بررسي ارتباط تاريخچه باروري با شاخص توده بدني در زنان

THE RELATIONSHIP BETWEEN REPRODUCTIVE FACTORS WITH A BODY MASS INDEX IN WOMEN

ﭘﻴﺶﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﻋﻮﺍﻣﻞ ﺑﺎﺭﻭﺭﻱ ﺯﻧﺎﻥ ﻣﻤﮑﻦ ﺍﺳﺖ ﺧﻄﺮ ﺍﺑﺘﻼ ﺑﻪ ﭼﺎﻗﻲ ﺭﺍ ﺩﺭ ﺁﻥﻫﺎ ﺗﺤﺖ ﺗﺄﺛﻴﺮ ﻗﺮﺍﺭ ﺩﻫﺪ .ﺍﺯﺁﻧﺠﺎﮐﻪ ﺍﺭﺗﺒﺎﻁ ﻓﺎﮐﺘﻮﺭﻫﺎﻱ ﺑﺎﺭﻭﺭﻱ ﺑﺎ ﭼﺎﻗﻲ ﺩﺭ ﻣﻄﺎﻟﻌﺎﺕ ﻣﺤﺪﻭﺩﻱ ﺑﺮﺭﺳﻲﺷﺪﻩ ﻭ ﻧﺘﺎﻳﺞ ﻣﺘﻨﺎﻗﻀﻲ ﺩﺍﺷﺘﻪ ﺍﺳﺖ ﻟﺬﺍ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﻪ ﺑﺮﺭﺳﻲ ﺍﺭﺗﺒﺎﻁ ﺗﺎﺭﻳﺨﭽﻪ ﺑﺎﺭﻭﺭﻱ )ﺳﻦ ﺷﺮﻭﻉ ﻗﺎﻋﺪﮔﻲ، ﺗﻌﺪﺍﺩ ﺯﺍﻳﻤﺎﻥ، ﺗﻌﺪﺍﺩ ﺑﺎﺭﺩﺍﺭﻱ، ﻣﺪﺕ ﺷﻴﺮﺩﻫﻲ، ﺳﻦ ﻳﺎﺋﺴﮕﻲ( ﺑﺎ ﺷﺎﺧﺺ ﺗﻮﺩﻩ ﺑﺪﻧﻲ ﺩﺭ ﺯﻧﺎﻥ ﭘﺮﺩﺍﺧﺘﻪ ﺍﺳﺖ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵﻫﺎ: ﺩﺭ ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﻴﻔﻲ ﻣﻘﻄﻌﻲ ﺗﻌﺪﺍﺩ240 ﻧﻔﺮ ﺍﺯ ﺯﻧﺎﻥ ﻣﺮﺍﺟﻌﻪﮐﻨﻨﺪﻩ ﺑﻪ ﮐﻠﻴﻨﻴﮏ ﺗﺨﺼﺼﻲ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﺍﻣﺎﻡ ﺧﻤﻴﻨﻲ ﺍﺭﻭﻣﻴﻪ ﺩﺭ ﺳﺎﻝ 1393ﮐﻪ ﻭﺍﺟﺪ ﻣﻌﻴﺎﺭﻫﺎﻱ ﻭﺭﻭﺩ ﺑﻪ ﻣﻄﺎﻟﻌﻪ ﺑﻮﺩﻧﺪ ﺑﺎ ﻧﻤﻮﻧﻪﮔﻴﺮﻱ ﺩﺭ ﺩﺳﺘﺮﺱ ﺍﻧﺘﺨﺎﺏ ﺷﺪﻧﺪ، ﺍﻃﻼﻋﺎﺕ ﺩﻣﻮﮔﺮﺍﻓﻴﮏ ﻭ ﺍﻃﻼﻋﺎﺕ ﻣﺮﺑﻮﻁ ﺑﻪ ﺗﺎﺭﻳﺨﭽﻪ ﺑﺎﺭﻭﺭﻱ ﺑﺎ ﺍﺑﺰﺍﺭ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺟﻤﻊﺁﻭﺭﻱ ﮔﺮﺩﻳﺪ ﺳﭙﺲ ﻭﺯﻥ ﻭ ﻗﺪ ﺍﻓﺮﺍﺩ ﺑﺎ ﺗﺮﺍﺯﻭﻱ BsBeure50 ﺳﺎﺧﺖ ﺁﻟﻤﺎﻥ ﻭ ﻗﺪ ﺳﻨﺞ ﺛﺎﺑﺖ ﺩﻳﻮﺍﺭﻱ ﺳﻨﺠﻴﺪﻩ ﺷﺪ، ﺩﺍﺩﻩﻫﺎ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻧﺮﻡﺍﻓﺰﺍﺭ SPSS ﻭﻳﺮﺍﻳﺶ 17 ﻭ ﺁﺯﻣﻮﻥﻫﺎﻱ ﺁﻣﺎﺭﻱ ﺗﻮﺻﻴﻔﻲ ﻭ ﺗﺤﻠﻴﻠﻲ ﺁﻧﺎﻟﻴﺰ ﺷﺪﻧﺪ. ﻳﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﻳﺞ ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻧﺸﺎﻥ ﺩﺍﺩ ﮐﻪ ﻣﻴﺎﻧﮕﻴﻦ± ﺍﻧﺤﺮﺍﻑ ﻣﻌﻴﺎﺭ ﺳﻦ ﻭ ﺷﺎﺧﺺ ﺗﻮﺩﻩ ﺑﺪﻧﻲ ﺍﻓﺮﺍﺩ ﻣﻮﺭﺩﺑﺮﺭﺳﻲ ﺑﻪ ﺗﺮﺗﻴﺐ52/4±12/04 ﺳﺎﻝ ﻭ29/28±5/53ﻣﺘﺮ2/ﮐﻴﻠﻮﮔﺮﻡ ﺑﻮﺩ ﻭ35/8ﺩﺭﺻﺪ ﺩﺍﺭﺍﻱ ﺍﺿﺎﻓﻪﻭﺯﻥ ﻭ44/6ﺩﺭﺻﺪ ﻣﺒﺘﻼ ﺑﻪ ﭼﺎﻗﻲ ﺑﻮﺩﻧﺪ. ﺍﺯ ﺑﻴﻦ ﻓﺎﮐﺘﻮﺭﻫﺎﻱ ﺑﺎﺭﻭﺭﻱ ﻣﻮﺭﺩﺑﺮﺭﺳﻲ ﺗﻌﺪﺍﺩ ﺑﺎﺭﺩﺍﺭﻱ )0/19 =p =0/003,r( ﻭ ﺗﻌﺪﺍﺩ ﺯﺍﻳﻤﺎﻥ )0/91=p =0 /001,r( ﻫﻤﺒﺴﺘﮕﻲ ﻣﺜﺒﺖ ﻣﻌﻨﻲﺩﺍﺭﻱ ﺑﺎ ﺷﺎﺧﺺ ﺗﻮﺩﻩ ﺑﺪﻧﻲ ﺩﺍﺷﺘﻨﺪ، ﺳﺎﻳﺮ ﻓﺎﮐﺘﻮﺭﻫﺎﻱ ﻣﻮﺭﺩﺑﺮﺭﺳﻲ )ﺳﻦ ﻣﻨﺎﺭﻙ، ﻣﺪﺕ ﺷﻴﺮﺩﻫﻲ، ﺳﻦ ﻳﺎﺋﺴﮕﻲ( ﻫﻤﺒﺴﺘﮕﻲ ﺁﻣﺎﺭﻱ ﻣﻌﻨﻲﺩﺍﺭﻱ ﺑﺎ ﺷﺎﺧﺺ ﺗﻮﺩﻩ ﺑﺪﻧﻲ ﻧﺪﺍﺷﺘﻨﺪ ) 0/05>p(. ﻧﺘﻴﺠﻪ ﮔﻴﺮﻱ: ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻧﺸﺎﻥ ﺩﺍﺩﮐﻪ ﺑﺎﻻ ﺑﻮﺩﻥ ﺗﻌﺪﺍﺩ ﺑﺎﺭﺩﺍﺭﻱ ﻭ ﺯﺍﻳﻤﺎﻥ ﺭﻳﺴﮏ ﻓﺎﮐﺘﻮﺭﻱ ﺑﺮﺍﻱ ﭼﺎﻗﻲ ﻫﺴﺘﻨﺪ. ﻟﺬﺍ ﺑﻪﻧﻈﺮ ﻣﻲﺭﺳﺪ ﺑﺮﻧﺎﻣﻪﺭﻳﺰﻱ ﻭ ﻣﺪﺍﺧﻼﺕ ﻣﻨﺎﺳﺐ ﺑﻬﺪﺍﺷﺘﻲ ﺑﺮﺍﻱ ﺯﻧﺎﻥ ﺩﺭ ﺣﻴﻦ ﺑﺎﺭﺩﺍﺭﻱ ﻭ ﭘﺲ ﺍﺯ ﺯﺍﻳﻤﺎﻥ ﺑﺮﺍﻱ ﮐﺎﻫﺶ ﺑﺮﻭﺯ ﭼﺎﻗﻲ ﺿﺮﻭﺭﻱ ﺍﺳﺖ.

Background & Aims: womenchr('39')s reproductive factors may be risk factors foe obesity in women. Since few studies with conflicting results have examined that reproductive factors association with obesity, present study aimed to determine the relationship between reproductive history (age at menarche, parity, gravidity, breastfeeding duration, menopause age) with womenchr('39')s body mass index. Materials & Methods: In this cross-sectional study of 240 of women who had eligible criteria and referred to polyclinic of Imam Khomeini hospital in Urmia were selected in 2015. Data were collected with a questionnaire and then weight and height of subjects were measured by BsBeure50 scale and fixed wall height measuring, data were analyzed by software SPSS version 17 and statistical tests. Results: This study showed that the mean ± SD of body mass index and age of women are 29.28 ± 5.53 kg / m 2 and 52.4 ± 12.4 years. 35.8% of samples were overweight and 44.6% were obese. Parity (p=0.001, r=0.91) and gravidity (p=0.003,r=0.19) and body mass index were significantly positive correlation, and other studied variable(age at menarche, duration of breast feeding, menopausal age) with a body mass index were not significantly different(p>0.05). Conclusions: This study showed that the high number of pregnancy are a risk factor for obesity so it seems Planning health interventions for women during pregnancy and after delivery is essential to reduce the incidence of obesity