Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Sağlık Çalışanlarının Uyku Kalitesi ve Fiziksel Aktivite Durumlarının Beden Kitle İndeksi ile İlişkisinin Belirlenmesi
The Relationship Between Sleep Quality and Physical Activity Status of Health Personnel with Their Body Mass Index
Müge ARSLANa, İshak AYDEMİRb
aBahçeşehir Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, İstanbul, TÜRKİYE
bBahçeşehir Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, İstanbul, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(1):1-9
doi: 10.5336/healthsci.2019-66418
Article Language: TR
Full Text
ÖZET
Amaç: Bu araştırmanın amacı, sağlık personelinin uyku kalitesi ve fiziksel aktivite durumlarının beden kitle indeksi (BKİ) ile ilişkisinin belirlenmesidir. Gereç ve Yöntemler: Bu araştırma, ilişkisel tarama modelini esas alan bir çalışmadır. Çalışma grubu, Çorum ilinde bulunan Özel Çorum ve Özel Elitpark hastanelerinde çalışan tüm personelden oluşmuştur. Elitpark Hastanesinden 325 (%60), Özel Çorum Hastanesinden ise 210 (%40) olmak üzere toplam 535 sağlık personeli çalışmaya katılmıştır. Araştırmada, katılımcıları tanıtıcı ve beslenme bilgilerini sorgulayan sosyodemografik sorular, Uluslararası Fiziksel Aktivite Anketi ve Pittsburgh Uyku Kalitesi İndeksi kullanılmıştır. Bulgular: Araştırmada elde edilen sonuçlar doğrultusunda, sağlık personelinin mesleklerine göre obezite oranı en yüksek olan grup diğer personel; uyku bozukluğu en yüksek olan grup hemşireler; fiziksel aktivite düzeyi en yüksek olan ise grup yardımcı sağlık personelidir. Uyku kalitesi BKİ değerleri arasında anlamlı bir ilişki saptanmış olup (x2=8,311, p=,040<0,05), uyku kalitesi en kötü olan obez bireylerdir (%83,1). Fiziksel aktivite ile BKİ arasında anlamlı bir ilişki olup (x2=10,85, p=,005<0,05), fiziksel aktivitesi en düşük olanlar obez bireylerdir (%59,7). Sonuç: Bu araştırmaya katılan sağlık personelinin uyku kalitelerinin kötü olduğu ve fiziksel aktivite düzeylerinin yüksek olduğu saptanmıştır. Düşük uyku kalitesi ve fiziksel aktivite düzeyine sahip olanların BKİ değerleri daha yüksek olarak bulunmuştur.

Anahtar Kelimeler: Uyku kalitesi; fiziksel aktivite; obezite; sağlık personeli; beden kitle indeksi
ABSTRACT
Objective: The purpose of this research is to determine the relationship between sleep quality and physical activity status of health personnel with their body mass index (BMI). Material and Methods: This research is based on the relational scanning model. The study group consists of all the employees that are working for Özel Çorum and Özel Elitpark hospitals in Çorum province. A total of 535 employees, 325 (60%) from Özel Elitpark Hospital and 210 (40%) from Özel Çorum Hospital, participated in the study. In this study, the sociodemographic questions, International Physical Activity Questionnaire and the Pittsburgh Sleep Quality Index were used to question the participants' description and nutrition information. Results: According to the findings of the study, other health employees are the ones with the highest obesity rate-compared to the occupations of the health employees- nurses are the ones with the highest sleep disorder, and the assistant health employees are the ones with the highest physical activity level. There is a significant correlation between sleep quality and BMI values (x2=8.311, p=040<0.05), and sleep quality was the worst within the obese individuals (83.1%). There is also a significant correlation between physical activity and BMI (x2=10.85, p= 005<0.05), and physical activity was the lowest within the obese individuals (59.7%). Conclusion: In this research, we found that sleep quality of the health employees was poor and physical activity levels were low, and BMI values were higher in those who had low sleep quality and physical activity levels.

