دوره 34، شماره 414: هفته دوم اسفند ماه 1395:1617-1626

بررسی ارتباط دریافت‌های غذایی و ترکیب بدن با ضخامت اینتیمای شریان کاروتید در بیماران با حمله‌ی ایسکمیک گذرا

آصفه کیانی, فریبرز خوروش, اکبر حسن‌زاده, غلامرضا عسکری

چکیده


مقدمه: مطالعات مبتنی بر جمعیت در بسیاری از کشورها ثابت کرده‌اند که ضخامت اینتیمای شریان کاروتید (Intima-media thickness یا IMT) با بروز سکته‌ی مغزی ارتباط مثبتی دارد. در برخی مطالعات پیشنهاد شده است که بسیاری از غذاها یا ترکیب بدن روی خطر بروز سکته‌ی مغزی تأثیر می‌گذارند. با این حال، تحقیقات پیشین ارتباط هم‌زمان بین رژیم غذایی و ترکیب بدن با ضخامت اینتیمای شریان کاروتید را بررسی نکرده‌اند. مطالعه‌ی حاضر با هدف بررسی ارتباط بین دریافت‌های غذایی و ترکیب بدن با ضخامت اینتیمای شریان کاروتید در بیماران با حمله‌ی ایسکمیک گذرا (Transient ischemic attack یا TIA) انجام شد.

روش‌ها: در این مطالعه‌ی مقطعی، 100 نفر از افراد 35 تا 80 ساله‌ی مبتلا به حمله‌ی ایسکمیک گذرا با توجه به معیارهای ورود و خروج انتخاب شدند. دریافت‌های غذایی، ضخامت اینتیمای شریان کاروتید و ترکیب بدن در تمام افراد ارزیابی گردید. جهت بررسی ارتباط بین ضخامت اینتیمای شریان کاروتید و سایر متغیرها، ضریب همبستگی Pearson مورد استفاده قرار گرفت.

یافته‌ها: ضخامت اینتیمای شریان کاروتید با دریافت اسید لینولئیک و ویتامین E ارتباط معکوس معنی‌داری داشت، اما رابطه‌ی معنی‌داری بین ضخامت اینتیمای شریان کاروتید با دریافت سایر درشت مغذی‌ها و ریزمغذی‌ها مشاهده نشد. از سوی دیگر، ارتباط ضخامت اینتیمای شریان کاروتید با توده‌ی چربی بدن (Body fat mass یا BFM)، میزان چربی احشایی، دور شکم، مواد معدنی بدن و پروتئین بدن معنی‌دار بود.

نتیجه‌گیری: نتایج پژوهش حاضر نشان داد که ممکن است بسیاری از دریافت‌های غذایی بر روی ضخامت اینتیمای شریان کاروتید تأثیری نداشته باشد، اما توده‌ی چربی بدن و شاخص‌های چاقی شکمی ارتباط بیشتری با ضخامت اینتیمای شریان کاروتید دارند

واژگان کلیدی


ترکیب بدن؛ ضخامت اینتیمای شریان کاروتید؛ حمله ایسکمیک گذرا

تمام متن:

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مراجع


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