Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Adölesanlarda Obezite Risk Faktörlerinin ve Yaşam Kalitelerinin Değerlendirilmesi
Evaluation of Obesity Risk Factors and Quality of Life in Adolescents
Sinem BAYRAMa, Esen YEŞİLa, Hilal ÇALIŞKANa
aBaşkent Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Ankara, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(3):421-31
doi: 10.5336/healthsci.2020-74284
Article Language: TR
Full Text
ÖZET
 Amaç: Adölesanlarda, Dünya Sağlık Örgütü (DSÖ) büyüme eğrileri kullanılarak obezite sıklığını ve risk faktörlerini belirlemek ayrıca obezitenin yaşam kalitesine etkisini değerlendirmektir. Gereç ve Yöntemler: Bu çalışma, 10-12 yaş aralığındaki 641 adölesanın (328 kız, 313 erkek) katılımı ile gerçekleştirilmiştir. Katılımcılara yüz yüze görüşme yöntemiyle sosyodemografik özelliklerin, beslenme alışkanlıklarının, antropometrik ölçümlerin ve obezite risk faktörlerinin yer aldığı bir anket uygulanmıştır. Beden kitle indeksi değerlendirilirken DSÖ'nün belirlediği z skorları kullanılmıştır. Yaşam kalitesini belirlemek için Kid- KINDL (KINDer Lebensqualitätsfragebogen: Children Quality of Life Questionnaire-Çocuk Yaşam Kalitesi Anketi) ölçeği kullanılmıştır. Bulgular: Katılımcıların %20,3'ü hafif şişman (erkeklerin %23,3'ü, kızların %17,4'ü) ve %9,7'si obez (erkeklerin %11,5'i, kızların %7,9'u)dir. Hafif şişman ve obez adölesanların Kid-KINDL puanı (71,6±8,73), normal ve zayıf bireylerden (76,2±7,81) istatistiksel olarak anlamlı düzeyde daha düşüktür (p=0,027). Ancak cinsiyete göre anlamlı farklılık göstermemektedir (erkekler:75,8±8,04; kızlar:76,2±8,16) (p=0,624). Kid- KINDL ölçeğinin bedensel iyilik ve arkadaş alt gruplarında hafif şişman ve obez bireylerin puanı, normal ve zayıf bireylerden istatistiksel larak anlamlı düzeyde daha düşüktür (p=0,032). Duygusal iyilik ve aile alt ölçeği puanları tüm bireylerde anlamlı farklılık göstermezken kızlarda erkeklerden anlamlı düzeyde düşük bulunmuştur (p=0,045). Obezite risk faktörleri cinsiyete göre incelendiğinde bilgisayar kullanım süresi (p<0,001), öğün atlama (p<0,001), kahvaltı yapma (p=0,043) ve düzenli fiziksel aktivite yapma durumları (p=0,048) arasında istatistiksel olarak anlamlı farklılık bulunmuştur. Bilgisayar kullanım süresinin 2 saat ve üzeri olması ve öğün atlama erkeklerde kızlardan daha yüksek iken kahvaltı yapmama, enerjinin yetersiz alımı ve düzenli fiziksel aktivite yapmama durumu kızlarda erkeklerden daha yüksektir. Sonuç: Adölesan dönemde, hafif şişmanlık ve obezite önemli bir sorundur ve yaşam kalitesini olumsuz etkilemektedir. Çocukluk çağı obezitesi risk faktörlerinin iyi belirlenip eylem planlarının hazırlanması, gerekli önlemlerin alınması gelecek nesillerin sağlığı için önemlidir.

Anahtar Kelimeler: Adölesan; beden kitle indeksi; yaşam kalitesi; obezite, büyüme eğrileri
ABSTRACT
 Objective: The aim of this study was to evaluate the prevalence of obesity by World Health Organization (WHO) growth references and risk factors in adolescents and to determine the effect of obesity on quality of life. Material and Methods: The participants were 641 adolescents (328 girls, 313 boys) aged between 10- 12 years. A questionnaire which consisted of sociodemographics, nutritional habits, anthropometric measurements and risk factors of obesity was used. Body mass index was determined by the WHO z scores. Kid-KINDL (KINDer Lebensqualitätsfragebogen: Children Quality of Life Questionnaire) scale was used to determine the quality of life. Results: 20.3% of the participants were overweight (boys:23.3%, girls:17.4%) and 9.7% of them were obese (boys :11.5%, girls: 7.9%). Kid-KINDL score of overweight and obese adolescents (71.6±8.73) was significantly lower than normal and underweights (76.2±7.81) (p=0.027). However, there wasn't significant differences by gender (boys: 75.8±8.04, girls: 76.2±8.16) (p=0.624). In the physical well-being and friends sub-dimensions of the Kid- KINDL, the score of overweight and obese individuals was significantly lower (p=0.032) Emotional well-being and family sub-dimensions were found significantly lower in girls than boys (p=0.045). When obesity risk factors were analyzed by gender, a statistically significant difference was found between screen time (p<0.001), skipping meals (p<0.001), breakfast (p=0.043) and regular physical activity (p=0.048). While screen time, skipping meal and regular physical activity were higher in boys, breakfast habit and insufficient energy intake were higher in girls. Conclusion: Overweight and obesity in adolescence are significant health problems and affects the quality of life. Determining childhood obesity risk factors, provide action plan and taking precautions is important for the health of future generations.

