Duygu İlke YILDIRIM, Mehmet Ali ERYILMAZ

Aterosklerotik Kardiyovasküler Hastalık Risk Skoru Bilgilendirmesinin Obezite Merkezine Başvuran Hastalarda Risk Azalmasına Etkisi

Amaç: Aterosklerotik kardiyovasküler hastalık (ASKVH), dünya çapında en yaygın mortalite ve morbidite nedenidir. Bu çalışmanın amacı 40-79 yaşları arasındaki obez hastalarda aterosklerotik kardiyovasküler hastalık risk skoru bilgisinin 3 aylık dönemde risk azalmasına etkisini değerlendirmektir. Yöntem: Bu tanımlayıcı ve kesitsel çalışma klinik etik komitesi tarafından onaylandıktan sonra çalışma Konya Obezite Merkezine başvuran ardışık 300 gönüllü hasta ile yapılmıştır. Çalışmaya katılmaya gönüllü olan 40 yaş üstü tüm hastalar dahil edildi. Koroner arter hastalığı, kalp yetmezliği, majör depresyon, aritmi tedavisi gören, 40 yaş altı ve üçüncü ay kontrollerine gelemeyen hastalar çalışma dışı bırakıldı. Obezite merkezine başvuran hastalar rutin tetkik sonuçlarına göre değerlendirilmektedir. Bulgular: Tek değişkenli analizimizde ASKVH risk skoru bilgilendirmesi, yaş, cinsiyet, meslek, medeni durum, diyabet, hiperlipidemi, SBP, WC, HC, TC, LDL, trigliseridler, glikoz, HbA1c ve AST; ASKVH riskinin önemli belirleyicileriydi. ASKVH risk skoru bilgisi (olasılık oranı [OR]: 1725,917; % 95 CI: 208,675-14275,098; p <0,001), yaş (OR: 0,936; % 95 CI: 0,882-0,994; p=0,030), cinsiyet (OR: 65,848; % 95 Cl: 11,455-378,505; p <0,001), meslek (OR: 0,410; % 95 Cl: 0,259-0,648; p <0,001) ve toplam kolesterol (OR: 0,960; % 95 Cl:0,940-0,980; p <0,001) ASKVH risk azaltımı için çok değişkenli öngörücüler olarak tanımlandı. Sonuç: Sonuç olarak, analizimiz ASKVH risk skoru bilgisi, yaş, cinsiyet, meslek ve başvuru sırasında ölçülen TC bilgisinin ASCVD risk puanlamasındaki azalmanın en güçlü belirleyicileri olduğunu gösterdi. KVH'ler açısından risk azaltımı sağlamak için, hastaların KVH risklerine ilişkin farkındalıkları çok önemli bir rol oynar.

Anahtar Kelimeler:

Aterosklerotik kardiyovasküler hastalık, bilgi, risk azaltma davranışı, obezite

The Effect of Atherosclerotic Cardiovascular Disease Risk Score Knowledge on Risk Reduction in Patients Admitted to the Obesity Center

Objectives: Atherosclerotic cardiovascular disease (ASCVD) is the most common cause of mortality and morbidity worldwide. The aim of this study was to evaluate the effect of atherosclerotic cardiovascular disease risk score knowledge in obese patients aged 40-79 years on risk reduction in 3 months. Methods: This descriptive and cross-sectional study was approved by the clinical ethics committee. The study was conducted with 300 consecutive volunteer patients who applied to Konya Obesity Center. All patients older than 40 years of age and volunteered to participate in the study were included in the study. Patients with coronary artery disease, heart failure, major depression, treated for arrhythmias, younger than 40 years of age, and those who could not come to the follow-up 3rd-month controls were excluded. The patients admitted to the obesity center were evaluated according to the results of routine examinations. Results: Knowledge of ASCVD risk score, age, gender, occupation, marital status, diabetes, hyperlipidemia, SBP, WC, HC, TC, LDL, triglycerides, glucose, HbA1c and AST were all significantly determinants of ASCVD risk in our univariate analysis. Knowledge of ASCVD (odds ratio [OR]: 1725.917; 95% confidence interval [CI]:208.675-14275.098; p<0.001), age (OR: 0.936; 95% CI:0.882-0.994; p=0.030), gender (OR: 65.848; 95% CI: 11.455-378.505; p<0.001), occupation (OR: 0.410; 95% CI: 0.259-0.648; p<0.001) and total cholesterol (OR: 0.960; 95% Cl: 0.940-0.980; p<0.001) were defined as multivariate predictors for ASCVD risk reduction. Conclusion: In conclusion, our analysis showed that knowledge of ASCVD risk score, age, gender, occupation, and TC at admission were the most potent predictors of decrease in ASCVD risk scoring. In order to achieve risk reduction regarding CVDs, patients’ awareness about knowing their CVD risk plays a crucial role.

Keywords:

Atherosclerotic cardiovascular disease, knowledge, risk reduction behaviour, obesity,

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