رابطه الگوهای غذایی غالب با شاخصهای آنتروپومتریک (نمایه توده بدن و دور کمر) در زنان دارای سابقه خانوادگی و بدون سابقه خانوادگی چاقی ساکن شمال شهر تهران
محورهای موضوعی : زن و خانواده
کلید واژه: تحلیل عاملی, زنان, الگوهای غذایی, شاخصهای آنتروپومتریک,
چکیده مقاله :
سابقه و هدف: سابقه خانوادگی چاقی، خطر چاقی را در نسلهای بعدی افزایش می دهد. همچنین نوع الگوی غذایی با توسعه چاقی مرتبط است. هدف این مطالعه شناسایی الگوهای غذایی غالب و تعیین رابطه آنها با شاخصهای آنتروپومتریک [نمایه توده بدن (BMI) و دور کمر] زنان دارای سابقه و بدون سابقه خانوادگی چاقی ساکن شمال شهر تهران بود. مواد و روشها: دراین مطالعه مقطعی 460 زن 50-20 ساله ساکن مناطق شمال تهران به روش نمونه گیری تصادفی طبقه بندی شده انتخاب شدند. دریافتهای غذایی با پرسشنامه بسامد خوراک و ویژگیهای تن سنجی با روشهای استاندارد به دست آمد. سابقه خانوادگی چاقی به صورت داشتن حداقل یک خویشاوند چاق در اقوام درجه 1 تعریف شد. الگوهای غذایی غالب با روش تحلیل عاملی به دست آمد. درنهایت رابطه بین الگوهای غذایی اصلی و ویژگیهای تن سنجی به طور جداگانه در دو گروه دارای سابقه و بدون سابقه خانوادگی چاقی با رگرسیون خطی چندگانه بررسی شد. یافته ها: دو الگوی غذایی غالب سالم و ناسالم شناسایی شد. بعد از تعدیل اثر عوامل مخدوشگر، در هردو گروه دارای سابقه و بدون سابقه خانوادگی چاقی، BMIو دور کمر با الگوی غذایی سالم رابطه منفی و با الگوی غذایی ناسالم رابطه مثبت داشتند (05/0 P ≤). نتیجه گیری: یافته ها نشان داد که رابطه الگوهای غذایی با شاخصهای تن سنجی در زنان مورد مطالعه تحت تأثیر سابقه خانوادگی چاقی قرار نمی گیرد.
Background: Familial history of obesity (FHO) increases the risk of offspring being obese. Moreover, the type of dietary pattern might also be involved in the development of obesity. The aim of this study is to determine major dietary patterns and their association with anthropometric indexes [Body Mass Index (BMI) and waist circumference (WC)] in adult women with and without Familial history of obesity living in the north of Tehran, Iran. Methods: In this cross-sectional study 460 women aged 20-50 living in the north of Tehran were sampled by stratified random sampling method. Dietary intake was collected by a semi-quantitative F.F.Q. and anthropometric indexes were measured by standard methods. Familial history of obesity was defined as having at least one obese first-degree relative. Major dietary patterns were identified by factor analysis method. Finally, the association between major dietary patterns and anthropometric indexes was assessed separately in two groups with and without familial history of obesity by multiple linear regression analysis. Result: Two healthy and unhealthy major dietary patterns were identified. After adjusting for confounders, in both groups with and without familial history of obesity, BMI and WC had negative associations with healthy dietary pattern and positive association with unhealthy dietary pattern (P<0.05( .Conclusion: Findings indicated that the relation between major dietary patterns and anthropometric indexes was not influenced by familial history of obesity.
