تاثیر یک دوره تمرین هوازی موزون به همراه تمرینات پایداری تنه بر شاخص های گلایسمیک و آنتروپومتریک زنان دارای اضافه وزن
محورهای موضوعی : دسترسی آزاد
ناهید ونارجی
1
(گروه پزشکی ورزشی، مجتمع آموزشی درمانی حضرت رسول اکرم دانشکده پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران)
عباس مهرانپور
2
(گروه تربیت بدنی و علوم ورزشی، دانشکده علوم ورزشی، دانشگاه طلوع مهر، قم، ایران)
هومن انگورانی
3
(گروه پزشکی ورزشی، مجتمع آموزشی درمانی حضرت رسول اکرم دانشکده پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران)
ساره حسنی
4
(گروه تربیت بدنی و علوم ورزشی، دانشکده علوم ورزشی، دانشگاه طلوع مهر، قم، ایران)
کلید واژه: تمرین هوازی, اضافه وزن, تمرین پایداری تنه, شاخص های گلایسمیک,
چکیده مقاله :
مقدمه و هدف: با توجه به شیوع بالای اضافه وزن و چاقی و لزوم دستیابی به راهکارهای موثر و عملی جهت کنترل آن ها، پژوهش حاضر با هدف بررسی تاثیر یک دوره تمرین هوازی موزون به همراه تمرینات پایداری تنه بر سطوح سرمی گلوکز، انسولین، مقاومت به انسولین و شاخص های آنتروپومتریک زنان دارای اضافه وزن انجام شد. مواد و روش ها: در این پژوهش نیمه تجربی80 زن با دامنه سنی 25 تا 45 سال و شاخص توده بدنی بالای 25 به صورت هدفمند انتخاب و و سپس بصورت تصادفی در دو گروه کنترل و تمرین قرار گرفتند. تمرینات به مدت 12هفته (سه جلسه در هفته هر جلسه یک ساعت با شدت 80 درصد حد اکثر ضربان قلب اجرا شدند. قبل از شروع تحقیق و در پایان دوره تحقیق متغیرهای مطالعه اندازه گیری شدند. جهت تجزیه و تحلیل یافته ها از آزمون های اماری t مستقل و وابسته استفاده شد. یافته ها: یک دوره تمرین هوازی موزون به همراه تمرینات پایداری تنه اثر معنی داری بر کاهش محیط دورکمر، و درصد چربی بدن و مقاومت به انسولین زنان دارای اضافه وزن داشت (05/0>P) با این وجود اثر معنی داری بر سطوح سرمی گلوکزو انسولین زنان تداشت (05/0<P). بحث و نتیجه گیری: به نظر می رسد تمرینات پایداری تنه می تواند منجر به بهبود شاخص های آنتروپومتریک زنان دارای اضافه وزن گردد با این وجود در رابطه با اثرات آن بر شاخص های گلایسمیک نیاز به مطالعات بیشتری در این زمینه می باشد.
Introduction: Due to the high prevalence of overweight and obesity and the need to achieve effective and practical solutions to control them, the present study aimed to investigate the effect of a rhythmic aerobic training with core stability training on serum levels of glucose, insulin, resistance Insulin and anthropometric indices of overweight women. Materials and methods: In this quasi-experimental study, 80 women with an age range of 25 to 45 years and a body mass index above 25 were purposefully selected and then randomly divided into two groups of control and exercise. Interventions were performed for 12 weeks (three sessions per week, each session for one hour (with an intensity of 80% of the maximum heart rate. Before the start of the study and at the end of the study period, study variables were measured. Independent and dependent t-test were used to analyze the results (P≤0.05). Findings: A period of rhythmic aerobic training with core stability training had a significant effect on reducing the waist circumference, and body fat percentage and insulin resistance of overweight women (p < 0.05). However, it had no significant effect on serum glucose and insulin levels in women. Conclusion: It seems that core stability training can improve the anthropometric indices of overweight women. However, in relation to its effects on glycemic indices, more studies are needed.
