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

Öz

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.

Anahtar Kelimeler

• Obezite
• yaşam kalitesi
• egzersiz
• morbid obezite

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

Öz

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.

Anahtar Kelimeler

• Obesity
• quality of life
• exercise
• morbid obesity

Kaynakça

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