Kronik konstipasyonu olan kadınlarda konstipasyon şiddeti ile fiziksel aktivite seviyesi, vücut kütle indeksi, bel/kalça oranı ve yaşam kalitesi arasındaki ilişki

Yıl 2023, Cilt: 10 Sayı: 3, 235 - 243, 29.12.2023

Yasemin Karaaslan , Deniz Ogutmen Koc , Şeyda Toprak Çelenay

https://doi.org/10.15437/jetr.1229577

Öz

Amaç: Kronik konstipasyonu olan kadınlarda konstipasyon şiddeti ile fiziksel aktivite seviyesi, vücut kütle indeksi (VKİ), bel/kalça oranı ve yaşam kalitesi arasındaki ilişkiyi incelemekti.
Yöntem: Kronik konstipasyonu olan 115 kadının konstipasyon şiddeti Konstipasyon Ciddiyet Ölçeği (KCÖ) ile, fiziksel aktivite seviyesi Uluslararası Fiziksel Aktivite Anketi-Kısa Form (UFAA-KF) ile, VKİ vücut ağırlığı / boy uzunluğu hesabı ile, bel/kalça oranı mezura ile ve yaşam kalitesi Nottingham Sağlık Profili (NSP) ile değerlendirildi.
Bulgular: KCÖ-dışkı tıkanıklığı, KCÖ-kalın barsak tembelliği, KCÖ-ağrı ve KCÖ-toplam skorları ile UFAA-KF skoru arasında negatif ilişkiler (sırasıyla rho=-0,482, -0,364, -0,366 ve -0,538) bulunurken, bel/kalça oranı ile (KCÖ-kalın barsak tembelliği hariç) arasında pozitif ilişkiler (sırasıyla rho=0,288, 0,374 ve 0,322) bulundu (p<0,05). KCÖ alt boyutları ile NSP-ağrı skoru arasında (sırasıyla rho=0,592, 0,409, 0,620, ve 0,674), NSP-emosyonel reaksiyon skoru arasında (sırasıyla rho=0,531, 0,448, 0,526, ve 0,588), NSP-uyku skoru arasında (sırasıyla rho=0,381, 0,254, 0,337, ve 0396), NSP-sosyal izolasyon skoru arasında (sırasıyla rho=0,451, 0,334, 0,392, ve 0,512), NSP-fiziksel aktivite soru arasında (sırasıyla rho=0,517, 0,383, 0,441, ve 0,563), NSP-enerji skoru arasında (sırasıyla rho=0,367, 0,344, 0,330, ve 0,451) ve NSP-toplam skoru arasında (sırasıyla rho=0,728, 0,559, 0,668 ve 0,812) pozitif ilişkiler tespit edildi (p<0,001).
Sonuç: Konstipasyon şiddetinin fiziksel aktivite seviyesi ile negatif ilişkili olduğu tespit edilirken, bel/kalça oranı ve yaşam kalitesi ile pozitif ilişkili olduğu bulundu. Düzenli fiziksel aktivite ve egzersiz programlarına ilave olarak verilen beslenme ve diyet programları ile konstipasyon şiddeti azaltılarak yaşam kalitesi artırılabilir.

Anahtar Kelimeler

Konstipasyon, Egzersiz, Yaşam Kalitesi, Bel/kalça oranı, Vücut kütle indeksi

Relationship between the severity of constipation and level of physical activity, body mass index, waist to hip ratio and quality of life in women with chronic constipation

Öz

Purpose: To examine the relationship between the severity of constipation and physical activity level, body mass index (BMI), waist to hip ratio, and quality of life in women with chronic constipation.
Methods: Constipation severity with Constipation Severity Scale (CSS), physical activity level with International Physical Activity Questionnaire-Short Form (IPAQ-SF), BMI with body weight/height, waist-hip ratio with tape measure and quality of life with Nottingham Health Profile (NHP) of 115 women with chronic constipation were evaluated.
Results: While there were negative correlations between CSS-obstructive defecation, CSS-colonic inertia, CSS-pain and CSS-total scores and IPAQ-SF score (p<0.001) (rho=-0.482, -0.364, -0.366, and -0.538, respectively), positive correlations were found with waist-hip ratio (excluding CSS-colonic inertia) (rho=0.288, 0.374 and 0.322, respectively) (p<0.05). There were also positive correlations between CSS sub-dimensions and NHP-pain (rho=0.592, 0.409, 0.620, and 0.674, respectively), NHP-emotional reaction (rho=0.531, 0.448, 0.526, and 0.588, respectively), NHP-sleep (rho=0.381, 0.254, 0.337, and 0.396, respectively), NHP-social isolation (rho=0.451, 0.334, 0.392, and 0.512, respectively), NHP-physical activity (rho=0.517, 0.383, 0.441, and 0.563, respectively), NHP-energy (rho=0.367, 0.344, 0.330, and 0.451, respectively) and NHP-total score (rho=0.728, 0.559, 0.668, and 0.812, respectively) (p<0.001).
Conclusion: It was found that the severity of constipation was negatively correlated with physical activity level, while it was positively correlated with waist/hip ratio and quality of life. With the nutrition and diet programs given in addition to regular physical activity and exercise programs, the severity of constipation can be reduced and the quality of life can be increased.

Anahtar Kelimeler

Constipation, Exercise, Quality of life, Waist-hip ratio, Body mass index

Kaynakça

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