Browsing by Author "Dündar, P"

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    Effects of physical exercise on quality of life, pulmonary function and symptom score in children with asthma
    Yüksel, H; Sögüt, A; Yilmaz, Ö; Günay, Ö; Tikiz, C; Dündar, P; Onur, E
    Objective: To evaluate the effects of regular exercise on asthma symptom score, quality of life and pulmonary function in asthmatic children. Materials and Methods: Thirty children with newly diagnosed mild-moderate asthma (mean age 9.8 +/- 1.78 years) were randomly allocated into exercise group (group 1) and control group (group 2). Both groups received inhaled fluticasone and montelukast treatment. Children in the exercise group were also included in an exercise training program. The program consisted of condition bicycle for one hour two times a week for 8 weeks. Pediatric Asthma Quality of Life Questionnaire (PAQLQ), a disease spesific quality of life questionnaire, and KINDL, a generic quality of life questionnaire, were used to assess health related quality of life in both groups. Spirometric tests were also performed and asthma symptom scores were recorded. Results: The degree of improvement in all scores of PAQLQ (total, activity, symptom, emotion) and symptom score in group 1 were significantly higher than those in group 2 in final evaluation, (p= 0.005, 0.000, 0.003, 0.009, respectively). Moreover, the scores of self-esteem and family subscales of KINDL in group 1 were significantly higher than those in group 2 (p=0.047, 0.030, respectively). Although insignificant, the degree of improvement in pulmonary function values (FEV1, FVC and FEV1/FVC) in group 1 were higher than those group 2. (Asthma Allergy Immunol 2009; 7: 58-65) Conclusion: Regular exercise added to conventional treatment in children with asthma significantly improves quality of life besides symptoms score.
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    PSYCHOMETRIC PROPERTIES OF THE TURKISH VERSION (AYTA-TR) OF THE WHO-EUROPE ATTITUDES OF AGING (EAAQ) QUESTIONNAIRE
    Eser, E; Gerçeklioglu, GS; Eser, S; Fidaner, C; Baysan, P; Pala, T; Dündar, P
    Introduction: This study was carried out for psychometric analysis of the Turkish version of the WHO - Atittudes of Aging Questionnaire (AAQ). Materials and Method: AAQ consists of 24 items classified in three domains (Psychosocial Loss-PL; Physical Change-PC and Psychological Growth-PG) with 8 items each (min8 max40). Turkish centre results are presented in this EU FP 5th funded international project (n=833). Internal consistency analysis, Construct validity, Convergent - Divergent validity and Known Groups validity were used. Results: 38.7 % of the sample was male, with a mean age 72.7 +/- 6.1. Alpha values of the domains PL, PC ve PG were 0.75, 0.74 and 0.62 respectively. 7th item of the PC and 4th item of the PG violate the internal consistency. BD was the most affected domain by income and objective health (ES=0.50). PL and PC scores were higher among married and who received support(p>0.05). CFA resulted acceptable fit for PC domain (RMESEA=0.09; CFI=0.93); borderline for PC domain and a poor fit for PG domain. Satisfactory covergent-divergent validity results were obtained between WHOQOL and AAQ scales. Conclusion: Results revealed that psychometric properties of Turkish version of the AAQ can be used for the assessmnet of the attitudes of aging but Psychosocial domain results should be interpreted with caution.
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    Gender differences in sense of coherence among university students during the COVID-19 pandemic in Turkey
    Kayi, I; Uzunköprü, G; Dadaczynski, K; Soylar, P; Otludil, B; Dündar, P; Bakirci, N; Okan, O; Sakarya, S
    Non-pharmaceutical interventions (NPIs) implemented to mitigate the COVID-19 pandemic halted everyday life in higher education along with social and psychological impacts. The objective of our study was to explore the factors related to sense of coherence (SoC) from a gender perspective among university students in Turkey. This is a cross-sectional survey conducted online with a convenience sampling method as part of the international COVID-Health Literacy (COVID-HL) Consortium. SoC was measured by a nine-item questionnaire that was adapted to the Turkish language, including socio-demographic information and health status, including psychological well-being, psychosomatic complaints, and future anxiety (FA). 1595 students from four universities, of whom 72% were female, participated in the study. Cronbach's alpha for the SoC scale was 0.75. Based on the median split of the individual scores, levels of SoC showed no statistically significant difference according to gender. Logistic regression analysis indicated that higher SoC was associated with medium and high subjective social status, studying in private universities, high psychological well-being, low FA, and none/one psychosomatic complaint. While results were similar among female students, type of university and psychological well-being showed no statistically significant association with SoC among males. Our results indicate that structural (subjective social status) and contextual (type of university) factors, along with gender-based variations, are associated with SoC among university students in Turkey.
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    The beneficial effects of physical exercise on antioxidant status in asthmatic children
    Onur, E; Kabaroglu, C; Günay, Ö; Var, A; Yilmaz, Ö; Dündar, P; Tikiz, C; Güvenç, Y; Yüksel, H
    Background: The pathogenesis of asthma involves both airway inflammation and an oxidant/antioxidant imbalance. It is demonstrated in asthmatic adults that exercise programmes improve lung function, a mechanism yet to be elucidated. The purpose of this study was to investigate the possible beneficial effects of physical exercise on antioxidant status in asthmatic children which may lead to ameliorated lung function. Methods: The study enrolled thirteen control and thirty asthmatic children. The asthmatic group was subdivided into two: the first group receiving only pharmacological treatment (n = 15) and the second receiving pharmacological treatment with exercise programme (n = 15) for 8 weeks. Blood samples were drawn from the subjects before and after treatment periods. As oxidant stress markers blood levels of malondialdehyde (MDA) and total nitric oxide (NO), and as antioxidant status, glutathione peroxidase (GSH-Px) and superoxide dismutase (SOD) enzyme activities were assessed. Results: Before any treatment was initiated, MDA and NO levels in the asthmatic group were significantly higher than the controls (3.40 +/- 0.96 nmol/ml vs 2.46 +/- 0.58 nmol/nnl, and 12.53 +/- 2.10 vs 9.40 +/- 1.39 micromol/L, respectively). Both SOD (p=0.0001) and GSH-Px (p=0.023) activities were significantly lower in the asthmatic group. Pharmacological treatment and exercise programme together significantly improved lung performance and decreased the levels of oxidant stress markers, in concordance with a significantly increase in antioxidant enzyme activity measures when compared to the pharmacological treatment. Conclusion: Structured exercise programme in asthmatic children resulted in better lung function, which may be attributed to its effect on antioxidant status. (C) 2010 SEICAP. Published by Elsevier Espana, S.L. All rights reserved.