Araştırma Makalesi
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The Relationship Between Individuals' Beliefs About Cardiovascular Diseases And Their Physical Activity Levels: The Case Of Kütahya Primary Care Center

Yıl 2025, Cilt: 1 Sayı: 2, 87 - 102, 23.05.2025

Öz

Objectives: This study aims to examine the relationship between individuals' beliefs about cardiovascular diseases and their physical activity levels. Materials and Methods: The population of this descriptive study consisted of 77,082 individuals aged 30-50 years enrolled in family health centers in the central district of Kutahya. There was no sample selection, and 411 individuals who applied to family health centers on the dates of the study, volunteered to participate in the study, and met the inclusion criteria constituted the sample of the study. The data were collected using the Socio-Demographic Characteristics Form, the Health Beliefs Related to Cardiovascular Diseases Scale, and the International Physical Activity Questionnaire-Short Form. Test of the difference between two means (t test) and Pearson correlation analysis was used in the analysis of data. Results: The mean score of participants' Health Beliefs Related to Cardiovascular Diseases was 63.88±6.01. When the Physical Activity scores of the individuals participating in the study were examined, it was determined that 88.1% were inactive in cases of vigorous activity, 88.2% were inactive in cases of moderate activity, and 55.2% were minimally active in walking situations. A significant difference was found between the smoking status of the participants and the Health Beliefs Related to Cardiovascular Diseases scale, sensitivity sub-dimension, and vigorous physical activity score (p<0.05). A significant difference was found between the participants' medication use status and the Health Beliefs Related to Cardiovascular Diseases scale, sensitivity sub-dimension, benefit sub-dimension, and obstacle sub-dimension (p<0.05). A very weak positive correlation (r=0.121 p=0.01) was found between individuals' beliefs about cardiovascular diseases and their physical activity levels. Conclusion: The study participants' physical activity scores were found to be at an inactive level, while their Health Beliefs Related to Cardiovascular Diseases scores were determined to be intermediate. There was a correlation between individuals' beliefs about cardiovascular diseases and their physical activity levels.

Etik Beyan

Kütahya Sağlık Bilimleri Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu'ndan etik kurul onayı alındı. (Karar no: 2023/01-27)

