fa تاثیر آموزش بر رفتار تغذیه‌ای و تعداد گرگرفتگی‌ در زنان پره‌منوپوز و منوپوز فارماکولوژی Pharmacology تجربی Experimental <p class="MsoNormal" dir="rtl" style="line-height: 16pt"><b><span lang="FA" style="font-family: '2 Mitra' color: blue">سابقه و هدف:</span></b><span lang="FA" style="font-family: '2 Mitra'"> یائسگی با احتمال بروز مشکلات بسیاری همراه است و تغذیه به عنوان یکی از عوامل موثر در کاهش این مشکلات مطرح می­باشد. لذا این مطالعه با هدف بررسی آموزش تغذیه بر عملکرد تغذیه­ای و تعداد گرگرفتگی­های زنان پری­منوپوز و منوپوز انجام گرفت.<o:p /></span></p> <p class="MsoNormal" dir="rtl" style="line-height: 16pt"><b><span lang="FA" style="font-family: '2 Mitra' color: blue">مواد و روشها:</span></b><span lang="FA" style="font-family: '2 Mitra'"> این کارآزمایی بر روی 54 زن متاهل سالم پری­منوپوز و منوپوز 60-45 ساله شهرستان کلیبر انجام گرفت. نمونه­ها با روش بلوک­بندی تصادفی به دو گروه 27 نفره تخصیص داده شدند. گروه اول سه جلسه آموزشی 45 الی60 دقیقه­ای بصورت هفتگی در ارتباط با تغذیه به روش سخنرانی دریافت کردند</span><span dir="ltr"></span><span lang="FA" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: '2 Mitra'">و</span><span lang="AR-YE" style="font-family: '2 Mitra'"> برای گروه کنترل مداخله­ای انجام نگرفت. چک­لیست ثبت تعداد گرگرفتگی و زیر دامنه تغذیه پرسشنامه</span><span lang="AR-YE" style="font-family: '2 Mitra'"> </span><span lang="FA">П</span><span dir="ltr">HPLP- </span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span> توسط هر دو گروه قبل از مداخله</span><span dir="ltr"></span><span lang="FA" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: '2 Mitra'">و 8 و 12 هفته بعد از مداخله،</span><span dir="ltr"></span><span lang="FA" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: '2 Mitra'">تکمیل و بررسی گردید. محدوده نمره نیز از 40-10 بود. (6</span><span dir="ltr">N</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span>2012111210324</span><span dir="ltr">IRCT:</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span>)</span><span dir="ltr"><o:p /></span></p> <p class="MsoNormal" dir="rtl" style="line-height: 16pt"><b><span lang="FA" style="font-family: '2 Mitra' color: blue">یافته ها:</span></b><span lang="FA" style="font-family: '2 Mitra'"> در گروه مداخله 27 نفر (100%) و در گروه کنترل 26 نفر (3/96 %) مطالعه را تا پایان ادامه دادند. میانگین</span><span lang="FA" style="font-family: '2 Mitra'"> </span><span lang="FA" style="font-family: '2 Mitra'">نمره پایه رفتار تغذیه­ای در گروه آموزش 4/3</span><span lang="FA" style="font-family: Calibri, sans-serif">±</span><span lang="FA" style="font-family: '2 Mitra'">7/14 و گروه کنترل 8/3</span><span lang="FA" style="font-family: Calibri, sans-serif">±</span><span lang="FA" style="font-family: '2 Mitra'">8/14، از نمره قابل دستیابی 40-10 بود که تفاوت آماری معنی­داری بین دو گروه وجود نداشت (910/0</span><span dir="ltr">p=</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span>). با تعدیل نمره رفتار تغذیه ای قبل از مداخله، میانگین نمره رفتار تغذیه­ای به طور معنی­داری در گروه آموزش در پایان هفته 8 [001/0></span><span dir="ltr"></span><span dir="ltr"><span dir="ltr"></span>,p</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span> 7/7 (0/9-4/6</span><span dir="ltr"></span><span dir="ltr"><span dir="ltr"></span>, </span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span>95%</span><span dir="ltr">CI</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span>)] و هفته 12پس از مداخله [001/0></span><span dir="ltr"></span><span dir="ltr"><span