Sağlıkla İlgili Yaşam Kalitesini Değerlendirmek için Vücut Kitle İndeksi ve Bel Çevresinin Karşılaştırılması

Öz

Giriş: Yalnızca vücut kitle indeksine dayalı olarak yapılan sağlıkla ilgili yaşam kalitesi çalışmaları, özellikle fazla kilolu bireylerde net sonuçlar vermemektedir. Vücut kitle indeksi ve bel çevresi ölçümlerinin birlikte değerlendirilmesi, bu alanda daha iyi fikir verebilir. Yöntem: SF-36 Yaşam Kalitesi Ölçeği 18 yaş ve üstü 398 kadına uygulandı. Katılımcılar vücut kitle indekslerine göre gruplandırıldı ve fazla kilolu bireyler ayrıca bel çevresi ölçümlerine göre gruplara ayrıldı. Her bir alt ölçeği karşılaştırmak için Kruskal-Wallis One- way ANOVA istatistiksel analizleri kullanılmıştır. Bulgular: Normal ağırlıktan sınıf III obeziteye kadar tüm fiziksel ve mental alt ölçeklerdeki skorlar fazla kilolu grup dışında düşme eğilimindeydi. Normal kilolu bireylerle karşılaştırıldığında, fazla kilolu katılımcıların mental alt ölçeklerindeki skorların arttığı ancak bunun diğer bulgulardan farklı olarak istatistiksel olarak anlamlı olmadığı saptandı. Fazla kilolu grup bel çevresi ölçümlerine göre ayrı ayrı incelendiğinde; risk grupları arasında istatistiksel olarak anlamlı farklılıklar tespit edildi. Mental skorların yüksek riskli grupta normal risk grubuna göre anlamlı olarak azaldığı görüldü. (p <0.05) Sonuç: Obezitenin yaşam kalitesine etkisi sadece vücut kitle indeksi ile değerlendirilirse karmaşık olabilir ve bu nedenle bel çevresi ölçümlerini vücut kitle indeksi ile birlikte değerlendiren çalışmalar bu alanda daha net sonuçlar verebilir.

Anahtar Kelimeler

• Yaşam Kalitesi
• Ölçek
• Antropometrik yöntemler
• Obezite

The Comparison of Body Mass Index and Waist Circumference to Assess Health-Related Quality of Life

Öz

Introduction: Health-related quality of life studies performed only based on body mass index does not provide clear results, especially in overweight individuals. The evaluation of body mass index and waist circumference measurements together can offer better insights in this area. Methods: The SF-36 Quality of Life Scale was applied to 398 women aged 18 years and over. The participants were grouped according to body mass index, and the overweight individuals were further divided into groups based on waist circumference measurements. To compare each sub-scale, the Kruskal-Wallis 1 - way ANOVA statistics were used. Results: From the normal weight to class III obesity, the scores in all physical and mental subscales tended to decline, except in the overweight group. Compared to the individuals with normal weight, the overweight participants’ scores in the mental subscales were increased but this was not statistically significant, unlike the other findings. We examined the overweight group separately according to the waist circumference measurements and detected statistically significant differences between the risk groups. The mental scores were significantly decreased in the high-risk group compared to the normal risk group (p<0.05). Conclusion: The effect of obesity on quality of life can be complex if evaluated only by body mass index, and therefore studies evaluating waist circumference measurements together with body mass index can provide clearer results in this area.

Anahtar Kelimeler

• Quality of life
• Questionaire
• Anthropometric methods
• Obesity

Kaynakça

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