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Association of Anthropometric Indices in Iranian and Afghan Infants with Maternal Indices in the Eqbaliyeh Health Center, Qazvin

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Association of Anthropometric Indices in Iranian and Afghan Infants with Maternal Indices in the Eqbaliyeh Health Center, Qazvin Short Communication JQUMS, Vol.20, No.2, 2016, pp. 70-73 Association of anthropometric indices in Iranian and Afghan infants with maternal indices in the Eqbaliyeh health center, Qazvin S. Asefzadeh* M. Alijanzadeh** MR. Maleki*** *Professor of Healthcare Management, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran **M.Sc. in Healthcare Management, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran ***Pediatrician, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran Abstract Anthropometric indices are of the best indicators for growth monitoring during neonatal period. The aim of this cross-sectional study was to determine the association ofanthropometric indices in Iranian and Afghan infants with maternal indices. The study was conducted in 230 mothers who had health profiles in the Eqbaliyeh health center, Qazvin during 2013. Data were collected through the records in mothers’ health profiles. Data were analyzed using T-test and Pearson’s correlation coefficient. Of 230 infants, 119 (51.7%) were male. Mean weight and head circumference were significantly different between Iranian and Afghan infants.The Iranian mothers were older and had higher weight and height during pregnancy compared to the Afghan mothers and the difference was statistically significant. There was positive significant correlation between mothers’ age, weight, hemoglobin, and hematocrit and infants’ birth weight. There was also positive significant correlation between mothers’ hemoglobin and hematocrit and infants’ height. With regards to the results, proper nutrition, maternal health, and providing appropriate health services during pregnancy can be beneficial for improving infants’ health. Keywords: Mothers, Newborn Infant, Anthropometry, Health Citation: Asefzadeh S, Alijanzadeh M, Maleki MR. Association of anthropometric indices in Iranian and Afghan infants with maternal indices in the Eqbaliyeh health center, Qazvin. J Qazvin Univ Med Sci. 2016; 20 (2): 70-73. Corresponding Address: Mohammadreza Maleki, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Shahid Bahonar