تأثیر 5 ماه ورزش ایروبیک با شدت کم تا متوسط بر سطوح سرمی آنزیم‌های کبدی زنان مبتلا به کم‌کاری تیروئید تحت ‌بالینی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد فیزیولوژی ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه لرستان، خرمآباد، ایران.

2 استادیار گروه علوم ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه لرستان، خرم‌آباد، ایران.

چکیده

مقدمه: فعالیت ‌بدنی بر میزان غلظت آنزیم‌های کبدی تأثیر مطلوبی دارد. همچنین، مقادیر آنزیم‌های کبدی در افراد مبتلا به کم‌کاری تیروئید تحت‌بالینی بالاست. از این‌رو، مطالعه حاضر با هدف بررسی تأثیر 5 ماه ورزش ایروبیک با شدت کم تا متوسطبر سطوح سرمی آنزیم‌های کبدی ALT، AST و ALP در زنان مبتلا به کم‌کاری تیروئید تحت‌بالینی انجام شد.
روش‌کار: این مطالعه نیمه‌تجربی با طرح پیش‌‌آزمون و پس‌آزمون در سال 1395 بر روی 25 نفر از زنان مبتلا به کم‌کاری تیروئید تحت‌بالینی در شهرستان آبدانان انجام شد. افراد به سه گروه دارو- ورزش، ورزش و دارو تقسیم شدند. تمرین ورزشی هوازی شامل 5 ماه ورزش ایروبیک به‌صورت 3 جلسه در هفته و هر جلسه به­مدت 60 دقیقه بود. گروه دارو، افراد غیرفعالی بودند که تنها قرص لووتیروکسین مصرف ‌کردند. مقادیر ALT، AST و ALP سرمی سه گروه پس از 5 ماه اندازه‌گیری شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 24) و آزمون­های تی همبسته و آنالیز واریانس یک‌طرفه انجام شد.میزان p‌ کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: ورزش ایروبیک با شدت کم تا متوسطمنجر به تغییرات معنی‌داری در غلظت‌های سرمی ALT (054/0=p)، AST (065/0=p) و ALP (108/0=p) در زنان مبتلا به کم‌کاری تیروئید تحت‌بالینی نشد.
نتیجه‌گیری: بر اساس نتایج این مطالعه، 5 ماه ورزش ایروبیک با شدت کم تا متوسطمنجر به تغییرات معنی‌داری در غلظت آنزیم‌های کبدی ALT، AST و ALP زنان مبتلا به کم‌کاری تیروئید تحت‌بالینی نمی‌شود، بنابراین 5 ماه ورزش ایروبیک در بهبود NAFLD این افراد تأثیر ندارد.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of 5 months aerobic exercise with low to moderate intensity on serum liver enzymes in subclinical hypothyroidism women

نویسندگان [English]

  • Mohammad Fathizadeh 1
  • Vahid Valipour Dehnou 2
  • Mohammad Fathi 2
1 M.Sc. in Exercise Physiology, School of Literature and Humanity Sciences, Lorestan University, Khoramabad, Iran.
2 Assistant Professor, Department of Sport Sciences, School of Literature and Humanity Sciences, Lorestan University, Khoramabad, Iran.
چکیده [English]

Introduction: Physical activity has a beneficial effect on liver enzymes concentration. Also, patients with subclinical hypothyroidism have high levels of liver enzymes. Therefore, this study was performed with aim to investigate the effect of 5 months aerobics exercise with low to moderate intensity on serum levels of liver enzymes in subclinical hypothyroidism women.
Methods: This semi-experimental study with pre-test and post-test design was performed on 25 subclinical hypothyroidism women in Abdanan city in 2016. The subjects were divided into three groups: drug-exercise, exercise, and drug. Aerobics exercise training consisted of 3 sessions (60 min) per week for 5 months. The drug group was inactive persons who took only LT4 tablets. Levels of ALT, AST and ALP were measured in three groups after 5 months. Data were analyzed using SPSS software (version 24) and correlated t-test and one-way ANOVA test. PResults: Aerobics exercise with low to moderate intensity resulted in non-significant changes in serum levels of ALT (p=0.054), AST (p=0.065) and ALP (p=0.108) in subclinical hypothyroidism women.
Conclusion:According to the findings of the present study, 5 months aerobics exercise with low to moderate intensity leads to non-significant changes in serum liver enzymes of ALT, AST, and ALP in subclinical hypothyroidism women. Thus, 5 months aerobics exercise does not affect the improvement of non-alcoholic fatty liver in subclinical hypothyroidism women.

