Browsing by Author "Yakut, Hazal"
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Article Comparison of Pulmonary Function, Respiratory Symptoms, Functional Level, and Health-Related Quality of Life in Patients With Systemic Sclerosis According To Smoking Status(Taylor & Francis Inc, 2022) Yakut, Hazal; Ozalevli, Sevgi; Aktan, Ridvan; Erez, Yesim; Birlik, MerihBackground Patients with systemic sclerosis (SSc) are at high risk for pulmonary and vascular complications. Smoking is an important risk factor for respiratory symptoms and vascular complications of many diseases in the general population. However, studies on the role of smoking in SSc are insufficient. Aims This study aimed to compare pulmonary function, respiratory symptoms, functional level, and health-related quality of life (HRQoL) in patients with SSc according to smoking status and to assess the correlation between cigarette consumption and these parameters in patients with SSc. Methods Seventy-two patients with SSc (smoker group; n = 35 or nonsmoker group; n = 37) were included. The pulmonary function test was measured with a spirometer. Respiratory symptoms were questioned and the perceived severity of dyspnea and fatigue was evaluated. The functional levels were determined by questioning the patients' average daily walking distance, exercise habits, and daily sedentary time. HRQoL was assessed by Scleroderma Health Assessment Questionnaire. Results The rate of respiratory symptoms including dyspnea, cough, and sputum were higher in the smoker group (p .001, p = .041, and p .001, respectively). Also, the perceived severity of dyspnea and fatigue was higher in the smoker group (p < .05). The mean daily walking distance, exercise habits, and overall HRQoL were lower (p = .004, p = .002, and p = .034, respectively) and the sedentary time and vascular complications were higher (p .001 and p = .038, respectively) in the smoker group. However, there was no significant difference between the two groups in terms of the pulmonary function test (p > .05). There was a weak to moderate correlation between cigarette consumption and respiratory symptoms, dyspnea and fatigue severity, functional level, and HRQoL in the smoker group (0.001 <= p <= .024). Conclusions Smoking may increase respiratory symptoms and vascular complications and decrease the functional level and HRQoL in patients with SSc. To maintain functional independence in patients with SSc, awareness of the harms of smoking should be increased and smoking cessation should be encouraged, along with physiotherapy and rehabilitation programs including exercise and physical activity recommendations.Article Demans Hastalarının Birincil Aile Bakıcılarının Sağlığı Üzerine İkincil Bakım Verenin Etkileri: Fiziksel ve Psikolojik Yönlere Odaklanma(2025) Yener, Görsev G.; Ozalevli, Sevgi; Yakut, Hazal; Felekoğlu, ElvanAmaç: Dünya genelinde demans hastası sayısı artmakta ve hastalığın erken dönemlerinden itibaren bakım verenlere ihtiyaç duyulmaktadır. Ancak, birincil bakım verenin yanında ikincil bir bakım verenin bulunmasının birincil bakım verenin fiziksel ve psikolojik sağlığı üzerindeki etkisi net değildir. Bu çalışma, ikincil bakım veren bulunan ve bulunmayan birincil bakım verenlerin fiziksel ve psikolojik parametreler açısından karşılaştırılmasını amaçlamıştır. Gereç ve Yöntem: Bu kesitsel çalışma, İzmir’de bir üniversite hastanesinin nöroloji polikliniklerinden alınan 61 demans hastasının birincil aile bakıcısını içermektedir. Katılımcılar, bakım verme düzenlemelerine göre iki gruba ayrılmıştır: tek başına bakım verenler (n=26; %42,6) ve ikincil bir bakıcıyla birlikte bakım verenler (n=35; %57,4). Fiziksel sağlık, Nordic Kas-İskelet Sistemi Anketi (kas-iskelet sistemi bozuklukları), Uluslararası Fiziksel Aktivite Anketi (fiziksel aktivite) ve Yorgunluk Şiddeti Ölçeği (yorgunluk) kullanılarak değerlendirilmiştir. Psikolojik sağlık ise Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği-Kısa Formu ve Zarit Bakıcı Yükü Ölçeği ile değerlendirilmiştir. Bulgular: Gruplar arasında