Evaluation of quality of life, health belief model and insomnia in obese and overweight individuals: a cross-sectional study

Year 2025, Volume: 18 Issue: 2, 6 - 6

Selin Davun , Mehmet Akif Sezerol

https://doi.org/10.31362/patd.1510589

Abstract

Purpose: This study was conducted to evaluate the quality of life, insomnia severity, and approaches according to the health belief model of obese and overweight individuals who applied to the dietician polyclinic of the district health directorate in a district of Istanbul.
Material and methods: This cross-sectional study was conducted between September 2022 and March 2023 among 300 obese and overweight individuals aged above 18 who applied to the dietician polyclinic of the district health directorate in a district of Istanbul. The survey used the insomnia severity index, quality of life short form, and health belief model scale. To compare variables, the Chi-Square test, Mann Whitney U, and Kruskal Wallis tests were used for statistical analysis of the data. P<0.05 was considered statistically significant.
Results: 97.3% of the participants in the research were female and 2.7% were male. The mean scores of those who were overweight on the quality of life scale were found to be significantly higher than those of the obese (p<0.001). A significant difference was found between the obese and overweight in terms of insomnia severity index scores (p=0.003). Also, a significant correlation was found between the perceived benefit subscale and the perceived seriousness, sensitivity, importance of health sub-dimensions, and quality of life scale scores.
Conclusions: This study demonstrated the health beliefs, quality of life, and insomnia levels of obese and overweight individuals. Qualitative studies to be conducted should address the health belief model in more detail by using the data of this study.

Keywords

Obese, overweight, quality of life, insomnia

Obez ve kilolu bireylerde yaşam kalitesi, sağlık inanç modeli ve uykusuzluğun değerlendirilmesi: kesitsel bir çalışma

Abstract

Amaç: Bu çalışma, İstanbul'un bir ilçesinde ilçe sağlık müdürlüğüne bağlı diyetisyen polikliniğine başvuran obez ve fazla kilolu bireylerin yaşam kalitesi, uykusuzluk şiddeti ve sağlık inanç modeli yaklaşımlarını değerlendirmek amacıyla yapılmıştır.
Gereç ve yöntem: Bu kesitsel çalışma, Eylül 2022 ile Mart 2023 tarihleri arasında, İstanbul'un bir ilçesinde ilçe sağlık müdürlüğüne bağlı diyetisyen polikliniğine başvuran 18 yaş üstü 300 obez ve fazla kilolu birey arasında gerçekleştirilmiştir. Anket kapsamında uykusuzluk şiddeti indeksi, yaşam kalitesi kısa formu ve sağlık inanç modeli ölçeği kullanılmıştır. Değişkenleri karşılaştırmak için Ki-Kare testi, Mann Whitney U ve Kruskal Wallis testleri kullanılmış olup, p<0.05 istatistiksel olarak anlamlı kabul edilmiştir.
Bulgular: Araştırmaya katılanların %97,3'ü kadın ve %2,7'si erkekti. Yaşam kalitesi ölçeğinden alınan puanların ortalamaları fazla kilolu bireylerde obez bireylerden anlamlı derecede yüksek bulunmuştur (p<0.001). Obez ve fazla kilolu bireyler arasında uykusuzluk şiddeti indeksi açısından anlamlı bir fark bulunmuştur (p=0.003). Ayrıca, algılanan yarar alt ölçeği ile algılanan ciddiyet, duyarlılık, sağlık önemi alt boyutları ve yaşam kalitesi ölçeği puanları arasında anlamlı bir korelasyon bulunmuştur.
Sonuç: Bu çalışma, obez ve fazla kilolu bireylerin sağlık inançlarını, yaşam kalitelerini ve uykusuzluk seviyelerini ortaya koymuştur. Gelecekte yapılacak niteliksel çalışmalar, bu çalışmanın verilerini kullanarak sağlık inanç modelini daha detaylı bir şekilde ele almalıdır.

