Vücut Kitle Indeksi, Bel Çevresi, Kalça Çevresi, Bel-Boy Oranı: Hangisi Adölesanlarda Hipertansiyonu Daha Çok Etkiler?

Öz

Amaç: Adölesanlarda hipertansiyon prevalansı, obezite ile ilişkisi ve vücut kitle indeksi (BMİ), bel çevresi, kalça çevresi, bel-boy oranından hangisinin adolesan hipertansiyonunu daha çok etkilediğinin belirlenmesi amaçlandı. Gereç ve Yöntemler: Çalışma tanımlayıcı kesitsel tiptedir. 14-18 yaş aralığındaki öğrencilerde 2019 Mayıs ayında ölçülen ağırlıkları, boyları, bel çevresi, kalça çevresi, kan basınçları ve sosyodemografik verileri geriye yönelik incelendi. Bulgular: Çalışmaya alınan 4529 öğrencinin hipertansiyon prevalansı %14,3’tür (n=648). Obezitesi olan grupta hipertansiyon saptananlar 140 (%36,5) kişi, obezitesi olmayanlarda 508 (%12,3) kişi olarak bulundu (p<0,001). Korealasyon analizinde; Sistolik ve Diyastolik kan basınçlarının vücut kütle indeksi, bel-boy oranı, bel çevresi ile arasında anlamlı ilişki bulundu (p<0,001). Lineer regresyon analizi sonucuna göre sistolik kan basıncının %34’ü bel çevresi (R2:0,346), %25’i vücut kütle indeksi (R2:0,25),%34’ü Bel-boy oranı (R2:0,34) %24 ‘ü kalça çevresi (R2:0,24) ile açıklanabilir. Diyastolik kan basıncının ise %20’si bel-boy oranı (R2:0,20), %15’i vücut kütle indeksi (R2:0,15), %20’si bel çevresi ile (R2:0,20)ve %15 ‘i kalça çevresiyle(R2:0,15) açıklanabilir. Sonuçlar: Vücut kütle indeksi, Bel-boy oranı ve bel çevresinin sistolik kan basıncı üzerine etkisi diyastolik kan basıncından daha fazladır. Hipertansiyon gelişiminde Bel-boy oranı ve bel çevresine göre vücut kütle indeksinin daha az katkısı bulunmaktadır.

Anahtar Kelimeler

• adölesan
• vücut kitle indeksi
• kalça çevresi
• hipertansiyon
• bel çevresi
• bel-boy oranı

Body Mass Index, Waist Circumference, Hip Circumference, Waist-To-Height Ratio: Which Affects Adolescent Hypertension More?

Öz

Introduction: To determine the prevalence of hypertension in adolescents, its relationship with obesity, and which of the BMI, waist circumference (WC), hip circumference (HC), and waist-height ratio (WHtR) affect adolescent hypertension more. Material and Methods: In this cross-sectional study, the weights, heights, WC, HC, blood pressure and sociodemographic data measured in May 2019 for students aged 14-18 were analyzed retrospectively. Among the 4580 high school students aged 14-18, 4529 students with complete data were included in the study. Weight, height, waist circumference, hip circumference, blood pressure were measured in students. The predictive values of the variables causing high blood pressure were measured. Results: The prevalence of hypertension in 4529 students included in the study was 14.3% as 36.5% in the obese and 12.3% non-obese (p<0.001). In correlation analysis, a significant correlation was found between systolic (SBP) and diastolic blood pressures (DBP) and BMI, WHtR, and WC (p<0.001). 34% of SBP can be explained by WC (R2:0.346), 25% by BMI (R2:0.25), 34% by WHtR (R2:0.34) and 24% by HC (R2:0.24) while 20% of the DBP can be explained by WHtR (R2:0.20), 15% by BMI (R2:0.15), 20% by WC (R2:0.20) and 15% by HC (R2:0.15). Conclusion: BMI, WHtR and WC have a greater effect on SBP than DBP. BMI has less contribution to the development of hypertension compared to WHtR and WC.

Anahtar Kelimeler

• adolescent
• body mass index
• hip circumference
• hypertension
• waist circumference
• waist-height ratio

Kaynakça

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