تأثیر یک دوره تمرینات تناوبی منتخب بر ترکیب بدنی و کیفیت زندگی دانشجویان مبتلا به سندرم تخمدان پلی کیستیک

نوع مقاله: اصیل پژوهشی

نویسنده

مربی گروه فیزیولوژی ورزش، دانشکده علوم انسانی، دانشگاه آیت الله العظمی بروجردی (ره)، بروجرد، ایران.

چکیده

مقدمه: سندرم تخمدان پلی کیستیک، شایع ترین اختلال آندوکرین زنان در سنین باروری است. کیفیت زندگی زنان مبتلا به سندرم تخمدان پلی کیستیک در مقایسه با افراد سالم و حتی در مقایسه با مبتلایان به دیگر بیماری های زنان پایین تر است. مطالعه حاضر با هدف بررسی تأثیر یک دوره تمرینات تناوبی منتخب بر ترکیب بدنی و کیفیت زندگی دانشجویان مبتلا به سندرم تخمدان پلی کیستیک انجام شد.
روش کار: مطالعه حاضر یک مطالعه کاربردی از نوع طرح های نیمه تجربی دو مرحله ای (پیش آزمون- پس آزمون) بود که در نیمسال اول 94-1393 بر روی 10 دانشجوی غیر ورزشکار با تشخیص سندرم تخمدان پلی کیستیک انجام شد. افراد مورد مطالعه تمرینات تناوبی منتخب را به مدت 6 هفته، 3 جلسه در هفته انجام دادند. آزمودنی ها با استفاده از پرسشنامه کیفیت زندگی ویژه مبتلایان به سندرم تخمدان پلـی کیسـتیک و اندازه گیری متغیرهای تن سنجی در دوره قبل و بعد از تمرین مورد بررسی قرار گرفتند. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 18) و آزمون های کولموگروف- اسمیرنوف و تی وابسته انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: در این مطالعه وزن بدن (040/0=p)، شاخص تودة بدنی (049/0=p) و درصد چربی (041/0=p) پس از تمرین به طور معنی داری کاهش یافت. مقایسه داده ها اختلاف معنی داری را در حیطه اختلات قاعدگی (001/0=p)، وزن (016/0=p)، عاطفی- هیجانی (009/0=p) و نمره کلی کیفیت زندگی (036/0 =p) پس از مداخله نشان داد.
نتیجه‌گیری: انجام تمرینات تناوبی می تواند در بهبود کیفیت زندگی زنان مبتلا به سندرم تخمدان پلی کیستیک مؤثر باشد.
 

کلیدواژه‌ها


عنوان مقاله [English]

Effect of selected interval exercise on body composition and quality of life in students with polycystic ovary syndrome

نویسنده [English]

  • Fatemeh Omidali
Instructor, Department of Exercise Physiology, Department of Physical Education‚ School of Humanity Sciences, Ayatollah Boroujerdi University, Boroujerd, Iran.
چکیده [English]

Introduction: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women at reproductive age. Quality of life in women with polycystic ovary syndrome is lower compared to healthy subjects and even the patients with other gynecological diseases. This study was performed with aim to evaluate the effect of selected interval exercise on body composition and quality of life in students with polycystic ovary syndrome.
Methods: This practical pretest-post test quasi-experimental study was performed on 10 non-athlete students diagnosed with PCOS in 2014-2015. The subjects performed selected interval exercise 3 sessions per week for 6 weeks. The participants were evaluated using women quality of life questionnaire and measurement of Anthropometric variables. Data was analyzed by SPSS software (version 18) and Kolmogorov-Smirnov and dependent t- test. PResults: In this study, body weight (P=0.040), body mass index (P=0.049) and body fat percent (P=0.041) were significantly decreased after exercise. The data comparison showed a statistically significant difference in menstrual disorders (P=0.001), weight (P=0.016), emotional-excitement (P=0.009), and Total score of quality of life (p=0.036) after the intervention.
Conclusion: Performing interval exercise can be effective to improve the quality of life in women with polycystic ovary syndrome.
 
