دوره 32، شماره 282: هفته سوم خرداد ماه 1393:524-533

مقایسه‌ی اثر 8 هفته تمرین هوازی و تمرین مقاومتی بر نیم‌رخ چربی در بیماران مبتلا به دیابت نوع 2

امین اعتمادی بروجنی, مهدی کارگر فرد, حسین مجتهدی, رضا روزبهانی, حسین دست بر حق

چکیده


مقدمه: در تحقیقات قبلی اثرات فعالیت بدنی و ورزش منظم در پیشگیری و به تأخیر انداختن بروز دیابت نوع 2، افزایش حساسیت انسولین و بهبود متابولیسم گلوکز مورد تأیید قرار گرفته است. هدف از انجام تحقیق حاضر، مقایسه‌ی اثرات دو نوع تمرین هوازی و مقاومتی بر نیم‌رخ چربی در افراد مبتلا به دیابت نوع 2 بود.

روش‌ها: به همین منظور، تعداد 45 نفر بیمار مبتلا به دیابت نوع 2 به روش نمونه‌گیری هدفمند در دسترس، انتخاب و سپس به طور تصادفی در سه گروه تمرین هوازی، تمرین مقاومتی و شاهد قرار گرفتند. گروه‌های تجربی به مدت 8 هفته (سه جلسه در هفته، هر جلسه 70-45 دقیقه) به انجام تمرین‌های هوازی و مقاومتی زیر نظر مربی مربوط پرداختند. در طول این مدت، گروه شاهد هیچ فعالیت بدنی منظمی نداشتند و فقط پیگیری شدند. در این پژوهش، متغیرهای تری گلیسرید، کلسترول تام، لیپوپروتئین کم‌چگال و لیپوپروتئین پرچگال قبل و بعد از دوره‌های تمرینی اندازه‌گیری شدند. در نهایت، یافته‌ها با استفاده از آزمون اندازه‌گیری‌های تکراری در سطح کمتر از 05/0 مورد تحلیل قرار گرفتند.

یافته‌ها: نتایج پژوهش نشان دهنده‌ی بهبود معنی‌دار کلسترول تام و لیپوپروتئین پرچگال پس از تمرین هوازی و بهبود معنی‌دار لیپوپروتئین پرچگال پس از تمرین مقاومتی بود.

نتیجه‌گیری: یافته‌های این مطالعه، نقش مؤثرتر تمرین استقامتی در بهبود نیم‌رخ چربی بیماران مبتلا به دیابت نوع 2 در مقایسه با تمرین‌های مقاومتی را نشان داد.


واژگان کلیدی


دیابت نوع 2؛ تمرین هوازی؛ تمرین مقاومتی؛ نیم‌رخ چربی

تمام متن:

PDF

مراجع


Stehno-Bittel L. Organ-based response to exercise in type 1 diabetes. ISRN Endocrinol 2012; 2012: 318194.

Waryasz GR, McDermott AY. Exercise prescription and the patient with type 2 diabetes: a clinical approach to optimizing patient outcomes. J Am Acad Nurse Pract 2010; 22(4): 217-27.

American Diabetes Association. Clinical practice recommendations. Washington, DC: ADA; 2008.

LeMura LM, von Duvillard SP. Clinical exercise physiology: application and physiological principles. Philadelphia, PA: Lippincott Williams and Wilkins; 2004.

Larijani B. Diabetes and exercise. Tehran, Iran: Institute of Endocrinology and Metabolism; 2010. p. 4-15. [In Persian].

American College of Sports Medicine, Larry Durstine J, Moore G, Painter P, Roberts S. ACSM's exercise management for persons with chronic diseases and disabilities. Champaign, IL: Human Kinetics; 2009.

Bacchi E, Negri C, Trombetta M, Zanolin ME, Lanza M, Bonora E, et al. Differences in the acute effects of aerobic and resistance exercise in subjects with type 2 diabetes: results from the RAED2 Randomized Trial. PLoS One 2012; 7(12): e49937.

Escribano GS, Vega Alonso AT, Lozano AJ, Alamo SR, Lleras MS, Castrodeza SJ, et al. Obesity in castile and leon, Spain: epidemiology and association with other cardiovascular risk factors. Rev Esp Cardiol (Engl Ed) 2011; 64(1): 63-6.

Hu FB, Li TY, Colditz GA, Willett WC, Manson JE. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA 2003; 289(14): 1785-91.

Piarulli F, Sartore G, Lapolla A. Glyco-oxidation and cardiovascular complications in type 2 diabetes: a clinical update. Acta Diabetol 2013; 50(2): 101-10.

Zanuso S, Jimenez A, Pugliese G, Corigliano G, Balducci S. Exercise for the management of type 2 diabetes: a review of the evidence. Acta Diabetol 2010; 47(1): 15-22.

American College of Sports Medicine ACSM's resource manual for guidelines for exercise testing and prescription. 7th ed. Philadelphia, PA: Wolters Kluwer Health; 2013.

Rahl RL. Physical activity and health guidelines: recommendations for various ages, fitness levels, and conditions from 57 authoritative sources. 1st ed. Champaign, IL: Human Kinetics; 2010.

Marwick TH, Hordern MD, Miller T, Chyun DA, Bertoni AG, Blumenthal RS, et al. Exercise training for type 2 diabetes mellitus: impact on cardiovascular risk: a scientific statement from the American Heart Association. Circulation 2009; 119(25): 3244-62.

Balducci S, Leonetti F, Di MU, Fallucca F. Is a long-term aerobic plus resistance training program feasible for and effective on metabolic profiles in type 2 diabetic patients? Diabetes Care 2004; 27(3): 841-2.