Destekleyen Kurum

Yok

Proje Numarası

Yok

Kaynakça

  • World Health Organization Turkey Office, 2018. Uner S, Balcilar M. Turkey Household Health Survey: Prevalence of Risk Factors of Non-Communicable Diseases 2017. Ankara
  • Gulel O. Cardiovascular risk factors. Journal of Experimental and Clinical Medicine. 2013; 29(3): 107-116.
  • WHO. Global Action Plan for the Prevention and Control of Noncommunicable Diseases; 2017. http://www.tuseb.gov.tr/yuklemeler/enstituler/tuhke/WHO_2017
  • WHO. European Convention on Heart Health. Turkish Society of Cardiology. Turkish Cardiology Association; 2007. http://www.file.tkd.org.tr/PDFs/AKSS/AvrupaKalpSagligiSozlesmesi.pdf
  • Yildirim N.K, Ozturk S. Current psychosocial approaches in cardiovascular diseases. Journal Of Cardiovascular Nursing. 2016; 7(2):60-68.
  • Laursen AH, Kristiansen OP, Marott JL, Schnohr P, Prescott E. Intensity versus duration of physical activity: implications for the metabolic syndrome. A prospective cohort study. BMJ Open. 2012; 2:e001711
  • Nocon M, Hiemann T, Muller-Riemenschneider F, Roll S, Willich S. Association of physical activity with all-cause and cardiovascular mortality: a systematic review and metaanalysis. European Journal of Cardiovascular Prevention & Rehabilitation. 2008; 15: 239-246.
  • Hua LP, Brown CA, Hains SJ. Effects of Low-Intensity Exercise Conditioning on Blood Pressure, Heart Rate, and Autonomic Modulation of Heart Rate in Men and Women with Hypertension. Biological Research. 2009; 11 (2):129-143.
  • Yalin S, Gok H, Toksoz R. Effects of Short-Term Regular Exercise-Diet Program on Lipid Profile in Sedentary Individuals. Anatolian Journal of Cardiology. 2001; 1(3): 179-188.
  • Cornelissen VA, Fagard RH. Effect of resistance training on resting blood pressure: A meta-analysis of randomized controlled trials. Journal of Hypertension. 2005; 23(2): 251-9.
  • Lippi G, Maffulli N. Biological influence of physical exercise on hemostasis. Semin Thromb Hemost. 2009; 35:269-76.
  • Ministry of Health. 2006. Turkey Burden of Disease Study 2004. Ankara: RSHMB Hifzissihha School Directorate.
  • Erhardt L. Cigarette smoking: An undertreated risk factor for cardiovascular disease. Atherosclerosis. 2009; 205 (1):23-32.
  • Onat A. TEKHARF study 2009; 2011. Available at: http://tekharf.org/
  • Topuz I, Gozum S. A Comparison of Actual Cardiovascular Disease Risks to the Perceptions of Middle-aged Men: A Cross-Sectional Study. Clin Exp Health Sci 2022; 12: 607-617.
  • Yazıcıoğlu, Y., & Erdoğan, S. (2004). SPSS Uygulamalı Bilimsel Araştırma Yöntemleri. Detay Yayıncılık, Ankara/Türkiye.
  • Karahan-Okuroglu G, Ercan-Toptaner N. Adaptation, Validity and Reliability of the Cardiovascular Disease-Related Health Beliefs Scale into Turkish in Individuals with Type 2 Diabetes. Journal of Research and Development in Nursing. 2018; 20(2-3): 1-12.
  • Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, Tokgozoglu L. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Mot Skills. 2010; 111(1): 278-284.
  • Ozturk M. Validity and reliability of the international physical activity survey and determination of physical activity levels in university students (Master's Degree). 2005. Hacettepe University.
  • WHO. Physical Activity. https://www.who.int/health-topics/physical-activity#tab=tab_1 Access Date: 14.03.2024
  • Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Atherosclerosis 2016; 252:207-274.
  • Curuk, G. N., Korkut Bayindir, S., & Oguzhan, A. Knowledge of cardiovascular disease risk factors and healthy lifestyle behaviors in patients with cardiovascular disease and their relatives. Journal of Health Sciences. 2018; 27(1), 40-47.
  • Karakoc Kumsar A, Taskın Yılmaz F, Altınbas Akkas O. The effect of cardiovascular risk factors knowledge level on healthy life style behaviors and related factors in nursing students. International Journal of Basic and Clinical Studies (IJBCS). 2015; 4:47-60.
  • Yesil Bayulgen M, Altıok M. Healthy lifestyle behaviors and affecting factors of patients who underwent percutaneous transluminal coronary angioplasty. Journal of Cardiovascular Nursing. 2017; 8:45-54. 25. Akgun Sahin Z, Bicer N. Healthy lifestyle behaviors of hypertension patients. MN Cardiology. 2015; 22:180-185.
  • “Physical Activity Tracking Systems and Incentive Physical Activity Scientific Commission Report” Ministry of Health, General Directorate of Public Health, Ministry of Health Publication No, Ankara 2022
  • World Health Organization Regional Office for Europe, Ministry of Health. World Health Organization; 2017. http://www.euro.who.int/pubrequest
  • Chang, J. T., Anic, G. M., Rostron, B. L., Tanwar, M., & Chang, C. M. Cigarette Smoking Reduction and Health Risks: A Systematic Review and Meta-analysis. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2021; 23(4), 635–642. https://doi.org/10.1093/ntr/ntaa156
  • Aune, D., Schlesinger, S., Norat, T., & Riboli, E. Tobacco smoking and the risk of heart failure: A systematic review and meta-analysis of prospective studies. European journal of preventive cardiology. 2019; 26(3), 279-288.
  • McCullough PA, Jurkovitz CT, Pergola PE, McGill JB, Brown WB, Collins AJ, Chen S, Li S, Singh A, Norris KC, Klag M, Bakris GL. Independent components of chronic kidney disease as a cardiovascular risk state. Arch. Intern. Med. 2007; 167:1122-1129.
  • Honda K, Kagawa-Singer M. Cognitive mediators linking social support networks to colorectal cancer screening adherence. J. Behav. Med. 2006; 29:449-460.
  • Senst BL, Achusim LE, Genest RP, Consentino LA, Ford CC, Little JA, Raybon SJ, Bates DW. Practical approach to determining costs and frequency of adverse drug events in a health care network. Am. J. Health Syst. Pharm. 2002; 58:1126-1132.
  • Vrijens B, Vincze G, Kristanto P, Urquhart J, Burnier M. Adherence to prescribed antihypertensive drug treatments: Longitudinal study of electronically compiled dosing histories. BMJ. 2008; 336:1114–1117.
  • Lee IM, Skerrett PJ. Physical activity and all-cause mortality: what is the dose-response relation? Med Sci Sports Exerc. 2001; 33(6) Suppl:S459-471.
  • Church TS, Cheng YJ, Earnest CP, Barlow CE, Gibbons LW, Priest EL, Blair SN. Exercise capacity and body composition as predictors of mortality among men with diabetes. Diabetes Care. 2004; 27(1):83-88.
  • Seyoum B, Estacio RO, Berhanu P, Schrier RW. Exercise capacity is a predictor of cardiovascular events in patients with type 2 diabetes mellitus. Diab Vasc Dis Res. 2006; 3(3):197–201.
  • Waden J, Forsblom C, Thorn LM, Saraheimo M, Rosengard-Barlund M, Heikkila O, Lakka TA, Tikkanen H, Groop PH. FinnDiane Study G. Physical activity and diabetes complications in patients with type 1 diabetes: the Finnish Diabetic Nephropathy (FinnDiane) Study. Diabetes Care. 2008; 31(2):230-232.
  • Alpsoy S. Exercise and Hypertension. Advances in experimental medicine and biology. 2020; 1228, 153-167. https://doi.org/10.1007/978-981-15-1792-1_10
  • Mihaylova B, Emberson J, Blackwell L, et al. The effects of lowering LDL cholesterol with statin therapy in people at low risk of vascular disease: meta-analysis of individual data from 27 randomised trial. Lancet. 2012; 380:581–590. doi: 10.1016/S0140-6736(12)62027-3.
  • Wang Y, Xu D. Effects of aerobic exercise on lipids and lipoproteins. Lipids Health Dis. 2017; Jul 5;16(1):132. doi: 10.1186/s12944-017-0515-5.

