اثر تمرینات ترکیبی با رویکرد "نهایت آمادگی" و مصرف قهوه بر سطوح سرمی آنزیم های کبدی مردان میانسال مبتلا به کبد چرب غیرالکلی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، دانشگاه شاهد، تهران، ایران

2 مرکز تربیت بدنی، دانشگاه صنعتی اصفهان، اصفهان، ایران

چکیده

مقدمه و هدف: رسوب چربی در کبد به میزان بیشتر از 5 درصد وزن کبد در غیاب مصرف قابل توجه الکل، عفونت های ویروسی و هرگونه علت شناسی بیماری کبدی را کبد چرب غیر الکلی می نامند. هدف پژوهش حاضر، بررسی اثر تمرینات ترکیبی با رویکرد "نهایت آمادگی" و مصرف قهوه، بر سطوح آنزیم های کبدی مردان میانسال مبتلا به کبد چرب غیرالکلی بود. 
مواد و روش ها: پژوهش حاضر نیمه تجربی و با طرح پیش آزمون و پس آزمون انجام گرفت. 44 مرد میانسال مبتلا به کبد چرب به طور هدفمند انتخاب و به صورت تصادفی به چهار گروه: تمرین ترکیبی(11نفر)، مصرف قهوه(11نفر)، تمرین ترکیبی+مصرف قهوه (11نفر) و کنترل (11نفر) تقسیم شدند. سونوگرافی و آزمایش خون جهت تعیین میزان آنزیم های کبدی قبل و بعد از اجرای پروتکل تحقیق انجام گرفت. گروه های تمرین به اجرای برنامه ترکیبی به مدت هشت هفته و به صورت سه جلسه درهفته به طور منظم پرداختند. آزمودنی های گروه مصرف قهوه و تمرین ترکیبی+مصرف قهوه یک روز در میان، به میزان 10 گرم قهوه دریافت کردند. داده ها با استفاده از آزمون کوواریانس چند متغیره( مانکووا) تحلیل شد.
نتایج: سطوح سرمی آنزیم های کبدی در هر سه گروه آزمایش نسبت به گروه کنترل، کاهش معناداری داشت (05/0 >P). در گروه تمرین ترکیبی+ مصرف قهوه، کاهش آنزیم آلانین آمینو ترانسفراز (ALT) بیشتر بود و در سایر موارد تفاوت معنا داری مشاهده نشد.
نتیجه‌گیری: مداخله تمرین ترکیبی با رویکرد نهایت آمادگی به همراه مصرف قهوه در کاهش آنزیم های کبدی موثر است و می توان برای افراد میانسال کم تحرک مبتلا به کبد چرب که در آستانه ورود به سالمندی هستند، استفاده نمود.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of combined exercises with the approach of ultimate-fit and coffee consumption on liver enzymes of middle-aged men with non-alcoholic fatty liver

نویسندگان [English]

  • Alireza Taheri 1
  • Nahid Talebi 1
  • Mojtaba Babaei Khorzoghi 2
1 Department of Physical Education and Sport Sciences, Faculty of Humanities, Shahed University, Tehran, Iran
2 Center of Physical Education, Isfahan University of Technology, Isfahan. Iran
چکیده [English]

Background and Objective: Fat deposition in the liver to the extent of more than 5% of the liver weight in the absence of significant alcohol consumption, viral infections and any etiology of liver disease is called non-alcoholic fatty liver. The aim of this study was to investigate the effect of combined exercises with the approach of "ultimate -fit" and coffee consumption on the levels of liver enzymes in middle-aged men with non-alcoholic fatty liver.
Materials and Methods: The present study was quasi-experimental with pre-test and post-test design. 44 middle-aged men with fatty liver were purposefully selected and randomly divided into four groups: combined exercise (n=11), coffee consumption (n=11), combined exercise + coffee consumption (n=11) and control (n=11). Ultrasound and blood tests were performed to determine the amount of liver enzymes before and after the implementation of the research protocol. The practice groups performed the combined program for eight weeks in three regular sessions per week. Subjects in the coffee consumption group and combined exercise+coffee consumption received 10 grams of coffee every other day.  Data were analyzed by using analysis of MANCOVA.
Results: Serum levels of liver enzymes in all three experimental groups were significantly reduced compared to the control group (p < 0.05). In the experimental group, combined exercise with coffee consumption decreased alanine aminotransferase and in other cases no significant difference was observed.
Conclusion: Combined exercise intervention with coffee consumption is effective in reducing liver enzymes. This intervention can be used for sedentary middle-aged people with fatty liver who are on the verge of aging.

کلیدواژه‌ها [English]

  • Combined exercises
  • Ultimate-fit
  • Coffee
  • Liver enzymes
  • Middle-aged
  • Non-alcoholic fatty liver

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دانشور پزشکی
دوره 29، شماره 3 - شماره پیاپی 154
مرداد و شهریور 1400
صفحه 93-103

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