Buradasınız

Anasayfa » Content

FAZLA KİLOLU VE ŞİŞMAN KADINLARDA ŞİŞMANLIK TİPLERİ İLE KARDİYOVASKÜLER RİSK GÖSTERGELERİ ARASINDAKİ İLİŞKİ

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Obesity fype and cardiovascular risk markers in ovenveight and obese women. The aim ol this study is to examine different cardiovascular risk markers with respect to different types of obesity. Study group consisted of 623 overweight (body mass index, BMI >25 kg/m2) and 2559 obese (BMI > 30 kg/m2) women. Patients were divİded into four groııps according to BMI and waİst-to-hip ratio (WHR) levels: simple overweight (BMI < 30 kg/m2 ve WHR < 0.8, n= 371), abdominal adiposily (BMI < 30 kg/m2 and WHR > 0.8, n= 252), pcripheral (püre) obesity (BMI > 30 kg/m2 and WHR < 0.8, n= 918) and cenlral obesity (BMI > 30 kg/m2 and WHR > 0.8, n= 1641). Risk marker levels were significantly higher in the cenlral obesity group than the other subjects. These findings implicate central obesity as a powerful risk marker for coronary heaıt disease, stroke, and NIDDM (non-insulİn dependent diaberes melIİtus). It secnıs that risk markers were related to the type of obesity in obese women.
Bookmark/Search this post with
Abstract (Original Language): 
Bu çalışma değişik şişmanlık (iplerinin insülin direnci ile birlikte seyreden çeşitli kardiyovas-küler risk göstergeleri ile ilişkisini araştırmak amacıyla yapıldı, 623 fazla kilolu (beden kitle indeksi, body mass index, BMI > 25 kg/m2) vc 2559 şişman (BMI > 30 kg/m2) kadın BMI ve bel/kalça oram (waist-hip ratio, WHR) düzeylerine göre dört ayrı şişmanlık tipine ayrıldı: fazla kilolu (BMI < 30 kg/m2 ve WHR < 0.8, n= 371), abdominal yağlanma (BMI < 30 kg/m2 ve WHR > 0.8, n= 252), periferik şişman (saf şişman) (BMI > 30 kg/m2 ve WHR < 0.8, n= 918) ve santral (abdominal) şişman (BMI > 30 kg/m2 vc WHR > 0.8, n= 1641). Risk gösterge düzeyleri çoğunlukla santral şişman grubunda en yüksek olarak bulundu. Bulgular, şişmanlıkla birlikte intraabdominal yağ toplanmasının daha ciddi bir risk gösterge düzeyi, hiperinsülİnemi ve insülin direncine yol açtığını düşündürmektedir. Santral şişman grupta en yüksek risk gösterge düzeylerinin bulunması şişmanlık kadar, batın İçi yağ toplanmasının risk göstergeleri varlığı üzerinde etkili olduğunu göstermektedir.
FULL TEXT (PDF): 
PDF icon arastirmax-fazla-kilolu-sisman-kadinlarda-sismanlik-tipleri-ile-kardiyovaskuler-risk-gostergeleri-arasindaki-iliski.pdf
  • 4
200-204
  • Turkish

REFERENCES

References: 

1. Arınitage P, Berry G: Statistical Methods in Medical Research, BlackweII, Oxford, 2.Baskı, 1987.
2. Barth JH, Ng LL, Wojııarowska F, Dawber RPR: Acant-hosis nigricans, insülin resistance and cutaneous virilism. BritJ Dermato] 1988; 118: 613.
3. Björntorp P: Portal adipose tissue as a generator of risk faciors for cardiovascular disease and diabetes. Arteri-osclerosis 1990; 10: 493.
4. Björntorp P: Abdominal obesity and the metabolic syndrome. Ann Med 1992; 24: 465.
5. Björntorp P: Etiology of Ihe metabolic syndrome. Hand-book of Obesity, Ed: Bray GA, Bouchard C, James WPT, Marcel Dekker Inc, New York, 1998, s:573-600.
6. DeFronzo RA, Ferrannini E: Insuiin resistance. A multi-faceted syndrome rcsponsible for NİDDM, obesity, hyperlensİon, dyslipideınia and atherosclerotic cardiovascular disease. Diabetes Care 199İ; 14: 173.
7. Desprcs JP, Nadcau A, Tremblay A, Ferland M, Moorja-ni S, Lupien PJ, Theriault G, Pinaıılt S, Bouchard C: Role of deep abdominal fal in the association betwecn regi-onal adipose lissue dislribution and glucose toierance in obese women. Diabetes 1989; 8: 304.
8. Enzi G, Crepaldi G: Subculaneous and visceral obesily. Two dıstinct ciinical entilies. Mediographics 1986; 8: 18.
9. Enzi G, Busetto L, Carrara R, Ineimen EM, Digito M. Gİanlin V, Perini P: Association of mulliple risk factors for cardiovascular diseases and visceral obesity. A de-adly quartet ar sextet. "Obesity in Etırope 1993, EdrDits-chuneit M ve ark, John Libbey, London, 1994", s: 437¬445.
10. Dcspres JP, Prııdhomme D, Pouliot MC, Tremblay A, Bouchard C: Estimalion of deep abdominal adipose lissue accumulation from sİmple anlhropomelric measure-ments in men. Anı J Clin Nutr 1991; 54; 471.
11. Haffner SM, Vatdez RA, Hazuda HP, Mitchell MD, Mo-rales PA, Stern MP: Prospective analysis of the insülin resistance syndrome (Syndrome X). Diabetes 1992; 41: 715.
12. Hsieh SD, Yoshinaga H, Mıılo T: Waist lo hcigght ralio, a sinıple and practical İnde* lor assessing central fat dislribution and metabolic risk in Japanese men and womcn. IntJObes 2002; 27:610.
13. Kalın HS, Wiliiamson DF: Abdominal obesity and mor-tality risk among men in nİne-teenlh century North America. Int J Obes 1994; 18: 686.
14. Koç Z, Taıırıbcr G, Teko Ş, Özbcy N, Orhan Y: Obez kadınlarda santral ve periferik yağ toplanmasının anlropo-nıetrik ve metabolik parametreler üzerine etkisi, ist Tıp Fak Mec 1995; 58: 69.
15. Kyiin E: Studien über das hyperlonie-hyperglykamie-hyperürikami syndrome. Zentraibl lnn Med 1923: 44: 105. (8 nolu kaynaktan alınmıştır)
16. Lapidus L, Beugtsson C, Larsson B, Penneıt K, Rybo E, Sjöström L: Distribution of adipose tissue and risk of cardiovascular disease and death. A 13 year follow-up of 203
Fazla Kilolu ve Şişman Kadınlarda Şişmanlık Tipleri ile Kardiyovasküler Risk Göstergeleri Arasındaki İlişki
participants in the population study of women in Gotlıen-burg, Sv/eden. Br Med J 1984; 289: 1257.
17. Larsson B, Svardsudd K, Weiin L, Wilhelmsen L, Björntorp P, Tibblin G: Abdominal adipose tissue distribution, obesity and risk of cardiovascular disease and death. 13 year follow-up of participants in the study of men bonı in 1913. Br Med J 1984; 288: 1401.
18. McKeigue PM, Pierpoint T, Ferrie JE, Marmot MG: Re-lationship of glucose intolerance and hyperinsulinaemia to body fat patterıı in South Asians and Europeans, Dia-betoiogia 1992; 35: 785.
19. Nie NH, Hull CM, Jenkİns JG, Steinbrennar K, Benta DM: S tat istical Package of the Social Sciences, McGraw Hill, New York, 2.Baskı, 1975.
20. Norusis MJ: SPSS/PC+ for the IBM PC/XT/AT. SPSS Inc, Chicago, 1986.
21. Reaven GM: Role of insülin resistance in human disease. Diabetes 37: 1595-1607, 1988.
22. Seidell JC, Deurenberg P, Hautvast JGAJ: Obesity and fat distribution in relation to health. Current insights and recommendations. World Rev Nutr Diet 1987; 50: 57.
23. Vanhala MJ, Pitkajarvi TK, Kumusalo EA, Takala JK: Obesity type and clustering of insülin resistance associa¬ted cardiovascular risk factors in middle aged men and women. Int J Obes 1988; 22: 369.

Thank you for copying data from http://www.arastirmax.com