ﻓﺼﻠﻨﺎﻣﻪ ﺗﻨﺪرﺳﺘﻲ و داﻧﺶ، دوره7 ﺷﻤﺎره، 1 ، ﺑﻬﺎر1391 ﭘﺰﺷﻜ ﻋﻠﻮم داﻧﺸﮕﺎه ﺷﺎﻫﺮود درﻣﺎﻧﻲ ﺑﻬﺪاﺷﺘﻲ ﺧﺪﻣﺎت و ﻲ * ﻣﺴــﺌﻮل ﻧﻮﻳﺴــﻨﺪه: ﻋﻠــﻮم داﻧﺸــﮕﺎه ﭘﺰﺷــﻜﻲ داﻧﺸــﻜﺪه دوم، ﻛﻮﭼــﻪ ﺷــﺮﻗﻲ، ﻣﻌﻠــﻢ ﺑﻠــﻮار ﻗــﻢ، ﻗــﻢ ﭘﺰﺷــﻜﻲ، ﺗﻠﻔــﻦ: 7831370 - 0251 ، ﻧﻤــﺎﺑﺮ: 7832470 - 0251 ، Email : mehdi_r_d@yahoo.com ﭘﮋوﻫﺸﻲ ﻣﻘﺎﻟﻪ و ﺷﻴﻮع ﺑﺮرﺳﻲ آن ﻧﻮزادان و ﺑﺎردار زﻧﺎن در ﻛﻠﺴﻴﻢ ﻛﻤﺒﻮد ﺑﺮ ﻣﺆﺛﺮ ﻋﻮاﻣﻞ ﺑﺮﺧﻲ ﻫﺎ ﻋﺒﺎﺳﻴﺎن ﻣﺮﻳﻢ 1 ) M.Sc. ( ﭼﻤﻦ رﺿﺎ، 2 ) Ph.D. ( دﻟﻮرﻳﺎن ﻣﻬﺮي، زاده 3 ) M.Sc. ( اﻣﻴﺮي ﻣﺤﻤﺪ، 4 ) Ph.D. ( راﻋﻲ ﻣﻬﺪي، * 5 ) M.Sc. ( ﻧﻮروزي ﭘﻴﺮاﺳﺘﻪ، 6 ) B.Sc. ( اﺣﻤﺪي اﻋﻈﻢ، زاده 7 ) B.Sc. ( 1 - داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺷﺎﻫﺮود- داﻧﺸﻜﺪه ﭘﺰﺷﻜﻲ- ﺑﻴﻮﺷﻴﻤﻲ ارﺷﺪ ﻛﺎرﺷﻨﺎس. 2 - ﺷﺎﻫﺮود ﭘﺰﺷﻜﻲ ﻋﻠﻮم داﻧﺸﮕﺎه- ﺳﻼﻣﺖ در اﺟﺘﻤﺎﻋﻲ و رﻓﺘﺎري ﻋﻠﻮم ﺗﺤﻘﻴﻘﺎت ﻣﺮﻛﺰ- اﺳﺘﺎدﻳﺎر. 3 - ﺷﺎﻫﺮود ﭘﺰﺷﻜﻲ ﻋﻠﻮم داﻧﺸﮕﺎه- داﻧﺸﻜﺪه ﺑﻬﺪاﺷﺖ- ﺗﻐﺬﻳﻪ ارﺷﺪ ﻛﺎرﺷﻨﺎس. 4 - ﺷﺎﻫﺮود ﭘﺰﺷﻜﻲ ﻋﻠﻮم داﻧﺸﮕﺎه- ﺑﻬﺪاﺷﺖ داﻧﺸﻜﺪه- درﻣﺎﻧﻲ ﺑﻬﺪاﺷﺘﻲ ﺧﺪﻣﺎت ﻣﺪﻳﺮﻳﺖ اﺳﺘﺎدﻳﺎر. 5 - ﭘﺰﺷﻜﻲ ﻋﻠﻮم داﻧﺸﮕﺎه ﻗﻢ- ﭘﺰﺷﻜﻲ داﻧﺸﻜﺪه- زﻳﺴﺘﻲ آﻣﺎر ارﺷﺪ ﻛﺎرﺷﻨﺎس. 6 - داﻧﺸﮕﺎه آزاد داﻣﻐﺎن واﺣﺪ اﺳﻼﻣﻲ- ﺳﻠﻮل و ﺗﻜﻮﻳﻦ ارﺷﺪ ﻛﺎرﺷﻨﺎس داﻧﺸﺠﻮي. 7 - ﺷﺎﻫﺮود ﭘﺰﺷﻜﻲ ﻋﻠﻮم داﻧﺸﮕﺎه- ﻣﺎﻣﺎﻳﻲ ﭘﺮﺳﺘﺎري، داﻧﺸﻜﺪه- ﭘﺮﺳﺘﺎري ﻛﺎرﺷﻨﺎس. درﻳﺎﻓﺖ ﺗﺎرﻳﺦ: 16 / 12 / 1390 ﭘﺬﻳﺮش ﺗﺎرﻳﺦ، : 11 / 2 / 1391 ﭼﻜﻴﺪه ﻣﻘﺪﻣﻪ: ﺑﺎرداري دوران در ﻣﻬﻢ ﻣﻐﺬي ﻣﻮاد از ﻳﻜﻲ ﻛﻠﺴﻴﻢ وﻳﺘﺎﻣﻴﻦ و ﻛﻠﺴﻴﻢ ﻛﻤﺒﻮد و ﺑﻮدهD ﺟﺒﺮان ﻋﻮاﻗﺐ و رﺷﺪ ﺑﺮ ﻧﺎﭘﺬﻳﺮي اﺳﺘﺨﻮان ﺗﻮﺳﻌﻪ دارﻧﺪ ﺑﺎردار زﻧﺎن ﺳﻼﻣﺖ و ﺟﻨﻴﻦ ﻫﺎي. ﻫﺪف وﻳﺘﺎﻣﻴﻦ ﻣﺘﺎﺑﻮﻟﻴﺖ و ﻛﻠﺴﻴﻢ ﺳﺮﻣﻲ ﺳﻄﺢ ﺑﺮرﺳﻲ ﺣﺎﺿﺮ، ﭘﮋوﻫﺶ ازD آن ﻧﻮزادان و ﺑﺎردار زﻧﺎن در آن ﺑﺮ ﻣﺆﺛﺮ ﻋﻮاﻣﻞ ﺑﺮﺧﻲ و ﻣﻲ ﺷﺎﻫﺮود ﺷﻬﺮ در ﻫﺎ ﺑﺎﺷﺪ. روش و ﻣﻮاد ﻫﺎ: روي ﺑﺮ ﻛﻪ ﺑﻮده ﻣﻘﻄﻌﻲ ﻧﻮع از ﺣﺎﺿﺮ ﭘﮋوﻫﺶ284 ﻣﺮاﺟﻌﻪ ﺑﺎردار زﻧﺎن از ﻧﻔﺮ اﺳﺖ ﺷﺪه اﻧﺠﺎم ﺷﺎﻫﺮود ﻓﺎﻃﻤﻴﻪ ﺑﻴﻤﺎرﺳﺘﺎن ﺑﻪ ﻛﻨﻨﺪه. ﺟﻤـﻊ ﺑـﺮ ﻋـﻼوه ﻣﻄﺎﻟﻌـﻪ اﻳـﻦ در آوري دﻣﻮﮔﺮ اﻃﻼﻋﺎت ﺧﻮن اﻓﻴﻚ، اﻧﺪازه ﺟﻬﺖ ﻧﻮزادان ﻧﺎف ﺑﻨﺪ و ﻣﺎدران از ﮔﻴﺮي ﻛﻠﺴﻴﻢ، ﮔﻴﺮي25 وﻳﺘﺎﻣﻴﻦ ﻫﻴﺪروﻛﺴﻲD ﻓﺴﻔﺎﺗﺎز آﻟﻜﺎﻟﻴﻦ و ﻓﺴﻔﺮ، ) ALP ( ﮔﺮدﻳـﺪ اﻧﺠﺎم. داده از اﺳـﺘﻔﺎده ﺑـﺎ ﻫـﺎ آزﻣﻮن ﺗﺠﺰﻳﻪ ﻫﻤﺒﺴﺘﮕﻲ و