Examining the Relationship Between Schoolchildren's Physical Activity and Nutrition Status
Yıl 2024,
, 624 - 633, 01.12.2024
Müjde Kerkez
,
Ümmühan Aktürk
,
Behice Erci
Öz
Objective: Nutritional status of school children can be supported through physical activity. However, today, especially in Turkey, the nutritional status of school children is worrying. This study aimed for an inspection of the relationship between the physical activity of school children and their nutrition status.
Methods: The study was planned in a descriptive-correlational manner. The sample of the study constituted 339 students aged 10-14 from a province center located in Turkey’s eastern region. The data was collected through the Socio-Demographic Information Form, the Physical Activity Questionnaire for Older Children and the Mediterranean diet quality index.
Results: Of the students participating in the study, 56.9% of them were male and 48.1% were studying in the 8th grade. Male students' physical activity levels (2.21±0.61) and Mediterranean diet adaptation scores (3.44±2.14) were higher than female students. A low statistically significant relationship in the positive direction between Physical Activity and Mediterranean Diet (r=0.175, p<0.001) was determined.
Conclusion: In the current study, there was a low correlation between physical activity as well as sociodemographic factors and adherence to the Mediterranean diet. Therefore, health education can be given in schools about balanced nutrition to support the physical activities of students.
Kaynakça
- Acar A. (2012). A different perspective on the prevalence of malnutrition in preschool children under the age of 6 in Şırnak province (Master's thesis, Necmettin Erbakan University Institute of Educational Sciences).
- Affret A, Severi G, Dow C, Rey G, Delpierre C, Boutron-Ruault MC, et al. (2017). Socio-economic factors associated with a healthy diet: Results from the E3N study. Public Health Nutrition, 20(9), 1574–1583. https://doi.org/10.1017/S1368980017000 222
- Akca A, Ayaz-Alkaya S. (2021). Health literacy in the school-age period and the role of the school health nurse. Journal of Hacettepe University Faculty of Nursing, 8(3), 328–334.
- Akgül E, Ergün, A. (2021). School health nursing in improving community health. Journal of Public Health Nursing, 3(2), 141-153.
- Akin A. (2021). Socio-economic profiles and future expectations of children working on the streets in the context of poverty: Şırnak example (Master's thesis, Sirnak University).
- Arcila-Agudelo AM, Ferrer-Svoboda C, Torres-Fernandez T, Farran-Codina A. (2019). Determinants of adherence to healthy eating patterns in a population of children and adolescents: evidence on the Mediterranean diet in the city of Mataro (Catalonia, Spain). Nutrients, 11(4), 854. https://doi.org/10.3390/ nu11040854
- Bay T, Ergün A. (2020). School Health Nursing Practices in the COVID-19 Pandemic. Aksayan S (Ed.), COVID-19 Pandemic and Public Health Nursing (1st Ed.). Ankara, Türkiye Clinics.
- Braig S, Genuneit J, Walter V, Brandt S, Wabitsch M, Goldbeck L, et al. (2018). Screen time, physical activity and self-esteem in children: The Ulm birth cohort study. International Journal of Environmental Research and Public Health, 15(6), 1–12. https://doi.org/10.3390 /ijerph150 61275
- Cabrera SG, Fernández NH, Hernández CR, Nissensohn M, Román-Viña B, Serra-Majem, L. (2015). Test KIDMED; prevalence of low adherence to the Mediterranean diet in children and young; a systematic review, Nutricion Hospitalaria, 32(6), 2390–2399. https://doi.org/10.3305/nh.2015.32.6.98 28
- Cavaliere A, DeMarchi E, Banterle A. (2018). Exploring the adherence to the Mediterranean diet and its relationship with individual lifestyle: The role of healthy behaviors, pro-environmental behaviors, income, and education. Nutrients, 10(2), 141. https://doi.org/10.3390/nu10020141
- Cena H, Calder PC. (2020). Defining a healthy diet: Evidence for the role of contemporary dietary patterns in health and disease. Nutrients, 12(2), 334. https://doi.org/10.3390/NU12020334
- Centers For Disease and Preventive, CDC. (2020). Overweight and Obesity. Retrieved September 11, 2023, from https://www.cdc.gov/obesity/data/child hood
- Cristi-Montero C, Chillón P, Labayen I, Casajus JA, Gonzalez-Gross M, Vanhelst J, et al. (2019). Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents: HELENA study. Journal of Sport and Health Science, 8(1), 55–62.
