Obezite Hastalar›nda Metabolik Sendrom Prevalans›

Obezite Hastalar›nda Metabolik Sendrom Prevalans›Dr. P›nar ÖZDEMIR1, Dr. Sinan KAZAN1, Uzm. Dr. Seydahmet AKIN1Uzm. Dr. Erman ÖZDEMIR2, Doç. Dr. Mehmet ALIUSTAO⁄LU11Dr. Lütfi K›rdar Kartal E¤itim ve Araflt›rma Hastanesi ‹ç Hastal›klar› Klini¤i, ‹STANBUL2Pendik Devlet Hastanesi ‹ç hastal›klar› Klini¤i, ‹STANBUL ÖzetAmaç: Obezite s›kl›kla diyabet, hiperlipidemi ve di¤er metabolik bozukluklarla bir-liktedir. Obezite ayn› zamanda metabolik sendromun (MS) bileflenlerinden biridir. Bugerçekten yola ç›karak obez hastalarda MS prevalans›n› saptamay› amaçlad›k.Metod: Bu çal›flmaya obezite poliklini¤ine baflvuran Beden Kütle ‹ndeksi (BK‹): 35kg/m2 üzerinde olan, ek hastal›¤› ve ilaç kullan›m› olmayan 90 hasta al›nd›. Hastala-r›n bel çevresi, tansiyon arteryel (TA), açl›k plazma glukozu, trigliserid ve HDL koleste-rol düzeylerine bak›ld›. Bu hastalar›n Türkiye Endokrinoloji ve Metabolizma Derne¤i-nin; MS çal›flma grubunun önerdi¤i MS tan› kriterlerine göre tan›lar› kondu.Bulgular: Hastalar›n %84,4 (76)’ü kad›n, %15,6 (14)’s› erkek idi. Ortalama BK‹:37,8 kg/m2, kad›n hastalar›n ortalama BK‹: 37,7 kg/m2, erkek hastalar›n ortalamaBK‹: 38,5 kg/m2 saptand›. Erkek hastalar›n %50’sinde, kad›n hastalar›n %47,3’ündeMS saptand›. MS tan›s› konulan hastalar›n ortalama BKI:38,58±3,2, MS tan›s› almayanhastalar›n ortalama BKI ise 37,21±2 saptand›.Sonuç: Bu veriler ›fl›¤›nda genel topluma göre MS s›kl›¤›n›n obez kad›nlarda an-laml› olarak de¤iflmedi¤i ancak obez erkeklerde yaklafl›k 2 kat artt›¤› gözlenmifltir ay-n› zamanda BKI art›fl› ile MS s›kl›¤›n›n, istatistiksel olarak anlaml›, artt›¤› saptanm›flt›r.Anahtar kelimeler: Obesite, metabolik sendrom, prevalans Obezite Hastalar›nda Metabolik Sendrom Prevalans›Dr. P›nar ÖZDEMIR1, Dr. Sinan KAZAN1, Uzm. Dr. Seydahmet AKIN1Uzm. Dr. Erman ÖZDEMIR2, Doç. Dr. Mehmet ALIUSTAO⁄LU11Dr. Lütfi K›rdar Kartal E¤itim ve Araflt›rma Hastanesi ‹ç Hastal›klar› Klini¤i, ‹STANBUL2Pendik Devlet Hastanesi ‹ç hastal›klar› Klini¤i, ‹STANBUL SummaryPrevalence of Metabolic Syndrome in Patients with ObesityAim: Obesity is often associated with hyperlipidemia and other metabolic disor-ders. Also it is one of the components of metabolic syndrome. Based on this realitywe aimed to determine metabolic syndrome prevalence of obese patients.Method: 90 patients having body mass index more than 35 kg/m2 and no his-tory of disease and no drug use were included to study. Patients' waist circumferen-ces, blood pressure, fasting plasma glucose, triglycerides, and HDL cholesterol levelswere measured. Diagnosis was made according to the Society of Endocrinology andMetabolism of Turkey Metabolic Syndrome Study Group diagnostic criteria.Results: 84.4% of the patients (76) women and 15.6% (14) were males. The me an Body Mass Index (BMI) was 37.8 kg/m2 for all pati-ents, mean BMI of women patients’ was 37.7 kg/m2 andmean BMI was 38.5 kg/m2 in men. Metabolic syndromewas detected 50% of men and 47,3% of women. BodyMass Index was 38,58±3,2 in patients diagnosed meta-bolic syndrome and was 37,21±2 in others.Conclusion: In the light of this data the frequency ofmetabolic syndrome in obese women was similar to ge-neral population, but in obese men it was detected two-fold more than general population. At the same time asignificant increase detected that metabolic syndromefrequency increases with increased BMI.Key words: Obesity, metabolic syndrome, prevalence