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    Comparative analysis of postural stability and risk of falling and developing disability among overweight and obese women over 40 years
    (Elsevier, 2024) Ucurum, Sevtap Gunay; Uzunlar, Hilal; Kirmizi, Muge; Altaş, Elif Umay; Kaya, Derya Ozer
    Background: Increased body mass index (BMI) adversely affects the mechanics of the musculoskeletal system. It is known that obese people have poorer postural stability and mobility -related outcomes compared to normal weight people, but there is limited research comparing overweight and class 1 obese people, two consecutive and prevalent BMI categories. Aims: To compare postural stability, functional mobility, and risk of falling and developing disability between overweight and obese women, and to investigate the relationship of BMI and body weight with the outcomes. Methods: Thirty women with class 1 obesity and 30 overweight women were included. Standing postural stability with eyes -open and eyes -closed and stability limits were assessed using the Prokin system. The Timed Up and Go Test (TUG) was used to assess functional mobility and risk of falling ( >= 11 s) and developing disability ( >= 9 s). Results: The average center of pressure displacements on the y-axis (COPY) obtained during quiet standing with both eyes -open and eyes -closed were higher in obese women than overweight women (p < 0.05) and the effect sizes were moderate for the results. The COPY values in the eyes -open and eyes -closed conditions were correlated with BMI (r = 0.295 and r = 0.285, p < 0.05). Furthermore, the COPX value in the eyes -open condition and the TUG score were correlated with body weight (r = 0.274 and r = 0.257, p < 0.05). Conclusions: Obese women had poorer static standing stability in the anteroposterior direction than overweight women, while functional mobility and risk of falling and developing disability did not differ. Furthermore, BMI and body weight were related to poorer static standing stability.
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    Geriatrik yaş grubunda osteoporoz bilgi ve farkındalık düzeyi
    (2021) Altaş, Elif Umay; Bayram, Korhan Barış
    Amaç:Çalışmamızın amacı, geriatrik kadınlarda Osteoporoz (OP) farkındalık ve bilgi düzeyini değerlendirmektir. Gereç ve Yöntem:Kesitsel ve prospektif olarak planlanan çalışmaya 65 yaş üstü, anket sorularını cevaplayabilecek kognitif düzeye sahip, 50 postmenopozal kadın dahil edildi. Katılımcıların sosyo-demografik özellikleri kaydedilerek, Osteoporoz Bilgi testi (OBT), Osteoporoz Sağlık İnanç ölçeği (OSİÖ) dolduruldu. OP bilgisine yönelik sorular sorularak, risk faktörleri değerlendirildi. Bulgular:Yaş ortalaması 71.18± 4.8 olan hastaların, OBTsonucunda total skor ortalaması 12.1 olup, egzersiz bilgisi daha düşük saptanmıştır. OSİÖ skorlarına bakıldığında duyarlılık ve kalsiyum faydaları alt başlık puanları daha düşük bulunmuştur. Ayrıca OBT total skor ile yaş arasında negatif yönde, OBT total skor ile eğitim düzeyi, süt ürün kullanımı, egzersiz arasında pozitif yönde istatistiksel olarak anlamlı korelasyon saptanmıştır. Sonuç: Çalışmamız geriatrik kadınların OP farkındalık düzeyini göstermesi açısından kıymetlidir. Özellikle ileri yaş ve eğitim düzeyinin düşük olması geriatrik yaş grubundaki kadınlarda, OP bilgi ve farkındalığını olumsuz etkilemektedir. Geriatrik bireyler için OP hakkında eğitim programları oluşturulmalı, diyet ve özellikle de egzersizin faydaları hakkında hastalar bilgilendirilmelidir.
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    More neck pain, less spinal mobility, altered sitting posture: Sagittal spinal alignment and mobility in women with chronic neck pain
    (Elsevier, 2024) Unal, Nur Efsan; Ucurum, Sevtap Gunay; Kirmizi, Muge; Altaş, Elif Umay
    Background: Increasing evidence suggests that people with chronic neck pain (CNP) may display altered biomechanics beyond the cervical spine. However, whether spinal alignment and mobility are associated with neck pain is not clarified. Objectives: To investigate whether there is a significant association between neck pain intensity and sagittal spinal alignment and mobility in people with CNP, and to examine whether sagittal spinal alignment and mobility differ according to pain intensity. Design: A cross-sectional study. Method: Forty-four women with CNP were included. The neck pain intensity at rest and during neck movements was assessed with the visual analogue scale (VAS). A skin-surface measurement device was used to assess sagittal alignment and mobility while sitting and standing. Linear regression analysis was used to assess associations. Participants were divided into two groups according to the pain intensity as group with mild pain (VAS <= 4.4 cm) and group with moderate to severe pain (VAS>4.4 cm) and compared using the analysis of covariance. Results: Greater resting pain was associated with a more forward trunk during sitting (Beta = 0.433, p < 0.05). Greater pain during neck movements was associated with increased lumbar lordosis during sitting (Beta = -0.376, p < 0.05). Classified by pain intensity at rest, trunk mobility while sitting was lower and forward trunk inclination and sacral kyphosis while sitting were higher in those with moderate/severe pain (eta(2)(p) = 0.093-0.119, p < 0.05). By pain intensity during neck movements, women with moderate/severe pain exhibited lower sacral mobility while sitting (eta(2)(p) = 0.129, p < 0.05). Conclusions: Addressing the entire spine in the assessment and management of CNP may help reduce pain.
