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FAZLA KİLOLU VE ŞİŞMAN KADINLARDA HİPERTRİGLİSERİDEMİK BEL FENOTİPİ

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Abstract (2. Language): 
SUMMARY Hypertrigiy ceridemle Waist Phenotype in Oveı-weight and Obese Women, The aim of this study was to determinc the validity of simultaneous measurements of waist circumference and trigiyceride concentrations, i.e hypertriglyceridemic waist, İn overweight and obese womeıı. Study group was composed of 3273 ovcrwcight and obese vvomen (body mass index > 25 kg/m2). Womcn with waist circumference över 80 cm and trigiyceride levels över 175 mg/dL were classified as hypertriglyceridemic waist. Blood pressure, glucose, uric acid, eholesterol, trigiyceride, HDL-eholesterol, insülin, HOMA and waist circumference values were determi-ned in ali subjects. Women with high waist circumference (>80 cm) and high trigiyceride levels (>175 mg/dL) were classified as hypertriglyceridemic waist. Women wİth hypertriglyceridemic waist had significantly higher blood pressure, glucose, uric acid, eholesterol, insülin, HOMA and lower HDL-cholesterol values compared with vvomen with normal waist cii'cumference and trigiyceride values (p<0.00i, for ali). Waist circumference and trigiyceride measurements in ovenvcight and obese womcn could identify a group of subjects at high risk for atheroselerosis according to the conventional risk factors.
Abstract (Original Language): 
Hipertrigliseridcmik bel tablosunu, iskcmik kalp hastalığı riski bulunan hastaiarı yansıttığı ileri sürülmektedir. Bu çalışma, bMikte bel çevresi ve triglıserit ölçümlerinin fazla kilolu ve şişman kadınlarda kardiyovasküler risk göstergeleri İle olan ilişkisinin belirlemek amacıyla yapılmıştır. Beden kitle indeksi 25 kg/m2'İn üzerinde bulunan 3273 fazla kilolu ve şişman kadın çalışma kapsamına alınmış ve serum glukoz, ürik asit, kolesterol, HDL-kolesterol, triglİserit, insülin, HOMA, damar basıncı ve bel çevresi ölçümleri yapılmış; trigliserit değerinin 175 mg/dL nin üzerinde bulunması ile birlikte bel çevresi Ölçümü 80 cm nin üzerinde olan kadınlar hİpertrig-Iiseridemik bel tablosu olarak değerlendirilmiş ve diğerleri ile risk göstergeleri açısından kar-şılaştmlmışlır. Hipertrigliseridcmik bel tablosu bulunan kadınlarda glukoz, ürik asit, kolesterol, insülin, HOMA ve damar basıncı diğerlerine göre anlamlı yüksek. HDL-kolesterol düzeyleri anlamlı düşük bulunmuştur (tümü için p < 0.00i). Fazla kilolu ve şişman kadınlarda trigliserit düzeylerinin bel çevresi ölçümleri ile birlikte değerlendirilmesi, yani hipcrtriglİseridemik bel tablosunun bulunan bireylerin tanınması, risk taşıyan kişileri yansıtab ilmektedir.
145-148

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