OSTEOARTRİTLİ HASTALARDA METABOLİK SENDROM SIKLIĞI VE ETKİLEYEN FAKTÖRLER

Yıl 2021, , 105 - 116, 25.03.2021

Sibel Şentürk , Dilek Efe Arslan , Murat Korkmaz

https://doi.org/10.33715/inonusaglik.812103

Öz

Bu araştırmanın amacı, osteoartritli (OA) hastalarda metabolik sendrom (MetS) görülme sıklığını ve bu durumu etkileyen faktörleri belirlemektir. Tanımlayıcı, retrospektif ve kesitsel olan bu çalışma, Eylül 2018-Mart 2019 tarihleri arasında 95 OA ile tamamlandı. Araştırmaya 38 yaş ve üzeri, Amerikan Radyoloji Koleji kriterlerine göre hekim tarafından OA tanısı konmuş ve en az 1 yıldır OA rahatsızlığı olan hastalar dâhil edildi. MetS tanısını koyabilmek amacıyla Amerikan Kalp Birliği Ulusal Kolesterol Eğitim Programının oluşturduğu Erişkin Tedavi Paneli-III tanı kriterleri kullanıldı. Verilerin istatistiksel değerlendirilmesinde sayı, yüzde, ortalama değerleri ile ki-kare testi kullanıldı. OA’lı bireylerin yaş ortalaması 66,94±7,29 olup, %76,8’i kadındı. OA’lı bireylerin hastalık süresi ortalaması 10,06±6,79 yıl, beden kütle indeksi (BKI) ortalaması 32,97±5,07, total kolesterol düzeyi ortalaması 187,36±75,75, yüksek yoğunluklu lipoprotein (HDL) ortalaması 50,36±6,29, düşük yoğunluklu lipoprotein (LDL) ortalaması 131,93±25,73 ve açlık kan şekeri (AKŞ) ortalaması 132,04±68,81 idi. Erişkin Tedavi Paneli ölçütlerine göre bireylerin %83,2’sinin MetS’e neden olan üç ve üçten fazla bileşen taşıdığı saptandı. OA’lı bireylerin MetS durumlarının sosyo-demografik verilerle karşılaştırılmasında, MetS varlığının kronik hastalık durumu (p:0,027) ve antihipertansif ilaç kullanma durumu (p:0,000) ile aralarındaki fark istatistiksel olarak anlamlı bulundu. Bu araştırmada, OA’lı bireyler arasında MetS görülme sıklığı yüksek düzeyde bulunmuştur. MetS ile birlikte farklı hastalıkların görülmesi, bu hastaların multidisipliner bir yaklaşımla tedavi ve bakıma alınması gerekliliğini ortaya koymaktadır.

Anahtar Kelimeler

Osteoartrit, Metabolik Sendrom, Sıklık, Etkileyen Faktörler

Frequency of metabolic syndrome in patients with osteoarthritis and affecting factors

Öz

The aim of this study is to determine the prevalence of metabolic syndrome (MetS) in patients with osteoarthritis (OA) and the factors affecting this condition. This descriptive, retrospective, and cross-sectional study was completed with 95 OA between September 2018 and March 2019. Patients over the age of 38, who had been diagnosed with OA according to the American College of Radiology criteria and had OA at least for one year, were included in the study. In order to diagnose MetS, the Adult Treatment Panel-III diagnostic criteria established by the American Heart Association National Cholesterol Education Program were used. Number, percentage, average values and chi-square test were used for statistical analysis of the data. The mean age of the patients with OA was 66.9±7.29, and 76.8% of them were female. Of the OA patients; mean of the duration of the disease was 10.06±6.79 years, mean of the body mass index (BMI) was 32.97±5.07, mean of the total cholesterol level was 187.36±75.75, mean of the high density lipoprotein (HDL) was 50.36±6.29, mean of the low density lipoprotein (LDL) was 131.93±25.73, and mean of the fasting blood sugar (FBS) was 132.04±68.81. According to the Adult Treatment Panel criteria, 83.2% of the individuals were found to have three or more than three components that cause MetS. In the comparison of the MetS status of individuals with OA with socio-demographic data, the difference between the presence of MetS and chronic disease status (p: 0.027) and antihypertensive drug use (p: 0.000) was found to be statistically significant. In this study, the incidence of MetS has been found to be high among patients with OA. The occurrence of different diseases along with MetS reveals that these patients need a multidisciplinary approach for the treatment and care.

Anahtar Kelimeler

Osteoarthritis, Metabolic Syndrome, Frequency, Affecting Factors

Kaynakça

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