Bireylerin Kardiyovasküler Hastalıklara İlişkin İnançlarının Fiziksel Aktivite Düzeyleri ile İlişkisi: Kütahya Birinci Basamak Örneği

Yıl 2025, Cilt: 1 Sayı: 2, 87 - 102, 23.05.2025

Öz

Amaç: Bu araştırma, bireylerin kardiyovasküler hastalıklara ilişkin inançlarının fiziksel aktivite düzeyleri ile ilişkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı tipteki araştırmanın evreni, Kütahya merkez ilçesindeki aile sağlığı merkezlerine kayıtlı 30-50 yaş 77.082 bireyden oluşmaktadır. Örneklem seçimine gidilmeyerek araştırmanın yürütüldüğü tarihlerde aile sağlığı merkezlerine başvuran, araştırmaya katılmaya gönüllü ve dahil edilme kriterlerini karşılayan 411 kişi araştırmanın örneklemini oluşturmuştur. Veriler Sosyo-Demografik Özellikler Formu, Kardiyovasküler Hastalıklara İlişkin Sağlık İnançları Ölçeği ve Uluslararası Fiziksel Aktivite Anketi-Kısa Formu kullanılarak toplanmıştır. Verilerin analizinde iki ortalama arasındaki farkın önemlilik testi (t testi) ve Pearson korelasyon analizi kullanılmıştır. Bulgular: Katılımcıların Kalp ve Damar Hastalıkları ile İlişkili Sağlık İnançları puan ortalaması 63,88±6,01’dir. Çalışmaya katılan bireylerin fiziksel aktivite skorları incelendiğinde; şiddetli aktivite yapma durumlarında %88,1’inin inaktif olduğu, orta şiddetli aktivite yapma durumlarında %88,2’sinin inaktif olduğu ve yürüme durumlarında %55,2’sinin minimal aktif olduğu belirlenmiştir. Katılımcıların sigara kullanma durumları ile Kalp ve Damar Hastalıkları ile İlişkili Sağlık İnançları ölçeği, duyarlılık alt boyutu ve şiddetli fiziksel aktivite skoru arasında anlamlı fark saptanmıştır (p<0,05). Katılımcıların ilaç kullanma durumları ile Kalp ve Damar Hastalıkları ile İlişkili Sağlık İnançları ölçeği, duyarlılık alt boyutu, yarar alt boyutu ve engel alt boyutu arasında anlamlı fark saptanmıştır (p<0,05). Bireylerin kardiyovasküler hastalıklara ilişkin inançları ile fiziksel aktivite düzeyleri arasında pozitif yönde çok zayıf düzeyde (r=0,121 p=0,01) ilişki vardır. Sonuç: Çalışmaya katılan bireylerin kalp ve damar hastalıkları ile ilişkili sağlık inançları puanlarının orta düzeyde olduğu ve fiziksel aktivite skorlarının inaktif seviyede olduğu saptanmıştır. Bireylerin kardiyovasküler hastalıklara ilişkin inançları ile fiziksel aktivite düzeyleri arasında ilişki bulunmuştur.