Blvd., Qazvin, Iran Email: [email protected] Tel: +98-912-7864661 Received: 18 Feb 2015 Accepted: 19 Sep 2015 ﻣﺠﻠﻪ ﻋﻠﻤﯽ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﻗﺰوﯾﻦ، ﺳﺎل ﺑﯿﺴﺘﻢ، ﺷﻤﺎره 2 (ﭘﯽ در ﭘﯽ85)، ﺧﺮداد و ﺗﯿﺮ 1395/ ﮔﺰارش ﮐﻮﺗﺎه 71 ارﺗﺒﺎط ﺷﺎﺧﺺﻫﺎي ﺗﻦﺳﻨﺠﯽ ﻧﻮزادان اﯾﺮاﻧﯽ و اﻓﻐﺎﻧﯽ ﻣﺮﮐﺰ ﺑﻬﺪاﺷﺘﯽ- درﻣﺎﻧﯽ اﻗﺒﺎﻟﯿﻪ ﻗﺰوﯾﻦ ﺑﺎ ﺑﺮﺧﯽ ﺷﺎﺧﺺﻫﺎي ﻣﺎدران دﮐﺘﺮ ﺳﻌﯿﺪ آﺻﻒزاده* ﻣﻬﺮان ﻋﻠﯿﺠﺎنزاده** دﮐﺘﺮ ﻣﺤﻤﺪرﺿﺎ ﻣﻠﮑﯽ*** * اﺳﺘﺎد ﻣﺪﯾﺮﯾﺖ ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﯽ درﻣﺎﻧﯽ ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﯽ ﻣﺆﺛﺮ ﺑﺮ ﺳﻼﻣﺖ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﻗﺰوﯾﻦ، ﻗﺰوﯾﻦ، اﯾﺮان ** ﮐﺎرﺷﻨﺎس ارﺷﺪ ﻣﺪﯾﺮﯾﺖ ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﯽ درﻣﺎﻧﯽ ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﯽ ﻣﺆﺛﺮ ﺑﺮ ﺳﻼﻣﺖ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﻗﺰوﯾﻦ، ﻗﺰوﯾﻦ، اﯾﺮان *** ﻣﺘﺨﺼﺺ ﮐﻮدﮐﺎن ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﯽ ﻣﺆﺛﺮ ﺑﺮ ﺳﻼﻣﺖ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﻗﺰوﯾﻦ، ﻗﺰوﯾﻦ، اﯾﺮان آدرس ﻧﻮﯾﺴﻨﺪه ﻣﺴﺆول: ﻗﺰوﯾﻦ، ﺑﻠﻮار ﺑﺎﻫﻨﺮ، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﻗﺰوﯾﻦ، ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﯽ ﻣﺆﺛﺮ ﺑﺮ ﺳﻼﻣﺖ، ﺗﻠﻔﻦ 09127864661 Email: [email protected] ﺗﺎرﯾﺦ درﯾﺎﻓﺖ: 