Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Farklı Sosyoekonomik Düzeydeki Ergenlerde Santral Obezitenin Bel/Boy Oranı ile Değerlendirilmesi
The Evaluation of Central Obesity in Teenagers from Different Socio-Economic Levels with the Waist/Height Ratio
Mukaddes DEMİR ACARa, Meral BAYATb, Osman DEMİRc, Betül ÇİÇEKd, Emine ERDEMb
aHemşirelik Bölümü, Tokat Gaziosmanpaşa Üniversitesi Sağlık Bilimleri Fakültesi, Tokat, TÜRKİYE
bHemşirelik Bölümü, Erciyes Üniversitesi Sağlık Bilimleri Fakültesi, Kayseri, TÜRKİYE
cBiyoistatistik AD, Tokat Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Tokat, TÜRKİYE
dBeslenme ve Diyetetik Bölümü, Erciyes Üniversitesi Sağlık Bilimleri Fakültesi, Kayseri, TÜRKİYE
Turkiye Klinikleri J Pediatr. 2019;28(2):55-62
doi: 10.5336/pediatr.2018-63401
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma ile sosyoekonomik düzeyin obezite ve santral obeziteye etkisini incelemektir. Bu çalışmada, Türkiye'de bir il merkezinde üç farklı sosyoekonomik yerleşim bölgesinde yer alan okullarda altı, yedi ve sekizinci sınıflarda öğrenim gören ergenlerde beden kitle indeksi (BKİ) ile obezite ve bel/boy oranı ile santral obezite prevalasının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışma, 2012-2013 eğitim-öğretim yılında 1.713 öğrenci ile yapılmıştır. Tokat il merkezinde düşük, orta ve yüksek sosyoekonomik bölgelerde bulunan ilköğretim okulları gruplandırılarak, basit rasgele örnekleme yöntemi ile altı okul örneklem grubuna seçilmiştir. Altı okulun altı, yedi ve sekizinci sınıflarındaki tüm öğrenciler araştırma kapsamına alınmıştır. Boy uzunluğu, vücut ağırlığı ve bel çevresi ölçümleri araştırmacı tarafından öğrencilerin kendi sınıflarında yapılmıştır. Bel/boy oranı 0,5 ve üzerinde ise santral obezite olarak değerlendirilmiştir. Veriler bilgisayar ortamında değerlendirilmiştir. Bulgular: Çalışma kapsamına alınan tüm ergenlerin; yaş ortalaması 12,54±0,92 yıl olup, %33,8'i altıncı sınıfta, %35,8'i yedinci sınıfta, %30,4'ü sekizinci sınıfta öğrenim görmektedir ve %48,5'i kız, %51,5'i erkektir. Çalışma kapsamına alınan tüm ergenlerin BKİ'ye göre %9,3'ü zayıf, %62,5'i normal, %21,7'si hafif şişman, %6,5'i ise obezdir. Hafif şişmanlık, obezite, santral obezite ve 95 persentilden yüksek bel çevresine sahip olma prevalansının, okulun sosyoekonomik düzey artışına paralel olarak arttığı belirlenmiştir. Benzer olarak; vücut ağırlığı, BKİ, bel çevresi ve bel/boy oranı ortalamalarının okulun sosyoekonomik düzey artışına paralel olarak anlamlı artış gösterdiği bulunmuştur. Çalışma kapsamına alınan tüm ergenlerin %19,7'sinde santral obezite belirlenmiştir ve BKİ'ye göre obez ergenlerin %92,8, hafif şişmanların %55,1 ve normal ergenlerin %2.8'inde santral obezite belirlenmiştir. Ayrıca; kız ergenlerin %15,6'sında, erkeklerin %23,6'sında santral obezite olduğu ve aralarındaki farkın anlamlı olduğu bulunmuştur. Sonuç: Obezite ve santral obezitenin belirlenmesi için okullarda ergenlerin BKİ'lerinin yanında bel/boy oranı bakımından da değerlendirilmesi ve özellikle orta ve yüksek sosyoekonomik düzey okullarda artış gösteren obeziteye yönelik koruyucu, eğitici ve tedavi edici okul merkezli hizmetlerin artırılması önerilmektedir.