https://doi.org/10.1016/J.JSHS.2018. 03.004
- Dernini S, Berry EM, Serra-Majem L, LaVecchia C, Capone R, Medina FX, et al. (2017). Med Diet 4.0: The Mediterranean diet with four sustainable benefits. Public Health Nutrition, 20(7), 1322–1330. https://doi.org/10.1017/S1368980016003177
- Erdim L, Ergün A, Kuğuoğlu, S. (2019). Reliability and validity of the Turkish version of the Physical Activity Questionnaire for Older Children (PAQ-C). Turkish journal of medical sciences, 49(1), 162-169.
- Faulkner G, Zeglen L, Leatherdale S, Manske S, Stone M. (2014). The relationship between school physical activity policy and objectively measured physical activity of elementary school students: A multilevel model analysis. Archives of Public Health, 72(1), 1–9. https://doi.org/10.1186/2049-3258-72-20
- Finicelli M, Di Salle A, Galderisi U, Peluso G. (2022). The Mediterranean Diet: An Update of the Clinical Trials. Nutrients, 14(14), 2956. https://doi.org/ 10.3390/NU14142956
- Flieh SM, Moreno LA, Miguel-Berges ML, Stehle P, Marcos A, Molnár D, et al. (2020). Free sugar consumption and obesity in European adolescents: The HELENA Study. Nutrients, 12(12), 3747. https://doi.org/10.3390 /NU12123747
- Grams L, Nelius AK, Pastor GG, Sillero-Quintana M, Veiga ÓL, Homeyer D, et al. (2022). Comparison of adherence to Mediterranean diet between Spanish and German school-children and influence of gender, overweight, and physical activity. Nutrients, 14(21), 4697. https://doi.org/10.3390/nu14214697
- Guthold R, Stevens GA, Riley LM, Bull FC. (2020). Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. The Lancet Child and Adolescent Health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323-2
- Kabasakal E. (2019). A nurse for each school: Students with disabilities and their health requirements. Journal of Contemporary Medicine, 9(2), 191–195. https://doi.org/10.16899/jcm.577310
- Kowalski KC, Crocker PR, Donen RM. (2004). The physical activity questionnaire for older children (PAQ-C) and adolescents (PAQ-A) manual. College of Kinesiology, University of Saskatchewan, 87(1), 1-38.
- López-Gil JF, Brazo-Sayavera J, García-Hermoso A, Lucas JLY. (2020). Adherence to mediterranean diet related with physical fitness and physical activity in schoolchildren aged 6–13. Nutrients, 12(2), 567. https://doi.org/10.3390/NU12020567
- Mattavelli E, Olmastroni E, Bonofiglio D, Catapano AL, Baragetti A, Magni P. (2022). Adherence to the Mediterranean diet: impact of geographical location of the observations. Nutrients,14(10), 2040. https://doi.org/10.3390/NU14102040
- Misra A, Bhardwaj S. (2014). Obesity and the metabolic syndrome in developing countries: Focus on South Asians. Nestle Nutrition Institute Workshop Series, 78, 133–140. https://doi.org/10.1159/000354952
- Mistretta A, Marventano S, Antoci M, Cagnetti A, Giogianni G, Nolfo F, et al. (2017). Mediterranean diet adherence and body composition among Southern Italian adolescents. Obesity Research Clinical Practice, 11(2), 215-226. https://doi.org/10.1016/ j.orcp.2016.05.007.