29/11/93 ﺗﺎرﯾﺦ ﭘﺬﯾﺮش: 94/6/28 ﭼﮑﯿﺪه ﺷﺎﺧﺺﻫﺎي ﺗﻦﺳﻨﺠﯽ از ﺑﻬﺘﺮﯾﻦ ﺷﺎﺧﺺﻫﺎي ارزﯾﺎﺑﯽ رﺷﺪ ﻧﻮزادان ﻃﯽ دوران زﻧﺪﮔﯽ ﻫﺴﺘﻨﺪ. اﯾـﻦ ﻣﻄﺎﻟﻌـﻪ ﺗﻮﺻـﯿﻔﯽ ﺑـﻪ ﻣﻨﻈـﻮر ﺗﻌﯿـﯿﻦ ارﺗﺒـﺎط ﺷﺎﺧﺺﻫﺎي ﺗﻦﺳﻨﺠﯽ ﻧﻮزادان اﯾﺮاﻧﯽ و اﻓﻐﺎﻧﯽ ﺑﺎ ﺑﺮﺧﯽ ﺷﺎﺧﺺﻫﺎي ﻣﺎدران اﻧﺠﺎم ﺷﺪ. ﻣﻄﺎﻟﻌﻪ ﺑﺮ روي 230 ﻧﻔﺮ از ﻣﺎدران ﺗﺤﺖ ﭘﻮﺷﺶ ﻣﺮﮐﺰ ﺑﻬﺪاﺷﺖ ﺷﻬﺮ اﻗﺒﺎﻟﯿﻪ ﻗﺰوﯾﻦ در ﺳﺎل 1392 اﻧﺠﺎم ﺷﺪ. دادهﻫﺎ از ﭘﺮوﻧﺪه ﻣﺎدران ﺗﺤﺖ ﭘﻮﺷﺶ اﺳﺘﺨﺮاج و ﺑﺎ آزﻣﻮنﻫﺎي آﻣﺎري ﺗﯽ و ﻫﻤﺒﺴﺘﮕﯽ ﭘﯿﺮﺳـﻮن ﺗﺤﻠﯿـﻞ ﺷﺪﻧﺪ. 119 ﻧﻮزاد (%7/51) ﻣﺬﮐﺮ ﺑﻮدﻧﺪ، ﺑﯿﻦ ﻣﯿﺎﻧﮕﯿﻦ وزن و دورﺳﺮ ﻧﻮزادان اﯾﺮاﻧﯽ ﺑﺎ ﻧﻮزادان اﻓﻐﺎﻧﯽ ﺗﻔﺎوت ﻣﻌﻨﯽدار آﻣﺎري وﺟﻮد داﺷﺖ. ﻣﺎدران اﯾﺮاﻧـﯽ در ﺣﯿﻦ ﺑﺎرداري از ﺳﻦ، وزن و ﻗﺪ ﺑﺎﻻﺗﺮي ﻧﺴﺒﺖ ﺑﻪ ﻣﺎدران اﻓﻐﺎﻧﯽ ﺑﺮﺧﻮردار ﺑﻮدﻧﺪ ﮐﻪ ﺑﻪ ﻟﺤﺎظ آﻣﺎري ﻣﻌﻨـﯽ دار ﺑـﻮد. ﺑـﯿﻦ ﺳـﻦ، وزن، ﻫﻤﻮﮔﻠـﻮﺑﯿﻦ و ﻫﻤﺎﺗﻮﮐﺮﯾﺖ ﻣﺎدران ﺑﺎ وزن ﺗﻮﻟﺪ ﻧﻮزادان و ﺑﯿﻦ ﻫﻤﻮﮔﻠﻮﺑﯿﻦ و ﻫﻤﺎﺗﻮﮐﺮﯾﺖ ﻣﺎدران ﺑﺎ ﻗﺪ ﻧﻮزادان ﻫﻤﺒﺴﺘﮕﯽ ﻣﺜﺒﺖ ﻣ ﻌ ﻨ ـ ﯽ دار وﺟـ ﻮد داﺷـﺖ. ﺑـﺎ ﺗﻮﺟـﻪ ﺑـﻪ ﯾﺎﻓﺘﻪﻫﺎ، ﺗﻐﺬﯾﻪ ﺻﺤﯿﺢ و ﺳﻼﻣﺖ ﻣﺎدران ﺑﺎردار و اراﯾﻪ ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﯽ ﻣﻨﺎﺳﺐ ﺑﻪ آنﻫﺎ ﻣﯽﺗﻮاﻧﺪ در ﺣﻔﻆ و ارﺗﻘﺎي ﺳﻼﻣﺖ ﻧﻮزادان ﻧﯿﺰ ﻣﻔﯿﺪ ﺑﺎﺷﺪ. ﮐﻠﯿﺪواژهﻫﺎ: ﻣﺎدران، ﻧﻮزاد، ﺗﻦﺳﻨﺠﯽ، ﺳﻼﻣﺖ ﻣﻘﺪﻣﻪ: ﺗﻌﯿﯿﻦ ﺷﺎﺧﺺﻫﺎي ﺗﻦﺳﻨﺠﯽ (ﻗـﺪ، وزن، دورﺳـﺮ، دور اﺟﺘﻤﺎﻋﯽ و ﻧﻮزادان در ﺣﺎل رﺷﺪ ﺑﻪ ﺧﺼﻮص در ﮐﺸﻮرﻫﺎي ﺳﯿﻨﻪ و ﺑﺎزو) از ﻣﺘﺪاولﺗﺮﯾﻦ و ﺳﺎدهﺗﺮﯾﻦ روشﻫﺎي ارزﯾﺎﺑﯽ در ﺣﺎل ﺗﻮﺳﻌﻪ اﺳﺖ.