دانشور پزشکی

دانشور پزشکی

تأثیر هشت هفته تمرین پیلاتس یا تراباند بر سطح سرمی گلوکز، نشانگرهای مقاومت به انسولین، درد نوروپاتی و برخی شاخص‌های عملکردی زنان مبتلا به دیابت نوع دو

نوع مقاله : مقاله پژوهشی

نویسندگان
عزیزه توغدری 1
کیوان حجازی 1
رویا عسکری 1
نجمه رحیمی 2
1 گروه فیزیولوژی ورزشی، دانشگاه حکیم سبزواری، سبزوار، ایران
2 گروه متابولیسم و غدد بزرگسالان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
10.22070/daneshmed.2024.18440.1422
چکیده
مقدمه و هدف: کم‌تحرکی باعث بروز مقاومت به انسولین و دیابت است. مقاومت به انسولین یکی از ویژگی‌های بارز دیابت نوع 2 است. هدف از انجام این پژوهش، بررسی تأثیر هشت هفته تمرین پیلاتس یا تراباند بر سطح سرمی گلوکز، نشانگرهای مقاومت به انسولین، درد نوروپاتی و برخی شاخص‌های عملکردی زنان مبتلا به دیابت نوع دو بود.
مواد و روش ها: در این مطالعه نیمه‌تجربی، 34 زن مبتلا به بیماری دیابت نوع دو به‌صورت تصادفی در سه گروه پیلاتس (12 نفر)، گروه تراباند (11 نفر) و کنترل (11 نفر) تقسیم شدند. برنامه تمرینی شامل هشت هفته، هر هفته سه جلسه و هر جلسه به مدت 45 تا 60 دقیقه انجام شد. برای بررسی تغییرات شاخص درد از روش آماری آنالیز واریانس اندازه‌گیری تکراری و آزمون تعقیبی بونفرونی استفاده شد. از روش تی زوجی و آنالیز کوواریانس دوطرفه به ترتیب برای تغییرات درون و بین‌گروهی استفاده شد.
نتایج: نتایج نشان داد غلظت گلوکز ناشتا، انسولین، شاخص مقاومت به انسولین، تنها در گروه تمرین تراباند کاهش معنی‌داری یافت؛ درصورتی‌که تغییر معنی‌داری در گروه‌های پیلاتس و کنترل دیده نشد. شاخص درد معنی‌دار بود (01/0 =p)، میزان استقامت عضلانی، انعطاف‌پذیری و حداکثر اکسیژن مصرفی در هر دو گروه پیلاتس و تراباند افزایش معنی‌داری یافت (01/0 =p).
نتیجه‌گیری: تمرینات ورزشی از نوع تراباند نسبت به پیلاتس باعث تغییرات آماری و بالینی بیشتر در غلظت گلوکز ناشتا، انسولین، شاخص مقاومت به انسولین می‌شود. بنابراین می‌توان از تمرین تراباند برای بهبود بیماران دیابتی نوع دو و جلوگیری از تأثیر مخرب دیابت برای زنان مبتلا به دیابت نوع دو استفاده کرد.
کلیدواژه‌ها
تمرین پیلاتس
مقاومت به انسولین
درد نوروپاتی
دیابت نوع دو
  1. Aylin K, Arzu D, Sabri S, Handan TE, Ridvan A. The effect of combined resistance and home-based walking exercise in type 2 diabetes patients. International journal of diabetes in developing countries. 2009;29(4):159.
  2. Sanz C, Gautier J-F, Hanaire H. Physical exercise for the prevention and treatment of type 2 diabetes. Diabetes Metab. 2010;36(5):346-51.
  3. Roglic G. WHO Global report on diabetes: A summary. International Journal of Noncommunicable Diseases. 2016;1(1):3-8.
  4. Stocks B, Zierath JR. Post-translational Modifications: The Signals at the Intersection of Exercise, Glucose Uptake, and Insulin Sensitivity. Endocrine Reviews. 2022;43(4):654-77.
  5. Bugianesi E, McCullough AJ, Marchesini G. Insulin resistance: a metabolic pathway to chronic liver disease. Hepatology. 2005;42(5):987-1000.
  6. Ogando PH, Silveira-Rodrigues JG, Melo BP, Campos BT, Silva AD, Barbosa EG, et al. Effects of high-and moderate-intensity resistance training sessions on glycemia of insulin-treated and non-insulin-treated type 2 diabetes mellitus individuals. Sport Sciences for Health. 2022:1-12.
  7. Lee JW, Kim SB, Kim SW. Effects of elastic band exercises on physical ability and muscular topography of elderly females. Journal of physical therapy science. 2018;30(2):248-51.
  8. da Cruz LC, Teixeira-Araujo AA, Andrade KTP, Rocha TCOG, Puga GM, Moreira SR. Low-intensity resistance exercise reduces hyperglycemia and enhances glucose control over a 24-hour period in women with type 2 diabetes. The Journal of Strength & Conditioning Research. 2019;33(10):2826-35.
