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Published in: Journal of Public Health 2/2019

01-04-2019 | Original Article

Determinants of obesity in Turkey: appetite or disease?

Authors: Okan Demir, Nuray Demir, Abdulbaki Bilgic

Published in: Journal of Public Health | Issue 2/2019

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Abstract

Aim

This study examines the factors affecting obesity prevalence among adult individuals in Turkey using data obtained from the National Health Survey of the Turkish Statistical Institute (TSI).

Subjects and methods

Nowadays obesity is one of the world’s major health problems. Although the proportion of young people remains very high in Turkey, the prevalence of obesity is increasing daily. In this study, we used the National Health Survey data collected by the TSI in 2012. The research was carried out on 14,400 households in 12 regions of Turkey. The study covered socio-demographic characteristics of families and household heads, but included only observations made by household heads. We tested a bivariate probit model with sample selection, which was compatible with the data-generating process to exclude the inherent selection problem. We then applied a simple binary probit model to assess the likelihood of being obese among those who reported their body measures (height and weight).

Results

The results indicated that living in a city, getting married, being female, being middle-aged, being depressed and having lower education levels increased the probability of obesity prevalence among Turkish subjects, while less obesity prevalence was associated with being male, being well educated, being a regular walker, being a smoker and living in a rural area.

Conclusions

When combating obesity in Turkey, social risk groups that are more likely to be obese should be identified and awareness training should be carried out for each group with suitable objectives and programs. The aim of such programs should be to encourage adequate and balanced nutrition and regular physical activity and to teach individuals about the adverse effects of obesity on health (cardiovascular disease, diabetes, some types of cancer, hypertension, etc.).
Footnotes
1
The binary probit model is preferable to this model if the correlation coefficient, rho (ρ), between the probability models is considered to be insignificant.
 
2
The green card is a health service provided by the State free of charge to Turkish citizens who have less than one third of the gross minimum wage (676.5 TL).
 