1. Abolhasani F, Tehrani M, Reza M, Tabatabaei O, Larijani B. Burdenof diabetes and its complications in Iran in year 2000. IJDM. 2005; 5 (1): 35- 48.http://ijdld.tums.ac.ir/article-1-382-en.html
2. Arazi H, Jorbonian A, Asghari E. Comparison of concurrent (resistance- aerobic) and aerobic training on VO2max lipid profile, blood glucose and blood pressure in middle- aged men at risk for cardiovascular disease. JSSU. 2013;20(5):627-38. http://jssu.ssu.ac.ir/article-1-2225-en.html
3. Asimakopoulos B, Milousis A, Gioka T, Kabouromiti G, Gianisslis G, Troussa A, et al. Serum pattern of circulating adipokines throughout the physiological menstrual cycle. Endocr J. 2009;56(3):425-33. [DOI:10.1507/endocrj.k08e-222] [PMID:19225215]
4. Jacobo-Cejudo MG, Valdés-Ramos R, Guadarrama-López AL, Pardo-Morales R-V, Martínez-Carrillo BE, Harbige LS. Effect of n-3 polyunsaturated fatty acid supplementation on metabolic and inflammatory biomarkers in type 2 diabetes mellitus patients. Nutrients. 2017;9(6):573. [DOI:10.3390/nu9060573]
5. Asimakopoulos B, Milousis A, Gioka T, Kabouromiti G, Gianisslis G, Troussa A, et al. Serum pattern of circulating adipokines throughout the physiological menstrual cycle. Endocrine J. 2009: 0902030238. [DOI:10.1507/endocrj.K08E-222]
6. Gomez-Ambrosi J, Rodriguez A, Catalan V, Frühbeck G. The bone-adipose axis in obesity and weight loss. Obes Surgery. 2008; 18 (9): 1134- 43. [DOI:10.1007/s11695-008-9548-1]
7. Smitka K, Marešová D. Adipose tissue as an endocrine organ: an update on pro-inflammatory and anti-inflammatory microenvironment. Prague Med Rep. 2015; 116 (2): 87- 111.
[DOI:10.14712/23362936.2015.49]
8. Proença AR, Sertié RAL, Oliveira A, Campaaa A, Caminhotto R, Chimin P, et al. New concepts in white adipose tissue physiology. Brazilian J Med Biol Res. 2014; 47 (3): 192- 205. [DOI:10.1590/1414-431X20132911]
9. Cartee GD. Roles of TBC1D1 and TBC1D4 in insulin-and exercise-stimulated glucose transport of skeletal muscle. Diabetologia. 2015; 58 (1): 19- 30. [DOI:10.1007/s00125-014-3395-5]
10. Grundy SM, Mok HY, Zech L, Steinberg D, Berman M. Transport of very low density lipoprotein triglycerides in varying degrees of obesity and hypertriglyceridemia. J Clin Invest. 1979; 63 (6): 1274- 83.[DOI:10.1172/jci109422]
11. Bloem CJ, Chang AM. Short-term exercise improves β-cell function and insulin resistance in older people with impaired glucose tolerance. J Clin Endocrinol Metabol. 2008; 93 (2): 387- 92. [DOI:10.1210/jc.2007-1734]
12. Ghazanfari Z, Niknami S, Ghofranipour F, Larijani B. Regular physical activity from perspective of females with diabetes: A qualitative study. Horizon Med Sci J. 2009; 15 (1): 5- 14. http://hms.gmu.ac.ir/article-1-517-en.htmlER
