Obezite polikliniğine başvuran hastaların antropometrik ve biyokimyasal özelliklerinin karşılaştırılması
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Dosyalar
Tarih
2018
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada obezite polikliniğe başvuran hastaların antropometrik ve biyokimyasal özelliklerini karşılaştırarak incelemeyi amaçladık. Yöntem: Bu retrospektif çalışmaya Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim Dalı Obezite Polikliniği'ne Ağustos 2016 – Ekim 2017 tarihleri arasında başvuran ve çalışma kriterlerine uyan 925 kişi dahil edildi. Hastaların Antropometrik ölçümleri, Biyoelektrik İmpedans Analizi ölçümleri ve laboratuvar sonuçları dosyalardan taranarak veriler elde edildi. Hastalar vücut kitle indeksi değerlerine göre 4 gruba ayrıldı. Bulgular: Çalışmadaki kadınların oranı %84,3, erkeklerin oranı ise %15,7 olarak saptandı. Kadınlarda yaş, VKİ, kalça çevresi, VYY, VYA, PLT, TSH ve HDL medyan değeri erkeklerden daha yüksekti (her biri için p<0,05). Erkeklerde ise bel çevresi, B/K oranı, YVA, TVS, VYO, insülin, HOMA-IR, ürik asit, AST, ALT ve TG medyan değeri kadınlardan daha yüksek bulundu (her biri için p<0,005). Çalışmamızda obezite derecesinin artmasıyla olguların yaş, kilo, bel çevresi, kalça çevresi, BMH, VYY, VYA, VYO, YVA ve TVS düzeylerinde anlamlı artış olduğu görüldü (her biri için p<0,001). Ayrıca preobez grup ile obez gruplar arasında WBC, N/L oranı, PLT, APG, HOMA-IR, insülin, kreatinin, ürik asit, TK, HDL, LDL, TG, AST, ALT ve demir parametreleri açısından preobez grup lehine anlamlı fark saptandı (her biri için p<0,05). Sonuç: Obezitenin vücut komponentleri ve biyokimyasal parametreler üzerine etkileri cinsiyet ve obezite derecesine göre değişmektedir. Bu nedenle hastalar değerlendirilirken VKİ ile birlikte bel çevresi, kalça çevresi, vücut yağ miktarı ve metabolik parametrelerin ölçümü yapılmalıdır. Hastaların takibinde metabolik komplikasyonlar açısından dikkatli olunmalı, her hastaya bireysel ve bütüncül yaklaşılmalıdır. Birinci basamakta normal kilolu bireylere obezite ve sağlıklı yaşam ile ilgili danışmanlık hizmeti verilerek kilo almalarının önüne geçilmelidir. Preobez ve obez kişilerin takibinde ise danışmanlık hizmeti ve gerektiğinde medikal tedavi desteği verilerek kilonun azaltılması sağlanmalıdır.
ABSTRACTAim: In this study, we aimed to compare the anthropometric and biochemical characteristics of patients admitted to obesity polyclinic. Method: This retrospective study included 925 patients who applied to Düzce University Medical Faculty Family Medicine Obesity Policlinic between August 2016 and October 2017 and met the study criteria. Anthropometric measurements, Bioelectric Impedance Analysis and laboratory results of patients were obtained by scanning their files. Patients were divided into 4 groups according to body mass index values. Results: In our study, the rate of female was 84.3% and the rate of male was 15.7%. In women, median age, BMI, hip circumference, VYY, VYA, PLT, TSH, and HDL were higher than men (p <0.05 for each). In males, waist circumference, W/H ratio, YVA, TVS, VYO, insulin, HOMA-IR, uric acid, AST, ALT and TG median values were higher than women (p <0.005 for each). There was a significant increase in the age, weight, waist circumference, hip circumference, BMH, VYY, VYA, VYO, YVA and TVS levels and with increasing levels of obesity in our study (p <0.001 for each). Significant differences were also found in favor of the preobese group in terms of WBC, N/L ratio, PLT, APG, HOMA-IR, insulin, creatinine, uric acid, TK, HDL, LDL, TG, AST, ALT and iron parameters between preobese and obese group (p <0.05 for each). Conclusion: The effects of obesity on body components and biochemical parameters depend on the gender and degree of obesity. Therefore, measurement of waist circumference, hip circumference, body fat amount and biochemical parameters should be performed together with BMI when patients are evaluated. Follow-up of patients should be careful in terms of metabolic complications and individual and holistic approach to each patient. In the first step, normal weight people should be advised about obesity and healthy life to prevent weight gain. In the follow up of the preobese and obese people, counseling service and medical treatment support should be provided if necessary to reduce weight.
ABSTRACTAim: In this study, we aimed to compare the anthropometric and biochemical characteristics of patients admitted to obesity polyclinic. Method: This retrospective study included 925 patients who applied to Düzce University Medical Faculty Family Medicine Obesity Policlinic between August 2016 and October 2017 and met the study criteria. Anthropometric measurements, Bioelectric Impedance Analysis and laboratory results of patients were obtained by scanning their files. Patients were divided into 4 groups according to body mass index values. Results: In our study, the rate of female was 84.3% and the rate of male was 15.7%. In women, median age, BMI, hip circumference, VYY, VYA, PLT, TSH, and HDL were higher than men (p <0.05 for each). In males, waist circumference, W/H ratio, YVA, TVS, VYO, insulin, HOMA-IR, uric acid, AST, ALT and TG median values were higher than women (p <0.005 for each). There was a significant increase in the age, weight, waist circumference, hip circumference, BMH, VYY, VYA, VYO, YVA and TVS levels and with increasing levels of obesity in our study (p <0.001 for each). Significant differences were also found in favor of the preobese group in terms of WBC, N/L ratio, PLT, APG, HOMA-IR, insulin, creatinine, uric acid, TK, HDL, LDL, TG, AST, ALT and iron parameters between preobese and obese group (p <0.05 for each). Conclusion: The effects of obesity on body components and biochemical parameters depend on the gender and degree of obesity. Therefore, measurement of waist circumference, hip circumference, body fat amount and biochemical parameters should be performed together with BMI when patients are evaluated. Follow-up of patients should be careful in terms of metabolic complications and individual and holistic approach to each patient. In the first step, normal weight people should be advised about obesity and healthy life to prevent weight gain. In the follow up of the preobese and obese people, counseling service and medical treatment support should be provided if necessary to reduce weight.
Açıklama
YÖK Tez No: 506554
Anahtar Kelimeler
Aile Hekimliği, Family Medicine, Antropometri, Anthropometry, Biyokimya, Biochemistry, Elektriksel impedans, Electric impedance, Kan testleri, Hematologic tests, Obezite, Obesity, Obezite-morbid, Obesity-morbid, Retrospektif çalışmalar, Retrospective studies, Vücut kitle indeksi, Body mass index
