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    Aging, Body Weight, and Their Effects on Body Satisfaction and Quality of Life
    (Kowsar Publ, 2018) Simsek, Tulay Tarsuslu; Yumin, Eylem Tutun; Sertel, Meral
    Background: Changes in body composition in advanced ages (i.e., physical, physiological, and social changes) may influence the perception of body image in the elderly population. In some studies, it is stated that negative body image is associated with the consequences of unhealthy physical and mental health status. Objectives: The purpose of the study is to examine changes in body weight, body satisfaction, and quality of life in the elderly. Methods: This descriptive analytical study was performed from July 2015 to April 2016 on individuals aged 45 years and above who lived in Kirikkale, Turkey. The participants were divided into four age groups of 45 - 59 years (group 1), 60 - 69 years (group 2), 70 -79 years (group 3), and 80 years and above (group 4). Body satisfaction was evaluated using Body-Cathexis Scale (BCS), and the quality of life was evaluated using the Nottingham Health Profile (NHP). Results: the highest body mass index (BMI) was found in the 60 -69 years age group (29 +/- 4.72 kg/cm(2)), whereas the lowest score was found to be in the individuals pertaining to the 80 years and above age group (26.53 +/- 4.53 kg/cm(2)). BCS total scores were 85.95 +/- 22.09 in group 1, 94.78 +/- 26.68 in group 2, 103.29 +/- 31.41 in group 3, and 107.28.35.84 in group 4. A significant difference was found between the groups in terms of quality of life and body satisfaction (P < 0.05). There was a positive correlation between BCS and NHP in groups 1, 2, and 3 (P < 0.05). However, there was no correlation between BCS and NHP in group 4 (P > 0.05). Conclusions: Evaluations and practices performed for body weight control in middle-aged and older adults are of importance in terms of increasing the quality of life.
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    Comparison of Physical Activity, Exercise Barriers, Physical Performance, and Fall Risks in Frail and Nonfrail Older Adults
    (Lippincott Williams & Wilkins, 2023) Karabulut, Demet Gozacan; Sertel, Meral; Yumin, Eylem Tutun; Kocaman, Ayse Abit; Tarsuslu, Tulay
    Objectives:The present research aimed to identify the difference between physical activity, physical performance, balance, fall risk, and exercise barriers in frail and nonfrail older adults. Methods:One hundred nineteen voluntary individuals older than 65 years and living in Kirikkale were enrolled in the research. The Clinical Frailty Scale was employed to evaluate the frailty level of the individuals included in the study. In line with the data obtained after the evaluation, individuals were separated into 2 groups as frail and nonfrail individuals. Exercise barriers were evaluated with the Exercise Benefits/Barriers Scale (EBBS), physical activity level was evaluated with the Physical Activity Scale for the Elderly (PASE), lower extremity physical performance was assessed with the Short Physical Performance Battery (SPPB) test, and fall risk was assessed with the Self-Rated Fall Risk Questionnaire (FRQ). Results:Ninety-three of the individuals enrolled in the study were found to be nonfrail and 26 to be frail older adults. The mean age of the individuals in the nonfrail group was 70.36 +/- 6.10 years, and the mean age of the individuals in the frail group was 76.53 +/- 7.37 years. In the statistical analysis, the difference was revealed between the groups in terms of the exercise barriers subscore, EBBS total score, PASE leisure activity score, PASE total score, FRQ total score, and SPPB total result (P < .05). In the correlation analysis, there was a negative correlation between the frailty scale score and SPPB and a positive correlation between the frailty scale score and FRQ in nonfrail older adults (P < .05). However, there was a positive correlation between the frailty scale score and exercise barriers subscore, EBBS and FRQ total scores, and a negative correlation between the PASE leisure activities, work activities and PASE total score, and SPPB score in frail individuals (P < .05). Conclusions:Our results demonstrated that the physical activity levels of frail older adults were poorer, they had a higher fall risk, and their activity performance, including the lower extremity, was poorer than that of nonfrail older adults.
