TY - JOUR T1 - Alternative Measurements to Waist Circumference in Diabetic Obese Females AU - Tuzun, Sabah AU - Öner, Can AU - Akman, Mehmet AU - Ölmez, Burak AU - Dabak, Reşat AU - Orbay, Ekrem PY - 2019 DA - March DO - 10.21763/tjfmpc.527970 JF - Turkish Journal of Family Medicine and Primary Care JO - TJFMPC PB - Aile Hekimliği Akademisi Derneği WT - DergiPark SN - 1307-2048 SP - 22 EP - 27 VL - 13 IS - 1 LA - en AB - Introduction:Although waist circumference measurement is frequently used for the assessmentof abdominal fat mass, this method has some limitations. Among alternativeanthropometric measurements, neck circumference is effective in reflecting theupper body fat distribution, whereas arm circumference is effective inreflecting insulin resistance. The present study aimed to evaluate therelationship between waist circumference and neck and arm circumferences inobese female patients with type 2 diabetes mellitus (DM).Method:Diabetic female patients, who visited the Diabetes Outpatient Clinic betweenApril and June 2015 and had a body mass index (BMI) of ≥ 30 kg/m2,were enrolled in the study. Anthropometric measurements included body weight,height, BMI, waist circumference, neck circumference and both arm circumferencein all participants. Results:A total of 285 participants were included in the study; arm circumference wasmeasured in 284 (99.65%) and neck circumference was measured in 227 (79.65%).Overall mean BMI was 37.4±5.6 kg/m2, mean waist circumference was117.8±12.1 cm, mean neck circumference was 39.6±3.5 cm, and mean armcircumference was 35.7±4.9 cm. After adjusting for age and duration of DM,waist circumference showed strong positive correlation with BMI but moderatelypositive significant correlation with neck circumference and arm circumference(p<0.001, p<0.001 and p<0.001, respectively). Stepwise regressionanalysis, which was performed with the independent variables BMI, neck circumferenceand arm circumference for the dependent variable waist circumference, indicatedthat BMI (R2=0.544 and p<0.001), BMI and neck circumference (R2=0.599and p<0.001) are significant. However, there was no significant relationshipbetween waist circumference and arm circumference (p>0.05).Conclusion:Waist circumference showed strong positive correlation with BMI but moderatelypositive correlation with neck and arm circumferences. Among anthropometricmeasurements, BMI has the highest efficacy in estimating waist circumference,whereas neck circumference has lower efficacy. Moreover, arm circumference hasno significant effect in estimating waist circumference.Giriş:Abdominal yağ kitlesinin değerlendirilmesi amacıyla sıklıkla bel çevresi ölçümükullanılmakla beraber, bel çevresi ölçümü ile ilgili kısıtlılıklar mevcuttur.Alternatif antropometrik ölçümlerden boyun çevresinin üst vücut yağ dağılımınıgösterdiği ve kol çevresinin insulin direncini göstermede etkili olduğusaptanmıştır. Bu çalışma tip 2 diyabet hastası olan obez ve morbid obezkadınlarda bel çevresi ile boyun ve kol çevresi arasındaki ilişkinindeğerlendirilmesini amaçlamaktadır.Yöntem:Çalışmaya Diyabet Merkezi’ne Nisan – Haziran 2015 tarihleri arasında başvuranve beden kitle indeksi (BKİ) ≥ 30 kg/m2 olan kadın DM hastalarıdahil edilmiştir. Tüm katılımcılarınantropometrik ölçüm değerlendirmelerinde vücut ağırlığı, boy, BKİ, bel çevresi, boyun çevresi ve her iki kolçevresi ölçümleri değerlendirilmiştir. Bulgular:Çalışmaya toplam 285 katılımcı kabul edilmiş olup 284 (%99.65) katılımcının kolçevresi ve 227 (%79.65) katılımcının boyun çevresi ölçümlerideğerlendirilmiştir. Katılımcıların BKİ ortalaması 37.4±5.6 kg/m2,bel çevresi ortalaması 117.8±12.1 cm, boyun çevresi ortalaması 39.6±3.5 cm vekol çevresi ortalaması 35.7±4.9 cm olarak tespit edilmiştir. Yaş ve DM süresicontrol altına alındığında bel çevresi ile BKİ arasında güçlü pozitif, boyun vekol çevresi arasında orta düzeyde pozitif anlamlı ilişki saptanmıştır(sırasıyla p<0.001, p<0.001 ve p<0.001). Katılımcıların bel çevresibağımlı değişkeni için BKİ, boyun ve kol çevresi bağımsız değişkenleri ileyapılan aşamalı regresyon analizinde BKİ (R2=0.544 ve p<0.001),BKİ ve boyun çevresi (R2=0.599 ve p<0.001) anlamlı tespitedilmiştir. 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