Pages 31-35

Öz

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Anahtar Kelimeler

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Vücut Kitle İndeksinin Egzersiz Testi Sırasındaki Kan Basıncı Yanıtına Etkisi

Öz

Amaç: Egzersiz sırasında, vücut kitle indeksinin (VKI) arteryel kan basıncına etkisinin efor testi yapılan hastalarda değerlendirilmesidir. Yöntem: Bu retrospektif çalışmaya miyokard perfüzyon sintigrafisi normal olan 168 hasta alındı. Hastalar VKI’lerine göre 3 gruba ayrıldı; 18,5-24,9 (normal, grup 1), 25-29,9 (preobez, grup 2), 30-39 ( obez, grup 3). Egzersiz stres testinin 1., 3. ve 6. dakikalarında sistolik ( SKB) ve diastolik kan basıncı (DKB) değerleri ölçüldü. Klinik özellikler ve antropometrik ölçümler kaydedildi. Bulgular: Tüm grubun hem SKB ve DKB değerleri egzersiz ile birlikte anlamlı artış gösterdi (p < 0,01). Birinci, 3. ve 6. dakika ortalama SKB ve DKB değerleri dikkate alındığında, 6. dakika DKB değeri hariç, üç grupta da fark anlamlı bulundu (p < 0001). Üçüncü dakikada 1. dakikaya göre sistolik ve diastolik kan basıncı değişim yüzdesi istatististiksel olarak anlamlı bulunmadı (sırası ile p=0,454 ve p=0,196). Başlangıca göre 6. dakikadaki SKB artışının yüzdesinin ortalaması da farklı bulunmadı (p= 0,109). Sonuç: Egzersiz sırasında obezite ile kan basıncı artış oranlarında farklılık görülmemesi, obezitenin egzersize fizyolojik cevabı bozmadığını düşündürmektedir

Anahtar Kelimeler

• Vücut kitle indeksi (VKI), kan basıncı, egzersiz

Kaynakça

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