dir="ltr"></span>,p</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span>(3/10-4/7) 9/8] بیشتر از گروه کنترل بود (05/0></span><span dir="ltr">p</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span>). همچنین با تعدیل تعداد گرفتگی قبل از مداخله، تفاوت معنی­داری از نظر تعداد گرگرفتگی بین دو گروه مداخله و کنترل در پایان هفته 8 [001/0=</span><span dir="ltr"></span><span dir="ltr"><span dir="ltr"></span>,p</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span> (4/0- </span><span dir="ltr"></span><span dir="ltr"><span dir="ltr"></span>-</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span> 5/1-)1-]</span><span dir="ltr"></span><span lang="FA" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: '2 Mitra'">و هفته [001/0></span><span dir="ltr"></span><span dir="ltr"><span dir="ltr"></span>,p</span><span dir="rtl"></span><span lang="FA" style="font-family: '2 Mitra'"><span dir="rtl"></span> (5/1- - 1/3-)3/2-]</span><span dir="ltr"></span><span lang="FA" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: '2 Mitra'">پس از مداخله وجود داشت.</span><span dir="ltr"></span><span dir="ltr"><span dir="ltr"></span> <o:p /></span></p> <b><span lang="FA" dir="rtl" style="font-size: 10pt font-family: '2 Mitra' color: blue">نتیجه گیری:</span></b><span lang="FA" dir="rtl" style="font-size: 10pt font-family: '2 Mitra'"> نتایج مطالعه نشان داد که آموزش تغذیه­ای در زنان منوپوز و پری­منوپوز در بهبود رفتار تغذیه­ای و کاهش تعداد گرگرفتگی موثر می­باشد.</span> <p class="MsoNormal" style="line-height: 15pt direction: ltr unicode-bidi: embed"><b><span style="color: blue">BACKGROUND AND OBJECTIVE:</span></b> <span class="hps"><span style="color: rgb(34, 34, 34)">Nutrition</span></span><span style="color: rgb(34, 34, 34)"> is considered <span class="hps">as an effective</span> <span class="hps">factor</span> <span class="hps">in reducing</span> <span class="hps">the problems associated with </span>menopause. <span class="hps">The aim of</span> <span class="hps">this study was to evaluate the</span> <span class="hps">effect of nutritional education on</span> <span class="hps">nutritional behavior</span> <span class="hps">and</span> <span class="hps">the number</span> <span class="hps">of</span> <span class="hps">hot flashes in</span> </span><span class="hps">perimenopausal</span><span style="color: rgb(34, 34, 34)"> <span class="hps">and menopausal</span> <span class="hps">women</span></span><span class="hps"><span lang="EN" style="color: rgb(34, 34, 34)">.</span></span><span class="hps"><span style="color: rgb(34, 34, 34)"><o:p /></span></span></p> <p class="MsoNormal" style="line-height: 15pt direction: ltr unicode-bidi: embed"><b><span style="color: blue">METHODS:</span></b> <span style="color: rgb(34, 34, 34)">This <span class="hps">trial</span> was <span class="hps">conducted on 54</span> <span class="hps">healthy</span> <span class="hps">married perimenopausal</span> and<span class="hps"> menopausal</span> <span class="hps">women</span> <span class="hps">aged 45-60</span> <span class="hps">years </span>in <span class="hps">Kaleybar city, Eastern Azerbaijan, Iran</span>. The participants </span>were divided into two groups using randomized blocking method. The experimental group received three sessions of 45 to 60-minute lecture weekly about <span class="hps"><span style="color: rgb(34, 34, 34)">nutrition </span></span>and the control group received no intervention<span style="color: rgb(34, 34, 34)">. <span class="hps">Nutritional behavior</span> <span class="hps">and</span> <span class="hps">the number</span> <span class="hps">of</span> <span class="hps">hot flashes</span> were recorded and investigated <span class="hps">at baseline (before intervention), </span>8 and 12 weeks<span class="hps"> after</span> intervention <span class="hps">using</span> nutritional subscale of <span class="hps">HPLP-П questionnaire and a checklist, respectively (</span></span>IRCT:2012111210324N6<span class="hps"><span lang="EN" style="color: rgb(34, 34, 34)">).