  9. Melo KCB, Dos Santos GA, de Souza Araujo F, Moreira SR. Detraining period of the PILATES method on functional capacity of elderly women with type 2 diabetes: A randomized clinical trial. J Bodyw Mov Ther. 2022;31:77-83.
  10. Chen Z, Ye X, Xia Y, Song H, Wang Y, Guan Y, et al. Effect of pilates on glucose and lipids: a systematic review and meta-analysis of randomized controlled trials. Front Physiol. 2021;12.
  11. Panhan AC, Gonçalves M, Eltz GD, Villalba MM, Cardozo AC, Bérzin F. Co-contraction of the core muscles during Pilates exercise on the Wunda Chair. J Back Musculoskelet Rehabil. 2020;33(5):719-25.
  12. Fernández-Rodríguez R, Álvarez-Bueno C, Ferri-Morales A, Torres-Costoso AI, Cavero-Redondo I, Martínez-Vizcaíno V. Pilates method improves cardiorespiratory fitness: a systematic review and meta-analysis. Journal of Clinical Medicine. 2019;8(11):1761.
  13. Miyamoto GC, Costa LO, Cabral C. Efficacy of the Pilates method for pain and disability in patients with chronic nonspecific low back pain: a systematic review with meta-analysis. Brazilian journal of physical therapy. 2013;17:517-32.
  14. Campos RR, Dias JM, Pereira LM, Obara K, Barreto MS, Silva MF, et al. Effect of the Pilates method on physical conditioning of healthy subjects: a systematic review and meta-analysis. The Journal of sports medicine and physical fitness. 2015;56(7-8):864-73.
  15. Gray S, Baker G, Wright A, Fitzsimons C, Mutrie N, Nimmo M. The effect of a 12 week walking intervention on markers of insulin resistance and systemic inflammation. Prev Med. 2009;48(1):39-44.
  16. Carrel AL, McVean JJ, Clark RR, Peterson SE, Eickhoff JC, Allen DB. School-based exercise improves fitness, body composition, insulin sensitivity, and markers of inflammation in non-obese children. J Pediatr Endocrinol Metab. 2009;22(5):409-15.
  17. Batar N, Kermen S, Sevdin S, Ersin A, San S, Erdem MG, et al. Effect of Pilates on body composition and some biochemical parameters of women with type 2 diabetes on a low-carbohydrate or high-complex-carbohydrate diabetic diet. Iranian Red Crescent Medical Journal. 2020.
  18. Do Nascimento GRS, Ferraz VDS, De PDMVW, Ayach W, Christofoletti G, Pegorare ABGDS. Effect of Pilates exercises on blood glucose, urinary problems, sexual symptoms, pain and anxiety in women with gestational diabetes mellitus. Human Movement. 2021;22(4):36-45.
  19. Azizi M, Tadib V, Behpoor N. The Effect of Aerobic Exercise Training on Circulating Levels of Adipsin and Insulin Resistance among Obese Type-2 Diabetic Females. Jundishapur Scientific Medical Journal. 2016;15(4):433-42.
  20. Hagner-Derengowska M, Kaluzny K, Kochanski B, Hagner W, Borkowska A, Czamara A, et al. Effects of Nordic Walking and Pilates exercise programs on blood glucose and lipid profile in overweight and obese postmenopausal women in an experimental, nonrandomized, open-label, prospective controlled trial. Menopause. 2015;22(11):1215-23.
  21. Suna G, Isildak K. Investigation of the Effect of 8-Week Reformer Pilates Exercise on Flexibility, Heart Rate and Glucose Levels in Sedentary Women. Asian Journal of Education and Training. 2020;6(2):226-30.
  22. Keating SE, Hackett DA, Parker HM, O'Connor HT, Gerofi JA, Sainsbury A, et al. Effect of aerobic exercise training dose on liver fat and visceral adiposity. J Hepatol. 2015;63(1):174-82.
  23. Amiri Parsa T, Attarzadeh Hosseini SR, Bijeh N, Hamedi Nia MR. The effect of combined exercise (resistance-aerobic) valume on neurotrophic changes, neuropathic pain and some performance indicators in postmenopausal women with diabetic peripheral neuropathy. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2020;22(12):24-37.
  24. Moghtaderi A, Bakhshipour A, Rashidi H. Validation of Michigan neuropathy screening instrument for diabetic peripheral neuropathy. Clin Neurol Neurosurg. 2006;108(5):477-81.
  25. body-fat-using-the-jackson-pollock-3-body-fat-formula. 2023.
  26. Thompson PD, Arena R, Riebe D, Pescatello LS. ACSM’s new preparticipation health screening recommendations from ACSM’s guidelines for exercise testing and prescription. Current sports medicine reports. 2013;12(4):215-7.
