Year 2018, Volume 16 , Issue 3, Pages 190 - 203 2018-12-24

Aims: This study aimed to determine the prevalence of chronic diseases and behavioural risk factors from the baseline data of a large prospective cohort study initiated in the Cappadocia region of Turkey. Method: The study population consisted of adult volunteers who resided in two towns, Gulsehir and Avanos, of the Cappadocia region.  For the planned community-based intervention trials, Gulsehir served as the “intervention” town and Avanos was the “control” town. The study was initiated in 2013 and was planned to be continued for a minimum of 10 years. Study offices were established in both towns and trained personnel conducted electronic questionnaires and physical examinations by visiting households and working places. Results: In total, 10,992 individuals were enrolled. Compared to Turkey’s adult population, the mean age (44.5±17.4 years vs. 31.9±21.2 years) and the female proportion (56.5% vs. 51.2%) were higher but the proportion of university graduates (17.1% vs. 32.2%) was lower in the study cohort. The rates of females having obesity (39.0% vs. 20.8%) and high-risk waist circumference (61.8% vs. 30.7%) were higher than males. Obesity was also a very prevalent risk factor among females in both towns (36.9% in Avanos and 41.5% in Gulsehir). Physical activity levels were low; only 6% of females and 8% of males were “active” or “very active” even at the youngest age group (18-34 years). The rate of smoking was higher in males than in females (46.9% vs. 13.8%). The prevalence of hypertension, diabetes mellitus, and rheumatologic diseases were higher in females than in males (p<0.0001 for each); however, no significant differences were obtained for cardiovascular diseases and chronic obstructive pulmonary disease. In both towns, hypertension was the most commonly reported chronic disease followed by DM, hyperlipidaemia, and cardiovascular diseases. Conclusions: Baseline data revealed a high prevalence of modifiable lifestyle risk factors in the Cappadocia region of Turkey and elucidated the need for effective community-based interventions.


Amaç: Bu çalışmada, Türkiye'nin Kapadokya bölgesinde başlatılan geniş bir prospektif kohort çalışmasının temel verilerinden kronik hastalıkların ve davranışsal risk faktörlerinin prevalansını belirlemek amaçlanmıştır. Yöntem: Çalışma popülasyonu Kapadokya bölgesinin iki ilçesi Gülşehir ve Avanos'ta ikamet eden yetişkin gönüllülerden oluşuyordu. Toplum temelli olarak planlanan bu müdahale çalışmasında Gülşehir “müdahale”, Avanos “kontrol” ilçesi olarak seçildi. Çalışma 2013 yılında başlatıldı ve en az 10 yıl devam etmesi planlandı. Her iki ilçede de çalışma ofisleri kuruldu ve eğitimli personeller tarafından ev ve iş yeri ziyaretleri ile elektronik anketler uygulandı ve fizik muayeneler yapıldı. Bulgular: Toplamda 10.992 kişi kaydedilddahil edildi. Türkiye'nin erişkin nüfusu ile karşılaştırıldığında, çalışma kohortunda yaş ortalaması (44.5±17.4 yıla karşılık 31.9±21.2 yıl) ve kadın oranı (%56.5’e karşılık %51.2) daha yüksekti ancak üniversite mezunlarının oranı (%17.1'e karşılık %32.2) daha düşüktü. Kadınlarda erkeklere kıyasla obezite (%39.0’a karşılık %20.8) ve yüksek riskli bel çevresi (%16.8’e karşılık %30.7) oranı daha yüksekti. Obezite ayrıca her iki ilçede de kadınlar arasında çok yaygın bir risk faktörüydü (Avanos'ta %36.9 ve Gülşehir'de %41.5). Fiziksel aktivite seviyeleri düşüktü; en genç yaş grubunda bile (18-34 yaş) sadece kadınların %6'sı ve erkeklerin %8'i “aktif” veya “çok aktif” idi. Sigara içme oranı erkeklerde kadınlara göre daha yüksekti (%46.9 karşılık %13.8). Hipertansiyon, diabetes mellitus ve romatolojik hastalıkların prevalansı kadınlarda erkeklere göre daha yüksekti (her biri için p <0.0001); ancak kardiyovasküler hastalıklar ve kronik obstrüktif akciğer hastalığı için anlamlı fark saptanmadı. Her iki ilçede de hipertansiyon en sık bildirilen kronik hastalık iken, bunu Diabetes Mellitus, hiperlipidemi ve kardiyovasküler hastalıklar izliyordu. Sonuçlar: Başlangıç veriler, Türkiye'nin Kapadokya bölgesinde modifiye edilebilir yaşam tarzı risk faktörlerinin yüksek prevalansını göstermiş ve etkili toplum tabanlı müdahalelere duyulan ihtiyacı ortaya çıkarmıştır.



