jgehes Genel Sağlık Bilimleri Dergisi 2687-5403 Necmettin Erbakan Üniversitesi Health Care Administration Sağlık Kurumları Yönetimi Association Between Smoking Exposure and Obesity in Turkey Türkiye’de Sigara Maruziyeti ve Obezite İlişkisinin İncelenmesi https://orcid.org/0000-0002-5236-1241 Göney Gülşen Süleyman Demirel Üniversitesi https://orcid.org/0000-0002-8222-3384 Gazeloğlu Cengiz SÜLEYMAN DEMİREL ÜNİVERSİTESİ https://orcid.org/0000-0002-3282-1124 Nal Mustafa AFYON KOCATEPE ÜNİVERSİTESİ 08 25 2020 2 2 19 27 01 20 2020 04 27 2020 Copyright © 2019, Genel Sağlık Bilimleri Dergisi 2019 Genel Sağlık Bilimleri Dergisi

Introduction: Obesity and smoking, has become a public health concern and both of them are like a treated disease increasing every day. Tobacco smoke is the most important source of toxic and carcinogenic chemicals. The chemicals that cause obesity, called obesogen, are quite new and important research topic. Objective: Past decade study results show that toxic chemical substance exposure increased obesity prevalence. This study aim to investigate smoking, obesity, and their relationship in Turkey.Methods: Study designed as cross sectional analysis of a survey. The 25‑question survey was administered to man. The 31‑question survey was administered to female. Body Mass Index was calculated and subjects were classified as underweight, normal, overweight, or obese according to WHO criteria. Also smoking status in study group were also recorded. The datas were analyzed using SPSS.Results: The research group consists of 406 (205 female, 201 male) (Mage 38,51±8.33) adult and between the ages of 18-65 years old (Male Mage=40.28±8.39; Female Mage=36.77±7.92). Results of this study 44.03% of adults were obese, 36.8% smoked, and 18.0% smoked and were obese. The relationship between cigarettes smoked and body-mass index was non-significant (p>0.05).Conclusions and Recommendations: This is a seminal study to evaluate the possible risk of obesity in Turkish smokers. In the futue a new studies should be made in Turkey aimed to investigate the relationship passive smoking exposure and obesity.

Giriş: Obezite ve sigara içimi önemli birer halk sağlığı sorunu olup etkilenen kişi sayısı her geçen gün artmaktadır. Sigara içimi toksik ve karsinojenik kimyasallara maruziyetin en önemli nedenlerinden biridir. Obezojen olarak adlandırılan obeziteye neden olan kimyasallar oldukça yeni ve önemli araştırma konuları arasındadır.Amaç: Son on yılda yapılan araştırmalar toksik kimyasallara maruziyetin obezite yaygınlığını arttırdığını göstermiştir. Sunulan çalışma Türkiye’de sigara maruziyeti ve obezite ilişkisini incelemeyi amaçlamıştır.Yöntem: Çalışma kesitsel anket çalışması olarak planlanmıştır. Erkek bireylere 25 soru kadınlara ise 31 soru içeren anketler uygulanmıştır. Çalışmaya katılan tüm gönüllülerin Beden Kitle Indeksı hesaplanarak Dünya Sağlık Örgütü kriterlerine göre zayıf, normal, aşırı kilolu ve obez şeklinde kategorilere ayrılmıştır. Ayrıca sigara alışkanlıkları da kayıt altına alınmıştır. Veriler SPSS programı kullanılarak analiz edilmiştir.Bulgular: Çalışma grubu 18-65 yaş aralığında erkekler için 40.28±8.39, kadınlar için 36.77±7.92 ve tüm çalışma grubunda ise yaş ortalaması 38.51±8.33 olan 406 (205 kadın, 201 erkek) kişiden oluşmaktadır. Çalışma sonuçlarına göre yetişkinlerin %44.03’ü obez, %36.8’i sigara içen ve %18’i ise hem sigara içen hem de obeziteye sahip kişiler olarak belirlenmiştir. Sonuçlar, sigara içimi ve beden kitle indeksi arasındaki istatistiksel olarak anlamlı bir ilişki olmadığını göstermiştir (p>0.05). Sonuç ve Öneriler: Sunulan çalışma Türkiye’de yetişkinlerde sigara içimi ile obezite arasındaki ilişkinin değerlendirildiği ilk çalışma olma özelliğindedir. Çalışma sonuçlarımıza göre Türkiye’de yetişkinlerde sigara içimi ve obezite arasında istatistiksel olarak anlamlı bir ilişki saptanmamıştır. Sigaranın obezojenik etkisinin değerlendirilmesi için pasif maruziyetin etkilerini de araştıran yeni çalışmaların yapılmasına ihtiyaç duyulmaktadır.

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