Özet:
Objective The objective of this study is to evaluate the
demographic characteristics, blood pressure and blood glucose
and the other related factors that affect the microalbuminuria
levels in the obese patients aged 40 and above who
applied to the primary care for medical evaluation.
Materials and methods The population of the research,
which was a cross-sectional type, comprised obese patients
aged 40 and above who had applied to the community health
centers in the center of Malatya. A total of 422 obese patients
consisting of 116 males and 306 females were included in
the research. The anthropometric measurements of the participants
were determined, their blood pressures and their
random blood glucoses were evaluated, as well. A microalbuminuria
measurement was performed in the urine samples
taken from the patients using “Nycocard Reader II” device.
Findings The incidence of microalbuminuria in patients was
found as 31.5 %, whereas the incidence of macroalbuminuria
was 6.6 %. The incidence of microalbuminuria in female
patients was 32.7 %, while it was 28.4 % in male patients; on
the other hand, the incidence of macroalbuminuria in female
patients was found as 6.8 %, whereas this percentage was
determined as 7.8 in male patients (p > 0.05). The probability
of the incidence of microalbuminuria increased 2.8 times more
in those with the diastolic blood pressure of 90 mmHg and above when compared to those without it (GA: 1.79–4.56),
whereas the incidence increased 3.2 times more in those with
the random blood glucose of 200 mg/l and above (GA: 1.32–
7.84) (p < 0.001). In our study, among the variables predicting
the microalbuminuria in obese patients; the cutoff values
of the diastolic and systolic blood pressures, the waist circumference
were found as >85 mmHg; >130 mmHg; >141 mg/
dl, respectively, in male patients and found as >85 mmHg,
>114 cm, and 109 cm, respectively, in female patients. The
sensitivity and specificity of the tests indicating the cutoff values
showed significance (p < 0.05). There was no statistically
significant relevance between the microalbumin levels of the
obese patients via the anthropometric criteria, except for their
waist circumference (p > 0.05).
Result In this study, the blood pressure and blood glucose
levels of the patients along with their waist circumference
that indicated a central obesity were specified as the determinants
of microalbuminuria. While the obese patients are
being evaluated in terms of proteinuria, the cutoff values of
these variables can be taken into consideration.
