مقایسه تأثیر 8 هفته تمرین اینتروال شدید و ترکیبی قدرتی- استقامتی بر سطوح سرمی پروتئین ترشح اسیدی و غنی از سیستئین (SPARC) و مقاومت به انسولین در زنان دیابتی نوع 2

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشیار، گروه علوم ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه ولی عصر (عج)، رفسنجان، ایران.

2 کارشناس ارشد، گروه فیزیولوژی ورزشی، دانشگاه آزاد اسلامی، کرمان، ایران.

3 دانشیار، گروه علوم ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه شهرکرد، شهرکرد، ایران.

چکیده

مقدمه: روش­های گوناگونی از فعالیت بدنی به‌طور گسترده برای کنترل دیابت پیشنهاد شده­اند. هدف از این پژوهش تعیین تأثیر 8 هفته تمرین اینتروال شدید و ترکیبی قدرتی- استقامتی بر سطوح سرمی پروتئین ترشح اسیدی و غنی از سیستئین (SPARC) و مقاومت به انسولین در زنان دیابتی نوع دو است.
مواد و روش­ها: در این تحقیق نیمه تجربی 42 نفر زن دیابتی دارای اضافه­وزن با دامنه سنی 60-45 سال و قند خون ناشتای بیشتر از  126 میلی‌گرم در دسی لیتر به‌طور داوطلبانه انتخاب و به روش تصادفی در سه گروه مساوی قرار گرفتند و به مدت 8 هفته تمرین کردند. گروه تناوبی شدید سه جلسه در هفته 10-4 تکرار آزمون وینگیت 30 ثانیه­ای بر روی ارگومتر با تلاش حداکثر، و گروه ترکیبی سه جلسه در هفته تمرین هوازی با 60% حداکثر ضربان قلب و دو جلسه در هفته تمرین مقاومتی با 70% یک تکرار بیشینه انجام دادند. گروه کنترل هیچ‌ فعالیت منظمی نداشتند. SPARC زنان 24 ساعت قبل و 48 ساعت بعد از اتمام دوره تمرینی اندازه­گیری شد. برای تحلیل داده­ها از آزمون­های t وابسته و کوواریانس استفاده گردید.
یافته‌ها: تغییرات میزان SPARC سرمی به دنبال هیچ‌ یک از گروه­های تناوبی شدید (54/0p=)، ترکیبی (92/0p=) و کنترل (52/0p=) تغییر معنی­داری نداشت. نتایج مقایسه بین گروهی تفاوت معنی­داری بین گروه­­های تمرینی نشان نداد (537/0p=).
نتیجه ­گیری: دو شیوه تمرینی، تأثیر یکسانی بر شاخص­های مرتبط با مقاومت به انسولین داشتند. این دو روش تمرین، در بهبود SPARC نیز به یک اندازه مؤثر بودند. لذا استفاده از تمرینات تناوبی شدید و تمرینات ترکیبی می­تواند در بهبود مقاومت به انسولین به یک اندازه مؤثر باشد و می­توان از آن­ها به جای هم برای بهبود حال افراد مبتلا به دیابت نوع 2 استفاده کرد.

کلیدواژه‌ها


عنوان مقاله [English]

An Investigation of the Effects of the 8-Week Intense Interval Training and Combined Strength-Endurance Training on Secreted Protein Acidic and Rich in Cysteine (SPARC) levels in Women with Type 2 Diabetes

نویسندگان [English]

  • AR Kazemi 1
  • M Imani 2
  • E Banitalebi 3
1 Associate Prof, Dept of Physical Education, Faculty of Literature and Humanities, Vali-e-Asr University, Rafsanjan, Iran.
2 MSc, Dept of Exercise Physiology, Faculty of Literature and Humanities, Islamic Azad University, Kerman Branch, Kerman, Iran.
3 Associate Prof, Dept of Physical Education, Faculty of Literature and Humanities, Shahrkord University, Shahrkord, Iran.
چکیده [English]

Introduction: Several methods of physical activities have been suggested to prevent diabetes. This study was done aimed at determining the effects of the 8-week intense interval training and combined strength-endurance training on secreted protein acidic and rich in cysteine (SPARC) levels in women with type 2 diabetes.
Materials and Methods: In this quasi-experimental study, 42 women aged 45-60 with diabetes and with the fasting blood sugar exceeding 126 mg/dL were selected and randomly assigned to three groups, including the SIT group (N =14), the combined exercise group (N =14), and the control group (N =14) who trained for 8 weeks. The SIT Group did the exercise 3 times a week, with 4-10 times of repetitions and the 30-second Wingate test was done on the ergometer with the maximum effort. The combined exercise group took the aerobic exercise 3 sessions a week with 60% of the maximum heart rate and 2 sessions per week of the resistance exercise taken at 70% with one repetition at maximum. The control group did not have any regular activity. The SPARC was measured using the blood samples 24 hours before and after the training periods. To analyze the data and determine the differences among the groups, the dependent t-test and covariance were used.
Results: The results showed that changes in the serum SPARC were not significant followed by any of the three SIT (p=0.54), combined (p=0.92), and control (p=0.52) groups. The comparison among the groups showed no significant difference among them (p=0.537).
Conclusion: The results of the present study suggested that the 2 training protocols had the same effects on the factors related to insulin resistance. Furthermore, these two protocols were equally effective in improving SPARC. Thus, the use of the 2 training methods can be similarly efficient in improving insulin resistance.  

کلیدواژه‌ها [English]

  • Diabetes Mellitus
  • insulin resistance
  • Secreted protein acidic and rich in cysteine (SPARC)
  • Exercise
  • Training
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