Proje Numarası

Yok

Kaynakça

  • World Health Organization Turkey Office, 2018. Uner S, Balcilar M. Turkey Household Health Survey: Prevalence of Risk Factors of Non-Communicable Diseases 2017. Ankara
  • Gulel O. Cardiovascular risk factors. Journal of Experimental and Clinical Medicine. 2013; 29(3): 107-116.
  • WHO. Global Action Plan for the Prevention and Control of Noncommunicable Diseases; 2017. http://www.tuseb.gov.tr/yuklemeler/enstituler/tuhke/WHO_2017
  • WHO. European Convention on Heart Health. Turkish Society of Cardiology. Turkish Cardiology Association; 2007. http://www.file.tkd.org.tr/PDFs/AKSS/AvrupaKalpSagligiSozlesmesi.pdf
  • Yildirim N.K, Ozturk S. Current psychosocial approaches in cardiovascular diseases. Journal Of Cardiovascular Nursing. 2016; 7(2):60-68.
  • Laursen AH, Kristiansen OP, Marott JL, Schnohr P, Prescott E. Intensity versus duration of physical activity: implications for the metabolic syndrome. A prospective cohort study. BMJ Open. 2012; 2:e001711
  • Nocon M, Hiemann T, Muller-Riemenschneider F, Roll S, Willich S. Association of physical activity with all-cause and cardiovascular mortality: a systematic review and metaanalysis. European Journal of Cardiovascular Prevention & Rehabilitation. 2008; 15: 239-246.
  • Hua LP, Brown CA, Hains SJ. Effects of Low-Intensity Exercise Conditioning on Blood Pressure, Heart Rate, and Autonomic Modulation of Heart Rate in Men and Women with Hypertension. Biological Research. 2009; 11 (2):129-143.
  • Yalin S, Gok H, Toksoz R. Effects of Short-Term Regular Exercise-Diet Program on Lipid Profile in Sedentary Individuals. Anatolian Journal of Cardiology. 2001; 1(3): 179-188.
  • Cornelissen VA, Fagard RH. Effect of resistance training on resting blood pressure: A meta-analysis of randomized controlled trials. Journal of Hypertension. 2005; 23(2): 251-9.
  • Lippi G, Maffulli N. Biological influence of physical exercise on hemostasis. Semin Thromb Hemost. 2009; 35:269-76.
  • Ministry of Health. 2006. Turkey Burden of Disease Study 2004. Ankara: RSHMB Hifzissihha School Directorate.
  • Erhardt L. Cigarette smoking: An undertreated risk factor for cardiovascular disease. Atherosclerosis. 2009; 205 (1):23-32.
  • Onat A. TEKHARF study 2009; 2011. Available at: http://tekharf.org/
  • Topuz I, Gozum S. A Comparison of Actual Cardiovascular Disease Risks to the Perceptions of Middle-aged Men: A Cross-Sectional Study. Clin Exp Health Sci 2022; 12: 607-617.
  • Yazıcıoğlu, Y., & Erdoğan, S. (2004). SPSS Uygulamalı Bilimsel Araştırma Yöntemleri. Detay Yayıncılık, Ankara/Türkiye.
  • Karahan-Okuroglu G, Ercan-Toptaner N. Adaptation, Validity and Reliability of the Cardiovascular Disease-Related Health Beliefs Scale into Turkish in Individuals with Type 2 Diabetes. Journal of Research and Development in Nursing. 2018; 20(2-3): 1-12.
  • Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, Tokgozoglu L. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Mot Skills. 2010; 111(1): 278-284.
  • Ozturk M. Validity and reliability of the international physical activity survey and determination of physical activity levels in university students (Master's Degree). 2005. Hacettepe University.
  • WHO. Physical Activity. https://www.who.int/health-topics/physical-activity#tab=tab_1 Access Date: 14.03.2024
  • Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Atherosclerosis 2016; 252:207-274.
  • Curuk, G. N., Korkut Bayindir, S., & Oguzhan, A. Knowledge of cardiovascular disease risk factors and healthy lifestyle behaviors in patients with cardiovascular disease and their relatives. Journal of Health Sciences. 2018; 27(1), 40-47.
  • Karakoc Kumsar A, Taskın Yılmaz F, Altınbas Akkas O. The effect of cardiovascular risk factors knowledge level on healthy life style behaviors and related factors in nursing students. International Journal of Basic and Clinical Studies (IJBCS). 2015; 4:47-60.
