Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi

Şefik Demir; Bekir Mendeş

Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi

Öz

Amaç: Bu derlemenin amacı, yetişkin bireylerde uyku ve obezite arasındaki ilişkiyi güncel literatür doğrultusunda değerlendirmek ve obezitenin önlenmesi ile tedavisinde sıklıkla göz ardı edilen uyku faktörünün önemine dikkat çekmektir. Yöntem: Bu çalışma geleneksel derleme niteliğinde olup, 2001–2025 yılları arasında yayımlanan ulusal ve uluslararası bilimsel çalışmalar incelenmiştir. Literatür taraması kapsamında PubMed, Web of Science, ScienceDirect ve Google Scholar veri tabanları kullanılmıştır. Tarama sürecinde uyku, uyku süresi, uyku kalitesi, obezite, vücut kütle indeksi ve fiziksel aktivite ile ilişkili anahtar kelimeler kullanılmıştır. Yetişkin bireylerde uyku ve obezite arasındaki ilişkiyi ele alan araştırma makaleleri, sistematik derlemeler, meta-analizler ve geleneksel derleme çalışmaları değerlendirilmiştir. Bulgular: Günümüzde birçok faktörün uyku süresini ve düzenini olumsuz etkilediği, uyku alışkanlıklarının vücuttaki farklı mekanizmaları etkilendiği bilinmektedir. Özellikle açlık ve tokluk hislerini kontrol eden leptin- ghrelin benzeri hormonların uyku ve obezite ile ilişkisi dikkat çekmektedir. Ayrıca yetişkinlerde uyku ve obezite arasındaki ilişkinin, kardiyometabolik riskler ve genel sağlık üzerinde önemli etkilere sahip olduğu vurgulanmaktadır. Ek olarak fiziksel aktivitenin uyku ve obezite arasındaki ilişkide koruyucu ve düzenleyici bir rol üstlendiği, düzenli egzersizin hem uyku kalitesinin iyileştirilmesine hem de kilo yönetimine katkı sağlayabildiğine dikkat çekilmektedir. Sonuç: Obeziteyi daha etkili ve kalıcı yöntemlerle tedavi etmenin kardiyovasküler sorunlar başta olmak üzere birçok sorun için gerekli olduğu ve obeziteyle ilgili; beslenme, fiziksel aktivite gibi çok önemli faktörlerin yanında uykunun da daha geniş bir şekilde araştırılmasının önemli olduğu düşünülmektedir. Bu anlamda obezite ve uyku ilişkisinin daha fazla araştırılması gereken bir konu olduğu düşünülmektedir.

Anahtar Kelimeler

Etik Beyan

Bu çalışma insan veya hayvan katılımcılar üzerinde yapılmamış olup tamamen literatür verilerine dayanmaktadır. Bu nedenle etik kurul onayı gerekmemektedir.

Kaynakça

Adams, M. L., Katz, D. L. ve Shenson, D. (2016). A healthy lifestyle composite measure: Significance and potential uses. Preventive Medicine, 84, 41–47.
Atlantis, E., ve Baker, M. (2008). Obesity effects on depression: Systematic review of epidemiological studies. International Journal of Obesity, 32(6), 881–891. https://doi.org/10.1038/ijo.2008.54
Bogh, A. F., Jensen, S. B. K., Juhl, C. R., Janus, C., Sandsdal, R. M., Lundgren, J. R., Roed, M. A., Rosenberg, J., Schmidt, J. B., Sjödin, A., Saris, W. H. M., van Baak, M. A., Astrup, A., Fogelholm, M., Martinez, J. A., Navas-Carretero, S., Handjieva-Darlenska, T., Macdonald, I. A., Brand-Miller, J., & Torekov, S. S. (2023). Insufficient sleep predicts poor weight loss maintenance after one year. Sleep, 46(5), zsac295. https://doi.org/10.1093/sleep/zsac295
Bixler, E. (2009). Sleep and society: An epidemiological perspective. Sleep Medicine, 10, S3–S6.
Bliddal, H., ve Christensen, R. (2006). The management of osteoarthritis in the obese patient: Practical considerations and guidelines for therapy. Obesity Reviews, 7(4), 323–331. https://doi.org/10.1111/j.1467-789X.2006.00242.x
Blüher, M. (2019). Obesity: Global epidemiology and pathogenesis. Nature Reviews Endocrinology, 15(5), 288–298. https://doi.org/10.1038/s41574-019-0176-8
Brown, J. P., Martin, D., Nagaria, Z., Verceles, A. C., Jobe, S. L., ve Wickwire, E. M. (2020). Mental health consequences of shift work: An updated review. Current Psychiatry Reports, 22, 1–7. https://doi.org/10.1007/s11920-020-1131-z
Brum, M. C., Filho, F. F., Schnorr, C. C., Bottega, G. B. ve Rodrigues, T. C. (2015). Shift work and its association with metabolic disorders. Diabetology & Metabolic Syndrome, 7, 45. https://doi.org/10.1186/s13098-015-0041-4

