دوره 34، شماره 7 - ( مهر 1402 )                   جلد 34 شماره 7 صفحات 396-383 | برگشت به فهرست نسخه ها

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Nosrati Hashi A, Bolboli L. THE EFFECT OF WALKING EXERCISE ON INSULIN RESISTANCE, LIPID PROFILE AND HEART RATE VARIABILITY IN THE ELDERLY WITH TYPE 2 DIABETES. Studies in Medical Sciences 2023; 34 (7) :383-396
URL: http://umj.umsu.ac.ir/article-1-5967-fa.html
نصرتی هشی علی، بلبلی لطفعلی. تأثیر تمرین راه رفتن بر مقاومت انسولین، نیمرخ لیپیدی و تغییرپذیری ضربان قلب در سالمندان دارای دیابت نوع 2. مجله مطالعات علوم پزشکی. 1402; 34 (7) :383-396

URL: http://umj.umsu.ac.ir/article-1-5967-fa.html


استاد فیزیولوژی ورزشی، دانشگاه محقق اردبیلی، اردبیل، ایران (نویسنده مسئول) ، l_bolboli@uma.ac.ir
چکیده:   (1541 مشاهده)
پیش‌زمینه و هدف: اختلال در سیستم عصبی خودکار موجب عوارض ثانویه در سالمندان با بیماری دیابتی نوع دو می‌شود. هدف از پژوهش حاضر تأثیر تمرین راه رفتن بر مقاومت انسولین، نیمرخ لیپیدی و تغییرپذیری ضربان قلب در سالمندان دارای دیابت نوع 2 بود.
مواد و روش کار: روش پژوهش حاضر از نوع نیمه تجربی با طرح پیش‌آزمون - پس‌آزمون بود. جامعه آماری پژوهش حاضر را کلیه سالمندان دیابتی نوع دو شهر تهران تشکیل دادند. 30 مرد جودوکار به روش نمونه‌گیری در دسترس و به‌طور تصادفی در 2 گروه، گروه اول (تمرین راه رفتن)، گروه دوم (کنترل) تقسیم شدند. متغیرهای خونی و قلبی قبل (24 ساعت قبل) و بعد از اجرای برنامه‌های تمرینی (72 ساعت) از آزمودنی‌ها گرفته شد. پروتکل تمرینی شامل یک برنامه پیاده روی 8 هفته‌ای بود که با استفاده از مقاله کائو (2007) و همچنین پیشنهادات متخصصین در رابطه با طراحی و اجرای برنامه تمرینی در افراد سالمند و دیابتی که سه روز تمرین در هفته و شدت 35درصد حداکثر اکسیژن مصرفی یا 45درصد درصد ضربان قلب پیشنهاد کرده بودند طراحی شد.
یافته‌ها: نتایج آزمون بین گروهی نشان داد کلسترول (020/0=P) و مقاومت انسولینی (006/0=P) در دو گروه تمرینی و کنترل اختلاف معنی‌داری داشت. SDNN (013/0=PrMSSD (005/0=PHF Power (001/0>P) و LF/HF Ratio (001/0=P) در دو گروه تمرینی و کنترل اختلاف معنی‌داری داشت. نتایج آزمون درون گروهی نشان داد مقاومت انسولینی (009/0=P) و LF/HF Ratio (020/0=P) در گروه تمرینی در مرحله پس‌آزمون در مقایسه با پیش‌آزمون کاهش معنی‌داری داشت. SDNN (003/0=PrMSSD (004/0=P) و HF Power (004/0=P) در گروه تمرینی در مرحله پس‌آزمون در مقایسه با پیش‌آزمون افزایش معنی‌داری داشت.
بحث و نتیجه‌گیری: با توجه به نتایج تحقیق می‌تواند نتیجه گرفت که یک دوره تمرین راه رفتن می‌تواند منجر به بهبود مقاومت انسولینی و تغییرپذیری ضربان قلب در سالمندان با بیماری دیابتی نوع دو شود. لذا این تمرینات به‌عنوان تدبیری جهت کاهش عوارض قلبی-عروقی در سالمندان با بیماری دیابتی نوع دو توصیه می‌شود.
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نوع مطالعه: پژوهشي(توصیفی- تحلیلی) | موضوع مقاله: فیزیولوژی

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