سه شنبه 6 آذر 1403
دوره 8، شماره 2 - ( 4-1397 )
جلد 8 شماره 2 صفحات 84-77 |
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Sabzikar S, Fathi M, Darzabi T, Hejazi K. The Effect of 12 Weeks of Bariatric and Aerobic Exercises on Metabolic Syndrome Indices in Women. PTJ 2018; 8 (2) :77-84
URL: http://ptj.uswr.ac.ir/article-1-359-fa.html
URL: http://ptj.uswr.ac.ir/article-1-359-fa.html
Sabzikar Sakine، Fathi Mehrdad، Darzabi Teimour، Hejazi Keyvan. Comparing the Effect of 12 Weeks Bariatric and Aerobic Exercises on Metabolic Syndrome Indices in Women with Knee Osteoarthritis. فصلنامه فیزیک درمانی. 1397; 8 (2) :77-84
Sakine Sabzikar1 
، Mehrdad Fathi* 
2، Teimour Darzabi3 ، Keyvan Hejazi4
، Mehrdad Fathi* 2، Teimour Darzabi3 ، Keyvan Hejazi4
1- Faculty of Physical Education and Sports Sciences, Islamic Azad University Bojnourd Branch
2- Faculty of Physical Education and Sports Sciences, Ferdowsi University of Mashhad, Mashhad, Iran
3- Faculty of Montazeri, Khorasan Razavi Branch, Technical and Vocational University, Mashhad, Iran
4- Faculty of Physical Education and Sports Sciences, Toos Institute of Higher Education, Mashhad, Iran
2- Faculty of Physical Education and Sports Sciences, Ferdowsi University of Mashhad, Mashhad, Iran
3- Faculty of Montazeri, Khorasan Razavi Branch, Technical and Vocational University, Mashhad, Iran
4- Faculty of Physical Education and Sports Sciences, Toos Institute of Higher Education, Mashhad, Iran
چکیده: (3961 مشاهده)
Purpose: Osteoarthritis is a frequent complication in the middle-aged or older people. Besides pain and swelling, this disease causes deformity and difficulty in walking. The current study compared the effects of 12 weeks bariatric and aerobic exercises on the metabolic syndrome in women with knee osteoarthritis.
Methods: In this quasi-experimental study, 24 women with knee osteoarthritis were selected by convenience sampling method. They were randomly divided into two groups of the bariatric (n=12) and aerobic (n=12) exercises. The training included aerobic and bariatric exercises at 60%-65% rate of the heart rate reserve. The program included a 12-week training, performed three times per week and each session lasted for 30 to 60 minutes. Intra- and inter-group comparisons were performed by dependent t-test and Analysis of Covariance (ANCOVA), respectively. The level of significance was set at P<0.05.
Results: In both the aerobic and bariatric groups, 12 weeks of exercise program resulted in a significant reduction in weight, body mass index, serum glucose, insulin level, and insulin resistance index. Only in the aerobic exercise group, the concentrations of high-density lipoprotein, low-density lipoprotein, and total cholesterol significantly increased and decreased, respectively. The levels of triglyceride significantly decreased in both groups. Only in the aerobic exercise group, the maximum amount of oxygen consumption was significantly increased.
Conclusion: In women with knee osteoarthritis, 12 weeks of aerobic and bariatric exercises positively affect the levels of insulin resistance markers, lipid profiles, and max-oxygen consumption. Therefore, these two exercise programs can be used to maintain health of these people.
Methods: In this quasi-experimental study, 24 women with knee osteoarthritis were selected by convenience sampling method. They were randomly divided into two groups of the bariatric (n=12) and aerobic (n=12) exercises. The training included aerobic and bariatric exercises at 60%-65% rate of the heart rate reserve. The program included a 12-week training, performed three times per week and each session lasted for 30 to 60 minutes. Intra- and inter-group comparisons were performed by dependent t-test and Analysis of Covariance (ANCOVA), respectively. The level of significance was set at P<0.05.
Results: In both the aerobic and bariatric groups, 12 weeks of exercise program resulted in a significant reduction in weight, body mass index, serum glucose, insulin level, and insulin resistance index. Only in the aerobic exercise group, the concentrations of high-density lipoprotein, low-density lipoprotein, and total cholesterol significantly increased and decreased, respectively. The levels of triglyceride significantly decreased in both groups. Only in the aerobic exercise group, the maximum amount of oxygen consumption was significantly increased.
Conclusion: In women with knee osteoarthritis, 12 weeks of aerobic and bariatric exercises positively affect the levels of insulin resistance markers, lipid profiles, and max-oxygen consumption. Therefore, these two exercise programs can be used to maintain health of these people.