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    The effect of foot plantar massage on balance and functional reach in patients with type II diabetes
    (Taylor & Francis Inc, 2017) Yumin, Eylem Tutun; Simsek, Tulay Tarsuslu; Sertel, Meral; Ankarali, Handan; Yumin, Murat
    Objective: The aim of this study was to investigate the effect of manual foot plantar massage ( classic and friction massage) on functional mobility level, balance, and functional reach in patients with type II diabetes mellitus ( T2 DM). Methods: A total of 38 subjects diagnosed with T2 DM were included in the study. A healthy control group could not be formed in this study. After the subjects' socio-demographic data were obtained, Timed Up & Go ( TUG) Test, functional reach test ( FRT), one-leg standing test with eyes open-closed, and Visual Analogue Scale ( VAS) to measure foot pain intensity were performed. The results were also divided and assessed in three groups according to the ages of the individuals ( 40-54, 55-64, and 65 and over). Results: As a result of statistical analysis, a difference was found in the values obtained from TUG, FRT, and one-leg standing test with eyes open and closed ( p < 0.05). Following the massage, TUG values significantly decreased comparison with those before the massage, whereas the values of FRT and one-leg standing test with eyes open and closed significantly increased compared with those before the massage ( p > 0.05). According to age groups, there were statistical differences ( p < 0.05) between the TUG, one-leg standing test with eyes open and closed test values of the individuals before and after the massage. Conclusions: The results of our study indicated that application of plantar massage to patients with T2 DM caused an improvement in balance, functional mobility, and functional reach values. An increase in body balance and functional mobility may explain the improvement in TUG. Foot massage to be added to rehabilitation exercise programs of DM patients will be important in improving balance and mobility of patients.
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    The Effects of Body Mass Index on Balance, Mobility, and Functional Capacity in Older Adults
    (Lippincott Williams & Wilkins, 2017) Sertel, Meral; Simsek, Tulay Tarsuslu; Yumin, Eylem Tutun
    Objective: The aim of this study was to study the effects of body mass index (BMI) on balance, mobility, and physical capacity in the older adults. Methods: A total of 149 elderly individuals aged 65 to 85 years were recruited into the study. They were divided into 3 groups, including normal weight (n = 35), overweight (n = 67), and obese (n = 47), by their BMI values. Sociodemographic characteristics of the subjects were recorded, and their BMI values (body weight/height(2) [kg/m(2)]) were calculated using height and body weight values. Balance was assessed by the Berg Balance Scale (BBS) and the tandem test, mobility by the Rivermead Mobility Index (RMI), and physical capacity by the Timed Up and Go (TUG) test. Results: The mean age of the subjects was 69.64 6.60 years. Statistical analysis revealed that there is no statistically significant difference between the BBS, RMI, and TUG values of normal, obese, and overweight elderly subjects (P > .05). A statistically significant difference was found in tandem test values of the right and left feet (P < .05). A correlation was identified between the BMI and balance (BBS) values for the subjects with a high mean age (P < .05), whereas there was no such correlation for the subjects with a lower mean age (P > .05). Conclusion: Although increased weight affects balance and mobility in the older adults, it is an important factor that affects balance and physical mobility in advanced age.
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    Effects of Quadriceps Muscle Strength and Kinesiophobia on Health Related Quality of Life in Elderly Women and Men with Chronic Obstructive Pulmonary Disease
    (Duzce Univ, 2018) Ozel, Alp; Yumin, Eylem Tutun; Tug, Tuncer; Sertel, Meral
    Objective: The aim of this study was to investigate the effects of quadriceps muscle strength and kinesiophobia on health-related quality of life in elderly women and men with chronic obstructive pulmonary disease. Methods: After recording the socio -demographic information of individuals, the Visual Analogue Scale (VAS) for pain status, the modified Medical Research Council Scale (mMRCS) for dyspnea, TAMPA Scale for Kinesiophobia (TSK), Saint George Respiratory Questionnaire (SGRQ) for health-related quality of life, and manual dynamometer were used to measure for muscle strength of quadriceps. Results: Seventeen (37.8%) of the 45 participants were female. The mean age and body mass index of females were 71.59 +/- 4.84 years and 28.75 +/- 6.71 kg/m(2), respectively. Kinesiophobia averages were 47.47 +/- 7.40 and 41.89 +/- 7.65 in women and men, respectively, and SGRQ((Symptom)) scores were 75.97 +/- 15.87 and 63.89 +/- 18.54 in women and men, respectively. Statistical analysis showed that there was a significant difference between men and women between kinesiophobia and SGRQ((symptom)) (p<0.05). There was a correlation between kinesiophobia and SGRQ((Activity)), SGRQ((symptom)) and SGRQ((Total)) in females and kinesiophobia and SGRQ((Activity)), SGRQ((Impact)) and SGRQ((Total)) in males (p<0.05). The TSK score was found to affect the quality of life, more in women (p<0.05). There was no correlation between pain and quadriceps muscle strength and SGRQ parameters in both men and women (p>0.05). Conclusion: In elderly individuals with COPD, kinesiophobia is an important factor affecting the quality of life and is recommended to increase physical activity, and monitor the physiological, emotional well-being in order to improve quality of life.
