بررسی وضعیت مصرف سیگار، دریافت کافئین و شاخص توده‌بدنی زنان نابارور و سالم 40-25 ساله

نویسندگان

1 دانشیار گروه تغذیه، دانشکده بهداشت، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

2 کارشناس ارشد علوم بهداشتی در تغذیه، دانشکده بهداشت، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

3 دانشیار مرکز تحقیقات رشد کودکان، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

4 استاد گروه زنان، مرکز تحقیقات بهداشت باروری ولی‌عصر (عج) تهران، دانشکده پزشکی، دانشگاه علوم پزشکی تهران، تهران، ایران.

چکیده

مقدمه: ناباروری یکی از مشکلات مهم بهداشتی- درمانی جوامع مختلف محسوب می­شود. قسمت قابل توجهی از ناباروری وابسته به شرایط محیطی و قابل پیشگیری است، لذا مطالعه حاضر با هدف تعیین مصرف سیگار، مصرف کافئین و شاخص توده‌بدنی در زنان نابارور و سالم 40-25 ساله انجام شد.
روش‌کار: این مطالعه مقطعی طی سال­های 93-1392 بر روی 144 زن نابارور و 144 زن سالم تهران انجام شد. اطلاعات عمومی، غذایی و تن­سنجی، با استفاده از پرسشنامه جمع­آوری شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون‌های آنالیز آماری تی، کای دو و رگرسیون لوجستیک انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته­ها: میانگین کافئین دریافتی در زنان نابارور (32/105±68/140) بیشتر از زنان سالم (8/96±5/122) بود، ولی این اختلاف معنادار نبود (98/0=p). بین مصرف سیگار و کافئین با ناباروری ارتباط معناداری مشاهده نشد. اما میانگین شاخص توده‌بدنی زنان نابارور و سالم به ترتیب 11/4±74/26 و 88/2±98/24 کیلوگرم بر متر مربع بود و اختلاف معناداری بین شاخص توده‌بدنی در افراد مورد مطالعه مشاهده شد؛ به‌‌طوری‌‌که فراوانی چاقی در زنان نابارور بیشتر بود (002/0>p).
نتیجه­گیری: با توجه به شیوع ناباروری در ایران و ارتباط بین چاقی با ناباروری لزوم آموزش تغذیه و پیش‌آگهی در ارتباط با پیامدهای نامطلوب اضافه و وزن و چاقی ضروری است.

کلیدواژه‌ها


عنوان مقاله [English]

The status of Smoking habit, Caffeine Intake and Body Mass Index in infertile and healthy women aged 25-40 years

نویسندگان [English]

  • Maryam Javadi 1
  • Nastaran Miri 2
  • Ameneh Barikani 3
  • Fargol Sadeghi 4
  • Fargol Sadeghi 2
1 Associate professor, Department of Nutrition, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran.
2 M.Sc. of Health Sciences in Nutrition, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran.
3 Associate professor, Children Growth Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
4 Professor, Department of Obstetrics and Gynecology, Tehran Vali-e-Asr Reproductive Health Research Center, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Infertility is considered as a major healthcare problem in many communities. The main part of infertility is related to environmental conditions and is preventable. Therefore, this study was performed with aim to determine the status of smoking habit, caffeine intake and body mass index (BMI) in infertile and healthy women aged 25-40 years.
Methods: This cross-sectional study was performed on 144 infertile and 144 healthy women in Tehran during 2013-2014. Demographic data, food consumption and anthropometric measurements were collected through questionnaires. Data were analyzed by SPSS software (version 16) and Chi-Square, T-Test and Logistic regression. PResults: The mean of caffeine intake in infertile women (140.68±105.32) was more than healthy women (122.5±96.8), but the difference was not significant (P=0.98). There was no significant relation between smoking and caffeine intake with infertility. The mean body mass index in infertile and healthy women were 26.74±4.11 and 24.98±2.88 kg/m2, respectively. Significant difference was observed between BMI in the subjects, so that the frequency of obesity was higher among infertile women (P<0.002).
Conclusion: Regarding the prevalence of infertility in Iran and the relationship between obesity and infertility, it is necessary to teach about nutrition and prognosis in terms of negative consequences of overweight and obesity.