Keywords: Adolescent; body mass index; quality of life; obesity; growth charts
REFERENCES:
  1. WHO. Report of the commission on ending childhood obesity. Genava: 2016. Erişim tarihi: 10.04.2020.[Link] 
  2. National Health and Medical Research Council. Australian Dietary Guidelines. Canberra: National Health and Medical Research Council; 2013.[Link] 
  3. WHO. Prioritizing areas for action in the field of population-based prevention of childhood obesity: A set of tools for Member States to determine and identify priority areas for action. Geneva; 2012.[Link] 
  4. Childhood Obesity Surveillance Initiative COSI-TUR 2016.[Link] 
  5. WHO Multicentre Growth Referance Study Group.WHO Child Growth Standards: lenght/height-for-age, weight-for age, weight-for-height and body mass index-for age:methods and development. Geneva; 2006.[Link] 
  6. Ersü Özçelik D, Kızıltan G, Seren Pulat L, Kırmızıbekmez H, Mutlu Yeşiltepe RG. [Determining the relationship between obesity and nutritional status and renal and hepatic functions in children and adolescents]. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2016;1(2):13-9.[Link] 
  7. Sağlık Araştırmaları Genel Müdürlüğü, Sağlık Bakanlığı. Türkiye Beslenme ve Sağlık Araştırması-2010. Beslenme Durumu ve Alışkanlıklarının Değerlendirilmesi Sonuç Raporu.[Link] 
  8. Türkiye Endokrinoloji ve Metabolizma Derneği; obezite, lipid metabolizmasi, hipertansiyon çalişma grubu. Obezite Tanı Ve Tedavi Kılavuzu. Ankara; 2014.[Link] 
  9. Ercan S, Dallar YB, Önen S, Engiz Ö. Prevalence of obesity and associated risk factors among adolescents in Ankara, Turkey. J Clin Res Pediatr Endocrinol. 2012;4(4):204-7.[Crossref] [PubMed] [PMC] 
  10. Yılmaz BÖ, Çiçek B, Kaner G. [Determining the obesity level and related risk factors in adolescents attending at high schools in Kayseri province]. Türk Hijyen ve Deneysel Biyoloji Dergisi. 2018;75(1)77-88.[Crossref] 
  11. Preston EC, Ariana P, Penny ME, Frost M, Plugge E. Prevalence of childhood overweight and obesity and associated factors in Peru. Rev Panam Salud Publica. 2015;38(6):472-8.[PubMed] 
  12. Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO. Lifestyle factors associated with overweight and obesity among Saudi adolescents. BMC Public Health. 2012;12:354.[Crossref] [PubMed] [PMC] 
  13. Braithwaite I, Stewart AW, Hancox RJ, Beasley R, Murphy R, Mitchell EA; ISAAC Phase Tree Study Group. The worldwide association between television viewing and obesity in children and adolescents: cross sectional study. PloS one. 2013;8(9):e74263.[Crossref] [PubMed] [PMC] 
  14. Savaşhan Ç, Erdal M, Sarı O, Aydoğan Ü. [Obesity frequency in school children and related risk factors]. Türkiye Aile Hekimliği Dergisi. 2015;19(1):14-21.[Crossref] 
  15. Eser E, Yüksel H, Baydur H, Erhat M, Saatli G, Cengiz Özyurt B, et al. [The psychometric properties of the new turkish generic health-related quality of life questionnaire for children (Kid-KINDL)]. Turkish Journal of Psychiatry. 2008;19(4):409-17.[Link] 
  16. Canavarro MC, Serra AV, Simões MR, Rijo D, Pereira M, Gameiro S, et al. Development and psychometric properties of the World Health Organization Quality of Life assessment instrument (WHOQOL-100) in Portugal. International Journal of Behavioral Medicine. 2009;16(2):116-24.[Crossref] [PubMed] 
  17. Üneri ÖŞ, Memik Çakın N. [Concept of quality of life in children and review inventories about quality of life]. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 2007;14(1):48-56.[Link] 
  18. Tsiros MD, Olds T, Buckley JD, Grimshaw P, Brennan L, Walkley J, et al. Health-related quality of life in obese children and adolescents. Int J Obes (Lond). 2009;33(4):387-400.[Crossref] [PubMed] 
  19. Pakpour AH, Chen CY, Lin CY, Strong C, Tsai MC, Lin YC. The relationship between children's overweight and quality of life: a comparison of sizing me up, PedsQL and Kid-KINDL. Int J Clin Health Psychol. 2019;19(1):49-56.[Crossref] [PubMed] [PMC] 
