\u00c7al\u0131\u015fmada hastalar, kan al\u0131m\u0131ndan \u00f6nceki son \u00f6\u011f\u00fcn ile kan al\u0131m\u0131 aras\u0131nda ge\u00e7en s\u00fcreye g\u00f6re 8 saatten az, 8-12 saat ve 12 saatten uzun s\u00fcre a\u00e7 kalanlar \u015feklinde \u00fc\u00e7 gruba ayr\u0131ld\u0131. Yeterli say\u0131da \u00f6l\u00e7\u00fcm bulunan 121 farkl\u0131 laboratuvar testi incelendi.<\/p>\n
\u0130lk de\u011ferlendirmede 121 testin 27’sinde a\u00e7l\u0131k s\u00fcreleri aras\u0131nda klinik a\u00e7\u0131dan anlaml\u0131 olabilecek farkl\u0131l\u0131klar g\u00f6r\u00fcld\u00fc. Ara\u015ft\u0131rmac\u0131lar, ya\u015f, hastal\u0131klar, kullan\u0131lan ila\u00e7lar ve metabolik \u00f6zellikler gibi ki\u015fisel farkl\u0131l\u0131klar\u0131n etkisini azaltmak amac\u0131yla ayn\u0131 ki\u015filerin farkl\u0131 a\u00e7l\u0131k s\u00fcrelerindeki sonu\u00e7lar\u0131n\u0131 da kar\u015f\u0131la\u015ft\u0131rd\u0131. Bu analizde a\u00e7l\u0131k s\u00fcresinden anlaml\u0131 \u015fekilde etkilenen test say\u0131s\u0131 10 olarak belirlendi.<\/p>\n
Glukoz ve trigliseridde farkl\u0131l\u0131k g\u00f6r\u00fcld\u00fc<\/p>\n
Ayn\u0131 ki\u015filerin sonu\u00e7lar\u0131n\u0131n kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131nda, 8 saatten k\u0131sa a\u00e7l\u0131k ile 12 saatten uzun a\u00e7l\u0131k aras\u0131nda baz\u0131 testlerde farkl\u0131l\u0131klar tespit edildi.<\/p>\n
8 saatten k\u0131sa a\u00e7l\u0131kta glukoz d\u00fczeyi yakla\u015f\u0131k y\u00fczde 10,8, trigliserid y\u00fczde 20,1, GGT y\u00fczde 14,8 ve lipaz y\u00fczde 36,4 daha y\u00fcksek bulundu.<\/p>\n
Ara\u015ft\u0131rmada, ilk 8 saat i\u00e7inde a\u00e7l\u0131k s\u00fcresi uzad\u0131k\u00e7a glukoz d\u00fczeyinin azald\u0131\u011f\u0131 ve her ek a\u00e7l\u0131k saatiyle kan \u015fekerinde ortalama yakla\u015f\u0131k 4,3 mg\/dL d\u00fc\u015f\u00fc\u015f g\u00f6r\u00fcld\u00fc\u011f\u00fc belirtildi.<\/p>\n
Buna kar\u015f\u0131l\u0131k hemogram parametreleri, total kolesterol ve HDL gibi bir\u00e7ok rutin laboratuvar testinde a\u00e7l\u0131k s\u00fcresine ba\u011fl\u0131 de\u011fi\u015fikliklerin klinik anlaml\u0131l\u0131k s\u0131n\u0131rlar\u0131n\u0131 a\u015fmad\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc. Son \u00fc\u00e7 ayl\u0131k ortalama kan \u015fekeri d\u00fczeyini g\u00f6steren HbA1c’nin de a\u00e7l\u0131k s\u00fcresinden belirgin \u015fekilde etkilenmedi\u011fi kaydedildi.<\/p>\n
8-12 saatlik a\u00e7l\u0131k ile daha uzun s\u00fcre aras\u0131nda anlaml\u0131 fark saptanmad\u0131<\/p>\n
\u00c7al\u0131\u015fmada 8-12 saat a\u00e7 kalan ki\u015filer ile 12 saatten uzun s\u00fcre a\u00e7 kalanlar da kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. De\u011ferlendirilen testlerde iki grup aras\u0131nda klinik a\u00e7\u0131dan anlaml\u0131 ek bir fark bulunmad\u0131.<\/p>\n
\n
Atak\u00f6y Medicana Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Burak Uzel, \u00e7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131na ili\u015fkin de\u011ferlendirmesinde, her kan testi i\u00e7in ayn\u0131 a\u00e7l\u0131k s\u00fcresinin uygulanmas\u0131n\u0131n gerekli olmayabilece\u011fini belirtti.<\/p>\n
Uzel, \u201cGlukoz ve trigliserid gibi baz\u0131 testler son \u00f6\u011f\u00fcnden ge\u00e7en s\u00fcreden belirgin \u015fekilde etkilenirken, \u00e7ok say\u0131da rutin laboratuvar testinde a\u00e7l\u0131k s\u00fcresinin klinik a\u00e7\u0131dan \u00f6nemli bir de\u011fi\u015fikli\u011fe yol a\u00e7mad\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcyor\u201d dedi.<\/p>\n
