Objective: This paper examines obesity prevalence, physical activity and health responsibility in Elazig. Material and Method: The study was conducted on 2905 men (20 - 69) and 2131 women (20 - 69), with an average of (40.93 ± 9.14) chosen randomly. Health-Promoting Lifestyle Profile was obtained via Healthy Lifestyle Behaviors Scale by Walker & Pender (1987). In this paper, three sub-evaluation dimensions of HPLP-II, health responsibility, exercise and nutritional behavior were used. Body compositions were obtained with bioelectrical impedance and Waist Circumference (WC) Central obesity by measuring waist circumference. Statistical analyses were assessed in SPSS 22.0. With Chi square, ANOVA, linear and logistic regression analyses, significance levels were p < 0.05 and 0.001. Result: Obesity prevalence was 38.8%, 37.9% and 38.4% and rate of WC abdominal prevalence was 38.2%, 29.3% and 33.0% in men, women and general population respectively. Obesity prevalence was more in men (p < 0.001). Combined prevalence rate of overweight and obese individuals was 70.1%. Obesity prevalence increases after 35 and reaches high (55% - 80%), and correlation rates were found significant (p < 0.001). Conclusion: Obesity prevalence and abdominal obesity were critical health issues among adults. Individuals couldn’t develop conscious attitudes towards physical activity, nutrition and health responsibility and overcome obesity. Social strategies should be developed to reduce obesity risk factors.
AMA Adopts New Policies on Second Day of Voting at Annual Meeting, 18 June 2013. [Web Page] http://www.marketwired.com/press-release/ama-adopts-new-policies-on-second-day-of -voting-at-annual-meeting-1803251.htm
Hruby, A. and Hu, F.B. (2015) The Epidemiology of Obesity: A Big Picture. PharmacoEconomics, 33, 673-689. https://doi.org/10.1007/s40273-014-0243-x
Gretchen, A.S., Gitanjali, M.S., Yuan, L, et al. (2012) National, Regional, and Global Trends in Adult Overweight and Obesity Prevalences. Population Health Metrics, 10, 1-16.
WHO (1997) Obesity Preventing and Managingthe Global Epidemic. Report of the WHO Consultation on Obesity. WHO, Geneva.
Flegal, K.M., Carroll, M.D., Kuczmarski, R.J., et al. (1998) Overweight and Obesity in the United States: Prevalence and Trends, 1960-1994. International Journal of Obesity, 22, 39-47. https://doi.org/10.1038/sj.ijo.0800541
Kelly, T., Yang, W., Chen, C.S., et al. (2008) Global Burden of Obesity in 2005 and Projections to 2030. International Journal of Obesity, 32, 1431-1437. https://doi.org/10.1038/ijo.2008.102
Wang, Y., Beydoun, M.A., Liang, L., et al. (2008) Will All Americans Become Overweight or Obese? Estimating the Progression and Cost of the US Obesity Epidemic. Obesity Silver Spring Md., 16, 2323-2330. https://doi.org/10.1038/oby.2008.351
Arslan, C., Savucu, Y. and Ceviz, D. (2011) Evaluation of the Body Composition, Blood Lipids and Health Life-Style in Employment and Unemployment Women. HealthMED, 5, 699-710.
Doucet, E. and Tremblay, A. (1997) Food Intake, Energy Balance and Body Weight Control. European Journal of Clinical Nutrition, 51, 846-855. https://doi.org/10.1038/sj.ejcn.1600497
WHO (1995) Physical Status: The Use and Interpretation of Anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854. World Health Organization, Geneva.
Wang, Z.M., Pierson Jr, R.N. and Heymsfield, S.B. (1992) The Five-Level Model: A New Approach to Organizing Body Composition Research. The American Journal of Clinical Nutrition, 56, 19-28. https://doi.org/10.1093/ajcn/56.1.19
Siavash, M., Sadeghi, M., Salarifar, F., et al. (2008) Comparison of Body Mass Index and Waist/Height Ratio in Predicting Definite Coronary Artery Disease. Annals of Nutrition and Metabolism, 53,162-166. https://doi.org/10.1159/000172977
Lukaski, H.C. (2003) Regional Bioelectrical Impedance Analysis: Applications in Health and Medicine. Acta Diabetologica, 40, 196-199. https://doi.org/10.1007/s00592-003-0064-4
Han, T.S. and Lean, M.E.J. (2001) Anthropometric Indices of Obesity and Regional Distribution of Fat Depots. In: Bjorntorp, P., Ed., International Textbook of Obesity. Chapter 4, John Wiley & Sons, London, Chichester, 49-65. https://doi.org/10.1002/0470846739.ch4
Kissebah, A.H. and Peiris, A.N. (1989) Biology of Regional Body Fat Distribution and Relationship to Non-Insulin Dependent Diabetes Mellitus. Diabetes/Metabolism Reviews, 5, 83-109. https://doi.org/10.1002/dmr.5610050202
Edelman, C., Mandle, C.L. and Elizabeth, C.K. (2018) Health Promotion throughout the Life Span. 127. https://books.google.com.tr/books?id=ndwDAQAAQBAJ&printsec=frontcover&hl=tr&source =gbs_ge_summary_r&cad=0#v=onepage&q&f=false
Pender, N.J. (1987) Health Promotion in Nursing Practice. Second Edition, Jones & Bartlett Learning, Burlington.