psikolojik ölçümler açısından anlamlı bir fark bulunmamıştır. Ancak, fiziksel sağlık açısından farklılıklar gözlemlenmiştir. İkincil bir bakıcısı olmayan bakıcılar, bakım verme görevleri nedeniyle günlerinin anlamlı derecede daha büyük bir bölümünü oturarak geçirmiştir (p=0,020). Ayrıca son yedi gün içinde omurga (p=0,05), üst ekstremiteler (p=0,046) ve alt ekstremitelerde (p=0,019) daha fazla kas-iskelet şikâyeti rapor edilmiştir. Sonuç: İkincil bir bakımverenin varlığı, demans hastalarına bakan birincil bakımverenlerin fiziksel sağlığıyla ilişkilidir; ancak psikolojik iyi oluş üzerinde anlamlı bir etkisi bulunmamaktadır. Bu bulgular, bakımverenlerin sağlıklarını koruyabilmeleri için fiziksel destek sağlanmasının gerekliliğini vurgulamaktadır. Özellikle bakımın kültürel olarak aile içinde yürütüldüğü toplumlarda, çok yönlü bakımveren destek programlarına duyulan ihtiyacı öne çıkarmaktadır.Article Citation - WoS: 1Citation - Scopus: 4The Effects of Inspiratory Muscle Warm-Up Prior To Inspiratory Muscle Training During Pulmonary Rehabilitation in Subjects With Chronic Obstructive Pulmonary Disease: a Randomized Trial(Taylor & Francis Inc, 2025) Aktan, Rıdvan; Özalevli, Sevgi; Yakut, Hazal; Alpaydin, Aylin OzgenBackground: While a whole-body warm-up may not adequately prepare the inspiratory muscles for exercise, inspiratory warm-up is an effective approach in preparing the inspiratory muscles for exertion.Objectives: To investigate the effects of inspiratory muscle warm-up performed prior to inspiratory muscle training (IMT) during pulmonary rehabilitation (PR) in patients with moderate-to-severe chronic obstructive pulmonary disease (COPD) and inspiratory muscle weakness.Methods: Pulmonary function tests, maximal inspiratory and expiratory pressures (MIP and MEP), 6-minute walk test distance (6MWD), modified Medical Research Council Dyspnea Scale(mMRC), St. George's respiratory questionnaire and the 36-item short-form health survey were evaluated. Both groups performed IMT during PR for 8 weeks. The warm-up group (n = 15), in addition to the standard IMT group (n = 15), performed an inspiratory muscle warm-up protocol before each IMT session.Results: At the end of the 8-week intervention, improvements in dyspnea (mMRC in score, p =0.033, effect size =0.76); exercise capacity (6MWD in meters, p =0.001, effect size =1.30); pulmonary function [forced expiratory volume in 1 second (FEV1) in %predicted, p =0.006, effect size =1.10]; and inspiratory muscle strength (MIP in cmH(2)O, p =0.001, effect siz e = 1.35) were significantly greater in the warm-up group. Moreover, there were significant improvements in health-related quality of life (HRQoL) sub-scores after the training in both groups (p <0.05).Conclusions: This study demonstrated improvements in both groups, surpassing or closely approaching the established minimal clinically important difference values for the respective outcomes. Performing a warm-up for inspiratory muscles before IMT boosts benefits for pulmonary function, inspiratory muscle strength, exercise capacity, dyspnea, and HRQoL in subjects with moderate-to-severe COPD and inspiratory muscle weakness.Conference Object The Effects of Inspiratory Muscle Warm-Up Prior To Inspiratory Muscle Training During Pulmonary Rehabilitation in Subjects With Copd(European Respiratory Soc Journals Ltd, 2021) Aktan, Ridvan; Ozalevli, Sevgi; Yakut, Hazal; Alpaydin, Aylin Ozgen[Abstract Not Available]Article Citation - WoS: 3The Effects of Respiratory Muscle Functions on Trunk Muscle Endurance in Healthy Young Adults(Dokuz Eylul Univ Inst Health Sciences, 2023) Aktan, Özge Ocaker; Aktan, Rıdvan; Yakut, Hazal; Yakut, Hazal; Ozalevli, Sevgi; Kara, BilgePurpose: Respiratory muscles play a dual role in breathing and trunk stability during activities. The relationship between respiratory muscle functions and trunk stability has not yet been clarified. The aim of the study was to examine the effects of respiratory muscle functions on trunk muscle endurance in healthy young adults. Methods: McGill's trunk