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Özet
Bu çalışmada; Aralık 2003 ve Haziran 2005 tarihleri arasında, Ege Üniversitesi Tıp Fakültesi Obezite polikliniğimize başvuran 1503 obez vakanın; demografik ve biyokimyasal özellikleri değerlendirildi. Obez vakaların 151’i (%9.4) erkek, 1352’si (%90.6) kadındır. Ortalama beden kitle indeksi (BKI)’i, kadınlarda 39.2±1.5kg/m2 bulunurken, erkeklerde 32.8±1.6 kg/m2 bulundu. Sistolik kan basıncı; kadınlarda 127.7±17.4 mmHg, erkeklerde 130.3±16.0 mmHg olarak ölçüldü. Diyastolik kan basıncı ortalaması; kadınlarda ve erkeklerde, sırasıyla 55.7±16.26 mmHg, ve 64.6±12.2 mmHg olarak saptandı. Tüm obez bireylerde HOMA-IR ortalaması 3.21±0.98 olarak ölçüldü. Kadınlarda ortalama HOMA-IR düzeyi 3.01±1.20, bulunurken, erkeklerde 2.95±0.61 bulundu. LDL kolesterol, trigliserid, açlık, tokluk kan glikozu ve açlık insülin değerleri arasında kadınlarla erkekler arasında bir farklılık gözlenmedi. Sonuçta, kadınlar obezite polikliniğine daha fazla oranda başvurmaktadır. İnsülin direnci obez kadın ve erkeklerde benzerdir. Obez kadınlarda, erkeklerle karşılaştırıldığında; yeni tanı tip 2 DM daha az görülürken, bozulmuş açlık glukozu ve bozulmuş glukoz toleransı daha fazla görülür. SUMMARY emographic and biochemical caracteristics of 1503 (151 (%9.4) men, 1352 (%90.6) women) obese patients who had resort to Ege University Obesity Clinic were evaluated in the study. Mean levels of body mass indexes (BMI) were 39.2±1.5kg/m2 in women and 32.8±1.6 kg/m2 in men. Mean systolic blood pressures of women and men were 127.73±17.4 mmHg and 130.3±16.05 mmHg, respectively. Diastolic blood pressures of women and men were found to be 55.7±16.2 mmHg and 64.6±12.2 mmHg, respectively. Mean level of HOMA-IR in all obese patients was measured 3.21±0.98. Mean levels of HOMA-IR in women and men were 3.01±1.20 and 2.95±0.61 respectively. There was no differences related to LDLCholesterol, triglyceride, fasting glucose, 2nd hour glucose and fasting insulin levels between women and men. In conclusion, obese women apply to obesity clinics more than men. Insulin resistance is similar between women and men. Obese women have type 2 diabetes more less men. And, also they have impaired fasting glucose and impaired glucose tolerance more than men.
Abstract
Demographic and biochemical caracteristics of 1503 (151 (%9.4) men, 1352 (%90.6) women) obese patients who had resort to Ege University Obesity Clinic were evaluated in the study. Mean levels of body mass indexes (BMI) were 39.2±1.5kg/m2 in women and 32.8±1.6 kg/m2 in men. Mean systolic blood pressures of women and men were 127.73±17.4 mmHg and 130.3±16.05 mmHg, respectively. Diastolic blood pressures of women and men were found to be 55.7±16.2 mmHg and 64.6±12.2 mmHg, respectively. Mean level of HOMA-IR in all obese patients was measured 3.21±0.98. Mean levels of HOMA-IR in women and men were 3.01±1.20 and 2.95±0.61 respectively. There was no differences related to LDLCholesterol, triglyceride, fasting glucose, 2nd hour glucose and fasting insulin levels between women and men. In conclusion, obese women apply to obesity clinics more than men. Insulin resistance is similar between women and men. Obese women have type 2 diabetes more less men. And, also they have impaired fasting glucose and impaired glucose tolerance more than men.