Sağlıklı İnsanlarda Vücut Kitle İndeksi ile Sedimantasyon Arasındaki İlişki

Abstract

Amaç: Uzun yıllardır kullanılan ucuz, kolay ve hızlı bir test olan sedimantasyon hala birçok durumda tanıya yardımcı olmaktadır. Bu çalışmada, sağlıklı bireylerde sedimantasyon, kolesterol değerleri ve monosit yüksek dansiteli lipoprotein oranı (MHR) ile vücut kitle indeksi arasındaki ilişki değerlendirilmiştir.

Gereç ve Yöntem: Ocak 2020 ile Aralık 2020 tarihleri arasında; iç hastalıkları kliniğine belirgin şikayeti olmadan, rutin sağlık kontrolü ve check-up için başvuran 689 sağlıklı bireylerin sonuçları retrospektif olarak değerlendirilmiştir. Hastaların demografik özellikleri, vücut kitle indeksi ve kan parametreleri değerlendirilmiştir. Katılımcılar; vücut kitle indeksine göre; Grup 1 (normal kilolu), Grup 2 (aşırı kilolu) ve Grup 3 (obez) olarak sınıflandırılmıştır.

Bulgular: Gruplar arasında; vücut kitle indeksi ile; boy, kilo, sedimantasyon değeri, glikoz, monosit sayısı, total kolesterol, düşük dansiteli lipoprotein, yüksek dansiteli lipoprotein dışı kolesterol ve MHR arasında anlamlı bir ilişki saptanmıştır. Kadınların sedimantasyon değeri erkeklerden anlamlı olarak fazla saptanmıştır. Vücut kitle indeksi ile sedimantasyon değeri (r=0.346, p=0.001), glikoz (r=0.239, p=0.001) ve monosit sayısı (r=0.096, p=0.013) arasında anlamlı bir korelasyon bulunmuştur.

Sonuç: Bu çalışmanın neticelerine göre sedimantasyon hızı sağlıklı bireylerde VKI ile ilişkili bir parametre olarak sağlıklı bireylerde inflamasyon şiddetini göstermek için kullanılabilir. Sedimantasyon değeri yüzyıl önce bulunmasına rağmen kullanışlılığını devam ettirmektedir.

Keywords

• Beden kitle indeksi
• HDL
• Lipoprotein
• Monosit
• Sedimentasyon hızı

Correlation between body mass index and erythrocyte sedimentation rates in healthy participants

Abstract

Objective: Erythrocyte sedimentation rate (ESR) is a cheap, fast and readily available test and its still being used for many medical conditions in order to help diagnosis and evaluation of diseases. In this study, association of ESR, cholesterol levels and monocyte to high density lipoprotein ratio (MHR) with body mass index were inspected in healthy population.

Material and Method: This study is an observational, retrospective study. It has been conducted in a university hospital with people admitting to internal medicine outpatient clinics between January 2020 and December 2020. Demographic characteristics, body mass indexes and laboratory parameters of 689 patients were evaluated. Participants were divided into three groups according to body mass indexes; Group 1 (normal weight), Group 2 (overweight), Group 3 (obese). Data obtained from three groups were compared.

Results: There were significant associations between body mass index and height, weight, ESR, glucose, monocyte counts, total cholesterol, low density lipoprotein, Non-HDL cholesterol and MHR among groups. ESR was significantly higher in women compared to men. There were significant correlations between body mass index and ESR (r=0.346, p=0.001), glucose (r=0.239, p=0.001) and monocyte count (r=0.096, p=0.013).

Conclusion: According to the results of this study, ESR is a parameter associated with BMI and it may reflect the magnitude of inflammation taking place in obesity. ESR was used for more than a century in evaluation of diseases and it still has a place in different medical disorders.

Keywords

• Body mass index
• Erythrocyte sedimentation rate
• HDL
• Lipoprotein
• Lipoprotein
• Monocyte

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