Yetişkin Yaş Grubunda Kan Şekeri ve Kan Basıncı Korelasyonu Değerlendirmesi

Yıl 2022, , 297 - 306, 27.01.2023

Burak Yaman

https://doi.org/10.18614/deutip.1172590

Öz

Amaç: Bu çalışmanın amacı kan basıncı ve kan şekeri değerleri açısından yetişkin yaş grubundaki gönüllü bireylerin değerlendirilmesi ve kan şekeri, kan basıncı değerlerinin birbirleriyle ve yaş, kilo ve boy gibi verilerle ilişkisinin ortaya konulmasıdır.
Gereç ve yöntem: Bu çalışmada ….. şehrinde yaşayan yetişkin yaş grubundaki bilinen herhangi bir hastalığı olmayan gönüllüler randomize yöntemle seçilerek açlık kan şekeri ve kan basıncı ölçümleri gerçekleştirilmiştir. Açlık kan şekeri kapiller kan alınarak glikometre ile kan basıncı ise manuel sfigmomanometre ile brakiyal arterden ölçülmüştür.
Bulgular: Çalışmaya 190 erişkin gönüllü katılmıştır. Gönüllülerin, % 25.8’inde kan basıncı değerleri normalin üstünde iken, % 6.3’ünde kan şekeri seviyesi normalin üstünde bulundu. Açlık kan şekeri normalden yüksek olanların % 41.7’ sinin kan basıncı değerleri de normalin üstündeydi. Açlık kan şekeri ile diastolik kan basıncı arasında istatistiksel olarak anlamlı düzeyde pozitif yönde korelasyon bulundu (p=0.01, Spearman).
Sonuç: Diyabet ve hipertansiyonun nedenleri ve ortaya çıkış mekanizmaları benzerdir ve birbirini tetiklemektedir. Bu çalışmada açlık kan şekeri seviyelerinin yükselmesi ile diastolik kan basıncı değerlerinin de etkilendiği ortaya konmuştur. Sağlıklı erişkinlerde düzenli kan şekeri ve kan basıncı takibi, ortaya çıkabilecek komplikasyonları önleyebilecektir.

Anahtar Kelimeler

Kan şekeri, kan basıncı, hipertansiyon

Blood Sugar and Blood Pressure Correlation Evaluation in Adult Age Group

Öz

Background: The aim of this study is to provide a population screening in terms of blood pressure and blood glucose values and to reveal the relationship between blood glucose and blood pressure values and data such as age, weight and height.
Materials and methods: In this study, volunteers living in the city of …… in the adult age group that have not any known disease were randomly selected and fasting blood glucose and blood pressure measurements were carried out. Fasting blood glucose was measured with a glucometer by taking capillary blood, and blood pressure was measured from the brachial artery with a manual sphygmomanometer.
Results: 190 adult volunteers participated in the study. While blood pressure values were above normal in 25.8% of the volunteers, 6.3% of them had blood sugar levels above normal. The blood pressure values of 41.7% were also above normal of those whose fasting blood sugar was higher than normal. A statistically significant positive correlation was found between fasting blood sugar and diastolic blood pressure.
Conclusions: The causes and mechanisms of diabetes and hypertension are similar and trigger each other. In this study, it was revealed that diastolic blood pressure values were also affected by the increase in fasting blood sugar levels. Regular blood sugar and blood pressure monitoring in healthy adults can prevent complications that may occur.

Anahtar Kelimeler

Blood glucose, blood pressure, hypertension

Kaynakça

• 1. Elliott WJ. Systemic Hypertension. Curr Probl Cardiol [Internet]. 2007 Apr [cited 2021 Apr 13];32(4):201–59. Available from: https://pubmed.ncbi.nlm.nih.gov/17398315/
• 2. Henning RJ. Type-2 diabetes mellitus and cardiovascular disease [Internet]. Vol. 14, Future Cardiology. Future Medicine Ltd.; 2018 [cited 2021 Apr 13]. p. 491–509. Available from: https://pubmed.ncbi.nlm.nih.gov/30409037/
• 3. Taslipinar A, Corakci A, Kaya A, Uysal AR. TURKDIAB Diyabet Tanı ve Tedavi Rehberi 2017 [Internet]. 2017. 148 p. Available from: http://www.turkdiab.org/admin/PICS/webfiles/Diyabet_tani_ve_tedavi__kitabi.pdf
• 4. Beyhan Y, Kalaycı M. Tip 2 diyabetli bireylerin metabolik kontrollerinin diyabet güçlendirme ölçeği ile değerlendirilmesi. Zeugma J Heal Res. 2021;3(1):20–6.
• 5. Özgül U, Şengül A, Koçkar A, Yüzbaşıoğlu E, Rasier R. Diyabetik ve Hipertansif Hastalarda Retina Sinir Lifi Düzeylerinin Optik Koherens Tomografi ile Ölçümü. Ret Vit [Internet]. 2019 [cited 2021 Sep 7];28:275–8. Available from: https://eds.b.ebscohost.com/eds/pdfviewer/pdfviewer?vid=0&sid=473246fb-77eb-4907-85b9-12fe44e9f929%40sessionmgr103
• 6. Guthrie RA, Guthrie DW. Pathophysiology of Diabetes Mellitus [Internet]. Vol. 27, Critical Care Nursing Quarterly. Lippincott Williams and Wilkins; 2004 [cited 2021 Apr 13]. p. 113–25. Available from: https://pubmed.ncbi.nlm.nih.gov/15137354/
• 7. Oliveras A, De La Sierra A. Resistant hypertension: Patient characteristics, risk factors, co-morbidities and outcomes [Internet]. Vol. 28, Journal of Human Hypertension. Nature Publishing Group; 2014 [cited 2021 Apr 13]. p. 213–7. Available from: https://pubmed.ncbi.nlm.nih.gov/23985879/
• 8. Bhat RK, Deo G, Mavathur R, Srinivasan TM. Correlation of Electrophotonic Imaging Parameters With Fasting Blood Sugar in Normal, Prediabetic, and Diabetic Study Participants. J Evidence-Based Complement Altern Med [Internet]. 2017 Jul 1 [cited 2022 Sep 5];22(3):441–8. Available from: /pmc/articles/PMC5871158/
• 9. Fryar CD, Ostchega Y, Hales CM, Zhang G, Kruszon-Moran D. Hypertension Prevalence and Control Among Adults: United States, 2015–2016. NCHS Data Brief [Internet]. 2017 [cited 2022 Sep 5];(289). Available from: https://www.cdc.gov/nchs/data/databriefs/db289_table.pdf#2.
• 10. WHO. GLOBAL REPORT ON DIABETES WHO Library Cataloguing-in-Publication Data Global report on diabetes [Internet]. WHO Press; 2016 [cited 2022 Sep 5]. 1–88 p. Available from: http://www.who.int/about/licensing/copyright_form/index.html
• 11. Yaman B, Açikgöz E, Kadri AÇIKGÖZ S, Çengel A, Doğu Üniversitesi Tıp Fakültesi Kardiyoloji Ana Bilim Dalı Y, Yurtarslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi D, et al. Klinik Araştırma Uncontrolled Type 2 Diabetes Increase Masked Hypertension Kontrolsüz Tip 2 Diyabet Maskeli Hipertansiyon Sıklığını Artırıyor. Kardiyoloji. 2019;26(1):38–44.
• 12. Cheung BMY. The hypertension-diabetes continuum. J Cardiovasc Pharmacol [Internet]. 2010 [cited 2021 Aug 25];55(4):333–9. Available from: https://pubmed.ncbi.nlm.nih.gov/20422737/
• 13. Cheung BMY, Li C. Diabetes and Hypertension: Is There a Common Metabolic Pathway? Curr Atheroscler Rep [Internet]. 2012 Apr [cited 2021 Aug 25];14(2):160. Available from: /pmc/articles/PMC3314178/
• 14. Landsberg L, Molitch M. Diabetes and hypertension: Pathogenesis, prevention and treatment. In: Clinical and Experimental Hypertension [Internet]. Clin Exp Hypertens; 2004 [cited 2021 Aug 25]. p. 621–8. Available from: https://pubmed.ncbi.nlm.nih.gov/15702616/
• 15. T W Gress , F J Nieto, E Shahar, M R Wofford FLB. Hypertension and antihypertensive therapy as risk factors for type 2 diabetes mellitus. Atherosclerosis Risk in Communities Study. N Engl J Med [Internet]. 2000 Mar 30 [cited 2021 Aug 25];342(13):905–12. Available from: https://pubmed.ncbi.nlm.nih.gov/10738048/
• 16. Pan X, Li G, Hu Y, Wang J, Yang W, An Z, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care [Internet]. 1997 [cited 2021 Aug 25];20(4):537–44. Available from: https://pubmed.ncbi.nlm.nih.gov/9096977/
• 17. Laaksonen DE, Lindström J, Lakka TA, Eriksson JG, Niskanen L, Wikström K, et al. Physical activity in the prevention of type 2 diabetes: The finnish diabetes prevention study. Diabetes [Internet]. 2005 Jan [cited 2021 Aug 25];54(1):158–65. Available from: https://pubmed.ncbi.nlm.nih.gov/15616024/
• 18. Cederholm J, Wibell L. The relationship of blood pressure to blood glucose and physical leisure time activity. A study of hypertension in a survey of middle-aged subjects in Uppsala 1981-82. Acta Med Scand [Internet]. 1986 [cited 2021 Aug 25];219(1):37–46. Available from: https://pubmed.ncbi.nlm.nih.gov/3953315/
• 19. Parker E, Schmitz K, Jacobs D, Dengel D, Schreiner P. Physical activity in young adults and incident hypertension over 15 years of follow-up: the CARDIA study. Am J Public Health [Internet]. 2007 Apr [cited 2021 Aug 25];97(4):703–9. Available from: https://pubmed.ncbi.nlm.nih.gov/17329668/
• 20. Chamarthi B, Williams GH, Ricchiuti V, Srikumar N, Hopkins PN, Luther JM, et al. Inflammation and Hypertension: The Interplay of Interleukin-6, Dietary Sodium, and the Renin–Angiotensin System in Humans. Am J Hypertens [Internet]. 2011 Oct 1 [cited 2021 Sep 16];24(10):1143–8. Available from: https://academic.oup.com/ajh/article/24/10/1143/2281962
• 21. Taddei S, Virdis A, Ghiadoni L, Sudano I, Salvetti A. Antihypertensive drugs and reversing of endothelial dysfunction in hypertension. Curr Hypertens Reports 2000 21 [Internet]. 2000 [cited 2021 Sep 16];2(1):64–70. Available from: https://link.springer.com/article/10.1007/s11906-000-0061-8
• 22. Emdin CA, Anderson SG, Woodward M, Rahimi K. Usual Blood Pressure and Risk of New-Onset Diabetes: Evidence From 4.1 Million Adults and a Meta-Analysis of Prospective Studies. J Am Coll Cardiol. 2015 Oct 6;66(14):1552–62.