PREVALENCE AND EPIDERMIOLOGICAL RISK FACTORS OF OBESITY IN TURKEY

In a linear regression model, the duration of the smoking and Fagerstrom nicotine dependence scores had no relation with BMI, WHR or WC. Alcohol use didn't make a significant difference between anthropometrical measurements also. Only male heavy drinkers (Elias Alcohol Consumption test, fifth level) had wider WHR than others (p=0.024).

Discussion:
In this cross-sectional study, 21.7% of the males and 31.0% of the females have BMI=30 kg/m² and an additional 43.4% of the males and 28.8% of the females were over weighted. Android obesity was also very frequent in both sexes. In a self reported study it has been reported that obesity prevalance is nearly 10% and overweight prevalance is 36.6% and 25.6% among males and females among in 15 European Union countries. Also in different studies around the world whether designed rational or national, the obesity prevalence has been found ranging between 1 and 59% while overweight prevelence has been found ranging between 4 and 34% in different countries. Our results regarding the mean anthropometric parameters are confirmed the results of TURDEP study while the obesity ratio in females was lower than TEKHARF study results. The age of studied population cause the difference as in TEKHARF study, main priority was to identify the cardiovascular risk factors, so the study population was chosen over 30 years old while in TURDEP the subjects are chosen =20 years old. In this study one of most important epidemiologic risk factor for obesity was the age. In TEKHARF study it is estimated that the weight gain ratio is much faster until the age of 50-59 years in Turkish female adults and have a peak at 60-69 years.

The age group (18-65 years) of our study population may be the explanation of the low rates of obesity in females. Female gender also was found as an obesity risk factor in this study like two of these previous studies.
In many segments of the society, obesity is considered to be the result of an individual's failure to exercise self-control over patterns of physical activity and eating. One of the most important results of this study is the dominance of the sedentary life style among our subjects. A small percentage of the subjects who have regular exercise perform it three times a week while only a few of them perform at least 30 minutes as recommended. Apart from controlling weight gain, one of the main health promotion activities should be about a qualitative and quantitative regular exercise.

Another interesting point in our results was the alcohol usage had no effect on obesity. We believe obesity can be dependent on the amount and duration of the alcohol that is used. Social alcohol usage might have no effect on obesity as in our study heavy male drinkers according to the Elias alcohol test, had android obesity risk while there was no heavy female drinker at all. Smoking is not a risk factor for obesity while the duration and intensity of smoking test had not an important effect on anthropometric measurements. As it is confirmed in TEKHARF study, mean BMI, WC, and WHR measurements of the smokers are lower than the non-smokers.