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    Investigation of the relationship between physical activity, kinesiophobia and fear of falling in older adults with chronic pain
    (Taylor & Francis Ltd, 2021) Sertel, Meral; Arslan, Saniye Aydogan; Yumin, Eylem Tutun; Demirci, Cevher Savcun; Simsek, Tulay Tarsuslu
    Aims This study aims to investigate the relationship between physical activity, fear of movement and fear of falling in older adults with chronic pain. Materials and methods The study includes 163 older adults aged 65 years and over, who live in a private nursing home. The cognitive functions of the individuals who participated in the study were evaluated with the mini-mental examination scale (MMES), fears of movement with the Tampa Scale of Kinesiophobia (TSK), fear-avoidance behaviour with the Fear-avoidance Beliefs Questionnaire (FABQ), physical activity levels with the Physical Activity Scale for Older (PASE), and the fears of falling were assessed with Tinetti's Falls Efficacy Scale (FES). Results In the correlation analysis, there was a weak correlation between age and fall risk (r = 0.349, p < 0.001), and PASE(Total) score (r = -0.020, p = 0.011). There was a weak positive correlation between Tinetti FES and FABQ scores (r = 0.349, p < 0.001), and kinesiophobia value (r = 0.259, p < 0.001), there was a weak negative correlation between Tinetti FES and PASE(Total) (r = -0.241, p = 0.002). A positive mid correlation was determined between kinesiophobia and the FABQ scores (r = 0.41, p < 0.001). The established regression model was found to be significant (F = 12.175; p < 0.001). Among the independent variables included in the model, FABQ(Total) (t = 3.589; p < 0.0001) and PASE(Total) (t = -3.325; p < 0.0001) significantly affected the fear of falling. Conclusion The presence of chronic pain in older adults who have problems related to physical activity, fear of falling, and kinesiophobia due to advancing age may affect social participation, functional level, and quality of life significantly. Therefore, pain should be addressed in older adults and should be considered as an important issue in rehabilitation programs.
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    Validation of the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) in a sample of Turkish non-ambulatory children with cerebral palsy
    (Turkish Pediatrics Assoc, 2019) Simsek, Tulay Tarsuslu; Sertel, Meral; Yumin, Eylem Tutun; Aras, Bahar; Narayanan, Unni G.
    Aim: The aim of this study was to translate and transculturally adapt the Caregiver Priorities and Child Health Index of Life with Disabilities questionnaire into the Turkish language and test the reliability and validity. Material and Methods: Eighty-two children with cerebral palsy and their parents were included in the study. The majority of children had spastic cerebral palsy. According to the Gross Motor Function Classification System, 26 children were level III, 30 children were level IV, and 26 children were level V. International accepted guidelines were used in the transcultural adaptation and validation process. Reliability was assessed through statistical analysis of the test results for test-retest and internal consistency. To assess construct validity, Caregiver Priorities and Child Health Index of Life with Disabilities was compared with the Child Health Questionnaire Parent Form. Concurrent validity was assessed by examining how Caregiver Priorities and Child Health Index of Life with Disabilities scores changed according to Gross Motor Function Classification System levels. Results:The mean total score of Caregiver Priorities and Child Health Index of Life with Disabilities was 58.34 +/- 26.39. The intraclass correlation coefficient for the total questionnaire score was 0.75, ranging from 0.43 to 0.89 for six domains. Cronbach's alpha was above 0.80 in all domains of Caregiver Priorities and Child Health Index of Life with Disabilities, except the health domain. The construct validity was good because there was a positive correlation between total Child Health Questionnaire Parent Form and Caregiver Priorities and Child Health Index of Life with Disabilities scores (r=0.58, p<0.01) according to the Pearson correlation analysis. Caregiver Priorities and Child Health Index of Life with Disabilities scores were found to be different between Gross Motor Function Classification System levels (p<0.05). Conclusion: This study showed that the Caregiver Priorities and Child Health Index of Life with Disabilities appears to be easy to administer, seems to have significant validity and reliability, and may be useful in the evaluation of health-related quality of life of children with cerebral palsy.