Yilmaz, Sevil Karahan; Özçiçek, Fatih

Aim: It was planned to evaluate different hematologic indices (neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), lymphocyte/monocyte ratio (LMR), lymphocyte/high-density lipoprotein to cholesterol ratio (LHR), neutrophil/high-density lipoprotein to cholesterol ratio (NHR), and monocyte/high-density lipoprotein to cholesterol ratio (MHR)) associated with inflammation in predicting metabolic syndrome in adults and to predict which marker is the better predictor. Materials and methods: This study comprised 399 adults between the ages of 18 and 65. Bodyweight, height, waist circumference, and blood pressure were measured; fasting blood glucose, total cholesterol, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, C-reactive protein, and hemogram values were analyzed. The International Diabetes Federation criteria were used to define metabolic syndrome. Results: The study included 133 (33.3%) males and 266 (66.4%) females with an average age of 54.3 ± 11.8 years. The prevalence of metabolic syndrome is 58.6% (male 44.3%; female 65.7%). For both men (AUC = 0.730, cutoff = 4.5) and women (AUC = 0.669, cutoff = 4.2), the NHR index has the highest AUC. LHR has the second-highest metabolic syndrome determination in men (AUC = 0.647, cutoff = 6.9). Women’s LHR (AUC = 0.626, cutoff = 6.4) and LMR (AUC = 0.757, cutoff = 4.9) had the second and third highest AUCs, respectively, while NLR and PLR were not significant in either gender (p > 0.05). Conclusion: The NHR index is a strong predictor of metabolic syndrome. In men, the NHR index is a better predictor of metabolic syndrome than the LHR index, and in women, the NHR index is better than the LHR and LMR.

Karakurt, Papatya; Kasikci, Magfiret

The purpose of this study was to evaluate the validity and reliability of the Turkish version of the Diabetes Self-Care Scale. Self-care in diabetes is influenced by various factors, and it is important that the diabetes healthcare providers evaluate the efficacy of self-care activities. Accurate and careful measurements of diabetes self-care activities/levels provide important information both for healthcare providers and researchers to enable deeper understanding of appropriate management of and attitude towards self-care in patients with diabetes. Language properties of a Turkish adaptation of the Diabetes Self-Care Scale were ensured with the translation-backtranslation method, content validity by soliciting specialist opinions. Reliability, consistency over time (test-retest reliability), item-total item correlation analysis, and internal consistency were also analyzed. Data were collected between May and July 2007. The Cronbach’s alpha reliability coefficient was 0.81. The Diabetes Self-care Scale is a valid and reliable scale to evaluate self-care activities of diabetics.