Anahtar Kelimeler: Ergenlik; okul sağlık hizmetleri; sosyoekonomik düzey; obezite; santral obezite; bel/boy oranı
ABSTRACT
 Objective: The purpose of the present study was to examine the effects of socio-economic status on obesity and central obesity. For this purpose, the body mass index (BMI), obesity and waist/height rates were evaluated in terms of central obesity prevalence in teenagers who were studying at 6th, 7th and 8th grades in schools located in three different socio-economic areas a city center in Turkey. Material and Methods: The study was conducted on a total of 1.713 students in 2012-2013 academic year. The Primary Schools in the city center of Tokat were grouped according to low, middle and high socio-economic levels; and a total of 6 schools were selected with the Simple Random Sampling Method. All the students in the 6th, 7th and 8th grades of these 6 Primary Schools were included in the present study. The height, body weight and waist circumference measurements were carried out by the researcher herself in the own classrooms of the students. If the waist/height ratio was at or above 0.5, the participant was evaluated as having central obesity. The data that were obtained were evaluated in the computer medium. Results: For all the teenagers, who were included in the study, the mean age value was 12.54±0.92; 33.8% of them were in the 6th grade; 35.8% were in the 7th grade; 30.4% were in the 8th grade; 48.5% were female and 51.5% were male. In terms of the BMI of the teenagers, who were included in the present study, 9.3% were weak, 62.5% were normal, 21.7% were slightly obese, and 6.5% were obese. It was determined that the prevalence of being slightly obese, obese, central obese, and having waist circumferences above 95 percentile increased paralel to the increase in the socio-economic level of the school. Similarly, it was also determined that the body weight, BMI, waist circumference and waist/height ratio increased at a significant level parallel to the increase in the socioeconomic level of the schools. Central obesity was determined in 19.7% of the participants who were included in the study. According to the BMI values, it was also determined that 92.8% of the obese teenagers, 55.1% of the slightly fat teenagers, and 2.8% of the normal teenagers had central obesity. In addition, it was also determined that 15.6% of the female teenagers and 23.6% of the male teenagers had central obesity, and the difference between them was significant. Conclusion: For the purpose of determining the obesity and central obesity rates, it is recommended that teenagers are evaluated in terms of BMI values and also in terms of waist/height ratios; and it is also recommended that preventive, educative and remedial school-centered services are increased especially against obesity, which is increasing in middle and high socio-economic level schools.

Keywords: Teenagers; school health services; socio-economic levels; obesity; central obesity; waist/height ratio
REFERENCES:
  1. Fitch A, Bock J. Effective dietary therapies for pediatric obesity treatment. Rev Endocr Metab Disord. 2009;10(3):231-6. [Crossref] [PubMed]
  2. Barlow SE, Dietz WH. Obesity evaluation and treatment: Expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics. 1998;102(3):E29. [Crossref] [PubMed]
  3. Akıncı A. [Obesity and the metabolic syndrome in children]. Cinaz P, Darendeliler F, Akıncı A, Özkan B, Dündar BN, Abacı A, et al, editörler. Temel Çocuk Endokrinolojisi. 1. Baskı. İstanbul: Nobel Tıp Kitapevi; 2013. p.547-96.
  4. Xu Z, Qi X, Dahl AK, Xu W. Waist-to-heigh tratio is the best indicator for undiagnosed type 2 diabetes. Diabet Med. 2013;30(6): e201-7. [Crossref ] [PubMed]
  5. Ashwell M, Gibson S. Waist-to-heigh tratio as an indicator of ?early health risk?: simpler and more predictive thanusing a ?matrix? based on BMI and waist circumference. BMJ Open. 2016;6(3):1-6. [Crossref ] [PubMed] [PMC]
  6. Ashwell M, Gunn P, Gibson S. Waist-to-heigh tration is a beter screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and metaanalysis. Obes Rev. 2012;13(3):275-86. [Crossref] [PubMed]
  7. Yeşil E, Özdemir M, Arıtıcı G, Aksoydan E. [Evaluation of the relationship between waist height ratio and other anthropometric measures in the risk of chronic diseases]. ACU Sağlık Bil Dergisi. 2017. [Crossref]
  8. Brambilla P, Bedogni G, Heo M, Pietrobelli A. Waist circumference-to-height ratio predicts adiposity better than body mass index in children and adolescents. Int J Obes (Lond). 2013;37(7):943-6. [Crossref ] [ PubMed]
  9. Kromeyer-Hauschild K, Neuhauser H, Schaffrath Rosario A, Schienkiewitz A. Abdominal obesity in German adolescents defined by waist-to-height ratio and ıts association to elevated blood pressure: the KiGGS study. Obes Facts. 2013;6(2):165-75. [Crossref] [PubMed] [PMC]