13. Bes-Rastrollo M, van Dam RM, Martinez-Gonzalez MA, Li TY, Sampson LL, Hu FB. Prospective study of dietary energy density and weight gain in women. Am J Clin Nutr. 2008; 88 (3): 769- 7714. [DOI:10.1093/ajcn/88.3.769]
14.Suh S, Jeong I-K, Kim MY, Kim YS, Shin S, Kim SS, et al.Effects of resistance training and aerobic exercise on insulin sensitivity in overweight Korean adolescents: a controlled randomized trial. Diabetes Metabol J. 2011; 35 (4): 418- 26. [DOI:10.4093/dmj.2011.35.4.418]
15. Gorzi A, Rajabi H, Azad A, Hedayati M. Effect of concurrent, strength and endurance training on hormones, lipids and inflammatory characteristics of untrained men. Iranian J Endocrinol Metabol. 2012; 13 (6): 614- 20. http://ijem.sbmu.ac.ir/article-1-1133-fa.html
16. Hakimi M, Sheikholeslami Vatani D, Alimohammadi M. Effect of concurrent training with ingested of lcarnitine supplementation on hormonal changes, lipid profile and body composition in obese men. J Urmia Univ Med Sci. 2015; 26 (3): 185- 93. http://umj.umsu.ac.ir/article-1-2803-en.html
17. Paoli A, Pacelli QF, Neri M, Toniolo L, Cancellara P, Canato M, et al. Protein supplementation increases postexercise plasma myostatin concentration after 8 weeks of resistance training in young physically active subjects. J Med Food. 2015; 18 (1): 137- 43. [DOI:10.1089/jmf.2014.0004]
18. Talaie H, Pajouhmand A, Abdollahi M, Panahandeh R, Emami H, Hajinasrolah S, et al. Rhabdomyolysis among acute human poisoning cases. Human Experiment Toxicol. 2007; 26 (7): 557- 61. [DOI:10.1177/0960327107078667]
19. Fritz T, Wändell P, Åberg H, Engfeldt P. Walking for exercise—does three times per week influence risk factors in type 2 diabetes?. Diabetes Res Clin Practice. 2006; 71 (1): 21- 7. [DOI:10.1016/j.diabres.2005.06.002]
20. MacPherson RE, Herbst EA, Reynolds EJ, Vandenboom R, Roy BD, Peters SJ. Subcellular localization of skeletal muscle lipid droplets and PLIN family proteins OXPAT and ADRP at rest and following contraction in rat soleus muscle. Am J Physiol Regul Int Comparative Physiol. 2011; 302 (1): R29- R36. [DOI:10.1152/ajpregu.00163.2011]
21. Rice B, Janssen I, Hudson R, Ross R. Effects of aerobic or resistance exercise and/or diet on glucose tolerance and plasma insulin levels in obese men. Diabetes care. 1999; 22 (5): 684-91. [DOI:10.2337/diacare.22.5.684]
22. Poehlman ET, Dvorak RV, DeNino WF, Brochu M, Ades PA. Effects of resistance training and endurance training on insulin sensitivity in nonobese, young women: a controlled randomized trial. J Clin Endocrinol Metabol. 2000; 85 (7): 2463- 8. [DOI:10.1210/jcem.85.7.6692]
23. Park S-K, Park J-H, Kwon Y-C, Kim H-S, Yoon M-S, Park H-T. The effect of combined aerobic and resistance exercise training on abdominal fat in obese middle-aged women. J Physiol Anthropol Appl Human Sci. 2003; 22 (3): 129- 35. [DOI:10.2114/jpa.22.129]
