Metabolik Olarak Sağlıklı Olan Hafif Şişman ve Obez Bireylerin Beslenme, Fiziksel Aktivite ve Yaşam Kalitesinin Değerlendirilmesi
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This study was conducted to evaluate the effects of factors such as nutrition, physical activity and quality of life contributing to metabolic health on metabolically healthy and overweight/obese individuals. A total of 87 voluntary women aged between 19 and 50 years, who did not have diabetes, hypertension or dyslipidemia and were not pregnant and in the menopausal period having normal body mass index (18,50-24,99 kg/m2) and overweight/obese (BKİ ≥25 kg/m2) were included in the study. A questionnaire was performed to examine the overall characteristics of the individuals, and the data of the anthropometrical measurements and body composition were obtained. The health-related quality of life of the individuals was evaluated using the Short Form-36 (SF-36) quality of life questionnaire, whereas duration of physical activity and sedentary periods were evaluated using the International Physical Activity Questionnaire (IPAQ). In addition, a 24-hour retrospective food consumption record form was used to evaluate a total of two-day food consumption, one day on weekdays and the other day on weekends. The dietary quality of individuals was assessed using the Healthy Eating Index-2005 (HEI-2005) scale. Based on our study results, 56% of overweight/obese individuals were found to be metabolically healthy. Metabolically healthy (MH) overweight/obese individuals were found to have a higher HEI score than the overweight/obese metabolically unhealthy (MU) participants (p<0.05). There was no significant difference between MH overweight/obese and MH normal weighted individuals’s the scores of total HEI score and HEI components (p>0.05). The waist circumference of MH overweight/obese individuals was found to be lower than MU slightly overweight/obese participants (p<0.05). There was no significant difference for physical function and physical role strength of the SF-36 quality of life components between MH and MU overweight/obese participants (p>0.05). There was no statistically significant difference between the MS normal and MS obese individuals in terms of quality of life components (p>0.05). Although of MH overweight/obese individuals’s physical activity scores were higher, there was no significant difference between in the MH and MU oveweight/obese individuals. The underlying factors in the development of the MS phenotype, which is resistant to the metabolic risk factors of obesity, have been discussed in recent years and it is emphasized that lifestyle factors may be a distinctive factor. Identifying the possible effects of lifestyle factors such as healthy nutrition and active life on the development of the obese phenotype of MS will be useful in the treatment of obesity.