Seyit Ramazan KARADOĞAN, Funda Pınar ÇAKIROĞLU

Tip 2 Diyabetli Bireylerin Uyku Durumları ile Bazı Antropometrik Ölçüm ve Kan Değerleri Arasındaki İlişki

Tip 2 diyabet, dünyada yaklaşık 190 milyon insanı etkileyen ve teşhisi konmuş diyabetli bireylerin %95’ini oluşturan metabolik ve kronik bir rahatsızlıktır. Tip 2 diyabetin genetik, beslenme, obezite, sedanter yaşam, stres vb. risk faktörleri bulunmaktadır. Yetersiz uyku ve uyku kalitesinde görülen olumsuzlukların da diyabet için önemli risk faktörleri olabileceği güncel yaklaşımlar arasındadır. Bu yüzden analitik ve kesitsel araştırma deseninde gerçekleştirilen bu çalışma Ocak 2021-Nisan 2021 tarihleri arasında Eğirdir Kemik Eklem Hastalıkları Tedavi ve Rehabilitasyon Hastanesi Dahiliye Polikliniği’ne kayıtlı Diyet Polikliniği’ne gelen çalışmaya katılmaya gönüllü tip-2 diyabeti olan bireylerin uyku kaliteleri ile bazı antropometrik ölçüm değerleri ve kan parametreleri arasındaki ilişkiyi değerlendirmek amacıyla yapılmıştır. Gerekli etik kurul ve kurum izinleri alındıktan sonra 30-65 yaş aralığındaki 127 kadın ve 64 erkek birey olmak üzere toplam 191 bireyin katılımıyla çalışma tamamlanmıştır. Katılımcıların uyku kalitelerini belirleyebilmek için geçerlilik ve güvenilirliği 1996 yılında Ağargün ve arkadaşları tarafından yapılan Pittsburg Uyku Kalite İndeksi (PUKİ) kullanılmıştır. Sonuç olarak çalışmaya katılan kadınların uyku kalite durumları kötü olanların iyi olanlara göre vücut ağırlığı, BKİ, bel çevresi ve vücut yağ kütlesinin anlamlı derecede daha düşük; kan HbA1c, kreatin, LDL-kolesterol, HDL-kolesterol, ferritin ve Hb değerlerinin ise daha yüksek olduğu belirlenmiştir. Çalışmaya katılan erkeklerin ise uyku kalite durumları kötü olanların iyi olanlara göre kan kreatin, insülin, total kolesterol ve LDL-kolesterol değerlerinin daha yüksek, vitamin B12 düzeylerinin ise daha düşük olduğu tespit edilmiştir. Ayrıca çalışmadaki tüm katılımcıların günlük uyku süreleri azaldıkça kan HbA1c ve TG değerlerinin arttığı, BKİ değerlerinin ise azaldığı saptanmıştır (p<0,05).

Anahtar Kelimeler:

Antropometrik Ölçümler, Kan Parametreleri, Tip 2 Diyabet, Uyku Kalitesi, Uyku Süresi.

The Relationship Between Some Anthropometric Measurement and Blood Values with Sleep Status of Individuals with Type 2 Diabetes

Type 2 diabetes is a metabolic and chronic disorder that affects approximately 190 million people worldwide and accounts for 95% of individuals with diagnosed diabetes. Type 2 diabetes can be caused by genetics, nutrition, obesity, sedentary life, stress, etc. Insufficient sleep and negative sleep quality are among the current approaches that may also be important risk factors for diabetes. Therefore, this study, which was performed in analytical and cross-sectional research design, was performed the study between January 2021 and April 2021. The study was carried out with individuals with type-2 diabetes who volunteered to participate in the study, who came to the Diet Polyclinic registered in Internal Medicine Polyclinic in Eğirdir Bone Joint Diseases Treatment and Rehabilitation Hospital. The aim of the study was to evaluate the relationship between some anthropometric measurement values and blood parameters with sleep status of these individuals. After obtaining the necessary ethics committee and institutional permissions, the study was completed with 191 individuals, 127 women and 64 men, between the ages of 30-65. In order to determine the sleep quality of the participants, the Pittsburg Sleep Quality Index (PSQI), the validity and reliability of which was made by Ağargün et al. in 1996, was used. As a result, the women who participated in the study with poor sleep quality status had significantly lower body weight, BMI, waist circumference and body fat mass; blood HbA1c, creatine, LDL-cholesterol, HDL-cholesterol, ferritin and Hb values were determined to be higher. It was determined that the men with poor sleep quality had higher blood creatine, insulin, total cholesterol and LDL-cholesterol values, and lower vitamin B12 levels than the men with high sleep quality. In addition, as the daily sleep duration of all participants in the study decreased, blood HbA1c and TG values increased, while BMI values decreased (p<0.05).

Keywords:

Anthropometric Measurement, Blood Parameters, Tip 2 Diabetes, Sleep Quality, Sleep Duration,

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