</span></span><o:p /></p> <p class="MsoNormal" style="line-height: 15pt direction: ltr unicode-bidi: embed"><b><span style="color: blue">FINDINGS:</span></b> 27 <span class="hps"><span style="color: rgb(34, 34, 34)">participants</span></span> (100%) <span class="hps"><span style="color: rgb(34, 34, 34)">of intervention group and 26 (96.3%) cases of control group completed the study. </span></span><span class="hps">At baseline<span style="color: rgb(34, 34, 34)">, mean±SD of nutritional behavior </span></span>score was 14.7±3.4 in the intervention and 14.8±13.8 in the control group from <span class="hps">attainable score of 10-40 and<span style="color: rgb(34, 34, 34)"> the difference between two groups was not significant (p=0.910). With adjusting the baseline nutritional behavior </span></span>score, the score in the intervention group was significantly higher than that in control <span class="hps"><span style="color: rgb(34, 34, 34)">group at the end of both 8_th week [(mean difference</span></span>: 7.7, 95% confidence interval: 6.4 to 9.0), p<0.001] and 12_th week [(8.9, 7.4 to 10.3), p<span dir="rtl"></span><span lang="FA" dir="rtl" style="font-family: 'B Mitra'"><span dir="rtl"></span>></span><span dir="ltr"></span><span dir="ltr"></span>0.001]. Also, after adjusting the baseline number of hot flashes, there was significant difference between two groups (control and intervention ) in terms of hot flashes in both 8 weeks [(-1.0, -1.5 to -0.4), p<0.001] and 12 weeks<span class="hps"><span style="color: rgb(34, 34, 34)"> after</span></span><span style="color: rgb(34, 34, 34)"> <span class="hps">intervention [(-2.3, -3.1 to -1.5), p<0.001]</span></span>.<o:p /></p> <p class="MsoNormal" style="line-height: 15pt direction: ltr unicode-bidi: embed"><b><span style="color: blue">CONCLUSION:</span></b> The results showed that nutritional education improved nutritional behavior and reduced hot flashes <span class="hps"><span style="color: rgb(34, 34, 34)">in</span></span><span style="color: rgb(34, 34, 34)"> <span class="hps">perimenopausal</span> <span class="hps">and menopausal</span> <span class="hps">women.</span></span><span class="hps"><span lang="FA" dir="rtl" style="font-family: 'B Mitra' color: rgb(34, 34, 34)"><o:p /></span></span></p> واژه های کلیدی: آموزش, رفتار تغذیه‌ای, گرگرفتگی, منوپوز, پره منوپوز KEY WORDS: Education, Nutritional behavior, Hot Flashes, Menopause, Perimenopause. 59 67 http://jbums.org/browse.php?a_code=A-10-583-9&slc_lang=fa&sid=1 Mozhgan Mirghafourvand مژگان میرغفوروند 10031947532846006887 10031947532846006887 No sekineh Mohammad-Alizadeh-Charandabi سکینه محمد علیزاده چرندابی 10031947532846006888 10031947532846006888 No Mehrnaz Asghari مهرناز اصغری 10031947532846006889 10031947532846006889 No Jamileh Malakouti جمیله ملکوتی 10031947532846006890 10031947532846006890 No Saharnaz Nedjat سحرناز نجات 10031947532846006891 10031947532846006891 No Azam Mohammadi اعظم محمدی mohammadi_a222@yahoo.com 10031947532846006892 10031947532846006892 Yes