- Moradell A, Santaliestraasías AM, Aparicio-Ugarriza R, Huybrechts I, Bertalanné-Szommer A, Forsner M, et al. (2023). Are physical activity and sedentary screen time levels associated with food consumption in European adolescents? The HELENA Study. Journal of American Nutrition Assocation, 42(1), 55-66. https://doi.org/10.1080/ 7315724.2021.1978900
- Neufeld LM, Hendriks S, Hugas M. (2020.). Healthy diet: A definition for the United Nations Food Systems Summit 2021. Retrieved January 3, 2023, from https://sc-fss2021.org/
- O'Brien W, Issartel J, Belton S. (2018). Relationship between physical activity, screen time and weight status among young adolescents. Sports, 6(3), 1–11. https://doi.org/10.3390/sports6030057
- Popkin BM, Adair LS, Ng SW. (2017). Now and Then: The global nutrition transition: The pandemic of obesity in developing countries. Nutrients, 58(1), 1–10. https://doi.org/10.1111/j.1753-4887.2011.00 456. x.NOW
- Pribisalić A, Popović R, Salvatore FP, Vatavuk M, Mašanović M, Hayward C, Polašek O, Kolčić I. (2021). The role of socioeconomic status in adherence to the Mediterranean diet and body mass index change: A follow-up study in the general population of southern Croatia. Nutrients, 13(11), 1–23. https://doi.org/10.3390/nu13113802
- Roccaldo R, Censi L, D’Addezio L, Toti E, Martone D, D’Addesa D, et al. (2014). Adherence to the Mediterranean diet in Italian school children (The ZOOM8 Study). International journal of food sciences and nutrition, 65(5), 621-628.
- Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, et al. (2004). Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutrition, 7(7), 931–935. https://doi.org/10.1079/phn 2004556
- Svensson A, Larsson C, Eiben G, Lanfer A, Pala V, Hebestreit A, et al. (2014). European children sugar intake on weekdays versus weekends: the IDEFICS study. European Journal of Clinical Nutrition, 68, 822–828. https://doi.org/10.1038/ejcn.2014.87
- Şahingöz SA, Özgen L, Yalçın E. (2019). Validity and Reliability of the Mediterranean Diet Quality Scale (KIDMED). Proceedings Book of 5th International Eurasian Congress on Natural Nutrition, Healthy Life and Sport, July 2020. https://www.researchgate.net/ publication/342661526
- Tourlouki E, Matalas AL, Bountziouka V, Tyrovolas S, Zeimbekis A, Gotsis E, et al. (2013). Are current dietary habits in Mediterranean islands a reflection of the past? Results from the MEDIS Study. Ecology of Food and Nutrition, 52(5), 371–386. https://doi.org/10.1080/03670244.2012.707431
- van de Kolk I, Verjans-Janssen SRB, Gubbels JS, Kremers SPJ, Gerards SMPL. (2019). Systematic review of interventions in the childcare setting with direct parental involvement: Effectiveness on child weight status and energy balance-related behaviours. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1–28. https://doi.org/ 10.1186/s12966-019-0874-6
- Wijtzes AI, Verloigne M, Mouton A, Cloes M, De Ridder KA, Cardon G, et al. (2016). Results from Belgium’s 2016 report card on physical activity for children and youth. Journal of Physical Activity and Health, 13(11), 95–103. https://doi.org/10.1123/jpah. 2016-0306
- World Health Organization, WHO. (2022) Healthy diet. Retrieved January 3, 2023, from https://www.who.int /health-topics/healthy-diet
- Yardım N, Kocadağ S, Aydın BF. (2019). Republic of Turkey Ministry of Health Childhood Obesity Prevention Action Plan 2019-2023. 4th Edition, 27–28. https://hsgm.saglik.gov.tr/ TSBHHP_2019-2023_Cocukluk_Cagi/Cocuk_Eylem_Plani_2019-_16.12.2019.pdf
- Yazıcıoğlu Y, Erdoğan S. (2014). SPSS applied scientific research methods. Retrieved April 14, 2022, from https://www.nadirkitap.com/spss-uygulamali-bilimsel-arastirma-yontemleri.
Okul Çocuklarının Fiziksel Aktivitesi ile Beslenme Durumu Arasındaki İlişkinin İncelenmesi
Yıl 2024,
, 624 - 633, 01.12.2024
Müjde Kerkez
,
Ümmühan Aktürk
,
Behice Erci
Öz
Amaç: Okul çağındaki çocukların beslenme durumları fiziksel aktivite ile desteklenebilir. Ancak günümüzde özellikle Türkiye'de okul çağındaki çocukların beslenme durumu endişe vericidir. Bu çalışmada okul çağındaki çocukların fiziksel aktiviteleri ile beslenme durumları arasındaki ilişkinin incelenmesi amaçlandı.