Literature
go back to reference Abubakari A-R, Lauder W, Agyemang C, Jones M, Kirk A, Bhopal R (2008) Prevalence and time trends in obesity among adult west African populations: a meta-analysis. Obes Rev 9:297–311CrossRefPubMed Abubakari A-R, Lauder W, Agyemang C, Jones M, Kirk A, Bhopal R (2008) Prevalence and time trends in obesity among adult west African populations: a meta-analysis. Obes Rev 9:297–311CrossRefPubMed
go back to reference Akil L, Ahmad HA (2011) Effects of socioeconomic factors on obesity rates in four southern states and Colorado. Ethn Dis 21:58PubMedPubMedCentral Akil L, Ahmad HA (2011) Effects of socioeconomic factors on obesity rates in four southern states and Colorado. Ethn Dis 21:58PubMedPubMedCentral
go back to reference Ankara HG (2016) Inequality analyses of obesity in Turkey. Inter J of Soc Scien and Human 6:742 Ankara HG (2016) Inequality analyses of obesity in Turkey. Inter J of Soc Scien and Human 6:742
go back to reference Arikan I, Karakaya K, Erata M, Tüzün H, Baran E, Göçmen L, Yesil HK (2014) Fighting obesity campaign in Turkey: evaluation of media campaign efficacy. Cent Eur J Public Health 22:170CrossRefPubMed Arikan I, Karakaya K, Erata M, Tüzün H, Baran E, Göçmen L, Yesil HK (2014) Fighting obesity campaign in Turkey: evaluation of media campaign efficacy. Cent Eur J Public Health 22:170CrossRefPubMed
go back to reference Banterle A, Cavaliere A (2014) Is there a relationship between product attributes, nutrition labels and excess weight? Evidence from an Italian region. Food Policy 49:241–249CrossRef Banterle A, Cavaliere A (2014) Is there a relationship between product attributes, nutrition labels and excess weight? Evidence from an Italian region. Food Policy 49:241–249CrossRef
go back to reference Berberoğlu M (2012) Children and adolescents lifestyle changes in obesity. Turk J Pediatr 1:81–85 Berberoğlu M (2012) Children and adolescents lifestyle changes in obesity. Turk J Pediatr 1:81–85
go back to reference Beyaz FB, Koç AA (2009) Economics of obesity: Current situation, policies struggled and economic analyzes. EconAnatolia Beyaz FB, Koç AA (2009) Economics of obesity: Current situation, policies struggled and economic analyzes. EconAnatolia
go back to reference Bilgic A (2010) Measuring willingness to pay to improve municipal water in southeast Anatolia, Turkey. Water Resour Res 46(12) Bilgic A (2010) Measuring willingness to pay to improve municipal water in southeast Anatolia, Turkey. Water Resour Res 46(12)
go back to reference Booth M, Macaskill P, Lazarus R, Baur L (1999) Sociodemographic distribution of measures of body fatness among children and adolescents in New South Wales, Australia. Int J Obes Relat Metab Disord 23(5):456CrossRefPubMed Booth M, Macaskill P, Lazarus R, Baur L (1999) Sociodemographic distribution of measures of body fatness among children and adolescents in New South Wales, Australia. Int J Obes Relat Metab Disord 23(5):456CrossRefPubMed
go back to reference Bray GA (1999) Nutrition and obesity: prevention and treatment. Nutr Metab Cardiovasc Dis 9:21–32PubMed Bray GA (1999) Nutrition and obesity: prevention and treatment. Nutr Metab Cardiovasc Dis 9:21–32PubMed
go back to reference Chamieh MC, Moore HJ, Summerbell C, Tamim H, Sibai AM, Hwalla N (2015) Diet, physical activity and socio-economic disparities of obesity in Lebanese adults: findings from a national study. BMC Public Health 15:279CrossRefPubMedPubMedCentral Chamieh MC, Moore HJ, Summerbell C, Tamim H, Sibai AM, Hwalla N (2015) Diet, physical activity and socio-economic disparities of obesity in Lebanese adults: findings from a national study. BMC Public Health 15:279CrossRefPubMedPubMedCentral
go back to reference Chang H-H, Yen ST (2012) Association between obesity and depression: evidence from a longitudinal sample of the elderly in Taiwan. Aging Ment Health 16:173–180CrossRefPubMed Chang H-H, Yen ST (2012) Association between obesity and depression: evidence from a longitudinal sample of the elderly in Taiwan. Aging Ment Health 16:173–180CrossRefPubMed
go back to reference Chen Z, Yen ST, Eastwood DB (2005) Effects of food stamp participation on body weight and obesity. Am J Agric Econ 87:1167–1173CrossRef Chen Z, Yen ST, Eastwood DB (2005) Effects of food stamp participation on body weight and obesity. Am J Agric Econ 87:1167–1173CrossRef
go back to reference Deckelbaum RJ, Williams CL (2001) Childhood obesity: the health issue. Obesity 9:S11 Deckelbaum RJ, Williams CL (2001) Childhood obesity: the health issue. Obesity 9:S11
go back to reference Delibasi T, Karaaslan Y, Ustun I, Koroglu E, Hosgor S (2007) National prevalence of underweight, overweight and obesity in Turkey: cross sectional study of a representative adult population. Cent Eur J Med 2:294–303 Delibasi T, Karaaslan Y, Ustun I, Koroglu E, Hosgor S (2007) National prevalence of underweight, overweight and obesity in Turkey: cross sectional study of a representative adult population. Cent Eur J Med 2:294–303
go back to reference Dinsa GD, Goryakin Y, Fumagalli E, Suhrcke M (2012) Obesity and socioeconomic status in developing countries: a systematic review. Obes Rev 13:1067–1079CrossRefPubMedPubMedCentral Dinsa GD, Goryakin Y, Fumagalli E, Suhrcke M (2012) Obesity and socioeconomic status in developing countries: a systematic review. Obes Rev 13:1067–1079CrossRefPubMedPubMedCentral
go back to reference Drewnowski A, Moudon AV, Jiao J, Aggarwal A, Charreire H, Chaix B (2014) Food environment and socioeconomic status influence obesity rates in Seattle and in Paris. Int J Obes 38:306–314CrossRef Drewnowski A, Moudon AV, Jiao J, Aggarwal A, Charreire H, Chaix B (2014) Food environment and socioeconomic status influence obesity rates in Seattle and in Paris. Int J Obes 38:306–314CrossRef
go back to reference Erbaş Ü (2007) Physical and physiological effects of calisthenic exercises for middle-aged obese women Unpublished Master Thesis Gazi University, Institute of Health Sciences, Ankara Erbaş Ü (2007) Physical and physiological effects of calisthenic exercises for middle-aged obese women Unpublished Master Thesis Gazi University, Institute of Health Sciences, Ankara
go back to reference Erem C (2015) Prevalence of overweight and obesity in Turkey. IJC Metab Endocr 8:38–41CrossRef Erem C (2015) Prevalence of overweight and obesity in Turkey. IJC Metab Endocr 8:38–41CrossRef
go back to reference Ergül Ş, Kaklim A (2011) An important chronic disease: obesity in childhood and adolescence. TAF Prev Med Bulletin 10:223–230 Ergül Ş, Kaklim A (2011) An important chronic disease: obesity in childhood and adolescence. TAF Prev Med Bulletin 10:223–230
go back to reference Esmaeily H et al (2009) Association between socioeconomic factors and obesity in Iran. Pak J Nutr 8:53–56 Esmaeily H et al (2009) Association between socioeconomic factors and obesity in Iran. Pak J Nutr 8:53–56
go back to reference Gallus S, Odone A, Lugo A, Bosetti C, Colombo P, Zuccaro P, La Vecchia C (2013) Overweight and obesity prevalence and determinants in Italy: an update to 2010. Eur J Nutr 52:677–685CrossRefPubMed Gallus S, Odone A, Lugo A, Bosetti C, Colombo P, Zuccaro P, La Vecchia C (2013) Overweight and obesity prevalence and determinants in Italy: an update to 2010. Eur J Nutr 52:677–685CrossRefPubMed
go back to reference Greene WH (2008) Econometric analysis, 2008, vol 24. Prentice Hall, Upper Saddle River, pp 25–26 Greene WH (2008) Econometric analysis, 2008, vol 24. Prentice Hall, Upper Saddle River, pp 25–26
go back to reference Grujić V, Martinov-Cvejin M, Ač-Nikolić E, Dragnić N, Mijatović-Jovanović V, Kvrgić S, Travar S (2009) Association between obesity and socioeconomic factors and lifestyle. Vojnosanit Pregl 66:705–710CrossRefPubMed Grujić V, Martinov-Cvejin M, Ač-Nikolić E, Dragnić N, Mijatović-Jovanović V, Kvrgić S, Travar S (2009) Association between obesity and socioeconomic factors and lifestyle. Vojnosanit Pregl 66:705–710CrossRefPubMed
go back to reference Gültekin T, Özer BK, Akın G, Bektaş Y, Saǧir M, Güleç E (2009) Prevalence of overweight and obesity in Turkish adults. Anthropol Anz:205–212 Gültekin T, Özer BK, Akın G, Bektaş Y, Saǧir M, Güleç E (2009) Prevalence of overweight and obesity in Turkish adults. Anthropol Anz:205–212
go back to reference Gundogan K, Bayram F, Gedik V, Kaya A, Karaman A, Demir O, Coşkun R (2013) Metabolic syndrome prevalence according to ATP III and IDF criteria and related factors in Turkish adults. Arch Med Sci 9(2):243CrossRefPubMedPubMedCentral Gundogan K, Bayram F, Gedik V, Kaya A, Karaman A, Demir O, Coşkun R (2013) Metabolic syndrome prevalence according to ATP III and IDF criteria and related factors in Turkish adults. Arch Med Sci 9(2):243CrossRefPubMedPubMedCentral
go back to reference Hatemi H, Yumuk VD, Turan N, Arik N (2003) Prevalence of overweight and obesity in Turkey. Metab Syndr Relat Disord 1:285–290CrossRefPubMed Hatemi H, Yumuk VD, Turan N, Arik N (2003) Prevalence of overweight and obesity in Turkey. Metab Syndr Relat Disord 1:285–290CrossRefPubMed
go back to reference İşeri A, Arslan N (2008) Obesity in adults in Turkey: age and regional effects. Eur J Pub Health 19:91–94CrossRef İşeri A, Arslan N (2008) Obesity in adults in Turkey: age and regional effects. Eur J Pub Health 19:91–94CrossRef