Cain, S. W., Filtness, A. J., Phillips, C. L. ve Anderson, C. (2015). Enhanced preference for high-fat foods following a simulated night shift. Scandinavian Journal of Work, Environment & Health, 41, 288–293.
Cappuccio, F. P., D’Elia, L., Strazzullo, P. ve Miller, M. A. (2010). Quantity and quality of sleep and incidence of type 2 diabetes. Diabetes Care, 33(2), 414–420. https://doi.org/10.2337/dc09-1124
Cappuccio, F. P., Taggart, F. M., Kandala, N. B., Currie, A., Peile, E., Stranges, S., ve Marmot, M. G. (2008). Meta-analysis of short sleep duration and obesity in children and adults. Sleep, 31(5), 619–626. https://doi.org/10.1093/sleep/31.5.619
Chaput, J. P., Després, J. P., Bouchard, C. ve Tremblay, A. (2007). Short sleep duration is associated with reduced leptin levels. Obesity, 15(1), 253–261. https://doi.org/10.1038/oby.2007.512
Chaput, J. P., McHill, A. W. ve Cox, R. C. (2022). The role of insufficient sleep and circadian misalignment in obesity. Nature Reviews Endocrinology, 18, 1–16. https://doi.org/10.1038/s41574-021-00605-4
Chattu, V. K., Manzar, M. D., Kumary, S., Burman, D., Spence, D. W., & Pandi-Perumal, S. R. (2019). The global problem of insufficient sleep and its serious public health implications. Healthcare, 7(1), 1. https://doi.org/10.3390/healthcare7010001
Cooper, C. B., Neufeld, E. V., Dolezal, B. A. ve Martin, J. L. (2018). Sleep deprivation and obesity in adults. BMJ Open Sport & Exercise Medicine, 4(1), e000392. https://doi.org/10.1136/bmjsem-2018-000392
Dashti, H. S., Scheer, F. A., Jacques, P. F., Lamon-Fava, S. ve Ordovás, J. M. (2015). Short sleep duration and dietary intake. Advances in Nutrition, 6(6), 648–659. https://doi.org/10.3945/an.115.009217
Dixon, J. B., Schachter, L. M. ve O’Brien, P. E. (2001). Sleep disturbance and obesity: Changes following surgically induced weight loss. Archives of Internal Medicine, 161(1), 102–106.
Elder, C. R., Gullion, C. M., Funk, K. L., Debar, L. L., Lindberg, N. M. ve Stevens, V. J. (2012). Impact of sleep, screen time, depression and stress on weight change in the intensive weight loss phase of the LIFE study. International Journal of Obesity, 36, 86–92. https://doi.org/10.1038/ijo.2011.60
Fatima, Y., Doi, S. A. ve Mamun, A. A. (2016). Sleep quality and obesity in young subjects. Obesity Reviews, 17(11), 1154–1166. https://doi.org/10.1111/obr.12444
Fu, J., Zhang, W., Xu, X., Mao, X., Wang, L., Cai, M., & Yang, R. (2025). The impact of 4-week high-intensity interval training on mental health and sleep quality in female college students with normal weight obesity: A randomized controlled trial. Journal of Translational Medicine, 23, 1234. https://doi.org/10.1186/s12967-025-07276-7
Gangwisch, J. E., Heymsfield, S. B., Boden-Albala, B., Buijs, R. M., Kreier, F. ve Pickering, T. G. (2007). Sleep duration as a risk factor for diabetes. Sleep, 30(12), 1667–1673.
Galasso, L., De Amicis, R., Castelli, L., Ciorciari, A., Mulè, A., Battezzati, A., Bertoli, S., Foppiani, A., Leone, A., Esposito, F., Montaruli, A., & Roveda, E. (2025). The moderating effect of physical activity in the relationship between sleep quality and BMI in adults with overweight and obesity. Frontiers in Sports and Active Living, 7, 1455731. https://doi.org/10.3389/fspor.2025.1455731
Golem, D. L., Martin-Biggers, J. T., Koenings, M. M., Davis, K. F., ve Byrd-Bredbenner, C. (2014). An integrative review of sleep for nutrition professionals. Advances in Nutrition, 5(6), 742–759. https://doi.org/10.3945/an.114.006809
