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

1 گروه فیزیولوژی ورزشی، دانشگاه حکیم سبزواری، سبزوار، ایران

2 گروه متابولیسم و غدد بزرگسالان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

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

عنوان مقاله [English]

The effect of eight weeks of Pilates or Traband training on serum glucose levels, markers of insulin resistance, neuropathic pain and some functional indices of women with type 2 diabetes

نویسندگان [English]

  • Azizeh Toghdori 1
  • Keyvan Hejazi 1
  • Roya Askari 1
  • Najmeh Rahimi 2
1 Faculty of Sport Sciences, Hakim Sabzevari University, Sabzevar, Iran
2 Department of Internal Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
چکیده [English]

Background and Objective: Physical inactivity leads to insulin resistance and diabetes. Insulin resistance is a hallmark feature of type 2 diabetes. The purpose of this study was to investigate the effect of eight weeks of Pilates or Traband training on serum glucose levels, markers of insulin resistance, neuropathic pain and some functional indices of women with type 2 diabetes.
Materials and Methods: In this semi-experimental study, 34 women with type 2 diabetes were randomly divided into three groups: Pilates training (n=12), Traband training (n=11) and control (n=11). The exercise program consisted of eight weeks, three sessions per week, and each session lasted 45-60 minutes. To investigate the changes in the pain index, repeated measurement and Bonferroni's post hoc test were used. The paired sample t-test method and analysis of covariance (ANCOVA) were used to compare within and between groups, respectively.
Results: Findings showed that fasting glucose concentration, insulin, and insulin resistance index significantly decreases only in the Traband training group; However, there was no significant change in the Pilates and control groups. The pain index during the time series was significant (p = 0.01). In both Pilates and Traband groups, there was a significant increase in the variables of muscle endurance, flexibility and maximal oxygen consumption (p = 0.01).
Conclusion: Exercise training in accordance with the Traband model causes statistically and clinically more significant changes in fasting glucose concentration, insulin, insulin resistance index than Pilates intervention. Therefore, it is possible to use Traband exercise to improve type 2 diabetic patients and prevent the harmful effects of diabetes for women with type 2 diabetes.

کلیدواژه‌ها [English]

  • Pilates exercise
  • Insulin resistance
  • Neuropathic pain
  • Type 2 diabetes

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دانشور پزشکی
دوره 31، شماره 6 - شماره پیاپی 169
بهمن و اسفند 1402
صفحه 46-59

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