Keywords: Sleep quality; physical activity; obesity; health personnel; body mass index
REFERENCES:
  1. Bender N, Allemann N, Marek D, Vollenweider P, Waeber G, Mooser V, et al. Association between variants of the leptin receptor gene (LEPR) and overweight: a systematic review and an analysis of the CoLaus study. PLoS One. 2011;6(10):e26157. [Crossref]  [PubMed]  [PMC] 
  2. Ba?ić M, Butorac A, Landeka Jurčević I, Bačun-Družina V. Obesity: genome and environment interactions. Arh Hig Rada Toksikol. 2012;63(3):395-405. [Crossref]  [PubMed] 
  3. Liu L, Zhao X, Kang S, Zhang D. An association between -866G/A polymorphism in the promoter of UCP2 and obesity: a meta-analysis. Gene. 2013;514(1):41-7. [Crossref] 
  4. Rudkowska I, Pérusse L. Individualized weight management: what can be learned from nutrigenomics and nutrigenetics? Prog Mol Biol Transl Sci. 2012;108:347-82. [Crossref]  [PubMed] 
  5. Patel SR, Blackwell T, Redline S, Ancoli-Israel S, Cauley JA, Hillier TA, et al; Osteoporotic Fractures in Men Research Group; Study of Osteoporotic Fractures Research Group. The association between sleep duration and obesity in older adults. Int J Obes (Lond). 2008;32(12):1825-34. [Crossref]  [PubMed]  [PMC] 
  6. Mohawk JA, Green CB, Takahashi JS. Central and peripheral circadian clocks in mammals. Annu Rev Neurosci. 2012;35:445-62. [Crossref]  [PubMed]  [PMC] 
  7. Maury E, Ramsey KM, Bass J. Circadian rhythms and metabolic syndrome: from experimental genetics to human disease. Circ Res. 2010;106(3):447-62. [Crossref]  [PubMed]  [PMC] 
  8. Markwald RR, Melanson EL, Smith MR, Higgins J, Perreault L, Eckel RH, et al. Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proc Natl Acad Sci U S A. 2013;110(14):5695-700. [Crossref]  [PubMed]  [PMC] 
  9. Karlsson B, Knutsson A, Lindahl B. Is there an association between shift work and having a metabolic syndrome? Results from a population based study of 27,485 people. Occup Environ Med. 2001;58(11):747-52. [Crossref]  [PubMed]  [PMC] 
  10. Gangwisch JE. Epidemiological evidence for the links between sleep, circadian rhythms and metabolism. Obes Rev. 2009;10(Suppl 2):37-45. [Crossref]  [PubMed]  [PMC] 
  11. Knutson KL, Ryden AM, Mander BA, Van Cauter E. Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. Arch Intern Med. 2006;166(16):1768-74. [Crossref]  [PubMed] 
  12. Buxton OM, Cain SW, O'Connor SP, Porter JH, Duffy JF, Wang W, et al. Adverse metabolic consequences in humans of prolonged sleep restriction combined with circadian disruption. Sci Transl Med. 2012;4(129):129ra43. [Crossref]  [PubMed]  [PMC] 
  13. Ahima RS, Saper CB, Flier JS, Elmquist JK. Leptin regulation of neuroendocrine systems. Front Neuroendocrinol. 2000;21(3):263-307. [Crossref]  [PubMed] 
  14. van Dijk G. The role of leptin in the regulation of energy balance and adiposity. J Neuroendocrinol. 2001;13(10):913-21. [Crossref]  [PubMed] 
  15. Schoeller DA, Cella LK, Sinha MK, Caro JF. Entrainment of the diurnal rhythm of plasma leptin to meal timing. J Clin Invest. 1997;100(7):1882-7. [Crossref]  [PubMed]  [PMC] 
  16. Gasco V, Beccuti G, Marotta F, Benso A, Granata R, Broglio F, et al. Endocrine and metabolic actions of ghrelin. Endocr Dev. 2010;17:86-95. [Crossref]  [PubMed] 
