Akademik Veri Yönetim Sistemi
10TH INTERNATIONAL "BAŞKENT" CONGRESS ON MEDICINE, NURSING, AND HEALTH SCIENCES, 28 - 30 Ekim 2023, ss.70-71
Lipedema is a disease that mostly seen in women due to adipose tissue dysfunction and is characterized by symmetrical enlargement of the bottoms and legs. The aim of this study was to investigate the relationship between lower extremity functions and quality of life in female patients with lipedema. Materials and Methods: Female patients who were diagnosed with lipedema by a cardiovascular surgeon and applied to receive physiotherapy recommendations were informed about the study and the voluntary participants were evaluated. 53 female patients who were 18 years of age or older, had no communication, cognitive and mental problems, and were literate in Turkish were included in the study. Age, body weight, height, background characteristics, marital status, employment status, educational level and smoking habits were recorded. Body mass index, waist hip ratio and waist height ratio were calculated. Age at onset, type and stage of lipedema were determined. Characteristics related to lipedema and the treatments received for lipedema were recorded. Turkish versions of the Lower Extremity Functional Scale (LEFS) was applied to assess lower extremity function, Lymphoedema Life Impact Scale (LYIS) was applied to evaluate quality of life (QoL) and Lymphoedema Functionality, Disability and Health Questionnaires for Lower Extremity Lymphoedema was applied to evaluate QoL developed specifically for individuals with lower extremity lymphoedema and the relationships between them were examined. Results: The mean age was 46 (22-79) years, body weight 82.08±17.19 kg, and height 163.08±5.62 cm. In their medical histories, 71.7% (n:38) had circulatory disorders, 26.4% (n:14) had thyroid dysfunction, 26.4% (n:14) had gonarthrosis, 18.9% (n:10) had hypertension, 13.2% (n:7) had Diabetes Mellitus, 13.2% (n:7) had cardiac problems, and 3.8% (n:2) had renal disease.73.6% were married, 52.8% were employed, 56.6% were university graduates and 22.6% were smokers. Body mass index was 30.92±6.35 kg/m2, waist hip ratio was 0.78±0.07 and waist height ratio was 0.55±0.07. The mean age at onset of lipedema was 25.34±14.63 years, and the distribution according to lipedema types was 1.9% type 1, 24.5% type 2, 37.7% type 3 and 35.9 % type 4. The distribution of lipedema stages was 15.09% in stage 1, 58.49% in stage 2, 16.99% in stage 3 and 9.4% in stage 4. Among the features related to lipedema, easy bruising was present in 90.6%, presence of fat pads and skin thickening in 88.7%, and failed diet in 69.8%. And 75.5% of the patients had not received any previous lipedema treatment. There was a significant negative correlation between AEFS and LYIS (r:-0.714) and between AEFS and lICF-LL 7110th International Baskent Congress on Medicine, Nursing, and Health Sciences (r:-0.80) and a significant positive correlation between LYIS and Lymph ICF-LL (r:0.811) (p<0.05). Conclusion: It was concluded that in patients with bilateral lymphedema of the lower extremities due to lipedema, as lower extremity function decreases, quality of life, which is examined both in general and specifically for patients with lower extremity lymphedema, is negatively affected. Keywords: Lipedema, Lymphoedema, Quality of life, Lower extremity