فهرست منابع
1. Cooper JA. Factors affecting circulating levels of peptide YY in humans: A comprehensive review. Nutrition Research Reviews. 2014; 27(1):186-97. [DOI:10.1017/S0954422414000109] [PMID] [DOI:10.1017/S0954422414000109]
2. Loeser RF, Goldring SR, Scanzello CR, Goldring MB. Osteoarthritis: A disease of the joint as an organ. Arthritis & Rheumatism. 2012; 64(6):1697-707. [DOI:10.1002/art.34453] [PMID] [PMCID] [DOI:10.1002/art.34453]
3. Cooper C, McAlindon T, Coggon D, Egger P, Dieppe P. Occupational activity and osteoarthritis of the knee. Annals of the Rheumatic Diseases. 1994; 53(2):90-3. [DOI:10.1136/ard.53.2.90] [PMID] [PMCID] [DOI:10.1136/ard.53.2.90]
4. Cecil RL, Wyngaarden JB, Smith LH, Bennett JC. Cecil textbook of medicine. Philadelphia: Saunders; 1994.
5. Järvholm B, Lewold S, Malchau H, Vingård E. Age, bodyweight, smoking habits and the risk of severe osteoarthritis in the hip and knee in men. European Journal of Epidemiology. 2005; 20(6):537-42. [DOI:10.1007/s10654-005-4263-x] [PMID] [DOI:10.1007/s10654-005-4263-x]
6. Kluzek S, Newton JL, Arden NK. Is osteoarthritis a metabolic disorder? British Medical Bulletin. 2015; 115(1):111-21.[DOI:10.1093/bmb/ldv028] [PMID] [DOI:10.1093/bmb/ldv028]
7. Li H, George DM, Jaarsma RL, Mao X. Metabolic syndrome and components exacerbate osteoarthritis symptoms of pain, depression and reduced knee function. Annals of Translational Medicine. 2016; 4(7):133. [PMID] [PMCID] [DOI:10.21037/atm.2016.03.48] [PMID] [PMCID]
8. Romeo GR, Lee J, Shoelson SE. Metabolic syndrome, insulin resistance, and roles of inflammation–mechanisms and therapeutic targets. Arteriosclerosis, Thrombosis, and Vascular Biology. 2012; 32(8):1771-6. [DOI:10.1161/ATVBAHA.111.241869] [PMID] [PMCID] [DOI:10.1161/ATVBAHA.111.241869]
9. Reaven GM. Pathophysiology of insulin resistance in human disease. Physiological Reviews. 1995; 75(3):473-86. [DOI:10.1152/physrev.1995.75.3.473] [PMID] [DOI:10.1152/physrev.1995.75.3.473]
10. Ford ES, Giles WH, Mokdad AH. Increasing prevalence of the metabolic syndrome among US adults. Diabetes Care. 2004; 27(10):2444-9. [DOI:10.2337/diacare.27.10.2444] [PMID] [DOI:10.2337/diacare.27.10.2444]
11. Atashak S, Batourak K, Azizbeigi K. [The effect of moderate-intensity aerobic exercise training on metabolic syndrome factors and acylated ghrelin in middle-age women (Persian)]. Razi Journal of Medical Sciences. 2017; 24(159):10-20.
12. Manson JE, Skerrett PJ, Greenland P, VanItallie TB. The escalating pandemics of obesity and sedentary lifestyle: A call to action for clinicians. Archives of Internal Medicine. 2004; 164(3):249-58. [DOI:10.1001/archinte.164.3.249] [PMID] [DOI:10.1001/archinte.164.3.249]
13. Bonakdaran S, Barazandeh Ahmadabadi F. Assessment of insulin resistance in idiopathic hirsutism in comparison with Polycystic Ovary Syndrome (PCOS) patients and healthy individuals. Medical Journal of Mashhad University of Medical Sciences. 2014; 56(6):340-6.
14. Attarzadeh Hosseini SR, Mir E, Hejazi K, Mir Sayeedi M. [The effect of eight weeks combined training on some insulin resistance markers in middle-aged men (Persian)]. Medical Journal of Mashhad University of Medical Sciences. 2015; 58(3):129-36.