Keywords: Interval exercise, Polycystic ovary syndrome, Quality of life

کلیدواژه‌ها [English]

  • Interval exercise
  • Polycystic ovary syndrome
  • Quality of life
  1. Ching HL, Burke V, Stuckey BG. Quality of life and psychological morbidity in women with polycystic ovary syndrome: body mass index, age and the provision of patient information are significant modifiers. Clin Endocrinol 2007; 66(3):373-9.
  2. Benson S, Hahn S, Tan S, Mann K, Janssen OE, Schedlowski M, et al. Prevalence and implications of anxiety in polycystic ovary syndrome: results of an internet-based survey in Germany. Hum Reprod 2009; 24(6):1446-51.             
  3. Naughton MJ, McBee WL. Health-related quality of life after hysterectomy. Clinical obstetrics and gynecology. 1997 Dec;40(4):947-57. PubMed PMID: 9429808. Epub 1998/01/16. eng.
  4. Upadhya K, Trent M. Effects of polycystic ovary syndrome on health-related quality of life. Expert Rev Pharmacoecon Outcomes Res 2007; 7(6):597-603.
  5. Morrow GR, Chiarello RJ, Derogatis LR. A new scale for assessing patients' psychosocial adjustment to medical illness. Psychol Med 1978; 8(4):605-10.
  6. Elsenbruch S, Benson S, Hahn S, Tan S, Mann K, Pleger K, et al. Determinants of emotional distress in women with polycystic ovary syndrome. Hum Reprod 2006; 21(4):1092-9.
  7. Tofighi A, Tartibian B, Ameri MH, Najafi Eliasabad S, Asemi A, Shargh A. Effect of aerobic exercise on hormonal level and lipid profile in polycystic ovary syndrome women. Urmia Med J 2010; 21(4):332-8.
  8. saremi a, Bahrami, Jamilian, Moazami Goodarzi. Effects of 8 weeks pilates training on anti-Mullerian hormone level and cardiometabolic parameters in polycystic ovary syndrome women. Arak University of Medical Sciences Journal. 2014;17(9):59-69. 9.       
  9. Paisey RB, Frost J, Harvey P, Paisey A, Bower L, Paisey RM, et al. Five year results of a prospective very low calorie diet or conventional weight loss programme in type 2 diabetes. J Hum Nutr Diet 2002; 15(2):121-7.
  10. Bruner B, Chad K, Chizen D. Effects of exercise and nutritional counseling in women with polycystic ovary syndrome. Appl Physiol Nutr Metab 2006; 31(4):384-91.
  11. Berg U, Enqvist JK, Mattsson CM, Carlsson-Skwirut C, Sundberg CJ, Ekblom B, et al. Lack of sex differences in the IGF-IGFBP response to ultra endurance exercise. Scand J Med Sci Sports 2008; 18(6):706-14.
  12. Cronin L, Guyatt G, Griffith L, Wong E, Azziz R, Futterweit W, et al. Development of a health-related quality-of-life questionnaire (PCOSQ) for women with polycystic ovary syndrome (PCOS). J Clin Endocrinol Metab 1998; 83(6):1976-87.
  13. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika 1951; 16(3):297-334.
  14. Amini L, Seyedfatemi N, Montazeri AS. Quality of life in women with polycystic ovary syndrome. J payesh 2011; 11:857-62.
  15. Heyward VH, Wagner DR. Applied body composition assessment. New York, USA: Human Kinetics; 1996
  16. Nasiri Amiri FA, Ramezani Tehrani FA, Simbar M, Thamtan M, Ali R. Concerns of women with polycystic ovary syndrome: A qualitative study. Iran J Endocrinol Metab 2013; 15(1):41-51.
  17. Hashimoto DM, Schmid J, Martins FM, Fonseca AM, Andrade LH, Kirchengast S, et al. The impact of the weight status on subjective symptomatology of the polycystic ovary syndrome: a cross-cultural comparison between Brazilian and Austrian women. Anthropol Anz 2003; 61(3):297-310.
  18. Schmid J, Kirchengast S, Vytiska-Binstorfer E, Huber J. Infertility caused by PCOS--health-related quality of life among Austrian and Moslem immigrant women in Austria. Human reproduction (Oxford, England). 2004 Oct;19(10):2251-7. PubMed PMID: 15333601. Epub 2004/08/31. eng.              