(4) ﻣﻄﺎﻟﻌﻪ ﭘﯿﻠﻪورزاده ﺣﺎﮐﯽ از آن ﺑـﻮد رﺷﺪ و ﺗﻨﺪرﺳﺘﯽ در ﮐﻮدﮐﺎن ﯾﮏ ﺟﺎﻣﻌﻪ اﺳﺖ ﮐﻪ دو ﻋﺎﻣﻞ ﮐﻪ ﺷﯿﻮع ﺳﻮء ﺗﻐﺬﯾﻪ ﺑﺮاﺳﺎس ﺷﺎﺧﺺ ﮔﻮﻣﺰ (ﮐـﻢ وزﻧـﯽ)، (1) ﻣﻬﻢ وراﺛﺖ و ﻣﺤﯿﻂ ﺑﺮ آن اﺛﺮﮔـﺬار ﻫﺴـﺘﻨﺪ. ﺣ ـ ﺪ و د 11 واﺗﺮﻟﻮ (ﮐﻮﺗﺎﻫﯽ ﻗﺪ) و ﻣﮏ ﻻرن (ﻻﻏﺮي) ﺑـﻪ ﺗﺮﺗﯿـﺐ 46 ، درﺻﺪ ﻧﻮزادان ﮐﺸﻮرﻫﺎي در ﺣﺎل ﺗﻮﺳﻌﻪ، ﮐﻤﯽ وزن ﻫﻨﮕﺎم 37 و 30 درﺻﺪ ﺑﻮد و اﯾﻦ ﺷﺎﺧﺺﻫـﺎ ﺑـﺎ ﺟﻨﺴـﯿﺖ ﻧـﻮزاد، ﺗﻮﻟﺪ را ﺗﺠﺮﺑﻪ ﻣﯽﮐﻨﻨﺪ. ﮐﻤﯽ ﯾﺎ زﯾـﺎدي وزن ﺗﻮﻟـﺪ ﻧـﻮزا د و ﺗﺤﺼﯿﻼت ﻣﺎدر و وزن ﺗﻮﻟﺪ ﻧﻮزاد در ارﺗﺒﺎط ﺑﻮد.(5) ﺑﺎ ﺗﻮﺟـﻪ ﻓﺎﺻﻠﻪ آن ﺑﺎ اﺳﺘﺎﻧﺪارد، ﺑﻪ ﻃﻮر ﻣﺴﺘﻘﯿﻢ ﺑـﺎ ﻣـﺮگ و ﻣﯿـﺮ و ﺑﻪ اﻫﻤﯿﺖ ﺑﺮرﺳﯽ ﺷﺎﺧﺺﻫﺎي ﺗﻦﺳﻨﺠﯽ و ﺣﯿـﺎﺗﯽ ﺑـﻮدن ﺑﯿﻤﺎري ﻣﺮﺗﺒﻂ اﺳﺖ.(2) ارزﯾﺎﺑﯽ آن در ﻧﻮزادان، ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ارﺗﺒﺎط ﻣﻄﺎﻟﻌﻪ ﻓﻘﯿﻪ در ﺑﯿﻤﺎرﺳﺘﺎنﻫﺎي اﻫﻮاز ﻧﺸﺎن داد ﮐﻪ 86 ﺷﺎﺧﺺﻫﺎي ﺗﻦﺳﻨﺠﯽ ﻧﻮزادان اﯾﺮاﻧﯽ و اﻓﻐـﺎﻧﯽ ﺑـ ﺎ ﺑﺮﺧـﯽ درﺻﺪ ﻧـﻮز ادان در ﻫﻨﮕـﺎم ﺗﻮﻟـﺪ ﺑـﻪ ﻟﺤـﺎظ ﺷـﺎﺧﺺ ﻫ ـ ﺎ ي ﺷﺎﺧﺺﻫﺎي ﻣﺎدران اﻧﺠﺎم ﺷﺪ. ﺗﻦﺳﻨﺠﯽ در ﺣﺎﻟﺖ ﻃﺒﯿﻌﯽ ﻗﺮار داﺷـﺘﻨﺪ .(3) اﮔﺮﭼـﻪ ﻋﻮاﻣـﻞ ﻣﺨﺘﻠﻔﯽ در رﺷﺪ ﮐﻮدك ﻣﺆﺛﺮﻧﺪ، وﻟﯽ ﺑﻪ ﻧﻈﺮ ﻣﯽرﺳﺪ ﺳـﻮء ﻣﻮاد و روشﻫﺎ: ﺗﻐﺬﯾﻪ ﻋﻠـﺖ اﺻـﻠﯽ اﺧـﺘﻼل رﺷـﺪ در ﻃﺒﻘـ ﻪ ﻫ ـ ﺎ ي ﭘـﺎﯾﯿﻦ اﯾـﻦ ﻣﻄﺎﻟﻌـﻪ ﺗﻮﺻﯿﻔـﯽ در ﺳـﺎل 1392 ﺑـﺮ روي 230 72 ارﺗﺒﺎط ﺷﺎﺧﺺﻫﺎي ﺗﻦﺳﻨﺠﯽ ﻧﻮزادان اﯾﺮاﻧﯽ و اﻓﻐﺎﻧﯽ ﻣﺮﮐﺰ.../ دﮐﺘﺮ ﺳﻌﯿﺪ آﺻﻒزاده و ﻫﻤﮑﺎران ﭘﺮوﻧﺪه ﻣﺎدران ﺗﺤﺖ ﭘﻮﺷﺶ ﻣﺮﮐﺰ ﺑﻬﺪاﺷﺘﯽ- درﻣﺎﻧﯽ ﺷﻬﺮ ﺟﺪول 1- ﻣﻘﺎﯾﺴﻪ ﻣﺘﻐﯿﺮﻫﺎي ﺗﻦﺳﻨﺠﯽ ﻣﺎدران و اﻗﺒﺎﻟﯿﻪ (اﺳﺘﺎن ﻗـﺰوﯾﻦ) اﻧﺠـﺎم