Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Evaluation of Obesity Frequency and Quality of School Life in Primary School Students: Descriptive-Cross-Sectional Study
İlköğretim Öğrencilerinde Obezite Sıklığı ve Okul Yaşam Kalitesinin Değerlendirilmesi: Tanımlayıcı Kesitsel Çalışma
Şemsinnur GÖÇERa , Nursel ÜSTÜNDAĞ ÖCALb , Ahmet ÖZTÜRKc
aYozgat Bozok University School of Sarıkaya Physiotherapy and Rehabilitation, Yozgat, Türkiye
bYozgat Bozok University Vocational School of Health Services, Yozgat, Türkiye
cDepartment of Public Health, Erciyes University Faculty of Medicine, Kayseri, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(1):1-10
doi: 10.5336/healthsci.2023-98944
Article Language: EN
Full Text
ABSTRACT
 Objective: In this study, it was aimed to assess obesity frequency and quality of school life in grade 5, 6, 7, and 8 students from elementary schools in Yozgat Province. Material and Methods: This descriptive and cross-sectional study included 1,200 students studying in grades 5, 6, 7, and 8 during the spring semester of the 2019-2020 school year in 4 elementary schools affiliated with the Provincial Directorate of National Education in Yozgat Province. No sampling was performed as it was aimed to encompass the whole study population. Data were collected using individual data sheets and the Quality of School Life Scale (QSLS) via face-to-face interview method. Overall, the study included 936 students. Results: In the study population, the mean age was 12.2±1.2 years and 50.9% were boys. Of the students, 45.5% were attending a school assigned to have the low socioeconomic level. Based on body mass index (BMI) assessment, it was found that 16.7% of subjects were overweight or obese. Among students, the mean score was 120.5±22.7 points while the minimum score was 39 points maximum point was 171 on the QSLS. No significant correlation was found between BMI and quality of school life. Conclusion: It is important to implement measures directing long-term unfavorable consequences at preschool period in order to prevent overweight and obesity in childhood.

Keywords: Student; obesity; quality of school life
ÖZET
 Amaç: Bu çalışmada, Yozgat ili merkezindeki ilköğretim 5, 6, 7 ve 8. sınıf öğrencilerinde obezite sıklığı ve okul yaşam kalitesinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipteki bu araştırmaya 2019-2020 eğitim-öğretim yılı bahar yarıyılında Yozgat ilinde İl Milli Eğitim Müdürlüğüne bağlı 4 ilköğretim okulunda 5, 6, 7 ve 8. sınıflarda öğrenim gören 1.200 öğrenci dâhil edilmiştir. Araştırma evreninin tamamına ulaşılması hedeflenmiş, örneklem seçilmemiştir. Veriler kişisel bilgi formu ve Okul Yaşam Kalitesi Ölçeği [Quality of School Life Scale (QSLS)] kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Çalışma 936 öğrenciyi içermektedir. Bulgular: Çalışma popülasyonunda ortalama yaş 12,2±1,2 idi ve %50,9'u erkekti. Öğrencilerin %45,5'i sosyoekonomik düzeyi düşük olarak belirlenen bir okula devam etmektedir. Beden kitle indeksi (BKİ) değerlendirmesine göre deneklerin %16,7'sinin fazla kilolu veya obez olduğu tespit edildi. Öğrencilerin QSLS ortalama puanı 120,5±22,7 olup, minimum 39, maksimum ise 171 puandır. BKİ ile okul yaşam kalitesi arasında anlamlı bir ilişki bulunmadı. Sonuç: Çocukluk çağında fazla kilo ve obezitenin önlenmesi için okul öncesi dönemde uzun vadeli olumsuz sonuçlara yönelik önlemlerin alınması önemlidir.

