Obezitenin depresyon ve gündüz uykululuk durumu üzerine etkisi

Nur Demirbaş; Ruhuşen Kutlu

doi:10.7197/cmj.vi.557535

EN TR

The effect of obesity on depression and excessive daytime sleepiness

Abstract

Objective: Excessive Daytime Sleepiness (EDS) is a tendency to sleeping with increased fatigue during the day, following insufficient sleep at night. The aim of this study was to determine the relationship between obesity on depression and excessive sleepiness and to investigate the factors affecting them in women.
Method: The study was conducted with 385 randomly selected female participants between the ages of 18-65 who applied to our family medicine outpatient clinic for any reason. Sociodemographic characteristics and body mass index (BMI) of the participants were recorded. The Hospital Anxiety Depression Scale (HADS) and the Epworth Sleepiness Scale (ESS) were used.
Results: The mean age of the participants were 37.24±10.7 (18-63) years, mean BMI was 26.85±6.8 kg/m2. The mean ESS score was 8.50±4.4 point. According to the survey results of the HADS and ESS, obese women were found to have higher depression and daytime sleepiness than those with weak, normal and overweight and this difference was statistically significant (p<0.001). It was seen that 57.7% (n=60) of the 104 women with moderate / high ESS scores were obese, 20.2% (n=21) were overweight (p<0.001) and 82.7% (n=86) of these women had higher depression scores. As the BMI of the participants increased, there was an increase in depression symptoms and daytime sleepiness (p<0.001).
Conclusions: In our study, the prevalence of EDS in women was found to be 9.4%. As the level of obesity and depression increased, the incidence of GAUH increased. Prevention of obesity, which has become a social problem considering the principle of Preventive Medicine, which is one of the basic features of Family Medicine, will prevent obesity related both depression and sleep disorders.

Keywords

Obezitenin depresyon ve gündüz uykululuk durumu üzerine etkisi

Öz

Amaç: Gündüz aşırı uykululuk hali (GAUH) gece alınan yetersiz uykuyu takiben gün içerisinde artmış yorgunluk ile uykuya eğilimli olma durumudur. Bu çalışmada kadınlarda obezitenin depresyon ve gündüz aşırı uykululuk durumu ile ilişkisini belirlemek ve etkileyen faktörleri araştırmak amaçlandı.
Yöntem: Çalışma aile hekimliği polikliniğimize herhangi bir nedenle başvuran 18-65 yaş arası rastgele seçilen 385 kadın katılımcı ile yapıldı. Katılımcıların sosyodemografik özellikleri sorgulandı ve beden kitle indeksleri (BKİ) kaydedildi. Hastane Anksiyete Depresyon Ölçeği (HADÖ) ve gündüz uykululuk halini belirlemek amacıyla Epworth Uykululuk Ölçeği (EUÖ) uygulandı.
Bulgular: Kadınların yaş ortalaması 37,24±10,7 (18-63) yaş, BKİ ortalaması 26,85±6,8 kg/m2 Epworth uykululuk ölçeği ortalaması 8,50±4,4 puan idi. HADÖ ve EUÖ sonuçlarına göre obez kadınların depresyon belirtileri ve gündüz uykululuk düzeyleri, zayıf, normal ve aşırı kilolu olanlara göre daha yüksek bulundu ve bu fark istatistiksel olarak anlamlıydı (p<0,001). EUÖ puanı orta/yüksek bulunan 104 kadının %57,7’si (n=60) obez, %20,2’si (n=21) aşırı kilolu idi (p<0,001). Kadınların %82,7’sinin (n=86) HADÖ'ne göre depresyon puanlarının yüksek olduğu görüldü. Katılımcıların BKİ’leri arttıkça depresyon belirtilerinde ve gündüz uykululuk durumunda artma görülmekte idi (R2=0,127, p<0,001).
Sonuç: Çalışmamızda kadınlarda GAUH sıklığı %9,4 olarak bulundu. Obezite ve depresyon düzeyi arttıkça GAUH görülme sıklığı da artıyordu. Aile Hekimliğinin temel özelliklerinden “Koruyucu Hekimlik” ilkesi göz önünde bulundurularak toplumsal bir sorun haline gelmiş obezitenin önlenmesi, obeziteye bağlı depresyon ve uyku bozukluklarının önüne geçecektir.

Anahtar Kelimeler

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