Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1401
4
1
gregorian
2022
7
1
21
4
online
1
fulltext
fa
ارتباط شاخص توده بدنی مادر قبل از بارداری با شاخصهای تنسنجی هنگام تولد نوزاد و برخی پیامدهای بارداری: یک مطالعه همگروهی گذشتهنگر
The Relationship between Mother's Body Mass Index before Pregnancy with Anthropometric Indicators of Birth and Some Pregnancy Outcomes:
A Retrospective Cohort Study
اطفال
Pediatrics
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">مطالعات اخیر نتایج متناقضی در خصوص تأثیر شاخص توده بدنی قبل از بارداری مادر بر پیامدهای بارداری نشان دادند. این مطالعه با هدف تعیین ارتباط شاخص توده بدنی مادر قبل از بارداری با شاخص</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%"></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">های تنسنجی هنگام تولد نوزاد و برخی پیامدهای بارداری انجام شده است.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> این مطالعه به صورت همگروهی گذشتهنگر در سال 1398 بر روی زنان باردار مراجعه کننده به بیمارستان نیک نفس و علی ابن ابیطالب(ع) رفسنجان انجام شد. تعداد 300 نفر از افراد واجد شرایط به روش نمونهگیری در دسترس وارد مطالعه شدند. اطلاعات مربوط به مادران با استفاده از پرونده بهداشتی و مراقبت پیش از بارداری آن­ها جمعآوری شد. دادهها پس از جمعآوری با استفاده از آزمون مجذور کای و یا آزمون دقیق فیشر، رگرسیون لجستیک و مدل شانس متناسب تجزیه و تحلیل شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">یافته</span></span></span></b><b><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%"></span></span></b><b><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">ها:</span></span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> نتایج نشان داد که 147 نفر (49 درصد) از مادران اضافه وزن و چاقی داشتند (گروه مواجهه). </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">میزان بروز زایمان سزارین و وقوع زایمان زودرس در گروه مواجهه به طور معنیداری بیشتر بود (05/0></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%">p</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">). نتایج رگرسیون لوجستیک و مدل شانس متناسب نشان داد شانس تولد نوزادان کوتاه قد، با دور سر غیر طبیعی و دارای اضافه وزن در زنان چاق نسبت به زنان نرمال بیشتر بود ولی از نظر آماری معنی­دار نبود (05/0<</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%">p</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> شاخص توده بدنی غیر طبیعی می</span></span></span><span dir="LTR" lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">‎</span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">تواند بر ایجاد عوارض نامطلوب مادر و جنین و هم­چنین شاخص</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%"></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">های تنسنجی هنگام تولد نوزاد تأثیر داشته باشد. بنابراین با ارزیابی شاخص توده بدنی مادر قبل از باداری و کنترل اضافه وزن و چاقی می</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%"></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">توان از بروز این عوارض پیش</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%"></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">گیری کرد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> پیامدهای بارداری، شاخص توده بدنی، شاخص</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%"></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">های تنسنجی، بارداری </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:125%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-size:1.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Background and Objectives:</span></b> <span style="line-height:150%">Recent studies have shown conflicting results regarding the effect of the mother's pre-pregnancy body mass index on pregnancy outcomes. This study was conducted with the aim of determining the relationship between the body mass index of the mother before pregnancy and the anthropometric indices at the birth of the baby and some pregnancy outcomes.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Materials and Methods:</span></b><span style="line-height:150%"> This retrospective cohort study was conducted in 2019 on pregnant women referred to Nik Nafs and Ali Ibn Abi Talib Hospital in Rafsanjan. Three hundred eligible people were included in the study using convenience sampling. Information about mothers was collected using their health and preconception care</span> <span style="line-height:150%">records. After collecting the data, it was analyzed using chi-square test or Fisher's exact test, logistic regression, and multivariable proportional odds model.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Results:</span></b><span style="line-height:150%"> The results showed that 147 (49%) mothers were overweight and obese (exposure group). The rate of caesarean delivery and premature delivery was significantly higher in the exposure group (p<0.05). The results of logistic regression and multivariable proportional odds model showed that the chance of having babies with short stature, abnormal head circumference, and overweight was higher in obese women than in normal women but it was not statistically significant (p<0.05). </span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Conclusion:</span></b><span style="line-height:150%"> Abnormal body mass index can play a role in causing adverse effects of mother and fetus and also anthropometric indices at the birth of the baby. Therefore, evaluating the weight and body mass index of the mother before pregnancy and controlling overweight and obesity, these complications can be prevented.</span><span lang="FA" dir="RTL" style="line-height:150%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Key words:</span></b><span style="line-height:150%"> Pregnancy outcomes, Body mass index, Anthropometric indicators, Pregnancy</span><span style="font-size:3.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Funding:</span></b><span style="line-height:150%"> This study did not have any funds. </span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Conflict of interest:</span></b><span style="line-height:150%"> None declared. </span><span lang="FA" dir="RTL" style="line-height:150%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Ethical approval: </span></b><span style="line-height:150%">The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1398.098).</span><b><span dir="RTL" lang="AR-SA" style="font-size:3.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:125%">How to cite this article:</span></b><span style="line-height:125%"> Kamiab Zahra, Mangeli Hakime, Fatehi Abbas.The Relationship Between Mother's Body Mass Index Before Pregnancy with Anthropometric Indicators of Birth and Some Pregnancy Outcomes: A Retrospective Cohort Study. </span><i><span style="line-height:125%">J Rafsanjan</span></i><span style="line-height:125%"> <i>Univ Med Sci</i> 2022; 21 (4): 449</span><span style="line-height:125%"><span style="font-family:"Calibri","sans-serif"">-60. </span></span><span style="line-height:125%">[Farsi]</span><span style="line-height:125%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><span style="font-size:1.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
پیامدهای بارداری, شاخص توده بدنی, شاخصهای تنسنجی, بارداری
Pregnancy outcomes, Body mass index, Anthropometric indicators, Pregnancy
449
460
http://journal.rums.ac.ir/browse.php?a_code=A-10-5866-1&slc_lang=fa&sid=1
Zahra
Kamiab
زهرا
کامیاب
dr.kamiab89@gmail.com
6900319475328460050274
6900319475328460050274
No
Rafsanjan University of Medical Sciences
دانشگاه علوم پزشکی رفسنجان
Hakime
Mangeli
حکیمه
منگلی
hakime.m73@yahoo.com
6900319475328460050275
6900319475328460050275
No
Rafsanjan University of Medical Sciences
دانشگاه علوم پزشکی رفسنجان
Abbas
Fatehi
عباس
فاتحی
alihospitalres@gmail.com
6900319475328460050276
6900319475328460050276
Yes
Rafsanjan University of Medical Sciences
دانشگاه علوم پزشکی رفسنجان