  17. Granata R, Baragli A, Settanni F, Scarlatti F, Ghigo E. Unraveling the role of the ghrelin gene peptides in the endocrine pancreas. J Mol Endocrinol. 2010;45(3):107-18. [Crossref]  [PubMed] 
  18. Callahan HS, Cummings DE, Pepe MS, Breen PA, Matthys CC, Weigle DS. Postprandial suppression of plasma ghrelin level is proportional to ingested caloric load but does not predict intermeal interval in humans. J Clin Endocrinol Metabol. 2004;89(3):1319-24. [Crossref]  [PubMed] 
  19. Cummings DE, Frayo RS, Marmonier C, Aubert R, Chapelot D. Plasma ghrelin levels and hunger scores in humans initiating meals voluntarily without time- and food-related cues. Am J Physiol Endocrinol Metab. 2004;287(2):E297-304. [Crossref]  [PubMed] 
  20. Scheer FA, Hilton MF, Mantzoros CS, Shea SA. Adverse metabolic and cardiovascular consequences of circadian misalignment. Proc Natl Acad Sci U S A. 2009;106(11):4453-8. [Crossref]  [PubMed]  [PMC] 
  21. Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Committee Report, 2008. Washington, D.C.: U.S. Department of Health and Human Services; 2008. p.683.
  22. Li J, O'Connor LE, Zhou J, Campbell WW. Exercise patterns, ingestive behaviors, and energy balance. Physiol Behav. 2014;134:70-5. [Crossref]  [PubMed] 
  23. Hills AP, Andersen LB, Byrne NM. Physical activity and obesity in children. Br J Sports Med. 2011;45(11):866-70. [Crossref]  [PubMed] 
  24. Tremblay MS, Willms JD. Is the Canadian childhood obesity epidemic related to physical inactivity? Int J Obes Relat Metab Disord. 2003;27(9):1100-5. [Crossref]  [PubMed] 
  25. te Velde SJ, De Bourdeaudhuij I, Thorsdottir I, Rasmussen M, Hagströmer M, Klepp KI, et al. Patterns in sedentary and exercise behaviors and associations with overweight in 9-14-year-old boys and girls--a cross-sectional study. BMC Public Health. 2007;7:16. [Crossref]  [PubMed]  [PMC] 
  26. Fang J, Wylie-Rosett J, Cohen HW, Kaplan RC, Alderman MH. Exercise, body mass index, caloric intake, and cardiovascular mortality. Am J Prev Med. 2003;25(4):283-9. [Crossref] 
  27. Hands BP, Chivers PT, Parker HE, Beilin L, Kendall G, Larkin D. The associations between physical activity, screen time and weight from 6 to 14 yrs: the Raine Study. J Sci Med Sport. 2011;14(5):397-403. [Crossref]  [PubMed] 
  28. Mitchell JA, Rodriguez D, Schmitz KH, Audrain-McGovern J. Greater screen time is associated with adolescent obesity: a longitudinal study of the BMI distribution from ages 14 to 18. Obesity (Silver Spring). 2013;21(3): 572-5. [Crossref]  [PubMed]  [PMC] 
  29. Karasar N. Bilimsel Araştırma Yöntemi. 15. Baskı. Ankara: Nobel Tıp Yayınları; 2005. p.77.
  30. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric research. Psychiatry Res. 1991;28(2):193-213. [Crossref] 
  31. Ağargün MY, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksi'nin geçerliği ve güvenirliği [The validity and reliability of the Pittsburgh sleep quality index]. Türk Psikiyatri Dergisi. 1996;7(2):107-11.
  32. Aydın A, Selvi Y, Güzel Özdemir P. Depresyon hastalarında aleksitiminin bedenselleştirme ve uyku kalitesi üzerine etkisi [The effect of alexithymia on somatization and sleep quality in patients with depression]. Nöropsikiyatri. 2013;50(1):65-9. [Crossref] 
  33. Karaca A, Turnagöl HH. [Reliability and validity of three different questionnaires in employees]. Hacettepe Üniversitesi Journal of Sports Sciences. 2007;18(2):68-84.
