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ŞİŞMAN KADINLARDA KARDİYOVASKÜLER RİSKİN SAPTANMASINDA BEL ÇEVRESİ/BOY ORANI DÜZEYLERİ

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Abstract (2. Language): 
Value of waist circumferencelheight ratio as a predictor of cardiovascular risk status in obese women. The aim of this study is to evaluate fhc relationships betweeıı WHTR and risk factors İn obese (body mass index>27 kg/m2) women. Study group is consisted of 1642 obese subjects. WHTR was significantly higher in subjects with hypercholestcrolcmİa than tlıat fo-und in normochoiesterolemics (0.640 ± 0.089 and 0.613 ± 0.090 respectiveiy, p: 0.000), in subjects hypertriglyceridemiathan thatfound normotrİglyceridemics (0.663 ± 0.093 and 0.618 ± 0.088 respectiveiy, p:.000), in subjects with hypertension than that found İn normotensives (0.661 ± 0.090 and 0.599 ± 0.075, respectiveiy, p:.000), in subjects with diabetes mellitus than tlıat found in normoglycemİcs (0.699 ± 0.095 and 0.624 ± 0.088 respectiveiy, p:.000) in subjects with hyperuricemia than that found in normouricemia (0.666 ± 0.092 and 0.616 ± 0.084 respectiveiy, p:.000) and in subjects with lower HDL-cholesterol levels that found İn normal HDL-cholesterolemia (0.632 ± 0.09 and 0.619 ± 0.090 respectiveiy, p:.015). Significant positi-ve correlations were observcd WHTR and systoiic blood pressure (r:.4262), diastolic blood pressure (r: .4243), age (r:.3216), waist circumfcrcncc (r:.7203), BMI (r:.8552), waist to hip ratio (r:.6382), glucose (r:.2507), trygliceride (r:.2200), eholesterol (r:.1694), üric acid (r:.2838), insülin (r:.2749), C-peplide (r:.2855) and HOMA (r:.2914) levels (for ali p:.0000). It is coneluded that the association of WHTR with most of the cardiovascular risk factors makes this new İndex a reliable antrpometric parameters to verify obese subjects wİth İncreased car-diovascular risk.
Abstract (Original Language): 
Bu çalışma şişman kadınlarda bel çevresi/boy oranı (WHTR) ile çeşitli kardİyovasküler risk faktörleri arasındaki ilişkileri araştırmak amacıyla yapıldı. 1642 şişman (vücut kitle indeksi, BMI>27 kg/m*) kadında WHTR ile sistolik (r:.4262) ve diyastolik damar basmcı (r: .4243), yaş (r:.3216), kalça çevresi (r:.7203), BMI (r:.8552), bel/kalça oranı (r:.6382), giukoz (n.2507), trigliscrit (r:.2200), kolesterol (r:.1694), ürik asit (r:.2838), insülin (r:.2749), C-pep-tid (r:.2855) HOMA (r:.2914), ve SHBG (r:-.2543) arasında anlamlı ilişkiler saptandı(tümü için p:.000). WHTR; kolesterol (0.640 ± 0.089 ve 0.613 ± 0.090), trigliserit (0.663 ± 0.093 vc 0.618 ± 0.088) damar basıncı (0.661 ± 0.090 ve 0.599 ± 0.075), giukoz (0.699 ± 0.095 ve 0.624 ± 0.088), ürik asit (0.666 ± 0.092 ve 0.616 ± 0.084) düzeyi yüksek olanlarda ve HDL-kolesterol düzeyi düşük olanlarda (0.632 ± 0.09 ve 0.619 ± 0.090) normal olanlara göre yüksek bulundu (HDL-kolesterol için p:.015, diğerleri p:.000). WHTR çeşitli risk gruplarında yüksek bulunmakta ve insülin direnci ile ilişki göstermektedir. Bu nedenle WHTR ntn kardİyovasküler risk taşıyan hastaların saptanmasında yararlı olabilecek bir parametreyi temsil ettiği düşünülmektedir.
FULL TEXT (PDF): 
256-259

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