Yöntem: Araştırma tanımlayıcı-ilişkisel tarzda planlandı. Araştırmanın örneklemini Türkiye'nin doğu bölgesinde yer alan bir il merkezinde öğrenim gören 10-14 yaş arası 339 öğrenci oluşturmuştur. Veriler Sosyo-Demografik Bilgi Formu, Büyük Çocuklar için Fiziksel Aktivite Anketi ve Akdeniz Diyeti Kalite Indeksi kullanılarak toplandı.
Bulgular: Araştırmaya katılan öğrencilerin %56.9'u erkek olup, %48.1’i sekizinci sınıfta okumakta idi. Erkek öğrencilerin fiziksel aktivite düzeyleri (2.21±0.61) ve Akdeniz diyetine uyum puanları (3.44±2.14) kız öğrencilere göre daha yüksekti. Fiziksel Aktivite ile Akdeniz Diyeti arasında pozitif yönde düşük düzeyde istatistiksel açıdan anlamlı bir ilişki (r=0.175, p<0.001) belirlendi.
Sonuç: Mevcut çalışmada fiziksel aktivitenin yanı sıra sosyodemografik faktörler ile Akdeniz diyetine uyum arasında düşük bir ilişki olduğu görüldü. Bu nedenle öğrencilerin fiziksel aktivitelerini desteklemek amacıyla okullarda dengeli beslenme konusunda sağlık eğitimi verilmesi önerilir.
Kaynakça
- Acar A. (2012). A different perspective on the prevalence of malnutrition in preschool children under the age of 6 in Şırnak province (Master's thesis, Necmettin Erbakan University Institute of Educational Sciences).
- Affret A, Severi G, Dow C, Rey G, Delpierre C, Boutron-Ruault MC, et al. (2017). Socio-economic factors associated with a healthy diet: Results from the E3N study. Public Health Nutrition, 20(9), 1574–1583. https://doi.org/10.1017/S1368980017000 222
- Akca A, Ayaz-Alkaya S. (2021). Health literacy in the school-age period and the role of the school health nurse. Journal of Hacettepe University Faculty of Nursing, 8(3), 328–334.
- Akgül E, Ergün, A. (2021). School health nursing in improving community health. Journal of Public Health Nursing, 3(2), 141-153.
- Akin A. (2021). Socio-economic profiles and future expectations of children working on the streets in the context of poverty: Şırnak example (Master's thesis, Sirnak University).
- Arcila-Agudelo AM, Ferrer-Svoboda C, Torres-Fernandez T, Farran-Codina A. (2019). Determinants of adherence to healthy eating patterns in a population of children and adolescents: evidence on the Mediterranean diet in the city of Mataro (Catalonia, Spain). Nutrients, 11(4), 854. https://doi.org/10.3390/ nu11040854
- Bay T, Ergün A. (2020). School Health Nursing Practices in the COVID-19 Pandemic. Aksayan S (Ed.), COVID-19 Pandemic and Public Health Nursing (1st Ed.). Ankara, Türkiye Clinics.
- Braig S, Genuneit J, Walter V, Brandt S, Wabitsch M, Goldbeck L, et al. (2018). Screen time, physical activity and self-esteem in children: The Ulm birth cohort study. International Journal of Environmental Research and Public Health, 15(6), 1–12. https://doi.org/10.3390 /ijerph150 61275
- Cabrera SG, Fernández NH, Hernández CR, Nissensohn M, Román-Viña B, Serra-Majem, L. (2015). Test KIDMED; prevalence of low adherence to the Mediterranean diet in children and young; a systematic review, Nutricion Hospitalaria, 32(6), 2390–2399. https://doi.org/10.3305/nh.2015.32.6.98 28
- Cavaliere A, DeMarchi E, Banterle A. (2018). Exploring the adherence to the Mediterranean diet and its relationship with individual lifestyle: The role of healthy behaviors, pro-environmental behaviors, income, and education. Nutrients, 10(2), 141. https://doi.org/10.3390/nu10020141
- Cena H, Calder PC. (2020). Defining a healthy diet: Evidence for the role of contemporary dietary patterns in health and disease. Nutrients, 12(2), 334. https://doi.org/10.3390/NU12020334
- Centers For Disease and Preventive, CDC. (2020). Overweight and Obesity. Retrieved September 11, 2023, from https://www.cdc.gov/obesity/data/child hood
- Cristi-Montero C, Chillón P, Labayen I, Casajus JA, Gonzalez-Gross M, Vanhelst J, et al. (2019). Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents: HELENA study. Journal of Sport and Health Science, 8(1), 55–62.
