Iranian Journal of Nutrition Sciences and Food Technology
علوم تغذیه و صنایع غذایی ایران
Iranian J Nutr Sci Food Technol
Medical Sciences
http://nsft.sbmu.ac.ir
115
journal115
1735-7756
2252-0694
10.61882/nsft
en
jalali
1402
12
1
gregorian
2024
3
1
19
1
online
1
fulltext
fa
بررسی ارتباط الگوهای غذایی در دوران بارداری با شاخصهای تکامل عصبی ـ رفتاری کودکان
Associations between Dietary Patterns during Pregnancy and Neurodevelopment in Children
تغذيه
nutrition
پژوهشي
Research
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-family:"B Titr"">سابقه و هدف:</span> <span lang="FA" style="font-size:11.0pt"><span style="background:white"><span style="font-family:"B Nazanin"">اختلالات تکامل عصبی اختلالات پیچیده و چند عاملی با تشخیص و درمان دشوار میباشد. الگوهای غذایی مادر در دوران بارداری ممکن است نقش مهمی در تکامل عصبی داشته باشد. هدف از این مطالعه بررسی ارتباط الگوهای غذایی مادر در دوران بارداری و تکامل عصبی کودکان بود.</span></span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-family:"B Titr"">مواد و روش</span><span dir="LTR" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-family:"B Titr"">ها:</span> <span lang="FA" style="font-size:11.0pt"><span style="background:white"><span style="font-family:"B Nazanin"">مطالعه حاضر بخشی از مطالعه اپیدمیولوژیک کوهورت تولد ایران میباشد.</span></span></span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">214 </span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="background:white"><span style="font-family:"B Nazanin"">مادر و کودک در مطالعه حاضر شرکت کردند. الگوی غذایی مادران از طریق پرسشنامه </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="background:white"><span style="font-family:"B Nazanin"">بسامد خوراک کوتاه 90 آیتمی</span></span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""> <span style="background:white">و پیامدهای مربوط به تکامل عصبی کودکان از طریق پرسشنامه ی سنین و مراحل </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="background:white">ASQ</span></span><span style="font-size:11.0pt"><span style="background:white"><span style="font-family:"B Nazanin""> (</span></span></span><span dir="LTR" style="font-size:9.0pt">Ages and Stages Questionnaire</span><span lang="FA" style="font-size:11.0pt"><span style="background:white"><span style="font-family:"B Nazanin"">) و </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">چک</span></span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">لیست</span></span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">رفتاری</span></span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">کودک </span></span><span dir="LTR" style="font-size:9.0pt"><span style="background:white">CBCL</span></span><span style="font-size:11.0pt"><span style="background:white"><span style="font-family:"B Nazanin""> (</span></span></span><span dir="LTR" style="font-size:9.0pt">Child Behavior Check List</span><span lang="FA" style="font-size:11.0pt"><span style="background:white"><span style="font-family:"B Nazanin"">) ارزیابی شد.</span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-family:"B Titr"">یافته</span><span dir="LTR" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-family:"B Titr"">ها</span><span dir="LTR" style="font-size:9.0pt"></span><span lang="AR-SA" style="font-family:"B Titr"">:</span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">در مقیاس سندرمی </span></span><span dir="LTR" style="font-size:9.0pt">CBCL</span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""> ،</span></span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">الگوی</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""> غذایی غربی در سه ماهه اول با افزایش مشکلات عاطفی ارتباط مثبت داشت<br>
(045/0=</span></span><span dir="LTR" style="font-size:9.0pt"> value</span> <i><span dir="LTR" style="font-size:9.0pt">P</span></i><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">). </span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">در سه ماهه سوم الگوی غذایی سالم با مشکلات خواب (047/0=</span></span><span dir="LTR" style="font-size:9.0pt"> value</span> <i><span dir="LTR" style="font-size:9.0pt">P</span></i><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">) </span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">و الگوی غذایی پرچرب با مشکلات خواب و اختلالات درونیسازی </span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">(017/0و 012/0=</span></span><span dir="LTR" style="font-size:9.0pt"> value</span> <i><span dir="LTR" style="font-size:9.0pt">P</span></i><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">) و