fa ارتباط شاخص‌های تن سنجی با ابتلا به سندرم پیش از قاعدگی و شدت آن در دانشجویان دختر دانشگاه علوم پزشکی تهران علوم تغذیه Nutrition Sciences پژوهشي Research <p align="right"> <font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0% mso-pagination: none" dir="rtl"><b><span lang="AR-SA" style="font-family: ">زمینه و هدف</span></b><span lang="AR-SA" style="font-family: ">: گمان می‌شود که چاقی و اضافه وزن در اتیولوژی برخی از مشکلات قاعدگی از طریق تغییر در تعادل هورمون‌های استروئیدی و گلوبین‌های متصل شونده به هورمون‌های جنسی نقش دارند. مطالعه حاضر با هدف بررسی ارتباط بین شاخص های تن سنجی با ابتلا به سندرم پیش از قاعدگی (</span><span style="font-family: " dir="ltr">Premenstrual syndrome =PMS</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>) و شدت آن در دختران دانشجو انجام شد.<o:p /></span></p><p align="right"><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: inter-ideograph mso-pagination: none" dir="rtl"><b><span lang="AR-SA" style="font-family: ">روش کار</span></b><span lang="AR-SA" style="font-family: ">: این مطالعه به صورت یک مطالعه مقطعی توصیفی با شرکت 365 دانشجوی خانم ساکن در خوابگاه های دانشجویی دانشگاه علوم پزشکی تهران، در سال 1391 انجام شد. روش نمونه گیری خوشه ای تصادفی بود. از قدسنج و ترازوی </span><span style="font-family: " dir="ltr">Seca</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span> برای اندازه گیری قد و وزن در شرایط استاندارد و از متر نواری غیرقابل ارتجاع برای اندازه گیری دور کمر و دور باسن استفاده شد و سپس نسبت دور کمر به دور باسن </span><span style="font-family: " dir="ltr">Waist to Hip Ratio</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>،</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: " dir="ltr"><span dir="ltr"></span> </span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span><font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>نسبت دور کمر به قد </font></font></span><span dir="ltr"></span><span style="font-family: " dir="ltr"><span dir="ltr"></span><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>Waist to Height Ratio</font></span><span lang="AR-SA" style="font-family: ">و شاخص کونیسیتی </span><span dir="ltr"></span><span style="font-family: " dir="ltr"><span dir="ltr"></span><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>Conicity Index</font></span><span lang="AR-SA" style="font-family: ">محاسبه شدند. برای سنجش ابتلا به سندرم پیش از قا عدگی و شدت آن از فرم تشخیص موقت سندرم پیش از قاعدگی و پرسشنامه غربالگری علائم سندرم پیش از قاعدگی (</span><span style="font-family: " dir="ltr">Premenstrual Symptoms Screening Tool-PSST</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>) نسخه ایرانی استفاده شد. داده‌ها با نرم افزار آماری </span><span dir="ltr"></span><span style="font-family: " dir="ltr"><span dir="ltr"></span><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>SPSS</font></span><span lang="AR-SA" style="font-family: ">نسخه16 با استفاده از آزمون آماری </span><span style="font-family: " dir="ltr">Kolmogorov-Smirnov</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span> تجزیه و تحلیل شد. جهت بررسی ارتباط بین متغییرها ازضریب همبستگی اسپیرمن استفاده و 05/0> </span><span style="font-family: " dir="ltr">p</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span> معنی‌دار تلقی شد.<o:p /></span></p><p align="right"><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0% mso-pagination: none" dir="rtl"><b><span lang="AR-SA" style="font-family: ">یافته ها: </span></b><span lang="AR-SA" style="font-family: ">ارتباط آماری مستقیم معنی دار بین دور کمر</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: " dir="ltr"><span dir="ltr"></span> </span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>(123/0=</span><span style="font-family: " dir="ltr">r</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>، 046/0</span><span style="font-family: " dir="ltr">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>)، </span><span style="font-family: " dir="ltr">WHR</span><span dir="rtl"></span><span style="font-family: "><span dir="rtl"></span> <span lang="AR-SA"><font face="B Mitra" size="2">(125/0=</font></span></span><span style="font-family: " dir="ltr">r</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span> ،<font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>043/0</font></font></span><span style="font-family: " dir="ltr">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>) و </span><span style="font-family: " dir="ltr">WHtR</span><span dir="rtl"></span><span style="font-family: "><span dir="rtl"></span> <span lang="AR-SA"><font face="B Mitra" size="2">(123/0=</font></span></span><span style="font-family: " dir="ltr">r</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>،<font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>045/0</font></font></span><span style="font-family: " dir="ltr">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span>) با ابتلا به </span><span style="font-family: " dir="ltr">PMS</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span> مشاهده شد، اما ارتباط معنی داری بین سایر شاخص ها با </span><span style="font-family: " dir="ltr">PMS</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span> مشاهده نشد.