Abdominal Aort Kalsifik plak oluşumu ile Vücut Kitle İndeksi arasındaki ilişkinin MDCT ile araştırılması

Cilt: 37 Sayı: 3 10 Ocak 2015
PDF İndir
EN TR

Investigation of the relationship between Abdominal Aortic Calcified Plaques deter-mined by multidetector computed tomogra-phy (MDCT) and Body Mass Index (BMI)

Abstract

SUMMARY

Objective: Potential correlation between abdominal aortic atherosclerosis measured by multidetector computed tomography (MDCT) and body mass index (BMI) is investigated in this presented study.

Method: The presented study includes 228 patients between July 2013 and January 2014 in our clinic. Calcium scores of abdominal aortic calcified plaques (AaCs) between celiac trunk and iliac bifurcation in axial sections were measured as Agatston units (AU.). Following the abdominal computed tomography (CT) scans, all patient’s heights and weights were obtained from medical reports. Their body mass indexes (BMI) were calculated by dividing these two variables. Patients were then grouped according to World Health Organization Expert Committee on Physical Status. BMIs under 25 kg/m2 were categorized as normal weighted group (Group 1), BMIs between 25 - 29.9 kg/m2 were grouped as overweighted (Group 2), and BMIs equal or over 30 kg/m2 were accepted as obese group (Group 3).

Results: Mean BMIs - AaCs in Group 1, 2, and 3 were found to be 22.3 ± 1.6 - 254 ± 597 AU, 27.4 ± 1.4 - 244.5 ± 496.7 AU, 33.4 ± 2.6 - 368.2 ± 604.5 AU, respectively.

Conclusions: According to correlation analysis, no significant correlation was observed between BMI and AaCs in these subgroups.

Keywords: Multidedector computed tomography, body mass index, arteriosclerosis, calcification

ÖZET

Amaç: Bu çalışmada, multidedektörlü BT (MDBT) ile ölçülmüş abdominal aort aterosklerozu ve vücut kitle indeksi arasında olası ilişki araştırıldı.

Yöntem: Çalışmamız kliniğimizde temmuz 2013 ve ocak 2014 tarihleri arasında kontrassız abdominal BT çekilen 228 kişiyi içermektedir. BT aksiyel kesitlerde çöliyak trunkus ve iliak bifurkasyon arasında abdominal aort kalsifik plaklarının kalsiyum skorları (AaCs) Agatston üniti (a.u) olarak ölçüldü Tüm hastalarımızın abdominal BT çekim sonrasında, boy (İnsan baskülü, NAN TARTI AŞ, Türkiye) ve kiloları (TANITA Body Composition Analyzer, TANITA Corporation, Japan) ölçüldü. Vücut kitle indeksleri hesaplandı. BMI’i 25 kilogram (kg)/metrekare (m2) nin altında olanlar (BMI<25 kg/m2) normal kilolu (Grup 1), 25 kg/m2 ile 29,9 kg/m2 arasında olanlar (25 kg/m2 ≤BMI<29,9 kg/m2) aşırı kilolu (Grup 2), 30 kg/m2 ve üstünde olanlar (30 kg/m2≤ BMI) obez (Grup 3) kabul edildi.

Bulgular: Çalışmaya katılan tüm bireylerin yaş dağılımı; minimum(min) 20 yıl (y), maksimum(max) 87 yıldır (ortalama ± standart sapma 44,1 ± 14,2 y). Bu kişilerin 150’si (%65,8) erkek, 78’i (%34,2) kadındır. Çalışmaya katılanlar arasında; Aortik kalsiyum skoru (AaCs) min 0 au, max 2201 au (ortalama ± standart sapma 286,3 ± 561,5), BMI min 18, max 41 (ortalama ± standart sapma 27,9 ± 4,7) olarak tespit edildi.

Sonuç: BMI grupları ile AaCs arasında korelasyon analizi yapıldı. Anlamlı ilişki tespit edilmedi (Grafik 1).

Anahtar sözcükler: Multidedektörlü bilgisayarlı tomografi, vücut kitle indeksi, arteriyoskleroz, kalsifikasyon

Keywords

Kaynakça

  1. Flegal KM, Carroll MD, Kuczmar- ski RJ. Overweight and obesity in the United States: prevalence and trends. Int J Obes Relat Metab Disord 1998; 22: 39-47.
  2. Flegal KM, Carroll MD, Ogden CL. Prevalence and trends in obe- sity among US adults. JAMA 2002; 2881723-7.
  3. Ogden CL, Carroll MD, Curtin LR. Prevalence of overweight and obesity in the United States. JA- MA 2006; 295: 1549-55.
  4. Wong ND, Hsu JC, Detrano RC. Coronary artery calcium evalua- tion by electron beam computed tomography and its relation to new cardiovascular events. Am J Car- diol 2000; 86: 495-8.
  5. Arad Y, Spadaro LA, Goodman K. Predictive value of electron beam computed tomography of the coro- nary arteries. 19-month follow-up of 1173 asymptomatic subjects. Circulation 1996; 93: 1951-3.
  6. Detrano R, Guerci AD, Carr JJ. Coronary calcium as a predictor of coronary events in four racial or ethnic groups. N Engl J Med 2008; 358: 1336-45.
  7. Poirier P, Giles TD, Bray GA. Obesity and cardiovascular dis- ease: pathophysiology, evaluation and effect of weight loss: an up- date of the 1997 American Heart Association scientific statement on obesity and heart disease from the Obesity Committee of the Council on Nutrition, physical activity, and metabolism. 113: 898-918. 2006;
  8. Rosengren A, Wedel H, Wilhelm- sen L. Body weight and weight gain during adult life in men in re- lation to coronary heart disease and mortality. A prospective popu- lation study. Eur Heart J 1999; 20: 269-77.

Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yazarlar

Duran Efe

Melda Yıldız

Kazım Gemici

Yayımlanma Tarihi

10 Ocak 2015

Gönderilme Tarihi

10 Ocak 2015

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 1970 Cilt: 37 Sayı: 3

Kaynak Göster

AMA
1.Efe D, Acar T, Aygün F, Yıldız M, Gemici K. Investigation of the relationship between Abdominal Aortic Calcified Plaques deter-mined by multidetector computed tomogra-phy (MDCT) and Body Mass Index (BMI). CMJ. 2015;37(3):206-212. doi:10.7197/cmj.v37i3.5000086231