Anahtar Kelimeler: Öğrenci; obezite; okul yaşam kalitesi
REFERENCES:
  1. Onder A, Kavurma C, Celmeli G, Surer Adanır A, Ozatalay E. Obezite tanılı çocuk ve ergenlerde psikopatoloji, yaşam kalitesi ve ebeveyn tutumlarının değerlendirilmesi [Assessment of psychopathology, quality of life and parental behaviours of children and adolescents with obesity]. Journal of Izmır Behçet Uz Pediatric Hospital. 2018;8(1):51-8. [Link] 
  2. Ari Z, Suzek H. Muğla merkez köylerindeki bir grup ilköğretim okulu öğrencisinde serum lipid profili ve obezite taraması [Serum lipid profile and obesity scanning of a group of primary-school students in central villages of Mugla province]. Meandros Medical And Denta Dental Journal. 2008;9(2):11-6. [Link] 
  3. Borzekowski DL, Bayer AM. Body image and media use among adolescents. Adolesc Med Clin. 2005;16(2):289-313. [Crossref]  [PubMed] 
  4. Braet C, Mervielde I, Vandereycken W. Psychological aspects of childhood obesity: a controlled study in a clinical and nonclinical sample. J Pediatr Psychol. 1997;22(1):59-71. [Crossref]  [PubMed] 
  5. Linnakylä P, Brunell V. Quality of school life In the finnish and swedish speaking schools in finland. In: Binkley M, Rust K, Williams T, eds. Reading Literacy In An International Perspective. 1st ed. Washington, DC: U.S. Department of Education Office of Educational Research and Improvement; 1996. p.203-17.
  6. Epstein JL, Mcpartland JM. The concept and measurement of the quality of school life. American Educational Research Journal. 1976;13(1):15-30. [Crossref] 
  7. Karatzias A, Power KG, Swanson V. Quality of school life: Development and preliminary standardization of an instrument based on performance indicators in Scottish secondary schools. School Effectiveness and School Improvement. 2010;12(3):265-84. [Crossref] 
  8. Ozturk A, Akturk S. Obesity prevalence and associated risk factors in school-aged children. TAF Preventive Medicine Bulletin. 2011;10(1):53-60. [Crossref] 
  9. Sari M. Okul yaşamının değerlendirilmesi: Okul Yaşam Kalitesi Ölçeği'nin güvenirlik ve geçerliği [Assesment of school life: Reliability and validity of Quality of School Life Scale]. Hacettepe University Journal of Education. 2012;42(42):344-55. [Link] 
  10. Centers for Disease Control and Prevention [Internet]. [Cited: October 18, 2023]. Defining Child BMI Categories. Available from: [Link] 
  11. Neyzi O, Günöz H, Furman A, Bundak R, Gökçay G, Darendeliler F, et al. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri [Reference values of body weight, height, head circumference and body mass index in Turkish children]. Çocuk Sağlığı ve Hastalıkları Dergisi. 2008;51(1):1-14. [Link] 
  12. Simsek F, Ulukol B, Berberoğlu M, Gülnar SB, Adiyaman P, Öcal G. Ankara'da bir ilköğretim okulu ve lisede obezite sıklığı [Obesity prevalence in a primary school and a high school in Ankara]. Journal of Ankara University School of Medicine. 2005;58(4):163-6. [Link] 
  13. Uskun E, Ozturk M, Kisioglu AN, Kirbiyik S, Demirel R. İlköğretim öğrencilerinde obezite gelişimini etkileyen risk faktörleri [Risk factors of influencing the development of obesity in the primary education students]. Suleyman Demirel University Faculty of Medicine Journal. 2005;12(2):19-25. [Link] 
  14. Can N. Çorlu merkezdeki ilköğretim çağındaki çocuklarda obezite görülme sıklığı, risk faktörleri ve benlik saygısı [Yüksek lisans tezi]. Edirne: Trakya Üniversitesi; 2011. [Link] 
  15. Giampietro O, Virgone E, Carneglia L, Griesi E, Calvi D, Matteucci E. Anthropometric indices of school children and familiar risk factors. Prev Med. 2002;35(5):492-8. [Crossref]  [PubMed] 
  16. Kaya R. Edirne il merkezinde ilköğretim okullarındaki öğrencilerde beslenme-obezite-fiziksel aktivite ilişkisinin değerlendirilmesi [Yüksek lisans tezi]. Edirne: Trakya Üniversitesi; 2008. [Link] 
