fa بررسی شیوع چاقی و اضافه وزن در زنان متاهل در سن باروری استان مازندران و رابطه آن با عوامل اجتماعی و اقتصادی، سال 1399 بهداشت جامعه Community Health پژوهشي-کامل Research(Original) <span style="font-size:11pt"><span style="line-height:200%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span arial="" style="font-family:">&nbsp;</span></span></span></b></span></span></span></span></span><span style="font-size:12pt"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span b="" koodak="" lang="FA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span><span b="" koodak="" lang="AR-SA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و </span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">هدف:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">چاقی یک مشکل بهداشت عمومی رو به افزایش در </span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">دنیا</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> است. در این مطالعه، شیوع چاقی و اضافه وزن در زنان متاهل</span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">در سن باروری و ارتباط آن با </span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">عوامل تجمعی اجتماعی- اقتصادی در استان مازندران مورد بررسی قرار گرفت.<span style="color:#0e101a"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">در این مطالعه توصیفی</span></span><span lang="AR-SA" style="line-height:90%">&ndash;</span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""> همبستگی به روش خوشه ای چند مرحله ای، 540 زن &nbsp;45-15 ساله تحت پوشش&nbsp; مراکز بهداشتی درمانی استان مازندران در سال 1399 بررسی </span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">شدند</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">. نمونه‌ها بر حسب نمایه توده بدن (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">kg/m2</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">) به سه سطح چاق (30</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:90%">&le;</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">)، اضافه وزن (9/29-25) و طبیعی </span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">(9/24-5/18) تقسیم شدند. </span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">وضعیت اجتماعی-اقتصادی با استفاده از 8 شاخص و روش </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">Oaxaca-Blinder decomposition</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">تعمیم یافته به سه سطح خوب (نمره بیش‌ترو مساوی 5)، متوسط (نمره 5-3) و ضعیف (مساوی یا کم‌تر از 3) طبقه‌بندی شد </span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">ا</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">رتباط متغیرهای اجتماعی- اقتصادی </span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">یک بار</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""> به‌طور جداگانه و یک بار به صورت تجمعی با سطوح مختلف نمایه توده بدن در رگرسیون بایناری مورد بررسی قرار گرفت.</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">شیوع چاقی و اضافه وزن به</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">ترتیب 3/23 و 5/48 درصد بود. وضعیت اجتماعی- اقتصادی در 2/26 درصد نمونه</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">ها خوب، 3/64 درصد متوسط و 5/9 درصد ضعیف بود. بین چاقی زنان با تعداد فرزندان (17/5-50/1 :</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">CI</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""> 95 درصد، 72/2 : </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">OR</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">) و سابقه چاقی در والدین (94/0-19/0 : </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">CI</span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""> درصد 95 ، 43/0: </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">OR</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">) به ترتیب ارتباط معنی</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">دار مثبت و منفی وجود داشت. ارتباط معنی</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">داری بین چاقی زنان با وضعییت اجتماعی- اقتصادی تجمعی یافت نشد(0/05</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">P></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">).<span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">در این مطالعه،<b> </b>چاقی و اضافه وزن در زنان در سن باروری در همه سطوح اجتماعی- اقتصادی به ابعاد همه</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">گیری نزدیک بود. جهت بررسی دقیق</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">تر عوامل مداخله</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">کننده و توضیح دقیق</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">تر علت افزایش روند سریع چاقی در طبقات اجتماعی</span></span><span lang="FA" style="line-height:90%">&ndash;</span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""> اقتصادی مختلف، مطالعات وسیع</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">تری پیشنهاد می</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">گردد.</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:200%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span arial="" style="font-family:">&nbsp;</span></span></span></b></span></span></span><span style="font-size:12pt"><span style="line-height:130%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:130%"><span style="letter-spacing:-.2pt"></span></span></span></b></span></span></span><br> <span style="font-size:12pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:120%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="line-height:120%">Obesity is a growing public health </span></span><span style="font-size:10.0pt"><span style="line-height:120%">concern</span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%"> worldwide. This study examined the prevalence of obesity/overweight and its </span></span><span style="font-size:10.0pt"><span style="line-height:120%">relation with </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%">cumulative socioeconomic risk in women of reproductive age in Mazandaran province, Iran.