https://doi.org/10.1016/J.JSHS.2018. 03.004
- Dernini S, Berry EM, Serra-Majem L, LaVecchia C, Capone R, Medina FX, et al. (2017). Med Diet 4.0: The Mediterranean diet with four sustainable benefits. Public Health Nutrition, 20(7), 1322–1330. https://doi.org/10.1017/S1368980016003177
- Erdim L, Ergün A, Kuğuoğlu, S. (2019). Reliability and validity of the Turkish version of the Physical Activity Questionnaire for Older Children (PAQ-C). Turkish journal of medical sciences, 49(1), 162-169.
- Faulkner G, Zeglen L, Leatherdale S, Manske S, Stone M. (2014). The relationship between school physical activity policy and objectively measured physical activity of elementary school students: A multilevel model analysis. Archives of Public Health, 72(1), 1–9. https://doi.org/10.1186/2049-3258-72-20
- Finicelli M, Di Salle A, Galderisi U, Peluso G. (2022). The Mediterranean Diet: An Update of the Clinical Trials. Nutrients, 14(14), 2956. https://doi.org/ 10.3390/NU14142956
- Flieh SM, Moreno LA, Miguel-Berges ML, Stehle P, Marcos A, Molnár D, et al. (2020). Free sugar consumption and obesity in European adolescents: The HELENA Study. Nutrients, 12(12), 3747. https://doi.org/10.3390 /NU12123747
- Grams L, Nelius AK, Pastor GG, Sillero-Quintana M, Veiga ÓL, Homeyer D, et al. (2022). Comparison of adherence to Mediterranean diet between Spanish and German school-children and influence of gender, overweight, and physical activity. Nutrients, 14(21), 4697. https://doi.org/10.3390/nu14214697
- Guthold R, Stevens GA, Riley LM, Bull FC. (2020). Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. The Lancet Child and Adolescent Health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323-2
- Kabasakal E. (2019). A nurse for each school: Students with disabilities and their health requirements. Journal of Contemporary Medicine, 9(2), 191–195. https://doi.org/10.16899/jcm.577310
- Kowalski KC, Crocker PR, Donen RM. (2004). The physical activity questionnaire for older children (PAQ-C) and adolescents (PAQ-A) manual. College of Kinesiology, University of Saskatchewan, 87(1), 1-38.
- López-Gil JF, Brazo-Sayavera J, García-Hermoso A, Lucas JLY. (2020). Adherence to mediterranean diet related with physical fitness and physical activity in schoolchildren aged 6–13. Nutrients, 12(2), 567. https://doi.org/10.3390/NU12020567
- Mattavelli E, Olmastroni E, Bonofiglio D, Catapano AL, Baragetti A, Magni P. (2022). Adherence to the Mediterranean diet: impact of geographical location of the observations. Nutrients,14(10), 2040. https://doi.org/10.3390/NU14102040
- Misra A, Bhardwaj S. (2014). Obesity and the metabolic syndrome in developing countries: Focus on South Asians. Nestle Nutrition Institute Workshop Series, 78, 133–140. https://doi.org/10.1159/000354952
- Mistretta A, Marventano S, Antoci M, Cagnetti A, Giogianni G, Nolfo F, et al. (2017). Mediterranean diet adherence and body composition among Southern Italian adolescents. Obesity Research Clinical Practice, 11(2), 215-226. https://doi.org/10.1016/ j.orcp.2016.05.007.
