Comparison of physical activity, cardiovascular risk, exercise capacity and quality of life in adult obese individuals and healthy individuals in primary care

Çetin B, A Comparison of physical activity, cardiovascular risk, exercise capacity and quality of life in adult obese individuals and healthy subjects in primary care, Hacettepe University, Institute of Health Sciences, Department of Physiotherapy and Rehabilitation, Master Thesis, Ankara, 2019. The aim of this study was to determine the extent to which the respiratory capacity, functional exercise capacity, quality of life and physical activity levels of adult obese individuals who applied to primary health care institutions were affected compared to healthy normal weight people. The 41 obese individuals (mean age 41,109,50 years) who volunteered to participate in the study whose BMI ≥ 30 kg / m2 applied to the Obesity Unit of Tokat Erbaa District Health Directorate and 41 healthy normal weight (mean age 38,399,32 years) were included in the study. Demographic characteristics and laboratory values were recorded. Body mass index, waist circumference, hip circumference, waist-hip ratio were calculated and bioelectrical impedance analyzes were performed. Individuals' functional exercise capacity six-minute walk test (6MWT), dyspnea perception Modified Medical Research Council Scale (MMRC), respiratory capacity three-minute breathing exercise test, health-related quality of life Questionnaire for fatness and weight loss (OWLQOL), physical activity level GODİN Leisure time Exercise Questionnaire, cardiovascular risk Systemic Coronary Risk Estimation SCORE Scale (Turkey), Cardiovascular Risk Factors Knowledge Level (CARRF-KL) Scale, Self-Stamping scale for psychological conditions weight for weight (WSSQ) were evaluated. Waist circumference, hip circumference, waist / hip and waist / height ratios of obese individuals were significantly higher (p<0.05). While 6MWT walk distance of obese individuals were significantly lower than healthy group, 6MWT work increased significantly (p<0.05). While MMRC scores of obese individuals were significantly higher than MMRC scores of healthy subjects(p<0.05), no statistically significant difference was found between maximal breathing capacity (MBC) scores and dyspnea perception indices of 3 min (p<0.05). Cardiovascular risk factors knowledge level of obese subjects evaluated by CARRIF-KL was significantly higher than healthy subjects (p<0.05). There was no statistically significant difference between the levels of physical activity (p>0.05). A statistically significant difference was observed between the quality of life of obese and healthy individuals (p<0.05). No statistically significant difference was observed between the risk levels of the individuals according to SCORE Turkey Scale (p>0,05). Self-stigmatization was higher in obese individuals and there was a statistically significant difference between the groups' psychological attitudes towards body weight (p<0.05). As a result, the risk of shortness of breath and cardiovascular disease increases, exercise capacity and quality of life decrease and a negative attitude towards weight develops in obese individuals admitted to primary health care centers. In order to reduce the cardiovascular risk and prevent the development of comorbidities in obese adults, it is necessary to gain healthy living habits and refer individuals to physiotherapy professionals by family physicians in terms of weight loss in an early period.