Genç yetişkinlerde boyun çevresi, viseral adipozite indeksi velipit birikim ürünü indeksinin prehipertansiyon ile ilişkisi
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Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Boyun çevresi, klasik antropometrik ölçümler olan bel çevresi, kalça çevresi ve belkalça
oranından bağımsız olarak birçok kardiyovasküler, metabolik ve endokrin patolojilerle
ilişkilendirilen yeni bir antropometrik ölçümdür. Dünyada örnekleri mevcut olsa da ülkemizde
henüz bu yeni ölçümle ilgili çalışmalar kısıtlıdır. Viseral adipozite indeksi (VAİ), adipoz doku
disfonksiyonuna işaret eden hem laboratuvar hem antropometrik ölçümleri bir arada kullanan
bir formülasyondur. Lipit birikim ürünü indeksi (LAP), obeziteyi sadece ağırlık artışı olarak
değerlendirmek yerine lipitlerin aşırı birikimi ile ilişkilendiren bel çevresi ve kan trigliserid
düzeyi kullanılarak hesaplanan bir indekstir. Bu çalışmanın amacı boyun çevresi, viseral
adipozite indeksi ve lipit birikim ürünü indeksinin prehipertansiyonla ilişkisini araştırmaktır.
Gereç ve yöntem: Bu araştırmaya Necmettin Erbakan Üniversitesi Tıp Fakültesi Aile
Hekimliği Polikliniğine başvuran 18-45 yaş aralığında 528 hasta dâhil edildi. Çalışma
kriterlerine uyan hastaların sosyodemografik verileri hastalara çalışmacı tarafından sorularak
anket formuna kaydedildi. Hastaların boyun, bel ve kalça çevresi ölçümleri, sistolik ve
diyastolik kan basıncı ölçümleri yapıldı ve kaydedildi. Açlık kan şekeri ve kan lipit profili
değerleri hasta kayıtlarından bakılarak yazıldı. Elde edilen bulgular SPSS (Statistical Package
for Social Sciences for Windows) 20.0 programı kullanılarak analiz edildi. p<0,05 değeri
istatistiksel olarak anlamlı kabul edildi.
Bulgular: Katılımcıların %56,6’sı (n=299) kadın, %32,7’si (n=173) 18-24 yaş arasında,
%36,4’ü (n=192) 25-34 yaş arasında, %30,9’u (n=163) 35-45 yaş arasındaydı. Çalışmada
iv
katılımcılar tansiyon değerlerine göre incelendiğinde, %67,8’si normotansif (n=358), %17,2’si
prehipertansif (n=91), %15’i hipertansif (n=79) olarak bulundu. Boyun çevresi ve sistolik kan
basıncı erkeklerde (r=0,272 ve p<0,001) ve kadınlarda (r=258 ve p<0,001) pozitif ilişkiliydi.
Normotansif bireylerde boyun çevresi ortalaması 36,7 cm iken, prehipertansiflerde 37,7 cm idi
ve aralarında anlamlı fark vardı (p=0,034). VAİ ortalaması normotansiflerde 2,2 iken,
prehipertansiflerde 2,3’tü ve aralarında anlamlı bir fark yoktu (p=0,06). LAP indeksi ortalaması
normotansiflerde 43,2, prehipertansiflerde 53,6, hipertansiflerde 71,2 idi. Normotansif ve
prehipertansif grup arasında anlamlı bir fark bulunmadı fakat hipertansif ve normotansif grup
arasındaki fark istatistiksel olarak anlamlıydı (p<0,001).
Sonuç: Sunulan çalışmada, VAİ ve LAP indeksi prehipertansiyon ile ilişkili bulunmazken,
boyun çevresi yüksekliği prehipertansiyon ile ilişkiliydi. Bu çalışmanın sonucuna göre boyun
çevresi prehipertansiyonu öngörmede yeni bir antropometrik ölçüm olarak kullanılabilir.
Ayrıca boyun çevresi, VAİ ve LAP indeksi birbiri ile ilişkili üç parametre olarak dikkati
çekmektedir.