Keywords

Obez, fazla kilolu, yaşam kalitesi, uykusuzluk

References

• 1. Muhammad T, Gharge S and Meher T. The associations of BMI, chronic conditions, and lifestyle factors with insomnia symptoms among older adults in India. PLoS One 2022;17:0274684. https://doi.org/10.1371/journal.pone.0274684
• 2. World Health Organization 2019; Available at: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight#:~:text=%2Fm2).-,Adults,than%20or%20equal%20to%2030. Accessed March 29, 2023
• 3. Haththotuwa RN, Wijeyaratne CN, Senarath U. Worldwide epidemic of obesity. Obesity and obstetrics. Elsevier 2020;3-8. https://doi.org/10.1016/B978-0-12-817921-5.00001-1
• 4. World Health Organization Report. Available at: https://apps.who.int/iris/bitstream/handle/10665/353747/9789289057738-eng.pdf. Accessed March 29, 2023
• 5. Türkiye Sağlık Araştırmaları 2019. Available at: https://data.tuik.gov.tr/Bulten/Index?p=Turkey-Health-Survey-2019-33661. Accessed March 29, 2023
• 6. Chatterjee A, Gerdes MW, Martinez SG. Identification of risk factors associated with obesity and overweight—a machine learning overview. Sensors 2020;20:2734. https://doi.org/10.3390/s20092734
• 7. Sarma S, Sockalingam S, Dash S. Obesity as a multisystem disease: Trends in obesity rates and obesity‐related complications. Diabetes Obes Metab 2021;23:3-16. https://doi.org/10.1111/dom.14290
• 8. Waddell IS, Orfila C. Dietary fiber in the prevention of obesity and obesity-related chronic diseases: From epidemiological evidence to potential molecular mechanisms. Crit Rev Food Sci Nutr 2023;63:8752-8767. https://doi.org/10.1080/10408398.2022.2061909
• 9. Vogelzangs N, Kritchevsky SB, Beekman ATF, et al. Obesity and onset of significant depressive symptoms: results from a prospective community-based cohort study of older men and women. J Clin Psychiatry 2009;70:391-399. https://doi.org/10.4088/JCP.08m04743blu
• 10. Simon GE, Von Korff M, Saunders K, et al. Association between obesity and psychiatric disorders in the US adult population. Arch Gen Psychiatry 2006;63:824-830. https:// doi:10.1001/archpsyc.63.7.824
• 11. Hecker J, Freijer K, Hiligsmann M, Evers S. Burden of disease study of overweight and obesity; the societal impact in terms of cost-of-illness and health-related quality of life. BMC Public Health 2022;22:46(e1-13). https://doi.org/10.1186/s12889-021-12449-2
• 12. Stephenson J, Smith CM, Kearns B, Haywood A, Bissell P. The association between obesity and quality of life: a retrospective analysis of a large-scale population-based cohort study. BMC Public Health 2021;21:1-9. https://doi.org/10.1186/s12889-021-12009-8
• 13. Busutil R, Espallardo O, Torres A, Martinez Galdeano L, Zozaya N, Hidalgo Vega A. The impact of obesity on health-related quality of life in Spain. Health and Quality of Life Outcomes 2017;15:197(e1-11). https://doi.org/10.1186/s12955-017-0773-y
• 14. Van Cauter E, Spiegel K, Tasali E, Leproult R. Metabolic consequences of sleep and sleep loss. Sleep Med 2008;9:23-28. https://doi.org/10.1016/S1389-9457(08)70013-3 15. OpenEpi Sample Size. Available at: https://www.openepi.com/SampleSize/SSPropor.htm. Accessed August 14, 2022
• 16. Rahe C, Czira ME, Teismann H, Berger K. Associations between poor sleep quality and different measures of obesity. Sleep Med 2015;16:1225-1228. https://doi.org/10.1016/j.sleep.2015.05.023
• 17. Dedeli Ö, Fadıloğlu Ç. Obezitede sağlik inanç modeli ölçeği’nin geliştirilmesi. TSK Koruyucu Hekimlik Bülteni 2011;10:533-542. https://doi.org/10.5455/pmb.20110118022318
