نمایه‌ی گلسیمی و بار گلیسمی رژیم غذایی و اضافه وزن و چاقی درکودکان: مروری بر مطالعات گذشته

نوع مقاله : مقاله مروری

نویسندگان

1 دانشجوی کارشناسی ارشد، کمیته‌ی تحقیقات دانشجویی، گروه تغذیه‌ی جامعه، دانشکده‌ی تغذیه و علوم غذایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 استاد، گروه کودکان، مرکز تحقیقات ارتقای سلامت کودکان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشیار، مرکز تحقیقات امنیت غذایی و گروه تغذیه‌ی جامعه، دانشکده‌ی تغذیه و علوم غذایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: تحقیقات متعددی در زمینه‌ی بررسی رابطه‌ی ‌نمایه‌ی گلیسمی و بار گلیسمی با چاقی در کودکان اجرا شده است. اما مطالعه‌ی مروری در این زمینه محدود است. هدف از این مطالعه، مروری بر یافته‌های مطالعات انجام شده در این باره بود.روش‌ها: ابتدا از پایگاه‌های PubMed و ISI مقالاتی که در متن خود دارای یکی از کلمات Glycemic index، Glycemic load، Glycaemic index و Glycaemic load به همراه یکی از کلمات Child، Children، Youth، Young و Adolescent بودند، جستجو شدند که مجموع آن‌ها به 1001 مقاله رسید. سپس مقالاتی که در آن‌ها یکی از عوامل مرتبط با چاقی به عنوان متغیر وابسته و ‌نمایه‌ی گلیسمی، بار گلیسمی‌ و یا هر دو به عنوان متغیر مستقل اصلی مورد ارزیابی قرار گرفته بودند، جدا گردید. مطالعاتی که به زبانی غیر از انگلیسی نگاشته شده بودند، نیز حذف شدند. در نهایت، 20 مقاله شرایط مذکور را دارا بودند که مورد ارزیابی قرار گرفتند.یافته‌ها: نتایج مطالعات مقطعی همسو نبود، ولی مطالعات قوی‌تر رابطه‌ی مستقیمی میان ‌نمایه‌ی گلیسمی و بار گلیسمی با چاقی کودکان گزارش کرده‌اند. نتایج مطالعات هم‌گروهی بیانگر رابطه‌ی مستقیم، خنثی و معکوس بین این دو عامل غذایی با چاقی در کودکان است. بیشتر مداخلات انجام شده، تأثیری منفی از ‌نمایه‌ی گلیسمی و خنثی از بار گلیسمی بر چاقی کودکان گزارش کرده‌اند.نتیجه‌گیری: شواهد موجود رابطه‌ای قطعی بین ‌نمایه‌ی گلیسمی و بار گلیسمی با چاقی کودکان گزارش نکرده‌اند. انجام مطالعات بیشتر و دقیق‌تر ضروری به نظر می‌رسد.

کلیدواژه‌ها

عنوان مقاله [English]

The Association between Dietary Glycemic Index, Glycemic Load and Children Obesity: A Review of Published Papers

نویسندگان [English]

  • Seyed Mohammad Hossein Rouhani 1
  • Mahin Hashemipour 2
  • Roya Kelishadi 2
  • Ahmad Esmaillzadeh 3
  • Leila Azadbakht 3
1 MSc Student, Student Research Committee, Department of Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
2 Professor, Department of Pediatrics, Child Health Promotion Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Associate Professor, Food Security Research Center, Isfahan University of Medical Sciences and Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Ira
چکیده [English]

Background: Many studies were conducted to evaluate the association between dietary glycemic index, glycemic load and children obesity. The aim of this study was to review these studies.Methods: We searched the ISI and PubMed databases for studies that evaluated the association between dietary glycemic index, glycemic load and obesity in children. At first, the studies containing the words "glycemic index", "glycemic load", "glycaemic index" or "glycaemic load" plus "child", "children", "young", "youth" or "adolescent" were selected. Among 1001 selected studies, articles were accepted if they had considered obesity or related factors as their main dependent variables.Findings: Twenty studies were included. Although the cross-sectional results were inconsistent, stronger studies had found a direct relation between dietary glycemic index, glycemic load and children obesity. Cohort studies had shown positive, neutral and negative associations between these dietary factors and obesity in children. However, although most clinical trials had reported a positive effect of dietary glycemic index on childhood obesity, they had not shown the similar effect for glycemic load.  Conclusion: There is not enough evidence for making a certain conclusion. Therefore, further studies in this field are suggested. 

کلیدواژه‌ها [English]

  • Glycemic index
  • Glycemic load
  • Obesity
  • Children

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مجله دانشکده پزشکی اصفهان
دوره 29، شماره 166 - شماره پیاپی 166
بهمن و اسفند 1390
صفحه 2340-2358

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  • تاریخ دریافت: 29 شهریور 1390
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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