Dunstan DW, Daly RM, Owen N, Jolley D, De Court, Shaw J, et al. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care 2002; 25(10): 1729-36.

Gordon LA, Morrison EY, McGrowder DA, Young R, Fraser YT, Zamora EM, et al. Effect of exercise therapy on lipid profile and oxidative stress indicators in patients with type 2 diabetes. BMC Complement Altern Med 2008; 8: 21.

Rahimi N, Marandi SM, Kargarfard M. Effect of 8 weeks of water-based exercise on lipid profile in patients with type II diabetes. J Isfahan Med Sch 2011; 29(148): 988-96. [In Persian].

Misra A, Alappan NK, Vikram NK, Goel K, Gupta N, Mittal K, et al. Effect of supervised progressive resistance-exercise training protocol on insulin sensitivity, glycemia, lipids, and body composition in Asian Indians with type 2 diabetes. Diabetes Care 2008; 31(7): 1282-7.

Honkola A, Forsen T, Eriksson J. Resistance training improves the metabolic profile in individuals with type 2 diabetes. Acta Diabetol 1997; 34(4): 245-8.

Yang K, Bernardo LM, Sereika SM, Conroy MB, Balk J, Burke LE. Utilization of 3-month yoga program for adults at high risk for type 2 diabetes: a pilot study. Evid Based Complement Alternat Med 2011; 2011: 257891.

Sigal RJ, Kenny GP, Boule NG, Wells GA, Prud'homme D, Fortier M, et al. Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: a randomized trial. Ann Intern Med 2007; 147(6): 357-69.

Castaneda C, Layne JE, Munoz-Orians L, Gordon PL, Walsmith J, Foldvari M, et al. A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes. Diabetes Care 2002; 25(12): 2335-41.

Lapolla A, Piarulli F, Sartore G, Ceriello A, Ragazzi E, Reitano R, et al. Advanced glycation end products and antioxidant status in type 2 diabetic patients with and without peripheral artery disease. Diabetes Care 2007; 30(3): 670-6.

NIH Consensus conference. Triglyceride, high-density lipoprotein, and coronary heart disease. NIH Consensus Development Panel on Triglyceride, High-Density Lipoprotein, and Coronary Heart Disease. JAMA 1993; 269(4): 505-10.

Grundy SM, Benjamin IJ, Burke GL, Chait A, Eckel RH, Howard BV, et al. Diabetes and cardiovascular disease: a statement for healthcare professionals from the American Heart Association. Circulation 1999; 100(10): 1134-46.

Gordon DJ, Probstfield JL, Garrison RJ, Neaton JD, Castelli WP, Knoke JD, et al. High-density lipoprotein cholesterol and cardiovascular disease. Four prospective American studies. Circulation 1989; 79(1): 8-15.

Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS, et al. Effects of the amount and intensity of exercise on plasma lipoproteins. N Engl J Med 2002; 347(19): 1483-92.

Trovati M, Carta Q, Cavalot F, Vitali S, Banaudi C, Lucchina PG, et al. Influence of physical training on blood glucose control, glucose tolerance, insulin secretion, and insulin action in non-insulin-dependent diabetic patients. Diabetes Care 1984; 7(5): 416-20.

Kelley DE, Goodpaster BH. Effects of exercise on glucose homeostasis in Type 2 diabetes mellitus. Med Sci Sports Exerc 2001; 33(6 Suppl): S495-S501.

Ribeiro IC, Iborra RT, Neves MQ, Lottenberg SA, Charf AM, Nunes VS, et al. HDL atheroprotection by aerobic exercise training in type 2 diabetes mellitus. Med Sci Sports Exerc 2008; 40(5): 779-86.

Umpierre D, Ribeiro PA, Kramer CK, Leitao CB, Zucatti AT, Azevedo MJ, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA 2011; 305(17): 1790-9.

Duncan GE, Perri MG, Theriaque DW, Hutson AD, Eckel RH, Stacpoole PW. Exercise training, without weight loss, increases insulin sensitivity and postheparin plasma lipase activity in previously sedentary adults. Diabetes Care 2003; 26(3): 557-62.

Ferguson MA, Alderson NL, Trost SG, Essig DA, Burke JR, Durstine JL. Effects of four different single exercise sessions on lipids, lipoproteins, and lipoprotein lipase. J Appl Physiol (1985) 1998; 85(3): 1169-74.

Kantor MA, Cullinane EM, Sady SP, Herbert PN, Thompson PD. Exercise acutely increases high density lipoprotein-cholesterol and lipoprotein lipase activity in trained and untrained men. Metabolism 1987; 36(2): 188-92.

Durstine JL, Grandjean PW, Davis PG, Ferguson MA, Alderson NL, DuBose KD. Blood lipid and lipoprotein adaptations to exercise: a quantitative analysis. Sports Med 2001; 31(15): 1033-62.

Ranallo RF, Rhodes EC. Lipid metabolism during exercise. Sports Med 1998; 26(1): 29-42.

Ersoy C, Imamoglu S, Budak F, Tuncel E, Erturk E, Oral B. Effect of amlodipine on insulin resistance & tumor necrosis factor-alpha levels in hypertensive obese type 2 diabetic patients. Indian J Med Res 2004; 120(5): 481-8.

Mougios V. Exercise Biochemistry. Champaign, IL: Human Kinetics; 2006.

Soukup JT, Maynard TS, Kovaleski JE. Resistance training guidelines for individuals with diabetes mellitus. Diabetes Educ 1994; 20(2): 129-37.




Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.