کلیدواژه‌ها [English]

  • Body mass index
  • Caffeine
  • Infertility
  • Smoking
  1. Tansaz M, Adhami S, Mokaberinejad R, Namavar-Jahromi B, Atarzadeh F, Jaladat AM. An overview of the causes and symptoms of male infertility from the perspective of traditional Persian medicine. Iran J Obstet Gynecol Infertil 2016; 18(182):11-7. (Persian).
  2. Mahrozadeh S, Sohrabvand F, Bios S, Nazem I, Nazari SM, Dabaghyan FH, et al. Male infertility in Iranian traditional medicine, causes, treatment and compares it with modern medicine. Iran J Obstet Gynecol Infertil2016; 18(183):1-11. (Persian).
  3. Vahidi S, Ardalan A, Mohammad K. The epidemiology of primary infertility in the Islamic Republic of Iran in 2004-5. J Reprod Infertil 2006; 7(3):243-51.
  4. Speroff L, Fritz MA. Clinical gynecologic endocrinology and infertility. 8th ed. Philadelphia: Lippincott Williams and Wilkins; 2010.
  5. Akhtari E, Bioos S, Sohrabvand F. Infertility in Iranian traditional medicine from Hakim Mohammad Azam Khan point of view. Iran J Obstet Gynecol Infertil 2015; 18(148):18-23. (Persian).
  6. Jalilolghadr S, Javadi A, Mahram M, Farshidgohar M, Javadi M. Prevalence of metabolic syndrome and insulin resistance in children and adolescent of Qazvin, Iran. Malays J Med Sci 2015; 22(6):32-6.
  7. Javadi M, Kalantari N, Jalilolghadr S, Omidvar N, Rashidkhani B, Amiri P. Sleep habits and dietary intake among preschool children in Qazvin. J Comprehen Pediatr 2014; 5(1):e5134.
  8. World Health Organization. Obesity, situation and trends. Geneva (CH): World Health Organization; 2014.
  9. Almasi Hashiani A, Spidarkish M, Omani Samani R. Prevalence of overweight and obesity and its relationship with chemical pregnancy in infertile women after assistant reproductive therapy. Iran J Obstet Gynecol Infertil 2016; 19(22):1-7. (Persian).
  10. Ziaee A, Javadi A, Javadi M, Zohal M, Afaghi A. Nutritional status assessment of minodar residence in Qazvin city, Iran: vitamin D deficiency in sunshine country, a public health issue. Glob J Health Sci 2012; 5(1):174-9.
  11. Chavarro JE, Ehrlich S, Colaci DS, Wright DL, Toth TL, Petrozza JC, et al. Body mass index and short-term weight change in relation to treatment outcomes in women undergoing assisted reproduction. Fertil Steril2012; 98(1):109-16.
  12. Hajhashemkhani M, Dalvandi A, Kashaninia Z, Javadi M, Biglarian A. The relationship between family health promoting lifestyle and sleep habits in children 6 to 11 years old. J Mazandaran Univ Med Sci 2015; 25(127):92–9. (Persian).
  13. Yavari A, Javadi M, Mirmiran P, Bahadoran Z. Exercise-induced oxidative stress and dietary antioxidants. Asian J Sports Med 2015; 6(1):e24898.
  14. Klonoff-Cohen H, Bleha J, Lam-Kruglick P. A prospective study of the effects of female and male caffeine consumption on the reproductive endpoints of IVF and gamete intra-Fallopian transfer. Hum Reprod 2002; 17(7):1746-54.
  15. Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F. Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr 2010; 13(5):654-62.
  16. Esmaeilzadeh S, Delavar MA, Basirat Z, Shafi H. Physical activity and body mass index among women who have experienced infertility.Arch Med Sci 2013; 9(3):499-505.
  17. Rich-Edwards JW, Spiegelman D, Garland M, Hertzmark E, Hunter DJ, Colditz GA, et al. Physical activity, body mass index, and ovulatory disorder infertility. Epidemiology2002; 13(2):184-90.
  18. Shiloh H, Lahav-Baratz S, Koifman M, Ishai D, Bidder D, Weiner-Meganzi Z, et al. The impact of cigarette smoking on zona pellucida thickness of oocytes and embryos prior to transfer into the uterine cavity. Hum Reprod 2004; 19(1):157-9.
  19. Gormack AA, Peek JC, Derraik JG, Gluckman PD, Young NL, Cutfield WS. Many women undergoing fertility treatment make poor lifestyle choices that may affect treatment outcome. Hum Reprod 2015; 30(7):1617-24.
  20. Olsen J. Cigarette smoking, tea and coffee drinking, and subfecundity. Am J Epidemiol 1991; 133(7):734-9.
  21. Joesoef MR, Beral V, Rolfs RT, Aral SO, Cramer DW. Are caffeinated beverages risk factors for delayed conception? Lancet 1990; 335(8682):136-7.
  22. Grodstein F, Goldman MB, Ryan L, Cramer DW. Relation of female infertility to consumption of caffeinated beverages. Am J Epidemiol 1993; 137(12):1353-60.
  23. Jafari-Adli S, Jouyandeh Z, Qorbani M, Soroush A, Larijani B, Hasani-Ranjbar S. Prevalence of obesity and overweight in adults and children in Iran; a systematic review. J Diabetes Metab Disord 2014; 13(1):121.
Javadi A, Kalantari Z, Javadi M, Khoeni M, Homayonfar A, Barikani A. Effect of nutrition training and exercise training alone and together on body weight of overweight women referred to health centers in Qazvin. J Qazvin Univ Med Sci 2014; 17(6):39-46. (Persian).