go back to reference İskender M, Tura G, Akgül Ö, Turtulla S (2014) The relationship between the family environment, eating behavior and obesity for the secondary school students Orta okul öğrencilerinde aile ortamı, yeme tutumu ve obezite durumları arasındaki ilişki. J Hum Sci 11(2):10–26CrossRef İskender M, Tura G, Akgül Ö, Turtulla S (2014) The relationship between the family environment, eating behavior and obesity for the secondary school students Orta okul öğrencilerinde aile ortamı, yeme tutumu ve obezite durumları arasındaki ilişki. J Hum Sci 11(2):10–26CrossRef
go back to reference Karaoğlan D (2015) Essays on Education Gradient of Health in Turkey Unpublished Ph D Thesis Ankara, Turkey: Department of Economics, Middle East Technical University Karaoğlan D (2015) Essays on Education Gradient of Health in Turkey Unpublished Ph D Thesis Ankara, Turkey: Department of Economics, Middle East Technical University
go back to reference Kasteridis P, Yen ST (2014) Occasional smoking and body weight among adults. Appl Econ Perspect Policy 36:479–503CrossRef Kasteridis P, Yen ST (2014) Occasional smoking and body weight among adults. Appl Econ Perspect Policy 36:479–503CrossRef
go back to reference Koçoglu G, Ozdemir L, Sümer H, Demir DA, Cetinkaya S, Polat HH (2003) Prevalence of obesity among 11–14 year old students in Sivas-Turkey. Pak J Nutr 2:292–295CrossRef Koçoglu G, Ozdemir L, Sümer H, Demir DA, Cetinkaya S, Polat HH (2003) Prevalence of obesity among 11–14 year old students in Sivas-Turkey. Pak J Nutr 2:292–295CrossRef
go back to reference Kriaucioniene V, Petkeviciene J, Klumbiene J, Sakyte E, Raskiliene A (2016) Socio-demographic inequalities in overweight and obesity among Lithuanian adults: time trends from 1994 to 2014. Scand J Public Healt 44:377–384CrossRef Kriaucioniene V, Petkeviciene J, Klumbiene J, Sakyte E, Raskiliene A (2016) Socio-demographic inequalities in overweight and obesity among Lithuanian adults: time trends from 1994 to 2014. Scand J Public Healt 44:377–384CrossRef
go back to reference Loureiro ML, Yen ST, Nayga RM Jr (2012) The effects of nutritional labels on obesity. Agric Econ 43:333–342CrossRef Loureiro ML, Yen ST, Nayga RM Jr (2012) The effects of nutritional labels on obesity. Agric Econ 43:333–342CrossRef
go back to reference Nichèle V, Yen ST (2016) Obesity and mental health among adults in France. J Public Health 24:387–394CrossRef Nichèle V, Yen ST (2016) Obesity and mental health among adults in France. J Public Health 24:387–394CrossRef
go back to reference Onat A, Sansoy V, Ökçün B, Kahraman G, Dursunoğlu D (1996) Glucose intolerance and diabetes in Turkish adults. The Past and Present of Heart Health in Turkish Adults (TEKHARF Study), Character Color Printing House, Istanbul, p 103–111 Onat A, Sansoy V, Ökçün B, Kahraman G, Dursunoğlu D (1996) Glucose intolerance and diabetes in Turkish adults. The Past and Present of Heart Health in Turkish Adults (TEKHARF Study), Character Color Printing House, Istanbul, p 103–111
go back to reference Onat A et al (1999) Obesity and central obesity indicators and their associations in our adults: increasing obsessive thinking that are appearent in men during 1990-1998. Turkish J of Card 27:209–217 Onat A et al (1999) Obesity and central obesity indicators and their associations in our adults: increasing obsessive thinking that are appearent in men during 1990-1998. Turkish J of Card 27:209–217
go back to reference Onat A, Keles I, Sansoy V, Ceyhan K, Uysal Ö, Cetinkaya, Başar Ö (2001) The increase in obesity indicators in our 10-year follow-up of adults: body mass index as an independent predictor of coronary events in men. Turkish Soc of Card Arch 29:430–436 Onat A, Keles I, Sansoy V, Ceyhan K, Uysal Ö, Cetinkaya, Başar Ö (2001) The increase in obesity indicators in our 10-year follow-up of adults: body mass index as an independent predictor of coronary events in men. Turkish Soc of Card Arch 29:430–436
go back to reference Peker I, Çiloğlu F, Buruk Ş, Bulca Z (2000) Exercise biochemistry and obesity. Nobel Medical Book Houses, Istanbul Peker I, Çiloğlu F, Buruk Ş, Bulca Z (2000) Exercise biochemistry and obesity. Nobel Medical Book Houses, Istanbul
go back to reference Peytremann-Bridevaux I, Faeh D, Santos-Eggimann B (2007) Prevalence of overweight and obesity in rural and urban settings of 10 European countries. Prev Med 44:442–446CrossRefPubMed Peytremann-Bridevaux I, Faeh D, Santos-Eggimann B (2007) Prevalence of overweight and obesity in rural and urban settings of 10 European countries. Prev Med 44:442–446CrossRefPubMed
