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ŞİŞMAN KADINLARDA KARDİYOVASKÜLER RİSKİN SAPTANMASINDA BEL ÇEVRESİ/BOY ORANI DÜZEYLERİ

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
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.
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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.
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  • 3
256-259
  • Turkish

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