Kadınlarda Visseral Adipozite İndeksi İle Aşırı Aktif Mesane Semptomları Arasındaki İlişkinin Değerlendirilmesi

Year 2020, Volume: 12 Issue: 2, 150 - 156, 23.07.2020

Emre Karabay , Nejdet Karşıyakalı , Kemal Kayar Levent Verim , Çağatay Tosun Ömer Yücebaş

Abstract

Amaç: Kadın hastalardaki aşırı aktif mesane semptomları ile visseral adipozite indeksi arasında ilişki olup olmadığını araştırmak.

Gereç ve Yöntemler: Ocak 2017 – Haziran 2019 tarihleri arasında kliniğimizde ürodinamik inceleme yapılan hastaların medikal kayıtları retrospektif olarak tarandı. Aşırı Aktif Mesane Sorgulama Formu (OAB-V8) toplam skoru ≥8 ve ürodinamik olarak dolum fazında detrüsör aşırı aktiviteleri gözlemlenen hastalar ile semptom skoru düşük olan ve detrüsör aşırı aktiviteleri gözlenmeyen hastaların demografik, biyokimyasal ve ürodinamik özellikleri istatistiksel olarak karşılaştırıldı.

Bulgular: Çalışmaya yaş ortalaması 48,66±18,58 yıl olan toplam 58 kadın olgu dahil edildi. Olguların 28 (%48,3)’i aşırı aktif mesane grubunda (Grup 1) yer alırken, 30 (%51,7)’u kontrol grubunda (Grup 2) yer aldı. Gruplar arasında ortalama yaş dağılımları açısından istatistiksel olarak anlamlı farklılık saptanmadı (p>0,05). Grup 1’de yer alan hasta ağırlığı ortalama değerinin Grup 2’de yer alan hastalara göre istatistiksel olarak anlamlı şekilde daha yüksek olduğu izlendi (p=0,041). Grup 1’de visseral adipozite indeksi (VAİ) ortanca değeri [3,3 (0,7 – 14,5)] Grup 2’deki VAİ ortanca değerinden [2,5 (1,2 – 11,7)] daha yüksek olmasına rağmen gruplar arasında istatistiksel olarak anlamlı farklılık görülmedi (p>0,05).

Sonuç: Aşırı aktif mesane semptomları olan kadınlarda VAİ ortanca değeri aşırı aktif mesane semptomları olmayan kadınlara göre daha yüksek olarak izlense de gruplar arasında istatistiksel olarak anlamlı farklılık görülmemiştir.

Keywords

aşırı aktif mesane, ürodinami, visseral adipozite indeksi

Evaluation of relationship between visceral adiposity ındex and overactivate bladder symptoms in females

Abstract

Objective: To investigate the relationship between overactive bladder syndrome and visceral adiposity index (VAI).
Material and Methods: The results of urodynamic tests performed between January 2017 and June 2019 were evaluated retrospectively. Patients with a total “Overactive Bladder Symptom Score Questionnaire” (OAB-V8) score of 8 and above with overactivated detrusor muscle during the filling phase of urodynamic studies and patients with lower scores of OAB-V8 without overactivation in detrusor muscle were compared in terms of demographic features, biochemical parameters and VAI values. 
Results: The study group comprised of 58 female subjects with a mean age of 48,66±18,58 years. 48,3% (n=28) of the patients were included in the overactive bladder group while 51,7% (n=30) were in the control group. No significant difference was observed between two groups in term of age (p>0,05). Weight measures showed significant difference between two groups and the weight measures of the patients in overactivated bladder group were found to be higher than in healthy controls (p=0,041; p<0,05). Although no significant difference was observed in VAI values between two groups (p>0,05); the VAI values were shown to be higher in overactivated bladder patients than in healthy controls (median [2,5 (1,2 – 11,7)] vs [3,3 (0,7 – 14,5); respectively).
Conclusion: In our study, median VAI values were shown to be higher in females with overactivated bladder symptoms, however the results were not statistically significant. 

Keywords

overactive bladder, urodynamics, visceral adiposity index

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