  • Yesil Bayulgen M, Altıok M. Healthy lifestyle behaviors and affecting factors of patients who underwent percutaneous transluminal coronary angioplasty. Journal of Cardiovascular Nursing. 2017; 8:45-54. 25. Akgun Sahin Z, Bicer N. Healthy lifestyle behaviors of hypertension patients. MN Cardiology. 2015; 22:180-185.
  • “Physical Activity Tracking Systems and Incentive Physical Activity Scientific Commission Report” Ministry of Health, General Directorate of Public Health, Ministry of Health Publication No, Ankara 2022
  • World Health Organization Regional Office for Europe, Ministry of Health. World Health Organization; 2017. http://www.euro.who.int/pubrequest
  • Chang, J. T., Anic, G. M., Rostron, B. L., Tanwar, M., & Chang, C. M. Cigarette Smoking Reduction and Health Risks: A Systematic Review and Meta-analysis. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2021; 23(4), 635–642. https://doi.org/10.1093/ntr/ntaa156
  • Aune, D., Schlesinger, S., Norat, T., & Riboli, E. Tobacco smoking and the risk of heart failure: A systematic review and meta-analysis of prospective studies. European journal of preventive cardiology. 2019; 26(3), 279-288.
  • McCullough PA, Jurkovitz CT, Pergola PE, McGill JB, Brown WB, Collins AJ, Chen S, Li S, Singh A, Norris KC, Klag M, Bakris GL. Independent components of chronic kidney disease as a cardiovascular risk state. Arch. Intern. Med. 2007; 167:1122-1129.
  • Honda K, Kagawa-Singer M. Cognitive mediators linking social support networks to colorectal cancer screening adherence. J. Behav. Med. 2006; 29:449-460.
  • Senst BL, Achusim LE, Genest RP, Consentino LA, Ford CC, Little JA, Raybon SJ, Bates DW. Practical approach to determining costs and frequency of adverse drug events in a health care network. Am. J. Health Syst. Pharm. 2002; 58:1126-1132.
  • Vrijens B, Vincze G, Kristanto P, Urquhart J, Burnier M. Adherence to prescribed antihypertensive drug treatments: Longitudinal study of electronically compiled dosing histories. BMJ. 2008; 336:1114–1117.
  • Lee IM, Skerrett PJ. Physical activity and all-cause mortality: what is the dose-response relation? Med Sci Sports Exerc. 2001; 33(6) Suppl:S459-471.
  • Church TS, Cheng YJ, Earnest CP, Barlow CE, Gibbons LW, Priest EL, Blair SN. Exercise capacity and body composition as predictors of mortality among men with diabetes. Diabetes Care. 2004; 27(1):83-88.
  • Seyoum B, Estacio RO, Berhanu P, Schrier RW. Exercise capacity is a predictor of cardiovascular events in patients with type 2 diabetes mellitus. Diab Vasc Dis Res. 2006; 3(3):197–201.
  • Waden J, Forsblom C, Thorn LM, Saraheimo M, Rosengard-Barlund M, Heikkila O, Lakka TA, Tikkanen H, Groop PH. FinnDiane Study G. Physical activity and diabetes complications in patients with type 1 diabetes: the Finnish Diabetic Nephropathy (FinnDiane) Study. Diabetes Care. 2008; 31(2):230-232.
  • Alpsoy S. Exercise and Hypertension. Advances in experimental medicine and biology. 2020; 1228, 153-167. https://doi.org/10.1007/978-981-15-1792-1_10
  • Mihaylova B, Emberson J, Blackwell L, et al. The effects of lowering LDL cholesterol with statin therapy in people at low risk of vascular disease: meta-analysis of individual data from 27 randomised trial. Lancet. 2012; 380:581–590. doi: 10.1016/S0140-6736(12)62027-3.
  • Wang Y, Xu D. Effects of aerobic exercise on lipids and lipoproteins. Lipids Health Dis. 2017; Jul 5;16(1):132. doi: 10.1186/s12944-017-0515-5.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk Sağlığı (Diğer), Hemşirelik (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Nalan Bostan Akmeşe 0000-0001-8843-4054

İbrahim Topuz 0000-0003-0540-2095

Emine Şişko 0000-0003-1227-5346

Proje Numarası Yok
Yayımlanma Tarihi 23 Mayıs 2025
Gönderilme Tarihi 18 Şubat 2025
Kabul Tarihi 6 Mayıs 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 1 Sayı: 2

Kaynak Göster

APA Bostan Akmeşe, N., Topuz, İ., & Şişko, E. (2025). The Relationship Between Individuals’ Beliefs About Cardiovascular Diseases And Their Physical Activity Levels: The Case Of Kütahya Primary Care Center. Munzur Sağlık Bilimleri Dergisi, 1(2), 87-102.