کلیدواژه‌ها [English]

  • Aerobics
  • Aerobic exercise training
  • Hypothyroidism
  • Liver Enzymes
  1. Colucci P, Seng Yue C, Ducharme M, Benvenga S. A Review of the Pharmacokinetics of Levothyroxine for the Treatment of Hypothyroidism. Eur Endocrinol 2013; 9(1):40-47.
  2. Nazarpour S, Ramezani Tehrani F, Simbar M, Azizi F. Pregnancy outcomes in pregnant women with hypothyroidism (a review article). Iran J Obstet Gynecol Infertil 2014; 17(126):17-26. (Persian)
  3. Deruiter J. Thyroid hormone tutorial: thyroid pathology. Endocrine Module. 2002.
  4. Lotfalizadeh M, Ghomian N, Mohammad Nezhad M. Prevalence and Complications of Hypothyroidism in Pregnancy. Iran J Obstet Gynecol Infertil 2017; 20(8):1-5.
  5. Malek M, Khamseh ME, Hadian A, Baradaran HR, Emami Z, Aghili R. The effect of L-thyroxine treatment on memory quotient in adults with subclinical hypothyroidism: A randomized double blind controlled trial. Iranian Journal of Endocrinology and Metabolism 2012; 13(6):577-581. (Persian)
  6. Pearce SH, Brabant G, Duntas LH, Monzani F, Peeters RP, Razvi S, et al. 2013 ETA guideline: management of subclinical hypothyroidism. Eur Thyroid J 2013; 2(4):215-28.
  7. Arkader R, Rosa MR, Moretti G. Physiological Changes of Exercise of Thermogenesis, Thyroid Homeostasis and Inflammation. Endocrinol Metab Int J 2016; 3(4):85-88.
  8. Guyton AC, Hall JE. Medical Physiology. 10nd ed. Elsevier Health Sciences; 2000.
  9. Benjamin I, Griggs RC, Wing EJ, Fitz JG. Andreoli and Carpenter's Cecil Essentials of Medicine (Gastrointestinal Diseases/Liver and Billiary Diseases): arjmand book; 2016.
  10. Razmakhah M. Epidemiologic, Clinical and Laboratory Findings of Non-Alcoholic Fatty Liver in Khorramabad City in 1395-1396 2017. (Persian)
  11. Barani F, Afzalpour ME, Ilbiegi S, Kazemi T, Mohammadi Fard M. The effect of resistance and combined exercise on serum levels of liver enzymes and fitness indicators in women with nonalcoholic fatty liver disease. J Birjand Univ Med Sci 2014; 21(2):188-202. (Persian).
  12. Takahashi H, Kotani K, Tanaka K, Egucih Y, Anzai K. Therapeutic approaches to nonalcoholic fatty liver disease: exercise intervention and related mechanisms. Front Endocrinol 2018; 9:588.
  13. Asad MR, Haddadi F, Rostami Nejad M, Sokhtehzari S. Effect of eight weeks endurance exercise on liver enzymes in stopping drug women with methadone. Journal of Paramedical Sciences 2013; 4. (Persian)
  14. Eskandari M, Hooshmand Moghadam B, Fathei M, Bakhtiyari A. Effect of Barberry juice consumption on serum levels of liver enzymes following exhaustive exercise in active girls. Iran J Obstet Gynecol Infertil 2019; 22(2):17-25. (Persian)
  15. Nourollahi Z, Valipour Dehnou V, Eslami R. The effect of 8 weeks of circuit training on body weight, blood pressure, serum Cholesterol levels and liver enzymes in elderly women with metabolic syndrome .Iran J Obstet Gynecol Infertil 2019; 22(2):63-72. (Persian)
  16. Chung GE, Kim D, Kim W, Yim JY, Park MJ, Kim YJ, et al. Non-alcoholic fatty liver disease across the spectrum of hypothyroidism. J Hepatol 2012; 57(1):150-6.
  17. Pagadala MR, Zein CO, Dasarathy S, Yerian LM, Lopez R, McCullough AJ. Prevalence of hypothyroidism in nonalcoholic fatty liver disease. Dig Dis Sci 2012; 57(2):528-34.
  18. He W, An X, Li L, Shao X, Li Q, Yao Q, et al. Relationship between hypothyroidism and non-alcoholic fatty liver disease: a systematic review and meta-analysis. Front Endocrinol 2017; 8:335.