Gildner, T. E., Liebert, M. A., Kowal, P., Chatterji, S. ve Snodgrass, J. J. (2014). Sleep duration, sleep quality, and obesity risk among older adults from six middle-income countries: Findings from the study on global ageing and adult health (SAGE). American Journal of Human Biology, 26, 803–812.
Guo, X., Zheng, L., Wang, J., Zhang, X., Zhang, X. ve Li, J. (2013). Sleep duration and high blood pressure. Sleep Medicine, 14(4), 324–332. https://doi.org/10.1016/j.sleep.2013.01.018
Hargens, T. A., Kaleth, A. S., Edwards, E. S., & Butner, K. L. (2013). Association between sleep disorders, obesity, and exercise: A review. Nature and Science of Sleep, 5, 27–35. https://doi.org/10.2147/NSS.S34838
Hawkins, M. S., Levine, M. D., Buysse, D. J., Abebe, K. Z., Hsiao, W. H., McTigue, K. M., Kline, C. E., Taveras, E. M., Kumanyika, S. K., Jakicic, J. M., & Bertz, F. (2021). Sleep health characteristics among adults who attempted weight loss in the past year: NHANES 2017–2018. International Journal of Environmental Research and Public Health, 18(19), 10170. https://doi.org/10.3390/ijerph181910170
He, B., Zhang, D., Xue, J. ve Zhou, D. (2014). Short sleep duration predicts risk of metabolic syndrome: A systematic review and meta-analysis. Sleep Medicine Reviews, 18(4), 293–297. https://doi.org/10.1016/j.smrv.2013.06.001
He, Y., Jones, C. R., Fujiki, N., Xu, Y., Guo, Y., Holder, J. L., Jr., Rossner, M. J., Nishino, S., & Fu, Y.-H. (2009). The transcriptional repressor DEC2 regulates sleep length in mammals. Science, 325, 866–870. https://doi.org/10.1126/science.1174443
Heron, M. (2012). Deaths: Leading causes for 2009. National Vital Statistics Reports, 61, 1–95.
Hershner, S. D., ve Chervin, R. D. (2014). Causes and consequences of sleepiness among college students. Nature and Science of Sleep, 6, 73–84. https://doi.org/10.2147/NSS.S62907
Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Katz, E. S., Kheirandish-Gozal, L., Neubauer, D. N., O'Donnell, A. E., Ohayon, M., Peever, J., Rawding, R., Sachdeva, R. C., Setters, B., Vitiello, M. V., & Ware, J. C. (2015). National Sleep Foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health, 1(1), 40–43. https://doi.org/10.1016/j.sleh.2014.12.010
Hou, X., Wang, H., Yang, Z., Jia, Y., Lv, Y., ... Dong, X. (2025). Association between physical activity, trouble sleeping, and obesity among older Americans: A cross-sectional study based on NHANES data from 2007 to 2018. BMC Geriatrics, 25(1), 165. https://doi.org/10.1186/s12877-025-05832-w
Hotamisligil, G. S. (2006). Inflammation and metabolic disorders. Nature, 444(7121), 860–867.
Hsieh, S. D., Muto, T., Murase, T., Tsuji, H. ve Arase, Y. (2011). Association of short sleep duration with obesity, diabetes, fatty liver and behavioral factors in Japanese men. Internal Medicine, 50(21), 2499–2502.
Hung, H. C., Yang, Y. C., Ou, H. Y., Wu, J. S., Lu, F. H. ve Chang, C. J. (2013). The association between self-reported sleep quality and overweight. Obesity, 21, 486–492.
Javadi, M., Javadi, A., Kalantari, N., Jaliloghadr, S., ve Mohamad, H. (2014). Sleep problems among pre-school children in Qazvin, Iran. Malaysian Journal of Medical Sciences, 21(6), 52–56.
Jayedi, A., Rashidy-Pour, A., Soltani, S., Zargar, M. S., Emadi, A., ve Shab-Bidar, S. (2020). Adult weight gain and the risk of cardiovascular disease: A systematic review and dose–response meta-analysis of prospective cohort studies. European Journal of Clinical Nutrition, 74(9), 1263–1275. https://doi.org/10.1038/s41430-020-0601-0
