نوع مقاله : مقاله پژوهشی
نویسنده
دانشیار فیزیولوژی ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.
چکیده
زمینه و هدف: مولکول چسبان بینسلولی-1 (ICAM-1) نسبت به شاخصهای التهابی مانند پروتئین واکنشی C (CRP)، در پیشبینی بیماری قلبی- عروقی دقت بیشتری دارد، ولی تأثیر انواع تمرینات ورزشی بر این شاخص و وضعیت التهابی و متابولیکی بیماران سندرممتابولیک، به خوبی شناخته نشده است؛ از این رو تحقیق حاضر با هدف بررسی تأثیر 8 هفته تمرین تناوبی شدید و تداومی متوسط بر ICAM-1، CRP و شاخصهای قلبی- متابولیکی مردان میانسال به اجرا درآمد. روشتحقیق: سی و چهار مرد دارای سندرم متابولیک به طور تصادفی سه گروه تمرین تناوبی شدید (12=n)، تمرین تداومی متوسط (12=n) و گروه کنترل (10=n) تقسیم شدند و در حالت پایه و پس از انجام 8 هفته (سه جلسه دویدن در هفته) تمرین تداومی و تناوبی (به ترتیب با شدت 70-60 و 75-50 حداکثر ضربان قلب ذخیره)، خونگیری در حالت ناشتا به عمل آمد. گلوکز و چربی خون به روش آنزیمی (با کیتهای شرکت پارس آزمون) و CRP و ICAM-1 سرم به روش الایزا (با کیتهای شرکت کوزابیو) اندازهگیری شدند. از آزمون تحلیل واریانس یک سویه و آزمون t همبسته برای تحلیل داده ها در سطح اطمینان آماری 95 درصد استفاده شد. یافتهها: هر دو نوع تمرین تداومی و تداومی بهترتیب باعث کاهش معنیدار ICAM-1 (001/0=p، 04/0=p)، CRP (001/0=p، 02/0=p)، تریگلیسرید (001/0=p، 001/0=p)، قندخونناشتا (001/0=p، 001/0=p)، فشار متوسط سرخرگی (008/0=p، 02/0=p)، دور کمر (001/0=p، 04/0=p)، وخامت کلی سندرم متابولیک (001/0=p، 001/0=p) و مقاومت انسولینی (007/0=p، 03/0=p) و افزایش HDL خون (001/0=p، 01/0=p)، شدند. فقط در مورد HDL (005/0=p)، دورکمر (001/0=p) و امتیاز z سندرم متابولیک (001/0=p)، تمرین تداومی اثرگذاری بیشتری داشت. نتیجهگیری: با وجود یکسان بودن اثرگذاری هر دو نوع تمرین بر CRP و ICAM-1 سرمی، تمرین تداومی بر دور کمر، HDL و وخامت سندرم متابولیک بیماران تاثیر بیشتری داشت که مناسب بودن بیشتر این نوع تمرینات برای کمک به این گروه را پیشنهاد میکند.
کلیدواژهها
عنوان مقاله [English]
Effects of 8 weeks of high intensity interval and moderate intensity continuous training on serum ICAM-1, CRP and cardiometabolic risk factors in middle-agedmen
نویسنده [English]
- Karim Azali Alamdari
Associate Professor of Exercise Physiology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran.
چکیده [English]
Background and Aim: Intracellular adhesion molecules 1 (ICAM-1) is more precise than other inflammatory indices e.g. C reactive protein (CRP) in predicting the future cardiovascular diseases. However, the roles of different types of exercise training on serum ICAM-1 level and also body inflammatory and metabolic states are not fully elucidated in patient with metabolic syndrome (Mets). Therefore, this study was conducted to investigate the effects of 8 weeks of high intensity interval and moderate intensity continuous training on serum ICAM-1, CRP and cardiometabolic risk factors in middle-aged men. Materials and Methods: thirty-four male patient with Mets were randomly divided into three groups including high intensity interval training (n=12), moderate-intensity continuous training (n=12) and Control (n=10). The fasting blood sampling and some other variable measurements were measured at baseline and also after (at 9 am) eight weeks of continuous (at 60-70% of RHR) and interval l (at 70-75% of RHR) training protocols (3 running sessions/week). Blood glucose and lipids were measured using ParsAzmoon company enzymatic kits and serum ICAM-1 and CRP levels also detected with Cusabio company ELIZA kits. Data were analyzed using one way ANOVA and paired samples T tests at 95% Statistical significance level. Results: Both the continuous and interval training protocols decreased blood ICAM-1 (p=0.001, p=0.02), CRP (p=0.001, p=0.02), triglyceride (p=0.001, p=0.001), fasting blood sugar (p=0.001, p=0.001), waist circumference (p=0.001, p=0.04), overall Mets z score (p=0.001, p=0.001) and HOMA-IR (p=0.03, p=0.008) respectively, while HDL was significantly increased (p=0.001, p=0.01). However, with regard to HDL (p=0.005), waist circumference (p=0.001) and Mets Z score (p=0.001), moderate-intensity continuous training showed significantly more effectiveness than high intensity interval training. Conclusion: In spite of the equal effectiveness of both training protocols upon serum ICAM-1 and CRP, continuous training had more pronounced effects on waist circumference, blood HDL and overall severity of Mets which makes this protocol a better candidate to be prescribed for patients with Mets.
کلیدواژهها [English]
- Interval training
- Continuous training
- Inflammation
- Metabolic syndrome
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