Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Kronik Konstipasyonu Olan ve Olmayan Kadınlarda Fiziksel Aktivite Seviyesi, Oturma Süresi ve Algılanan Stres Düzeyinin Karşılaştırılması: Vaka Kontrol Çalışması
Comparison of Physical Activity Level, Sitting Time and Perceived Stress Level in Women with and Without Chronic Constipation: Case Control Study
Yasemin KARAASLANa , Deniz ÖĞÜTMEN KOÇb , Şeyda TOPRAK ÇELENAYc
aHatay Mustafa Kemal Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Hatay, Türkiye
bİstanbul Gaziosmanpaşa Eğitim ve Araştırma Hastanesi, Gastroenteroloji Bölümü, İstanbul, Türkiye
cAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(2):292-9
doi: 10.5336/healthsci.2023-95246
Article Language: TR
Full Text
ÖZET
 Amaç: Dünya çapında yaygın görülen kronik konstipasyona etki eden faktörler hakkında yeterli sayıda çalışma bulunmamaktadır. Bu nedenle bu çalışmanın amacı, kronik konstipasyonu olan ve olmayan kadınlarda fiziksel aktivite seviyesi, oturma süresi ve algılanan stres düzeyini karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya, Roma IV tanı kriterlerine göre kronik konstipasyonu olan (konstipasyon grubu, n=29, yaş=30,72±5,98 yıl) ve olmayan (kontrol grubu, n=31, yaş=31,13±6,75 yıl) kadınlar dâhil edildi. Bağırsak fonksiyonları bağırsak günlüğü (defekasyon frekansı, defekasyon süresi, tamamlanmamış boşaltım hissi, ağrı) ve Bristol Gaita Skalası (gaita tipi) ile fiziksel aktivite seviyesi ve oturma süresi Uluslararası Fiziksel Aktivite Anketi-Kısa Form (UFAA-KF) ile algılanan stres düzeyi Algılanan Stres Ölçeği ile değerlendirildi. Değerlendirmeler 1 kere gerçekleştirildi. Bulgular: Defekasyon frekansı konstipasyon grubunda kontrol grubuna göre daha düşük, defekasyon süresi ve tamamlanmamış boşaltım hissi kontrol grubuna göre daha yüksek bulundu (p<0,05). Gaita tipinin konstipasyon grubunda sert, kontrol grubunda normal olduğu tespit edildi. Konstipasyon grubunda kontrol grubuna göre UFAA-KF skorlarının (p=0,003) daha düşük olduğu, oturma süresinin (p<0,001) daha uzun olduğu görüldü. Algılanan stres düzeyinin konstipasyon grubunda kontrol grubuna göre daha yüksek olduğu saptandı (p=0,023). Sonuç: Kronik konstipasyonu olan kadınların konstipasyonu olmayan kadınlara göre fiziksel aktivite düzeyinin daha az olduğu, oturma süresinin ve algılanan stres düzeyinin daha fazla olduğu bulundu. Bu sonuçlara göre, konstipasyon yönetiminde fiziksel aktivite, oturma süresi ve algılanan stres düzeyi, hem değerlendirme hem de tedavi programlarında dikkate alınmalıdır.

Anahtar Kelimeler: Konstipasyon; egzersiz; sedanter yaşam; stres; kadın
ABSTRACT
 Objective: There are not enough studies on the factors affecting chronic constipation, which is common worldwide. Therefore, the aim of this study was to compare physical activity level, sitting time and perceived stress level in women with and without chronic constipation. Material and Methods: Patients with (constipation group, n=29, age=30.72±5.98 years) and without (control group, n=31, age=31.13±6.75 years) chronic constipation according to the Rome IV diagnostic criteria were included in the study. Bowel functions were evaluated with the bowel diary (frequency of defecation, defecation duration, feeling of incomplete defecation, pain) and Bristol Stool Scale (stool type), physical activity level and sitting time were evaluated with the International Physical Activity Questionnaire-Short Form (IPAQSF), and perceived stress level was evaluated with the Perceived Stress Scale. Evaluations were carried out once. Results: The frequency of defecation was found to be lower in the constipation group compared to the control group, and the defecation duartion and the feeling of incomplete defecation were higher than the control group (p<0.05). Stool type was found to be hard in the constipation group and normal in the control group. It was observed that IPAQ-SF scores were lower (p=0.003) and sitting time was longer (p<0.001) in the constipation group compared to the control group. Perceived stress level was found to be higher in the constipation group than in the control group (p=0.023). Conclusion: It was found that women with chronic constipation had less physical activity level, sitting time and perceived stress level more than women without constipation. According to these results, physical activity, sitting time and perceived stress level should be considered in both assessment and treatment programs in constipation management.

Keywords: Constipation; exercise; sedentary behavior; stress; female
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