رابطه فعالیت بدنی با هورمون های تیروئیدی در زنان باردار
محورهای موضوعی : تاثیر حرکت و تمرین در سلامتیکوروش راضی 1 , سید علی حسینی 2 , مهرزاد مقدسی 3
1 - گروه علوم ورزشی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران
2 - گروه فیزیولوژی ورزشی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران.
3 - Department of Exercise physiology, Shiraz branch, Islamic Azad University, Shiraz, Iran
کلید واژه: فعالیت بدنی, هورمون های تیروئیدی, بارداری,
چکیده مقاله :
زمینه و هدف: بارداری با تغییرات آناتومیک و فیزیولوژیک بسیاری همراه است و بارداری سالم، مستلزم تطابق متابولیک وهورمونی است که هیپوتالاموس، هیپوفیز، پاراتیروئید و آدرنال را درگیر می کند. مطالعات نشان داده اند که تغذیه مناسب به همراه فعالیت های بدنی نیز می توانند اثرات مثبتی بر پاسخ های هورمونی داشته باشند. هدف از مطالعه حاضر بررسی رابطه فعالیت بدنی با هورمون های تیروئیدی در زنان باردار بود.
مواد و روشها: در این مطالعه علمی- مقایسه ای یا پس رویدادی 60 نفر از مادران باردار (میانگین وزن 59/8±92/64 و قد 30/7±88/161) مراجعه کننده به آزمایشگاه دکتر بازیاری شهر شیراز (جهت غربالگری سلامت خود و جنین) به عنوان نمونه آماری انتخاب شدند. جهت اندازه گیری هورمون های تیروئیدی، 5 سی سی خون از ورید قسمت قدامی آرنج گرفته شد و جهت اندازه گیری فعالیت بدنی از پرسشنامه استاندارد PPAQویژه زنان باردار استفاده شد. جهت تجزیه و تحلیل یافته های تحقیق از آزمون های آماری کالموگروف- اسمیرنوف و ضریب همبستگی پیرسون استفاده شد (05/0≥P).
نتایج: نتایج نشان داد رابطه معنی داری بین فعالیت در منزل (90/0=P)، فعالیت نقل و انتقال (59/0=P)، فعالیت محیط کار (34/0=P)، فعالیت های ورزش و سرگرمی (29/0=P) و کل فعالیت بدنی (25/0=P) با TSH وجود ندارد. همچنین رابطه معنی داری بین فعالیت در منزل (94/0=P)، فعالیت نقل و انتقال (56/0=P)، فعالیت محیط کار (14/0=P)، فعالیت های ورزش و سرگرمی (78/0=P) و کل فعالیت بدنی (51/0=P) با T4 وجود ندارد و در نهایت رابطه معنی داری بین فعالیت در منزل (11/0=P)، فعالیت نقل و انتقال (20/0=P)، فعالیت محیط کار (44/0=P)، فعالیت های ورزش و سرگرمی (41/0=P) و کل فعالیت بدنی (82/0=P) با T3 وجود ندارد.
نتیجه گیری: با توجه به یافته های مطالعه حاضر به نظر می رسد هورمون های تیروئیدی در دوره باردار تحت تاثیر فعالیت های ورزشی قرار نمی گیرند.
Background and Purpose: Pregnancy is associated with many anatomical and physiological changes, and a healthy pregnancy requires metabolic and hormonal adaptation that involves the hypothalamus, pituitary, parathyroid and adrenal glands. Studies have shown that proper nutrition along with physical activity can have positive effects on hormonal responses. The aim of this study was to investigate the relationship between physical activity and thyroid hormones in pregnant women. Material and Methods: In this causal-comparative study, 60 pregnant mothers (average weight 64.92±8.59 kg and height 161.88±7.30 cm) referred to Dr. Baziari's laboratory in Shiraz (for self and fetal health screening) were selected as a statistical sample. To measure thyroid hormones, 5 cc of blood samples were taken from the vein of the anterior part of the elbow, and to measure physical activity, the PPAQ standard questionnaire for pregnant women was used. Kolmogorov- Smirnov statistical and Pearson's correlation coefficient tests were used to analyze the research findings (P≥0.05). Results: The results showed that there is no significant relationship between home activity (P=0.90), transportation activity (P=0.59), work environment activity (P=0.34), sports and entertainment activities (29 (P=0.0) and total physical activity (P=0.25) TSH. Also, there is no significant relationship between home activity (P=0.94), transportation activity (P=0.56), work environment activity (P=0.14), sports and entertainment activities (P=0.78) and total physical activity (P=0.51) with T4 and finally there is no significant relationship between home activity (P=0.11), transport activity (P=0.20), work environment activity (P=0.44), sports and entertainment activities (P=0.41) and total physical activity (P=0.82) with T3.
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