Kadınlarda Akustik ve Elektroglottografik Parametrelerin Beden Kitle İndeksi Bakımından İncelenmesi

Yıl 2021, Cilt: 5 Sayı: 1, 7 - 18, 24.04.2021

Göksu Yılmaz , Tuğba Kaya , Mehmet Emrah Cangi

https://doi.org/10.25048/tudod.752108

Öz

Amaç: Farklı beden kitle indeksine (BKİ) göre gruplandırılmış kadınların BKİ ile Çok Boyutlu Ses Programı – Multi-Dimensional Voice Program (MDVP) ve Elektroglottograf-Electroglottograph (EGG) ölçüm sonuçlarını incelemektir.

Gereç ve Yöntemler: Çalışma grubunu 18-25 yaş arası 96 kadın katılımcı oluşturmaktadır. Katılımcılar zayıf (n=20), normal (n=29), fazla kilolu (n=22) ve obez (n=21) olarak dört BKİ grubuna ayrılmıştır. Akustik ölçümler KAY-PENTAX CSL model 4500 ve KAYPENTAX EGG model 6103 ile gerçekleştirilmiş olup kayıtlar, /ʌ/ fonasyonu üzerinden alınmıştır. Kayıt sonunda toplanan veriler analiz edilmiş ve gruplar arası karşılaştırmalar yapılmıştır.

Bulgular: Dört BKİ grubuna ait MDVP parametreleri arasında anlamlı bir fark tespit edilmemiştir (p>0,05). Ayrıca BKİ’ye göre EGG frekans ölçüm parametrelerinden sadece ortalama jitter anlamlı farklılık gösterirken (p=0,016), bu farkın post-hoc testleri sonucunda obez ve normal grup arasında olduğu belirlenmiştir. Medyan değerler incelendiğinde bu fark, obez bireylerde 0,49 (0,27-1,03), normal bireylere 0,37 (0,24-0,6) göre daha yüksek bulunmuştur. Temel frekans (F0) değerleri ile BKİ grupları arasında ise anlamlı farklılık
gözlenmemiştir (p>0,05).

Sonuç: Kadın olgularda BKİ gruplarına göre EGG kapanma fazlarına bakıldığında, obez grubun glottal kapanış ve kapanma fazlarının yalnızca ortalama değer olarak, obez olmayan BKİ gruplarına göre daha yüksek olduğu bulunmuştur. Ek olarak glottal açılış ve açıklık fazlarının yalnızca ortalama değer olarak, obez olmayan BKİ gruplarına göre daha düşük olduğu saptanmıştır. Ayrıca EGG-frekans ölçümlerinden jitter değerinin obez grupta normal gruba göre daha yüksek çıkması, bu grupta disfoni patolojisi riskinin daha fazla olabileceğini düşündürmektedir.

Anahtar Kelimeler

Beden kitle indeksi, Obezite, Ses Telleri, Ses Özelliği

Teşekkür

Sayın Prof. Dr. Ahmet Konrot’a ve Dr. Ceki Paltura’ya yazım sürecindeki katkılarından dolayı teşekkür ederiz.

Investigation of Female Individuals Acoustic and Electroglottographic Parameters with Respect to Body Mass Index

Öz

Aim: The aim of this study is to examine the relationships between Multi-Dimensional Voice Program (MDVP) and Electroglottograph (EGG) measurement results of female individuals that are grouped according to their body mass index (BMI).

Material and Methods: 96 women who are at the ages between 18-25 have participated.Participants were divided into 4 BMI groups; weak (n=20), normal (n=29), overweight (n=22) and obese (n=21). Acoustic measurements were performed with KAY-PENTAX CSL model 4500 and KAY-PENTAX EGG model 6103. During the measurements, the participants were asked to pronounce/ʌ/ phonation.

Results: There was no significant difference between any MDVP parameters obtained from 4 BMI groups (p>0.05). Average-jitter, as one of the EGG frequency measurement parameter, has shown a significant difference (p=0.016), which was obtained from post-hoc datests of obese and normal group.According to the median value analysis, the difference was higher in obese individuals0.49 (0.27-1.03), than in normal individuals 0.37 (0.24-0.6). F0 values, obtained from MDVP and EGG, have no significant difference across any BMI group (p>0.05).

Conclusion: When the EGG closure phases examined across BMI groups, it was founded that the obese group had higher glottal closing and closing phases compared to other BMI groups, while the glottal opening and opening phases were lower than the other BMI groups. In addition, the fact that the jitter value of the EGG-frequency measurements was higher in the obese group compared to the normal
group. That suggests that the risk of dysphonia pathology may be higher in this group.

Anahtar Kelimeler

Voice quality, Body mass index, Vocal cords, Obesity

Kaynakça

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