• 18. Yağma NM, Ünal E, Gökler ME, Mollahaliloğlu S. Cross-cultural adaptation, reliability, and validity of the Turkish version of the obesity specific quality of life questionnaire: quality of life, obesity, and dietetics (QOLOD) rating scale. Turk J Med Sci 2021;51:2369-2376. https://doi.org/10.3906/sag-2005-412
• 19. Boysan M, Güleç M, Besiroğlu L, Kalafat T. Uykusuzluk Şiddeti Indeksi'nin Türk örneklemindeki psikometrik özellikleri. Anadolu Psikiyatri Dergisi 2010;11:248-252.
• 20. Duraccio KM, Simmons DM, Beebe DW, Byars KC. Relationship of overweight and obesity to insomnia severity, sleep quality, and insomnia improvement in a clinically referred pediatric sample. J Clin Sleep Med 2022:18;1083-1091.
• 21. Vorona RD, Winn MP, Babineau TW, Eng BP, Feldman HR, Ware JC. Overweight and obese patients in a primary care population report less sleep than patients with a normal body mass index. Arch Intern Med 2005;165:25-30. https://doi.org/10.1001/archinte.165.1.25
• 22. Logue EE, Scott ED, Palmieri PA, Dudley P. Sleep duration, quality, or stability and obesity in an urban family medicine center. J Clin Sleep Med 2014;10:177-182. https://doi.org/10.5664/jcsm.3448
• 23. Buscemi D, Kumar A, Nugent R, Nugent K. Short sleep times predict obesity in internal medicine clinic patients. J Clin Sleep Med 2007;3:681-688. https://doi.org/10.5664/jcsm.27023
• 24. Jia H, Lubetkin EI. The impact of obesity on health-related quality-of-life in the general adult US population. J Public Health-UK 2005;27:156-164. https://doi.org/10.1093/pubmed/fdi025
• 25. Sach TH, Barton GR, Doherty M, Muir KR, Jenkinson C, Avery AJ. The relationship between body mass index and health-related quality of life: comparing the EQ-5D, EuroQol VAS, and SF-6D. Int J Obes 2007;31:189-196. https://doi.org/10.1038/sj.ijo.0803365
• 26. Stephenson J, Smith CM, Kearns B, Haywood A, Bissell P. The association between obesity and quality of life: a retrospective analysis of a large-scale population-based cohort study. BMC Public Health 2021;21:1900(e1-9). https://doi.org/10.1186/s12889-021-12009-8 27. Thommasen HV, Zhang W. Impact of chronic disease on quality of life in the Bella Coola Valley. Rural Remote Health 2006;6:528(e1-18). https://doi.org/10.22605/RRH528
• 28. Lucena L, Polesel DN, Poyares D. et al. The association of insomnia and quality of life: Sao Paulo epidemiologic sleep study (EPISONO). Sleep Health 2020;6:629-635. https://doi.org/10.1016/j.sleh.2020.03.002
• 29. Khorsandi M, Fekrizadeh Z, Roozbahani N. Investigation of the effect of education based on the health belief model on the adoption of hypertension-controlling behaviors in the elderly. Clin Interv Aging 2017;12:233-240. https://doi.org/10.2147/CIA.S117142
• 30. Sulat JS, Prabandari YS, Sanusi R, Hapsari ED, Santoso B. The validity of health belief model variables in predicting behavioral change: a scoping review. Health Educ 2018;118:499-512. https://doi.org/10.1108/HE-05-2018-0027
• 31. Barakat AM, Kasemy ZA. Preventive health behaviors during the coronavirus disease 2019 pandemic based on the health belief model among Egyptians. Middle East Curr Psychiatr 2020;27:43(e1-9). https://doi.org/10.1186/s43045-020-00051-y
• 32. Kahraman G, Türker B, Akbolat M. Obeziteye yönelik tutum ve inançların geliştirilmesinde sağlık programlarının etkisi. Acıbadem Univ Sağlık Bilim Derg 2015;6:89-98.
• 33. Darvishpour A, Vajari SM, Noroozi S. Can health belief model predict breast cancer screening behaviors? Open Access Maced J Med Sci 2018;6:949-953. https://doi.org/10.3889/oamjms.2018.183
• 34. Saghafi Asl M, Aliasgharzadeh S, Asghari Jafarabadi M. Factors influencing weight management behavior among college students: An application of the Health Belief Model. PloS One 2020:15;e0228058. https://doi.org/10.1371/journal.pone.0228058