الگوی غذایی غربی با اختلالات خواب و اختلالات کلی (046/0و 026/0=</span></span><span dir="LTR" style="font-size:9.0pt"> value</span> <i><span dir="LTR" style="font-size:9.0pt">P</span></i><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">) ارتباط منفی معنیدار </span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">داشتند</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">. در مقیاس مبتنی بر راهنمای تشخیصی و آماری </span></span><span dir="LTR" style="font-size:9.0pt">DSM</span><span style="font-size:11.0pt"><span style="font-family:"B Nazanin""> (</span></span><span dir="LTR" style="font-size:9.0pt"><span style="background:white">Diagnostic and Statistical Manual</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">)، در سه ماهه دوم بین الگوی غذایی ناسالم با مشکلات اضطرابی ارتباط مثبت دیده شد (049/0=</span></span><span dir="LTR" style="font-size:9.0pt"> value</span> <i><span dir="LTR" style="font-size:9.0pt">P</span></i><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-family:"B Titr"">نتیجه گیری:</span> <span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin"">نتایج نشان داد الگوی غذایی مادر حین بارداری میتواند بر مؤلفههای تکامل عصبی- رفتاری کودک مؤثر باشد. انجام مطالعات بیشتر در خصوص ارزیابی ارتباط الگوی غذایی و تکامل عصبی نیاز است.</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b>Background and Objectives:</b> Neurodevelopmental disorders are complex and multifactorial disorders with difficult diagnosis and treatment. Maternal dietary patterns during pregnancy may play important roles in neurodevelopment. The aim of this study was to investigate effects of maternal dietary patterns during pregnancy on neurodevelopment of children.</span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""> <span class="hps" style="font-family:"Times New Roman","serif""><b>Materials & Methods:</b></span> This study was carried out as a sub-study of the Prospective Epidemiological Research Studies in IrAN (PERSIAN) Birth Cohort. Overall, 214 mother-child pairs participated in the present study. Dietary patterns were assessed by 90-item food frequency questionnaire (FFQ). Neurodevelopment outcomes were assessed by child behavior check list (CBCL) and ages and stages questionnaires (ASQ).</span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b>Results:</b> In syndromic scale of CBCL, western diets at first trimester increased the risk of emotional disorders (<i>p</i> = 0.045). At third trimester, significant negative relationships were seen between the healthy diets and sleep disorders (<i>p</i> = 0.047), fatty diets and sleep and internalizing disorders (<i>p </i>= 0.017 and 0.012, respectively), western diets and sleep and total problems (<i>p</i> = 0.026 and 0.046, respectively). In scales based on diagnostic and statistical manual (DSM), positive relationships were reported between the unhealthy diets and anxiety disorders (<i>p</i> = 0.049).</span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b>Conclusion:</b> Results indicated that maternal dietary patterns during pregnancy might affect the neurodevelopmental outcomes of children. Further studies to identify associations between dietary patterns and neurodevelopment are needed.</span></span></span>
تغذیه در بارداری, الگوی غذایی, دریافت رژیم غذایی, رشد عصبی, کودکان, بارداری
Maternal nutrition, Dietary pattern, Neurodevelopment, children, Pregnancy
39
58
http://nsft.sbmu.ac.ir/browse.php?a_code=A-10-4170-2&slc_lang=fa&sid=1
M.R
Jamali
محمد رضا
جمالی
jamalireza87@yahoo.com
11500319475328460026075
11500319475328460026075
No
Isfahan University of Medical Sciences
دانشگاه علوم پزشکی اصفهان
M
Heidari-Beni
مطهر
حیدری بنی
heidari.motahar@gmail.com
11500319475328460026076
11500319475328460026076
Yes
Isfahan University of Medical Sciences
دانشگاه علوم پزشکی اصفهان
M
Khoshhali
مهری
خوشحالی
m.khoshhali@yahoo.com
11500319475328460026080
11500319475328460026080
No
Isfahan University of Medical Sciences
دانشگاه علوم پزشکی اصفهان
S
Naderiboldaji
سولماز
نادری بلداجی
Soolmaz_naderi_b@yahoo.com
11500319475328460026077
11500319475328460026077
No
Shahrekord University of Medical Sciences
دانشگاه علوم پزشکی شهرکرد
R
Ghiasvand
رضا
غیاثوند
ghiasvand@hlth.mui.ac.ir
11500319475328460026078
11500319475328460026078
No
Isfahan University of Medical Sciences
دانشگاه علوم پزشکی اصفهان
R
Kelishadi
رویا
کلیشادی
roya.kelishadi@gmail.com
11500319475328460026079
11500319475328460026079
No
Isfahan University of Medical Sciences
دانشگاه علوم پزشکی اصفهان