تأثیر هشت هفته تمرین تناوبی سرعتی و ترکیبی (قدرتی-هوازی) شخصی‌سازی شده بر میزان هموگلوبین گلیکوزیله (HbA1c) و مقاومت به انسولین زنان دیابتی نوع2

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه علوم ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه شهرکرد، شهرکرد، ایران.

2 استادیار، گروه علوم ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه شهرکرد، شهرکرد، ایران.

3 دانشیار، گروه علوم ورزشی، دانشگاه شهرکرد، شهرکرد، ایران.

چکیده

مقدمه: ورزش یک جزء مهم از سلامتی و یک شیوه جدایی­ناپذیر برای مدیریت بیماران دیابتی نوع 2 است. لذا هدف این پژوهش تعیین تأثیر هشت هفته تمرینات شخصی­سازی شده ترکیبی و تناوبی سرعتی شدید بر میزان هموگلوبین A1c و مقاومت به انسولین زنان دیابتی نوع 2 بود.
مواد و روش­ ها: در این تحقیق نیمه­تجربی 52 نفر از زنان دیابتی نوع 2 بر اساس مقادیر هموگلوبین A1c در سه گروه تمرین: ترکیبی، تناوبی و کنترل قرار گرفتند. گروه ترکیبی دو جلسه در هفته تمرین مقاومتی با 70 درصد یک تکرار بیشینه و تمرین هوازی با 60 تا 70 درصد حداکثر ضربان قلب و یک جلسه در هفته تمرین هوازی انجام دادند. گروه تناوبی سه جلسه در هفته 4 تا10 تکرار آزمون وینگیت 30 ثانیه­ای بر روی ارگومتر را با حداکثر تلاش انجام دادند. سطوح شاخص­های هموگلوبین A1c،گلوکز ناشتا و انسولین اندازه­گیری شد. آزمون­های t وابسته، تحلیل کوواریانس و LSD برای تجزیه­وتحلیل داده­ها استفاده گردیدند.
یافته ­ها: هموگلوبین A1c در گروه تناوبی (002/0p=) و در گروه ترکیبی (006/0p=) کاهش معنی­داری داشت. کاهش میزان گلوکز ناشتا در گروه تناوبی معنی­داری بود (001/0p<). انسولین سرم در گروه تناوبی (001/0p<) و ترکیبی (001/0p=) افزایش یافت. تفاوت شاخص مقاومت به انسولین در گروه  تناوبی (001/0p<) و ترکیبی (008/0p=) معنی­دار بود. مقادیر مقاومت به انسولین (008/0p=) و انسولین (036/0p=) تفاوت معنی­داری بین گروه­ها نشان داد.
نتیجه­ گیری: تمرینات شخصی­سازی شده، مستقل از نوع و روش انجام می‌توانند اثرات مثبتی بر ترکیب بدن وکنترل قندخون زنان دیابتی نوع 2 داشته باشند.

کلیدواژه‌ها


عنوان مقاله [English]

Effects of Eight Weeks of Personalized Alternate Sprint and Combined Exercise (strength and aerobic) Training on Blood Level of Glycated Hemoglobin (HbA1c) and Insulin Resistance in Women with Type 2 Diabetes

نویسندگان [English]

  • S Nasiri 1
  • E Banitalebi 2
  • M Faramarzi 3
1 Msc, Dept of physiology, Shahrekord University, Shahrekord, Iran.
2 2- Assistant prof, Dept of exercise physiology, Shahrekord University, Shahrekord, Iran.
3 Associate prof, Dept of exercise physiology, Shahrekord University, Shahrekord, Iran.
چکیده [English]

Introduction: Physical activity ‘as a very important part of a healthy lifestyle, is entangled with the therapeutic management of type 2 diabetes. The purpose of this study was to investigate the effects of eight weeks of personalized alternate sprint and combined exercise training on blood level of glycosylated hemoglobin A1C and insulin resistance in women with type 2 diabetes.
Materials and Methods: In this quasi-experimental study, fifty-two female patients with type 2 diabetic were assigned to three groups; sprint interval training SIT, combined training and control group according to the HbA1c levels. The combined Group  received alternatively 2 sessions per week of endurance training with 70% of one repetition maximum and aerobic exercise training with 60% -70% of maximum heart rate and 1 session per week of only aerobic exercise training. The SIT group received 3 sessions per week of 4-10 reps 30-second Wingate test on the ergometer with maximum effort. Fasting blood glucose, serum insulin and HbA1c levels were then measured. Data analyzing was performed using dependent t-test and covariance and LSD method.
Results: The findings of this stusy showed that while the HbA1c concentrations reduced significantly in both SIT (p=0.002) and combined groups (p=0.006), serum insulin levels had a significant increase  in these two groups;  p<0.001) and pConclusion: Results indicated that individualized exercise training courses may have a positive   effect on bodily structure and blood glucose control in women with type 2 diabetes.

کلیدواژه‌ها [English]

  • SIT and Combined Training
  • HbA1c
  • Type 2 diabetes
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