ﺗﻮﺻﻴﻔﻲ آﻣﺎري ﻫﺎي و ﺷﺪﻧﺪ ﺗﺤﻠﻴﻞ. آزﻣﻮن ﺗﻤﺎم در ﻣﻌﻨﺎداري ﺳﻄﺢ ﻫﺎ05 / 0 ﺷﺪ ﮔﺮﻓﺘﻪ ﻧﻈﺮ در. ﻧﺘﺎﻳﺞ: زﻧﺎن ﺳﻦ ﻣﻴﺎﻧﮕﻴﻦ3 / 5 ± 6 / 26 ﺑﻮد ﺳﺎل. در5 / 33 ) % 95 ﻧﻔﺮ( و ﻣﺎدران25 ) % 71 ﻧﻔﺮ( ﺷﺪ ﻣﺸﺎﻫﺪه ﻛﻠﺴﻴﻢ ﻛﻤﺒﻮد ﻧﻮزادان. آﻣـﺎري ارﺗﺒـﺎط ﻧﻮزادان ﺑﻨﺪﻧﺎف و ﻣﺎدران ﻛﻠﺴﻴﻢ ﺳﻄﺢ ﺑﻴﻦ داﺷﺖ وﺟﻮد ﻣﻌﻨﺎداري و ﻣﺜﺒﺖ) 001 / 0 P< ، 25 / 0 r= .( ﺑﺎرد ﻣﺎدران ﻛﻠﺴﻴﻢ ﺳﺮﻣﻲ ﺳﻄﺢ ﺑﻴﻦ ﻣﻌﻨﺎداري ارﺗﺒﺎط آﻧﺎن ﺳﻦ ﺑﺎ ار) 69 / 0 P= ( ﺗﻮﻟﺪ ﺣﻴﻦ ﻧﻮزاد وزن، ) 67 / 0 P= ( ﺣـﺎﻣﻠﮕﻲ ﺗﻌـﺪاد، ) 35 / 0 P= ( وﻳﺘﺎﻣﻴﻦ ﺳﺮﻣﻲ ﺳﻄﺢ وD ) 23 / 0 P= ( ﻧﺸﺪ ﻣﺸﺎﻫﺪه. ﻧﺘﻴﺠﻪ ﮔﻴﺮي: وﻳﺘﺎﻣﻴﻦ و ﻛﻠﺴﻴﻢ ﻛﻤﺒﻮد ﺑﺎﻻي ﺷﻴﻮع ﺑﻪ ﺑﺎﺗﻮﺟﻪD آن ﻧﻮزادان و ﺑﺎردار زﻧﺎن ﺳﻼﻣﺖ ﺑﺮ آن ﻣﻀﺮ اﺛﺮات و ﻣﻄﺎﻟﻌﻪ اﻳﻦ در ﻣﻲ ﭘﻴﺸﻨﻬﺎد ﻫﺎ، ﺷﻮد ﻋـﻼوه ﻣﻜﻤـﻞ از اﺳـﺘﻔﺎده ﺑـﺮ ﻫـﺎي وﻳﺘﺎﻣﻴﻦ و ﻛﻠﺴﻴﻢD آﻣﻮزش ﺑﺎردار، زﻧﺎن در و ﻣﻨﺎﺳﺐ ﺗﻐﺬﻳﻪ ﺗﺮوﻳﺞ راﺳﺘﺎي در ﻧﻴﺰ ﻣﻨﺎﺳﺐ ﺑﻬﺪاﺷﺘﻲ ﻫﺎي ﮔﺮدد اراﺋﻪ آﻓﺘﺎب ﺑﺎ ﺗﻤﺎس اﻓﺰاﻳﺶ. واژه ﻛﻠﻴﺪي ﻫﺎي: وﻳﺘﺎﻣﻴﻦ ﻛﻠﺴﻴﻢ،D ﺑﺎردار زﻧﺎن ﻧﻮزادان،، . Original Article Knowledge & Health 2012;7(1):39-43 Investigating the Prevalence of Calcium Deficiency and Some of its Influencing Factors in Pregnant Women and their Neonates Maryam Abbasian 1 , Reza Chaman 2 , Mehri Delvarian-Zadeh 3 , Mohammad Amiri 4 , Mehdi Raei 5* , Pirasteh Norouzi 6 , Azam Ahmadi zadeh 7 1- M.Sc. of Biochemistry, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran. 2- Assistant Professor, Center for Health Related Social & Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran. 3- MSc of Nutritions, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran. 4- Assistant Professor of Health Services Management, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran. 5- M.Sc. of Biostatistics, School of Medicine, Qom University of Medical Sciences, Qom, Iran. 6- M.Sc. Student, Development and Cell, Islamic Azad University, Damghan Branch, Damghan, Iran. 7- B.Sc. of Nursing, School of Nursing, Shahroud University of Medical Sciences, Shahroud, Iran. Abstract: Introduction: Calcium (Ca) is one of the important nutrients during pregnancy. Ca and vitamin D deficiency have irreparable effects on fetal bone growth and development and on the health of pregnant women. This study investigated the effect of serum Ca and vitamin D metabolite and some of its influencing factors on pregnant women and their neonates in Shahroud. Methods: This cross-sectional study was conducted on 284 pregnant women who referred to Fatimiyeh Hospital in Shahroud. In this study, in addition to collecting demographic data, samples of maternal and cord blood were taken, and 25-hydroxy vitamin D, Ca and alkaline phosphatase (ALP) were measured. The data were analyzed through descriptive statistical tests and correlation tests. The level of significance for all tests was 0.05. Results: The mean (±standard deviation) age of women was 26.62±5.32 years. Ca deficiency was observed in 33.5% of mothers and in 25% of neonates. There was a significant relationship between maternal Ca level and neonate cord blood Ca (P>0.001, r= 0.25). There were no significant relationships between maternal Ca level and mother’s age (P=0.69), birth weight (P=0.67), the number of pregnancy (P=0.35) and serum levels of vitamin D (P=0.23). Conclusion: With regard to the high prevalence of Ca and vitamin D deficiency which was found in this study, and the detrimental effects this might have on the health of mothers and neonates, we suggest, in addition to using Ca and vitamin D supplements by pregnant women, appropriate health training also be provided to mothers to promote suitable nutrition and encourage greater exposure to sunlight. Keywords: Calcium, vitamin D, neonates, Pregnant Women. Conflict of Interest: No Received: 7 March 2012 Accepted: 3 April 2012 *Corresponding author: M. Raei, Email: mehdi_r_d@yahoo.com