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    The relationship between osteosarcopenic obesity with frailty, balance, hand grip strength, fatigue, depression and quality of life in geriatric women
    (2021) Altaş, Elif Umay; Bayram, Korhan Barış
    Objective: The aim of this study is to investigate the relationship between osteosarcopenic obesity (OSO) with frailty, balance, fatigue, depression and quality of life in the geriatric population. Material and Methods: Forty female patients who were over 65 years of age, had a body mass index (BMI) >30 kg/$m^2$ and were diagnosed with OSO after dual-energy X-ray absorptiometry and muscle strength measurements were included in the cross-sectional study. The demographic characteristics of the patients were recorded, and the parameters of frailty, muscle strength, mobility, balance, fatigue, depression and quality of life were evaluated with questionnaires. Results: The mean age of the 40 female patients included in the study was 70.72±5.27, and the mean BMI was 35.51±4.83. They had a mean body fat percentage of 48.48±4.84 and an Edmonton Frailty Scale score of 7.40±3.33. No significant correlation was detected between BMI and any of the clinical parameters. A significant and positive correlation was observed between patients’ body fat percentages and frailty, fatigue and depression (r=0.813, r=0.792, r=0.538), while a significant and negative correlation was detected between fat percentage and muscle strength and balance (r=-0.420, r=-0.771). Conclusion: Our findings demonstrate that the level of frailty, fatigue, and depression increased, and balance and quality of life were impaired in geriatric patients diagnosed with OSO. In addition, we found that BMI alone was not a significant parameter in the diagnosis of OSO, while the fat percentage was more significant on the clinical parameters. Raising awareness about OSO in the geriatric population is an important step towards healthy aging.
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    Shoulder pain, kinesiophobia, emotional state and muscle strength in breast cancer surgery patients: A cross-sectional study
    (University of Health Sciences, 2024) Sertpoyraz, Filiz Meryem; Akyol, Murat; Altaş, Elif Umay; Kebabçı, Eyüp; Beytorun, Ecem Sak; Arslan, Fatma Demet
    Breast cancer is the most common type of cancer in women. The life expectancy of patients is increasing with advances in treatment. However, lymphovascular, musculoskeletal, and psychogenic complications are reported to be expected in the follow-up period after breast cancer surgery. Kinesiophobia is the behavior of avoiding movement for fear of increased pain. Research on the frequency and interrelationships of kinesiophobia and other complications in the follow-up period is limited. Aim: We aim to evaluate shoulder pain, kinesiophobia, emotional state and muscle strength in female patients who have undergone breast cancer surgery and are in the follow-up period and to examine the relationship between these factors. Materials and Methods: A total of 50 female patients who underwent unilateral breast cancer surgery and were using aromatase inhibitors were included in this cross-sectional descriptive study. Demographic data, details of the surgical procedure and medical treatment information were recorded from the patient files. Hand grip muscle strength was measured by hand dynamometer, the Beck Depression Scale assessed emotional state, and the Tampa Kinesiophobia Scale assessed fear of movement. A Beck Depression Scale score of 10 and above and a Tampa Kinesiophobia Scale of 37 and above were considered significant. Results: The mean age of 50 female patients was 59.31 ± 11.19 years. Sixty percent of the patients had undergone surgery on the right breast and 40% on the left breast. Shoulder pain (n:31) was present in 62%. There were statistically significant correlations between pain and the Tampa kinesiophobia scale and the Beck depression scale (p:0.042, p:0.038). Kinesiophobia was present in 74% of the patients, and 64% had moderate to severe depression. The mean of the Tampa Kinesiophobia scale was 42.86±8.81, and the mean of the Beck depression scale was 15.19±10.98. When the relationship between kinesiophobia and depression was evaluated, a statistically positive significant relationship was found between them (p=0.005, r=0.410). The hand grip strength was 22.16±5.00 kg on the right and 18.22±5.10 kg on the left in patients who underwent left-sided breast cancer surgery. A significant difference was found in the left- and right-hand grip strength of those who underwent left-sided surgery for breast cancer (p