مقایسه‌ی دریافت غذایی و تبعیت از شاخص غذایی سالم بین زنان پره منوپوز، منوپوز و بعد از منوپوز

نوع مقاله : Original Article(s)

نویسندگان

1 استادیار، گروه بیماری‌های داخلی، مرکز تحقیقات دیابت، پژوهشکده‌ی سلامت، دانشگاه علوم پزشکی جندی‌شاپور اهواز، اهواز، ایران

2 استاد، گروه بیماری‌های داخلی، مرکز تحقیقات گوارش، پژوهشکده‌ی علوم بالینی، دانشگاه علوم پزشکی جندی‌شاپور اهواز، اهواز، ایران

3 استادیار، گروه علوم تغذیه، دانشکده‌ی علوم پزشکی شوشتر، شوشتر، ایران

4 دستیار فوق تخصص غدد درون‌ریز و متابولیسم، گروه بیماری‌های داخلی، مرکز تحقیقات دیابت، پژوهشکده‌ی سلامت، دانشگاه علوم پزشکی جندی‌شاپور اهواز، اهواز، ایران

چکیده

مقاله پژوهشی




مقدمه: دریافت غذایی، تأثیر مهمی بر تنظیم هورمونی و پیامدهای سلامت مرتبط با منوپوز دارد. این مطالعه با هدف مقایسه‌ی دریافت غذایی و تبعیت از شاخص غذایی سالم بین زنان پره منوپوز، منوپوز و بعد از منوپوز انجام شد.
روش‌ها: در این مطالعه‌ی مقطعی، 2049 زن، به ترتیب در سه گروه پره منوپوز (736) ، منوپوز (396) و بعد از منوپوز (917) قرار گرفتند. شاخص غذایی سالم با استفاده از پرسش‌نامه‌ی بسامد خوراک ارزیابی و محاسبه شد.
یافته‌ها: شیوع چاقی و میزان فعالیت فیزیکی به ترتیب در گروه پره منوپوز، منوپور و بعد از منوپوز بطور معنی‌دار بیشتر بود (0/001 > P). دریافت کالری، درشت مغذی‌ها، ویتامین‌ها، املاح و آنتی‌اکسیدان‌ها در گروه پره منوپور بطور معنی‌دار بیشتر از گروه منوپوز و بعد از منوپوز بود. پس از تعدیل عوامل مخدوشگر، مقایسه چارک شاخص تغذیه‌ی سالم بین گروه‌ها تفاوت معنی‌داری را نشان نداد (0/145 = P). با این وجود، بیشترین فراوانی چارک چهارم (نمره‌ی بالای شاخص غذایی سالم) در گروه پره منوپوز و بیشترین فراوانی چارک اول (نمره‌ی پایین شاخص غذایی سالم) در گروه بعد از منوپوز مشاهده شد. میزان تبعیت بیشتر از شاخص تغذیه‌ی سالم در زنان با سطح تحصیلات بالاتر مشاهده شد (0/001 > P).
نتیجه‌گیری: فعالیت فیزیکی و کیفیت دریافت غذایی بر اساس تبعیت از شاخص غذایی سالم در زنان منوپوز و بعد از منوپوز نامناسب است. بنابراین پیشنهاد می‌گردد، آموزش سبک زندگی سالم شامل راهنمای دریافت غذایی و افزایش فعالیت فیزیکی در زنان بعد از منوپوز مورد توجه قرار گیرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of the Dietary Intake and Adherence to the Healthy Eating Index between Pre-Menopausal, Menopausal and Post-Menopausal Women

نویسندگان [English]

  • Leila Moradi 1
  • Seyed Jalal Hashemi 2
  • Ferdos Zaman 3
  • Meysam Alipour 3
  • Zahra Farhangiyan 1
  • Maryam Sharifzadeh 4
1 Assistant professor, Department of Internal Medicine, Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Professor, Department of Internal Medicine, Alimentary Tract Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Assistant Professor, Department of Nutrition, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
4 Subspecialty Resident of Endocrinology & Metabolism, Department of Internal Medicine, Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
چکیده [English]

Background: Nutritional intake significantly influences hormonal regulation and health outcomes related
to menopause.
Methods: In this cross-sectional study, 2049 women were placed in three groups: pre-menopausal (736), menopausal (396) and post-menopausal (917). The healthy food index was evaluated and calculated using the food frequency questionnaire.
Findings: Obesity prevalence and physical activity levels were significantly higher in premenopausal, menopausal and postmenopausal groups, respectively (P < 0.001). The intake of calories, macronutrients, vitamins, minerals and antioxidants in the pre-menopause group was significantly higher than the menopause and post-menopause groups. After adjusting for confounding factors, comparing the quartiles of the healthy eating index between the groups did not show a significant difference (P = 0.145). Nevertheless, the highest frequency of the fourth quartile (high score of the healthy food index) was observed in the premenopausal group and the highest frequency of the first quartile (low score of the healthy food index) was observed in the postmenopausal group. More adherence to the healthy eating index was observed in women with a higher level of education (P < 0.001).
Conclusion: Physical activity and the quality of food intake based on following the healthy food index are inappropriate in menopausal and postmenopausal women. Therefore, it is recommended to focus on healthy lifestyle education, including dietary guidelines and increasing physical activity in postmenopausal women.

