Oğuz KILINÇ, Sevgi ÖZALEVLİ, İlknur NAZ, Vijdan EFENDİ

Sağlıklı kadınlarda sigaranın vücut kompozisyonu, pulmoner fonksiyonlar, fiziksel aktivite ve sağlıkla ilişkili yaşam kalitesi üzerine etkisi

Giriş: Sigara içiciliği kadınlarda aynı miktarda sigara içen erkeklere oranla daha fazla solunumsal semptoma ve sağlıkla ilişkili yaşam kalitesi üzerinde negatif etkiye sebep olmaktadır. Sigara içiciliği ile vücut kompozisyonu arasındaki ilişki ve etkileyen faktörler ise net değildir. Bu çalışmada amacımız sağlıklı kadınlarda sigaranın vücut kompozisyonuna, pulmoner fonksiyonlara, fiziksel aktivite ve sağlıkla ilişkili yaşam kalitesi üzerine etkisini incelemektir. Materyal ve Metod: Çalışmaya düzenli sigara içen ve hiç sigara içmemiş toplam 73 sağlıklı kadın dahil edildi. Fiziksel aktivite seviyesi Uluslar Arası Fiziksel Aktivite Anketi, vücut kompozisyonu; vücut kitle indeksi, çevre ölçümleri, bel-kalça oranı, skinfold ölçümleri ve vücut yağ oranı ölçümü, yaşam kalitesi World Health Organization Quality of Life Instrument, depresyon ve kaygı düzeyi Hastane Anksiyete ve Depresyon Skalası, akciğer volüm ve kapasiteleri solunum fonksiyon testi ile değerlendirildi. Bulgular: Sigara içen grupta fiziksel aktivite seviyesi daha düşük, solunumsal semptom sıklığı daha fazla bulundu (p< 0.05). Gruplar arasında sağlıkla ilişkili yaşam kalitesi, anksiyete ve depresyon skorları benzerdi (p< 0.05). Sigara tüketimi 150 p-yıl dan fazla olan grupta sigara tüketim miktarı ile kol çevresi, bel çevresi, bel-kalça oranı arasında pozitif ilişki saptandı (p< 0.05) Sonuç: Çalışmamızda sağlıklı kadınlarda sigaranın solunumsal semptom sıklığını arttırdığını ve fiziksel aktivite seviyesini azalttığı görülmüştür. Buna ek olarak sigara, tüketim miktarına bağlı olarak abdominal obeziteye yol açmaktadır.

The effects of smoking on body composition, pulmonary function, physical activity and health-related quality of life among healthy women

Introduction: Smoking leads to more respiratory symptoms and negative effects on the health-related quality of life (HRQOL) inwomen than men for the same smoking burden. However, the relationship between smoking and body composition and itsinfluencing factors remains unclear. In this study, we aim to investigate the effects of smoking on body composition, pulmonaryfunction, physical activity and health-related quality of life (HRQOL) among healthy women.Materials and Methods: A total of 73 young healthy women, current cigarette smokers and who had never smoked were included.The level of physical activity was assessed using the International Physical Activity Questionnaire; body mass index, circumferencemeasurements, waist-to-hip ratio, skinfold measurements and body fat percentage were used to determine the body composition;HRQOL was assessed through the World Health Organization Quality of Life Instrument; level of depression and anxiety were evaluated using the Hospital Anxiety and Depression Scale; pulmonary functions were evaluated with spirometry.Results: We found higher incidence of respiratory symptoms andlower physical activity levels in smokers than those of non-smokers(p< 0.05). There was no significant difference between smokersand non-smokers in respect of HRQOL, depression and anxiety(p> 0.05). In smokers whom cigarette consumption more than 150p-years, we observed positive correlations between cigaretteconsumption and arm circumference, waist circumference, waistto-hip ratio (p< 0.05). Conclusion: Our results show that the smoking causes an increase in the incidence of respiratory symptoms and reduces the level ofphysical activity in healthy women. Additionally it leads to abdominal obesity depending on cigarette consumption.

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