Redland, A.R. and Stuifbergen, A.K. (1993) Strategies for Maintenance of Health-Promoting Behavior. Nursing Clinics of North America, 28, 427-441.
Komduur, R.H., Korthals, M. and Molder, H. (2009) The Good Life: Living for Health and a Life without Risks? On a Prominent Script of Nutrigenomics. British Journal of Nutrition, 101, 307-316. https://doi.org/10.1017/S0007114508076253
Walker, S.N., Sechrist, K.R. and Pender, N.J. (1987) The Health-Promoting Lifestyle Profile: Development and Psychometric Characteristics. Nursing Research, 36, 76-81. https://doi.org/10.1097/00006199-198703000-00002
Esin, N. (1999) Adapting the Scale of Healthy Lifestyle Behaviors to Turkish. Nursing Bulletin, 12, 87-95.
Jawon Medical Co. Ltd. Korean. Avis 333 Plus. Segmental Body Composition Analyzer. http://jawon.co.kr/eng/02hospital/nproduct8.php
Ng, M., Fleming, T., Robinson, M., et al. (2014) Global, Regional, and National Prevalence of Overweight and Obesity in Children and Adults during 1980-2013: A Systematic Analysis for the Global Burden of Disease Study 2013. The Lancet, 384, 766-781. https://doi.org/10.1016/S0140-6736(14)60460-8
Prentice, A. and Jebb, S. (2004) Energy Intake/Physical Activity Interactions in the Homeostasis of Body Weight Regulation. Nutrition Reviews, 62, 98-104. https://doi.org/10.1301/nr.2004.jul.S98-S104
Bleich, S., Cutler, D., Murray, C., et al. (2008) Why Is the Developed World Obese? Annual Review of Public Health, 29, 273-295. https://doi.org/10.1146/annurev.publhealth.29.020907.090954
Astrup, A. and Brand-Miller, J. (2012) Diet Composition and Obesity. The Lancet. 379, 1100-1101. https://doi.org/10.1016/S0140-6736(12)60456-5
WHO (2017) Obesity and Overweight Factsheet from the WHO. http://www.who.int/mediacentre/factsheets/fs311/en/
OECD Health Statistics 2017. Obesity Update. http://www.oecd.org/health/health-systems/Obesity-Update-2017.pdf
Erem, C., Arslan, C., Hacihasanoglu, A., et al. (2004) Prevalence of Obesity and Associated Risk Factors in a Turkish Population (Trabzon City, Turkey). Obesity Research, 12, 1117-1127. https://doi.org/10.1038/oby.2004.140
Turnagol, H. (2017) Healthy Nutrition and Obesity. http://www.ankakon2017.com/sunumlar/husrev_turnagol.pdf
Satman, I., Omer, B., Tutuncu, Y., et al. (2013) Twelve-Year Trends in the Prevalence and Risk Factors of Diabetes and Prediabetes in Turkish Adults. European Journal of Epidemiology, 28, 169-180. https://link.springer.com/content/pdf/10.1007%2Fs10654-013-9771-5.pdf
Turkish Statistical Institute (TUIK). Death Reason Statistics 2016. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24572
Provincial Directorate of Health (SIM) (2018) Reasons for Death in 2017. Elazig.
Report: Obesity Rates by Country 2017. https://renewbariatrics.com/obesity-rank-by-countries/
Baumgartner, R.N. (2000) Body Composition in Healthy Aging. Annals of the New York Academy of Sciences, 904, 437-448. https://doi.org/10.1111/j.1749-6632.2000.tb06498.x
Ryan, A.S., Serra, M.C. and Goldberg, A.P. (2018) Metabolic Benefits of Prior Weight Loss with and without Exercise on Subsequent 6-Month Weight Regain. Obesity (Silver Spring), 26, 37-44. https://doi.org/10.1002/oby.22032
Lind, L., Carlsson, A.C., Siegbahn, A., et al. (2017) Impact of Physical Activity on Cardiovascular Status in Obesity. European Journal of Clinical Investigation, 47, 167-175. https://doi.org/10.1111/eci.12722
Han, Q., Shao, P., Leng, J., et al. (2018) Interactions between General and Central Obesity in Predicting Gestational Diabetes Mellitus in Chinese Pregnant Women: A Prospective Population-Based Study in Tianjin, China. Journal of Diabetes, 10, 59-67. https://doi.org/10.1111/1753-0407.12558
Besler, H.T., Bilici, S., Buzgan, T., et al. (2010) Turkey Obesity Fight and Control Program (2010-2014). Ministry of Health General Directorate of Primary Health Care Publication No. 773, Ankara.
Mcinnis, K.J., Franklin, B.A. and Rippe, J.M. (2003) Counseling for Physical Activity in Overweight and Obese Patients. American Family Physician, 67, 1249-1256.
Asp, M., Simonsson, B., Larm, P., et al. (2017) Physical Mobility, Physical Activity, and Obesity among Elderly: Findings from a Large Population-Based Swedish Survey. Public Health, 147, 84-91. https://doi.org/10.1016/j.puhe.2017.01.032
Jakicic, J.M., Rogers, R.J., Davis, K.K., et al. (2018) Role of Physical Activity and Exercise in Treating Patients with Overweight and Obesity. Clinical Chemistry, 64, 99-107. https://doi.org/10.1373/clinchem.2017.272443