کلیدواژه‌ها [English]

  • Menopause
  • Nutrition
  • Physical activity
  • Obesity

مراجع

  1. Silva TR, Oppermann K, Reis FM, Spritzer PM. Nutrition in menopausal women: a narrative review. Nutrients 2021; 13(7): 2149.
  2. Greendale GA, Sternfeld B, Huang M, Han W, Karvonen-Gutierrez C, Ruppert K, et al. Changes in body composition and weight during the menopause
    JCI Insight 2019; 4(5): e124865.
  3. Richter M, Baerlocher K, Bauer JM, Elmadfa I, Heseker H, Leschik-Bonnet E, et al. Revised reference values for the intake of protein. Ann Nutr Metab 2019; 74(3): 242-50.
  4. Buckinx F, Aubertin-Leheudre M. Sarcopenia in
    menopausal women: current perspectives. Int J Womens Health 2022; 14: 805-19.
  5. Haghighat N, Ashtary-Larky D, Bagheri R, Mahmoodi M, Rajaei M, Alipour M, et al. The effect of 12 weeks of euenergetic high-protein diet in regulating appetite and body composition of women with normal-weight obesity: a randomised controlled trial. Br J Nutr 2020; 124(10): 1044-51.
  6. Chen CH, Wu SH, Tseng YM, Hou MF, Tsai LY, Tsai SM. Distinct role of endothelial nitric oxide synthase gene polymorphisms from menopausal status in the patients with sporadic breast cancer in Taiwan. Nitric Oxide 2018; 72: 1-6.
  7. Zhang Y, Lu C, Li X, Fan Y, Li J, Liu Y, et al. Healthy eating index-2015 and predicted 10-year cardiovascular disease risk, as well as heart age. Front Nutr 2022; 9: 888966.
  8. Bavi Behbahani H, Bazyar H, Aghamohammadi V, Ahangarpour A, Shivappa N, Hebert JR, et al. The dietary inflammatory index is positively associated with cardiometabolic risk parameters in atherosclerosis patients. Nutr Res 2022; 107: 26-36.
  9. Shojaa M, Von Stengel S, Schoene D, Kohl M, Barone G, Bragonzoni L, et al. Effect of exercise training on bone mineral density in post-menopausal women: a systematic review and meta-analysis of intervention studies. Front Physiol 2020; 11: 652.
  10. Kamronrithisorn T, Manonai J, Vallibhakara SAO, Sophonsritsuk A, Vallibhakara O. Effect of vitamin D supplement on vulvovaginal atrophy of the menopause. Nutrients 2020; 12(9): 2876.
  11. Sullivan SD, Lehman A, Nathan NK, Thomson CA, Howard BV. Age of menopause and fracture risk in postmenopausal women randomized to calcium + vitamin D, hormone therapy, or the combination: results from the Women's Health Initiative Clinical Trials. Menopause 2017; 24(4): 371-8.
  12. Vilar‐Gomez E, Nephew LD, Vuppalanchi R, Gawrieh S, Mladenovic A, Pike F, et al. High‐quality diet, physical activity, and college education are associated with low risk of NAFLD among the US population. Hepatology 2022; 75(6): 1491-506.
  13. Schwingshackl L, Bogensberger B, Hoffmann G. Diet quality as assessed by the healthy eating index, alternate healthy eating index, dietary approaches to stop hypertension score, and health outcomes: An updated systematic review and meta-analysis of cohort studies. J Acad Nutr Diet 2018; 118(1): 74-100.e11.
  14. Ghanavati M, Behrooz M, Rashidkhani B, Ashtray-Larky D, Zameni SD, Alipour M. Healthy eating index in patients with cataract: a case-control study. Iran Red Crescent Med J 2015; 17(10): e22490.
  15. Prentice RL, Aragaki AK, Van Horn L, Thomson CA, Tinker LF, Manson JE, et al. Mortality associated with healthy eating index components and an empirical-scores healthy eating index in a cohort of postmenopausal women. J Nutr 2022; 152(11): 2493-504.
  16. Cheraghian B, Hashemi SJ, Hosseini SA, Poustchi H, Rahimi Z, Sarvandian S, et al. Cohort profile: The Hoveyzeh Cohort Study (HCS): A prospective population-based study on non-communicable diseases in an Arab community of Southwest Iran. Med J Islam Repub Iran 2020; 34: 141.
