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- Title
Malatya İl Merkezinde Sağlık Ocaklarına Başvuran Obez Hastalarda İdrarda Mikroalbuminüri Sıklığı ve Etkileyen Faktörler.
- Authors
Özen, Güray; Pehlivan, Erkan
- Abstract
Aim: The purpose of this study is to determine frequency of microalbuminuria and to analyze related factors in obese patients in primary health care. Meterial and Methods: This cross-sectional analytic study included 422 obese patients (f=306, m=116) >40 who applied to primary care units in Malatya city center. The participants' weight, body mass index, body fat ratio and body fat mass, blood pressure and random plasma glucose were measured. Microalbuminuria was measured using portable Nycocard Reader II. Result: Mean age was 52.9±10.9 years. Prevelence of microalbuminuria and macroalbuminuria were found 31.5% and 6.6% respectively. While prevelence of microalbuminuria was 32.7% in women and 28.4% in men, prevelence of macroalbumiuria was 6.8% in women and 7.8% in men (p> 0.05). As age increases, frequency of macroalbuminuria also increased. Incidence of microalbuminuria in men with a waist circumference of ≥102 cm, and in women ≥88 cm was 3.1 fold higher (95% CI: 1.10<OR<8.77) compared to the rest (p<0.05). Incidence of microalbuminuria in patients with diastolic blood pressure ≥90 mmHg and with plasma glucose level of ≥200 mg/lt were 2.8 fold (95% CI:1.79<OR<4.56) and 3.2 fold (95% CI:1.32<OR<7.84) higher compared to those under (p<0.05). No other statistically significant relationship was detected regarding other parameters. Conclusion: Macroalbuminuria prevelence increased with age. Hypertension and diabetes mellitus increased the risk of microalbuminuria and macroalbuminuria in obese patients. To prevent the harmful effects on target organs, routine monitoring of microalbumin can be recommended in urine of obese patients in primary care.
- Subjects
MALATYA (Turkey); OVERWEIGHT persons; MEDICAL care; CARBOHYDRATE intolerance; PRIMARY care
- Publication
Journal of Turgut Ozal Medical Center, 2013, Vol 20, Issue 3, p220
- ISSN
1300-1744
- Publication type
Article
- DOI
10.7247/jtomc.20.3.6