muscle endurance tests, which consist of trunk flexion endurance test (FE), Sorensen test (ST) and Side Bridge test (SB), were used to evaluate the participants' trunk muscle endurance. Respiratory muscle strength was evaluated by measuring intraoral maximal inspiratory and expiratory pressures using an intraoral pressure meter device. The respiratory muscle endurance test was performed with the incremental threshold load protocol using a threshold IMT device. Results: A total of 51 healthy young adults, with a mean age of 21.8 ± 3.2 years, were evaluated. The results of the linear regression models were significantly explained 46% of the variance in the SB and 38% in the FE, (for SB Adj R2=0.46, F=21.40, p< 0.001 and for FE Adj R2=0.38, F=15.65, p< 0.001). Respiratory muscle endurance contributed 30% to the endurance of the trunk flexor muscles, while respiratory muscle strength contributed only 8%. Similarly, respiratory muscle endurance contributed 38% to the endurance of the trunk lateral flexor muscles, while respiratory muscle strength contributed only 8%. Conclusion: Although respiratory muscle strength and respiratory muscle endurance were independent contributors to trunk muscle endurance, respiratory muscle endurance more affected trunk muscle endurance than respiratory muscle strength in healthy young adults.Conference Object The Effects of Respiratory Muscle Functions on Trunk Muscle Endurance in Healthy Young Adults [conference Object](European Respiratory Soc Journals Ltd, 2021) Aktan, Ozge Ocaker; Aktan, Ridvan; Yakut, Hazal; Ozalevli, Sevgi; Kara, Bilge[Abstract Not Available]Article Citation - WoS: 15Citation - Scopus: 18Effects of Supervised Exercise Program and Home Exercise Program in Patients With Systemic Sclerosis: a Randomized Controlled Trial(Wiley, 2021) Yakut, Hazal; Ozalevli, Sevgi; Aktan, Ridvan; Alpaydin, Aylin Ozgen; Birlik, Ahmet Merih; Can, GercekAim To compare the effects of supervised exercise and home exercise program in patients with systemic sclerosis (SSc). Methods Thirty-seven SSc patients were included. Patients with SSc were allocated into 2 groups as supervised and home exercise. Breathing, aerobic and resistance exercises were performed with a physiotherapist for 12 weeks in the supervised exercise group. Breathing, posture and aerobic exercises were given to the home exercise group as a home program for 12 weeks. All patients were assessed at baseline and 12 weeks later in terms of functional capacity, pulmonary functions, respiratory-peripheral muscle strength, dyspnea severity, health-related quality of life (HRQoL) and fatigue level. Results Significant improvements were observed in the functional capacity, measured by 6 minute walking test in the supervised exercise group (before = 376.21 +/- 65.50, after = 518.78 +/- 75.84 m) and home exercise group (before = 384.44 +/- 68.14, after = 432.7 +/- 70.8 m; (P < .05). Respiratory-peripheral muscle strength (with the exception of inspiratory muscle strength and upper limb strength in the home exercise group) and HRQoL were significantly increased and fatigue level was significantly decreased in the supervised exercise and home exercise groups (P < .05). However, pulmonary functions and dyspnea severity were significantly improved only in the supervised exercise group (P < .05). The supervised exercise program was found superior to the home exercise program for change in all parameters (P < .05). Conclusion This study suggests that exercise interventions should be applied in addition to the medical treatments of patients with SSc as supervised and home exercise programs play an important role in the functionality and health status of these patients.Conference Object Citation - WoS: 1The Relationships Between the Fear of Covid-19 and Perceived Stress and Dyspnea During the Covid-19 Pandemic in Patients With Copd: Preliminary Findings of a Prospective Study(European Respiratory Soc Journals Ltd, 2021) Aktan, Ridvan; Ozalevli, Sevgi; Yakut, Hazal; Alkan, Busra; Alpaydin, Aylin Ozgen[Abstract Not Available]
