DİABETİK HASTALARDA BEL VE BOYUN ÇEVRESİ ÖLÇÜMÜ İLE GLUKOZ, LİPİD VE HBA1C PARAMETRELERİ ARASINDAKİ İLİŞKİ

Correlation Between Measurement of Waist and Neck Circumference and Glucose, Hba1c, Lipid Parameters and Blood Pressure in Diabetic Patients

Mehmet UYAR, Mustafa KULAKSIZOĞLU, Ahmet KAYA, Elif TURAN, Yaşar TURAN, Bülent SAVUT

Özet

ÖZET Amaç: Diyabet olan hastalarda bel çevresi ve boyun çevresinin; glukoz, HBA1c lipid parametreleri ve kan basıncı üzerine etkisini tespit etmek. Gereç ve Yöntemler: Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Endokrinoloji Kliniğine son 6 ayda başvuran 264 Tip 2 Diabetes Mellitus tanısı olan hasta çalışmaya dahil edildi. Bu hastaların kan basıncı, boy, kilo, bel çevresi ve boyun çevresi (BÇ) ölçüldü. Ölçüm sonuçları ile açlık plazma glukoz (APG), A1c lipid para- metreleri ve kan basıncı arasında verilerin korelasyonuna bakıldı. Bulgular: Çalışmaya alınan 264 hastanın 141i (%53.4) kadın, 123i (%46.6) erkekti. Hastaların ortalama yaş 55.7 ± 10, VKİ 31.1 ± 5.5 kg/m2, A1c %8.7±2.4, APG 181±82 mg/dL, trigliserit 182±111.7 mg/dL, HDL 42.9±11.7 mg/dL, LDL 111.8±34 mg/dL, sistolik kan basıncı (SKB) 131±20 mmHg, diastolik kan basıncı (DKB) 81.6±12 mmHg, kadında bel çevresi ortalama 106±14 cm, BÇ 36.2±2.8 cm, erkekte bel çevresi ortalama 105.9±12.8 cm, BÇ 37.9±5.1 cm olarak ölçüldü. Kadınlarda ve erkeklerde ayrı ayrı analizde BKİ ile bel çevresi, BÇ, SKB, DKB arasında anlamlı pozitif korelasyon bulundu (her biri için p

Abstract

Aim: To evaluate the effect of Waist circumference (WC) and Neck circumference (NC) on glucose, HbA1C, lipid parameters and blood pressure in patients with diabetes. Method: Two hundred and ninety patients with Diabetes Mellitus were included in the study. Height, weight, WC, NC, glucose, HbA1c, HDL, LDL, triglyceride and blood pressure levels were noted. We assessed the correlation between these measurements and the levels of fasting plasma glucose (FPG), HbA1c, lipid parameters and blood pressure. Results: Study population was consisted of 141 female (53.4%) and 123 male (46.6%) patients. Mean age was 55.7 ± 10 year, body mass index (BMI) was 31.1 ± 5.5 kg/m2, HbA1c was %8.7±2.4, FPG was 181±82 mg/ dL, trigliserid was 182±111.7 mg/dL, HDL was 42.9±11.7 mg/dL, LDL was 111.8±34 mg/dL, diastolic blood pressure (DBP) was 81.6±12 mmHg, sistolic blood pressure (SBP) was 131±20 mmHg. Mean WC was 106±14 cm and NC was 36.2±2.8 cm in women, mean WC was 105.9±12.8 cm and NC was 37.9±5.1 cm in men. BMI was significantly correlated with WC, SBP and DBP individually in women and men (p