AI Summary & Key Takeaways
AI InsightThe present data support the explanation that obesity may result in a decreased nutcracker effect, which accounts for prevention of the renal vein compression.
📌 3 Key Takeaways
Abstract
Objective: To evaluate relationship between varicocele and anthropometric indexes in patients presenting with infertility. Methods: 600 male patients presenting with infertility were included in this study. The presence and degree of varicocele were evaluated by physical examination. Anthropometric index parameters were compared in terms of presence of varicocele and grade. The anthropometric indexes including body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) were recorded. Results: A total of 210 (35%) patients had varicocele. The mean of BMI, WC and WHR of those without varicocele was 30.5 ± 6.4 kg/cm2 , 86.40 ± 9.97 cm and 0.89 ± 0.05, respectively. The mean of BMI, WC and WHR with varicocele was 24.7 ± 5.2 kg/cm2 , 81.19 ± 9.01 cm and 0.82 ± 0.05 respectively (p<0.001). The mean value of each anthropometric index had a significantly statistical correlation with each grade varicocele (p<0.001). In the normal weight group (BMI less than 25) 82 of 180 patients (45%) had varicoceles. In the overweight group (BMI 25 to less than 30) 94 of 266 patients (34%) had varicoceles. In the obese group (BMI 30 or greater) 34 of 154 patients (21%) had varicoceles (p<0.001). Prevalence of varicocele decreased with increasing body mass index for all varicocele grades (p<0.001). Conclusion: The prevalence of varicocele decreases with increasing body mass index. The present data support the explanation that obesity may result in a decreased nutcracker effect, which accounts for prevention of the renal vein compression.
Özet
Amaç: İnfertilite nedeniyle başvuran hastalarda varikosel ve antropometrik indeks ilişkisini değerlendirmek. Yöntemler: İnfertilite nedeniyle başvuruda bulunan 600 hasta çalışmaya dahil edildi. Varikosel varlığı ve derecesi fizik muayene ile değerlendirildi. Antropometrik indeks parametreleri varikosel varlığı ve derecesi açısından kar- şılaştırıldı. Antropometrik indexler; vücut kitle indexi, bel çevresi ve bel-kalça oranı kaydedildi. Bulgular: Hastaların 210unda (%35) varikosel saptandı. Ortalama vücut kitle indexi, bel çevresi ve bel-kalça oranı; varikoseli olmayanlarda 30.5 ± 6.4 kg/cm2 , 86.40 ± 9.97 cm ve 0.89 ± 0.05, varikoseli olanlarda 24.7 ± 5.2 kg/cm2 , 81.19 ± 9.01 cm ve 0.82 ± 0.05 idi (p<0.001). Varikosel derecesi ile antropometrik indeks parametreleri arasında istatistiksel anlam mevcuttu (p<0.001). Normal vücut ağırlığı olanların % 45 inde, fazla kilolu olanların % 34ünde ve obez hastaların % 21inde varikosel saptandı (p<0.001). Varikosel prevalansı tüm varikosel dereceleri için artan vücut kitle index ile birlikte azalmaktaydı (p<0.001). Sonuç: Varikosel prevalansı vücüt kitle indeksi arttıkça azalmaktadır. Mevcut veriler obezitesinin nutcracker etkisini azalttığı, adipoz dokunun renal vene baskıyı engellediği yorumunu desteklemektedir.