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TİMURTAŞ, EREN

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Subject: Exercise ×

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    PublicationOpen Access
    Obezi̇te sınıflamasına göre egzersi̇z bari̇yerleri̇ ve fasi̇li̇tatörleri̇ni̇n incelenmesi̇: ni̇tel araştırma
    (2021-05-01) AVCI, ENDER ERSİN; DEMİRBÜKEN, İLKŞAN; POLAT, MİNE GÜLDEN; TİMURTAŞ, EREN; TİMURTAŞ E., AVCI E. E., KARTAL G., SERTBAŞ Y., DEMİRBÜKEN İ., POLAT M. G.
    Obezite küresel bir halk sağlığı problemidir. Obezitenin önlenmesi ve tedavisinde egzersiz etkin bir yöntemdir. Egzersiz davranışını kazandırmaya yönelik yaklaşımların geliştirilmesi için obez bireyleri egzersize teşvik eden ve egzersiz yapmalarına engel olan faktörlerin belirlenmesi önemlidir. Çalışmada obez tanılı bireylerde obezite sınıflamasına göre egzersiz bariyerleri ve fasilitatörlerinin belirlenmesi amaçlandı. Çalışmaya Kasım 2019-Mart 2020 tarihleri arasında Üsküdar Diyabet ve Obezite merkezinden 115 katılımcı davet edildi. Yaş ortalaması 51.7±9.7, Beden Kitle İndeksi ortalaması 33.5±6.2 olan 69 Kadın, 37 Erkek toplam 106 birey çalışmaya katıldı. Bireyler, Dünya Sağlık Örgütünün obezite sınıflamasına göre gruplandırıldı. Bariyerleri ve fasilitatörleri derinlemesine anlamak amacıyla nitel araştırma yöntemi tercih edildi. Egzersizin rutin olarak uygulanıp uygulanmadığı, uygulanmasındaki en önemli etken, uygulanmamasında en önemli nedene yönelik sorular yer alan bir rehber ile görüşmeler gerçekleştirildi. Kaydedilen görüşmeler, transkripsiyonun ardından araştırmacılar tarafından manuel olarak temalandırıldı. Nitel görüşmeler sonrasından elde edilen egzersiz bariyerleri kişisel ve çevresel faktörler olarak iki boyuta ayrıldı. Kişisel bariyerler ise fiziksel ve psikososyal olarak iki alt boyutta sınıflandırıldı. Morbid obez grubunda en fazla görülen bariyerin ağrı olduğu belirlendi. Obez I, II ve fazla kilolu gruplarında motivasyon eksikliğinin en sık karşılaşılan egzersiz bariyeri olduğu saptandı. Tüm gruplarda en sık karşılaşılan çevresel egzersiz bariyerinin ise zaman ayıramama olduğu görüldü. Egzersiz fasilitatörlerinin tematik analizi sonucunda sağlıklı olabilmek, sağlık profesyonelinin önermesi, egzersizlerin yararlarının önemsenmesi tüm gruplarda en sık karşılaşılan temalar olarak belirlendi. Çalışma sonuçları obez bireylerin egzersiz bariyerlerinin saptandığı çalışmalardan elde edilen sonuçlarla benzerlik göstermektedir. Belirlenen egzersiz bariyerleri klinisyenlerin obez bireylerde egzersiz davranışı kazandırılmasına yönelik geliştirilecek stratejilere yön verici olacaktır. Anahtar Kelimeler: Egzersiz, Obezite, Fiziksel Aktivite
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    PublicationMetadata only
    First exercise reports of diabetes center in Turkey: effects of exercise on metabolic parameters in patients with type-2 diabetes mellitus
    (EDIZIONI MINERVA MEDICA, 2021) ŞENOCAK, EMRE; Sertbas, Yasar; Uner, Ozden E.; Sertbas, Meltem; Senocak, Emre; Gozkan, Rahime; Kotan, Melike; Ardic, Asligul; Timurtas, Eren; Ozdemir, Ali
    BACKGROUND: The current study aimed to show the efficacy of the exercise program performed by the type-2 diabetic patients in the exercise center related to the diabetes clinic. METHODS: This was a retrospective study, conducted on 77 (18-65 years old) diabetic patients who were attending the exercise center of the outpatient diabetes clinic. Patients who completed 3 months of supervised combined exercise program and having no chronic drug adjustment for 3 months at the beginning and during the exercise interval were recruited to the study. RESULTS: After 3 months, supervised combine exercise program, there were significant improvement of BMI (34.62 vs. 33.14 kg/m(2), P<0.001), fat mass (34.95 vs. 33.83 kg, P<0.001), fasting blood glucose (124.59 vs. 117.39 mg/dL, P=0.015), HbA1c (6.74 vs. 6.45, P<0.001), and triglyceride levels (177.78 vs. 167.50 mg/dL, P=0.038). CONCLUSIONS: In conclusion, as a real-life data the supervised combine exercise program, performed in the exercise center of the diabetes clinic, significantly improved the metabolic parameters of the patients. We believe that diabetes clinics should include exercise centers, which are controlled by experts, to provide more qualified management for diabetic patients.
