TY - JOUR TT - DİABETİK HASTALARDA BEL VE BOYUN ÇEVRESİ ÖLÇÜMÜ İLE GLUKOZ, LİPİD VE HBA1C PARAMETRELERİ ARASINDAKİ İLİŞKİ AU - Turan, Elif AU - Savut, Bülent AU - Kulaksızoğlu, Mustafa AU - Uyar, Mehmet AU - Turan, Yasar AU - Kaya, Ahmet PY - 2015 DA - June JF - Bozok Tıp Dergisi PB - Yozgat Bozok Üniversitesi WT - DergiPark SN - 2146-4006 SP - 16 EP - 18 VL - 5 IS - 2 KW - Diabetes mellitus KW - Bel çevresi KW - Verilerin korelasyon N2 - Aim: To evaluate the effect of Waist circumference (WC) and Neck circumference (NC) on glucose, HbA1C, lipid parameters and blood pressure in patients with diabetes.Method:Two hundred and ninety patients with Diabetes Mellitus were included in the study. Height, weight, WC, NC, glucose, HbA1c, HDL, LDL, triglyceride and blood pressure levels were noted. We assessed the correlation between these measurements and the levels of fasting plasma glucose (FPG), HbA1c, lipid parameters and blood pressure.Results: Study population was consisted of 141 female (53.4%) and 123 male (46.6%) patients. Mean age was 55.7 ± 10 year, body mass index (BMI) was 31.1 ± 5.5 kg/m², HbA1c was %8.7±2.4, FPG was 181±82 mg/dL, trigliserid was 182±111.7 mg/dL, HDL was 42.9±11.7 mg/dL, LDL was 111.8±34 mg/dL, diastolic blood pressure (DBP) was 81.6±12 mmHg, sistolic blood pressure (SBP) was 131±20 mmHg. Mean WC was 106±14 cm and NC was 36.2±2.8 cm in women, mean WC was 105.9±12.8 cm and NC was 37.9±5.1 cm in men. BMI was significantly correlated with WC, SBP and DBP individually in women and men (p<0.001 for each). NC was positively correlated with SBP, DBP and triglycerides (p<0.001, p<0.001, p =0.02) and negatively correlated with HDL (p = 0.09) in all patients. WC was positively correlated with SBP and DBP (p<0.001, p<0.001) and negatively correlated with HDL (p = 0.049) in male and female diabetic patients.Conclusion:Waist circumference and neck circumference measurements are important and simple physical examination methods and may reflect metabolic changes in diabetic patients CR - GA Colditz, WC Willett, MJ Stamfer et al. Weight as arisk factor for clinical diabetes in women. Am J Epidemiol. 1990;132(3): 501-513. CR - Kanaya AM, Vaisse C. Obezite. Greenspan Temel ve Klinik Endokrinoloji. Çeviri ed: Tütüncü NB, 2013;20:699-709. ter Maaten JC, Bakker SJ, Serné EH, ter Wee PM, Donker CR - AJ, Gans RO. Insulin’s acute effects on glomerular filtration rate correlate with insulin sensitivity whereas insulin’s acute effects on proximal tubular sodium reabsorption corırelate with salt sensitivity in normal subjects. Nephrol Dial Transplant. 1999;14(10):2357–2363. CR - Young JB. Effect of experimental hyperinsulinemia on sympathetic nervous system activity in the rat. Life Sci. 1988;43(2):193–200. CR - Begum N, Song Y, Rienzie J, Ragolia L.. Vascular smooth muscle cell growth and insulin regulation of mitogen- activated protein kinase in hypertension. Am J Physiol. 1998;275(1):C42–C49 CR - Aswathappa J, Garg S, Kutty K, Shankar V. Neck circumference as an anthropometric measure of obesity in diabetics. N Am J Med Sci. 2013;5(1):28-31. CR - Preis SR, Massaro JM, Hoffmann U, D’Agostino RB, Levy D, Robins SJ, et al. Neck circumference as a novel measure of cardiometabolic Risk: The Framingham hear study. J Clin Endocrinol Metab. 2010;95(8):3701-10. CR - Onat A, Hergenc G, Yuksel H, Can G, Ayhan E, Kaya Z. Neck circumference as a measure of central obesity: Associations with metabolic syndrome and obstructive sleep apnea syndrome beyond waist circumference. Clin Nutr. 2009;28(1):46-51. UR - https://dergipark.org.tr/tr/pub/bozoktip/issue//564021 L1 - https://dergipark.org.tr/tr/download/article-file/713476 ER -