  17. Uyar M, Demir LS, Durduran Y, Yücel M, Altınay SB, Şahin TK. Determination of obesity incidence in primary school students and determination of affecting factors; preliminary findings of the 4-year cohort study [İlkokul öğrencilerinde obezite insidansının saptanması; 4 yıllık kohort çalışmasının ön bulguları]. Türkiye Çocuk Hastalıkları Dergisi. 2021;15(6):459-64. [Link] 
  18. Ardic A, Esin MN. Factors associated with healthy lifestyle behaviors in a sample of Turkish adolescents: A school-based study. Journal of Transcultural Nursing. 2016;27(6):583-92. [Crossref]  [PubMed] 
  19. Hacıhasanoğlu R, Yıldırım A, Karakurt P, Sağlam R. Healthy lifestyle behaviour in university students and influential factors in eastern Turkey. Int J Nurs Pract. 2011;17(1):43-51. [Crossref]  [PubMed] 
  20. Ortabag T, Ozdemir S, Bakir B, Tosun N. Health promotion and risk behaviors among adolescents in Turkey. J Sch Nurs. 2011;27(4):304-15. [Crossref]  [PubMed] 
  21. Çıtırak D. Kahramanmaraş il merkezinde ilköğretim öğrencilerinde obezite prevalansı [Yüksek lisans tezi]. Kahramanmaraş: Kahramanmaraş Sütçü İmam Üniversitesi; 2008. [Link] 
  22. Aslan D, Gurtan E, Hacim E, Karaca N, Senol E. Ankara'da Eryaman Sağlık Ocağı bölgesi'nde bir lisenin ikinci sınıfında okuyan kız öğrencilerinin beslenme durumlarının ve bazı antropometrik ölçümlerinin değerlendirmeleri [Nutritional Status and Anthropometric Assessment of 10th Grader Girls at a High School in the Catchment Area of Eryaman District, Ankara]. Cumhuriyet University Faculty of Medicine Journal. 2003;25(2):55-62. [Link] 
  23. de Oliveira AM, Cerqueira Ede M, de Oliveira AC. Prevalência de sobrepeso e obesidade infantil na cidade de Feira de Santana-BA: detecção na família x diagnóstico clínico [Prevalence of overweight and childhood obesity in Feira de Santana-BA: family detection vs. clinical diagnosis]. J Pediatr (Rio J). 2003;79(4):325-8. Portuguese. [Crossref]  [PubMed] 
  24. 2013 Türkiye Nüfus ve Sağlık Araştırması. Ankara: Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Kalkınma Bakanlığı, Tübitak; 2014. [Link] 
  25. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253. [PubMed] 
  26. Drewnowski A, Specter SE. Poverty and obesity: the role of energy density and energy costs. The American Journal of Clinical Nutrition. 2004;79(1):6-16. [Crossref]  [PubMed] 
  27. Gordon-Larsen P, McMurray RG, Popkin BM. Determinants of adolescent physical activity and inactivity patterns. Pediatrics. 2000;105(6):E83. [Crossref]  [PubMed] 
  28. Cinar S, Cavusoglu H. Farklı sosyo-ekonomik düzeylerdeki 7-14 yaş grubu çocuklarda obezitenin incelenmesi [Research on obesity for children between the ages of 7-14 and from different socio-economic status]. Turkey Clinical Journal of Nursing Science. 2016;8(2):112-21. [Crossref] 
  29. Dietz WH, Bandini LG, Morelli JA, Peers KF, Ching PL. Effect of sedentary activities on resting metabolic rate. The American Journal of Clinical Nutrition. 1994;59(3):556-9. [Crossref]  [PubMed] 
  30. Ozilbey P. İlköğretim 1. kademe öğrencilerinden obezite prevalansının belirlenmesi ve beslenme alışkanlıklarının incelenmesi [Yüksek lisans tezi]. İzmir: Dokuz Eylül Üniversitesi; 2013. [Link] 
  31. Yılmaz A, Kocataş S. Ortaokul öğrencilerinin obezite sıklığının, beslenme davranışlarının ve fiziksel aktivite düzeylerinin değerlendirilmesi [Obesity prevalence, nutritional behaviors and physical activity levels in the secondary school students]. Halk Sağlığı Hemşireliği Dergisi. 2019;1(3):66-83. [Link] 
  32. Lanigan J, Tee L, Brandreth R. Childhood obesity. Medicine. 2019;47(3):190-4. [Crossref] 
  33. Mok M, Flyyn M. Determinants of students' quality of school life: A path model. Learning Environments Research. 2002;5(3):275-300. [Link] 
  34. Verkuyten M, Thijs J. School satisfaction of elementary school children: The role of performance, peer relations, ethnicity and gender. Social Indicators Research. 2002;59(2):203-28. [Crossref] 

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