تأثیر 8 هفته ورزش در آب بر نیمرخ چربی بیماران مبتلا به دیابت نوع II

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 کارشناس ارشد، گروه فیزیولوژی ورزش، دانشکده‌ی تربیت بدنی و علوم ورزشی، دانشگاه امام حسین (ع)، مجتمع دانشگاهی حضرت امیرالمومنین (ع)، اصفهان، ایران

2 دانشیار، گروه فیزیولوژی ورزش، دانشکده‌ی تربیت بدنی و علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران

چکیده

مقدمه: با وجودی که از دیر باز نقش فعالیت بدنی در کنترل و بهبود دیابت نوع II و افزایش حساسیت انسولین مورد توجه بوده است، ولی انجام فعالیت‌های ورزشی در محیط‌های آبی با توجه به وضعیت روحی و جسمانی این بیماران کمتر مورد بررسی قرار گرفته است. هدف از انجام تحقیق حاضر، بررسی تأثیر 8 هفته ورزش در آب بر نیمرخ چربی در بیماران مبتلا به دیابت نوع II بود.روش‌ها: در این تحقیق نیمه تجربی، از بین مردان 50 تا60 سال مبتلا به دیابت نوع II شهرستان خمینی شهر، تعداد30 نفر به صورت داوطلبانه و در دسترس انتخاب و در دو گروه تجربی (15بیمار) و شاهد (15بیمار) قرار گرفتند. گروه تجربی به مدت 8 هفته (3جلسه در هفته، هر جلسه 45 تا60 دقیقه با شدت 80-60 درصد حداکثر ضربان قلب) تمرینات ورزشی ویژه در آب انجام دادند. در حالی که گروه شاهد هیچ فعالیت بدنی منظمی ‌نداشتند. در این تحقیق متغیرهای کلسترول تام (Total cholesterol یا TC)، تری‌گلیسرید (Triglyceride یا TG)، HDL (High density lipoprotein)، LDL (Low density lipoprotein) و VLDL (Very low density lipoprotein) قبل و بعد از دوره‌ی تمرینی در دو گروه اندازه‌گیری شد. در نهایت داده‌ها با استفاده از آزمون (ANCOVA) مورد تجزیه و تحلیل آماری قرار گرفت.یافته‌ها: نتایج تحقیق بیانگر تفاوت معنی‌داری بین میانگین LDL، HDL، TG، TC و VLDL گروه‌های تجربی و شاهد بود (05/0 > P).نتیجه‌گیری: نتایج تحقیق نشان داد که ورزش در آب باعث بهبود معنی‌داری در نیمرخ چربی بیماران مبتلا به دیابت II می‌گردد.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of Eight Weeks Aquatic Training on Lipid Profile of Patients who Suffer from Type II Diabetes

نویسندگان [English]

  • Nasser Rahimi 1
  • Sayyed Mohammad Marandi 2
  • Mehdi Kargarfard 2
1 Department of Exercise Physiology, School of Physical Education and Sport Sciences, Imam Hossein University, Amir-Almomenin University Complex, Isfahan, Iran
2 Associate Professor, Department of Exercise Physiology, School of Physical Education and Sport Sciences, University of Isfahan, Isfahan, Iran
چکیده [English]

Background: The role of physical activities in control and recovery of diabetes type II and increasing insulin sensitivity was always considered. Doing sport activities in watery environments with regard to these patients ' physical and mental conditions was much less studied. So, the goal of present research was to evaluate the effect of eight weeks aquatic training on lipid profile in patients with type II diabetes.Methods: In this semi-experimental research, 30 volunteer men with type II diabetes were studied. The subjects were devided in two groups: experimental group (15 patients) and control group (15 patients). The patients in experimental group had an aquatic exercise program for 8 weeks (3sessions in week, each session 45-60 minutes, the intensity of exercise was 60 to 80 percent of maximum heart rate), whereas control group had no regular physical activity. Total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL), triglyceride (TG) and very low density lipoprotein (VLDL) were measured in 2 groups before and after the exercise program. Data collected were analyzed by ANCOVA test in the end of the study.Findings: Findings of this study showed a significant difference in LDL, HDL, TG, TC and VLDL between two groups.  Conclusion: According to our findings a regular aquatic exercise can improve lipid profile in patients with type II diabetes. 

کلیدواژه‌ها [English]

