AI Summary & Key Takeaways
AI InsightIntegrated health care and management is the fundamental principle in dealing with obese patients.
📌 3 Key Takeaways
Abstract
Aim: Obesity is a disease that occurs as a result of abnormal or excessive body fat tissues. This study aims the evaluation of patients applied to Tepecik Training and Research Hospital Obesity Policlinic in the first 4 months period. It attempts to put forward the profiles of a third step health institution patients in regard to the follow up of obesity and related health problems which is a subject of first step health institutions in particular. Material and Method: The patients applied to Tepecik Training and Research Hospital Obesity Policlinic between November 2012 and February 2013 are evaluated retrospectively. The body mass indexes (BMI) of patients were calculated and they are accepted as overweight, obese or morbid obese according to their BMIs in between 25-29,9, 30-39,9 and >40 respectively. Besides, their LDL values, additional illnesses and drug utilization histories were also questioned. Findings: While 95 (22,30%) of the patients were male, 331 (77,70%) of them were female and the average age of 426 patients in total was 44,10+12,71(min:16-max:77). As the average BMI of the patients was calculated as 35,04+5,69 (min:25- max:56); 63 (14,79%) patients were recorded as overweight, 265 (62,21%) patients were recorded as obese and 98 (23%) were recorded as morbid obese. The LDL values were under 100, between 100&130 and above 130 at 211 (49,53%), 130 (30,52%) and 85 (19,95%) patients respectively. While additional illnesses were determined at 335 patients, the prevailing accompanying ones were hypertension at 148 (44,18%) and diabetes at 99 (29,55%) patients. Furthermore, various illnesses such as hyperlipidemia, thyroid dysfunctions, chronically obstructive lung disease, arthritis and depressive disorder were determined at different rates. It is observed that the first and second prevalently used drugs related with these illnesses were antihypertensives at 113 (%42,16) patients and oral antidiabetics at 80 (%29,85) patients. Conclusion: Adult patients of all age groups apply to obesity policlinics and morbid obesity is determined at approximately one fourth of these patients. Many illnesses accelerating the morbidity; notably hypertension and diabetes, accompany obesity. Integrated health care and management is the fundamental principle in dealing with obese patients.
Özet
Amaç: Obesite ile ilişkili sağlık sorunlarının izleminde bir üçüncü basamak sağlık kuruluşunun hasta özeliklerini ortaya koy- mak. Gereç ve Yöntem: Kasım 2012 - Şubat 2013 tarihleri arasında, İzmir Tepecik Eğitim Araştırma Hastanesi Obezite Poliklini- ğine başvuran hastalar geriye dönük değerlendirildi. Hastaların vücut kitle indeksleri hesaplanarak; vücut kitle indeksi 25 29,9 arasında olanlar kilolu, 3039,9 arasında olanlar şişman ve >40 olanlar hasta şişman olarak kabul edildi. Hastaların LDL değerleri, ek hastalıkları, ilaç kullanım öyküleri de sorgulandı. Bulgular: Polikliniğe başvuran 95 (%22,3) erkek, 331 (%77,7) kadın, toplam 426 hastanın yaş ortalaması 44,1+12,7 (16-77) yaş idi. Hastaların vücut kitle indeksi ortalaması 35,0+5,7 (25-56) olarak hesaplanırken; 63 hasta (%14,8) kilolu, 265 hasta (%62,2)şişman, 98 hasta (%23) hasta şişman olarak kaydedildi. LDL değerleri 211 hastada (%49,5) 100ün altında, 130 has- tada (%30,5) 100130 arasında, 85 hastada (%20) 130un üzerindeydi. Toplam 335 hastada ek hastalık tespit edilirken; en sık eşlik eden hastalık 148 hasta (%44,2) ile hipertansiyon ve 99 (%29,6) hasta ile diyabet olarak kaydedildi. Ayrıca hiperlipidemi, tiroid fonksiyon bozuklukları, kronik obstruktif akciğer hastalığı, artrit, depresif bozukluk gibi hastalıklar de- ğişik oranlarda tespit edildi. Bu hastalıklarla ilişkili olarak en sık kullanılan ilaçların, 113 hastada (%42,2) antihipertansifler ve ikinci sıklıkta 80 hastada (%29,9) oral antidiyabetikler olduğu gözlendi. Sonuç: Obesite polikliniğine başvuran hastaların yaklaşık dörtte birinde obesite hastalık düzeyindedir. Şişmanlığa hipertan- siyon ve diyabet başta olmak üzere tabloyu ağırlaştıran pek çok hastalık eşlik etmektedir.