EVALUATION OF THE LEVEL OF PHYSICAL ACTIVITY AND QUALITY OF LIFE IN PATIENTS REGISTERED TO THE OBESITY CENTER: SAMSUN PROVINCE EXAMPLE

Year 2023, , 248 - 259, 31.08.2023

Emine Öztürk Karatepe , Mahcube Cubukcu , Nur Şimşek Yurt

https://doi.org/10.24938/kutfd.1306987

Abstract

Objective: Obesity centers are established centers that enable people to reach and maintain their ideal weight by offering lifestyle changes. The aim of this study was to determine the physical activity and quality of life levels of patients registered in the obesity center and to examine their relationship with obesity.

Material and Methods: Of 652 patients admitted to an obesity center between October 1, 2019, and January 30, 2020, 118 met the inclusion criteria. Patients whose informed consent was obtained were evaluated through the medium of a questionnaire containing socio-demographic data, the International Physical Activity Questionnaire, and the SF-36 Quality of Life Form.

Results:  Of the patients enrolled in the study, 81.4% were female. The mean age of the patients was 46.7±11.5 years, the mean body mass index (BMI) was 37.7±6.2 kg/m². A statistically significant difference was found between obese classes and educational status, occupational groups, presence of chronic disease; hypertension, diabetes, and hyperlipidemia (respectively; p=0.040, p=0.026, p=0.031, p=0.011, p=0.001 and p<0.001). Diabetes was determined as an independent risk factor in the presence of morbid obesity (p=0.002). Morbid obese people scored significantly lower in terms of SF-36 quality of life sub-dimensions compared to class I and II obese patients.

Conclusion: It has been determined that as BMI increases in obese patients, the level of physical activity and quality of life decreases. We think that multidisciplinary institutions such as obesity centers are important for individuals to reach their ideal weight and acquire the right lifestyle habits.

Keywords

Obesity, quality of life, exercise, morbid obesity

Obezite Merkezine Kayıtlı Hastalarda Fiziksel Aktivite Düzeyi ve Yaşam Kalitesinin Değerlendirilmesi: Samsun İli Örneği

Abstract

Amaç: Obezite merkezleri, yaşam tarzı değişiklikleri sunarak insanların ideal kilolarına ulaşmalarını ve kilolarını korumalarını sağlayan merkezlerdir. Bu çalışmanın amacı, obezite merkezine kayıtlı hastaların fiziksel aktivite ve yaşam kalitesi düzeylerinin belirlenerek obezite ile ilişkisinin incelenmesidir.

Gereç ve Yöntem: 1 Ekim 2019 ile 30 Ocak 2020 tarihleri arasında obezite merkezine başvuran 652 hastanın 118'i çalışmaya dahil edildi. Aydınlatılmış onamı alınan hastalar, sosyodemografik verileri içeren bir anket, Uluslararası Fiziksel Aktivite Anketi ve SF-36 Yaşam Kalitesi Formu aracılığıyla değerlendirildi.

Bulgular: Çalışmaya alınan hastaların %81.4'ü kadındı. Hastaların yaş ortalaması 46.7±11.5 yıl, ortalama beden kitle indeksi (BKİ) 37.7±6.2 kg/m² idi. Obezite derecesi ile eğitim durumu, meslek grupları, hipertansiyon, diyabet ve hiperlipidemi arasında istatistiksel olarak anlamlı fark bulundu (sırasıyla; p=0.040, p=0.026, p=0.031, p=0.011, p=0.001 ve p<0.001). Morbid obezite varlığında diyabet bağımsız bir risk faktörü olarak belirlendi (p=0.002). Morbid obezler SF-36 yaşam kalitesi alt boyutlarında sınıf I ve II obez hastalara göre anlamlı derecede daha düşük puan aldı.

Sonuç: Obez hastalarda BKİ arttıkça fiziksel aktivite düzeyinin ve yaşam kalitesinin düştüğü belirlendi. Bireylerin ideal kiloya ulaşabilmeleri ve doğru yaşam tarzı alışkanlığını kazanabilmeleri için obezite merkezleri gibi multidisipliner kurumların önemli olduğunu düşünmekteyiz.

