عوامل مرتبط با ایجاد چاقی شکمی در زنان

نوع مقاله : Original Article(s)

نویسندگان

1 دانشیار، مرکز تحقیقات تغذیه و امنیت غذایی، گروه تغذیه، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشجوی کارشناسی ارشد، کمیته‌ی تحقیقات دانشجویی، گروه تغذیه، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

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.

کلیدواژه‌ها

عنوان مقاله [English]

Associates of Visceral Obesity among Women

نویسندگان [English]

  • Leila Azadbakht 1
  • Maryam Bahreinian 2
  • Ahmad Esmaillzadeh 1
1 Associate Professor, Nutrition Research Center and Food Security, Department of Nutrition, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
2 MSc Student, Student Research Committee, Department of Nutrition, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Background: Previous studies in Iran used the World Health Organization (WHO) cut-off points to determine visceral obesity and no studies used the suggested cut-off points. This study was performed to investigate the correlates of central obesity based on the optimal cut-off values in a representative population of women.Methods: In a cross-sectional study of 926 women aged 40-60 years, usual dietary intakes were assessed by means of a semi quantative food frequency questionnaire. Demographic data and anthropometric indices were collected according to standard protocols. The suggested cut-off points for waist-to-hip ratio (WHR ≥ 0.84) were used to determine the correlates of visceral obesity. The components of dietary intakes were determined by factor analysis.Finding: Mean WHR was 0.82 ± 0.06. There was a higher tendency for central obesity among less active women (odds ratio: 2.11; 95% confidence interval: 1.40-2.53). Depression (1.36; 1.02-1.93), smoking (1.21; 1.02-1.56), and unemployment (1.41; 1.13-1.72) were correlated with central adiposity. Marriage (1.31; 1.10-1.82), menopause (1.22; 1.02-1.61), low vitamin C intake (2.31; 1.25-4.25), and low calcium intake (1.30; 1.07-3.78) were also associated with central fat accumulation. We found an inverse relationship between dairy consumption and central obesity (r = -0.2, P < 0.05).Conclusion: Since adverse fat accumulation is associated with increasing age, unemployment, marriage, parity and poor lifestyle factors like inactivity, smoking, depression, low intake of vitamin C and calcium, and high fat consumption, lifestyle modifications should be encouraged to achieve a healthier body shape.

کلیدواژه‌ها [English]

  • Lifestyle factors
  • Visceral obesity
  • Waist-to-Hip Ratio
  • Nutrition

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مجله دانشکده پزشکی اصفهان
دوره 29، شماره 125 - شماره پیاپی 125
فروردین و اردیبهشت 1390
صفحه 1-12

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  • تاریخ دریافت: 30 آبان 1389
  • تاریخ بازنگری: 12 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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