ﺷـﺪ. ﻣﻬـﻢ ﺗـﺮﯾﻦ اﻃﻼﻋـﺎت ﻧﻮزادران اﯾﺮاﻧﯽ ﺑﺎ اﻓﻐﺎﻧﯽ ﻣﻮرد ﻣﻄﺎﻟﻌﻪ (ﻫﺮ ﮔﺮوه 115 ﻧﻔﺮ) اﺳﺘﺨﺮاج ﺷﺪه ﻋﺒﺎرت ﺑﻮدﻧﺪ از: وزن ﻧـﻮزاد (ﮐﯿﻠـﻮﮔﺮم)، ﻗـﺪ ﻣﻠﯿﺖ ﻣﺘﻐﯿﺮﻫﺎ ﺳﻄﺢ ﻣﻌﻨﯽداري ﻧﻮزاد (ﺳﺎﻧﺘﯽﻣﺘﺮ)، دورﺳﺮ ﻧﻮزاد (ﺳﺎﻧﺘﯽﻣﺘﺮ)، ﺳﻦ ﻣﺎدر (ﺳﺎل اﻓﻐﺎﻧﯽ اﯾﺮاﻧﯽ وزن 3/01±0/41 3/26±0/37 0/000 ﺷﻤﺴـﯽ)، وزن ﻣـﺎدر (ﮐﯿﻠــﻮﮔﺮم)، ﻗـﺪ ﻣــﺎدر (ﺳـﺎﻧﺘﯽ ﻣﺘــﺮ)، دور ﺳﺮ 33/9±1/4 34/5±1/3 0/000 ﻧﻮزادان ﻫﻤﻮﮔﻠﻮﺑﯿﻦ و ﻫﻤﺎﺗﻮﮐﺮﯾﺖ ﻣﺎدر. ﺑﺎ ﺗﻮﺟـﻪ ﺑـﻪ ﻣﻄﺎﻟﻌـﻪ ﻫـﺎ و ﻗﺪ 49/6±2 50/1±1/7 0/094 ﻗﺮارﮔﯿﺮي 20 درﺻﺪ ﻧﻮزادان در ﺣﺪ ﭘـﺎﯾﯿﻦ ﺗـﺮ از ﻣﯿـﺎﻧﮕﯿﻦ ﺳﻦ 27/4±6/7 31/2±4/5 0/000 وزن 61/4±8/5 64/9±8/6 0/001 P ﺷﺎﺧﺺ ﻫ ـ ﺎ ي ﺗ ـ ﻦ ﺳـﻨﺠﯽ، ﻣﻘـﺪار ﺑﺮاﺑـﺮ 2/0 و اﺣﺘﻤـﺎل ﻗﺪ 159±4 161±3/3 0/000 ﻣﺎدران (3) ﺧﻄﺎي 5 درﺻﺪ، ﺣﺠـﻢ ﻧﻤﻮﻧـﻪ 230 ﻧﻔـﺮ ﻣﺤﺎﺳـﺒﻪ ﺷـﺪ . ﻫﻤﻮﮔﻠﻮﺑﯿﻦ 11/8±1/1 12/5±1/2 0/000 ﻫﻤﺎﺗﻮﮐﺮﯾﺖ 35±3/5 37/5±3/8 0/000 ﭘﺮوﻧﺪهﻫﺎ ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ اﻧﺘﺨﺎب ﺷﺪﻧﺪ ﮐﻪ 115 ﭘﺮوﻧﺪه ﻣﺮﺑﻮط ﺑﻪ ﻧﻮزادان اﯾﺮاﻧﯽ و 115ﭘﺮوﻧﺪه ﻣﺮﺑﻮط ﺑـﻪ ﻧـﻮزادان ﺑﺤﺚ و ﻧﺘﯿﺠﻪﮔﯿﺮي: اﻓﻐﺎﻧﯽ ﺑﻮد. دادهﻫﺎ ﺑﺎ ﻧﺮماﻓﺰار SPSS 18 و آزﻣﻮنﻫﺎي ﺗـﯽ و ﻫﻤﺒﺴﺘﮕﯽ ﭘﯿﺮﺳﻮن ﺗﺤﻠﯿﻞ ﺷﺪ. اﻃﻼﻋﺎت اﻓﺮاد ﺑﻪ ﺻﻮرت ﻧﺘــﺎﯾﺞ اﯾــﻦ ﻣﻄﺎﻟﻌــﻪ ﺣــﺎﮐﯽ از ﺑــﯿﺶﺗــﺮ ﺑــﻮدن ﺗﻤــﺎم ﮐﺎﻣﻼً ﻣﺤﺮﻣﺎﻧﻪ ﺗﻮﺳﻂ ﻣﺤﻘﻖ و ﭘﺲ از درﯾﺎﻓﺖ ﻣﻌﺮﻓﯽﻧﺎﻣـﻪ ﺷﺎﺧﺺﻫﺎي ﺗ ـ ﻦ ﺳـﻨﺠﯽ در ﻧـﻮزادان و ﻣـﺎدران اﯾﺮاﻧـﯽ در از ﻣﻌﺎوﻧﺖ ﭘﮋوﻫﺸﯽ اﺳﺘﺨﺮاج ﺷﺪ. ﻣﻘﺎﯾﺴﻪ ﺑﺎ ﻧـﻮزادان و ﻣـﺎدران