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ŞİŞMAN KADINLARDA BEL ÇEVRESİ VE ÇEŞİTLİ RİSK FAKTÖRLERİ İLE İLİŞKİSİ

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Relalions betweeıı waist circumference and various risk factors in abese women. The aim oi this study was to determine the possible relationshİp betweeıı various anthropomelric /metabo-lic parameters and waist circumference (WC). For this purpose 1633 obese Turkish women (mean age 34.79 ± 12.79, rangel8-55 ycars) were studied. Obesity was defined as the body mass index (BMI) >27 kg/m2. WC levels were significantly correlated to the BMI (r:.0.834). waist-to-hip ratio (r:,626), maximum (r:.433) and minimum (r:.439) blood pressures, HOMA (r:.273), uric acid (r:.287), glucose (r:.234), triglyceride (r:.222), eholesterol (r:.202), C-pepti-de (r:.320), insulin (r:.246) and SHBG (r:-.243) levels. WC was significantly higher in hyperc-holesterolemics than normocholestcrolemİcs (99.13 ± 13.49 and 95.20 ± 13.39 cm), in hypert-riglyceridemics than normotryglyceridcmics (102.99 ± 13.97 and 95.72 ± 13.06 cm), İn hyper-tensives than normotensives (102.78 ± 13.45 and 92.93 ± 11.31 cm), İn hyperglycemics than normogîycemics (108.25 ± 13.26 and 96.58 ± 13.31 cm), in hyperuricemics than normourice-mics (103.21 ± 13.70 ve 95.58 ± 12.67 cm) and was significantly lower in subjccts who have low HDL-cholesterol than subjects with normal HDL-cholesterol levels (98.08 ± 13.28 and 96.03 ± 13.74 cm), (p :.005 for HDL-cholesterol and p:.000 for others). It is coneluded that obese women willı a WC>80 cm (alert zone) shoııld be encouraged not to gam weight and wo-men with a WC>88 cm (action zone) should be vigorously encouraged to lose weight.
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Abstract (Original Language): 
Bu çalışma şişman kadınlarda bel çevresi ile çeşitli risk faktörleri arasındaki ilişkileri araştırmak amacıyla yapıldı. Çalışma kapsamı içine alman 1633 şişman (vücut kütle indeksi, BMI >27 kg/m2, ortalama yaş: 34.79 ± 12.79 yıl, yaş aralığı 18-55) kadında bel çevresi ile, BM] (r.\834), bel /kalça oranı (r:.626), maksimum (r:.433) ve minimum (n.439) damar basıncı, HO-MA (r:.273), ürik asit (r:.287), glukoz (n.234), triglîserid (r:.222), kolesterol (r:.202), C-pcp-tid (r:.320), insülin (r:.246) ve SHBG (r:-.243) seviyeleri arasında anlamlı ilişkiler saptandı. Bel çevresi hiperkoiesteroiemiklerdc kolesterolü düzeyi normal olanlardan (99.13 ± 13.49 ve 95.20 + 13.39 cm), hipertrigliseridemiklerde trigliserid düzeyi normal olanlardan (102.99 ± 13.97 ve 95.72 + 13.06 cm), HDL-kolesterol düzeyi düşük olanlarda normal bulunanlardan (98.08 ± 13.28 ve 96.03 ± 13.74 cm), hipertaıısif olanlarda damar basmcı normal bulunanlardan (102.78 ± 13.45 ve 92.93 ± 11.31 cm), hiperglisemiklerde normoglisemik olanlardan (108.25 ± 13.26 ve 96.58 ± 13.31 cm) ve hiperüriseıniklerde ürik asit düzeyi normal olanlardan (103.21 ± 13.70 ve 95.58 ± 12.67 cm) anlamlı yüksek bulundu (HDL-kolesterol için p:.005, diğerleri için p:.000). Bulgular, bel çcvresi>80 cm (uyan bölgesi) olan şişman kadınlarda ağırlık artışının durdurulması vc >88 cm (eylem bölgesi) olanlarda zayıflamanın şiddetle teşvik edilmesi gerektiğini ortaya koymaktadrr.
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  • 2
147-150
  • Turkish

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