Browsing by Author "Saatli G."
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Item The relationship between obesity and health related quality of life of women in a Turkish city with a high prevalence of obesity(2006) Dinç G.; Eser E.; Saatli G.; Cihan Ü.A.; Oral A.; Baydur H.; Özcan C.The purpose of this study was to demonstrate the relationship between body weight and HRQOL in a representative sample of nonpregnant women in reproductive age period. The data of this cross-sectional study was extracted from a survey: Manisa Demographic and Health Survey (MDHS) conducted in Manisa city in 2000. The study population of MDHS is a representative sample of 1602 reproductive (15-49) age women. World Health Organization Quality of Life Questionnaire abbreviated version (WHOQOL-BREF), which was composed of four domain factors (physical, psychological, social relations and the environment), was used to assess HRQOL. Each of four domains had a possible score ranged between 0 (poor HRQOL) and 20 (excellent HRQOL). The mean age of the women was 35.29 ± 8.19 years. Among them, 35.8 % had normal weight (BMI 18.5 to 24.9), 32.3 % were overweight (BMI 25.0 to 29.9) while 31.9% were moderate and 3.4% were morbidly obese. After adjusting for age, level of education and co-morbid illnesses, subjects with a BMI higher than normal value, had significantly lower HRQOL scores, compared to normal-weight individuals on each of the domains, except for the environmental domain. Our results suggested that the body weight alone could negatively affect HRQOL. In other words, obesity not only increased the risk of morbidity and mortality, but also affected the perceived health and life quality negatively. In conclusion, in addition to age, socioeconomic status and co-morbid illnesses, body weight should also be controlled in studies examining HRQOL.Item Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight(2009) Dinç G.; Saatli G.; Baydur H.; Özcan C.Objective: A school-based survey was performed in 1346 adolescents aged 15-18 years to determine the relationship between "overweight" and hypertension among adolescents in a western city in Turkey with a low prevalence of "overweight". Methods: The data were collected by a self administered questionnaire. Weight and height of adolescents were measured. US CDC pediatric anthropometric reference data were used to establish the body mass index (BMI) percentile. "At risk of overweight" (BMI-for-age and sex ≥85th, and <95th percentile) and "overweight" (BMI-for-age and sex ≥95th percentile) were defined. Hypertension (systolic and/or diastolic blood pressure that is ≥95th percentile for sex, age and height percentile) was defined according to the 4th Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents (2004). The Chi-square test, Chi-square test for trend and logistic regression models were used for analysis. Results: Overall, prevalence of "at risk of overweight" and "overweight" were found to be 10.7% and 3.2%, respectively. About 3.5% of the adolescents were hypertensive. After adjustment for sex and age, income, family history of hypertension, the factors positively associated with hypertension were "at risk for overweight" (Odds Ratio [OR]=5.09, 95% CI: 2.57-10.07) and "overweight" (OR=7.60, 95% CI: 2.90-19.89). Conclusion: The results of this study confirm low hypertension risk among adolescents in Manisa, which may be attributed to the low prevalence of "overweight". The relatively low cardiovascular disease risk factor profile of these adolescents needs to be encouraged through adulthood. Thus, a school program of health promotion should be established to prevent the epidemics of cardiovascular diseases in our region. ©Copyright 2009 by AVES Yayincilik Ltd.Item The reliability and validity of the turkish version of the world health organizat on quality of life instrument-older adults module (WHOQOL-Old)(Turkish Association of Nervous and Mental Health, 2010) Eser S.; Saatli G.; Eser E.; Baydur H.; Fidaner C.Purpose: To determine the psychometric properties of the Turkish version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old). Methods: The Turkish version of the WHOQOL-OLD was administered to 527 older (> 65 years) adults living in urban, suburban, and rural areas of Manisa Province, Turkey. The WHOQOL-OLD module consists of 24 items assigned to 6 facets (sen sory abilities, autonomy, past, present and future activities, so cial participation, death and dying, and intimacy) and is a supplementary module of WHOQOL-BREF. The WHOQOL-BREF and GDS-30 were also administered to the participants. A confirmatory approach was used during reliability and validity analysis. SPSS v.10.0 and LISREL v.8.54 were used for analysis. Results: Mean age of the participants was 71.06 ± 5.20 years and the overall WHOQOL-OLD score was 56.02 ± 11.86. In all, 54.5% of the participants were female and 60.5% reported to be in poor health. Both ceiling and floor effects of the WHOQOL-OLD were satisfactory (< 0.05%). Alpha values for the facets and overall scale (range: 0.68-0.88) (> 0.70), and item total correlations and overall scale success were satisfactory. As a measure of the construct validity of the scale, confirmatory factor analysis showed very high CFI values (range: 0.936-0.999) for each of the domains. Convergence of WHOQOL-OLD facet scores on WHOQOL-BREF domains and WHOQOL-OLD were very fine in general. Conclusions: The psychometric properties of the Turkish version of the WHOQOL-OLD were acceptable, indicating that the scale is reliable and valid for use with older Turkish adults (> 65 years).