بررسی اثر 12 هفته تمرینات شنا بر میزان مقاومت به انسولین و سطح پلاسمایی آپلین در زنان سالمند مبتلا به دیابت نوع 2

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد فیزیولوژی ورزشی ، دانشگاه آزاد اسلامی، واحد آبادان ، آبادان ، ایران

2 استادیار گروه تربیت بدنی.گروه تربیت بدنی، دانشگاه آزاد اسلامی، واحد آبادان، آبادان، ایران.

چکیده

زمینه و هدف: سالمندی و سبک زندگی کم تحرک از ریسک فاکتورهای دیابت نوع دو می باشد. هدف تحقیق حاضر بررسی اثر دوازده هفته تمرین شنا بر مقاومت انسولین و سطح آپلین پلاسمای  زنان سالمند مبتلا به دیابت نوع  دو بود.
روش بررسی: در تحقیق حاضر 30 زن سالمند مبتلا به دیابت  نوع دو به روش نمونه گیری هدفمند انتخاب و به صورت تصادفی به ترتیب به دو گروه تمرین شنا و کنترل تقسیم شدند. تمرین شنا به مدت 12 هفته، هر هفته سه جلسه و هر جلسه تمرین با شدت های 70-50 درصد ضربان قلب ذخیره انجام شد. نمونه گیری ها قبل و پس از دوره تحقیق به صورت ناشتا  گردآوری شد.  جهت از آزمون های پارامتریک تی وابسته و مستقل در سطح معنی داری 05/0 ≥ P  با استفاده از نرم افزار  SPSS نسخه 22 جهت تجزیه و تحلیل آماری نتایج استفاده شد.
یافته ها: پس از دوره تمرین کاهش معنی داری در مقاومت به انسولین (001/0 > P)، HbA1c (001/0 > P) و اپلین پلاسما (011/0 > P) در گروه تمرین نسبت به گروه کنترل مشاهده شد .
نتیجه گیری: یافته های تحقیق حاضر نشان داد که تمرینات شنا موجب بهبود حساسیت به انسولین و کاهش  سطح اپلین در زنان سالمند مبتلا به دیابت نوع  دو می باشد.

