اثر تمرینات ورزشی ترکیبی همراه با مصرف مکمل زنجبیل بر سطوح PGE2 و علائم دیسمنوره اولیه در دختران بی‌تحرک

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار فیزیولوژی ورزشی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه پیام نور، تهران، ایران.

2 استادیار فیزیولوژی ورزشی، واحد بناب، دانشگاه آزاد اسلامی، بناب، ایران.

3 استاد گروه فیزیولوژی ورزشی، واحد مهاباد، دانشگاه آزاد اسلامی، مهاباد، ایران.

چکیده

مقدمه: دیسمنوره اولیه، یکی از شایع‌ترین اختلالات قاعدگی در بین زنان است که اثرات منفی بر فعالیت‌های اجتماعی آنان دارد. با این حال انجام تمرینات ورزشی منظم و استفاده از گیاهان دارویی برای درمان دردهای دیسمنوره اولیه در بین زنان مبتلا رواج یافته است، لذا پژوهش حاضر با هدف بررسی و مقایسه اثر تمرینات ورزشی ترکیبی همراه با مصرف مکمل گیاهی زنجبیل بر سطوح شاخص خونی پروستاگلاندین E2 (PGE2) و علائم دیسمنوره اولیه (شدت و مدت درد) در دختران بی‌تحرک انجام شد.
روش‌کار: در این مطالعه نیمه‌تجربی 60 دختر جوان بی‌تحرک دارای دیسمنوره اولیه متوسط یا شدید به روش تصادفی ساده در یکی از چهار گروه: تمرین همراه با مصرف زنجبیل، تمرین با مصرف شبه‌دارو، مکمل زنجبیل و شبه‌دارو قرار گرفتند. گروه‌های تمرینی به انجام تمرینات ورزشی ترکیبی در دو بخش فعالیت استقامتی و بخش فعالیت مقاومتی پرداختند. افراد گروه‌های مصرف کننده مکمل نیز در 3 سیکل قاعدگی کپسول زنجبیل را مصرف کردند. شدت درد دیسمنوره با استفاده از مقیاس آنالوگ بصری (VAS) و مدت درد با استفاده از معیار قاعدگی کوکس (CAS) اندازه‌گیری شد. در دو مرحله قبل و بعد از انجام پژوهش، PGE2 تمام شرکت‌کنندگان مورد بررسی قرار گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 23) و آزمون‌های تحلیل کوواریانس، تی زوجی و آزمون‌های ناپارامتریک انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ ها: سطوح PGE2 در گروه‌های مکمل زنجبیل، تمرین با شبه‌دارو و تمرین با مکمل زنجبیل در پایان مطالعه کاهش معناداری یافت (05/0‌>p). کاهش معنی‌داری در مقادیر شدت و مدت درد دیسمنوره در تمامی گروه‌های مورد مداخله در مقایسه با گروه شبه‌دارو در قاعدگی دوم و سوم مشاهده شد. همچنین اختلاف معنی‌داری بین دو گروه تمرینی با مصرف مکمل و شبه‌دارو در مقادیر شدت درد وجود داشت (05/0‌>p).
نتیجه ­گیری: مصرف مکمل گیاهی زنجبیل و انجام تمرینات ورزشی ترکیبی از طریق کاهش سطوح PGE2 می‌تواند باعث بهبود علائم دیسمنوره اولیه در دختران بی‌تحرک شود و به‌نظر مصرف مکمل زنجبیل و تمرین ترکیبی در کنار هم می‌تواند اثر تعاملی و هم‌افزایی داشته باشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of combination exercise training along with ginger supplementation on PGE2 levels and primary dysmenorrhea symptoms in sedentary girls

نویسندگان [English]

  • Vahideh Kianmarz Bonab 1
  • Reza Roshdi Bonab 2
  • Sirvan Atashak 3
1 Assistant professor, Department of Exercise Physiology, School of Education and Psychology, Payame Noor University, Tehran, Iran.
2 Assistant professor, Department of Exercise Physiology, Bonab Branch, Islamic Azad University, Bonab, Iran.
3 Professor, Department of Exercise Physiology, Mahabad Branch, Islamic Azad University, Mahabad, Iran.
چکیده [English]

Introduction: Primary dysmenorrhea is one of the most common menstrual disorders among women that have a negative impact on their social activities. However, regular exercise training and consumption of medicinal plants is common among women in order to treat primary dysmenorrhea. Therefore, the present study was conducted with aim to investigate the effect of combination exercise training along with ginger supplementation on PGE2 levels and primary dysmenorrhea symptoms (intensity and duration) in sedentary girls.
Methods: In this quasi-experimental study, 60 sedentary young girls with moderate/severe primary dysmenorrhea were randomly placed into one of the four groups: training along with ginger consumption, training along with placebo consumption, ginger and control placebo groups. The training groups performed combination exercise training in two sections of endurance training and strength training.  The groups consuming supplementation used ginger capsules. The severity of pain dysmenorrhea was measured by the visual analog scale (VAS) and duration of pain by Cox menstrual cycle (CAS). PGE2 of all participants was examined in two stages before and after the research. Data were analyzed by SPSS software (version 23) and ANCOVA, paired t-test and non-parametric tests. P<0.05 was considered significant.
Results: The PGE2 level significantly decreased in the groups of training with ginger, training with placebo and ginger (P<0.05). In addition, a significant reduction in the intensity and duration of dysmenorrhea pain was observed in all the intervention groups compared to the placebo group in the second and third cycle of menstruation. Also, a significant difference was found between the two training groups with the supplement and placebo consumption in the pain intensity values (P<0.05).
Conclusion: Consumption of ginger supplementation and combination exercise training through reducing PGE2 levels can improve the symptoms of primary dysmenorrhea in sedentary girls; it seems that combination of ginger supplement and combination exercise training have the synergistic effect. 

کلیدواژه‌ها [English]

  • Exercise Training
  • Ginger
  • Primary Dysmenorrhea
  • Prostaglandin E2 

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 9
آذر 1402
صفحه 29-39

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