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
1403
10
1
gregorian
2025
1
1
23
8
online
1
fulltext
fa
اثربخشی تحریک مغناطیسی فراجمجمهای بر ولع مصرف و شاخصهای تنسنجی در زنان مبتلا به چاقی: یک مطالعه نیمهتجربی
The Effectiveness of Transcranial Magnetic Stimulation on Cravings and Anthropometric Indicators in Obese Women: A Quasi-Experimental Study
تغذيه
تغذيه
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:90%"><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:12.0pt"><span style="line-height:90%"><span style="font-family:"B Nazanin"">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> چاقی در بین جوامع و اکثر کشورها گسترش یافته و به موضوعی عمومی و جهانی تبدیل شده است. پژوهش حاضر با هدف تعیین اثربخشی تحریک مغناطیسی فراجمجمه­ای بر ولع مصرف و شاخص­های تن­سنجی در زنان مبتلا به چاقی صورت گرفت.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> پژوهش حاضر از نوع نیمه­تجربی با طرح پیش­آزمون-پس­آزمون همراه با گروه کنترل بود. جامعه آماری شامل کلیه زنان چاق مراجعه­کننده به کلینیک تغذیه شهر اردبیل در سال 1402 بود. تعداد 30 زن چاق به روش نمونه­گیری هدف­مند انتخاب و به­صورت تصادفی در گروه آزمایش و کنترل جای­گذاری شدند. گروه آزمایش به تفکیک روزانه به­مدت 7 دقیقه و با تعداد جلسات 10 جلسه تحت درمان قرار گرفتند. اعضای گروه با استفاده از پرسش­نامه ولع مصرف </span></span></span>Cepeda-Benito<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و شاخص­های تن­سنجی در مرحله پیش­آزمون و پس­آزمون مورد ارزیابی قرار گرفتند و از آنالیز کوواریانس چندمتغیره برای تحلیل داده­ها استفاده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> اثربخشی تحریک مغناطیسی فراجمجمه­ای بر ولع مصرف معنادار بوده و موجب کاهش آن شده است (05/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">). هم­چنین، یافته­ها نشان داد که تحریک مغناطیسی فراجمجمه­ای بر شاخص توده بدنی، شاخص نسبت دور کمر به قد و شاخص حجم شکمی تأثیر مثبت و معنادار داشته است (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">)، به­طوری­که نمرات آزمودنی­های گروه آزمایش در پس­آزمون این متغیرها کاهش معنادار یافته است، اما بر نسبت دور کمر به باسن تأثیر معناداری نداشته است (05/0<</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> با توجه به نتایج مطالعه حاضر به­نظر می­رسد از روش تحریک مغناطیسی فراجمجمه­ای می­توان در بانوان چاق و افرادی که ولع مصرف دارند و در برنامه­های کاهش وزن و تغییر سبک زندگی و ارتقاء سلامت جامعه استفاده کرد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">واژه­های کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> تحریک مغناطیسی فراجمجمه­ای، ولع مصرف، شاخص­های تن­سنجی، چاقی</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:140%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:140%"> Obesity has spread among societies and most countries and has become a general and global issue. The present study was conducted with the aim of determining the effectiveness of transcranial magnetic stimulation on cravings and anthropometric indicators in obese women.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Materials and Methods: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">The current research was quasi-experimental with a pretest-posttest design and a control group. The statistical population included all obese women who referred to the nutrition clinic of Ardabil City in 2023. 30 obese women (15 in the experimental group and 15 in the control group) were selected by purposive sampling and randomly assigned to the experimental and control groups. The experimental group was treated separately daily for 7 minutes in 10 sessions. Group members were evaluated using the Cepeda-Benito’s Food Craving Questionnaire and anthropometric indices in the pre-test and post-test stages, and multivariate covariance analysis was used to analyze the data.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Results: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">The effectiveness of transcranial magnetic stimulation on the urge to consume is significant and has reduced it (p<0.05). Also, the findings showed that transcranial magnetic stimulation had a positive and significant effect on the body mass index, the waist-to-height ratio index, and abdominal volume index (p<0.001), so that the scores of the experimental group subjects in the post-test of these variables significantly decreased, but it had no significant effect on waist-to-hip ratio (p>0.05).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conclusion: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Based on the results of this study, it seems that the transcranial magnetic stimulation method can be used in obese women and people who have cravings and in weight loss and lifestyle change programs and improving the health of society.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Keywords: </span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:140%">Transcranial magnetic stimulation, Cravings, Anthropometric indicators, Obesity</span></span><b><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Funding: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conflict of interest: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Ethical Considerations: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">The Ethics Committee of Mohaghegh Ardabili University approved the study (IR.UMA.REC.1402.062).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Authors’ Contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Conceptualization: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Seyed Mohsen Nemati</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Sajjad Basharpoor</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Data collection: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Seyed Mohsen Nemati<b> </b></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Formal analysis: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Parviz Porzoor</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Supervision: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Mohammad Narimani, Ghasem Fattahzade</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Project administration: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Mohammad Narimani</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Writing – original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Seyed Mohsen Nemati</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Writing – review & editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Sajjad Basharpoor</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:140%"></span></span></b></span></span></span></span></span><br>
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تحریک مغناطیسی فراجمجمهای, ولع مصرف, شاخصهای تنسنجی, چاقی
Transcranial magnetic stimulation, Cravings, Anthropometric indicators, Obesity
691
704
http://journal.rums.ac.ir/browse.php?a_code=A-10-6831-1&slc_lang=fa&sid=1
Seyed Mohsen
Nemati
سید محسن
نعمتی
sm.nemati69@gmail.com
6900319475328460059154
6900319475328460059154
No
Mohaghegh Ardabili University, Ardabil
دانشگاه محقق اردبیلی
Mohammad
Narimani
محمد
نریمانی
narimani@uma.ac.ir
6900319475328460059155
6900319475328460059155
Yes
Mohaghegh Ardabili University, Ardabil
دانشگاه محقق اردبیلی
Parviz
Porzoor
پرویز
پرزور
p.porzoor@uma.ac.ir
6900319475328460059156
6900319475328460059156
No
Mohaghegh Ardabili University, Ardabil
دانشگاه محقق اردبیلی
Sajjad
Basharpoor
سجاد
بشرپور
basharpoor_sajjad@yahoo.com
6900319475328460059157
6900319475328460059157
No
Mohaghegh Ardabili University, Ardabil
دانشگاه محقق اردبیلی
Ghasem
Fattahzade
قاسم
فتاح زاده
dr.fattahzade@gmail.com
6900319475328460059158
6900319475328460059158
No
Ardabil University of Medical Science
دانشگاه علوم پزشکی اردبیل