Jean-Louis, G., Williams, N. J., Sarpong, D., Pandey, A., Youngstedt, S., Zizi, F., ve Ogedegbe, G. (2014). Associations between inadequate sleep and obesity in the US adult population: Analysis of the National Health Interview Survey (1977–2009). BMC Public Health, 14, 290. https://doi.org/10.1186/1471-2458-14-290
Jennings, J. R., Muldoon, M. F., Hall, M., Buysse, D. J. ve Manuck, S. B. (2007). Self-reported sleep quality is associated with the metabolic syndrome. Sleep, 30(2), 219–223.
Kahn, S. E., Hull, R. L., ve Utzschneider, K. M. (2006). Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature, 444(7121), 840–846. https://doi.org/10.1038/nature05482
Kanagasabai, T., Dhanoa, R., Kuk, J. L. ve Ardern, C. I. (2017). Association between sleep habits and metabolically healthy obesity. Journal of Obesity, 2017, 5272984. https://doi.org/10.1155/2017/5272984
Khan, S. S., Krefman, A. E., Zhao, L., Liu, L., Chorniy, A., Daviglus, M. L., ve Allen, N. B. (2022). Association of body mass index in midlife with morbidity burden in older adulthood and longevity. JAMA Network Open, 5(3), e222318. https://doi.org/10.1001/jamanetworkopen.2022.2318
Knutson, K. L. (2012). Does inadequate sleep play a role in vulnerability to obesity? American Journal of Human Biology, 24, 361–371. https://doi.org/10.1002/ajhb.22219
Knutson, K. L., Van Cauter, E., Rathouz, P. J., Yan, L. L., Hulley, S. B. ve Liu, K. (2009). Association between sleep and blood pressure. Archives of Internal Medicine, 169(11), 1055–1061. https://doi.org/10.1001/archinternmed.2009.119
Lartey, S. T., Si, L., Otahal, P., de Graaff, B., Boateng, G. O., Biritwum, R. B., Minicuci, N., Kowal, P., Magnussen, C. G., ve Palmer, A. J. (2020). Annual transition probabilities of overweight and obesity in older adults: Evidence from World Health Organization study on global ageing and adult health. Social Science & Medicine, 247, 112821. https://doi.org/10.1016/j.socscimed.2020.112821
Lee, P. M. Y., Liao, G., Tsang, C. Y. J., Leung, C. C., Kwan, M. P. ve Tse, L. A. (2023). Sex differences in the associations of sleep-wake characteristics and rest-activity circadian rhythm with specific obesity types among Hong Kong community-dwelling older adults. Archives of Gerontology and Geriatrics, 113, 105042.
Littleton, S. W. (2012). Impact of obesity on respiratory function. Respirology, 17(1), 43–49. https://doi.org/10.1111/j.1440-1843.2011.02096.x
Liu, W., Zhang, R., Tan, A., Ye, B., Zhang, X., Wang, Y. ve Moore, J. B. (2019). Long sleep duration predicts a higher risk of obesity in adults: A meta-analysis of prospective cohort studies. Journal of Public Health, 41(2), e158–e168.
Magee, L. ve Hale, L. (2012). Longitudinal associations between sleep duration and weight gain. Sleep Medicine Reviews, 16(3), 231–241. https://doi.org/10.1016/j.smrv.2011.05.005
Mai, E. ve Buysse, D. J. (2008). Insomnia: Prevalence, impact, pathogenesis, differential diagnosis, and evaluation. Sleep Medicine Clinics, 3(2), 167–174.
Markwald, R. R., Melanson, E. L., Smith, M. R., Higgins, J., Perreault, L. ve Eckel, R. H. (2013). Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proceedings of the National Academy of Sciences of the United States of America, 110(14), 5695–5700.
Nicholson, L. M., Egbert, A. H., Moreno, J. P. ve Bohnert, A. M. (2021). Variability of sleep and relations to body weight. International Journal of Behavioral Medicine, 28, 227–237. https://doi.org/10.1007/s12529-020-09932-7
