Evaluation of Physical Activity in Women With Lipedema

Primary outcomes

1. Physical Activity Level

   Time frame: Baseline

   Physical activity will be assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). This questionnaire is a seven-item self-report scale that assesses physical activity level over the past seven days. It includes seven questions evaluating the time individuals spend walking, moderate-intensity, vigorous activity, and sitting. A score is obtained as "MET-minutes/week" by multiplying the minutes, days, and MET value (multiples of resting oxygen consumption). The total score is calculated by summing the scores obtained from walking, moderate-intensity activity, and vigorous activity. Based on the total physical activity score, individuals' physical activity levels can be categorized as "very active, minimally active, and inactive." The Turkish version of the IPAQ-SF has been reported to be valid and reliable.

2. Physical Activity Barriers

   Time frame: Baseline

   Physical activity barriers will be assessed using the Self-Perceived Barriers for Physical Activity Questionnaire. This scale is a 17-item self-report scale that evaluates perceived barriers to participation in physical activity across four subscales: Body Image and Psychosocial Anxiety (5 items); Fatigue (3 items); Obligations and Lack of Time (3 items); and Environment and Availability (4 items). Scoring is done using a Likert scale ranging from 0 to 10 (0: Less - 10: More). Each subscale score is calculated by summing the scores of each item in the subscale and dividing the total score by the number of items. Higher scores indicate higher levels of barriers.

3. Exercise Behavior Status

   Time frame: baseline

   Exercise behavior will be assessed using the Stages of Exercise Behavior Change Questionnaire. This scale consists of 5 questions. Participants will be asked to choose one of 5 situations that correspond to their current exercise level, and the change stage is determined accordingly. The individual in the precontemplation stage has never considered starting to perform exercise and does not intend to do so in the next 6 months. The individual in the contemplation stage is not actively trying to start, but only intends to start in the next 6 months. The individual in the preparation stage intends to start exercising regularly within the next 30 days. The individual in the action stage begins to change their starting behavior within a short period of time (has been exercising for less than 6 months). The individual in the maintenance stage continues to maintain the change from the action stage, has been exercising for more than 6 months, and is determined not to revert to their old habit

4. Physical Activity and Exercise-Related Experiences and Barriers Related to Lipedema

   Time frame: baseline

   Women participating in the study will be asked about factors limiting physical activity related to lipedema, and their experiences during and after exercise or physical activity, and their personal statements will be recorded.