Obezite ve Hafif Şişmanlığın Değerlendirilmesinde Vücut Cüssesinin önemi

Abstract

Obesity, which is defined as abnormal or excessive accumulation of fat in adipose tissues in a way that disrupts human health, is among the most important health problems of our time. The aim of this study was to show that body mass index alone is insufficient and body size index is important as body mass index is important because it does not provide information about body fat amount when evaluating obesity and mild obesity indicators. According to body mass index, to show that fat percentage of individuals with thin body size is higher among individuals in the same group and fat percentage of individuals with large body size is lower. 64 males and 165 females aged between 20-50 years working in Etlik Zübeyde Hanım Gynecology Training and Research Hospital participated in the study. General characteristics of the participants were taken with face to face questionnaires. Physical activity record of the individuals was taken using the translated version of the International Physical Activity Questionnaire (IPAQ). Physical activity record results were not used for any statistical data since there was no regular sport among individuals.Weight, height, wrist circumference, elbow width, waist circumference, hip circumference and neck circumference were taken as the anthropometric measurements of the individuals. Body mass index was calculated as weight / square of length. The mean BMI of the subjects was 26.25 ± 4.45. According to BMI classification, individuals were classified as normal, overweight and obese. Waist / hip ratio and waist / height ratio were calculated. Body size was calculated by the ratio of length to wrist circumference according to height. According to body size, individuals were classified as thin, medium and large. 38 individuals participated in the study were thin body, 59 individuals were middle body, and 132 individuals were thick body. Fat percentages of the subjects were measured with Tanita MC 780. In the study a statistically significant relationship was found between fat percentage classes and body size classes in both sexes. % 46,6 of the men with a high fat percentage have a large body size, % 65,6 of women with high fat percentage have a large body size. When body mass index classification was examined no correlation was found between body size and fat percentage in normal, slightly obese and obese group in male subjects ( χ2=3,360: p=0,186). There was no significant correletaion betwwen body size and fat percentage in female slightly obese and obese groups, however a statistically significant relationsship was found between fat percentage classes and body size classes ( χ2=6,909: p=0,032). While % 46,7 of the female subjects entering the normal group had a high fat percentage, % 53,3 had a normal fat percentage.Further studies are needed to show the importance of body size when evulation slightly obesity and obesity indicators.