fa تبیین پدیده‌ی چاقی و عوامل موثر بر آن از دیدگاه دختران نوجوان- یک مطالعه‌ی کیفی تغذيه Nutrition پژوهشی Original <p class="Abstract" style="LINE-HEIGHT: 16pt TEXT-INDENT: 3.7pt MARGIN: 0cm 36pt 0pt 1cm mso-line-height-rule: exactly" dir="rtl"><strong><u><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">مقدمه</span></u><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">: روند رو به رشد چاقی سنین نوجوانی در کشورهای در حال توسعه از جمله ایران نگران‌کننده است و مهم‌ترین راه برای پیشگیری و کنترل آن، شناخت زمینه و عوامل موثر در چاقی می‌باشد. پژوهش حاضر با هدف تبیین پدیده‌ی چاقی و عوامل موثر بر آن از دیدگاه دختران نوجوانان چاق شهرستان همدان اجرا شد. <u>مواد و روش‌ها</u>: پژوهش حاضر</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">از</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">نوع</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">مطالعه‌ی کیفی</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">و با روش بحث گروهی متمرکز انجام گرفت.</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">جمع‌آوری داده‌ها</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">از</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">راه</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">برگزاری</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span dir="rtl"></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt"><span dir="rtl"></span>10</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">جلسه بحث</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">گروهی</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">با</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span dir="rtl"></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt"><span dir="rtl"></span>32 دختر 16-12 ساله که مشکل چاقی داشتند،</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">انجام</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">گرفت. تمام بحث‌های</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">گروهی</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">ضبط،</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">و</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">بلافاصله</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">پس</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">از</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">اتمام</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">مورد تجزیه، تحلیل و دسته‌بندی قرار گرفتند. <u>یافته‌ها</u>: یافته‌ها نشان‌دهنده‌ی عدم رضایت نوجوانان از وضع فعلی وزن و چاقی بود. با وجودی که به برخی گروه‌های اصلی غذایی و فعالیت بدنی نگرش مثبت داشتند، ولی انگیزه و خودکارآمدی لازم را برای کنترل وزن نشان نمی‌دادند. از نظر آن‌ها والدین، آموزگاران، همسالان و رسانه‌های گروهی در اتخاذ رفتارهای غذایی نقش موثری داشتند. <u>نتیجه‌گیری</u>: با استفاده از روش بحث گروهی و از راه شناخت واقعیت‌های موجود می‌توان قدرت برنامه‌های آموزش بهداشت برای تغییر رفتار و ارتقای سلامت را توسعه داد، و یافته‌های</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">پژوهش حاضر</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">می‌تواند در</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">زمینه‌ی طراحی</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">مداخله‌های</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">اصلاح</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">شیوه‌ی</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">زندگی</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">و</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">پیشگیری</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">از</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">چاقی</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">در</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">سنین نوجوانی موثر</span><span dir="ltr"></span><span lang="FA" style="mso-font-kerning: 16.0pt" dir="ltr"><span dir="ltr"></span><font face="Arial"> </font></span><span lang="FA" style="FONT-FAMILY: Lotus FONT-SIZE: 11pt mso-ansi-font-size: 9.0pt mso-font-kerning: 16.0pt">باشد.</span></strong><span style="mso-font-kerning: 16.0pt" dir="ltr"><p></p></span></p> <p class="Abstract" style="TEXT-ALIGN: justify MARGIN: 0cm 1cm 0pt unicode-bidi: embed DIRECTION: ltr"><strong><font face="Arial"><u>Introduction</u>: The fast invereasing trend of adolescent obesity is causing concern in developing countries such as Iran, making Identification of the related factors assential for its control and prevention. The aim of this study was to explain the phenomenon and the factors from the view of obese adolescent girls of urban. <u>Materials and Methods</u>: For this qualitative study, ten focus group discussions were used to collect data from 32 obese girls, aged 12-16 y. All group discussions were recorded and analyzed and classified immediately after focus group discussions. <u>Results</u>: Results showed teens to be dissatisfied with their current situation and obesity although they had positive attitudes towards some basic food groups and to physical activity, they did not have the necessary motivation and self-efficacy for weight control. In their opinion, parents, teachers, peers and mass media played a significant role in the adoption of nutritional behaviors. <u>Conclusion</u>: Educational programs need to be implemented for health promotion and behavioral changes. Using group discussions, the findings of this study can be effective in designing interventions to change lifestyles and prevent obesity in adolescents.<span class="hps"><span style="FONT-FAMILY: "Times New Roman" FONT-SIZE: 12pt mso-bidi-font-family: Yagut"><p></p></span></span></font></strong></p> چاقی، رفتارهای تغذیه‌ای، نوجوان، بحث گروهی متمرکز Obesity, Nutritional behaviors, Adolescent, Focus group disscusion 142 149 http://ijem.sbmu.ac.ir/browse.php?a_code=A-10-1327-1&slc_lang=fa&sid=1 khadije Ezzati Rastegar خدیجه عزتی رستگار ezzatikh881@mums.ac.ir 4000319475328460017725 4000319475328460017725 Yes Mashhad med. sci. univ. دانشگاه علوم پزشکی مشهد Nooshin Peyman نوشین پیمان peymann@mums.ac.ir 4000319475328460017726 4000319475328460017726 No Mashhad med. sci. univ. دانشگاه علوم پزشکی مشهد Ali Taghipour علی تقی پور taghipoura@mums.ac.ir 4000319475328460017727 4000319475328460017727 No Mashhad med. sci. univ. دانشگاه علوم پزشکی مشهد Habibollah Esmaily حبیب اله اسماعیلی esmailyh@mums.ac.ir 4000319475328460017728 4000319475328460017728 No Mashhad med. sci. univ. دانشگاه علوم پزشکی مشهد