24. Medicine ACoS. ACSM's health-related physical fitness assessment manual: Lippincott Williams & Wilkins; 2013.
25. Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R, et al. Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men: a randomized, controlled trial. An Int Med. 2000; 133 (2): 92- 103. [DOI:10.7326/0003-4819-133-2-200007180-00008]
26. Holten MK, Zacho M, Gaster M, Juel C, Wojtaszewski JF, Dela F. Strength training increases insulin-mediated glucose uptake, GLUT4 content, and insulin signaling in skeletal muscle in patients with type 2 diabetes. Diabetes. 2004; 53 (2): 294- 305. [DOI:10.2337/diabetes.53.2.294]
27. Jacobo-Cejudo MG, Valdés-Ramos R, Guadarrama-López AL, Pardo-Morales R-V, Martínez-Carrillo BE, Harbige LS. Effect of n-3 polyunsaturated fatty acid supplementation on metabolic and inflammatory biomarkers in type 2 diabetes mellitus patients. Nutr J. 2017; 9 (6): 573. [DOI:10.3390/nu9060573]
28. Kang S, Woo JH, Shin KO, Kim D, Lee H-J, Kim YJ, et al. Circuit resistance exercise improves glycemic control and adipokines in females with type 2 diabetes mellitus. J Sports Sci Med. 2009; 8 (4): 682. [PMID:24149611].
29. Kelly T, Yang W, Chen C-S, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes. 2008; 32 (9): 1431. [DOI:10.1038/ijo.2008.102] [PMID:18607383]
30. MacPherson RE, Herbst EA, Reynolds EJ, Vandenboom R, Roy BD, Peters SJ. Subcellular localization of skeletal muscle lipid droplets and PLIN family proteins OXPAT and ADRP at rest and following contraction in rat soleus muscle. Am J Physiol Regul Integrat Comparat Physiol. 2011; 302 (1): R29- R36. [DOI:10.1152/ajpregu.00163.2011]
31. Medicine ACoS. ACSM's health-related physical fitness assessment manual: Lippincott Williams & Wilkins; 2013.
32. Poirier P, Tremblay A, Broderick TL, Catellier C, Tancrède G, Nadeau A. Impact of moderate aerobic exercise training on insulin sensitivity in type 2 diabetic men treated with oral hypoglycemic agents: is insulin sensitivity enhanced only in nonobese subjects?. Med Sci Monitor. 2002; 8 (2): CR59- CR65. [PMID:11859274]
33. Nassis GP, Papantakou K, Skenderi K, Triandafillopoulou M, Kavouras SA, Yannakoulia M, et al. Aerobic exercise training improves insulin sensitivity without changes in body weight, body fat, adiponectin, and inflammatory markers in overweight and obese girls. Metabol J. 2005; 54 (11): 1472- 9. [DOI:10.1016/j.metabol.2005.05.013]
34. Omidi M, Yousefi M. The effect of 8 weeks of aerobic exercise and 4 weeks detraining on serum fast blood sugar, insulin and glycosylated hemoglobin in serum of streptozotocin-diabetic rats. J Pract Stud Biosci Sport. 2019; 7 (13): 55- 64.[DOI:10.22077/JPSBS.2017.356.1140]
35. Paoli A, Pacelli QF, Neri M, Toniolo L, Cancellara P, Canato M, et al. Protein supplementation increases postexercise plasma myostatin concentration after 8 weeks of resistance training in young physically active subjects. J Med Food. 2015; 18 (1): 137- 43. [DOI:10.1089/jmf.2014.0004]
36. Park S-K, Park J-H, Kwon Y-C, Kim H-S, Yoon M-S, Park H-T. The effect of combined aerobic and resistance exercise training on abdominal fat in obese middle-aged women. J Physiol Anthropol Appl Human Sci. 2003; 22 (3): 129- 35.[DOI:10.2114/jpa.22.129]
37. Poehlman ET, Dvorak RV, DeNino WF, Brochu M, Ades PA. Effects of resistance training and endurance training on insulin sensitivity in nonobese, young women: a controlled randomized trial. J Clin Endocrinol Metabol. 2000; 85 (7): 2463- 8.[DOI:10.1210/jcem.85.7.6692]