اﻓﻐـﺎﻧﯽ ﻣـﻮرد ﻣﻄﺎﻟﻌـﻪ ﺑـﻮد . ﻣﻄﺎﻟﻌﻪ رﺿﺎﯾﯿﺎن ﻧﺸﺎن داد ﻧﻮزادان اﯾﺮاﻧﯽ در ﻫﻨﮕـﺎم ﺗﻮﻟـﺪ (6) وزن ﺑﯿﺶﺗﺮي ﺑﻪ ﻧﺴﺒﺖ ﻧﻮزادان اﻓﻐﺎن دارا ﺑﻮدﻧـﺪ . ﺗﻮﻟـﺪ ﯾﺎﻓﺘﻪﻫﺎ: ﯾﮏ ﻧﻮزاد ﻣﻬﺎﺟﺮ در ﮐﺸﻮر دﯾﮕﺮ ﻣـﯽ ﺗﻮاﻧـﺪ وﺿـﻌﯿﺖ رﺷـﺪ از 115 ﻧﻮزاد اﯾﺮاﻧﯽ، 64 ﻧ ﻔ ـ ﺮ ( 7/55 درﺻـﺪ) و از 115 دوره ﻧﻮزادي و ﮐﻮدﮐﯽ را ﺗﺤﺖ ﺗﺄﺛﯿﺮ ﻗﺮار دﻫﺪ و در ﻧﻬﺎﯾﺖ ﻧﻮزاد اﻓﻐﺎﻧﯽ، 55 ﻧﻔﺮ (8/47 درﺻﺪ) ﻣﺬﮐﺮ ﺑﻮدﻧﺪ. 63 ﻧﻔـﺮ از ﮐﻢ وزﻧﯽ را ﺗﺸﺪﯾﺪ ﮐﻨﺪ ﮐﻪ ﻣﯽﺗﻮان اﯾﻦ اﻣﺮ را ﺑـﻪ ﺷـﺮاﯾﻂ ﻣﺎدران اﻓﻐﺎن (8/54 درﺻﺪ) ﺑﯽﺳﻮاد ﺑﻮدﻧﺪ، اﻣـﺎ در ﻣـﺎدران اﺟﺘﻤﺎﻋﯽ و اﻗﺘﺼﺎدي ﭘﺎﯾﯿﻦﺗـﺮ ﺧـﺎﻧﻮار ﻣﻬـﺎﺟﺮ ﻧﺴـﺒﺖ داد، اﯾﺮاﻧﯽ ﺑﯽﺳﻮاد ﻣﺸﺎﻫﺪه ﻧﺸﺪ. در ﻣﺎدران اﯾﺮاﻧﯽ 4/90 درﺻﺪ ﻧﺘﺎﯾﺞ ﻣﻄﺎﻟﻌﻪ وﻗﺎري ﻧﯿﺰ ﻧﺸﺎن داد وزن ﻧﻮزادان ﺗﺮﮐﻤﻦ ﺑـﻪ و در ﻣﺎدران اﻓﻐﺎﻧﯽ 1/86 درﺻﺪ زاﯾﻤﺎنﻫـﺎ ﺗـﮏ ﻗﻠـﻮ ﺑـﻮد. ﻃﻮر ﻣﻌﻨﯽداري ﺑﯿﺶﺗﺮ از ﻧﻮزادان ﻏﯿﺮﺗﺮﮐﻤﻦ ﺑﻮد و ﻧﻮزادان ± ﻣﯿﺎﻧﮕﯿﻦ ﺷﺎﺧﺺ ﺗﻮده ﺑﺪﻧﯽ ﻣـﺎدران اﯾﺮاﻧـﯽ 4/3 9/24 و ﭘﺴﺮ ﺑﻪ ﻃﻮر ﻣﻌﻨـﯽ داري ﻧﺴـﺒﺖ ﺑ ـ ﻪ ﻧـﻮزادا ن دﺧﺘـﺮ رﺷـﺪ (7) ± ﻣﺎدران اﻓﻐﺎﻧﯽ 2/3 2/24 ﮐﯿﻠﻮﮔﺮم ﺑﺮ ﻣﺘﺮﻣﺮﺑﻊ ﺑﻮد. ﻓﯿﺰﯾﮑﯽ ﺑﯿﺶﺗﺮي داﺷﺘﻨﺪ. ﺑﯿﻦ وزن و دورﺳـﺮ ﻧـﻮزادان اﯾﺮاﻧـﯽ و اﻓﻐـﺎﻧﯽ ﺗﻔـﺎوت در ﻣﻄﺎﻟﻌــﻪ ﺣﺎﺿــﺮ ﺑــﯿﻦ ﺳــﻦ و وزن ﻣــﺎدر در زﻣــﺎن ﻣﻌﻨﯽدار آﻣﺎري ﻣﺸﺎﻫﺪه ﺷﺪ. ﻣﯿﺎﻧﮕﯿﻦ ﺳﻦ، ﻗﺪ، ﻫﻤﻮﮔﻠﻮﺑﯿﻦ ﺑﺎرداري ﺑﺎ وزن ﻧﻮزاد ﻫﻤﺒﺴﺘﮕﯽ ﻣ ﻌ ﻨ ـ ﯽ داري وﺟـﻮد داﺷـﺖ و ﻫﻤﺎﺗﻮﮐﺮﯾﺖ ﻣﺎدران اﯾﺮاﻧﯽ ﺑﻪ ﻃﻮر ﻣﻌﻨﯽداري از ﻣـﺎدران ﮐﻪ در ﻣﻄﺎﻟﻌﻪﻫﺎي ﻧﻌﻤﺘﯽ و ﻧﻘﺶﭘﻮر ﻧﯿﺰ اﯾﻦ راﺑﻄﻪ ﻣﺸﺎﻫﺪه