Objective: Neck circumference is a new anthropometric measurement that is associated with many cardiovascular, metabolic and endocrine pathologies independent of the classical anthropometric measurements of waist circumference, hip circumference and waist-to-hip ratio. Although there are examples in the world, studies on this new measurement are limited in our country. The visceral adiposity index (VAI) is a formulation that uses both laboratory and anthropometric measurements together to indicate adipose tissue dysfunction. The lipid accumulation product index (LAP) is an index calculated using waist circumference and blood triglyceride levels that associates obesity with excessive accumulation of lipids rather than just weight gain. The aim of this study was to investigate the association of neck circumference, visceral adiposity index and lipid accumulation product index with prehypertension. Materials and Methods: This study included 528 patients aged 18-45 years who applied to Necmettin Erbakan University Faculty of Medicine, Family Medicine Outpatient Clinic. The sociodemographic data of the patients who met the study criteria were recorded in the questionnaire form. Neck, waist and hip circumferences, systolic and diastolic blood pressures were measured and recorded. Fasting blood glucose and blood lipid profile values were recorded from patient records. The findings were analyzed using SPSS (Statistical Package for Social Sciences for Windows) 20.0 program. p<0.05 was considered statistically significant. Results: Among the participants, 56.6% (n=299) were female, 32.7% (n=173) were between the ages of 18-24, 36.4% (n=192) were between the ages of 25-34, and 30.9% (n=163) were between the ages of 35-45. When the participants were analyzed according to blood pressure values, 67.8% were normotensive (n=358), 17.2% were prehypertensive (n=91), and 15% vi were hypertensive (n=79). Neck circumference and systolic blood pressure were positively correlated in men (r=0.272 and p<0.001) and women (r=258 and p<0.001). The mean neck circumference was 36.7 cm in normotensive subjects and 37,7 cm in prehypertensive subjects, with a significant difference (p=0.034). The mean VAI was 2,2 in normotensive subjects and 2,3 in prehypertensive subjects and there was no significant difference between them (p=0.06). The mean LAP index was 43,2 in normotensives, 53,6 in prehypertensives and 71,2 in hypertensives. There was no significant difference between the normotensive and prehypertensive groups, but the difference between the hypertensive and normotensive groups was statistically significant (p<0.001). Conclusion: In the present study, VAI and LAP index were not associated with prehypertension, whereas neck circumference was associated with prehypertension. According to the results of this study, neck circumference may be used as a new anthropometric measurement to predict prehypertension. In addition, neck circumference, VAI and LAP index are three interrelated parameters.
Objective: Neck circumference is a new anthropometric measurement that is associated with many cardiovascular, metabolic and endocrine pathologies independent of the classical anthropometric measurements of waist circumference, hip circumference and waist-to-hip ratio. Although there are examples in the world, studies on this new measurement are limited in our country. The visceral adiposity index (VAI) is a formulation that uses both laboratory and anthropometric measurements together to indicate adipose tissue dysfunction. The lipid accumulation product index (LAP) is an index calculated using waist circumference and blood triglyceride levels that associates obesity with excessive accumulation of lipids rather than just weight gain. The aim of this study was to investigate the association of neck circumference, visceral adiposity index and lipid accumulation product index with prehypertension. Materials and Methods: This study included 528 patients aged 18-45 years who applied to Necmettin Erbakan University Faculty of Medicine, Family Medicine Outpatient Clinic. The sociodemographic data of the patients who met the study criteria were recorded in the questionnaire form. Neck, waist and hip circumferences, systolic and diastolic blood pressures were measured and recorded. Fasting blood glucose and blood lipid profile values were recorded from patient records. The findings were analyzed using SPSS (Statistical Package for Social Sciences for Windows) 20.0 program. p<0.05 was considered statistically significant. Results: Among the participants, 56.6% (n=299) were female, 32.7% (n=173) were between the ages of 18-24, 36.4% (n=192) were between the ages of 25-34, and 30.9% (n=163) were between the ages of 35-45. When the participants were analyzed according to blood pressure values, 67.8% were normotensive (n=358), 17.2% were prehypertensive (n=91), and 15% vi were hypertensive (n=79). Neck circumference and systolic blood pressure were positively correlated in men (r=0.272 and p<0.001) and women (r=258 and p<0.001). The mean neck circumference was 36.7 cm in normotensive subjects and 37,7 cm in prehypertensive subjects, with a significant difference (p=0.034). The mean VAI was 2,2 in normotensive subjects and 2,3 in prehypertensive subjects and there was no significant difference between them (p=0.06). The mean LAP index was 43,2 in normotensives, 53,6 in prehypertensives and 71,2 in hypertensives. There was no significant difference between the normotensive and prehypertensive groups, but the difference between the hypertensive and normotensive groups was statistically significant (p<0.001). Conclusion: In the present study, VAI and LAP index were not associated with prehypertension, whereas neck circumference was associated with prehypertension. According to the results of this study, neck circumference may be used as a new anthropometric measurement to predict prehypertension. In addition, neck circumference, VAI and LAP index are three interrelated parameters.
Açıklama
Anahtar Kelimeler
Prehipertansiyon, Boyun Çevresi, Viseral Adipozite İndeksi, Lipit Birikim Ürünü İndeksi, Prehypertension, Neck Circumference, Visceral Adiposity Index, Lipid Accumulation Product Index
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Kurnaz, A. (2023). Genç yetişkinlerde boyun çevresi, viseral adipozite indeksi velipit birikim ürünü indeksinin prehipertansiyon ile ilişkisi. (Yayınlanmamış tıpta uzmanlık tezi) Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi Dahili Tıp Bilimleri Bölümü Aile Hekimliği Anabilim Dalı, Konya.
