بررسی ارتباط شاخص‌های پیکرسنجی با شاخص آتروژنیک پلاسما و برخی دیگر از عوامل خطرزای قلبی - عروقی در زنان شاغل

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه فیزیولوژی ورزشی، مرکز آموزش عالی کاشمر، کاشمر، ایران.

2 کارشناس ارشد فیزیولوژی ورزشی، مرکز آموزش عالی کاشمر، کاشمر، ایران.

10.22038/ijogi.2025.82749.6216

چکیده

مقدمه: شیوع چاقی در جهان با خطر ابتلاء به بیمار‌ی‌های قلبی - عروقی (CVD) همراه است. از آنجایی که مناسب‌ترین شاخص‌های پیکرسنجی تعیین‌کننده‌ چاقی جهت تخمین CVD به‌ویژه در زنان، به‌خوبی شناخته نشده است، مطالعه حاضر با هدف بررسی ارتباط شاخص‌های پیکرسنجی با عوامل خطرزای قلبی - عروقی در زنان شاغل انجام شد.
روش‌کار: این مطالعه توصیفی تحلیلی در سال 1403 بر روی 46 زن شاغل با دامنه سنی 53-28 سال در شهرستان کاشمر انجام شد. شاخص‌های پیکرسنجی شامل؛ قد، وزن، شاخص توده بدنی (BMI)، دور کمر (WC)، نسبت دور کمر به دور لگن (WHR) و نسبت دور کمر به قد (WHtR) اندازه‌گیری شد. مقادیر تری‌گلیسیرید (TG)، کلسترول تام (TC)، لیپوپروتئین پرچگال (HDL) و لیپوپروتئین کم‌چگال (LDL) جهت برآورد عوامل خطرزای قلبی - ‌عروقی شامل شاخص آتروژنیک پلاسما (AIP)، شاخص خطر کاستلی I و II (CRI-I، CRI-II) و ضریب آتروژنیک (AC) از طریق خون‌گیری و به‌صورت ناشتا اندازه‌گیری گردید. تجزیه و تحلیل داده‌ها با استفاده از نرم‌‌افزار آماری SPSS (نسخه 25) و ضریب همبستگی پیرسون انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: بر اساس نتایج آزمون ضریب همبستگی پیرسون در بررسی رابطه بین شاخص‌های پیکرسنجی و عوامل خطرساز قلبی - عروقی، بین WC و WHR با هر چهار شاخص خطر قلبی - عروقی همبستگی مثبت و معناداری وجود داشت (05/0>p). همچنین بین BMI و WHtR با CRI-I، CRI-II و AC همبستگی مثبت و معناداری وجود داشت (05/0>p). بین BMI و WHtR با AIP رابطه معناداری مشاهده نشد (05/0<p).
نتیجه­ گیری: شاخص‌های WHR و WC، توانایی بیشتری نسبت به BMI و WHtR برای پیش‌بینی خطر بیماری‌های قلبی - عروقی در زنان شاغل دارند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Relationship between anterometric indices and plasma atherogenic index and some other cardiovascular risk factors in working women

نویسندگان [English]

  • Esmat Rashidi 1
  • Javad Arefi 2
1 Assistant Professor, Department of Exercise Physiology, Kashmar Higher Education Institute, Kashmar, Iran.
2 M.Sc. of Exercise Physiology, Kashmar Higher Education Institute, Kashmar, Iran.
چکیده [English]

Introduction: The prevalence of obesity in the world is associated with the risk of cardiovascular diseases (CVD). Since the most appropriate anthropometric indicators determining obesity to estimate CVD, especially in women, are not well known, the present study was conducted with aim to investigate the association of anthropometric indicators with cardiovascular risk factors in working women.
Methods: This descriptive-analytical study was conducted in 2024 on 46 working women with age range of 28-53 years in Kashmar city. Anthropometric indicators including height, weight, BMI, Waist Circumference (WC), Waist to Hip Ratio (WHR) and Waist-to-height ratio (WHtR) were measured. Triglyceride (Tg), total cholesterol (Tcho), high-density lipoprotein (HDL) and low-density lipoprotein (LDL) values was measured as fasting through blood sampling in order to estimate cardiovascular risk factors including plasma atherogenic index (AIP), Castelli risk index I and II (CRI-I, CRI-II) and the atherogenic coefficient (AC). Data were analyzed using SPSS software (version 25) and Pearson's correlation coefficient test. P<0.05 was considered significant.
Results: The results of Pearson's correlation test to evaluate the relationship between anthropometric indicators and cardiovascular risk factors showed that there was a significant positive correlation between WC and WHR with all four cardiovascular risk indicators (P<0.05). Also, there was a significant positive correlation between BMI and WHtR with CRI-I, CRI-II and AC (P<0.05). No significant relationship was found between BMI and WHtR with AIP (P>0.05).
Conclusion: WHR and WC indices have a greater ability than BMI and WHtR to predict the risk of cardiovascular diseases in working women.

کلیدواژه‌ها [English]

  • Body mass index
  • Cardiovascular risk factors
  • Waist Circumference
  • Waist to Hip Ratio
  • Waist-to-height ratio

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مجله زنان، مامایی و نازایی ایران
دوره 28، شماره 2
اردیبهشت 1404
صفحه 35-44

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