  19. van den Berg EH, van Tienhoven-Wind LJ, Amini M, Schreuder TC, Faber KN, Blokzijl H, et al. Higher free triiodothyronine is associated with non-alcoholic fatty liver disease in euthyroid subjects: the Lifelines Cohort Study. Metabolism 2017; 67:62-71.
  20. Bano A, Chaker L, Plompen EP, Hofman A, Dehghan A, Franco OH, et al. Thyroid function and the risk of nonalcoholic fatty liver disease: the Rotterdam Study. J Clin Endocrinol Metab 2016; 101(8):3204-11.
  21. Ludwig U, Holzner D, Denzer C, Greinert A, Haenle MM, Oeztuerk S, et al. Subclinical and clinical hypothyroidism and non-alcoholic fatty liver disease: a cross-sectional study of a random population sample aged 18 to 65 years. BMC Endocr Disord 2015; 15:41.
  22. Eslami l, Rahmani nia F, Nakhostin Roohi B. The effect of 12 week vitamin E supplementation and regular physical activity on selected liver enzymes of non-alcoholic fatty liver patients. Sport Physiology 2014; 6(23):69-82. (Persian)
  23. hosseini kakhk A, khalegh zadeh H, nematy M, hamedi nia M. The effect of combined aerobic- resistance training on lipid profile and liver enzymes in patients with non-alcoholic fatty liver under nutrition diet. Sport Physiology 2015; 7(27):65-84. (Persian)
  24. Fauci A, Braunwald E, Kasper D, Hauser S, Longo D, Jameson J, et al. Harrison's principles of internal medicine. 17nd ed. McGraw-Hill Professional; 2008.
  25. Youssef MK, Philp MV. Resistance Training Versus Aerobic Training on Obese Non Alcoholic Fatty Liver. Med J Cairo Univ 2014; 82(2):79-85.
  26. Devries MC, Samjoo IA, Hamadeh MJ, Tarnopolsky MA. Effect of endurance exercise on hepatic lipid content, enzymes, and adiposity in men and women. Obesity 2008;16(10):2281-8.
  27. Mohammad Rahimi GR, Attarzadeh Hosseini SR. The effect of aerobic training and diet on lipid profile and liver enzymes in obese women with type II diabetes. Daneshvar Medicine 2014; 21(108):41-50. (Persian)
  28. Farbod M, Eizadi M, Davoodzadeh S. Protective Effects of Aerobic Intervention on the Profile of Liver Enzymes with Emphasis on AST to ALT ratio in Adult Females with Obesity. Women’s Health Bulletin 2018; 5(4):1-7.
  29. Davoodi M, Moosavi H, Nikbakht M. The effect of eight weeks selected aerobic exercise on liver parenchyma and liver enzymes (AST, ALT) of fat liver patients. J Shahrekord Univ Med Sci 2012; 14(1):84-90. (Persian)
  30. Pettersson J, Hindorf U, Persson P, Bengtsson T, Malmqvist U, Werkström V, et al. Muscular exercise can cause highly pathological liver function tests in healthy men. Br J Clin Pharmacol 2008; 65(2):253-9.
  31. Yao J, Meng M, Yang S, Li F, Anderson RM, Liu C, et al. Effect of aerobic and resistance exercise on liver enzyme and blood lipids in Chinese patients with nonalcoholic fatty liver disease: a randomized controlled trial. Int J Clin Exp Med 2018; 11(5):4867-4874.
  32. Davoodi M, Moosavi H, Nikbakht M. The effect of eight weeks selected aerobic exercise on liver parenchyma and liver enzymes (AST, ALT) of fat liver patients. J Shahrekord Univ Med Sci 2012; 14(1):84-90.
  33. Shaker Mahani S. Investigating the Effect of Continuous Aerobic Exercises on the Enzymes in Women with Non-Alcoholic Fatty Liver. International Journal of Cell Science and Biotechnology 2017; 6. (Persian)
  34. Nikroo H, Nematy M, Attarzadeh Hosseini SR, Sima HR, Razmpour F. How Does Addition of Regular Aerobic Exercises, Influence the Efficacy of Calorie-Restricted Diet in Patients with Non-Alcoholic Steatohepatatis (NASH)? Hepatitis Monthly 2017; 17(5):1-7. (Persian).