تأثیر تمرینات آکوا و مقاومتی بر نیمرخ لیپیدی، آدیپونکتین، انسولین و گلوکز خون مبتلایان به دیابت بارداری

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشیار گروه فیزیولوژی ورزشی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.

2 استادیار گروه فیزیولوژی ورزشی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.

3 استادیار گروه تربیت بدنی و علوم ورزشی، پردیس بین‌الملل کیش، دانشگاه تهران، کیش، ایران.

4 دانشیار گروه فیزیولوژی ورزشی، دانشکده تربیت بدنی، دانشگاه تهران، ایران.

5 دانشیار گروه زنان و مامایی، مرکز تحقیقات بیماری‌های مادر و جنین، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

چکیده

مقدمه: فعالیت­ بدنی، یکی از راهکارهای اساسی در کنترل و درمان دیابت می­باشد، با این وجود هر نوع فعالیت بدنی دارای سازوکارهای متفاوتی در بیماران مبتلا به دیابت می‌باشد، لذا مطالعه حاضر با هدف مقایسه اثر تمرینات آکوا و مقاومتی بر آدیپونکتین، نیمرخ لیپیدی، انسولین و گلوکز خون مبتلایان به دیابت بارداری انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی شده در دی ماه سال 1394 بر روی 34 مادر مبتلا به دیابت بارداری مراجعه کننده به درمانگاه پریناتولوژی بیمارستان آموزشی- درمانی حافظ و درمانگاه مطهری انجام شد.افراد در سه ﮔﺮوه ﺗﻤﺮﻳﻦ آکوا، تمرین مقاومتی و کنترل قرار گرفتند. گروه تمرینات آکوا و مقاومتی، به مدت 6 هفته، 3 جلسه در هفته و هر جلسه 45-30 دقیقه تمرین کردند. ﮔﺮوه ﻛﻨﺘﺮل در این مدت فقط فعالیت­های روزانه خود را داشتند. جهت اندازه‌گیری متغیرهای تحقیق شامل آدیپونکتین، کلسترول تام، لیپوپروتئین پرچگال، تری‌گلیسرید، گلوکز ناشتا و انسولین مورد نیاز؛ نمونه خون در وضعیت ناشتا در پیش آزمون و پس آزمون به عمل آمد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون­های تیوابسته، تحلیل کواریانس، آنالیز واریانس یک‌طرفه به همراه آزمون تعقیبی بنفرونی انجام گرفت. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
ﻳﺎﻓﺘﻪ‌ﻫﺎ: تمرین آکوا تأثیر معنی‌داری بر افزایش آدیپونکتین و کاهش کلسترول تام، تری‌گلیسرید و انسولین مورد نیاز داشت(05/0≥p). تمرین مقاومتی تأثیر معنی‌داری بر کاهش لیپوپروتئین پرچگال، انسولین مورد نیاز و گلوکز ناشتا داشت (05/0≥p). همچنین تمرین آکوا نسبت به تمرین مقاومتی اثر بیشتری بر کاهش تری‌گلیسیرید داشت(05/0≥p).
ﻧﺘﻴﺠﻪﮔﻴﺮی: ﺑﻪ ﻧﻈﺮ ﻣﻲرﺳﺪ، تمرینات آکوا نسبت به تمرینات مقاومتی تأثیرات مثبت بیشتری بر آدیپونکتین و نیمرخ لیپیدی زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ دﻳﺎﺑﺖ ﺑﺎرداری دارند.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Aqua and Resistance Trainings on Lipid Profile, Adiponectin, Insulin, and Glucose in Women with Gestational Diabetes Mellitus

نویسندگان [English]

  • Seyed Ali Hosseini 1
  • Nasibeh Kazemi 2
  • Reza Nouri 3
  • Mohammad Reza kordi 4
  • Maryam Kasraian 5
1 Associate Professor, Department of Sport Physiology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
2 Assistant Professor, Department of Sport Physiology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
3 Assistant Professor, Department of Physical Education and Sport Science, Kish International Paradise, Tehran University, Kish, Iran.
4 Associate Professor, Department of Sport Physiology, School of Physical Education, Tehran University, Tehran, Iran
5 Associate Professor, Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Research Center, Shiraz University of Medical Science, Shiraz, Iran.
چکیده [English]

Introduction: Physical activity is one of basic solutions in the control and treatment of diabetes. Nevertheless, any kind of physical activity has different mechanisms in diabetic patients. Therefore, the aim of the present study was to compare the effect of aqua and resistance trainings on blood adiponectin, lipid profile, insulin, and glucose in patients with gestational diabetes mellitus (GDM).
Methods: This randomized clinical trial was conducted in January, 2015 on 34 women with gestational diabetes referred to Motahari Clinic and Primatology Clinic of Hafez Hospital. The subjects were divided in three groups of aqua and resistance trainings and control. During 6 weeks, aqua and resistance training groups trained three 30-45-min sessions per week. The participants in the control group had just their daily activity. The levels of adiponectin, total cholesterol,high-density lipoprotein, triglyceride, fasting blood sugar, and insulin requirement were measured. The blood samples were collected in fasting status at the pre- and post-intervention phases. Data analysis was performed using t-test, analysis of covariance, one-way analysis of variance, and Bonferroni post-hoc test. P≤0.05 was considered statistically significant.
Results: Aqua training had significant effect on increasing adiponectin and decreasing total cholesterol, triglyceride, and insulin requirement (P≤0.05). Resistance training had significant effect on the reduction of high-density lipoprotein, insulin requirement, and fasting blood sugar (P≤0.05). Additionally, aqua training rather had more effect on reduction of triglycerides in comparison to resistance training (P≤0.05).
Conclusion: Aqua training had more positive effect on adiponectin and lipid profile in women with gestational diabetes in comparison to resistance training.

کلیدواژه‌ها [English]

  • Training
  • Adiponectin
  • Glycemic indices
  • lipid profile
  • Gestational diabete

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 21، شماره 4
تیر 1397
صفحه 8-18

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