P (2و8) اﻓﻐﺎﻧﯽ ﺑﯿﺶﺗﺮ ﺑﻮد (ﺟﺪول ﺷﻤﺎره 1). ﺑﯿﻦ ﺳـﻦ ( 03/0= )، ﺷﺪه اﺳﺖ ﻃﺒﻖ ﻣﻄﺎﻟﻌﻪ اﻟﺼﺎﻟﺢ ﺷﺎﺧﺺﻫﺎي ﺗﻦﺳـﻨﺠﯽ P P وزن (03/0= )، ﻣﻘـــــﺪار ﻫﻤﻮﮔﻠـــــﻮﺑﯿﻦ (002/0= ) و ﻧﻮزادان ﺑﻪ ﻋﻨﻮان ﻣﻬﻢﺗـﺮﯾﻦ اﺑـﺰار ﺑـﺮاي ﺗﺸـﺨﯿﺺ ﺧﻄـﺮ P ﻫﻤﺎﺗﻮﮐﺮﯾﺖ ﻣﺎدران (001/0= ) ﺑﺎ وزن ﻧـﻮزاد ﻫﻤﺒﺴـﺘﮕﯽ ﻣﺮگ و ﻣﯿﺮ و آﺳﯿﺐ ﻧﻮزاد در ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﻣﯽﺷﻮد و ﺑﺎ ﺗﻮﺟﻪ ﻣﻌﻨﯽدار ﺑﺮﻗـﺮار ﺑـﻮد. ﻫﻤﭽﻨـﯿﻦ ﺑـﯿﻦ ﻣﻘـﺪار ﻫﻤﻮﮔﻠـﻮﺑﯿﻦ ﺑﻪ اﺛﺮ ﺳﻦ ﻣـﺎدر ﺑـﺮ روي ﻧـﻮزاد، ﺑ ﺎ ﯾ ـ ﺪ ﺳﯿﺎﺳـﺖ ﮔـﺬاري و P P (025/0= ) و ﻫﻤﺎﺗﻮﮐﺮﯾﺖ ﻣﺎدران (015/0= ) ﺑﺎ ﻗﺪ ﻧﻮزاد ﺑﺮﻧﺎﻣﻪﻫﺎي ﻣﻨﺴﺠﻢ ﺑﺮاي زاﯾﻤﺎن ﻣﺎدران در ﺳﻦ ﻣﻨﺎﺳﺐ در ﻧﯿﺰ ﻫﻤﺒﺴﺘﮕﯽ ﻣﻌﻨﯽدار ﻣﺸﺎﻫﺪه ﺷﺪ. ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﻮد.(9) ﻣﺠﻠﻪ ﻋﻠﻤﯽ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﻗﺰوﯾﻦ، ﺳﺎل ﺑﯿﺴﺘﻢ، ﺷﻤﺎره 2 (ﭘﯽ در ﭘﯽ85)، ﺧﺮداد و ﺗﯿﺮ 1395/ ﮔﺰارش ﮐﻮﺗﺎه 73 از ﺟﻤﻠﻪ ﮐﺎﺳﺘﯽ ﻫ ـ ﺎ ي ﻣﻄﺎﻟﻌـﻪ ﻋـﺪم وﺟـﻮد اﻃﻼﻋـﺎت ,Sachdev HS, Fall CH, Osmond C .4 Lakshmv R, Dey Biswas SK, Leary SD, et al. اﻗﺘﺼﺎدي ﺧﺎﻧﻮارﻫﺎ و ﺗﺄﺛﯿﺮ آن ﺑﺮ ﺷﺎﺧﺺ ﻫ ـ ﺎ ي ﺗ ـ ﻦ ﺳ ـ ﻨ ﺠ ﯽ Anthropometric indicators of body ﻣﺎدر و ﻧﻮزاد ﺑﻮد ﮐﻪ ﭘﯿﺸﻨﻬﺎد ﻣﯽﺷﻮد در ﻣﻄﺎﻟﻌﻪﻫﺎي ﺑﻌﺪي composition in young adults: relation to size در ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﻮد.
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