  20. WHO. WHO Anthro and macros (version 3.2.2, January 2011). World Health Organization, Geneva, Switzerland.[Link] 
  21. Türkiye Beslenme Rehberi (TÜBER) 2015, T.C. Sağlık Bakanlığı Yayın No: 1031, Ankara, 2016.
  22. Bullinger M. KINDL-a questionnaire for health-related quality of life assessment in children. Zetschrift fur Gesundheits Psychologie. 1994;1:64-7.[Link] 
  23. Ravens-Sieberer U, Bullinger M. Assessing health-related quality of life in chronically ill children with the German KINDL: first psychometric and content analytical results. Qual Life Res. 1998;7(5):399-407.[Crossref] [PubMed] 
  24. Eser E, Yüksel H, Baydur H, Erhart M, Saatli G, Cengiz Ozyurt B, et al. [The psychometric properties of the new Turkish generic health-related quality of life questionnaire for children (Kid-KINDL)]. Turk Psikiyatri Derg. 2008;19(4):409-17. Turkish.[PubMed] 
  25. Yngve A, Wolf A, Poortvliet E, Elmadfa I, Brug J, Ehrenblad B, et al. Fruit and vegetable intake in a sample of 11-year-old children in 9 European countries: the pro children cross-sectional survey. Ann Nutr Metab. 2005;49(4):236-45.[Crossref] [PubMed] 
  26. Pérez A, Hoelscher DM, Springer AE, Brown HS, Barroso CS, Kelder SH, et al. Physical activity, watching television, and the risk of obesity in students, Texas, 2004-2005. Prev Chronic Dis. 2011;8(3) Physical Activity, Watching Television, and the Risk of Obesity in Students, Texas, 2004-2005 - CORE Reader
  27. Şimşek F, Ulukol B, Berberoğlu M, Gülnar SB, Adıyaman P, Gönül Ö. [Obesity prevalence in a primary school and a high school in Ankara]. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2005;58(04):163-6.[Link] 
  28. Koçoglu G, Özdemir L, Sümer H, Demir DA, Cetinkaya S, Polat HH. Prevalence of obesity among 11-14 years old students in Sivas-Turkey. Pakistan Journal of Nutrition 2003;2(5):292-5.[Crossref] 
  29. Wake M, Hesketh K, Waters E. Television, computer use and body mass index in Australian primary school children. J Paediatr Child Health. 2003;39(2):130-4.[Crossref] [PubMed] 
  30. Metinoğlu İ, Pekol S, Metinoğlu Y. [Factors affecting the prevalence of obesity in students between the ages of 10-12 in Kastamonu]. ACU Sağlık Bil Derg. 2012(3):117-23.[Link] 
  31. Öztürk A, Aktürk S. [Obesity prevalence and associated risk factors in school-aged children]. TAF Prev Med Bull. 2011;10(1):53-60.[Crossref] 
  32. Aktaş D, Öztürk FN, Kapan Y. [Determination of the obesity prevalence and affecting risk factors, of eating habits among adolescents]. TAF Prev Med Bull. 2015;14(5):406-12.[Crossref] 
  33. Bozdoğan S, Yılmazel G. [Nutrition Literacy, Nutrition Habits And Food Label Usage In Adolescents]. 3 International 21 National Public Health Congress. 2019.
  34. Sichert-Hellert W, Kersting M, Manz F. Fifteen year trends in water intake in German children and adolescents: results of the DONALD Study. Dortmund Nutritional and Anthropometric Longitudinally Designed Study. Acta Paediatr. 2001;90(7):732-7.[Crossref] [PubMed] 
  35. Aksoydan E, Çakır N. [Evaluation of nutritional behavior, physical activity level and body mass index of adolescents]. Gülhane Tıp Derg. 2011;53(4):264-70.[Link] 
  36. Bisegger C, Cloetta B, von Rueden U, Abel T, Ravens-Sieberer U; European Kidscreen group. Health-related quality of life: gender differences in childhood and adolescence. Soz Praventivmed. 2005;50(5):281-91.[Crossref] [PubMed] 
  37. Michel G, Bisegger C, Fuhr DC, Abel T; KIDSCREEN group. Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Qual Life Res. 2009;18(9):1147-57.[Crossref] [PubMed] 
  38. Chipuer HM, Bramston P, Pretty G. Determinants of subjective quality of life among rural adolescents: a developmental perspective. Social Indicators Research 2003;61(1):79-95.[Crossref] 
  39. Bergman MM, Scott J. Young adolescents' wellbeing and health-risk behaviours: gender and socio-economic differences. J Adolesc. 2001;24(2):183-97.[Crossref] [PubMed] 
  40. Sağlam R, Güler N. [Quality of life in primary school students and some influencing factors]. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi. 2019;1(3):165-72.[Link] 
  41. Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA. 2003;289(14):1813-9.[Crossref] [PubMed] 
  42. Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S. Decreased quality of life associated with obesity in school-aged children. Arch Pediatr Adolesc Med. 2003;157(12):1206-11.[Crossref] [PubMed] 

.: Up To Date

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com