  17. Ainy E, Mirmiran P, Zahedi Asl S, Azizi F. Prevalence of metabolic syndrome during menopausal transition Tehranian women: Tehran Lipid and Glucose Study (TLGS). Maturitas 2007; 58(2): 150-5.
  18. Tomioka K, Iwamoto J, Saeki K, Okamoto N. Reliability and validity of the International Physical Activity Questionnaire (IPAQ) in elderly adults: the Fujiwara-kyo Study. J Epidemiol 2011; 21(6): 459-65.
  19. Yaghi N, Boulos C, Baddoura R, Abifadel M, Yaghi C. Validity and reliability of a food frequency questionnaire for community dwelling older adults in a Mediterranean country: Lebanon. Nutr J 2022; 21(1): 40.
  20. Shams-Rad S, Bidaki R, Nadjarzadeh A, Salehi-Abargouei A, de Courten B, Mirzaei M. The association between major dietary patterns and severe mental disorders symptoms among a large sample of adults living in central Iran: Baseline data of YaHS-TAMYZ cohort study. BMC Public Health 2022; 22(1): 1121.
  21. Reedy J, Lerman JL, Krebs-Smith SM, Kirkpatrick SI, Pannucci TE, Wilson MM, et al. Evaluation of the healthy eating index-2015. J Acad Nutr Diet 2018; 118(9): 1622-33.
  22. Gregorio L, Brindisi J, Kleppinger A, Sullivan R, Mangano KM, Bihuniak JD, et al. Adequate dietary protein is associated with better physical performance among post-menopausal women 60-90 years. J Nutr Health Aging 2014; 18(2): 155-60.
  23. Pol K, Christensen R, Bartels EM, Raben A, Tetens I, Kristensen M. Whole grain and body weight changes in apparently healthy adults: a systematic review and meta-analysis of randomized controlled studies. Am J Clin Nutr 2013; 98(4): 872-84.
  24. Rankin JW. Dietary carbohydrate and performance of brief, intense exercise. Sports Sci Exchange 2000; 13(4): 1-4.
  25. Kwon YJ, Lee HS, Park JY, Lee JW. Associating intake proportion of carbohydrate, fat, and protein with all-cause mortality in Korean adults. Nutrients 2020; 12(10): 3208.
  26. Verhaar MC, Stroes E, Rabelink TJ. Folates and cardiovascular disease. Arterioscler Thromb Vasc Biol 2002; 22(1): 6-13.
  27. Virtanen JK, Mursu J, Tuomainen TP, Voutilainen S. Dietary fatty acids and risk of coronary heart disease in men: The Kuopio ischemic heart disease risk factor study. Arterioscler Thromb Vasc Biol 2014; 34(12): 2679-87.
  28. Bailey RL, Zou P, Wallace TC, McCabe GP, Craig BA, Jun S, et al. Calcium supplement use is associated with less bone mineral density loss, but does not lessen the risk of bone fracture across the menopause transition: data from the study of women's health across the nation. JBMR Plus 2020; 4(1): e10246.
  29. Ilesanmi-Oyelere BL, Brough L, Coad J, Roy N, Kruger MC. The relationship between nutrient patterns and bone mineral density in postmenopausal women. Nutrients 2019; 11(6): 1262.
  30. Pan A, Chen M, Chowdhury R, Wu JH, Sun Q, Campos H, et al. α-Linolenic acid and risk of cardiovascular disease: a systematic review and meta-analysis. Am J Clin Nutr 2012; 96(6): 1262-73.
  31. Tagtow A, Rahavi E, Bard S, Stoody EE, Casavale K, Mosher A. Coming together to communicate the 2015-2020 dietary guidelines for Americans. J Acad Nutr Diet 2016; 116(2): 209-12.
  32. Koksal E, Karacil Ermumcu MS, Mortas H. Description of the healthy eating indices-based diet quality in Turkish adults: a cross-sectional study. Environ Health Prev Med 2017; 22(1): 12.
مجله دانشکده پزشکی اصفهان
دوره 41، شماره 717
هفته 1 تیر
خرداد و تیر 1402
صفحه 306-318

فایل ها

سابقه مقاله

  • تاریخ دریافت: 11 دی 1401
  • تاریخ بازنگری: 06 خرداد 1402
  • تاریخ پذیرش: 08 خرداد 1402

هم رسانی

ارجاع به این مقاله

آمار