The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey
Yıl: 2018 Cilt: 46 Sayı: 7 Sayfa Aralığı: 613 - 623 Metin Dili: İngilizce DOI: 10.5543/tkda.2018.32967 İndeks Tarihi: 05-08-2020
The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey
Öz: Objective: The Prospective Urban Rural Epidemiology(PURE) study is a prospective cohort study that collectsdata on social, environmental, and individual risk factors andchronic diseases among residents of 25 countries in the rangeof 35 to 70 years of age, living in rural and urban areas. ThePURE study is directed by the Population Health Research Institute of McMaster University in Canada. In Turkey, the studyis conducted by the Metabolic Syndrome Society.Methods: In Turkey, the study is being conducted in 8 cities.The initial fieldwork began in 2008. Questionnaires werecompleted, and anthropometric measurements, blood andurine samples, handgrip strength evaluations, electrocardiogram readings, and spirometer and body compositionmeasurements were obtained. Each year, participants werefollowed up via telephone. Every third year, questionnaires,field measurements, and biological data sampling were repeated.Results: PURE Turkey has 4056 participants (female:60.7%, male: 39.3%; mean age: 50±9.1 years). Among them,43.9% had metabolic syndrome and 52.8% were obese. Theprevalence of hypertension was 41.1% and proportion ofcontrolled hypertension was 34%. A total of 2098 (51.7%)of the participants had a total cholesterol of ≥200 mg/dL orwere using a lipid lowering agent. In patients with diabetes,79.8% had low-density lipoprotein cholesterol levels ≥100mg/dL. Although a dramatic change was not observed inthose parameters in the follow-up years, the prevalence ofdiabetes mellitus increased from 13.7% in 2008 to 21% in2015. The baseline and follow-up data of the PURE studywere analyzed with the other countries participating in thestudy and reported for international publication.Conclusion: The PURE study is a large, ongoing, prospective epidemiological study that is investigating the “causes ofthe causes” of noncommunicable diseases in the world. In addition to revealing the health status of nations, the study alsohas the potential to affect health politics.
Anahtar Kelime: The Prospective Urban Rural Epidemiology (PURE) çalışması: PURE Türkiye
Öz: Amaç: The Prospective Urban Rural Epidemiology (PURE) çalışması sosyal, çevresel ve kişisel risk faktörleri ile kronik hastalıklar hakkında veri toplamayı amaçlayan, 35–70 yaş arası, şehirde ve kırsalda yaşayan 25 ülkeden katılımcıya sahip prospektif bir çalışmadır. Çalışma Kanada’da McMaster Üniversitesi Population Health and Research Institute tarafından yönetilmektedir. Türkiye’de ise çalışmayı Metabolik Sendrom Derneği yürütmektedir. Yöntemler: Çalışma için sekiz bölge seçildi. Saha çalışmaları 2008 yılında başlayan çalışmada antropometrik ölçümler, kan ve idrar örnekleri, el kavrama kuvveti, EKG, spirometre ve vücut kompozisyonu ölçümleri alındı. Katılım fazından sonra takip fazında her yıl katılımcılar telefon ile aranarak sağlık durumlarındaki yenilikleri analiz edecek soruları barındıran anketler yöneltildi. Üç yılda bir tekrar sahaya inilerek anketlere ek olarak başlangıçta yapılan antropometrik ölçümler, EKG, spirometre ve kan, idrar örnekleri tekrarlandı. Bulgular: PURE Türkiye 4056 (%60.7 kadın, %39.3 erkek, ortalama yaş: 50±9.1) katılımcı ile temsil edilmektedir. Katılımcıların %43.9’unda metabolik sendrom vardır, %52.8’i ise obezdir. Hipertansiyon prevelansı %41.1’dir ve kan basıncı kontrolü %34 hastada sağlanmıştır. Toplam 2098 (%51.7) katılımcının total kolesterolü ≥200 mg/dL’dir veya bir lipit düşürücü ilaç kullanmaktadır. Diyabetli hastalar arasında %79.8’inin LDL kolesterol seviyesi ≥100 mg/dL’dir. Yıllar içerisinde bu hastalıklara sahip hasta sayısında ciddi artış görülmemekle birlikte diyabet prevelansı 2008’de %13.7 iken 2015 yılında %21’e çıkmıştır. PURE çalışmasının başlangıç ve takip verileri tüm ülkelerle birlikle analiz edilmekte, uluslararası yayınlar olarak paylaşılmaktadır. Sonuç: Sonuç olarak PURE çalışması ülkemizde ve dünyada halen devam eden, prospektif, geniş katılımlı bir epidemiyolojik çalışmadır ve temel amacı kronik hastalıkların “sebeplerinin sebeplerini” bulmaktır. Ülkelerin sağlık durumlarını göz önüne koymanın yanı sıra sağlık politikalarına yön verme potansiyeli mevcuttur.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Oguz A, Telci Caklili O, ÇALIK B, INVESTİGATORS P (2018). The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. , 613 - 623. 10.5543/tkda.2018.32967 |
| Chicago | Oguz Aytekin,Telci Caklili Ozge,ÇALIK Burcu Tümerdem,INVESTİGATORS PURE The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. (2018): 613 - 623. 10.5543/tkda.2018.32967 |
| MLA | Oguz Aytekin,Telci Caklili Ozge,ÇALIK Burcu Tümerdem,INVESTİGATORS PURE The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. , 2018, ss.613 - 623. 10.5543/tkda.2018.32967 |
| AMA | Oguz A,Telci Caklili O,ÇALIK B,INVESTİGATORS P The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. . 2018; 613 - 623. 10.5543/tkda.2018.32967 |
| Vancouver | Oguz A,Telci Caklili O,ÇALIK B,INVESTİGATORS P The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. . 2018; 613 - 623. 10.5543/tkda.2018.32967 |
| IEEE | Oguz A,Telci Caklili O,ÇALIK B,INVESTİGATORS P "The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey." , ss.613 - 623, 2018. 10.5543/tkda.2018.32967 |
| ISNAD | Oguz, Aytekin vd. "The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey". (2018), 613-623. https://doi.org/10.5543/tkda.2018.32967 |
| APA | Oguz A, Telci Caklili O, ÇALIK B, INVESTİGATORS P (2018). The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Türk Kardiyoloji Derneği Arşivi, 46(7), 613 - 623. 10.5543/tkda.2018.32967 |
| Chicago | Oguz Aytekin,Telci Caklili Ozge,ÇALIK Burcu Tümerdem,INVESTİGATORS PURE The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Türk Kardiyoloji Derneği Arşivi 46, no.7 (2018): 613 - 623. 10.5543/tkda.2018.32967 |
| MLA | Oguz Aytekin,Telci Caklili Ozge,ÇALIK Burcu Tümerdem,INVESTİGATORS PURE The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Türk Kardiyoloji Derneği Arşivi, vol.46, no.7, 2018, ss.613 - 623. 10.5543/tkda.2018.32967 |
| AMA | Oguz A,Telci Caklili O,ÇALIK B,INVESTİGATORS P The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Türk Kardiyoloji Derneği Arşivi. 2018; 46(7): 613 - 623. 10.5543/tkda.2018.32967 |
| Vancouver | Oguz A,Telci Caklili O,ÇALIK B,INVESTİGATORS P The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey. Türk Kardiyoloji Derneği Arşivi. 2018; 46(7): 613 - 623. 10.5543/tkda.2018.32967 |
| IEEE | Oguz A,Telci Caklili O,ÇALIK B,INVESTİGATORS P "The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey." Türk Kardiyoloji Derneği Arşivi, 46, ss.613 - 623, 2018. 10.5543/tkda.2018.32967 |
| ISNAD | Oguz, Aytekin vd. "The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey". Türk Kardiyoloji Derneği Arşivi 46/7 (2018), 613-623. https://doi.org/10.5543/tkda.2018.32967 |
