Yaşam Kalitesine İlişkin Bütüncül Yaklaşımlar: Obezitenin Sosyal, Psikolojik ve Fiziksel Yönleri

Abstract

Amaç: Obezite, morbidite ve mortalite ile yakından ilişkili önemli bir halk sağlığı sorunudur. Bu bireylerde sağlıkla ilişkili yaşam kalitesi (SİYK), birçok fiziksel, psikolojik ve sosyal faktörden etkilenebilir. Bu nedenle çalışmanın amacı, pre-obez ve obez bireylerde SİYK’yi etkileyen çoklu faktörleri incelemekti. Gereç ve Yöntem: Pre-obez ve obez bireylerin fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Anketi-Kısa Form ile, yorgunluk şiddeti Yorgunluk Şiddeti Ölçeği ile, uyku hali Epworth Uykululuk Ölçeği ile, depresif belirtiler Beck Depresyon Envanteri ile, yeme davranışları Üç Faktörlü Yeme Anketi ile, sosyal bağlılık Sosyal Bağlılık Ölçeği ile ve SİYK, Obezitede Hasta Bildirimli Sonuçlar Anketi ile değerlendirildi. Sonuçlar: Çalışmaya 263 birey dahil edildi. Artmış vücut kitle indeksi (p<0,001), yorgunluk (p<0,001), depresif belirtiler (p<0,001), kontrolsüz yeme davranışı (p<0,001), azalmış fiziksel aktivite düzeyi (p<0,001) ve sosyal bağlılığın (p=0,023) yaşam kalitesini olumsuz etkilediği bulundu. Açıklayıcılık katsayısı 0,609 olarak hesaplandı. Tartışma: Pre-obez ve obez yetişkinlerde SİYK’yi çok boyutlu olarak etkileyen belirleyicilerin saptanması büyük önem taşımaktadır. Çalışmamızın, pre-obez ve obez yetişkinlerde SİYK’yi etkileyen değişkenlere kapsamlı bir bakış sunması beklenmektedir.

Keywords

• Yetişkin
• Sağlık
• Obezite
• Yaşam kalitesi

Holistic Perspectives on Quality of Life: Social, Psychological, and Physical Aspects of Obesity

Abstract

Objectives: Obesity is an important public health problem closely associated with morbidity and mortality. Health-related quality of life (HRQoL) can be affected by many physical, psychological and social factors in these individuals. Therefore, the aim of the study was to investigate the multiple factors affecting HRQoL in pre-obese and obese individuals. Material and Methods: Pre-obese and obese individuals' physical activity levels were measured with the International Physical Activity Questionnaire-Short Form, fatigue severity with the Fatigue Severity Scale, sleepiness with the Epworth Sleepiness Scale, depressive symptoms with the Beck Depression Inventory, eating behaviors with the Three-Factor Eating Questionnaire, social connectedness with the Social Connectedness Scale, and HRQoL with the Patient-Reported Outcomes in Obesity Questionnaire. Results: Two hundred and sixty-three individuals were included in the study. Increased body mass index (p<0.001), fatigue (p<0.001), depressive symptoms (p<0.001), uncontrolled eating behavior (p<0.001), decreased physical activity level (p<0.001), and social connection (p=0.023) were found to negatively affect quality of life. The coefficient of determination was 0.609. Discussion: It is very important to determine the predictors affecting HRQoL in multidimensional pre-obese and obese adults. Our study is expected to provide a comprehensive look at the variables affecting HRQoL in pre-obese and obese adults.

Keywords

• Adult
• Health
• Obesity
• Quality of life

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