تأثیر تمرینات تناوبی بر مارکرهای سلامت قلبی- متابولیکی در زنان یائسه: مرور نظام‌مند با فراتحلیل

نوع مقاله : مروری

نویسندگان

1 استادیار گروه علوم ورزشی، دانشکده علوم انسانی، دانشگاه کاشان، کاشان، ایران.

2 دکتری فیزیولوژی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه گیلان، گیلان، ایران.

3 دانشجوی کارشناسی ارشد علوم ورزشی، دانشکده علوم انسانی، دانشگاه کاشان، کاشان، ایران.

10.22038/ijogi.2025.84592.6292

چکیده

مقدمه: تمرین ورزشی نقش مؤثری در بهبود مارکرهای سلامت قلبی- متابولیکی در زنان یائسه دارد. با این ‌وجود، اثر تمرینات تناوبی به ‌وضوح مشخص نشده است. فراتحلیل حاضر با هدف بررسی اثرات تمرینات تناوبی بر مارکرهای سلامت قلبی- متابولیکی در زنان یائسه انجام شد.
روش‌کار: جستجوی نظام‌مند در پایگاه‌های اطلاعاتیPubMed ، Web of Science، Scopus،Google Scholar، مگیران و نورمگز برای مقالات انگلیسی و فارسی منتشر شده تا 22 آذر 1402 انجام شد. به‌منظور تعیین اندازه اثر تمرینات تناوبی بر مارکرهای گلوکز، انسولین، HOMA-IR، TG، TC، HDL و LDL از تفاوت میانگین استاندارد شده (SMD) و فاصله اطمینان 95% (CIs) استفاده گردید. همچنین، تحلیل زیرگروهی بر اساس نوع تمرینات تناوبی شامل تمرین تناوبی با شدت بالا (HIIT) و تمرین تناوبی سرعتی (SIT) انجام شد.
یافته­ ها: در این فراتحلیل، 12 مطالعه با 322 آزمودنی مورد بررسی قرار گرفتند. نتایج نشان داد که تمرینات تناوبی منجر به کاهش معنی‌دار TG می‌شود (005/0=p، 14/0- الی 79/0- :Cl؛ 46/0- =SMD). تحلیل زیرگروهی بر اساس نوع تمرین تناوبی نشان داد که HIIT منجر به کاهش معنی‌دار سطوح گلوکز (6 مداخله، 01/۰=p، 57/۰- :SMD)، TG (10 مداخله، 009/۰=p، 54/۰- :SMD)، TC (10 مداخله، 04/۰=p، 59/۰- :SMD) و LDL (10 مداخله، 04/۰=p، 59/۰- :SMD) می‌شود، درحالی‌که اثرات SIT بر کاهش مقادیر این فاکتورها معنی‌دار نبود.
نتیجه­ گیری: مطالعه حاضر نشان داد که HIIT می‌تواند به‌‌طور مؤثری موجب بهبود گلایسمی و پروفایل‌های لیپیدی شود و ممکن است راهبرد مؤثری برای بهبود مارکرهای سلامت قلبی- متابولیکی در زنان یائسه باشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of interval training on cardiometabolic health markers in postmenopausal women: a systematic review with meta-analysis

نویسندگان [English]

  • Mousa Khalafi 1
  • Faeghe Ghasemi 2
  • Mina Kamrani 3
  • Maryam Aghaeinejad 3
  • Maryam Sarsangi 3
1 Assistant Professor, Department of Sport Sciences, School of Humanities, University of Kashan, Kashan, Iran.
2 PhD in Exercise Physiology, School of Physical Education and Sport Sciences, University of Guilan, Guilan, Iran.
3 M.Sc. Student in Sport Sciences, School of Humanities, University of Kashan, Kashan, Iran.
چکیده [English]

Introduction: Exercise training has an effective role in improving cardiometabolic health markers in postmenopausal women. However, the effect of interval training has not been clearly established. The present meta-analysis study was conducted with aim to investigate the effects of interval training on cardiometabolic health markers in postmenopausal women.
Methods: This systematic search was conducted in the databases of PubMed, Web of Science, Scopus, Google Scholar, Magiran, and Normagz for English and Persian articles published up to December 13, 2023. The standardized mean difference (SMD) and 95% confidence intervals (CIs) were used to determine the effect size of interval training on glucose, insulin, HOMA-IR, TG, TC, HDL, and LDL markers. Also, subgroup analysis was performed based on the type of interval training, including high-intensity interval training (HIIT) and speed interval training (SIT).
Results: In this meta-analysis, 12 studies with 322 subjects were reviewed. The results showed that interval training significantly reduced TG (p=0.005, Cl: -0.14 to -0.79, SMD= -0.46). Subgroup analysis based on the type of interval training showed that HIIT significantly reduced glucose levels (6 interventions, SMD: -0.57, p=0.01), TG (10 interventions, SMD: -0.54, p=0.009), TC (10 interventions, SMD: -0.59, p=0.04), and LDL (10 interventions, SMD: -0.59, p=0.04). While the effects of SIT on reducing the values of these factors were not significant.
Conclusion: The present study demonstrated that HIIT can effectively improve glycemic and lipid profiles and may be an effective strategy for improving cardiometabolic health markers in postmenopausal women.

کلیدواژه‌ها [English]

  • Cardiometabolic health markers
  • Interval training
  • Postmenopausal women

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 12
اسفند 1403
صفحه 61-78

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