Obez çocuk ve adolesanlarda vücut kitle indeksi ve biyoelektrik impedans yöntemi ile ölçülen vücut yağ oranının lipid düzeyleri ve metabolik parametrelerle ilişkisi

Rıza Taner Baran

doi:10.31362/patd.421099

Obez çocuk ve adolesanlarda vücut kitle indeksi ve biyoelektrik impedans yöntemi ile ölçülen vücut yağ oranının lipid düzeyleri ve metabolik parametrelerle ilişkisi

Öz

Amaç: Bu çalışma ile obez çocuklarda biyoelektrik impedans yöntemi ile değerlendirilen vücut yağ oranının (VYO), vücut kitle indeksi standart sapma (VKİ-SDS) ve bel kalça oranına (BKO) kıyasla istenmeyen lipid profili ve metabolik parametreleri öngörmede etkinliğinin değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Bu çalışmaya 57 obez, 35 sağlıklı çocuk dahil edilmiş olup, boy standart sapma skoru (HSDS), kilo standart sapma skoru (WSDS), VKİ-SDS, BKO hesaplanmıştır. Biyoelektrik impedans yöntemi ile VYO saptanmıştır. Hastaların kan basınçları,glikoz, insülin, total kolesterol (TK), trigliserid (TG), yüksek dansiteli lipoprotein (HDL), düşük dansiteli lipoprotein (LDL) ve homeostatik model değerlendirme insülin direnci (HOMA-IR) seviyeleri değerlendirilmiştir.

Bulgular: VKİ-SDS, BKO, VYO, sistolik ve diyastolik kan basıncı, TG, TK, LDL, insülin ve HOMA-IR değerleri obez grupta daha yüksek olarak bulundu (p<0.05). HDL ve glikoz değerleri yönünden gruplar arasında fark saptanmamıştır (p>0.05). Pearson korelasyon analizinde VKİ-SDS ve VYO ile BKO, sistolik ve diastolik kan basıncı, insülin, HOMA-IR, TK, TG, HDL, LDL arasında pozitif ilişki varken, HDL ve glikoz arasında ilişki gözlenmemiştir.

Sonuç: Metabolik bozukluk ve dislipidemiyi öngörmek açısından BİA ile tespit edilen VYO’ nın, kilo belirteçlerinden VKİ ve BKO’ ya göre daha üstün olmadığı, VKİ-SDS’ nin ise BKO ‘na göre lipid bozukluğunu öngörme açısından daha iyi olduğu saptandı . VKI ve VYO ‘nun beraber kullanımının ise obeziteye bağlı gelişen hipertansiyon, metabolik bozukluk ve kardiyovasküler komplikasyonları önlemek açısından çok daha önemli olduğu sonucuna varıldı.

Anahtar Kelimeler

Lipid düzeyi,çocuk ve adolesan,Vücut kitle indeksi,vücut yağ oranı

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Details

Primary Language

Turkish

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Rıza Taner Baran ^*
0000-0003-3776-9975
Türkiye

Publication Date

September 28, 2018

Submission Date

May 4, 2018

Acceptance Date

July 13, 2018

Published in Issue

Year 2018 Volume: 11 Number: 3

DOI

https://doi.org/10.31362/patd.421099

IZ

https://izlik.org/JA87CZ33ZE

Cite

RIS / Bibtex

AMA

1.Baran RT. Obez çocuk ve adolesanlarda vücut kitle indeksi ve biyoelektrik impedans yöntemi ile ölçülen vücut yağ oranının lipid düzeyleri ve metabolik parametrelerle ilişkisi. Pam Med J. 2018;11(3):261-267. doi:10.31362/patd.421099

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