Samsun İl Merkezinde Obezite Prevalansı Ve Obezite Arteriyel Kan Basıncı İlişkisi

Prevalence of Obesity in Samsun Province and Relationship Between Obesity and Blood Pressure Obesity is an important public health problem because it is highly correlated to atherosclerosis and coronary heart disease and effects the quality of life. In this study, the prevalence of obesity is determined in a study group of 420 adults (210 women, 210 men) over 20 years of age, selected by 30 cluster sampling process between February 15 - March 20 1999 in Samsun province. A questionnaire was applied to the study group and height, body weight and blood pressure measurements were taken from all participants. Body mass index (BMI) is used to evaluate obesity. Participants with body mass index of equal or more than 25 kg/m2 are defined as obese and less than that as normal. The prevalence of obesity was 69.8% (73.3% in women, 66.2% in men) in Samsun province. The mean BMI in women and men were 29.8±0.3 kg/m2 and 26.8±0.3 kg/m2 respectively, and the difference was statistically significant (p<0.001). The mean age of obese and normal participants were 53.1±0.9 and 39.7±1.5 years respectively and there was a statistically significant difference between them. There was also a positive correlation between BMI and age (r=0.31, p<0.001). Mean systolic and diastolic pressures were higher in women than in men (p<0.01) and obese than in normals (p<0.001). 43.7% of die obese group were hypertensive and 86.3% of hypertensives were obese. There was a positive correlation between obesity and systolic (r=0.45, p<0.001) and diastolic (r=0.44, p<0.001) blood pressures. In conclusion, obesity was associated with sex, age, systolic and diastolic blood pressures. In prevention of atherosclerosis and coronary heart diseases obesity and blood pressures should be evaluated together. Obezite, ateroskleroz ve koroner kalp hastaligina neden olmasi ve bireyin yasam kalitesini etkilemesi nedeniyle onemli bir halk sagligi sorunudur.Bu calismada Samsun il merkezinde 15 Şubat- 20 Mart 1999 tarihleri arasinda, 20 yas uzeri eriskinlerden 30 kume ornekleme yontemiyle secilen 210 kadin ile 210 erkek, toplam 420 kiside obezite prevalansi arastirilmistir. Secilen kisilere anket formu uygulanmis; boy, agirlik ve kan basinci olcumleri yapilmistir. Vucut kitle indeksi (VKI) hesaplanmis, VKI 25 kg/m2'nin altinda olanlar "normal", VKI 25 kg/m2 ve uzerinde olanlar ise "obez" olarak kabul edilmistir. Samsun il merkezinde; obezite prevalansi kadinlarda %73.3, erkeklerde %66.2 olup, genel obezite prevalansi %69.8 olarak saptanmistir. Kadinlarin VKI ortalamasi 29.8±0.3 kg/m2, erkeklerin 26.8±0.3 kg/m2'dir. VKI acisindan cinse gore Istatistiksel olarak anlamli fark saptanmistir (p<0.001). Obez kisilerin yas ortalamasi 53.1+0.9 yil, normal kisilerin 39.7±1.5 yildir (p<0.001). VKI ile yas arasinda anlamli, pozitif bir iliski saptanmistir (r=0.31, p<0.001). Sistolik ve diastolik kan basinclari, istatistiksel olarak kadinlarda erkeklerden(p<0.01), obezlerde normallerden (p<0.001) daha yuksektir. Obez bireylerin %43.7'si hipertansif, hipertansif bireylerin %86.3'u obezdir. VKI ile sistolik kan basinci (r=0.45, p<0.001) ve diastolik kan basine.i(r=0.44, p<0.001) arasindaki iliskide istatistiksel olarak anlamli bulunmustur. Sonuc olarak obezite ile cinsiyet, yas, sistolik ve diastolik kan basinclari arasinda iliski saptanmistir. Ateroskleroz ve koroner kalp hastaliginin onlenmesi icin, kisilerin saglik kontrollerinde obezite ve arteriyel kan basinci birlikte ele alinmalidir.