Yetişkinlerde Bel/Boy Oranı ile Ayak Postürü Arasındaki İlişkinin İncelenmesi

Öz

Amaç: Bu çalışmanın amacı yetişkinlerde bel/boy oranının ayak postürüne olan etkisinin incelenmesidir.

Gereç ve Yöntemler: Çalışmamıza ardışık ve gönüllü 18-65 yaş arası yetişkin 103 olgu dahil edildi. Demografik verileri (yaş, cinsiyet),
antropometrik ölçümleri (bel çevresi, boy uzunluğu, vücut ağırlığı, bel/boy oranı, vücut kütle indeksi (VKİ) ve Ayak Postür İndeksi
(APİ) skorları kaydedildi ve analizler yapıldı. Ayrıca yaşa göre eşleştirilmiş alt grup analizinde olgular bel/boy oranına göre bu oranın 0,5
ve altında olanlar normal, 0,5’in üstü olanlar ise santral obezite açısından riskli kabul edilerek iki gruba ayrıldı ve karşılaştırıldı.

Bulgular: VKİ ortalaması 34,76±9,36 kg/m2, bel/boy oranı ortalaması 0,62±0,12, sol ayak postür indeksi ortalaması 3,07±3,39 ve sağ
ayak postür indeksi ortalaması 3,45±3,16 olarak bulundu. Bel/boy oranı ile sağ ayak APİ skoru arasında anlamlı ancak zayıf düzeyde
korelasyon olduğu tespit edilirken (r=0,215, p=0,029) sol ayak APİ skoru arasında ise korelasyon anlamlı değildi (r=0,180, p>0,05). Alt
grup analizinde riskli bel/boy oranına sahip olguların Ayak Postür İndeksi skorları, sağ ayakta normal bel/boy oranına sahip olgulara
göre daha yüksek bulundu (p=0,016). Normal ve riskli bel/boy oranına sahip olguların sol ayağa ait Ayak Postür İndeksi skorları arasında
anlamlı fark olmadığı tespit edildi (p>0,05).

Sonuç: Yetişkinlerde bel/boy oranının normal ve riskli oluşuna göre iki grubun karşılaştırılmasını içeren çalışmamız, santral obeziteli
riskli BBO’lı gruba ait Ayak Postür İndeksi skorunun arttığını göstermiştir. Riskli bel/boy oranına sahip olguların ayak biyomekaniğinde
bozulmaya ait belirtiler önemlidir ve erken saptanabilir.

Anahtar Kelimeler

• Ayak Postür İndeksi
• Yetişkin
• Obezite
• Bel/boy oranı

Investigation of the Relationship Between Waist/Height Ratio and Foot Posture in Adults

Öz

Aim: The aim of this study was to investigate the effect of waist / height ratio on foot posture in adults.

Material and Methods: In our study, 103 consecutive adult volunteers aged 18-65 years were included. Their demographic data (age,
gender), anthropometric measurements (waist circumference, height, body weight, waist / height ratio, body mass index-BMI) and Foot
Posture Index (API) scores were recorded and analyzed. In addition, in the analysis of subgroup matched according to age, the subjects
were categorised in two groups as normal in which the subjects’ waist / height ratio is 0.5 and central obesity risk with the ratio above
0.5 and compared.

Results: The means of the age, the average BMI, waist / height ratio, left foot API and right foot posture index of the cases were 34.76
± 9.36 kg / m2, 0.62 ± 0.12, 3.07 ± 3.39 and 3.45 ± 3.16, respectively. While there was a significant but poor correlation between waist /
height ratio and right foot API score (r = 0.215, p = 0.029), there was no significant correlation between left foot API score (r = 0.180, p>
0.05). In the subgroup analysis, the Foot Posture Index scores of the patients with risky waist / height ratio were higher than those with

normal waist / height ratio in the right foot (p = 0.016). No significant difference was found between the left foot and Foot Posture Index
scores of normal and risky waist / height ratio subjects (p> 0.05).

Conclusion: Our study showed that the Foot Posture Index score of the group with central obesity and risky WHR increased, comparing
the two groups in terms of the normal and risky waist / height ratio in adults, Signs of deterioration in foot biomechanics of individuals
with risky waist / height ratio are important and can be diagnosed early.

Anahtar Kelimeler

• Adults
• Obesity
• Waist/height ratio
• Foot posture index

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