Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
Obezitesi Olan Kadınlarda Tıbbi Beslenme Tedavisi ile Desteklenen Ev Temelli Kombine Egzersizlerin Vücut Kompozisyonuna, Fiziksel Performansa ve Yaşam Kalitesine Etkisi
The Effects of Home Based Combined Exercises with Medical Nutritional Therapy on Body Composition, Physical Performance and Quality of Life in Women with Obesity
Meral KÜÇÜK YETGİNa, Sıla Hidayet BOZDOĞAN POLATb, Ani AGOPYANc, İrem KAVAZOĞLUd, Yağmur MERİÇ d, Ceren İŞERİe, Volkan Demirhan YUMUKf
aMarmara Üniversitesi Spor Bilimleri Fakültesi, Spor Sağlık Bilimleri ABD, Antrenörlük Eğitimi Bölümü, İstanbul, TÜRKİYE
bİstanbul Üniversitesi Cerrahpaşa-Cerrahpaşa Tıp Fakültesi, Fizyoloji ABD, İstanbul, TÜRKİYE
cMarmara Üniversitesi, Spor Bilimleri Fakültesi, Hareket ve Antrenman Bilimleri ABD, İstanbul, TÜRKİYE
dMarmara Üniversitesi, Spor Bilimleri Fakültesi, Antrenörlük Eğitimi Bölümü, İstanbul, TÜRKİYE
eSerbest, Beslenme ve Diyetetik, İstanbul, TÜRKİYE
fİstanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, İç Hastalıkları ABD, Endokrinoloji, Metabolizma ve Diyabet BD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Sports Sci. 2020;12(3):283-95
doi: 10.5336/sportsci.2020-74526
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, obezitesi olan kadınlarda evde uzman olmadan uygulanan tıbbi beslenme tedavisi ile desteklenen kombine egzersiz modelinin (aerobik ve direnç); vücut kompozisyonuna, el kavrama kuvvetine, esnekliğe, 6 dk yürüme mesafesine (6DYM) ve yaşam kalitesine olan etkisinin incelenmesidir. Gereç ve Yöntemler: Bir üniversitenin obezite merkezinde tıbbi takipleri yapılan 9 obez kadının (yaş ortalaması 45,00±7,31 yıl; beden kitle indeksi ortalaması: 40,96±8,30 kg/m2 ), araştırmanın başında ve sonunda vücut kompozisyonları (TANITA-SC-330) analiz edilmiş, ayrıca otur-uzan esneklik, el kavrama kuvveti ve 6DYM değerleri belirlenmiştir. Bu testlerinin yanı sıra katılımcılara yaşam kalitesi ölçeği (SF-36) uygulanmıştır. Katılımcıların, 24 saatlik geriye dönük besin tüketim kaydı ile yeme alışkanlıkları belirlenmiş, besin tüketimleri Beslenme Bilgi Sistemi (BeBiS 6.1) ile değerlendirilmiş ve bireye özgü tıbbi beslenme tedavisi düzenlenmiştir. Sekiz hafta süresince katılımcılara video görseli gönderilerek, toplamda 39 seans aerobik (4-6 gün/hafta, 15-25 dk/gün) ve 19 seans direnç (3-4 gün/hafta, 12-20 dk/gün) kombine egzersiz programını evlerinde yapmaları sağlanmıştır. İstatistiksel analizlerde Shapiro-Wilks normallik analizi ve Wilcoxon işaretli sıralar testi kullanılmıştır. Bulgular: Katılımcıların 6DYM (%37,1), el kavrama kuvveti (%19), otur-uzan esneklik (%12,3) ve yağsız vücut kütlesi (%1,7) değerlerinde anlamlı düzeyde artış sağlanmıştır (p0,05). Sonuç: Obezitesi olan kadınlarda, 8 hafta süresince evde uygulanan, tıbbi beslenme tedavisi ile desteklenmiş kombine egzersizler, vücut kompozisyonunu olumlu yönde değiştirmiş; esnekliği, kas kuvvetini, fiziksel performansı ve yaşam kalitesini arttırmıştır. Ev temelli egzersizler, obezitesi olan kadınlarda davranış değişikliği sağlamak amacıyla tedavinin bir parçası olarak kullanılabilir.

Anahtar Kelimeler: Ev temelli egzersiz; fiziksel performans; obezite; vücut kompozisyonu; yaşam kalitesi
ABSTRACT
 Objective: To investigate the impact of a home based combined (aerobic and resistance) exercise model with medical nutritional therapy on body composition, hand grip strength, body flexibility, 6 minute walking distance (6MWD) and quality of life (QoL) in women living with obesity. Material and Methods: Nine women living with obesity, followed in a university obesity center, were included in the study (mean age: 45.00±7.31 years, Body Mass Index (BMI): 40.96±8.30 kg/m2 ). Body composition was evaluated at the beginning and the end (TANITA-SC-330). Body flexibility, grip strength, 6MWD tests and QoL survey (SF-36) were administered. Dietary adjustments were processed through Nutrition Informational Systems (BeBİS 6.1). Participants performed 39 sessions of aerobic (4-6 days/week, 15-25 min/day) and 19 sessions of resistance (3-4 days/week, 12-20 min/day) exercise at home with the aid of audio-visual instructions for eight weeks. Shapiro-Wilks normality analysis and Wilcoxon signed rank test were used for statistical analyses. Results: A significant increase in 6MWD (%37.1), hand grip strength (%19), body flexibility (%12.3) and fat free mass (%1.7) was encountered (p0.05). Conclusion: An eight-week home based combined exercise model in women living with obesity had a beneficial effect on body composition, hand grip strength, body flexibility, 6-minute walking distance and quality of life.

Keywords: Home based exercise; physical performance; obesity; body composition; quality of life
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"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