Obez Kadınlarda Metabolik Sendrom ve Lipid Profilinin Değerlendirilmesi
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmada obez kadınlarda Metabolik Sendrom (MS) ve kan lipid profilinin değerlendirilmesi amaçlandı. Yöntem: Aralık 2013-Ocak 2014 tarihleri arasında polikliniğe kilo verememe nedeniyle başvuran 102 hastada, MS ve kan parametreleri değerlendirildi. VKİ; 30,0-34,9 kg/m2 ise 1. derece obez, 35,0-39,9kg/m2 ise 2. derece obez, 40,0kg/m2 ise 3. derece (morbid) obez olarak sınıflandırıldı. Bulgular: Hastaların yaş ortalaması; 45,0111,0 idi. Kadınların %34,3ü 1. derece, %30,4ü 2. derece, %35,3ü 3. derece obez idi. MS prevalansı %56,9 olarak bulundu. Obezite derecelerine göre MS sıklığı artarken, yaş arttıkça MSnin arttığı saptandı (p0,05). Hastaların, obezite derecelerine göre bazı kan parametreleri değerlendirildiğinde; obezite derecesi arttıkça kan glukoz düzeyi ortalamalarının (p0,048), HOMA-IR (p0,009) ve insülin düzeyinin (p0,031) anlamlı bir şekilde yükseldiği bulunmuş olmasına karşın; obezite derecesi arttıkça TG, Total kolesterol, LDL-kolesterol ve HbA1c düzeyleri istatistiksel olarak anlamlı olmasa da artış olduğu gösterildi (p0,05). Sonuç: Çalışmamızda, VKİ artışı ile MSnin arttığı ve lipid profilindeki bozulma ile VKİ arasında anlamlı bir ilişki bulunmasa da, doğru orantının olduğu görülmektedir. Bunun yanı sıra VKİ artışı ile orantılı olarak kan glukozu, HOMA-IR, insülin düzeylerinde anlamlı bir artış tespit edilmiş olup beslenme ve yaşam tarzı değişiklikleri ile sadece kadınların değil, tüm ailenin bu durumdan olumlu yönde etkileneceği ve obezite, dislipidemi ve sonuç olarak MSye gidişte azalma olacağı açıktır.
Objective: We aimed to evaluate the prevalence of metabolic syndrome (MS) and lipid profile according to body mass index (BMI) in obese women. Methods: BMI and blood parameters were compared in 102 patients who applied to the clinic owing to the failure to lose weight complaint between December 2013 and January 2014. They were classified according to BMI; 30,0-34,9 kg/m2 as 1 st degree obese, 35,0-39,9 kg/m2 as 2nd degree obese, and ≥40,0 kg/m2 as 3rd degree (morbid) obese. Results: All the patients were women. Their age average was 45,01±11,0 yrs. 36,3% of these patients were at 1.st degree, 5% of them were at 2.st degree and 39,2% of them were at 3.st degree of obesity. We found the prevalence of MS as 56,9%. According to their degree of obesity increased prevalence of MS, the MS was increased with increasing age (p>0,05). With the evaluation of patients blood parameters according to obesity degrees we found a meaningful increase in blood glucose levels avarage (p0,048), HOMAIR (p0,009) and in insulin levels (p0,031) in upper levels of obesity. Whereas, while the obesity degrees were increasing there were in increase in triglycerides, total cholesterol, HDL-cholesterol, LDL-cholesterol and HbA1c levels but the rise was statically meaningless. Conclusion: In present study we found that as BMI was increasing the MS was increasing also. Although we didnt find a significant relationship between BMI increment and lipid profile in the women with MS but there was a direct proportion. Besides we found that as the BMI was increasing, blood glucose, HOMA-IR, insulin levels were increasing also. As a conclusion if the women and their family change their eating habits and life styles, the whole family will be affected positively and it is clear that the development of obesity, dsylipidemia and MS will decrease.
Objective: We aimed to evaluate the prevalence of metabolic syndrome (MS) and lipid profile according to body mass index (BMI) in obese women. Methods: BMI and blood parameters were compared in 102 patients who applied to the clinic owing to the failure to lose weight complaint between December 2013 and January 2014. They were classified according to BMI; 30,0-34,9 kg/m2 as 1 st degree obese, 35,0-39,9 kg/m2 as 2nd degree obese, and ≥40,0 kg/m2 as 3rd degree (morbid) obese. Results: All the patients were women. Their age average was 45,01±11,0 yrs. 36,3% of these patients were at 1.st degree, 5% of them were at 2.st degree and 39,2% of them were at 3.st degree of obesity. We found the prevalence of MS as 56,9%. According to their degree of obesity increased prevalence of MS, the MS was increased with increasing age (p>0,05). With the evaluation of patients blood parameters according to obesity degrees we found a meaningful increase in blood glucose levels avarage (p0,048), HOMAIR (p0,009) and in insulin levels (p0,031) in upper levels of obesity. Whereas, while the obesity degrees were increasing there were in increase in triglycerides, total cholesterol, HDL-cholesterol, LDL-cholesterol and HbA1c levels but the rise was statically meaningless. Conclusion: In present study we found that as BMI was increasing the MS was increasing also. Although we didnt find a significant relationship between BMI increment and lipid profile in the women with MS but there was a direct proportion. Besides we found that as the BMI was increasing, blood glucose, HOMA-IR, insulin levels were increasing also. As a conclusion if the women and their family change their eating habits and life styles, the whole family will be affected positively and it is clear that the development of obesity, dsylipidemia and MS will decrease.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Obezite, Metabolik Sendrom, Lipid Profili, Obesity, Metabolic Syndrome, Lipid Profile
Kaynak
KONURALP TIP DERGİSİ
WoS Q Değeri
Scopus Q Değeri
Cilt
7
Sayı
1
Künye
Korkut, Y., Koçak, F E., Paşalı Kilit, T., Arıkan, İ., Tekşen, Y., Yöntem, M., Birgül, M. (2015). Obez Kadınlarda Metabolik Sendrom ve Lipid Profilinin Değerlendirilmesi. Konuralp Tıp Dergisi. 7, 1, 40-44.