Keywords

Obezite, yaşam kalitesi, egzersiz, morbid obezite

References

• Emre N, Öner M. The relationship between obesity, quality of life and psychological state in women living in rural areas. Turk J Fam Pract. 2018;22(4):176-84
• Savci S, Ozturk M, Arıkan H, Ince DI, Tokgozoglu LU. University students' physical activity levels and physical activity preferences. Arch Turk Soc Cardiol. 2006;34(3):166-72.
• Sonmez K, Akcakoyun M, Demir D, Akcay A, Pala S, Eksi Duran N, et al. Risk factors distribution according to the obesity degrees in patients with coronary artery disease. Anatol J Cardiol. 2002;2(3):203-10.
• Diagnosis and Treatment Guideline for Obesity. [Internet]. The Society of Endocrinology and Metabolism of Turkey. 2019 [cited 10.08.2022]. Available from: https://file.temd.org.tr/ Uploads/ publications/guides/documents/20190506163904-2019tbl_kilavuz5ccdcb9e5d.pdf?a=1.
• Vallis M. Quality of life and psychological well-being in obesity management: Improving the odds of success by managing distress. Int J Clin Pract. 2016;70(3):196-205.
• Kolotkin RL, Andersen JR. A systematic review of reviews: Exploring the relationship between obesity, weight loss and health‐related quality of life. Clin Obes. 2017;7(5):273-89.
• Pınar R. Depression, Self-Esteem and body ımage in obese people: A comparative study. Journal of Cumhuriyet University School of Nursing. 2002;6(1):30-41.
• Dortbudak Z, Cetin Z, Guven B. The Effects of Socio-demographics, self-care practices and diabetes related complications on quality of life in a diabetes outpatient sample. J Educ Res Nurs. 2010;7(2):59-65.
• Kundakcı YE, İsa G, Atacan A. Investigation of physical activity and diet consultancy services provided in a healthy life center. Med J Mustafa Kemal University. 2022;13(45):35-43.
• Circular on the Opening, Registration, Working Procedures and Principles of Obesity Centers [Internet]. 2018. Available from: https://shgm .saglik.gov.tr/TR,50203/201829-sayili-obezite-merkezlerinin-acilmasi-tescil-edilmesi-calisma-usul-ve-esaslari-hakkinda-genelgesi.html. .
• Yildirim DI, Eryilmaz MA. Evaluation of patient profile and training effectiveness applying to obesity center. Ankara Med J. 2020;20(2):327-36.
• Belibagli MC, Celikkanat Ş. Problem-solving self-appraisals of obese patients. Eur Rev Med Pharmacol Sci. 2019;23:10498-500.
• Obesity Centers And Obesity Surgery Applications Regulation About [Internet].  [cited 18.07.2023]. Available from: https://www. resmigazete.gov.tr/eskiler/2023/05/20230506-10.htm.
• Obesit Education Program [Internet]. Republic of Turkey Ministry of Health, Ankara.  [cited 03.01.2022]. Available from: https://www.obezit .org/bilissel-egitim-seminerler/.
• Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95.
• Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84.
• Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992:473-83.
• Kocyigit H. Reliability and validity of the Turkish version of short form-36 (SF-36): a study in a group of patients will rheumatic diseases. Turk J Drugs Ther. 1999;12:102-6.
• World Health Organization 2008. Global Strategy On Diet Physical Activity And Health. [Internet].  [cited 11.01.2023 ]. Available from: http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf.
• Health Research of Turkey [Internet]. 2016 [cited 11.01.2023]. Available from: https://data.tuik.gov .tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2016-24573.
• Tuzun M. Definition, Frequency, Diagnosis, Classification, Types, Degrees and Complications of Obesity: Istanbul Nobel Medical Bookstore; 1995. 1-18 p.
• Akbas F, Atmaca HU, Karadas E, Yildiz I, Okten IN. Evaluation of data from the obesity outpatient clinic at the end of the second year as a newly formed unit in Istanbul Training and Research Hospital. İstanbul Med J. 2013;14:253-6.
• Satman İ, Yılmaz MT. Epidemiology of Obesity in the World and Turkey. Aktüel Tıp Dergisi. 2001;6:9-12.
• Erem C, Yildiz R, Kavgaci H, Karahan C, Deger O, Can G, et al. Prevalence of diabetes, obesity and hypertension in a Turkish population (Trabzon city). Diabetes Res Clin Pract. 2001;54(3):203-8.
• Kaya A. Obesity and hypertension. Turk J Endocrinol Metab. 2003;2:13-21.
• Veli I, Özcan F. Investigation of the physical activity levels who applied to a family health center in rural area. Ortadogu Med J. 2018;10(3):322-30.
• Hemmingsson E, Ekelund U. Is the association between physical activity and body mass index obesity dependent? International Journal of Obesity. 2007;31(4):663-8.
• Hamer M, Kivimaki M, Steptoe A. Longitudinal patterns in physical activity and sedentary behaviour from mid-life to early old age: A substudy of the Whitehall II cohort. J Epidemiol Community Health. 2012;66(12):1110-5.
• Farrell L, Hollingsworth B, Propper C, Shields MA. The socioeconomic gradient in physical inactivity: Evidence from one million adults in England. Soc Sci Med. 2014;123:55-63.
• Nazlican E, Demirhindi H, Akbaba M. Assessment of obesity and associated risk factors in women aged 20-64 living in solakli and karatas health centers in city of Adana. Journal of Duzce University Health Sciences Institute. 2011;1(2):5-12.
• Jia H, Lubetkin EI. The impact of obesity on health-related quality-of-life in the general adult US population. J Public Health (Oxf). 2005;27(2):156-64.
• Sach TH, Barton GR, Doherty M, Muir KR, Jenkinson C, Avery AJ. The relationship between body mass index and health-related quality of life: Comparing the EQ-5D, EuroQol VAS and SF-6D. Int J Obes. 2007;31(1):189-96.
• Foster GD, Phelan S, Wadden TA, Gill D, Ermold J, Didie E. Promoting more modest weight losses: A pilot study. Obes Res. 2004;12(8):1271-7.
• Jensen GL, Roy MA, Buchanan AE, Berg MB. Weight loss intervention for obese older women: Improvements in performance and function. Obes Res. 2004;12(11):1814-20.
• Ucan O, Ovayolu N. Relationship between diabetes mellitus, hypertension and obesity, and health‐related quality of life in Gaziantep, a central south‐eastern city in Turkey. J Clin Nurs. 2010;19(17‐18):2511-9.