  19. Thomson RL, Buckley JD, Noakes M, Clifton PM, Norman RJ, Brinkworth GD. The effect of a hypocaloric diet with and without exercise training on body composition, cardiometabolic risk profile, and reproductive function in overweight and obese women with polycystic ovary syndrome. The Journal of clinical endocrinology and metabolism. 2008 Sep;93(9):3373-80. PubMed PMID: 18583464. Epub 2008/06/28. eng
  20. NL W. Effect of moderate aerobic exercise combined with restriction on circulating estrogens and IGF-1 in premenopausal women: annual report summary. J Sport Sci Med. 2005;6:55-9
  21. Loucks AB, Thuma JR. Luteinizing hormone pulsatility is disrupted at a threshold of energy availability in regularly menstruating women. J Clin Endocrinol Metab 2003; 88(1):297-311.
  22. Saremi A, Shavandi N, Karamali M, Kazemi M. Serum level of anti-mullerian hormone after exercise training in women with polycystic ovary syndrome: a randomized controlled trial. Iran J Obstet Gynecol Infertil 2013; 16(64):10-8.
  23. Benson S, Hahn S, Tan S, Janssen OE, Schedlowski M, Elsenbruch S. Maladaptive coping with illness in women with polycystic ovary syndrome. J Obstet Gynecol Neonatal Nurs 2010; 39(1):37-45.
  24. McCook JG, Reame NE, Thatcher SS. Health-related quality of life issues in women with polycystic ovary syndrome. J Obstet Gynecol Neonatal Nurs 2005; 34(1):12-20.
  25. Miri MS, Nikseresht A, Karimi JH, Kargar Jahromi H, Sobhanian S. Effect of exercise on sex-hormone in rats with polycystic ovary syndrome. J Jahrom Univ Med Sci 2013; 11(3):35-42.
  26. Jedel E, Labrie F, Oden A, Holm G, Nilsson L, Janson PO, et al. Impact of electro-acupuncture and physical exercise on hyperandrogenism and oligo/amenorrhea in women with polycystic ovary syndrome: a randomized controlled trial. Am J physiol Endocrinol Metab 2011; 300(1):E37-45.
  27. Azimi H, Sadeghi T. The effect of aerobic and walking exercise on physical and psychological symptoms and pain of premenstrual syndrome. Iran J Nurs 2013; 25(80):46-55.
  28. Abadi GM, Nikbakht M. The effect of walking versus the running training on premenstrual syndrome (pms) in high school girls in Ahwaz city. Knowledge Res Appl Psycholo 2007; 31:17-38. (Parsian).
  29. Biggs WS, Demuth RH. Premenstrual syndrome and premenstrual dysphoric disorder. Am Fam Physician 2011; 84(8):918-24.
  30. Izzo A, Labriola D. Dysmenorrhoea and sports activities in adolescents. Clin Exp Obstet Gynecol 1991; 18(2):109-16.
  31. Ardakani ZB, Karoubi M, Milanifar A, Masrouri R, Akhondi M. Embryo Donation in Iranian Legal System: A Critical Review. Journal of Reproduction & Infertility. 2015;16(3):130-8. Avicenna Research Institute. English.
  32. Kumarapeli V, Seneviratne Rde A, Wijeyaratne C. Health-related quality of life and psychological distress in polycystic ovary syndrome: a hidden facet in South Asian women. BJOG 2011; 118(3):319-28.
  33. Himelein MJ, Thatcher SS. Polycystic ovary syndrome and mental health: A review. Obstet Gynecol Surv 2006; 61(11):723-32.
  34. Hollinrake E, Abreu A, Maifeld M, Van Voorhis BJ, Dokras A. Increased risk of depressive disorders in women with polycystic ovary syndrome. Fertil Steril 2007; 87(6):1369-76.
  35. Rich-Edwards JW, Spiegelman D, Garland M, Hertzmark E, Hunter DJ, Colditz GA, et al. Physical activity, body mass index, and ovulatory disorder infertility. Epidemiology 2002; 13(2):184-90.
  36. Abedi HA, Nikseresht A, Tashakoreyan F. Comparison between effects of resistance and endurance exercise training on somatic and affective symptoms of premenstrual syndrome. Pars J Med Sci 2014; 12(3):9-14.