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ORCID ID

Canan Birimoglu Okuyan: 0000-0002-7339-6072

Müjde Kerkez: 0000-0002-6968-9454

Abstract

Background: This study aimed to evaluate the relationship between religious attitudes and breastfeeding attitudes and the effect of this relationship on breastfeeding practices.

Methods: A cross-sectional study was conducted with 251 older adults. Data were collected using the International Physical Activity Questionnaire, the Standardized Mini-Mental State Examination, and the Rosenberg Self-Esteem Scale. Spearman’s correlation and chi-square tests were employed for statistical analysis.

Results: Physical activity levels were positively correlated with both cognitive function (r = 0.546, p < 0.001) and self-esteem (r = 0.168, p < 0.05). No significant association was observed between cognitive function and self-esteem. Physical inactivity, cognitive decline, and low self-esteem were more prevalent among women, participants with lower educational attainment, those with chronic diseases, and individuals engaged in polypharmacy.

Conclusions: The findings emphasize the importance of integrating physical activity promotion into national healthy ageing policies, particularly in Mediterranean contexts such as Türkiye. Implementing community-based exercise initiatives, strengthening primary care counseling, and developing culturally sensitive education programs can help reduce gender- and education-related disparities in physical activity participation.

References

  1. Levinger P, Hill KD. Are the recommended physical activity guidelines practical and realistic for older people with complex medical issues? J Geriatr Phys Ther. 2021;44:2–8.
  2. Gül H. Modernleşme Sürecinde Yaşlılık Sorunlarına İlişkin Sosyolojik Bir Değerlendirme [A sociological evaluation of elderliness problems in the modernization process]. İnsan ve Toplum Bilimleri Araştırmaları Dergisi. 2022;11:928–43. Turkish.
  3. United Nations. Ageing. New York: United Nations; 2020.
  4. Türkiye İstatistik Kurumu. İstatistiklerle yaşlılar. Ankara: TÜİK; 2020.
  5. Bademli K, Lok N, Canbaz M, Lok S. Effects of physical activity program on cognitive function and sleep quality in elderly with mild cognitive impairment: A randomized controlled trial. Perspect Psychiatr Care. 2019;55:401–8.
  6. Özcan G, Balcı Alparslan G. Huzurevinde kalan yaşlı bireylerin fiziksel aktiviteleri ile düşme davranışları arasındaki ilişki [The relationship between physical activity and falling behaviour of elderly individuals staying in nursing home]. Sürekli Tıp Eğitimi Dergisi. 2022;31:57–66. Turkish.
  7. World Health Organization. Ageing and health. Geneva: World Health Organization; 2018.
  8. de Oliveira DV, de Oliveira VB, Caruzo GA, Ferreira ÁG, do Nascimento Júnior JRA, da Cunha PM, et al. The level of physical activity as an intervening factor in the cognitive state of primary care older adults. Cien Saude Colet. 2019;24:4163–70.
  9. Falck RS, Davis JC, Best JR, Crockett RA, Liu-Ambrose T. Impact of exercise training on physical and cognitive function among older adults: A systematic review and meta-analysis. Neurobiol Aging. 2019;79:119–30.
  10. World Health Organization. World health statistics. Geneva: World Health Organization; 2020.
  11. Tovel H, Carmel S, Raveis VH. Relationships among self-perception of aging, physical functioning, and self-efficacy in late life. J Gerontol B Psychol Sci Soc Sci. 2019;74:212–21.
  12. Zhang X, Kamin ST, Liu S, Fung HH, Lang FR. Negative self-perception of aging and mortality in very old Chinese adults: The mediation role of healthy lifestyle. J Gerontol B Psychol Sci Soc Sci. 2020;75:1001–9.
  13. Beyer A-K, Wolff JK, Warner LM, Schüz B, Wurm S. The role of physical activity in the relationship between self-perceptions of ageing and self-rated health in older adults. Psychol Health. 2015;30:671–85.
  14. Delle Fave A, Bassi M, Boccaletti ES, Roncaglione C, Bernardelli G, Mari D. Promoting well-being in old age: the psychological benefits of two training programs of adapted physical activity. Front Psychol. 2018;9:828.
  15. Lage A, Carrapatoso S, de Queiroz Neto ES, Gomes S, Soares-Miranda L, Bohn L. Associations between depressive symptoms and physical activity intensity in an older adult population during COVID-19 lockdown. Front Psychol. 2021;12:644106.
  16. Moral-García JE, Orgaz García D, López García S, Amatria Jiménez M, Maneiro Dios R. Influence of physical activity on self-esteem and dependence in active and sedentary elderly people. anales de psicología. 2018;34:162–6.