  • Type II diabetes
  • Lipid Profile
  • Aquatic Training
  1. American Diabetes Association: clinical practice recommendations 1999. Diabetes Care 1999; 22(Suppl 1): S1-114.
  2. Penckofer S, Schwertz D, Florczak K. Oxidative stress and cardiovascular disease in type 2 diabetes: the role of antioxidants and pro-oxidants. J Cardiovasc Nurs 2002; 16(2): 68-85.
  3. Jarrett RJ. Cardiovascular disease and hypertension in diabetes mellitus. Diab Metab 2009; 5(7): 547-58.
  4. Stirban AO, Tschoepe D. Cardiovascular complications in diabetes: targets and interventions. Diabetes Care 2008; 31(Suppl 2): S215-S221.
  5. Hirani V, Zaninotto P, Primatesta P. Generalised and abdominal obesity and risk of diabetes, hypertension and hypertension-diabetes co-morbidity in England. Public Health Nutr 2008; 11(5): 521-7.
  6. Evans M, Khan N, Rees A. Diabetic dyslipidaemia and coronary heart disease: new perspectives. Curr Opin Lipidol 1999; 10(5): 387-91.
  7. Harati H, Hadaegh F, Saadat N, Azizi F. Population-based incidence of Type 2 diabetes and its associated risk factors: results from a six-year cohort study in Iran. BMC Public Health 2009; 9: 186.
  8. Hossain P, Kawar B, El NM. Obesity and diabetes in the developing world--a growing challenge. N Engl J Med 2007; 356(3): 213-5.
  9. Bweir S, Al-Jarrah M, Almalty AM, Maayah M, Smirnova IV, Novikova L, et al. Resistance exercise training lowers HbA1c more than aerobic training in adults with type 2 diabetes. Diabetol Metab Syndr 2009; 1: 27.
  10. Kim HJ, Lee JS, Kim CK. Effect of exercise training on muscle glucose transporter 4 protein and intramuscular lipid content in elderly men with impaired glucose tolerance. Eur J Appl Physiol 2004; 93(3): 353-8.
  11. Tokmakidis SP, Zois CE, Volaklis KA, Kotsa K, Touvra AM. The effects of a combined strength and aerobic exercise program on glucose control and insulin action in women with type 2 diabetes. Eur J Appl Physiol 2004; 92(4-5): 437-42.
  12. Zinman B, Ruderman N, Campaigne BN, Devlin JT, Schneider SH. Physical activity/exercise and diabetes. Diabetes Care 2004; 27(Suppl 1): 58-62.
  13. Shenoy s, Arora E, Jaspal S. Effects of progressive resistance training and aerobic exercise on type 2 diabetics in Indian population. Int J Diabetes & Metabolism 2009; 17(1): 27-30.
  14. Hazavehei SMM, Sharifirad G, Mohabi S. The effect of Educational program based on Health Belief Model on diabetic foot care. Int J Endocrinol Metab 2007; 27(2): 82-90.
  15. Eves ND, Plotnikoff RC. Resistance training and type 2 diabetes. Diabetes Care 2006; 29(8): 1933-44.
  16. Vickers KS, Nies MA, Patten CA, Dierkhising R, Smith SA. Patients with diabetes and depression may need additional support for exercise. Am J Health Behav 2006; 30(4): 353-62.
  17. Cuff DJ, Meneilly GS, Martin A, Ignaszewski A, Tildesley HD, Frohlich JJ. Effective exercise modality to reduce insulin resistance in women with type 2 diabetes. Diabetes Care 2003; 26(11): 2977-82.
  18. Baum K, Votteler T, Schiab J. Efficiency of vibration exercise for glycemic control in type 2 diabetes patients. Int J Med Sci 2007; 4(3): 159-63.
  19. Raffaelli C, Lanza M, Zanolla L, Zamparo P. Exercise intensity of head-out water-based activities (water fitness). Eur J Appl Physiol 2010; 109(5): 829-38.
  20. 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.
  21. 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 2009.
  22. 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.
  23. 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.
  24. Vasheghani Farahani A, Mansournia MA, Asheri H, Fotouhi A, Yunesian M, Jamali M, et al. Theeffects of a 10-week water aerobic exercise on the resting blood pressure in patients with essential hypertension. Asian Journal of Sports Medicine 2010; 1(3): 159-67.
  25. 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.
  26. Sigal RJ, Wasserman DH, Kenny GP, Castaneda-Sceppa C. Physical Activity/ Exercise and type 2 diabetes. Diabetes Car 2004; 27(10): 2518-35.
  27. 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.
  28. Rifai x. Triglyceride, high density lipoprotein, and coronary heart disease. Consens Statement 1992; 10(2): 1-28.
  29. 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.
  30. 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.
  31. Peirce NS. Diabetes and exercise. Br J Sports Med 1999; 33(3): 161-72.
  32. Lambers S, Van Laethem C, Van Acker Sint K, Calder P, Calders B. Influence of combined exercise training on indices of obesity, diabetes and cardiovascular risk in type 2 diabetes patients. Clinical Rehabilitation 2008; 22(6): 483-92.
  33. van Loon LJ. Use of intramuscular triacylglycerol as a substrate source during exercise in humans. J Appl Physiol 2004; 97(4): 1170-87.
  34. 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.
  35. Ranallo RF, Rhodes EC. Lipid metabolism during exercise. Sports Med 1998; 26(1): 29-42.
  36. Rahnama N, Nuri R, Rohani H, Shadmehri S, Aghaei N, Saberi Y. Exercise Biochemistry. Isfahan: The University of Isfahan; 2009.
  37. Cauza E, Hanusch-Enserer U, Strasser B, Ludvik B, Metz-Schimmerl S, Pacini G, et al. The relative benefits of endurance and strength training on the metabolic factors and muscle function of people with type 2 diabetes mellitus. Arch Phys Med Rehabil 2005; 86(8): 1527-33.
  38. Donsmark M, Langfort J, Holm C, Ploug T, Galbo H. Hormone-sensitive lipase as mediator of lipolysis in contracting skeletal muscle. Exerc Sport Sci Rev 2005; 33(3): 127-33.