- میرمیران پ، جزایری س ا، حسینی اصفهانی ف، عزیزی ف(86-1378)، بررسی تغییرات الگوهای غذایی حاصل از تحلیل عاملی و ارتباط آن با وزن و نمایه توده بدنی در بزرگسالان منطقه 13 تهران. مجله علوم تغذیه و صنایع غذایی ایران، سال دوم، شماره 4: صفحات 78- 67
- رشیدخانی ب، رضازاده آ، امیدوار ن، هوشیار راد آ، ستایشگر(1387)، زبررسی رابطه الگوهای غذایی غالب با وضعیت اقتصادی، اجتماعی و جمعیتی در زنان 50 -20 ساله شمال شهر تهران. مجله علوم تغذیه و صنایع غذایی،3 (2): 12-1.
- Aadalh M, Jorgensen T. Validation of a new self-repot instrument for measuring physical Activity.Med sci in sport and exercise2003; 35:1196-202.
- Black AE, Goldberg GR, Jebb SA, Livingstone MB, Cole TJ, Prentice AM: Critical evaluation of energy intake data using fundamental principles of energy physiology: 2. Evaluating the results of published surveys. Eur J Clin Nutr 1991, 45:583-599.
- Esmailzadeh A, Mrmiran P, Azizi F. Whole- grain consumption and the metabolic syndrome: A favorable association in Tehranian adults. Eur J Nutr 2005 a; 59: 353-62.
- Esmailzadeh A, Mirmiran P, Azizi F. Whole- grain intake and the prevalence of hypertriglyceridemic waist phenotype in Tehranian adults.Am J Clin Nutr 2005 b; 81: 55-63.
- Esmaillzadeh A, Azadbakht L. Major dietary patterns in relation to general obesity and central adiposity among Iranian women. J. Nutr.2008; 138: 358–363.
- Fisher JO, Mitchell DC, Smiciklas-Wright H, Birch LL: Parental influences on young girls' fruit and vegetable, micronutrient, and fat intakes. J Am Diet Assoc 2002, 102:58-64.
- Hu FB. Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am J Clin Nutr.1999; 69: 243-9.
- Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002; 13: 3- 9
- Jacobs DR Jr, Steffen LM. Nutrients, foods and dietary patterns as exposures in research: A framework of food synergy. Am J Clin Nutr 2003; 78: 508S - 513S.
- Katzmarzyk PT, Perusse L, Rao DC, Bouchard C: Familial risk of obesity and central adipose tissue distribution in the generalCanadian population. Am J Epidemiol 1999, 149:933-942.
- Katzmarzyk PT, Perusse L, Rao DC, Bouchard C: Familial risk of overweight and obesity in the Canadian population using the WHO/NIH criteria. Obes Res 2000, 8:194-197.
- Kelishadi R, Rabiee K, Khosravi A, Famouri F, Sadeghi M, Roohafza H etal.Assessment of physical activity in adolescents of Isfahan. Journal of Shahrekord University of medical Sciences. 2001;3:55-65.
- Khani BR, Ye W, Terry P, Wolk A: Reproducibility and Validity of Major Dietary Patterns among Swedish Women Assessed with a Food-Frequency Questionnaire J Nutr 2004;134:1541-1545.
- Lake JK, Power C, Cole TJ: Child to adult body mass index in the1958 British birth cohort: associations with parental obesity.Arch Dis Child 1997, 77:376-381.
- Lee JH, Reed DR, Price RA: Familial risk ratios for extreme obesity: implications for mapping human obesity genes. Int J Obes Relat Metab Disord 1997, 21:935-940.
- Lin H, Bermudez Ol, Tucker.Dietary patterns of Hispanic elders are associated with acculturation and obesity.J Nutr.2003; 133:3651-3657.
- Lopez-Garsia E,Schulze MB, Fung TT, Manson JE, Hu FB.Major dietary patterns are related to plasma concentration and endothelial dysfunction.Am j Clin Nutr.2004; 80: 1029-35.
- Maskarinec G, Novotny R ,Tasaki K. Dietary patterns are associated with body mass index in multiethnic women.J Nutr.2000;130:3068-3072.