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    PublicationOpen Access
    Exercise Program for Covid-19 Survivors: A Telerehabilitation Framework
    (MARMARA UNIV, INST HEALTH SCIENCES, 2021-05-22) YILDIZ ÖZER, AYSEL; Timurtas, Eren; Ozer, Aysel Yildiz; Avci, Ender Ersin; Demirbuken, Ilksan; Polat, Mine Gulden
    Coronavirus disease (COVID-19) is a serious acute respiratory syndrome that has been recognized as a pandemic disease caused by Coronavirus 2 (SARS-CoV-2). The complications related to coronavirus itself, physically inactive period due to symptoms of disease and lockdown may also influence the functional capacities of COVID-19 survivors negatively. It may lead to obstructions in engaging with previous activities of daily living. As a physiotherapy intervention, exercise treatment is one of the novel approaches to support these individuals after the COVID-19 treatment. However, there is limited access to physiotherapy and rehabilitation services during pandemic conditions because of lockdown, especially for infected patients. For increasing accessibility to physiotherapy and rehabilitation care, the World Confederation of Physical Therapy has published a report advising the home-based exercise interventions via Telerehabilitation. Up to date, there is no published framework for structured exercise programs for this population, yet. Since the individual differences in functional levels and possible differences in the severity of coronavirus infection, the physiotherapy, and rehabilitation exercise program should be structured individually for COVID-19 survivors. This document suggests a framework for physical therapists to put into practice an exercise training via telerehabilitation in COVID-19 survivors. The proposed framework has consisted of determination of eligible and risky COVID-19 patients for intervention, physiotherapy assessment tools, 6-week exercise prescription based on FIIT-VP principle (frequency, intensity, time, type, volume, and progression) and criteria for ending exercise.
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    PublicationMetadata only
    Technology-based and supervised exercise interventions for individuals with type 2 diabetes: Randomized controlled trial
    (Elsevier Ltd, 2021) TİMURTAŞ, EREN; Timurtas E., Inceer M., Mayo N., Karabacak N., Sertbas Y., Polat M.G.
    Aims: The purpose of this study was to estimate, for people with type 2 diabetes (T2D), the extent to which glycemic control was affected by a 12-week program using mobile app and wearable smartwatch in comparison to supervised exercise training. Methods: This study was a stratified, randomized, assessor-blind, controlled, pragmatic trial with three parallel groups which were supervised, mobile app and wearable smartwatch. Individually tailored exercise regimens delivered through a supervisor, mobile app and wearable smartwatch. Programs consisted of aerobic, resistance exercises, calisthenic, flexibility, balance, and coordination exercises. Primary outcome was change in glycemic control (HbA1c); secondary outcome was Six Minute Walk Test; and explanatory outcomes were exercise behaviour, muscle function, and physical capacity. The groups were contrasted for change in HbA1c and absolute reduction of ≥0.5% (Minimal Important Change). Linear and logistic regressions were used to compare the groups and generalized estimated equations were used to analyze the explanatory outcomes. Results: In total, 90 people were randomized, 6 were lost over 12 weeks, leaving 84 with outcome data. The difference in HbA1c did not differ between the supervised and the technology groups combined and between the mobile app and smartwatch group. Proportions of people achieving a clinically meaningful difference on HbA1c between the supervised and technology groups were similar (46% vs 43%) and the associated OR was 0.87 (95%CI:0.34−2.28). Within the two technology groups, proportions of people achieving a clinically meaningful difference in HbA1c were 48% in the mobile app and 38% in the smartwatch groups and the associated OR was 0.65 (95%CI:0.21−2.03). The groups did not differ on secondary and explanatory outcomes. Conclusions: The results of our trial provide evidence that all outcomes have improved in all groups regardless of the exercise delivery method. Considering the supervised programs are not available for everybody, technological options are crucial to implement to help individuals self-manage most aspects of their diabetes. © 2021