Abdulkerim Özhan1, Murat Baştopçu2, Cemal Kocaaslan3, Mehmet Şenel Bademci3, Ahmet Öztekin1, Fatih Avni Bayraktar3, Betül Nur Keser3, Ebuzer Aydın3

1Clinic of Cardiovascular Surgery, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, İstanbul, Türkiye
2Clinic of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
3Clinic of Cardiovascular Surgery, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, İstanbul Medeniyet University, İstanbul, Türkiye

Keywords: Venous insufficiency; compression stockings; compliance; obesity


Introduction: The aim of this study is to investigate the impact of obesity on patient compliance with elastic compression stockings and to reveal patient behavior-related and compression stockings-related factors for noncompliance.

Patients and Methods: Between July and August 2022, a total of 246 patients with chronic venous insufficiency were included in the study. The patients were divided into two groups, obese and non-obese patients (88 vs. 158 patients), and questioned for proper use of compression stockings and the patient-reported reasons for the non-compliance.

Results: The mean age was 49.0 ± 13.1, and the mean BMI was 28.6 ± 5.2. Only 51 patients (20.7%) out of 246 complied with stocking use. The mean number of days per week in which the compression stockings were properly used was 2.9 ± 1.7 in the study population. Patient compliance was higher in the non-obese group (12.5% vs. 25.3%, p= 0.017), and the number of days per week in which the compression stockings were worn properly was higher in the non-obese group (2.6 ± 1.3 vs. 3.1 ± 1.9, p= 0.032).

Conclusion: The compliance of our patients with elastic compression stockings was found to be as low as 20.7%. Compliance was lower in the group of obese patients. Obesity and diabetes mellitus were the only factors associated with noncompliance in univariate logistic regression analysis. Further studies are needed in larger patient populations to increase the rate of patient compliance.

Cite this article as: Özhan A, Baştopçu M, Kocaaslan C, Bademci MŞ, Öztekin A, Bayraktar FA, et al. The impact of obesity and patient-reported reasons on patient noncompliance with compression stockings. Koşuyolu Heart J 2022;25(3):270- 276.

Ethics Committee Approval

The ethical approval was obtained from İstanbul Medeniyet University Göztepe Training and Research Hospital Ethics Committee (Decision no: 2022/0350, Date: 01.06.2022). Informed consent was obtained from the patients. The study procedures adhered to the guidelines of the Declaration of Helsinki.

Peer Review

Externally peer-reviewed.

Author Contributions

Concept/Design - AKÖ, MŞB, MB; Analysis/ Interpretation - AÖ, MŞB, CK, MB; Data Collection - AÖ, BNK, FAB; Writ¬ing - AÖ; Critical Revision - CK, MŞB, FAB, AÖ; Final Approval - AÖ, FAB, CK, MŞB, EA; Statistical Analysis - AÖ; Overall Responsibility - AÖ.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declare that this study has received no financial support.