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Primary Language en
Journal Section Original Research
Authors

Author: Serhat UNAL (Primary Author)

Author: Sibel ASCİOGLU (Primary Author)

Author: Ahmet DEMİRKAZİK

Author: İhsan ERTENLİ

Author: Erdal ESKİOGLU

Author: Kerim GULER

Author: Sedat KİRAZ

Author: Mert OZBAKKALOGLU

Author: Birol OZER

Author: Tufan TUKEK

Author: Mine Durusu TANRİOVER

Author: Eda AKYAR

Author: Pelin CAGATAY

Author: Yunus ERDEM

Dates

Application Date : December 12, 2017
Acceptance Date : July 27, 2021
Publication Date : December 24, 2018

Bibtex @research article { tjph500196, journal = {Turkish Journal of Public Health}, issn = {}, eissn = {1304-1088}, address = {}, publisher = {Turkish Society of Public Health Specialists}, year = {2018}, volume = {16}, pages = {190 - 203}, doi = {10.20518/tjph.500196}, title = {Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey}, key = {cite}, author = {Unal, Serhat and Ascioglu, Sibel and Demirkazik, Ahmet and Ertenli, İhsan and Eskioglu, Erdal and Guler, Kerim and Kiraz, Sedat and Ozbakkaloglu, Mert and Ozer, Birol and Tukek, Tufan and Tanriover, Mine Durusu and Akyar, Eda and Cagatay, Pelin and Erdem, Yunus} }
APA Unal, S , Ascioglu, S , Demirkazik, A , Ertenli, İ , Eskioglu, E , Guler, K , Kiraz, S , Ozbakkaloglu, M , Ozer, B , Tukek, T , Tanriover, M , Akyar, E , Cagatay, P , Erdem, Y . (2018). Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey . Turkish Journal of Public Health , 16 (3) , 190-203 . DOI: 10.20518/tjph.500196
MLA Unal, S , Ascioglu, S , Demirkazik, A , Ertenli, İ , Eskioglu, E , Guler, K , Kiraz, S , Ozbakkaloglu, M , Ozer, B , Tukek, T , Tanriover, M , Akyar, E , Cagatay, P , Erdem, Y . "Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey" . Turkish Journal of Public Health 16 (2018 ): 190-203 <https://dergipark.org.tr/en/pub/tjph/issue/41354/500196>
Chicago Unal, S , Ascioglu, S , Demirkazik, A , Ertenli, İ , Eskioglu, E , Guler, K , Kiraz, S , Ozbakkaloglu, M , Ozer, B , Tukek, T , Tanriover, M , Akyar, E , Cagatay, P , Erdem, Y . "Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey". Turkish Journal of Public Health 16 (2018 ): 190-203
RIS TY - JOUR T1 - Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey AU - Serhat Unal , Sibel Ascioglu , Ahmet Demirkazik , İhsan Ertenli , Erdal Eskioglu , Kerim Guler , Sedat Kiraz , Mert Ozbakkaloglu , Birol Ozer , Tufan Tukek , Mine Durusu Tanriover , Eda Akyar , Pelin Cagatay , Yunus Erdem Y1 - 2018 PY - 2018 N1 - doi: 10.20518/tjph.500196 DO - 10.20518/tjph.500196 T2 - Turkish Journal of Public Health JF - Journal JO - JOR SP - 190 EP - 203 VL - 16 IS - 3 SN - -1304-1088 M3 - doi: 10.20518/tjph.500196 UR - https://doi.org/10.20518/tjph.500196 Y2 - 2021 ER -
EndNote %0 Türkiye Halk Sağlığı Dergisi Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey %A Serhat Unal , Sibel Ascioglu , Ahmet Demirkazik , İhsan Ertenli , Erdal Eskioglu , Kerim Guler , Sedat Kiraz , Mert Ozbakkaloglu , Birol Ozer , Tufan Tukek , Mine Durusu Tanriover , Eda Akyar , Pelin Cagatay , Yunus Erdem %T Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey %D 2018 %J Turkish Journal of Public Health %P -1304-1088 %V 16 %N 3 %R doi: 10.20518/tjph.500196 %U 10.20518/tjph.500196
ISNAD Unal, Serhat , Ascioglu, Sibel , Demirkazik, Ahmet , Ertenli, İhsan , Eskioglu, Erdal , Guler, Kerim , Kiraz, Sedat , Ozbakkaloglu, Mert , Ozer, Birol , Tukek, Tufan , Tanriover, Mine Durusu , Akyar, Eda , Cagatay, Pelin , Erdem, Yunus . "Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey". Turkish Journal of Public Health 16 / 3 (December 2018): 190-203 . https://doi.org/10.20518/tjph.500196
AMA Unal S , Ascioglu S , Demirkazik A , Ertenli İ , Eskioglu E , Guler K , Kiraz S , Ozbakkaloglu M , Ozer B , Tukek T , Tanriover M , Akyar E , Cagatay P , Erdem Y . Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey. TurkJPH. 2018; 16(3): 190-203.
Vancouver Unal S , Ascioglu S , Demirkazik A , Ertenli İ , Eskioglu E , Guler K , Kiraz S , Ozbakkaloglu M , Ozer B , Tukek T , Tanriover M , Akyar E , Cagatay P , Erdem Y . Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey. Turkish Journal of Public Health. 2018; 16(3): 190-203.
IEEE S. Unal , S. Ascioglu , A. Demirkazik , İ. Ertenli , E. Eskioglu , K. Guler , S. Kiraz , M. Ozbakkaloglu , B. Ozer , T. Tukek , M. Tanriover , E. Akyar , P. Cagatay and Y. Erdem , "Baseline data of a prospective cohort study: Cappadocia cohort study, Turkey", Turkish Journal of Public Health, vol. 16, no. 3, pp. 190-203, Dec. 2018, doi:10.20518/tjph.500196