  17. Yazıcıoğlu Y, Erdoğan S. SPSS uygulamalı bilimsel araştırma yöntemleri [SPSS applied scientific research methods]. Ankara: Detay Yayıncılık; 2014.
  18. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Mot Skills. 2010;111:278–84.
  19. Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize Mini Mental test'in türk toplumunda hafif demans tanisinda geçerlik ve güvenilirliği [Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population]. Turk Psikiyatri Derg. 2002;13:273–81. Turkish.
  20. Çuhadaroğlu F. Adolesanlarda benlik saygısı [Self-Esteem in Adolescents] [Thesis]. Ankara: Hacettepe Universitesi; 1986. Turkish.
  21. Korkmaz M. Yetişkin örneklem için bir benlik saygısı ölçeğinin güvenirlik ve geçerlik çalışması [Reliability and validity study of a self-esteem scale for an adult sample] [Thesis]. İzmir: Ege Üniversitesi Sosyal Bilimler Enstitüsü; 1996. Turkish.
  22. Karki K, Sapkota A, Jajko S, Singh DR. Socio-demographic variables related to self-esteem, psychological stress, and health-related quality of life among older adults: A cross-sectional study in Kavrepalanchowk district of Nepal. SAGE Open Med. 2021;9:20503121211056437.
  23. Song D, Yu DSF. Effects of a moderate-intensity aerobic exercise programme on the cognitive function and quality of life of community-dwelling elderly people with mild cognitive impairment: A randomised controlled trial. Int J Nurs Stud. 2019;93:97–105.
  24. Lök N, Lök S. Yaşlıların fiziksel aktivite düzeyleri ile bilişsel durumları arasındaki ilişki [The relationship between the physical activity levels and cognitive status of the elders]. Yeni Symposium. 2016;54:21–4. Turkish.
  25. Kersu Ö, Balcı Alparslan G. Geriatrik bireylerin fiziksel aktiviteleri ve uyku kaliteleri arasındaki ilişki [The relationship between physical activities and sleep quality among older individuals]. Sürekli Tıp Eğitimi Dergisi. 2020;29:24–30. Turkish.
  26. Lyu J, Kim H-Y. Gender-specific incidence and predictors of cognitive impairment among older Koreans: findings from a 6-year prospective cohort study. Psychiatry Investig. 2016;13:473–9.
  27. Fahmi M, Panjaitan NA, Habibie I, Siregar AYM, Amarullah G, Rahma, Sunjaya DK. Does your neighborhood protect you from being depressed? A study on social trust and depression in Indonesia. BMC Public Health. 2019;19:1371.
  28. Morley JE. Frailty and sarcopenia: The new geriatric giants. Rev Invest Clin. 2016;68:59–67.
  29. Gheysen F, Poppe L, DeSmet A, Swinnen S, Cardon G, De Bourdeaudhuij I, et al. Physical activity to improve cognition in older adults: Can physical activity programs enriched with cognitive challenges enhance the effects? A systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2018;15:63.
  30. Ho RTH, Fong TCT, Chan WC, Kwan JSK, Chiu PKC, Yau JCY, et al. Psychophysiological effects of dance movement therapy and physical exercise on older adults with mild dementia: A randomized controlled trial. J Gerontol B Psychol Sci Soc Sci. 2020;75:560–70.
  31. Kumar M, Srivastava S, Muhammad T. Relationship between physical activity and cognitive functioning among older Indian adults. Sci Rep. 2022;12:2725.
  32. Gürler H, Özkan Tuncay F, Kars Fertelli T. Huzurevinde Yaşayan Yaşlı Bireylerin Algıladıkları Düşme Risk Faktörleri ve Bilgi Düzeylerinin Belirlenmesi [The determination of perceived risk factors and the level of knowledge for falls in older people who live in a nursing home]. Van Tıp Derg. 2019;26:315–23. Turkish.
  33. Köstek G. Huzur ve bakımevinde yaşayan yaşlıların ölüm kaygısı ve benlik saygısının incelenmesi [Examining death anxiety and self-esteem of elderly people living in nursing homes] [Thesis]. İstanbul: Medipol Üniversitesi Sağlık Bilimleri Enstitüsü; 2015. Turkish.
  34. Teixeira CM, Nunes FMS, Ribeiro FMS, Arbinaga F, Vasconcelos-Raposo J. Atividade física, autoestima e depressão em idosos [Physical activity, self-esteem and depression in older adults]. Cuadernos de Psicología del Deporte. 2016;16:55–66.
  35. Сутормина HB. Роль нейротрофического фактора мозга (BDNF) в физической активности (обзор) [Brain-derived neurotrophic factor and physical activity: a review]. Комплексные исследования детства. 2022;4:124-33. Russian.
  36. Shakouri E, Azarbayjani MA, Jameie SB, Peeri M, Farhadi M. Effect of physical activity on cognitive function and neurogenesis: roles of BDNF and oxidative stress. Thrita J Neu. 2020;9:e109723.
  37. Myśliwiec N, Ciesielska A, Wojtczak M, Sieradzka A, Kot A, Różycki A, et al. The impact of physical activity on mental health. Qual Sport. 2025;37:57234.

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