مجله زنان، مامایی و نازایی ایران

مجله زنان، مامایی و نازایی ایران

مقایسه اثر تمرینات ترکیبی همراه با مصرف ژل رویال بر ترکیب بدنی و شاخص‌های کبد چرب زنان یائسه: یک مطالعه نیمه‌تجربی

نوع مقاله : اصیل پژوهشی

نویسندگان
زهرا مظهری مجد 1
دکتر رویا عسکری 2
دکتر امیرحسین حقیقی 3
دکتر مرضیه السادات آذرنیوه 4
نازنین ربانی 1
1 کارشناس ارشد فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه حکیم سبزواری، سبزوار، ایران.
2 دانشیار گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه حکیم سبزواری، سبزوار، ایران.
3 استاد گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه حکیم سبزواری، سبزوار، ایران.
4 استادیار گروه علوم ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه زابل، زابل، ایران.
10.22038/ijogi.2025.81474.6151
چکیده
مقدمه: کبد چرب غیر الکلی، یک اختلال متابولیکی است و یائسگی، شیوع آن را افزایش می‌دهد. مطالعه حاضر با هدف مقایسه اثر تأثیر تمرینات ترکیبی همراه با مصرف ژل رویال بر ترکیب بدنی و شاخص ­های کبد چرب زنان یائسه انجام شد.
روش‌کار: این مطالعه نیمه‌تجربی در سال 1402 بر روی 23 زن یائسه مبتلا به کبد چرب غیر الکلی در مشهد انجام شد. افراد به‌طور تصادفی در دو گروه تمرین ترکیبی+ ژل رویال و تمرین ترکیبی+ دارونما قرار گرفتند. گروه‌ها به‌مدت 8 هفته، 3 جلسه در هفته، تمرینات مقاومتی و هوازی را انجام دادند. ژل رویال و دارونما در روزهای تمرین مصرف شد. قبل از اولین جلسه و 48 ساعت پس از آخرین جلسه تمرین، شاخص­ های تن­ سنجی شامل: قد، وزن، شاخص توده بدنی و درصد چربی زیرپوستی اندازه‌گیری و خون‌گیری انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 26) و آزمون‌های شاپیروویلک و واریانس با اندازه‌های مکرر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: در این مطالعه کاهش معناداری در مقادیر آنزیم­ های ALT (015/0=p) و AST (002/0=p) در گروه تمرین ترکیبی+ ژل رویال مشاهده شد. اثر تعاملی تمرین ترکیبی و مکمل ژل رویال با وجود کاهش در مقادیر شاخص توده بدن (829/0=p)، وزن بدن (978/0=p)، چربی بدن (864/0=p)، شاخص کبد چرب (569/0=p) و آنزیم GGT (420/0=p) از نظر آماری معنادار نبود.
نتیجه­ گیری: تمرین ترکیبی همراه با مصرف ژل رویال، سبب بهبود آنزیم ­های کبدی در زنان یائسه مبتلا به کبد چرب غیر الکلی شد. علی‌رغم بهبود شاخص کبد چرب و ترکیب بدن در هر دو گروه، تغییرات قابل توجه نبود. برای آگاهی دقیق‌تر از اثرات بلند­مدت و دوزهای متفاوت ژل رویال، پژوهش ­هایی همراه با گروه کنترل ضروری به‌نظر می­ رسد.
کلیدواژه‌ها
بیماری کبد چرب غیر الکلی
دوران پس از یائسگی
ترکیب بدنی
تمرینات مقاومتی
ژل رویال
موضوعات

عنوان مقاله English

The Effects of Combined Training along with Royal Jelly on Body Composition and Fatty Liver Indices in Postmenopausal Women: A Quasi-Experimental Study

نویسندگان English

Zahra Mazharimajd 1
Roya Askari 2
Amir Hossein Haghighi 3
Marzieh Sadat Azarniveh 4
Nazanin Rabani 1
1 M.Sc. Student in Sports Physiology, School of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran.
2 Associate Professor, Deoartment of Exercise Physiology, School of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran.
3 Professor, Deoartment of Exercise Physiology, School of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran.
4 Assistant Professor, Department of Sports Sciences, School of Literature and Humanities, Zabol University, Zabol, Iran.
چکیده English

Introduction: Non-alcoholic fatty liver (NAFL) is a metabolic disorder that exhibits an increased prevalence in menopausal women. The present study was conducted with aim to compare the effect of combined training along with royal jelly consumption on body composition and fatty liver indices in postmenopausal women.
Methods: This semi-experimental study was conducted in 2023 on 23 postmenopausal women with non-alcoholic fatty liver disease in Mashhad. Participants were randomly assigned to two groups: combined exercise + royal jelly and combined exercise + placebo. Both groups underwent 8-week resistance and aerobic exercises, 3 sessions per week. Royal jelly and placebo were consumed on training days. Before the first session and 48 hours after the last training session, anthropometric indicators including height, weight, body mass index, and subcutaneous fat percentage were measured and blood sampling was done. Data analysis was performed using the statistical software SPSS (version 26) and Shapiro-Wilk test and repeated measures ANOVA. P<0.05 was considered significant.
Results: The combined training + royal jelly gel group displayed a significant reduction in ALT (p=0.015) and AST (p=0.002) enzyme levels. The interactive effect of combined exercise and royal jelly supplementation was not statistically significant despite the reduction in body mass index (p=0.829), body weight (p=0.978), body fat (p=0.864), fatty liver index (p=0.569), and GGT enzyme (p=0.420).
Conclusion: The combined training along with royal jelly consumption resulted in improved liver enzyme levels in menopausal women with NAFL. Despite improvements in fatty liver index and body composition in both groups, the changes were not significant. To gain a more accurate understanding of the long-term effects and different doses of royal jelly, it seems nessecary to perform studies with control groups.

کلیدواژه‌ها English

Body Composition
Nonalcoholic Fatty Liver Disease
Postmenopause
Resistance Training
Royal Jelly
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مجله زنان، مامایی و نازایی ایران
دوره 28، شماره 7
مهر 1404
صفحه 45-58