A\u00e7l\u0131k gereken testlerde uygun s\u00fcrenin \u00f6nemli oldu\u011funu belirten Uzel, 8-12 saatlik a\u00e7l\u0131k ile 12 saatten uzun a\u00e7l\u0131k aras\u0131nda klinik olarak anlaml\u0131 ek bir fark g\u00f6sterilmedi\u011fine dikkati \u00e7ekti.<\/p>\n
\u201cT\u00fcm kan tahlilleri tok karn\u0131na yap\u0131labilir sonucu \u00e7\u0131kar\u0131lmamal\u0131\u201d<\/p>\n
Ara\u015ft\u0131rman\u0131n \u201cart\u0131k b\u00fct\u00fcn kan tahlilleri tok karn\u0131na yap\u0131labilir\u201d \u015feklinde yorumlanmamas\u0131 gerekti\u011fini vurgulayan Uzel, \u00f6zellikle glukoz ve trigliserid gibi baz\u0131 testlerde son \u00f6\u011f\u00fcnden ge\u00e7en s\u00fcrenin \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 ifade etti.<\/p>\n
Uzel, a\u00e7l\u0131k ins\u00fclini gibi belirli ko\u015fullarda de\u011ferlendirilmesi gereken testlerin de bulundu\u011funu belirterek, \u201cBuradaki temel mesaj, her laboratuvar testinin ayn\u0131 olmad\u0131\u011f\u0131d\u0131r. Hastaya hangi testlerin yap\u0131laca\u011f\u0131na bak\u0131larak a\u00e7l\u0131k gerekip gerekmedi\u011fine karar verilmesi daha do\u011fru bir yakla\u015f\u0131m olabilir\u201d ifadelerini kulland\u0131.<\/p>\n
Uzun s\u00fcreli a\u00e7l\u0131\u011f\u0131n \u00f6zellikle ileri ya\u015ftaki ki\u015filerde, diyabet tedavisi g\u00f6renlerde veya d\u00fczenli ila\u00e7 kullananlarda g\u00fcnl\u00fck rutini ve ila\u00e7 kullan\u0131m\u0131n\u0131 etkileyebilece\u011fini belirten Uzel, hastalar\u0131n a\u00e7l\u0131k s\u00fcresini kendi ba\u015flar\u0131na de\u011fi\u015ftirmemeleri gerekti\u011fini s\u00f6yledi.<\/p>\n
Uzel, \u201cHangi testin istendi\u011fini biliyorsak, o test i\u00e7in ger\u00e7ekten a\u00e7l\u0131k gerekip gerekmedi\u011fini de belirleyebiliriz. Ama\u00e7 hastay\u0131 m\u00fcmk\u00fcn oldu\u011funca uzun s\u00fcre a\u00e7 b\u0131rakmak de\u011fil, do\u011fru test i\u00e7in do\u011fru ko\u015fullar\u0131 sa\u011flamak olmal\u0131\u201d dedi.<\/p>\n
Ara\u015ft\u0131rma, Shin S, Kim S, Yu S ve arkada\u015flar\u0131 taraf\u0131ndan \u201cFasting Duration and Differences Across Routine Laboratory Tests\u201d ba\u015fl\u0131\u011f\u0131yla JAMA Internal Medicine’da 28 Eyl\u00fcl 2026’da yay\u0131mland\u0131.<\/p>\n
<\/strong> \u0130stanbul, 1 Ekim (Hibya) -JAMA Internal Medicine’da yay\u0131mlanan bir ara\u015ft\u0131rma, rutin laboratuvar testleri \u00f6ncesinde a\u00e7l\u0131k s\u00fcresinin test sonu\u00e7lar\u0131 \u00fczerindeki etkisini inceledi. Ara\u015ft\u0131rmada 101 bin 148 yeti\u015fkine ait 1 milyondan fazla kan \u00f6rne\u011finden elde edilen 9 milyon 755 bin 547 laboratuvar sonucu de\u011ferlendirildi.<\/p>\n","protected":false},"author":1,"featured_media":159927,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"googlesitekit_rrm_CAow07ekDA:productID":"","footnotes":""},"categories":[4],"tags":[],"class_list":["post-159926","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dunya"],"_links":{"self":[{"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/159926","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=159926"}],"version-history":[{"count":0,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/159926\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/media\/159927"}],"wp:attachment":[{"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=159926"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=159926"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ekonomigundemi.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=159926"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nEKONOM\u0130 GAZETES\u0130 <\/p>\n","protected":false},"excerpt":{"rendered":"