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Yıl:2023; Cilt: 60; Sayı: 4>> Özet
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Nöropsikiyatri Arşivi; 2023;60(4):356-362
Geriatrik Bireylerde Postüral Kontrol ile Depresyon Düzeyi ve Fiziksel Aktivite İlişkisi
T Yerlikaya , M Bağkur , S Taş , A Öniz, M Özgören
Yakın Doğu Üniversitesi, Lefkoşa, Kıbrıs
Amaç: Bu çalışmanın amacı yaşlı bireylerde fonksiyonel performans, fiziksel aktivite düzeyi ve depresyon durumunun postüral kontrol ile ilişkisini incelemektir. Yöntem: Çalışma ev ortamında yaşayan 65 yaş ve üstü 48 birey ile gerçekleştirildi. Ölçüm parametreleri olarak postüral kontrol için Sway mobil denge uygulaması, alt ekstremite kas kuvveti için Otur – Kalk Testi, fiziksel aktivite seviyesi için SenseWear kol bandı, mental durum için Mini-Mental Test ve depresyon durumu için Beck Depresyon Ölçeği (BDÖ) kullanıldı. Bulgular: Sway skoru, toplam enerji harcaması (TEE) (r=0,28, p=0,04) ve adım sayısı (r=0,30, p=0,03) ile pozitif korelasyon gösterirken BDÖ ile negatif korelasyon gösterdi (r=-0,33, p=0,03). Beck Depresyon Ölçeği puanı ile tüm fiziksel aktivite parametreleri arasında negatif korelasyon bulundu. Fonksiyonel performansı gösteren alt ekstremite kuvveti fiziksel aktivite parametreleri ile orta-iyi korelasyon gösterirken BDÖ ile orta düzeyde negatif korelasyon gösterdi (r=-0,63, p<0,001). Vücut Kütle İndeksi değeri TEE ile pozitif korelasyon gösterdi (r=0,34, p=0,01). Sonuç: Bu çalışmanın sonuçları, postüral salınım, fiziksel aktivite ve depresyon durumu arasında anlamlı bir ilişki olduğunu göstermiştir. Yeterli fiziksel aktivite düzeyi, depresyon düzeyinin ve postüral kontrol sisteminin sürdürülmesi ve iyileştirilmesi için önemlidir. Sağlıklı yaşlanmada fiziksel aktivite düzeyi, depresyon düzeyi ve postüral kontrol ilişkisi göz ardı edilmemelidir.
The Relationship of Depression Level and Physical Activity with Postural Control inGeriatric Individuals
Introduction: The aim of this study was to investigate the relationships between functional performance, physical activity level, and depression level with postural control in older adults. Methods: Data were collected from 48 community-dwelling subjects aged =65 years. As measurement parameters, Sway mobile balance application for postural control, Sit – Stand Test for lower extremity muscle strength, SenseWear armband for physical activity level, MiniMental Test for mental status and Beck Depression Inventory (BDI) for depression level were used. Results: Sway score was positively correlated with total energy expenditure (TEE) (r=0.28, p=0.04) and number of steps (r=0.30, p=0.03) and negatively correlated with BDI (r=-0.33, p=0.03). The BDI score was negatively correlated with all physical activity parameters. While lower extremity strength, which indicates functional performance, showed moderate-good correlation with physical activity parameters, it showed moderate negative correlation with BDI (r=-0.63, p<0.001). Body mass index value positively correlated with TEE (r=0.34, p=0.01) Conclusion: The results of this study showed a significant correlation between postural control, physical activity, and depression level. A sufficient level of physical activity is important for the maintenance and improvement of depression level and postural control system. The relationship between physical activity, depression level and postural control should not be ignored in healthy aging

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