- Moradell A, Santaliestraasías AM, Aparicio-Ugarriza R, Huybrechts I, Bertalanné-Szommer A, Forsner M, et al. (2023). Are physical activity and sedentary screen time levels associated with food consumption in European adolescents? The HELENA Study. Journal of American Nutrition Assocation, 42(1), 55-66. https://doi.org/10.1080/ 7315724.2021.1978900
- Neufeld LM, Hendriks S, Hugas M. (2020.). Healthy diet: A definition for the United Nations Food Systems Summit 2021. Retrieved January 3, 2023, from https://sc-fss2021.org/
- O'Brien W, Issartel J, Belton S. (2018). Relationship between physical activity, screen time and weight status among young adolescents. Sports, 6(3), 1–11. https://doi.org/10.3390/sports6030057
- Popkin BM, Adair LS, Ng SW. (2017). Now and Then: The global nutrition transition: The pandemic of obesity in developing countries. Nutrients, 58(1), 1–10. https://doi.org/10.1111/j.1753-4887.2011.00 456. x.NOW
- Pribisalić A, Popović R, Salvatore FP, Vatavuk M, Mašanović M, Hayward C, Polašek O, Kolčić I. (2021). The role of socioeconomic status in adherence to the Mediterranean diet and body mass index change: A follow-up study in the general population of southern Croatia. Nutrients, 13(11), 1–23. https://doi.org/10.3390/nu13113802
- Roccaldo R, Censi L, D’Addezio L, Toti E, Martone D, D’Addesa D, et al. (2014). Adherence to the Mediterranean diet in Italian school children (The ZOOM8 Study). International journal of food sciences and nutrition, 65(5), 621-628.
- Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, et al. (2004). Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutrition, 7(7), 931–935. https://doi.org/10.1079/phn 2004556
- Svensson A, Larsson C, Eiben G, Lanfer A, Pala V, Hebestreit A, et al. (2014). European children sugar intake on weekdays versus weekends: the IDEFICS study. European Journal of Clinical Nutrition, 68, 822–828. https://doi.org/10.1038/ejcn.2014.87
- Şahingöz SA, Özgen L, Yalçın E. (2019). Validity and Reliability of the Mediterranean Diet Quality Scale (KIDMED). Proceedings Book of 5th International Eurasian Congress on Natural Nutrition, Healthy Life and Sport, July 2020. https://www.researchgate.net/ publication/342661526
- Tourlouki E, Matalas AL, Bountziouka V, Tyrovolas S, Zeimbekis A, Gotsis E, et al. (2013). Are current dietary habits in Mediterranean islands a reflection of the past? Results from the MEDIS Study. Ecology of Food and Nutrition, 52(5), 371–386. https://doi.org/10.1080/03670244.2012.707431
- van de Kolk I, Verjans-Janssen SRB, Gubbels JS, Kremers SPJ, Gerards SMPL. (2019). Systematic review of interventions in the childcare setting with direct parental involvement: Effectiveness on child weight status and energy balance-related behaviours. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1–28. https://doi.org/ 10.1186/s12966-019-0874-6
- Wijtzes AI, Verloigne M, Mouton A, Cloes M, De Ridder KA, Cardon G, et al. (2016). Results from Belgium’s 2016 report card on physical activity for children and youth. Journal of Physical Activity and Health, 13(11), 95–103. https://doi.org/10.1123/jpah. 2016-0306
- World Health Organization, WHO. (2022) Healthy diet. Retrieved January 3, 2023, from https://www.who.int /health-topics/healthy-diet
- Yardım N, Kocadağ S, Aydın BF. (2019). Republic of Turkey Ministry of Health Childhood Obesity Prevention Action Plan 2019-2023. 4th Edition, 27–28. https://hsgm.saglik.gov.tr/ TSBHHP_2019-2023_Cocukluk_Cagi/Cocuk_Eylem_Plani_2019-_16.12.2019.pdf
- Yazıcıoğlu Y, Erdoğan S. (2014). SPSS applied scientific research methods. Retrieved April 14, 2022, from https://www.nadirkitap.com/spss-uygulamali-bilimsel-arastirma-yontemleri.