38. Tremblay A Poirier P, , Broderick TL, Catellier C, Tancrède G, Nadeau A. Impact of moderate aerobic exercise training on insulin sensitivity in type 2 diabetic men treated with oral hypoglycemic agents: is insulin sensitivity enhanced only in nonobese subjects?. Med Sci Monitor. 2002; 8 (2): CR59- CR65. [PMID:11859274]
39. Proença AR, Sertié RAL, Oliveira A, Campaaa A, Caminhotto R, Chimin P, et al. New concepts in white adipose tissue physiology. Brazilian J Med Biol Res. 2014; 47 (3): 192- 205. [DOI:10.1590/1414-431X20132911]
40. Rahimian Mashhad Z, Attarzade Hoseyni SR, Aryan nejhad J. The effect of aerobic training and diet on cardiovascular risk factors and blood pressure in overweight and obese women with hypertension. Iranian J Endocrinol Metabol. 2010; 12 (4): 376- 84. http://ijem.sbmu.ac.ir/article-1-972-en.html
41. Raschke S, Eckel J. Adipo-myokines: two sides of the same coin—mediators of inflammation and mediators of exercise. Med Inflam. 2013; 2013. [DOI:10.1155/2013/320724]
42. Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R, et al. Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men: a randomized, controlled trial. An Int Med. 2000; 133 (2): 92- 103. [DOI:10.7326/0003-4819-133-2-200007180-00008]
43. Rice B, Janssen I, Hudson R, Ross R. Effects of aerobic or resistance exercise and/or diet on glucose tolerance and plasma insulin levels in obese men. Diabetes Care. 1999; 22 (5): 684- 91. [DOI:10.2337/diacare.22.5.684]
44. Salehiomran M, Jafari S. Association of admission insulin resistance index with early cardiac complications in non diabetic patients with acute coronary syndrome. J Babol Univ Med Sci. 2009; 10 (6): 62- 6.http://jbums.org/article-1-3115-en.html
45. Sasaki K, Wada K, Zeredo J, Nagata C. Prospective study of dietary energy density and weight gain in a Japanese adult population. British J Nutr. 2017; 117 (6): 822- 8. [DOI:10.1017/s0007114517000484] [PMID:28397626]
46. Shan T, Liang X, Bi P, Kuang S. Myostatin knockout drives browning of white adipose tissue through activating the AMPK-PGC1α-Fndc5 pathway in muscle. FASEB J. 2013; 27 (5): 1981- 9. [DOI:10.1096/fj.12-225755]
47. Smitka K, Marešová D. Adipose tissue as an endocrine organ: an update on pro-inflammatory and anti-inflammatory microenvironment. Prague Med Rep. 2015; 116 (2): 87- 111. [DOI:10.14712/23362936.2015.49]
48. Suh S, Jeong I-K, Kim MY, Kim YS, Shin S, Kim SS, et al. Effects of resistance training and aerobic exercise on insulin sensitivity in overweight Korean adolescents: a controlled randomized trial. Diabetes Metabol J. 2011; 35 (4): 418- 26. [DOI:10.4093/dmj.2011.35.4.418] [PMID:21977463]
49. Suri R, Hassani Ranjbar S, Wahhabi K, Shabkhiz F. The effect of periodic aerobic exercise on serum RBP4 and insulin resistance index in type 2 diabetic patients. Iranian J Diabetes Metabol. 2011; 10 (4): 388- 397. http://jms.thums.ac.ir/article-۱-۲۹۶-fa.html
50. Talaie H, Pajouhmand A, Abdollahi M, Panahandeh R, Emami H, Hajinasrolah S, et al. Rhabdomyolysis among acute human poisoning cases. Human Experiment Toxicol. 2007; 26 (7): 557- 61.[DOI:10.1177/0960327107078667]
51. van der Heijden GJ, Wang ZJ, Chu ZD, Sauer PJ, Haymond MW, Rodriguez LM, et al. A 12‐week aerobic exercise program reduces hepatic fat accumulation and insulin resistance in obese, Hispanic adolescents. Obesity. 2010; 18 (2): 384- 90.[DOI:10.1038/oby.2009.274]
_||_