  27. Matthews DR, Hosker JP, Rudenski AS, Naylor B, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28:412-9.
  28. Katz A, Nambi SS, Mather K, Baron AD, Follmann DA, Sullivan G, et al. Quantitative insulin sensitivity check index: a simple, accurate method for assessing insulin sensitivity in humans. The Journal of Clinical Endocrinology & Metabolism. 2000;85(7):2402-10.
  29. McAuley KA, Williams SM, Mann JI, Walker RJ, Lewis-Barned NJ, Temple LA, et al. Diagnosing insulin resistance in the general population. Diabetes Care. 2001;24(3):460-4.
  30. Armijo-Olivo S, Warren S, Magee D. Intention to treat analysis, compliance, drop-outs and how to deal with missing data in clinical research: a review. Phys Ther Rev. 2009;14(1):36-49.
  31. Mohammadi A, Bijeh N, Moazzami M, khodaei K, Rahimi N. Effect of exercise training on spexin level, appetite, lipid accumulation product, visceral adiposity index, and body composition in adults with type 2 diabetes. Biol Res Nurs. 2022;24(2):152-62.
  32. Rahimi M, Nazarali P, Alizadeh R. Pilates and TRX training methods can improve insulin resistance in overweight women by increasing an exercise-hormone, Irisin. Journal of Diabetes & Metabolic Disorders. 2021;20(2):1455-60.
  33. Gouveia SSV, de Morais Gouveia GP, Souza LM, da Costa BC, Iles B, Pinho VA, et al. The effect of pilates on metabolic control and oxidative stress of diabetics type 2–A randomized controlled clinical trial. J Bodyw Mov Ther. 2021;27:60-6.
  34. Khairandish R, Ranjbar R, Habibi A. The Effect of Eight Weeks Pilates Training On Irisin Serum Levels and Insulin Resistance Index in Obese Women. Journal of Sport and Exercise Physiology. 2018;10(2):79-88.
  35. Hawamdeh Z, Baniata A, Mansi K, Nasr H, Aburjai T. Thyroid hormones levels in Jordanian athletes participating in aerobic and anaerobic activities. Scientific research and essays. 2012;7(19):1840-5.
  36. Holloszy JO, Schultz J, Kusnierkiewicz J, Hagberg JM, Ehsani AA. Effects of exercise on glucose tolerance and insulin resistance: brief review and some preliminary results. Acta Med Scand. 1986;220(S711):55-65.
  37. Goodyear LJ, Kahn BB. Exercise, glucose transport, and insulin sensitivity. Annu Rev Med. 1998;49(1):235-61.
  38. Blair SN, Kohl HW, Barlow CE, Paffenbarger RS, Gibbons LW, Macera CA. Changes in physical fitness and all-cause mortality: a prospective study of healthy and unhealthy men. JAMA. 1995;273(14):1093-8.
  39. Borghouts L, Keizer H. Exercise and insulin sensitivity: a review. Int J Sports Med. 2000;21(01):1-12.
  40. Mousavi Sadati SK, Behdari R. Comparison of the effect of selected Pilates exercises, Traband training and weight training on strength and flexibility in elderly women. Journal of Sports Physiology and Athletic Conditioning. 2022;4(4):35.
  41. Mikalački M, Čokorilo N, Ruiz-Montero PJ. The effects of a pilates-aerobic program on maximum exercise capacity of adult women. Revista Brasileira de Medicina do Esporte. 2017;23:246-9.
  42. Patti ME, Butte AJ, Crunkhorn S, Cusi K, Berria R, Kashyap S, et al. Coordinated reduction of genes of oxidative metabolism in humans with insulin resistance and diabetes: Potential role of PGC1 and NRF1. Proceedings of the National Academy of Sciences. 2003;100(14):8466-71.
  43. Mu J, Brozinick JT, Valladares O, Bucan M, Birnbaum MJ. A role for AMP-activated protein kinase in contraction-and hypoxia-regulated glucose transport in skeletal muscle. Mol Cell. 2001;7(5):1085-94.
  44. Meex RC, Schrauwen-Hinderling VB, Moonen-Kornips E, Schaart G, Mensink M, Phielix E, et al. Restoration of muscle mitochondrial function and metabolic flexibility in type 2 diabetes by exercise training is paralleled by increased myocellular fat storage and improved insulin sensitivity. Diabetes. 2010;59(3):572-9.
  45. Spina R. Cardiovascular adaptations to endurance exercise training in older men and women. Exerc Sport Sci Rev. 1999;27:317-32.
  46. Spina RJ, Chi M, Hopkins MG, Nemeth P, Lowry O, Holloszy J. Mitochondrial enzymes increase in muscle in response to 7-10 days of cycle exercise. J Appl Physiol. 1996;80(6):2250-4.
  47. Jorgić B, Puletić M, Okičić T, Meškovska N. Importance of maximal oxygen consumption during swimming. Facta Universitatis: Series Physical Education & Sport. 2011;9(2).
دانشور پزشکی
دوره 31، شماره 6 - شماره پیاپی 169
بهمن و اسفند 1402
صفحه 46-59