Ayşe Begüm BÜYÜKSURAL, Halit FİDANCI, Şencan BUTURAK, İlker ÖZTÜRK, Mehmet YILDIZ, İzzet FİDANCI, Zülfikar ARLIER

Vücut Kitle İndeksi ve Mononöropatiler Arasındaki İlişki

Amaç: Bu çalışmada medyan, ulnar, radyal, peroneal ve siyatik sinirlerin mononöropatileri ile vücut kitle indeksi (VKİ) arasında bir ilişki olup olmadığının araştırılması amaçlandı. Gereç ve Yöntemler: Klinik ve elektrodiagnostik bulguları karpal tünel sendromu (KTS), dirsekte ulnar nöropati (DUN), spiral olukta radiyal nöropati (RNS), fibula başında peroneal nöropati (PNFB) ve intramüsküler enjeksiyona bağlı siyatik yaralanması (İMESY) ile uyumlu olan hastalar bu geriye dönük kohort çalışmasına dahil edildi. Ayrıca klinik ve elektrodiagnostik özellikleri mononöropati ile uyumlu olmayan kontroller çalışmaya dahil edildi. Tüm katılımcıların VKİ değerleri analiz edildi. Bulgular: Yüz otuz bir KTS hastası, 53 DUN hastası, 6 RNS hastası, 25 PNFB hastası, 72 İMESY hastası ve 53 kontrol bu çalışmaya dahil edildi. KTS hastalarının VKİ değeri kontrollerin (p<0,001), PNFB hastalarının (p<0,001) ve İMESY hastalarının (p<0,001) VKİ değerinden daha yüksekti. İMESY hastalarının VKİ değeri kontrollerin (p<0,001), KTS hastalarının (p<0,001) ve DUN hastalarının (p<0,001) VKİ değerinden daha düşüktü. PNFB hastalarının VKİ değeri KTS hastalarından (p<0,001) ve DUN hastalarından (p=0,004) daha düşüktü. Gruplarda VKİ değerleri ile mononöropatilerin elektrodiagnostik sınıflandırması arasında anlamlı bir korelasyon bulunmadı. Sonuç: Bu çalışma, yüksek VKİ değerinin KTS için bir risk faktörü olduğunu ve düşük VKİ değerinin ise İMESY için bir risk faktörü olduğunu göstermiştir. VKİ ve PNFB arasında da bir ilişki olabilir, ancak bu daha ileri çalışmalarla doğrulanmalıdır.

Anahtar Kelimeler:

Vücut kitle indeksi, karpal tünel sendromu, tuzak nöropati, mononöropati, siyatik sinir hasarı

The Relationship Between Body Mass Index and Mononeuropathies

Aim: The study aimed to find out whether there is a relationship between the mononeuropathies of the median, ulnar, radial, peroneal, and sciatic nerves and body mass index (BMI). Material and Methods: Patients whose clinical and electrodiagnostic findings were compatible with carpal tunnel syndrome (CTS), ulnar neuropathy at the elbow (UNE), radial neuropathy at the spiral groove (RNS), peroneal neuropathy at the fibular head (PNFH), and sciatic injury due to intramuscular injection (SNIII) were included in this retrospective cohort study. In addition, controls whose clinical and electrodiagnostic features were not compatible with mononeuropathy were included in the study. The BMI values of all participants were analyzed. Results: One hundred thirty-one CTS patients, 53 UNE patients, 6 RNS patients, 25 PNFH patients, 72 SNIII patients, and 53 controls were included in the study. The BMI of CTS patients was higher than the BMI of controls (p<0.001), PNFH patients (p<0.001), and SNIII patients (p<0.001). The BMI of SNIII patients was lower than the BMI of controls (p<0.001), CTS patients (p<0.001), and UNE patients (p<0.001). The BMI of PNFH patients was lower than that of CTS patients (p<0.001) and UNE patients (p=0.004). No significant correlation was found between BMI values and electrodiagnostic classification of mononeuropathies in the groups. Conclusion: This study showed that high BMI is a risk factor for CTS and low BMI is a risk factor for SNIII. There may also be a relationship between BMI and PNFH, but this should be confirmed by further studies.

Keywords:

Body mass index, carpal tunnel syndrome, entrapment neuropathy, mononeuropathy, sciatic nerve injury,

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