Noh, J. (2018). The effect of circadian and sleep disruptions on obesity risk. Journal of Obesity & Metabolic Syndrome, 27, 78–83.
Ogilvie, R. P. ve Patel, S. R. (2017). The epidemiology of sleep and obesity. Sleep Health, 3(5), 383–388. https://doi.org/10.1016/j.sleh.2017.07.013
Ohayon, M. M., Carskadon, M. A., Guilleminault, C., ve Vitiello, M. V. (2004). Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: Developing normative sleep values across the human lifespan. Sleep, 27(7), 1255–1273. https://doi.org/10.1093/sleep/27.7.1255
Omisade, A., Buxton, O. M. ve Rusak, B. (2010). Impact of acute sleep restriction on cortisol and leptin levels. Physiology & Behavior, 99(5), 651–656. https://doi.org/10.1016/j.physbeh.2010.01.020
Park, S. E., Kim, H. M., Kim, D. H., Kim, J., Cha, B. S. ve Kim, D. J. (2009). The association between sleep duration and general and abdominal obesity in Koreans: Data from the Korean National Health and Nutrition Examination Survey, 2001 and 2005. Obesity, 17, 767–771
Patel, S. R., Malhotra, A., White, D. P., Gottlieb, D. J. ve Hu, F. B. (2006). Association between reduced sleep and weight gain in women. American Journal of Epidemiology, 164(10), 947–954. https://doi.org/10.1093/aje/kwj280
Pejovic, S., Vgontzas, A. N., Basta, M., Tsaoussoglou, M., Zoumakis, E., Vgontzas, A. ve Chrousos, G. P. (2010). Leptin and hunger levels in young healthy adults after one night of sleep loss. Journal of Sleep Research, 19(4), 552–558.
Pinto, T. F., de Bruin, P. F. C., de Bruin, V. M. S., Lopes, P. M. ve Lemos, F. N. (2017). Obesity, hypersomnolence, and quality of sleep: The impact of bariatric surgery. Obesity Surgery, 27, 1775–1779.
Pugliese, G., Barrea, L., Laudisio, D., Salzano, C., Aprano, S., Colao, A. ve Muscogiuri, G. (2020). Sleep apnea, obesity, and disturbed glucose homeostasis: Epidemiologic evidence, biologic insights, and therapeutic strategies. Current Obesity Reports, 9, 30–38.
Rahe, C., Czira, M. E., Teismann, H. ve Berger, K. (2015). Associations between poor sleep quality and different measures of obesity. Sleep Medicine, 16, 1225–1228.
Ramar, K., Malhotra, R. K., Carden, K. A., Martin, J. L., Abbasi-Feinberg, F., Aurora, R. N., Kapur, V. K., Olson, E. J., Rosen, C. L., Rowley, J. A., Shelgikar, A. V., & Trotti, L. M. (2021). Sleep is essential to health: An American Academy of Sleep Medicine position statement. Journal of Clinical Sleep Medicine, 17(10), 2115–2119. https://doi.org/10.5664/jcsm.9476
Renehan, A. G., Tyson, M., Egger, M., Heller, R. F., ve Zwahlen, M. (2008). Body-mass index and incidence of cancer: A systematic review and meta-analysis of prospective observational studies. The Lancet, 371(9612), 569–578. https://doi.org/10.1016/S0140-6736(08)60269-X
Resta, O., Foschino Barbaro, M. P., Bonfitto, P., Giliberti, T., Depalo, A., Pannacciulli, N. ve De Pergola, G. (2003). Low sleep quality and daytime sleepiness in obese patients without obstructive sleep apnoea syndrome. Journal of Internal Medicine, 253(5), 536–543.
Sasaki, N., Fujiwara, S., Yamashita, H., Ozono, R., Monzen, Y. ve Teramen, K. (2018). Association between obesity and self-reported sleep duration variability, sleep timing, and age in the Japanese population. Obesity Research & Clinical Practice, 12, 187–194.
