هفته اول فروردین ماه 1390:1-12

عوامل مرتبط با ایجاد چاقی شکمی در زنان

لیلا آزادبخت, مریم بحرینیان, احمد اسماعیل زاده

چکیده


  • مقدمه: چاقی شکمی در مطالعات پیشین در ایران با استفاده از حدود مرزی تعیین شده توسط سازمان بهداشت جهانی تعیین شده و هیچ مطالعه‌ای از حدود مرزی پیشنهادی استفاده نکرده است. هدف از این مطالعه، تعیین عوامل مرتبط با ایجاد چاقی شکمی بر اساس حدود مرزی مطلوب در جمعیتی نماینده از زنان بود.
  • روش‌ها: در یک مطالعه‌ی مقطعی، ارزیابی دریافت‌های معمول غذایی 926 نفر از زنان 60-40 ساله توسط پرسش‌نامه‌ی نیمه کمی بسامد خوراک صورت گرفت. داده‌های دموگرافیک و تن‌سنجی مطابق پروتوکل‌های استاندارد جمع آوری و حدود مرزی پیشنهادی برای نسبت دور کمر به دور باسن (84/0 ≤ WHR یاWaist-to-Hip Ratio ) جهت تعیین چاقی شکمی استفاده شد.
  • یافته‌ها: میانگین نسبت دور کمر به دور باسن (WHR)، 06/0 ± 82/0 بود. احتمال چاقی شکمی در زنان کم تحرک (نسبت شانس: 11/2، فاصله‌ی اطمینان 95%: 53/2-40/1) بیشتر بود. افسردگی (نسبت شانس: 36/1، فاصله‌ی اطمینان 95%: 93/1-02/1)، استعمال دخانیات (نسبت شانس: 21/1، فاصله‌ی اطمینان 95%: 56/1-02/1) و بیکاری (نسبت شانس: 41/1، فاصله‌ی اطمینان 95%: 72/1-13/1) با چاقی شکمی مرتبط بود. همچنین تأهل (نسبت شانس: 31/1، فاصله‌ی اطمینان 95%: 82/1-10/1)، یاﺋﺴﮕﻲ (نسبت شانس: 22/1، فاصله‌ی اطمینان 95%: 61/1-02/1)، دریافت ناکافی ویتامین C (نسبت شانس: 31/2، فاصله‌ی اطمینان 95%: 25/4-25/1) و دریافت کم کلسیم (نسبت شانس: 30/1، فاصله‌ی اطمینان 95%: 78/3-07/1) با تجمع چربی در ناحیه‌ی شکم همراه بود. ارتباط معکوسی بین مصرف لبنیات و چاقی شکمی دیده شد (05/0 > P؛ 2/0- = r).
  • نتیجه‌گیری: از آن جا که چاقی شکمی با افزایش سن، بیکاری، تأهل، زایمان و سبک نامطلوب زندگی نظیر کم تحرکی، استعمال دخانیات، افسردگی، دریافت ناکافی ویتامین C و کلسیم و دریافت بالای چربی ارتباط دارد، تعدیل شیوه‌ی زندگی جهت دست‌یابی به وضعیت سالم‌تر بدن باید مد نظر قرار گیرد.

واژگان کلیدی


سبک زندگی؛ چاقی شکمی؛ نسبت دور کمر به دور باسن؛ تغذیه

تمام متن:

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