- - McNaughton S,. Mishra G, Alison S, Wadsworth M. Dietary Patterns Throughout Adult Life Are Associated with Body Mass Index, Waist Circumference, Blood Pressure, and Red Cell Folate. J. Nutr. 2007; 137: 99–105.
- Murtaugh MA, Herrick JS, Sweeney C, Baumgartner KB, Guiliano AR, Byers T etal. Diet composition and risk of overweight and obesity in women living in the southwestern United States. J Am Diet Assoc. 2007 Aug; 107:1311-21.
- Newby P, Muller D, Hallfrisch J, Qiao N, Andres R and Tucker K. Dietary patterns and changes in body mass index and waist circumference in adults.AJCN2003; 77:1417-1425.
- Newby PK Muller D, Hallfrisch J, Andres R and Tucker K. Food patterns measured by factor analysis and anthropometric changes in adults.AJCN 2004; 80:504-513.
- Oliveria SA, Ellison RC, Moore LL, Gillman MW, Garrahie EJ, Singer MR: Parent-child relationships in nutrient intake: the Framingham Children's Study. Is J Clin Nutr 1992, 56:593-598.
- Paradis AM, Perusse L, Vohl MC. Dietary patterns and associated lifestyles in individuals with and without familial history of obesity: across-sectional study.International Journal of Behavioral Nutrition and Physical Activity 2006; 3:38.
- Park HS, Yim KS, Cho SI: Gender differences in familial aggregation of obesity-related phenotypes and dietary intake patterns in Korean families. Ann Epidemiol 2004, 14:486-491.
- Reed DR, Price RA: Estimates of the heights and weights of family members: accuracy of informant reports. Int J Obes Relat Metab Disord 1998, 22:827-835.
- Sanchez-Villegas A, Delgado-Rodriguez M, Martinez-Gonzalez MA, De Irala-Estevez J;Seguimiento Universidad de Navarra group. Gender, age, socio-demographic and lifestyle factors associated with major dietary patterns in the Spanish Project SUN (Seguimiento Universidad de Navarra). Eur J Clin Nutr.2003; 57:285-92.
- Sande MA, Walraven GE, Milligan PJ, Banya WA, Ceesay SM, Nyan OA, McAdam KP: Family history: an opportunity for early interventions and improved control of hypertension, obesity and diabetes. Bull World Health Organ 2001, 79:321-328.
- Schrager S. Dietary calcium intake and obesity. J Am Board Fam Pract 2005, 18:205-210.
- Sichieri R. Dietary Patterns and Their Associations with Obesity in the Brazilian City of Rio de Janeiro. Obesity Research 2002; 10:42-48.
- Simpson SJ, Raubenheimer D: Obesity: the protein leverage hypothesis. Obes Rev 2005, 6:133-142.
- Slattery ML, Boucher KM, Caan BJ, Potter JD, Ma KN. Eating patternsand risk of colon cancer. Am J Epidemiol.1998; 148: 4–16.
- Slavin JL: Dietary fiber and body weight. Nutrition 2005,21:411-418.
- Sorensen TI, Stunkard AJ, Teasdale TW, Higgins MW: The accuracy of reports of weight: children's recall of their parents weights 15 years earlier. Int J Obes 1983, 7:115-122.
- Togo P,Olser M,Sorensen TI,Heitmann BL.A longitudinal study of food intake patterns and obesity in adult Danish men and women.Int J Obes relat Metab Disord.2004;28: 583
- Wang J, Thornton JC, Bari S, Williamson B, Gallagher D, Heymsfield SB etal.Comparisons of waist circumferences at 4 sites. Am J Clin Nutr 2003; 379-84
- WHO Expert Committee on Physical Status.The use and interpretatin of anthropometry. Report of a ---WHO Expert Committee.WHO, Geneva; 1995
- Willett WC. Nutritional epidemiology. 2nd Ed. New York: Oxford University Press, 1998.