Yağmur Vecihe ŞEN, ERHAN ESER, Celal Bayar Üniveristesi TIP

Manisa ilinde yarıkentsel bir bölgede yaşayan erişkin kadınlarda obezite ve sosyoekonomik durumun yaşam kalitesine etkisinin değerlendirilmesi

AMAÇ: Obezitenin morbidite ve mortalite ile güçlü bir ilişkisinin olduğu belgelenmiş olmasına rağmen, obezitenin sağlık ile ilişkili yaşam kalitesi üzerindeki etkisi hakkındaki bilgi azdır. Bu çalışmanın amacı, 20-65 yaş grubu kadınlarda, obezite ve sosyoekonomik faktörlerin yaşam kalitesi üzerindeki etkisinin değerlendirilmesidir. YÖNTEM: Kesitsel tipteki araştırmanın örneklemini yarıkentsel bir bölge olan Manisa Nurlupınar'da yaşayan 1117 kadından seçilen 219 kadın (20-65 yaş) oluşturmuştur. Araştırmanın bağımlı değişkenleri, WHOQOL-BREF (DSÖ Yaşam Kalitesi ölçeği)'nin dört boyut skoru ve SWLS (Yaşamdan Memnuniyet Ölçeği) skorudur. Bağımsız değişkenler ise, sosyodemografik, kişilik ve beslenme ile ilişkili özelliklerdir. BULGULAR: Beden Kitle İndeksi (BKİ) ortalama 28,2±5,8 kg/m2'dir. Bedensel alan, ruhsal alan, sosyal alan, çevresel alan puan ortalamaları sırasıyla 14,3±3,2, 13,1±2,6, 13,6±3,2, 13,4±2,3 bulunmuştur. Tek değişkenli analizlerde BKİ, yaş, hane geliri, yeterli gıda alımı, yakın arkadaş, aile içi ilişki, kişilik algısının yaşam kalitesini etkilediği bulunmuştur. Çok değişkenli analizlerde son modelde BKİ, yaşam kalitesini ve yaşamdan doyumu etkileyen başlıca bağımsız değişkenler olarak bulunmuştur. SONUÇ: Kadınlarda obezite, sosyodemografik değişkenlerden bağımsız olarak yaşam kalitesini ve yaşamdan doyumu olumsuz yönde etkilemektedir.

[The effect of sociodemographic variabels and obesity on the quality of life of the adult women, living ın suburban district on Manisa province]

AIM: Although it is documented that obesity is strongly associated with morbidity and mortality, less is known about the impact of obesity on the health-related quality of life. The purpose of this study was to evaluate the effect of obesity and socio-economic factors on health- related quality of life (HRQoL) in a group women aged 20 to 65. METHODS: The sample size of cross-sectional study were identified 219 women(aged 20 to 65) among 1117 women living in Manisa Nurlupınar area. The data of this study was extracted from a survey. The dependent variables of this study was the domains of the World Health Organization quality of Life Questionnaire abbreviated version (WHOQOL-BREF) and Satisfaction With Life Scale(SWLS). Independent variables were socio-demographic variables, personality variables, relationships and the nutritional variables. RESULTS: The mean BMi of the women was 28,2±5,8. The mean scores of physical, psychological, social relations and the environment domains were determined respectively 14,3±3,2, 13,1±2,6, 13,6±3,2, 13,4±2,3. BMI, age, Household income, adequate food intake, close friends, family relationships, personality perception variables have been found to affect the quality of life in the univariate analysis. BMI was found to be a significant independent predictor of quality of life and life satisfaction in the final regression model. CONCLUSION: obesity as independent of sociodemographic variables negatively affects quality of life and life satisfaction in women.

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