  34. Kyle RG, Wills J, Mahoney C, Hoyle L, Kelly M, Atherton IM. Obesity prevalence among healthcare professionals in England: a crosssectional study using the health survey for England. BMJ Open. 2017;7:e018498. [Crossref]  [PubMed]  [PMC] 
  35. Campos-Matos I, Peralta-Santos A, Gomes B, Borges G, Aguiar P. Body mass index assessment of health care professionals in a primary care setting in Portugal: a cross sectional study. Acta Med Port. 2014;27(5):609-14. [Crossref]  [PubMed] 
  36. Iwuala SO, Ayankogbe OO, Olatona FA, Olamoyegun MA, Okparaigwe U, Sabir AA, et al. Obesity among health service providers in Nigeria: danger to long term health worker retention? Pan Afr Med J. 2015;22(1):1-8. [Crossref]  [PubMed]  [PMC] 
  37. Chiou S-T, Chiang J-H, Huang N, Chien L-Y. Health behaviors and participation in health promotion activities among hospital staff: which occupational group performs better?. BMC Health Services Research. 2014; 14:474. [Crossref]  [PubMed]  [PMC] 
  38. Wu Y, Zhaı L, Zhang D. Sleep duration and obesity among adults: a meta-analysis of prospective studies. Sleep Med. 2014;15: 1456-62. [Crossref]  [PubMed] 
  39. Karlsson BH, Knutsson AK, Lındahl BO, Alfredsson LS. Metabolic disturbances in male workers with rotating three-shift work. Results of the WOLF study. Int Arch Occup Environ Health. 2003;76:424-30. [Crossref]  [PubMed] 
  40. Petrov ME, Kim Y, Lauderdale D, Lewis CE, Reis JP, Carnethon MR, et al. Longitudinal associations between objective sleep and lipids: the CARDIA study. Sleep. 2013;36(11)1587-95. [Crossref]  [PubMed]  [PMC] 
  41. Vaes AW, Cheung A, Atakhorrami M, Groenen MT, Amft O, Franssen FM, et al. Effect of 'activity monitor-based' counseling on physical activity and health-related outcomes in patients with chronic diseases: a systematic review and meta-analysis. Ann Med. 2013;45(5-6):397-412. [Crossref]  [PubMed] 
  42. Koepp GA, Manohar CU, McCrady-SpitzerSK, Ben-Ner A, Hamann DJ, Runge CF, et al. Treadmill desks: a 1-year prospective trial. Obesity (Silver Spring). 2013;21(4):705-11. [Crossref]  [PubMed] 
  43. Shook RP, Hand GA, Drenowatz C, HebertJR, Paluch AE, Blundell JE, et al. Low levels of physical activity are associated with dys regulation of energy intake and fat mass gain over 1 year. Am J Clin Nutr. 2015;102(6):1332-8. [Crossref]  [PubMed]  [PMC] 
  44. Piaggi P, Thearle MS, Krakoff J, Votruba SB.Higher daily energy expenditure and respiratory quotient, rather than fat-free mass, independently determine greater ad libitum overeating. J Clin Endocrinol Metab. 2015;100(8):3011-20. [Crossref]  [PubMed]  [PMC] 
  45. Bracci M, Ciarapica V, Copertaro A, Barbaresi M, Manzella N, Tomasetti M, et al. Peripheral Skin Temperature and Circadian Biological Clock in Shift Nurses after a Day off Int J Mol Sci. 2016;17(623):1-12. [Crossref]  [PubMed]  [PMC] 
  46. Baba M, Ohkura M, Koga K, Nishiuchi K, Herrera LR, Matsuse R, et al. Analysis of salivary cortisol levels to determine the association between depression level and differences in circadian rhythms of shift-working nurses. J Occup Health. 2015;57(3):237-44. [Crossref]  [PubMed] 

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-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.

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