go back to reference Power C, Parsons T (2000) Nutritional and other influences in childhood as predictors of adult obesity proceedings of the nutrition. Society 59:267–272 Power C, Parsons T (2000) Nutritional and other influences in childhood as predictors of adult obesity proceedings of the nutrition. Society 59:267–272
go back to reference Power C, Lake JK, Cole TJ (1997) Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord 21 Power C, Lake JK, Cole TJ (1997) Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord 21
go back to reference Sanisoglu SY, Oktenli C, Hasimi A, Yokusoglu M, Ugurlu M (2006) Prevalence of metabolic syndrome-related disorders in a large adult population in Turkey. BMC Public Health 6:92CrossRefPubMedPubMedCentral Sanisoglu SY, Oktenli C, Hasimi A, Yokusoglu M, Ugurlu M (2006) Prevalence of metabolic syndrome-related disorders in a large adult population in Turkey. BMC Public Health 6:92CrossRefPubMedPubMedCentral
go back to reference Satman I et al (2000) Epidemiology of diabetes and obesity in Turkey. Diabetes Res Clin Pract 50:142CrossRef Satman I et al (2000) Epidemiology of diabetes and obesity in Turkey. Diabetes Res Clin Pract 50:142CrossRef
go back to reference Sobal J, Stunkard AJ (1989) Socioeconomic status and obesity: a review of the literature. Psychol Bull 105:260CrossRefPubMed Sobal J, Stunkard AJ (1989) Socioeconomic status and obesity: a review of the literature. Psychol Bull 105:260CrossRefPubMed
go back to reference Tan AK, Yen ST, Feisul MI (2012) Determinants of body weight status in Malaysia: an ethnic comparison. Int J Public Health 57:279–288CrossRefPubMed Tan AK, Yen ST, Feisul MI (2012) Determinants of body weight status in Malaysia: an ethnic comparison. Int J Public Health 57:279–288CrossRefPubMed
go back to reference Tan AK, Yen ST, Feisul MI (2013) The association between smoking and body mass index: results from a national sample of Malaysian adults. J Public Health 21:403–412CrossRef Tan AK, Yen ST, Feisul MI (2013) The association between smoking and body mass index: results from a national sample of Malaysian adults. J Public Health 21:403–412CrossRef
go back to reference Tan AK, Wang Y, Yen ST, Feisul MI (2015) Physical activity and body weight among adults in Malaysia. Appl Econ Perspect Policy 38:318–333CrossRef Tan AK, Wang Y, Yen ST, Feisul MI (2015) Physical activity and body weight among adults in Malaysia. Appl Econ Perspect Policy 38:318–333CrossRef
go back to reference TSI (2016) Press Room News / Obesity vol 58/2015. Turkey Statistical Institute, Ankara TSI (2016) Press Room News / Obesity vol 58/2015. Turkey Statistical Institute, Ankara
go back to reference Van de Ven WP, Van Praag BM (1981) The demand for deductibles in private health insurance: a probit model with sample selection. J Econ 17:229–252CrossRef Van de Ven WP, Van Praag BM (1981) The demand for deductibles in private health insurance: a probit model with sample selection. J Econ 17:229–252CrossRef
go back to reference Ward J, Friche AAL, Caiaffa WT, Proietti FA, Xavier CC, Roux AVD (2015) Association of socioeconomic factors with body mass index, obesity, physical activity, and dietary factors in Belo Horizonte, Minas Gerais state, Brazil: the BH Health study. Cad Saude Publica 31:182–194CrossRefPubMed Ward J, Friche AAL, Caiaffa WT, Proietti FA, Xavier CC, Roux AVD (2015) Association of socioeconomic factors with body mass index, obesity, physical activity, and dietary factors in Belo Horizonte, Minas Gerais state, Brazil: the BH Health study. Cad Saude Publica 31:182–194CrossRefPubMed
go back to reference Yen ST (2012) Gender differences, physical activity and body weight. Appl Econ 44:3921–3934CrossRef Yen ST (2012) Gender differences, physical activity and body weight. Appl Econ 44:3921–3934CrossRef
go back to reference Yen ST, Chen Z, Eastwood DB (2009) Lifestyles, demographics, dietary behavior, and obesity: a switching regression analysis. Health Serv Res 44:1345–1369CrossRefPubMedPubMedCentral Yen ST, Chen Z, Eastwood DB (2009) Lifestyles, demographics, dietary behavior, and obesity: a switching regression analysis. Health Serv Res 44:1345–1369CrossRefPubMedPubMedCentral
Metadata
Title
Determinants of obesity in Turkey: appetite or disease?
Authors
Okan Demir
Nuray Demir
Abdulbaki Bilgic
Publication date
01-04-2019
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 2/2019
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-018-0940-6

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