تأثیر تمرین در خانه در دوره‌ دنیاگیری کووید-19 بر سطوح سرمی شاخصهای انسولینی زنان مبتلا به دیابت بارداری

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه فیزیولوژی ورزشی، مجتمع آموزش عالی نهاوند، دانشگاه بوعلی سینا، نهاوند، همدان، ایران.

2 استادیار گروه فیزیولوژی ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه جهرم، جهرم، ایران.

3 دکترای فیزیولوژی ورزشی، مجتمع آموزش عالی نهاوند، دانشگاه بوعلی سینا، نهاوند، همدان، ایران.

چکیده

مقدمه: دیابت بارداری (GDM) نوعی اختلال در متابولیسم کربوهیدرات و گلوکز است که برای اولین بار در طی دوران بارداری مشاهده می‌شود. دیابت بارداری علاوه بر عوارض مادری، باعث عوارض نامطلوبی در کودکان می‌شود. با توجه به این‌که افزایش سطح فعالیت بدنی تأثیر مهمی در کاهش عوارض بیماری دیابت دارد، لذا مطالعه حاضر با هدف تأثیر تمرین در خانه در دوره‌ دنیاگیری کووید-19 بر سطوح سرمی شاخص­های انسولینی زنان مبتلا به دیابت بارداری انجام شد.
روش‌کار: این مطالعه نیمه‌تجربی در سال 1399 بر روی 40 نفر از زنان باردار مبتلا به دیابت بارداری در سن بارداری 28-24 هفته و مراجعه‌کننده به درمانگاه شهید حیدری شهرستان نهاوند انجام شد. افراد به‌صورت تصادفی در دو گروه 20 نفره قرار گرفتند. گروه مداخله تمرینات منتخب در خانه را با استفاده از کش تک­متغیر به‌مدت 8 هفته و 3 روز در هفته و هر روز 40-20 دقیقه انجام دادند و گروه کنترل در این مدت هیچ‌گونه فعالیت بدنی نداشتند. سپس از طریق خون‌گیری، میزان سطوح سرمی انسولین و قند ناشتای خون اندازه‌گیری شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون‌های شاپیروویلک، لون، تی وابسته و تی مستقل انجام شد. میزان p‌ کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: در این مطالعه 8 هفته تمرین منتخب در خانه توانست افزایش معنی‌داری بر تفاضل مقادیر سطوح انسولین ناشتا (036/1±482/2- در برابر 626/0±116/0) و کاهش معنی‌داری بر تفاضل مقادیر سطوح قندخون ناشتا (978/14±550/45 در برابر 823/6±150/0-) در زنان باردار گروه مداخله نسبت به گروه کنترل داشته باشد (001/0>p). درحالی‌که، این تمرینات تأثیر معنی‌داری بر متغیرهای حساسیت به انسولین و مقاومت به انسولین در گروه مداخله نسبت به گروه کنترل پس از 8 هفته تمرین منتخب نداشت (05/0<p).
نتیجه‌گیری: انجام 8 هفته تمرین در خانه با استفاده از کش‌های تک‌متغیر بر اساس پروتکل ارائه‌ شده با توجه به اصل اضافه‌بار و مقاومت فزاینده (البته با شدت متوسط)، تأثیر معنی‌داری بر سطوح انسولین در زنان باردار مبتلا به دیابت بارداری دارد.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of exercise at home during the Covid-19 pandemic on serum levels of insulin markers in women with gestational diabetes

نویسندگان [English]

  • Masoomeh Seif 1
  • Alireza Khademi 2
  • Hojjatollah Siavoshy 3
1 Assistant Professor, Department of Exercise Physiology, Department of Sports Sciences, Nahavand Higher Education Institute, Bu-Ali Sina University, Nahavand, Hamedan, Iran.
2 Assistant Professor, Department of Exercise Physiology, Department of Sports Sciences, School of Literature and Human Sciences, Jahrom University, Jahrom, Iran.
3 Ph.D. of Exercise Physiology, Department of Sports Sciences, Nahavand Higher Education Institute, Bu-Ali Sina University, Nahavand, Hamedan, Iran.
چکیده [English]

Introduction: Gestational diabetes is a disorder of carbohydrate and glucose metabolism that is first seen during pregnancy. Gestational diabetes, in addition to maternal complications, also causes adverse effects in children. Considering that increasing the level of physical activity has an important effect on reducing the complications of diabetes, this study was conducted with aim to evaluate the effect of exercise at home during the Covid-19 pandemic on serum levels of insulin markers in women with gestational diabetes.
Methods: This semi-experimental study was performed on 40 pregnant women with gestational diabetes and 24-28 gestational age referred to the clinic of Shahid Heydari in Nahavand in 2020. The subjects were randomly divided into two groups (n=20 in each group). The intervention group performed the selected exercises at home using univariate cache for eight weeks and three days a week for 20 to 40 minutes every day; the control group had no physical activity during this period. Then, through blood sampling, the serum level of fasting blood sugar and insulin was measured. Data were analyzed using SPSS software (version 21) and Shapiro–Wilk test, Levon's test, paired t-test, and independent t-test. P<0.05 was considered statistically significant.
Results: In this study, eight weeks of selected exercises at home could have a significant increase on fasting insulin levels (-2.482±1.036 vs. 0.116±0.626) and significant decrease on FBS levels (45.550±14.978 vs. -0.150±6.823) in pregnant women in the intervention group compared to the control group (P<0.001). While these exercises did not show a significant effect on the variables of insulin sensitivity and insulin resistance in the intervention groups compared to the control group after eight weeks of selected exercises (P>0.05).
Conclusion: The eight weeks of exercise at home using univariate caches based on the presented protocol regarding to the principle of overload and increasing resistance (with moderate intensity), have a significant effect on insulin levels in pregnant women with gestational diabetes.

کلیدواژه‌ها [English]

  • Corona
  • Gestational Diabetes
  • Insulin
  • Insulin Sensitivity
  • Selected Exercises

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مجله زنان، مامایی و نازایی ایران
دوره 24، شماره 8
مهر 1400
صفحه 27-36

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