Arif AYDIN, Mahmut Sami TUZCU, Adeviye ELÇİ ATILGAN, Mehmet Giray SÖNMEZ, Serkan ÖZCAN, Yunus Emre GÖGER, Mehmet BALASAR

Metabolik Sendrom İlişkili Parametrelerin Aşırı Aktif Mesane Üzerine Etkisi

Amaç: Aşırı aktif mesane(AAM) ani sıkışma ile karakterize ve yaşam kalitesini olumsuz etkileyen bir durumdur. Yaş, obezite, parite, diabetes mellitus (DM), hiperlipidemi gibi durumların aşırı aktif mesane ile ilişkisi olduğu gösterilmiştir. Bu çalışmada aile hekimliği polkliniğine ürolojik semptomlar dışında başvuran hastaların boy,kilo, bel ve kalça çevresi, beden kütle endeksi gibi demografik verileri ile birlikte glukoz, kolesterol, hemoglobin gibi laboratuar verilerinin aşırı aktif mesane ile ilişkisi araştırılmıştır. Gereç ve Yöntemler: Aile hekimliği polikliniğine başvuran 100 kadın hastanın yaş, boy, kg, beden kütle endeksi(BMI), bel/kalça oranı, bel/boy oranı gibi demografik verileri ile birlikte, kan glukoz, kolesterol, trigliserit (TG), Hemoglobin, TSH, Vit D3, Vit B12 gibi laboratuar değerlerinin bu hastalara doldurulan AAM semptom skoru (OAB-V8) anketinin sonuçları ile karşılaştırıldı ve etkisi değerlendirildi.Bulgular: Hastaların OAB-V8 semptom skorunu; yaş, kg, BMI, Bel çevresi, Bel/kalça oranı, bel/boy oranı ve total kolesterol değerleri ile arasında korelasyon olduğu tespit edildi. Total kolesterol yüksekliği, birden çok kronik hastalık varlığı, hemoglobinin 12’den yüksek olması ve santral tip obezitenin aşırı aktif mesane semptom skoru anket puanını artırdığı saptandı. Sonuç: Aşırı aktif mesane multifaktöriyel bir hastalık olup yaş, santral tip obezite ve birden fazla kronik hastalık varlığı AAM semptomları üzerinde etkili olabilir.

Anahtar Kelimeler:

AAM, Obezite, yaş, OAB-V8, Hiperlipidemi

Effect of Metabolic Syndrome-Related Parameters on Overactive Bladder

Objective: Over active bladder (OAB) is a situation characterized by urgency which negatively affects quality of life. Associations have been shown between situations like age, obesity, parity, DM and hyperlipidemia with OAB. In this study, patients attending a family practice clinic without urologic symptoms had demographic and laboratory data researched for correlation with OAB.Material and Methods: A total of 100 female patients attending a family practice clinic had demographic features like age, height, weight, BMI, waist/hip ratio, and waist/height ratio and laboratory values like blood glucose, cholesterol, TG, hemoglobin, TSH, vitamin D3 and vitamin B12 compared for their effect on the OAB-V8 survey.Results: The OAB-V8 symptom score of patients was identified to have correlations with age, weight, BMI, waist circumference, waist-hip ratio, waist-height ratio and total cholesterol levels. Elevated total cholesterol, presence of more than one chronic disease, hemoglobin above 12 and central-type obesity were identified to increase OAB-V8 symptom score.Conclusion: OAB is a multifactorial disease and age, central-type obesity and more than one chronic disease may affect OAB symptoms.

Keywords:

OAB, Obesity, Age, OAB-V8, DM,

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