Sforza, E., Roche, F., Thomas-Anterion, C., Kerleroux, J., Beauchet, O., Celle, S., Maudoux, D., Pichot, V., Laurent, B., & Barthélémy, J. C. (2010). Cognitive function and sleep related breathing disorders in a healthy elderly population: The SYNAPSE study. Sleep, 33(4), 515–521. https://doi.org/10.1093/sleep/33.4.515
Simonelli, G., Marshall, N. S., Grillakis, A., Miller, C. B., Hoyos, C. M., ve Glozier, N. (2018). Sleep health epidemiology in low and middle-income countries: A systematic review and meta-analysis of the prevalence of poor sleep quality and sleep duration. Sleep Health, 4(3), 239–250. https://doi.org/10.1016/j.sleh.2018.04.001
Spiegel, K., Leproult, R., L’Hermite-Balériaux, M., Copinschi, G., Penev, P. D. ve Van Cauter, E. (2004). Leptin levels are dependent on sleep duration. Journal of Clinical Endocrinology & Metabolism, 89(11), 5762–5771. https://doi.org/10.1210/jc.2004-1003
St-Onge, M. P., Roberts, A. L., Chen, J., Kelleman, M., O’Keeffe, M. ve RoyChoudhury, A. (2011). Short sleep duration increases energy intakes but does not change energy expenditure in normal-weight individuals. American Journal of Clinical Nutrition, 94(2), 410–416. https://doi.org/10.3945/ajcn.111.013904
Taheri, S. (2006). The link between short sleep duration and obesity: We should recommend more sleep to prevent obesity. Archives of Disease in Childhood, 91(11), 881–884.
Taheri, S., Lin, L., Austin, D., Young, T. ve Mignot, E. (2004). Short sleep duration is associated with reduced leptin. PLoS Medicine, 1(3), e62. https://doi.org/10.1371/journal.pmed.0010062
Tse, L. A., Wang, C., Rangarajan, S., Liu, Z., Teo, K. ve Yusufali, A. (2021). Timing and length of nocturnal sleep and daytime napping. JAMA Network Open, 4(6), e2113775. https://doi.org/10.1001/jamanetworkopen.2021.13775
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D. J., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., Malhotra, R. K., Martin, J. L., Patel, S. R., Quan, S. F., & Tasali, E. (2015). Recommended amount of sleep for a healthy adult: A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Journal of Clinical Sleep Medicine, 11(6), 591–592. https://doi.org/10.5664/jcsm.4758
Westerlund, A., Bottai, M., Adami, H.-O., Bellocco, R., Nyrén, O., Åkerstedt, T., ve Lagerros, Y. T. (2014). Habitual sleep patterns and the distribution of body mass index: Cross-sectional findings among Swedish men and women. Sleep Medicine, 15(10), 1196–1203. https://doi.org/10.1016/j.sleep.2014.06.012
Wirth, M. D., Hebert, J. R., Hand, G. A., Youngstedt, S. D., Hurley, T. G. ve Shook, R. P. (2015). Association between actigraphic sleep metrics and body composition. Annals of Epidemiology, 25, 773–778.
World Health Organization. (2021). Obesity and overweight. World Health Organization. Retrieved September 23, 2024, from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Wu, Y., Zhai, L. ve Zhang, D. (2014). Sleep duration and obesity among adults. Sleep Medicine, 15(12), 1456–1462. https://doi.org/10.1016/j.sleep.2014.07.018
Xu, W., Tan, C., Zou, J., Chen, W., Cao, X., Li, Z., Tan, L., & Yu, J. T. (2020). Sleep problems and risk of all-cause cognitive decline or dementia: An updated systematic review and meta-analysis. Journal of Neurology, Neurosurgery & Psychiatry, 91, 236–244. https://doi.org/10.1136/jnnp-2019-321719
Zeng, L. N., Zong, Q. Q., Yang, Y., Zhang, L., Xiang, Y. F., Ng, C. H., Ungvari, G. S., Chen, L. G., Xiang, Y. T., & Chen, M. (2020). Gender difference in the prevalence of insomnia: A meta-analysis of observational studies. Frontiers in Psychiatry, 11, 577429. https://doi.org/10.3389/fpsyt.2020.577429

