YAŞLILARDA OBEZİTE PREVALANSI Ve KRONİK HASTALIK RİSKİ: TÜRKİYE ÖRNEĞİ

Yıl 2024, Cilt: 17 Sayı: 3, 431 - 445, 31.07.2024

Salih Çam Seda Sengul

https://doi.org/10.25287/ohuiibf.1403276

Öz

Obezite, kronik hastalıkların gelişiminde önemli bir faktördür ve genetik yatkınlığın yanı sıra bazı gözlemlenemeyen faktörlerden de etkilenebilir. Obez yaşlıların kronik hastalıklara yakalanma olasılığı daha yüksek olduğundan, aşırı kilo ve kronik hastalıklar arasındaki ilişkinin daha iyi anlaşılması, önlenebilir hastalık ve ölüm oranının azaltılmasına yardımcı olacaktır. Bu çalışma, gözlemlenemeyen dışsallık ve olası içsellik için görünüşte ilişkisiz probit (Seemingly Unrelated Probit ) yöntemini kullanarak, yaşlılarda obezite ve kronik hastalıklar arasındaki ampirik bağlantıyı araştırmaktadır. Analiz için Türkiye İstatistik Kurumu tarafından 2014, 2016 ve 2019 yıllarında toplanan Türkiye Sağlık Araştırması anketi verileri kullanılmıştır. Ampirik sonuçlar, hem aşırı kilo/obezite hem de kronik hastalıkları etkileyen ölçülemeyen ortak faktörler olduğunu ve aşırı kilo/obezitenin cinsiyet, fiziksel hareketsizlik, sigara, yaş, depresyon gibi bazı sosyoekonomik faktörlerle birlikte kronik hastalıkların önemli bir belirleyicisi olduğunu göstermektedir. Bulgular, önlenebilir hastalık ve ölüm oranının azaltılmasına yönelik sağlık politikalarının, genetik faktörlerin yanı sıra yaşlılarda hareketsiz yaşam tarzlarını değiştirmek ve depresyon ile değersiz hissetmek gibi duyguları önlemek için psikolojik desteğin de dikkate alması gerektiğini göstermektedir.

Anahtar Kelimeler

Kronik hastalıklar, görünürde ilişkisiz probit modeli, yaşlılarda obezite

Prevalence of obesity and risk of chronic diseases in the elderly: The case of Turke

Öz

Obesity is a major factor in the development of chronic diseases and can be influenced by some unobserved factors as well as genetic predisposition. Since obese older people are more likely to develop chronic diseases, a better understanding of the relationship between overweight/obesity and chronic diseases may help to reduce unnecessary morbidity and mortality. Using a Seemingly Unrelated probit approach for unobserved heterogeneity and probable endogeneity, this study investigates the empirical connection between obesity and chronic diseases in the elderly. Data from the Turkish Health Survey collected by the Turkish Statistical Institute in 2014, 2016, and 2019 were used for the analysis. The empirical results indicate that there are unmeasurable common factors that influence both overweight/obesity and chronic diseases, with overweight/obesity being an important determinant of chronic diseases along with some socioeconomic factors such as gender, physical inactivity, smoking, age, depression, etc. The findings suggest that health policies to reduce preventable morbidity and mortality should take into account unmeasurable genetic factors as well as psychological support to activate sedentary lifestyles in older people and prevent depression and feelings of worthlessness.

Anahtar Kelimeler

Chronic Disease, Seemingly Unrelated Probit Regression Analysis, Elderly Obesity

Kaynakça

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