Diabetik hastalarda bel ve boyun çevresi ölçümü ile glukoz, lipid ve HBA1C parametreleri arasındaki ilişki
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Tarih
2015
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info:eu-repo/semantics/openAccess
Özet
Amaç: Diyabet olan hastalarda bel çevresi ve boyun çevresinin; glukoz, HBA1c lipid parametreleri ve kan basıncı üzerine etkisini tespit etmek. Gereç ve Yöntemler: Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Endokrinoloji Kliniğine son 6 ayda başvuran 264 Tip 2 Diabetes Mellitus tanısı olan hasta çalışmaya dahil edildi. Bu hastaların kan basıncı, boy, kilo, bel çevresi ve boyun çevresi (BÇ) ölçüldü. Ölçüm sonuçları ile açlık plazma glukoz (APG), A1c lipid para- metreleri ve kan basıncı arasında verilerin korelasyonuna bakıldı. Bulgular: Çalışmaya alınan 264 hastanın 141i (%53.4) kadın, 123i (%46.6) erkekti. Hastaların ortalama yaş 55.7 10, VKİ 31.1 5.5 kg/m2, A1c %8.72.4, APG 18182 mg/dL, trigliserit 182111.7 mg/dL, HDL 42.911.7 mg/dL, LDL 111.834 mg/dL, sistolik kan basıncı (SKB) 13120 mmHg, diastolik kan basıncı (DKB) 81.612 mmHg, kadında bel çevresi ortalama 10614 cm, BÇ 36.22.8 cm, erkekte bel çevresi ortalama 105.912.8 cm, BÇ 37.95.1 cm olarak ölçüldü. Kadınlarda ve erkeklerde ayrı ayrı analizde BKİ ile bel çevresi, BÇ, SKB, DKB arasında anlamlı pozitif korelasyon bulundu (her biri için p0.001). Hem kadında hem erkekte boyun çevresi ile SKB, DKB trigliseritte pozitif korelasyon (sırasıyla p0.001, p0.001, p0.02) tespit edilirken, boyun çevresi ve HDL arasında negatif yönde korelasyon bulundu (p0.09). Kadın ve erkekler diyabetik hastalarda bel çevresi ile SKB ve DKB arasında pozitif korelasyon varken (sırasıyla p0.001, p0.001) ve HDL arasında negatif yönde korelasyon tespit edildi (p0.049). Bel çevresi ve boyun çevresi A1C, APG ve LDL-kolesterol arasında korelasyon tespit edilmedi. Sonuç: Bel çevresinin yanında boyun çevresi ölçümü takibi diyabetik hastalarda metabolik değişiklikleri yan- sıtan önemli ve basit fizik muayene bulgusu olarak kullanılabilir.
Aim: To evaluate the effect of Waist circumference (WC) and Neck circumference (NC) on glucose, HbA1C, lipid parameters and blood pressure in patients with diabetes. Method: Two hundred and ninety patients with Diabetes Mellitus were included in the study. Height, weight, WC, NC, glucose, HbA1c, HDL, LDL, triglyceride and blood pressure levels were noted. We assessed the correlation between these measurements and the levels of fasting plasma glucose (FPG), HbA1c, lipid parameters and blood pressure. Results: Study population was consisted of 141 female (53.4%) and 123 male (46.6%) patients. Mean age was 55.7 ± 10 year, body mass index (BMI) was 31.1 ± 5.5 kg/m2, HbA1c was %8.7±2.4, FPG was 181±82 mg/ dL, trigliserid was 182±111.7 mg/dL, HDL was 42.9±11.7 mg/dL, LDL was 111.8±34 mg/dL, diastolic blood pressure (DBP) was 81.6±12 mmHg, sistolic blood pressure (SBP) was 131±20 mmHg. Mean WC was 106±14 cm and NC was 36.2±2.8 cm in women, mean WC was 105.9±12.8 cm and NC was 37.9±5.1 cm in men. BMI was significantly correlated with WC, SBP and DBP individually in women and men (p>0.001 for each). NC was positively correlated with SBP, DBP and triglycerides (p>0.001, p>0.001, p 0.02) and negatively correlated with HDL (p 0.09) in all patients. WC was positively correlated with SBP and DBP (p>0.001, p>0.001) and negatively correlated with HDL (p 0.049) in male and female diabetic patients. Conclusion: Waist circumference and neck circumference measurements are important and simple physical examination methods and may reflect metabolic changes in diabetic patients. Key words: Diabetes mellitus, Waist circumference, Correlation of data.
Aim: To evaluate the effect of Waist circumference (WC) and Neck circumference (NC) on glucose, HbA1C, lipid parameters and blood pressure in patients with diabetes. Method: Two hundred and ninety patients with Diabetes Mellitus were included in the study. Height, weight, WC, NC, glucose, HbA1c, HDL, LDL, triglyceride and blood pressure levels were noted. We assessed the correlation between these measurements and the levels of fasting plasma glucose (FPG), HbA1c, lipid parameters and blood pressure. Results: Study population was consisted of 141 female (53.4%) and 123 male (46.6%) patients. Mean age was 55.7 ± 10 year, body mass index (BMI) was 31.1 ± 5.5 kg/m2, HbA1c was %8.7±2.4, FPG was 181±82 mg/ dL, trigliserid was 182±111.7 mg/dL, HDL was 42.9±11.7 mg/dL, LDL was 111.8±34 mg/dL, diastolic blood pressure (DBP) was 81.6±12 mmHg, sistolic blood pressure (SBP) was 131±20 mmHg. Mean WC was 106±14 cm and NC was 36.2±2.8 cm in women, mean WC was 105.9±12.8 cm and NC was 37.9±5.1 cm in men. BMI was significantly correlated with WC, SBP and DBP individually in women and men (p>0.001 for each). NC was positively correlated with SBP, DBP and triglycerides (p>0.001, p>0.001, p 0.02) and negatively correlated with HDL (p 0.09) in all patients. WC was positively correlated with SBP and DBP (p>0.001, p>0.001) and negatively correlated with HDL (p 0.049) in male and female diabetic patients. Conclusion: Waist circumference and neck circumference measurements are important and simple physical examination methods and may reflect metabolic changes in diabetic patients. Key words: Diabetes mellitus, Waist circumference, Correlation of data.
Açıklama
Anahtar Kelimeler
Diabetes mellitus, Bel çevresi, Verilerin korelasyon, Diabetes mellitus, Waist circumference, Correlation of data
Kaynak
Bozok Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
5
Sayı
2
Künye
Kulaksızoğlu, M., Uyar, M., Turan, E., Savut, B., Turan, Y., Kaya , A. (2015). Diabetik hastalarda bel ve boyun çevresi ölçümü ile glukoz, lipid ve HBA1C parametreleri arasındaki ilişki. Bozok Tıp Dergisi, 5, 2, 16-18.