  10. Balkan F. [Metabolic syndrome]. Ankara Medical Journal. 2013;13(2):85-90.
  11. Mokha JS, Srinivasan SR, Dasmahapatra P, Fernandez C, Chen W, Xu J, et al. Utility of waist-to-height ratio in assessing the status of central obesity and related cardiometabolic risk profile among normal weight and overweight/obese children: the Bogalusa Heart Study. BMC Pediatr. 2010;10:73. [Crossref] [PubMed] [PMC]
  12. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311(8):806-14. [Crossref] [PubMed] [PMC]
  13. Yılmaz BÖ, Çiçek B, Kaner G. [Determining the obesity level and related risk factors in adolescents attending at high schools in Kayseri province]. Turk Hij Den Biyol Derg. 2018;75(1):77-88. [Crossref ]
  14. Yuca SA, Yılmaz C, Cesur Y, Doğan M, Kaya A, Başaranoğlu M. [Prevalence of overweight and obesity in children and adolescent in Eastern Turkey]. J Clin Res Pediatr Endocrinol. 2010;2(4):159-63. [Crossref] [PubMed] [PMC]
  15. Battaloğlu İnanç B. [7-15 years of age group children? hypertension and obesity]. J Clin Anal Med. 2013;4:116-9. [Crossref ]
  16. Metinoğlu İ, Pekol S, Metinoğlu Y. [Factors affectıng the prevalence of obesity in students between the ages of 10-12 in Kastamonu]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2012;3(2):117-23.
  17. Akçam M, Boyacı A, Pirgon Ö, Dündar B. [Evaluation of the change in the prevalence of childhood obesity in ten schools in the province of Isparta]. Turk Arch Ped. 2013;48:152-5. [Crossref ]
  18. Abreu S, Santos R, Moreira C, Santos PC, Mota J, Moreira P. Food consumption, physical activity and socio-economic status related to BMI, waist circumference and waist-toheight ratio in adolescents. Public Health Nutr. 2013;17(8):1834-49. [Crossref ] [PubMed]
  19. Chung A, Backholer K, Wong E, Palermo C, Keating C, Peeters A. Trends in child and adolescent obesity prevalence in economically advanced countries according to socioeconomic position: a systematic review. Obes Rev. 2016;17(3):276-95. [Crossref ] [PubMed]
  20. Chen TJ, Modin B, Ji CY, Hjern A. Regional, socioeconomic and urban-rural disparities in child and adolescent obesity in China: a multi level analysis. Acta Paediatr. 2011;100(12): 1583-9. [Crossref ] [PubMed]
  21. Çınar S, Çavuşoğlu H. [Research on obesity for children between the ages of 7-14 and from different socio-economic status]. Turkiye Klinikleri J Nurs Sci. 2016;8(2):112-21. [Crossref]
  22. İskender M, Tura G, Akgül Ö, Turtulla S. [The relationship between the family environment, eating behavior and obesity for the secondary school students]. Journal of Human Sciences. 2014;11(2):10-26. [Crossref ]
  23. Öztürk A, Aktürk S. [Obesity prevalence and associated risk factors in school-aged children]. TAF Prev Med Bull. 2011;10(1):53-60. [Crossref ]
  24. Mazıcıoğlu MM. [The anthropometric measuring methods for monitoring growth and development: the methodology of growth follow-up]. Türk Aile Hekimliği Dergisi. 2011;15:101-8. [Crossref ]
  25. Hatipoglu N, Ozturk A, Mazicioglu MM, Kurtoglu S, Seyhan S, Lokoglu F. Waist circumference percentiles for 7to 17 year-old Turkish children and adolescents. Eur J Pediatr. 2008;167(4):383-9. [Crossref ] [PubMed]
  26. Prasanna Kamath BT, Bengalorkar GM, Deepthi R, Muninarayan C, Ravishankar S. Prevalence of overweight and obesity among adolescent school going children (12-15 years) in Urban Area, South India. Int J Cur Res Rev. 2012;4(20):99-105.
  27. Schröder H, Ribas L, Koebnick C, Funtikova A, Gomez SF, Fito M, et al. Prevalence of abdominal obesity in Spanish children and adolescents. Do we need waist circumference measurements in pediatric practice? PloS One. 2014;9(1):e87549. [Crossref ] [PubMed] [ PMC]
  28. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA. 2012;307(5):483-90. [Crossref ] [PubMed] [PMC]
  29. Bereket A, Atay Z. Current status of childhood obesity and its associated morbidities in Turkey. J Clin Res Pediatr Endocrinol. 2012;4(1):1-7. [Crossref ] [PubMed] [PMC]
  30. Yiğit R. Çocukluk Dönemlerinde Büyüme ve Gelişme. Ankara: Sistem Ofset Baskı; 2009. p.179-81.

.: 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