18-25 Yaş Arası Sağlıklı Kişilerde Üst Ekstremite Antropometrik Ölçümlerin Belirlenmesi

Yıl 2019, Cilt: 16 Sayı: 3, 519 - 525, 25.12.2019

Sema Özandaç Polat , Ayşe Gül Kabakcı , Ahmet Hilmi Yücel

https://doi.org/10.35440/hutfd.624937

Öz

Amaç: Bu çalışmada, 18-25 yaş
arası sağlıklı bireylerde üst ekstremite ile ilgili morfometrik ölçümlerin
incelenmesi ve tüm vücut yüzey alanı ile el ve el ayası alanının hesaplanması
amaçlandı.

Materyal ve Metod: El izi ölçümleri
alındıktan sonra, 18-25 yaşları arasındaki 407 yetişkin bireyin (243 kadın; 164
erkek) uzunluk ve genişlik ölçümleri yapıldı ve el-el ayası indeksleri
hesaplandı. Ayrıca, kulaç uzunluğu, boy uzunluğu ve vücut ağırlığı ölçüldü.
Total vücut yüzey alanı, DuBois Formülü kullanılarak hesaplandı ve el-el ayası
alanı hesaplandı. El-el ayasının total vücut yüzey alanına oranları belirlendi.

Bulgular: Kadınlarda yaş, vücut
ağırlığı, boy uzunluğu, BKİ ve kulaç uzunluğu ortalama değerleri sırasıyla;
19,68±2,42 yıl, 55,96±8,32 kg, 164,12±5,93 cm, 20,79±3,03 kg/m2 ve 1,60±0,06 cm
olarak bulundu. Aynı değerler erkeklerde sırasıyla; 20,22±3,40 yıl, 71,48±11,98
kg, 176,96±6,26 cm, 22,80±3,44 kg/m2 ve 1,77±0,05 cm olarak ölçüldü. Ayrıca, boy
uzunluğu, vücut ağırlığı, vücut kitle indeksi ve kulaç uzunluğu ölçümlerinde
cinsiyetler arasında anlamlı farklılık bulundu. Toplam vücut yüzey alanı
kadınlarda ve erkeklerde sırasıyla 1.88±0.16 m2 ve 1.60±0.12 m2 olarak
hesaplandı. Ayrıca, erkeklerde el alanı sağ ve sol tarafta sırasıyla
156.31±11.25 m2 ve 154.71±11.92 m2 olarak bulundu. Aynı parametre kadınlarda
sırasıyla sağ ve sol tarafta 128.15±11.14 m2 ve 125.56±10.80 m2 olarak ölçüldü.
Erkeklerde el ayası alanı sağ ve sol tarafta sırasıyla 88.30±8.11 m2 ve
87.52±8.61 m2 olarak değerlendirildi. Aynı ölçümler kadınlarda sağ ve sol
tarafta sırasıyla 71.51±6.19 m2 ve 70.24±1.60 m2 olarak bulundu. Bununla
birlikte, toplam vücut yüzey alanı, el alanı, el ayası alanı, el-el ayası yüzey
alanı oranı cinsiyetler arasında anlamlı farklılık vardır. El indeksi
kadınlarda 42,33±2,97 (sağda), 41,67±2,91 (solda) bulunurken, erkeklerde aynı
değerler 41,95±3,56 (sağda) ve 42,03±2,64 (solda) olarak belirlendi.

Sonuç: Bu çalışmada sunulan
değerlendirmeler, anatomik parametreler hakkında temel bilgiler sağlayabilir.
Ayrıca kadın ve erkek popülasyon için el bölgesinde gerçekleşmesi düşünülen
cerrahi işlemlerin planlanmasında dikkate alınabilir. Ayrıca, toplam vücut
yüzey alanı, el-el ayası yüzey alan oranları, el, el ayası alanı değerleri
yanık bölgesi, yanık boyutu ve yaralanma düzeyini belirlemeye yardımcı olur.
Ölçüm sonuçları arasındaki farklılıkların ise cinsiyet, yaş, ırk, etnik
gruplar, coğrafi durumlar gibi bazı faktörlere bağlı olabileceğini
söyleyebiliriz.

Anahtar Kelimeler

Anatomy, phalanx, hand and palm shape.

The Determination of Upper Extremity Anthropometric Measurements in Healthy Subjects Aged Between 18-25 Years

Öz

Background: The present
study was aimed to analyze the morphometric measurements of upper extremity
dimensions and estimate the total body surface area, hand and palm area in
healthy subjects aged between 18-25 years.

Materials and Methods: After taking
hand tracing, the length and width measurements were performed, and hand-palm
indexes were calculated from 407 adult subjects (243 females; 164 males) aged
18 to 25 years. Also, arm span, height and weight were measured. Additionally,
total body surface area was calculated using DuBois Formula and hand and palm
area was estimated from hand tracing and the percent of hand and palm surface
area were formulated.

Results: In females,
the mean values of age, weight, height, BMI and arm span were found as
19.68±2.42 years, 55.96±8.32 kg, 164.12±5.93 cm and 20.79±3.03 kg/m2 and 1.60±0.06
m, respectively, whereas the same values were 20.22±3.40 years, 71.48±11.98 kg,
176.96±6.26 cm, 22.80±3.44 kg/m2, and 1.76±0.05 m, respectively in males.
Moreover, the significant difference was found between measurements such as
height, weight, body mass index and arm span and gender. Total body surface
area was estimated as 1.88±0.16 m2 and 1.60±0.12 m2 in males and females,
respectively. Also, hand area of males was found as 156.31±11.25 m2 and
154.71±11.92 m2 in right and left side, respectively, whereas the corresponding
value of females was measured as 128.15±11.14 m2 and 125.56±10.80 m2 in right
and left side, respectively. Palm area of males was estimated 88.30±8.11 m2 and
87.52±8.61 m2 in right and left side, respectively. The same values of females
were 71.51±6.19 m2 and 70.24±1.60 m2 in right and left side, respectively.
However, there were significant difference in measurements of hand area, palm
area, total body surface area, the percents of hand and palm surface area
between gender. The hand index was found as 42.33±2.97 (right), 41.67±2.91
(left) in females, whereas the same values were established as 41.95±3.56
(right) and 42.03±2.64 (left) in males.

Conclusions: The
observations presented in present study, can provide principal knowledge about
anatomic parameters. They need to be taken into consideration when surgical
procedures are performed in hand region for female and male population. Also,
the total body surface area, the percents of hand and palm surface area, hand
and palm area values help to determine burns area, or extent of burn and
wounds. Moreover, we can say that differences between measurements can depend
on some factors such as gender, age, race, ethnic groups, geographical
situations.

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