Ayrıntılar

Birincil Dil

Türkçe

Konular

Fiziksel Aktivite ve Sağlık

Bölüm

Derleme

Yazarlar

Şefik Demir ^*
0009-0002-6290-872X
Türkiye

Bekir Mendeş
0000-0002-3038-9905
Türkiye

Yayımlanma Tarihi

30 Haziran 2026

Gönderilme Tarihi

23 Aralık 2025

Kabul Tarihi

29 Haziran 2026

Yayımlandığı Sayı

Yıl 2026 Cilt: 10 Sayı: 1

IZ

https://izlik.org/JA57ZP79LF

Kaynak Göster

RIS / Bibtex

APA

Demir, Ş., & Mendeş, B. (2026). Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi. Kilis 7 Aralık Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi, 10(1), 43-53. https://izlik.org/JA57ZP79LF

AMA

1.Demir Ş, Mendeş B. Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi. K7AÜBESBİD. 2026;10(1):43-53. https://izlik.org/JA57ZP79LF

Chicago

Demir, Şefik, ve Bekir Mendeş. 2026. “Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi”. Kilis 7 Aralık Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi 10 (1): 43-53. https://izlik.org/JA57ZP79LF.

EndNote

Demir Ş, Mendeş B (01 Haziran 2026) Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi. Kilis 7 Aralık Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi 10 1 43–53.

IEEE

[1]Ş. Demir ve B. Mendeş, “Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi”, K7AÜBESBİD, c. 10, sy 1, ss. 43–53, Haz. 2026, [çevrimiçi]. Erişim adresi: https://izlik.org/JA57ZP79LF

ISNAD

Demir, Şefik - Mendeş, Bekir. “Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi”. Kilis 7 Aralık Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi 10/1 (01 Haziran 2026): 43-53. https://izlik.org/JA57ZP79LF.

JAMA

1.Demir Ş, Mendeş B. Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi. K7AÜBESBİD. 2026;10:43–53.

MLA

Demir, Şefik, ve Bekir Mendeş. “Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi”. Kilis 7 Aralık Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi, c. 10, sy 1, Haziran 2026, ss. 43-53, https://izlik.org/JA57ZP79LF.

Vancouver

1.Şefik Demir, Bekir Mendeş. Yetişkinlerde Obezite Tedavisinde Beslenme ve Egzersizin Yanında Üçüncü Sütun: Uyku Yönetimi. K7AÜBESBİD [Internet]. 01 Haziran 2026;10(1):43-5. Erişim adresi: https://izlik.org/JA57ZP79LF