Tıp Fakültesi Öğrencilerinde Hipertansiyon Prevalansı

Abstract

Amaç: Bu çalışmada, tıp fakültesi öğrencilerinin kan basıncı değerlerini ve ilgili demografik özelliklerini araştırmayı amaçladık. Gereç ve Yöntemler: Tıp Fakültesi'nde gerçekleştirilen bu çalışmaya her sınıftan 20’er olma üzere 120 tıp öğrencisi katılmıştır. Kan basınçları sfigmomanometre ile 2 kez ölçülüp ortalaması alınmıştır. Bulgular: Öğrencilerin ortalama yaşı 21.7±2.1 yıl idi. On dokuz (15.8%) hastada hipertansiyon mevcuttu. Beş (4.2%) öğrenci obezdi; bunların tamamı erkekti. Ortalama ağırlık, boy ve BMI açısından sınıflar arasında anlamlı bir fark yoktu. Ortalama sistolik kan basıncı (SBP) 4. sınıfta 2., 3. ve 5. sınıflara göre anlamlı şekilde daha yüksekti (sırasıyla 126.8±5.2 mmHg vs 115.7±9.7 mmHg, 115.7±6.7 mmHg ve 113.2±13.3 mmHg). Sigara içme, alkol kullanımı, uyku paterni, ailede hipertansiyon ve diyabet öyküsü oranları açısından sınıflar arasında anlamlı bir fark bulunmadı. Hipertansiyon prevalansı, 4. sınıfta 2., 3. ve 6. sınıflara göre anlamlı şekilde daha yüksekti. SBP ile vücut ağırlığı, boy ve BMI arasında pozitif bir korelasyon vardı. Yüksek BMI, çoklu regresyon analizinde bağımsız bir risk faktörü olarak bulundu. Sonuç: Özellikle de 4. sınıf tıp fakültesi öğrencilerinde kronik stresin, steroid gibi stres hormonlarının salınımına yol açarak hipertansiyona zemin hazırladığı sonucuna vardık.

Keywords

• Tıp öğrencileri
• hipertansiyon
• obezite

HYPERTENSION PREVALENCE IN MEDICAL STUDENTS

Abstract

Objecitve: This research aimed to determine the blood pressure characteristics of medical students, serving as a reflection of the young adult population. Material and Methods: This study, conducted at the Faculty of Medicine, included 20 students for each class, amounting to 120 medical students. Blood pressure (BP) was taken twice using a sphygmomanometer and averaged. Results: The mean age of the students was 21.7±2.1years. Nineteen (15.8%) patients had hypertension. Five (4.2%) students were obese; all of them were male. There was no significant difference between the classes regarding of mean weight, height, and BMI. The mean SBP was significantly higher in grade 4 than the grades 2, 3, and 5 (126.8±5.2 mmHg vs 115.7±9.7 mmHg, 115.7±6.7 mmHg, and 113.2±13.3 mmHg, respectively). There was no significant difference with regard to the rates of smoking, alcohol use, SPS, and family history of HT and diabetes. The prevalence of HT was significantly higher in grade 4 than grades 2, 3, and 6. There was a positive correlation between SBP and body weight, height, and BMI . High BMI was found to be an independent risk factor in the multiple regression analysis. Conclusion: We concluded that, chronic stress leads to the release of stress hormones such as steroids that play a role in the development of hypertension, especially in grade 4 students.

Keywords

• Medical students
• hypertension
• obesity

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