</span></span><span style="font-size:10.0pt"><span style="line-height:120%"></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:120%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:120%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%">In<b> </b></span></span><span style="font-size:10.0pt"><span style="line-height:120%">this descriptive correlational study using a multi-stage cluster sampling method, 540 married women aged 15-45 referred to primary health centers in Mazandaran province were recruited (2020). </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%">Body mass index was categorized into three levels: obese (&ge;30), overweight (25-29.9</span></span><span style="font-size:10.0pt"><span style="line-height:120%">), and normal (18.5-24.9). Socio-economic status was classified using generalized Oaxaca-Blinder decomposition method. Each of the socio-economic variables (8 indicators) was given a score of zero or one, and then the scores were added up. The scores of &ge;5, 3-5, and &le;2 were considered good, average, and</span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%"> poor, respectively. The relationship between socio-economic variables and different levels of body mass index was assessed once separately and once cumulatively in binary regression.</span></span><span style="font-size:10.0pt"><span style="line-height:120%"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:120%"><span arial="" style="font-family:">Results:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%">The prevalence of obesity and overweight was 23.3% and 48.5%, respectively. The socio-economic status of 26.2% of the participants was classified as good, 64.3% as average, and 9.5% as poor. There was a significant positive and negative relationship between obesity in women with </span></span><span style="font-size:10.0pt"><span style="line-height:120%">their </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%">number of <span style="letter-spacing:-.2pt">children </span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%"><span style="letter-spacing:-.2pt">(</span></span></span><span style="font-size:10.0pt"><span style="line-height:120%"><span style="letter-spacing:-.2pt">OR: 2.72, 95% CI: 1.50-5.17)</span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%"><span style="letter-spacing:-.2pt"> and obesity in their parents (</span></span></span><span style="font-size:10.0pt"><span style="line-height:120%"><span style="letter-spacing:-.2pt">OR: 0.43, 95% CI: 0.19-0.94</span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%"><span style="letter-spacing:-.2pt">)</span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%"><span style="letter-spacing:-.2pt"> respectively.</span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%"> Statistical tests did not show significant relationship between women&#39;s obesity and their cumulative socio-economic status </span></span><span style="font-size:10.0pt"><span style="line-height:120%">(P>0.05)</span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%">.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:120%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:120%"><span arial="" style="font-family:">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:120%"> The prevalence of obesity and overweight among women of reproductive age, regardless of their socio-economic status, has reached epidemic proportions</span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:120%">. Extensive studies are suggested to better understand the factors that contribute to obesity and to provide a more accurate explanation for the rapid increase in obesity among various socio-economic groups.</span></span> <span lang="EN" style="font-size:10.0pt"><span style="line-height:120%"></span></span></span></span></span></span><br> &nbsp; اضافه وزن, چاقی, سطح اجتماعی اقتصادی, زنان, سن باروری obesity, overweight, socioeconomic status, women, reproductive age 129 143 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-1960-7&slc_lang=fa&sid=1 Fatemeh Abdollahi فاطمه عبداللهی abdollahizagh@gmail.com 1003194753284600161066 1003194753284600161066 No Associate Professor, Department of Public Health, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran دانشیار، گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی مازندران، ساری، ایران Jamshid Yazdani Charati جمشید یزدانی چراتی jamshid.charati@gmail.com 1003194753284600161067 1003194753284600161067 No Professor, Department of Biostatistics, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran & Health Research Centre, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran استاد، گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی مازندران، ساری، ایران و مرکز تحقیقات علوم بهداشتی، پژوهشکده اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران Zahra Kashi زهرا کاشی Kasha_zahra@yahoo.com 1003194753284600161068 1003194753284600161068 No Professor, Department of Internal Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran & Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran استاد، گروه داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران و مرکز تحقیقات دیابت، دانشگاه علوم پزشکی مازندران، ساری، ایران Mehran Zarghami مهران ضرغامی mehran.zarghami@gmail.com 1003194753284600161069 1003194753284600161069 Yes Professor, Department of Psychiatry, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran & Psychiatry and Behavioural Sciences Research Centre, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran استاد، گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران و مرکز تحقیقات روان پزشکی و علوم رفتاری، پژوهشکده اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران