Relationship between varicocele and anthropometric indices in infertile population

Öz

Amaç: İnfertilite nedeniyle başvuran hastalarda varikosel ve antropometrik indeks ilişkisini değerlendirmek. Yöntemler: İnfertilite nedeniyle başvuruda bulunan 600 hasta çalışmaya dahil edildi. Varikosel varlığı ve derecesi fizik muayene ile değerlendirildi. Antropometrik indeks parametreleri varikosel varlığı ve derecesi açısından karşılaştırıldı. Antropometrik indexler; vücut kitle indexi, bel çevresi ve bel-kalça oranı kaydedildi. Bulgular: Hastaların 210\'unda (%35) varikosel saptandı. Ortalama vücut kitle indexi, bel çevresi ve bel-kalça oranı; varikoseli olmayanlarda 30.5 ± 6.4 kg/cm2, 86.40 ± 9.97 cm ve 0.89 ± 0.05, varikoseli olanlarda 24.7 ± 5.2 kg/cm2, 81.19 ± 9.01 cm ve 0.82 ± 0.05 idi (p

Anahtar Kelimeler

• İnfertilite, obezite, varikosel, antropometrik indeks

Relationship between varicocele and anthropometric indices in infertile population

Öz

Objective: To evaluate relationship between varicocele and anthropometric indexes in patients presenting with infertility. Methods: 600 male patients presenting with infertility were included in this study. The presence and degree of varicocele were evaluated by physical examination. Anthropometric index parameters were compared in terms of presence of varicocele and grade. The anthropometric indexes including body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) were recorded. Results: A total of 210 (35%) patients had varicocele. The mean of BMI, WC and WHR of those without varicocele was 30.5 ± 6.4 kg/cm2, 86.40 ± 9.97 cm and 0.89 ± 0.05, respectively. The mean of BMI, WC and WHR with varicocele was 24.7 ± 5.2 kg/cm2, 81.19 ± 9.01 cm and 0.82 ± 0.05 respectively (p

Anahtar Kelimeler

• İnfertility, obesity, varicocele, anthropometric indexes

Kaynakça

1. Witt M.A, Lipshultz L.I. Varicocele: a progressive or static lesion? Urology 1993;42:541-543.
2. ShaŞk A, Bedeir GA: Venous tension patterns in cord veins. I. In normal and varicocele individuals. J Urol 1980;123:383- 385.
3. Coolsaet B. The varicocele syndrome: venography deter- mining the optimal level for surgical management. J Urol 1980;124:833-839.
4. Braedel HU, Steffens J, Ziegler M, et al. A possible ontogenic etiology for idiopathic left varicocele. J Urol 1994;151:62- 66.
5. Stavros AT, Sickler KJ, Menter RR. Color duplex sonogra- phy of the nutcracker syndrome (aortomesenteric left renal vein compression). J Ultrasound Med 1994;13:569-574.
6. Arima M, Hosokawa S, Ogino T, et al. Ultrasonographically demonstrated nutcracker phenomenon: alternative to angi- ography. Int Urol Nephrol 1990;22:3-6.
7. The World Health Report, Reducing Risk, Promoting Health Life, Geneva, Switzerland, World Health Organisation, 2002.
8. National Institutes of Health, National Heart, Lung, and Blood Institute: Clinical Guidelines on the IdentiŞcation, Evaluation, and Treatment of Overweight and Obesity in Adults. The Evidence Report. NIH Publication No. 98- 4083, September 1998.

9. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3: 442.
10. Popkin B. M. “The shift in stages of the nutrition transition in the developing world differs from past experiences ,” Public Health Nutr 2002;205-214.
11. McLaren L. “Socioeconomic status and obesity”. Epide- miol Rev 2007;29:29-48.
12. Bahrami H, SadatSafavi M, Pourshams A, et al. Obesity and hypertension in an Iranian cohort study; Iranian women experience higher rates of obesity and hypertension than American women. BMC Public Health 2006;6:158-166.
13. Musaiger AO. Overweight and obesity in the Eastern Medi- terranean Region: can we control it? East Mediterranean Health J 2004;10:789-793.
14. Hawkes, C. Uneven dietary development: Linking the poli- cies and processes of globalization with the nutrition transi- tion, obesity and diet-related chronic diseases. Glob Health 2006;2:4-22.
15. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Preva- lence and trends in obesity among US adults, 1999--2000. JAMA 2002;288:1723-1727.
16. Delaney DP, Carr MC, Kolon TF, et al. The physical char- acteristics of young males with varicocele. BJU Int 2004; 94:624-626.
17. May M, Taymoorian K, Beutner S, et al. Body size and weight as predisposing factors in varicocele. Scandinavian J Urol Nephrol 2006;40,45-48.
18. Handel LN, Shetty R, Sigman M. The relationship between varicoceles and obesity. J Urol 2006;176,2138-2140.
19. Shin J.I, Park J.M, Lee J.S, Kim M. J. Effect of renal dop- pler ultrasound on the detection of nutcracker syndrome in children with hematuria. Eur J Pediatr 2007;166: 399-404.
20. Kahn B.B, Flier J.S.Obesity and insulin resistance. J Clin Invest 2000;106:473-481.
21. Brook RD, Bard RL, RubenŞre M, et al. Usefulness of vis- ceral obesity (waist/hip ratio) in predicting vascular endo- thelial function in healthy overweight adults. Am J Cardiol 2001;88:1264-1269.
22. Rigano E, Santoro G, Impellizzeri P, et al. Varicocele and sport in the adolescent age. Preliminary report on the effects of physical training. J Endocrinol Invest 2004; 27:130-132.
23. Di Luigi L, Gentile V, Pigozzi F, et al. Physical activity as a possible aggravating factor for athletes with varico- cele: impact on the semen proŞle. Human Reproduction 2001;16:1180-1184.
24. Tsao CW, Hsu CY, Chou YC, et al. The relationship be- tween varicoceles and obesity in a young adult population. Int J Androl 2009;32:385-390.
25. Chanc Walters R, Marguet CG, Crain DS. Lower preva- lence of varicoceles in obese patients found on routine scro- tal ultrasound. J Urol 2012;187:599-601.