.: ORİJİNAL ARAŞTIRMA
Kardiyovasküler Hastalığı Olan Bireylerin Antropometrik Ölçümlerinin Serum Ferritin Düzeylerine Göre Değerlendirilmesi: Tanımlayıcı Araştırma
Determination of Anthropometric Measurements by Serum Ferritin Levels of Patients with Cardiovascular Diseases: Descriptive Study
Turkiye Klinikleri J Health Sci. 2022;7(3):660-9
doi: 10.5336/healthsci.2021-86872
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Bu araştırmanın amacı, kardiyovasküler hastalığı olan bireylerin serum ferritin quartillerine göre antropometrik ölçümlerini saptamaktır. Gereç ve Yöntemler: Bu araştırma, Ağustos-Ekim 2019 tarihleri arasında yapılmıştır. Araştırma, Gaziantep Dr. Ersin Arslan Eğitim ve Araştırma Hastanesi Endokrinoloji ve Metabolizma Polikliniğine başvuran ve hekim tarafından genel sağlık muayenesi yapılmış, çalışmaya katılmayı gönüllü olarak kabul etmiş, 20-64 yaş arasında 59 (%57,3) erkek ve 44 (%42,7) kadın olmak üzere toplam 103 erişkin birey üzerinde yürütülmüştür. Bireylerin vücut ağırlığı (kg), boy uzunluğu (cm), bel çevresi (cm), kalça çevresi (cm), üst orta kol çevresi (cm) gibi antropometrik ölçümleri alınmıştır. Bireylerin bel/boy ve bel/kalça oranı, beden kitle indeksi (kg/m2) hesaplanmıştır. Bireylerin serum ferritin düzeyleri, küçükten büyüğe doğru sıralanıp %25'lik 4 gruba ayrılarak, quartil (çeyreklik) sınıflamaları yapılmıştır. Bulgular: Erkeklerin yaş ortalaması 52,9±10,15 yıl, kadınların yaş ortalaması ise 51,6±11,71 yıl olup, toplam yaş ortalaması 52,3±10,81 yıl olarak belirlenmiştir. Bireylerin cinsiyete ve ferritin quartillerine göre antropometrik ölçümlerinin ortalama ve alt-üst değerleri incelendiğinde, bel/kalça ve bel/boy oranında her 2 cinsiyette ferritin quartillerine göre istatistiksel olarak anlamlı bir farklılık bulunmamıştır (p>0,05). Bireylerin insülin direnci varlığına göre serum ferritin düzeyleri ve antropometrik ölçümler arasındaki ilişki incelendiğinde, tüm bireylerde bel/kalça oranı ile serum ferritin arasında pozitif bir korelasyon görülmüştür ve istatistiksel olarak anlamlı bulunmuştur (p<0,05). Sonuç: Kardiyometabolik hastalıkların patofizyolojsinde önemli bir biyokimyasal belirteç olan serum ferritin seviyeleri ile antropometrik ölçümlerde, özellikle bel/kalça ve bel/boy oranı kardiyovasküler hastalıklar ve bunlarla ilişkili komplikasyonları önden tahmin etmede güvenilir antropometrik ölçümler olarak halk sağlığında kullanılabilir.
Anahtar Kelimeler: Antropometri; ferritin; metabolik sendrom; kardiyovasküler hastalıklar
Amaç: Bu araştırmanın amacı, kardiyovasküler hastalığı olan bireylerin serum ferritin quartillerine göre antropometrik ölçümlerini saptamaktır. Gereç ve Yöntemler: Bu araştırma, Ağustos-Ekim 2019 tarihleri arasında yapılmıştır. Araştırma, Gaziantep Dr. Ersin Arslan Eğitim ve Araştırma Hastanesi Endokrinoloji ve Metabolizma Polikliniğine başvuran ve hekim tarafından genel sağlık muayenesi yapılmış, çalışmaya katılmayı gönüllü olarak kabul etmiş, 20-64 yaş arasında 59 (%57,3) erkek ve 44 (%42,7) kadın olmak üzere toplam 103 erişkin birey üzerinde yürütülmüştür. Bireylerin vücut ağırlığı (kg), boy uzunluğu (cm), bel çevresi (cm), kalça çevresi (cm), üst orta kol çevresi (cm) gibi antropometrik ölçümleri alınmıştır. Bireylerin bel/boy ve bel/kalça oranı, beden kitle indeksi (kg/m2) hesaplanmıştır. Bireylerin serum ferritin düzeyleri, küçükten büyüğe doğru sıralanıp %25'lik 4 gruba ayrılarak, quartil (çeyreklik) sınıflamaları yapılmıştır. Bulgular: Erkeklerin yaş ortalaması 52,9±10,15 yıl, kadınların yaş ortalaması ise 51,6±11,71 yıl olup, toplam yaş ortalaması 52,3±10,81 yıl olarak belirlenmiştir. Bireylerin cinsiyete ve ferritin quartillerine göre antropometrik ölçümlerinin ortalama ve alt-üst değerleri incelendiğinde, bel/kalça ve bel/boy oranında her 2 cinsiyette ferritin quartillerine göre istatistiksel olarak anlamlı bir farklılık bulunmamıştır (p>0,05). Bireylerin insülin direnci varlığına göre serum ferritin düzeyleri ve antropometrik ölçümler arasındaki ilişki incelendiğinde, tüm bireylerde bel/kalça oranı ile serum ferritin arasında pozitif bir korelasyon görülmüştür ve istatistiksel olarak anlamlı bulunmuştur (p<0,05). Sonuç: Kardiyometabolik hastalıkların patofizyolojsinde önemli bir biyokimyasal belirteç olan serum ferritin seviyeleri ile antropometrik ölçümlerde, özellikle bel/kalça ve bel/boy oranı kardiyovasküler hastalıklar ve bunlarla ilişkili komplikasyonları önden tahmin etmede güvenilir antropometrik ölçümler olarak halk sağlığında kullanılabilir.
Anahtar Kelimeler: Antropometri; ferritin; metabolik sendrom; kardiyovasküler hastalıklar
ABSTRACT
Objective: The aim of this study is to determine anthropometric measurements of patients with cardiovascular disease according to serum ferritin quartiles. Material and Methods: This research was conducted between August-October 2019. General health examination was performed by physician who applied to Ersin Arslan Training and Research Hospital Endocrinology and Metabolism Clinic. It was conducted on total of 103 individuals, between 20-64 ages, 59 (%57,3) males and 44 (%42,7) females. Anthropometric measurements such as body weight (kg), height (cm), waist circumference (cm), hip circumference (cm), upper-middle arm circumference (cm) were taken. Waist/height ratio, waist/hip ratio, body mass index (kg/m2) of individuals were calculated. Serum ferritin levels of individuals were classified from small to large and divided into 4 groups of quartiles of 25%. Results: The average age of men was 52.9±10.15 years, 51.6±11.71 years for women, total average age was 52.3±10.81 years. Values of anthropometric measurements according to gender and ferritin quartiles were analyzed and no statistically significant difference was found in waist/hip ratio and waist/height ratio compared to ferritin quartiles in both genders (p>0.05). Relationship between serum ferritin levels and anthropometric measurements according to insulin resistance of individuals was investigated, a positive correlation was found between waist/hip ratio and serum ferritin in all individuals, and it was found statistically significant (p<0.05). Conclusion: Serum ferritin levels, which are important biochemical indicators in pathophysiology of cardiometabolic diseases, within anthropometric measurements, especially waist/hip ratio and waist/height ratio, can be used in public health nutrition as reliable anthropometric measurements to predict cardiovascular diseases and their related complications.
Keywords: Anthropometry; ferritin; metabolic syndrome; cardiovascular diseases
Objective: The aim of this study is to determine anthropometric measurements of patients with cardiovascular disease according to serum ferritin quartiles. Material and Methods: This research was conducted between August-October 2019. General health examination was performed by physician who applied to Ersin Arslan Training and Research Hospital Endocrinology and Metabolism Clinic. It was conducted on total of 103 individuals, between 20-64 ages, 59 (%57,3) males and 44 (%42,7) females. Anthropometric measurements such as body weight (kg), height (cm), waist circumference (cm), hip circumference (cm), upper-middle arm circumference (cm) were taken. Waist/height ratio, waist/hip ratio, body mass index (kg/m2) of individuals were calculated. Serum ferritin levels of individuals were classified from small to large and divided into 4 groups of quartiles of 25%. Results: The average age of men was 52.9±10.15 years, 51.6±11.71 years for women, total average age was 52.3±10.81 years. Values of anthropometric measurements according to gender and ferritin quartiles were analyzed and no statistically significant difference was found in waist/hip ratio and waist/height ratio compared to ferritin quartiles in both genders (p>0.05). Relationship between serum ferritin levels and anthropometric measurements according to insulin resistance of individuals was investigated, a positive correlation was found between waist/hip ratio and serum ferritin in all individuals, and it was found statistically significant (p<0.05). Conclusion: Serum ferritin levels, which are important biochemical indicators in pathophysiology of cardiometabolic diseases, within anthropometric measurements, especially waist/hip ratio and waist/height ratio, can be used in public health nutrition as reliable anthropometric measurements to predict cardiovascular diseases and their related complications.
Keywords: Anthropometry; ferritin; metabolic syndrome; cardiovascular diseases
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