کلیدواژه‌ها


1-Ghalavand A, Shakerian S, Zakerkish M, Shahbazian H, Monazam NA. The Effect of Resistance Training on Anthropometric Characteristics and Lipid Profile in Men with Type 2 Diabetes Referred to Golestan Hospital. Jundishapur Sci Med J. 2015;13(6):709-20.
2-Al-Saeed AH, Constantino MI, Molyneaux L, D’Souza M, Limacher-Gisler F, Luo C, et al. An inverse relationship between age of type 2 diabetes onset and complication risk and mortality: the impact of youth-onset type 2 diabetes. Diabetes Care. 2016;39(5):823-9.
3-Ghasemi M, Hosseini H, Sabouhi F. The effect of peer group training on self-care of elderly with diabetes mellitus. J Clin Nurs Midwifery. 2017;6(3):33-43.
4-Abbassi Daloii A, Abdi A, Fani F. The effect of 8 weeks endurance training with L-NAME on apelin in myocardial tissue and plasma glucose in elderly male rats. Razi Journal of Medical Sciences. 2016;23(145):22-9.
5-Dixon JB. The effect of obesity on health outcomes. Molecular and cellular endocrinology. 2010;316(2):104-8.
6-Gourdy P, Cazals L, Thalamas C, Sommet A, Calvas F, Galitzky M, et al. Apelin administration improves insulin sensitivity in overweight men during an hyperinsulinemic euglycemic clamp. Diabetes, Obesity and Metabolism. 2017.
7-Beltowski J. Apelin and visfatin: unique" beneficial" adipokines upregulated in obesity? Medical Science Monitor. 2006;12(6):RA112-RA9.
8-Boucher J, Masri B, Daviaud D, Gesta S, Guigné C, Mazzucotelli A, et al. Apelin, a newly identified adipokine up-regulated by insulin and obesity. Endocrinology. 2005;146(4):1764-71.
9-Soriguer F, Garrido-Sanchez L, Garcia-Serrano S, Garcia-Almeida JM, Garcia-Arnes J, Tinahones FJ, et al. Apelin levels are increased in morbidly obese subjects with type 2 diabetes mellitus. Obesity surgery. 2009;19(11):1574-80.
10- Krist J, Wieder K, Klöting N, Oberbach A, Kralisch S, Wiesner T, et al. Effects of weight loss and exercise on apelin serum concentrations and adipose tissue expression in human obesity. Obesity facts. 2013;6(1):57-69.
11- Shaibani Sh, Shemshaki A, Hanachi P. The Effect of Rast Exercise on Plasma Levels of Apelin and Blood Pressure in Elite Women Runner. Qom University of Medical Sciences Journal 2012;6(3):27-31.
12- Aminilari Z, Daryanoosh F, Koshkie Jahromi M, Mohammadi M. The effect of 12 weeks aerobic exercise on the apelin, omentin and glucose in obese older women with diabetes type 2. Arak Medical University Journal. 2014;17(4):1-10.
13- AfshonPour M, Habibi A, Ranjbar R. Effects of Continuous Aerobic Exercise Training on Plasma Concentration of Apelin and Insulin Resistance in Type 2 Diabetic Men. Armaghane danesh. 2016;21(1):57-70.
14- Kazemi F, ZahediAsl S. Anti-Inflamation effect of 8-week aerobic training on apelin  plasma concentration in diabetic male rats. ijdld. 2017;16(2):85-93.
15- Kadono N, Pavol MJ. Effects of aging-related losses in strength on the ability to recover from a backward balance loss. Journal of biomechanics. 2013;46(1):13-8.
16- Patel KV, Phelan EA, Leveille SG, Lamb SE, Missikpode C, Wallace RB, et al. High prevalence of falls, fear of falling, and impaired balance in older adults with pain in the United States: findings from the 2011 National Health and Aging Trends Study. Journal of the American Geriatrics Society. 2014;62(10):1844-52.
17- Maria Martone A, Lattanzio F, Marie Abbatecola A, La Carpia D, Tosato M, Marzetti E, et al. Treating sarcopenia in older and oldest old. Current pharmaceutical design. 2015;21(13):1715-22.
18- Sharifi E, Askari R, Haghighi A. Comparision the Effects of High and Average Intensity Combined Training on Levels of Serum Heat Shock Proteins 70 and Glycemic Control in Obese Women with Type 2 Diabetes. Jundishapur Sci Med J. 2017;16(2):255-65.
19- American Diabetes Association. Standards of medical care in diabetes-2012. Diabetes care. 2012;35:S11.
20- Ghalavand A, Delaramnasab M, Afshounpour M, Zare A. Effects of continuous aerobic exercise and circuit resistance training on fasting blood glucose control and plasma lipid profile in male patients with type II diabetes mellitus. Journal of diabetes and nursing. 2016;4(1):8-19.
21- Galedari M, Azarbayjani M, Peeri M. Effects of type of exercise along with caloric restriction on plasma apelin 36 and HOMA-IR in overweight men. Science & Sports. 2017;32(4):137-145.
22- Tahoon NM, Gaballa HH. Effect of Physical Exercise or Apelin on Metabolic Syndrome in Rats. Med. J. Cairo Univ. 2016;84(1): 425-431.
23- Nikseresht M, Rajabi H, Nikseresht A. The effects of nonlinear resistance and aerobic interval training on serum levels of apelin and insulin resistance in middle-aged obese men. Tehran Univ Med J (TUMJ). 2015;73(5):375-83.
24- Duvivier BM, Schaper NC, Bremers MA, van Crombrugge G, Menheere PP, Kars M, et al. Minimal intensity physical activity (standing and walking) of longer duration improves insulin action and plasma lipids more than shorter periods of moderate to vigorous exercise (cycling) in sedentary subjects when energy expenditure is comparable. PloS one. 2013;8(2):e55542.
25- Conn VS, Koopman RJ, Ruppar TM, Phillips LJ, Mehr DR, Hafdahl AR. Insulin sensitivity following exercise interventions: systematic review and meta-analysis of outcomes among healthy adults. Journal of primary care & community health. 2014;5(3):211-22.
26- Liubaoerjijin Y, Terada T, Fletcher K, Boulé NG. Effect of aerobic exercise intensity on glycemic control in type 2 diabetes: a meta-analysis of head-to-head randomized trials. Acta diabetologica. 2016:1-13.
27- Tunkamnerdthai O, Auvichayapat P, Donsom M, Leelayuwat N. Improvement of pulmonary function with arm swing exercise in patients with type 2 diabetes. Journal of physical therapy science. 2015;27(3):649-54.
28- Yang H, Zhao L, Zhang J, Tang C-S, Qi Y-F. Effect of Treadmill Running on Apelin and APJ Expression in Adipose Tissue and Skeletal Muscle in Rats Fed a High-fat Diet. International journal of sports medicine. 2015;36(07):535-41.
29- Sheibani S, Hanachi P, Refahiat MA. Effect of aerobic exercise on serum concentration of apelin, TNFα and insulin in obese women. Iranian journal of basic medical sciences. 2012;15(6):1196.