<0.0001), age (p=0.02), number of children (p<0.0001), use of alcohol
(p=0.028) and smoking (p=0.022) were found statistically significance between groups. 61% (n=51) of the patients thought that obesity is a disease
that can be treated surgically (p=0.037). When groups compared there was a statistically significant relationship between patients with obesity in
their families and patients with BMI ≥30.

Conclusion: Our study is the first in our country to evaluate the knowledge and awareness level of our society about obesity. Although the
awareness of obesity and the diseases it causes are known by the majority of the population (more than >50), it is still not sufficient. We believe
that the prevalence can be reduced and the diseases that it can cause can be prevented by giving more information about obesity in the society

Project Number

-

References

  • 1. Ljungvall Å, Zimmerman FJ. Bigger bodies: long-term trends and disparities in obesity and body-mass index among US adults, 1960-2008. Social science & medicine. 2012;75:109-119.
  • 2. Douketis JD, Macie C, Thabane L, et al. Systematic review of long-term weight loss studies in obese adults: clinical significance and applicability to clinical practice Int J Obes (Lond). 2005;29:1153.
  • 3. Jensen MD, Ryan DH, Apovian CM, et al. AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014;129:S102-S138.
  • 4. World Health Organization. Obesity preventing and managing the global epidemic. Report of a WHO consultation. Geneva, WHO technical report series 894, 2000.
  • 5. Flegal KM, Kit BK, Orpana H, et al. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309:71-82.
  • 6. Tokunaga K, Matsuzawa Y, Kotani K, et al. Ideal body weight estimated from the body mass index with the lowest morbidity. International Journal of Obesity. 1991;15:1-5.
  • 7. Yalçın BM, Şahin EM, Yalçın E. Prevalance and epidermiologıcal risk factors of obesity ın turkey, middle east journal of family madicine 2004;6. http:// mejfm.com/journal/Jul2004/Risk%20Factors%20of%20Obesity.pdf
  • 8. Yumuk VD. Prevalence of obesity in Turkey. Obesity reviews. 2005;6:9-10.
  • 9. Tsigos C, Hainer V, Basdevant A, et al. Management of obesity in adults: European clinical practice guidelines. Obesity facts. 2008;1:106-116.
  • 10. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724-1737.
  • 11. Satman I, Yilmaz T, Sengül A, et al. Population-based study of diabetes and risk characteristics in Turkey: results of the turkish diabetes epidemiology study (TURDEP). Diabetes Care. 2002;25:1551-1556.
  • 12. Satman I, Omer B, Tutuncu Y, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur j Epidemiol. 2013;28:169-180.
  • 13. Ghaderian SB, Yazdanpanah L, Shahbazıan H, et al. Prevalence And Correlated Factors Of Obesity, Overweight And Central Obesity İn Southwest Of Iran. Iranian Journal Of Public Health. 2019;48:1354-1361.
  • 14. Jacobs, Molly. “Adolescent smoking: The relationship between cigarette consumption and BMI.” Addictive behaviors reports 2019;9:100153.
  • 15. Brownell KD, Walsh TB, eds. Eating disorders and obesity: A comprehensive handbook. Guilford Publications, The Guilford Press; Third edition; 2017.
  • 16. Traversy G, Chaput JP. “Alcohol consumption and obesity: an update.” Current obesity reports. 2015;4:122-130.
  • 17. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724-1737.
  • 18. Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. New England journal of medicine. 2007;357:741-752.
  • 19. Taft C, Ryden A, Sjostrom L, et al. Ten-year trends in health-related quality of life after surgical and conventionaltreatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31:1248-1261.
  • 20. Glenn T, Harris AL, Lindheim SR. Impact of obesity on male and female reproductive outcomes. Curr Opin Obstet Gynecol. 2019;31:201-206.
  • 21. Kulie T, Slattengren A, Redmer J, et al. Obesity and women’s health: an evidence-based review. The Journal of the American Board of Family Medicine. 2011;24:75-85.
  • 22. Moodley LM, Rambiritch V. An assessment of the level of knowledge about diabetes mellitus among diabetic patients in a primary healthcare setting. South African Family Practice. 2007;49:16-16d.
There are 22 citations in total.

Details

Primary Language English
Subjects Surgical Diseases Nursing​​
Journal Section Articles
Authors

Serhan Yılmaz 0000-0002-5612-5932

Project Number -
Publication Date July 21, 2020
Published in Issue Year 2020 Volume: 73 Issue: 2

Cite

APA Yılmaz, S. (2020). Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 73(2), 176-182. https://doi.org/10.4274/atfm.galenos.2020.35119
AMA Yılmaz S. Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. July 2020;73(2):176-182. doi:10.4274/atfm.galenos.2020.35119
Chicago Yılmaz, Serhan. “Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 73, no. 2 (July 2020): 176-82. https://doi.org/10.4274/atfm.galenos.2020.35119.
EndNote Yılmaz S (July 1, 2020) Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic. Ankara Üniversitesi Tıp Fakültesi Mecmuası 73 2 176–182.
IEEE S. Yılmaz, “Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 73, no. 2, pp. 176–182, 2020, doi: 10.4274/atfm.galenos.2020.35119.
ISNAD Yılmaz, Serhan. “Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 73/2 (July 2020), 176-182. https://doi.org/10.4274/atfm.galenos.2020.35119.
JAMA Yılmaz S. Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2020;73:176–182.
MLA Yılmaz, Serhan. “Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 73, no. 2, 2020, pp. 176-82, doi:10.4274/atfm.galenos.2020.35119.
Vancouver Yılmaz S. Obesity Awareness and Prevalance Study: Patients Admitted to General Surgery Outpatient Clinic. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2020;73(2):176-82.