<o:p /></span></p><p align="right"><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0% mso-pagination: none" dir="rtl"><b><span lang="AR-SA" style="font-family: ">نتیجه</span></b><b><span style="font-family: " dir="ltr">‌</span></b><b><span lang="AR-SA" style="font-family: ">گیری</span></b><span lang="AR-SA" style="font-family: ">:</span><span lang="AR-SA" style="font-family: "> </span><span lang="AR-SA" style="font-family: ">با افزایش شاخص های تن سنجی دور کمر، </span><span style="font-family: " dir="ltr">WHR</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span> و </span><span style="font-family: " dir="ltr">WHtR</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "><span dir="rtl"></span> احتمال ابتلا به سندرم پیش از قاعدگی و افزایش شدت آن وجود دارد.<o:p /></span></p><p align="right"><font face="Times New Roman" size="3"> </font></p> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph"><b><span style="font-family: ">Background: </span></b><span style="font-family: ">It is believed that overweight and obesity are involved in the etiology of menstrual problems by changing the balance of steroid hormones and sex hormone binding globins. </span><font size="3"><span style="font-family: ">This study</span><span style="font-family: "> </span><span style="font-family: ">examined the association between</span><span style="font-family: "> </span><span style="font-family: ">anthropometric indices</span><span style="font-family: "> </span><span style="font-family: ">with</span><span style="font-family: "> </span><span style="font-family: ">premenstrual</span><span style="font-family: "> </span><span style="font-family: ">syndrome</span><span style="font-family: "> </span><span style="font-family: ">(PMS)</span><span style="font-family: "> </span><span style="font-family: ">and its severity in</span><span style="font-family: "> </span><span style="font-family: ">female students.</span><span style="font-family: "> </span></font><span style="font-size: 12pt mso-bidi-language: FA"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: ">Methods</span></b><span style="font-family: ">: </span><font size="3"><span style="font-family: ">This cross-sectional study</span><span style="font-family: "> </span><span style="font-family: ">involving</span><span style="font-family: "> </span><span style="font-family: ">365</span><span style="font-family: "> </span><span style="font-family: ">women</span><span style="font-family: "> </span><span style="font-family: ">living in</span><span style="font-family: "> </span><span style="font-family: ">student dormitories of</span><span style="font-family: "> </span><span style="font-family: ">Tehran University</span><span style="font-family: "> </span><span style="font-family: ">of Medical Sciences,</span><span style="font-family: ">, </span><span style="font-family: ">was conducted</span><span style="font-family: "> </span><span style="font-family: ">in</span><span style="font-family: "> </span><span style="font-family: ">1391. Sampling was random cluster. Seca</span><span style="font-family: "> </span><span style="font-family: ">stadiometer and scale</span><span style="font-family: "> </span><span style="font-family: ">to measure</span><span style="font-family: "> </span><span style="font-family: ">height and weight</span><span style="font-family: "> </span><span style="font-family: ">at standard conditions and</span><span style="font-family: "> </span><span style="font-family: ">non-</span><span style="font-family: ">elastic </span><span style="font-family: ">tape</span><span style="font-family: "> to measure </span><span style="font-family: ">waist and</span><span style="font-family: "> </span><span style="font-family: ">hip circumferences</span><span style="font-family: "> </span><span style="font-family: ">were</span><span style="font-family: "> used. Then </span><span style="font-family: ">waist-to</span><span style="font-family: ">-hip </span><span style="font-family: ">ratio</span><span style="font-family: "> </span><span style="font-family: ">(WHR),</span><span style="font-family: "> </span><span style="font-family: ">waist-to-</span><span style="font-family: ">height </span><span style="font-family: ">ratio</span><span style="font-family: "> </span><span style="font-family: ">(WHtR)</span><span style="font-family: "> </span><span style="font-family: ">and index</span><span style="font-family: "> </span><span style="font-family: ">Conicity (C-Index)</span><span style="font-family: "> </span><span style="font-family: ">were</span><span style="font-family: "> </span><span style="font-family: ">calculated. To</span><span style="font-family: "> </span><span style="font-family: ">assess PMS and its’</span><span style="font-family: "> </span><span style="font-family: ">severity provisional</span><span style="font-family: "> </span><span style="font-family: ">diagnosis</span><span style="font-family: "> </span><span style="font-family: ">of premenstrual syndrome form and Premenstrual Symptoms Screening Tool-PSST were employed. Data was analyzed with</span><span style="font-family: "> </span><span style="font-family: ">statistical software</span><span style="font-family: "> </span><span style="font-family: ">SPSS v.16</span><span style="font-family: "> </span><span style="font-family: ">using the</span><span style="font-family: "> </span><span style="font-family: ">Kolmogorov-Smirnov</span><span style="font-family: "> </span><span style="font-family: ">test</span><span style="font-family: ">. </span><span style="font-family: ">To</span><span style="font-family: "> </span><span style="font-family: ">investigate the relationship</span><span style="font-family: "> </span><span style="font-family: ">between</span><span style="font-family: "> </span><span style="font-family: ">variables</span><span style="font-family: "> </span><span style="font-family: ">Spearman</span><span style="font-family: "> </span><span style="font-family: ">correlation</span><span style="font-family: "> </span><span style="font-family: ">coefficient</span><span style="font-family: "> was used </span><span style="font-family: ">and</span><span style="font-family: "> </span><span style="font-family: ">0.05> P-value</span><span style="font-family: "> </span><span style="font-family: ">was considered significant.</span><span lang="AR-SA" style="font-family: " dir="rtl"><o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: ">Results:</span></b><span style="font-family: "> </span><font size="3"><span style="font-family: ">There was a significant</span><span style="font-family: "> </span><span style="font-family: ">correlation</span><span style="font-family: "> </span><span style="font-family: ">between</span><span style="font-family: "> </span><span style="font-family: ">waist circumference (P-value: 0.046</span><span style="font-family: ">, r: 0.123) WHR </span><span style="font-family: ">(P-value: 0.043</span><span style="font-family: ">, r: 0.125), and </span><span style="font-family: ">WHtR (P-value: 0.045</span><span style="font-family: ">, r: 0.123) </span><span style="font-family: ">and</span><span style="font-family: "> </span><span style="font-family: ">PMS</span><span style="font-family: "> risk, but </span><span style="font-family: ">there was no</span><span style="font-family: "> </span><span style="font-family: ">significant association</span><span style="font-family: "> </span><span style="font-family: ">between other</span><span style="font-family: "> </span><span style="font-family: ">indicators</span><span style="font-family: "> </span><span style="font-family: ">and</span><span style="font-family: "> </span><span style="font-family: ">PMS.</span><span style="font-family: "><o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: ">Conclusions: </span></b><font size="3"><span style="color: black font-family: ">Increase</span><span style="color: black font-family: "> </span><span style="color: black font-family: ">in</span><span style="color: black font-family: "> </span><span style="color: black font-family: ">waist circumference</span><span style="color: black font-family: ">, WHR, and </span><span style="color: black font-family: ">WHtR</span><span style="color: black font-family: "> </span><span style="color: black font-family: ">associated</span><span style="color: black font-family: "> </span><span style="color: black font-family: ">with increased</span><span style="color: black font-family: "> </span><span style="color: black font-family: ">risk</span><span style="color: black font-family: "> </span><span style="color: black font-family: ">of PMS and its severity</span><span style="color: black font-family: ">.</span></font><span lang="AR-SA" style="font-family: " dir="rtl"><o:p /></span></p><font face="Times New Roman" size="3"> </font> سندرم پیش از قاعدگی، شاخص های تن سنجی، دختران دانشجو. Premenstrual syndrome, Anthropometric indices, Female students. 87 94 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1432&slc_lang=fa&sid=1 Vida Mohammadi ویدا محمدی 3900319475328460023859 3900319475328460023859 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Farzad Shidfar فرزاد شیدفر 3900319475328460023860 3900319475328460023860 Yes Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Sahar Keshtkar Aghababaee سحر کشتکار آقابابایی 3900319475328460023861 3900319475328460023861 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Parisa Mokhtari پریسا مختاری 3900319475328460023862 3900319475328460023862 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Roya Mohammadi رویا محمدی 3900319475328460023863 3900319475328460023863 No Shiraz University of Medical Sciences دانشگاه علوم پزشکی شیراز Mahmoud Reza Gohari محمودرضا گوهری 3900319475328460023864 3900319475328460023864 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران