Browsing by Author "Cetinkaya, Volkan"

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Citation - WoS: 20
Citation - Scopus: 20
Awareness, Treatment, Control of Hypertension, and Associated Factors: Results From a Turkish National Study
(Taylor & Francis Inc, 2018) Dastan, Ilker; Erem, Ayşegül; Cetinkaya, Volkan
Objective: Despite the fact that hypertension (HT) can be diagnosed and easily treated, it is frequently not handled well throughout the world, and as a developing country in Turkey. The objective of this study was to assess the factors associated with the awareness, treatment, and control of HT in Turkey. Methods: Data came from Chronic Diseases and Risk Factors Survey, comprising a nationally representative sample of 12,971 individuals, conducted by the Turkish Ministry of Health in 2011. HT was defined as having systolic/diastolic blood pressure (BP) at least 140/90 mmHg, usage of HT medicines, or having a previous diagnosis. Awareness, treated, and controlled HT were determined by questionnaires/BP measurements. Stepwise multiple logistic regression analysis was used to estimate associated factors. Results: The prevalence of HT was found to be 24.8%. Awareness, treatment, and control rates were 65%, 59%, and 30%, respectively. The risk factors for lack of awareness or treatment of HT were male gender, young age, rural residency, lower education, being employed, sedentary lifestyle, and less physical activity for women, unhealthy dietary habits for men, and modifiable risk factors, including smoking and drinking for men. Increasing age, low education for women, marital status subgroups within gender ( being single for men and being married for women), smoking and alcohol use for men, and diseases such as diabetes and obesity were also correlated with poor control of HT. Conclusion: This study recognized associated risk factors that may guide policies and interventions to enhance awareness, treatment, and control of HT in Turkey.
Citation - WoS: 6
Citation - Scopus: 7
The Obesity and Overweight Prevalence Among Students Between the Ages of 7 and 18 in Izmir
(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2014) Dastan, Ilker; Cetinkaya, Volkan; Delice, Mehmet Erdem
Objective: The objective of this study is to assess prevalance of obesity and overweight among students between the ages of 7 and 18 in Izmir, Turkey. Material and Methods: The study was conducted in 24 schools with 2009 students that are chosen using a population based stratified cluster sampling method. Employing WHO's reference tables, students having percentiles of body mass index (BMI) between 85 and 95 are considered as overweight and those over 95 are considered as obese. Results: Prevalance of obesity and overweight are found as 8.4%, 12.1% for girls, and 13.1%, 15.1% for boys, respectively. Height, weight and BMI of boys at any age is significantly greater than girls at that age. Further, prevalance of obesity and overweight are significantly higher in boys than girls. Prevalance of obesity or overweight rise up to age of 11 and then decrease in girls, while the decreasing rates begin to increase after age of 15 in boys. Rate of obesity is significantly higher at ages of 9-13 in girls and 9-11 in boys than other age groups. Conclusion: In contrast to the literature, a wider age group and a variety of schools were recruited in this study to assess accurate obesity rates based on the heterogeneous nature of society in the metropolitan city, Izmir. Overall prevalance of obesity of 10.8% obtained in this study is higher than other studies conducted in Turkey. The results indicate that prevalances have been dramatically increasing and becoming a riskier problem for school children in Turkey.
Citation - WoS: 18
Citation - Scopus: 23
Urban and Rural Differences in Hypertension Risk Factors in Turkey
(Aves, 2017) Dastan, Ilker; Erem, Ayşegül; Cetinkaya, Volkan
Objective: Existing literature shows considerable regional differences in terms of hypertension (HT) prevalence in Turkey. The purpose of this study was to analyze some of the known HT risk factors contributing to the variations between urban and rural areas of Turkey in HT development. Methods: We used data from the 2011 Chronic Diseases and Risk Factors Survey that was conducted by the Turkish Ministry of Health on a representative sample of the Turkish adult population aged 20 years or more (n=16.227). HT was defined as having at least one of the following: a mean systolic/diastolic blood pressure of at least 140/90 mm Hg, a previously diagnosed disease, or use of antihypertensive medication. Stepwise multiple logistic regression analysis was used to estimate HT risk factors in urban and rural settings. Results: Although the HT prevalence was higher in rural areas (28.4%) than in urban areas (23.9%), in this study, urbanization was found to be a contributing factor in multivariate regression analysis. Furthermore, separate regressions for urban and rural settings revealed that age, obesity, diabetes, hyperlipidemia, and smoking were independently and positively associated (p<0.05) with HT in both settings, while marital status, employment type, mental health, and lifestyle patterns; nutritional habits; and amount of physical activity and sedentary time (p<0.05) were risk indicators in urban areas only. Conclusion: The findings of our study demonstrate that contributory factors show some variations between urban and rural settings, and on gender within each setting. Taking into account the variations between urban and rural areas in HT development may provide greater insight into the design of prevention strategies.