Konuralp Medical Journal

1309-3878

Duzce University

10.18521/ktd.37190

Aile Hekimliği Polikliniğine Başvuran Yirmi Yaş ve Üzeri Erişkinlerde Metabolik Sendrom Sıklığı ve İlişkili Faktörler

Kutlu

Ruhuşen

Çivi

Selma

08 01 2014

6 2 47 54 08 10 2015

2009

Konuralp Medical Journal

Objective: Metabolic syndrome (MetS) is an endocrinopathic disorder defined by a cluster of abdominal obesity, dyslipidemia, high blood glucose level, and high blood pressure; the condition is recognized as a risk factor for diabetes mellitus and cardiovascular diseases. In this study, we aimed to assess the prevalence of MetS and related factors in adults. Method: This observational, cross-sectional analytic survey was conducted on 930 representative unselected people who applied with any problem to Family Medicine Outpatient Clinic. Of the participants, weight, height, waist circumference, blood pressure, fasting blood glucose level, total cholesterol, high density lipoprotein (HDL) and triglyceride levels were measured. MetS diagnosis was defined by the US National Cholesterol Education Programme Adult Treatment Panel III (NCEP ATP III) guideline. Results: Of all the participants, 676 (72.7%) were female, 254 (27.3%) were male, the mean age was 52.64±12.16, 851 (91.5%) married, 238 (25.6%) illiterate, 319 (34.3%) primary school graduate, 556 (59.8%) were housewives. Of the total subjects, the overall frequency of MetS was 44.1% (49.0% in female, 31.2% in male). When we compared the results of MetS and gender, the frequency of MetS was higher 2.11 times among female (OR=2.110, 95% CI: 1.557-2.861), and this difference was statistically significant (p=0.001). Of the hypertensive individuals, 73.0% presented MetS. When we compared with the hypertensive and non-hypertensive individuals, the risk of MetS was higher 8.62 times among the hypertensive individuals (OR=8.622, 95% CI:6.39211.631), and statistically, this difference was significantly higher (p=0.001). Conclusion: MetS frequency was higher especially women in this study. Currently, this issue is also a crucial issue for our developing country like the other western developed countries. Resulting in chronic diseases, it is thought that the syndrome can be prevented by nutrition, physical activity and healthy lifestyle

Amaç: Diyabetes mellitus ve kardivasküler hastalıklar için bir risk faktörü olarak bilinen metabolik sendrom (MetS) abdominal obezite, dislipidemi, yüksek kan glukoz seviyesi ve yüksek kan basıncı ile birlikte görülen bir endokrin bozukluktur. Bu çalışmada erişkinlerde MetS sıklığı ve ilişkili faktörlerin değerlendirilmesi amaçlanmıştır. Metod: Bu gözlemsel, kesitsel tipteki analitik araştırma aile hekimliği polikliniğine herhangi bir nedenle başvuran 930 kişide yapıldı. Katılımcıların ağırlık, boy, bel çevresi, kan basıncı, açlık kan şekeri, total kolesterol, HDL kolesterol ve trigliserit düzeyleri ölçüldü. MetS tanısı Ulusal Kolesterol Eğitim Programı Erişkin Tedavi Paneli III (NCEP ATP III) kılavuzuna göre konuldu. Bulgular: Çalışmaya katılan 930 kişinin 676’sı kadın (%72.7) 254’ü erkek (%27.3), yaş ortalaması 52.64±12.16 yaş, 851’i evli (%91.5), 238’i okuryazar değil (%25.6), 319’u (%34.3) ilköğretim eğitimli, 556’sı (%59.8) ev hanımı idi. Tüm katılanlarda MetS sıklığı %44.1 (kadınlarda %49.0, erkeklerde %31.2) idi. Kadınlarda MetS görülme sıklığı erkeklere göre 2.11 kat daha fazla bulundu (OR=2.110, %95 CI:1.5572.861), bu fark istatistiksel olarak önemli idi (p=0.001). Hipertansif olanların %73.0’ünde MetS tespit edildi. Hipertansif olanlarda MetS gelişme riski hipertansif olmayanlara göre 8.62 kat daha fazla idi (OR=8.622, %95 CI:6.392-11.631), bu fark istatistiksel olarak anlamlı derecede yüksekti (p=0.001). Sonuç: Çalışma grubumuzda MetS sıklığının kadınlarda daha fazla olmak üzere yüksek olduğu belirlenmiştir. Bu sorun gelişmesini tamamlamış batı ülkeleri kadar, halen gelişmekte olan ülkemiz için de ciddi bir sorundur. Bu sendrom doğru beslenme, fiziksel aktivite ve sağlıklı yaşam biçimi ile önlenebilir

Metabolik Sendrom Erişkin Sıklık Risk Faktörleri

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