15. Nadeem M, Ahmed SS, Mansoor S, Farooq S. Risk factors for coronary heart disease in patients below 45 years of age. Pakistan Journal of Medical Sciences. 2013; 29(1):91-6. [DOI:10.12669/pjms.291.2828] [PMID] [PMCID] [DOI:10.12669/pjms.291.2828]
16. Pyörälä M, Miettinen H, Laakso M, Pyörälä K. Hyperinsulinemia predicts coronary heart disease risk in healthy middle-aged men: The 22-year follow-up results of the Helsinki policemen study. Circulation. 1998; 98(5):398-404. [DOI:10.1161/01.CIR.98.5.398] [PMID] [DOI:10.1161/01.CIR.98.5.398]
17. Gray SR, Baker G, Wright A, Fitzsimons CF, Mutrie N, Nimmo MA. Scottish physical activity research collaboration. The effect of a 12 week walking intervention on markers of insulin resistance and systemic inflammation. Preventive Medicine. 2009; 48(1):39-44. [DOI:10.1016/j.ypmed.2008.10.013] [PMID] [DOI:10.1016/j.ypmed.2008.10.013]
18. 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. Journal of Pediatric Endocrinology and Metabolism. 2009; 22(5):409-16. [DOI:10.1515/JPEM.2009.22.5.409] [PMID] [DOI:10.1515/JPEM.2009.22.5.409]
19. Bruno E, Roveda E, Vitale J, Montaruli A, Berrino F, Villarini A, et al. Effect of aerobic exercise intervention on markers of insulin resistance in breast cancer women. European Journal of Cancer Care. 2018; 27(2):e12617. [DOI:10.1111/ecc.12617] [PMID] [DOI:10.1111/ecc.12617]
20. Lin CH, Ho CW, Chen LC, Chang CC, Wang YW, Chiou CP, et al. Effects of a 12-week exercise training on insulin sensitivity, quality of life, and depression status in patients with type 2 diabetes. Journal of Medical Sciences. 2017; 37(6):227-36. [DOI:10.4103/jmedsci.jmedsci_68_17] [DOI:10.4103/jmedsci.jmedsci_68_17]
21. Reginster JY. The prevalence and burden of arthritis. Rheumatology. 2002; 41(suppl-1):3-6. [DOI:10.1093/rheumatology/41.S1.3] [PMID] [DOI:10.1093/rheumatology/41.S1.3]
22. Felson DT. Epidemiology of hip and knee osteoarthritis. Epidemiologic Reviews. 1988; 10:1-28. [DOI:10.1093/oxfordjournals.epirev.a036019] [PMID] [DOI:10.1093/oxfordjournals.epirev.a036019]
23. Sâmpelean D, Hănescu BI, Han AN, Adam M, Casoinic F. The prognosis of glycoregulation disturbances and insulin secretion in alcoholic and C virus liver cirrhosis. Romanian Journal of Internal Medicine. 2009; 47(4):387-92. [PMID] [PMID]
24. Le S, Mao L, Lu D, Yang Y, Tan X, Wiklund P, et al. Effect of aerobic exercise on insulin resistance and central adiposity disappeared after the discontinuation of intervention in overweight women. Journal of Sport and Health Science. 2016; 5(2):166-70. [DOI:10.1016/j.jshs.2016.04.003] [PMID] [PMCID] [DOI:10.1016/j.jshs.2016.04.003]
25. Motahari-Tabari N, Shirvani MA, Shirzad-e-Ahoodashty M, Yousefi-Abdolmaleki E, Teimourzadeh M. The effect of 8 weeks aerobic exercise on insulin resistance in type 2 diabetes: A randomized clinical trial. Global Journal of Health Science. 2015; 7(1):115-21. [PMID] [PMCID]
26. Medeiros ND, de Abreu FG, Colato AS, de Lemos LS, Ramis TR, Dorneles GP, et al. Effects of concurrent training on oxidative stress and insulin resistance in obese individuals. Oxidative Medicine and Cellular Longevity. 2015; 2015:697181. [DOI:10.1155/2015/697181] [DOI:10.1155/2015/697181]
27. Eriksson J, Taimela S, Eriksson K, Parviainen S, Peltonen J, Kujala U. Resistance training in the treatment of non-insulin-dependent diabetes mellitus. International Journal of Sports Medicine. 1997; 18(4):242-6. [DOI:10.1055/s-2007-972627] [PMID] [DOI:10.1055/s-2007-972627]
28. Das AK, Leggett RE, Whitbeck C, Eagen G, Levin RM. Effect of doxazosin on rat urinary bladder function after partial outlet obstruction. Neurourology and Urodynamics-International Continence Society. 2002; 21(2):160-6. [DOI:10.1002/nau.10045] [PMID] [DOI:10.1002/nau.10045]
29. Motamedi P, Nikroo H, Hejazi K. The effects of eight-weeks aerobic training on serum leptin levels, anthropometric indices and VO2max in sedentary obese men. Journal of Ergonomics. 2017; 5(1):36-42. [DOI:10.21859/joe-05015] [DOI:10.21859/joe-05015]
30. Gelecek N, Ilçin N, Subaşi SS, Acar S, Demir N, Ormen M. The effects of resistance training on cardiovascular disease risk factors in postmenopausal women: A randomized-controlled trial. Health Care for Women International. 2012; 33(12):1072-85. [DOI:10.1080/07399332.2011.645960] [PMID] [DOI:10.1080/07399332.2011.645960]
31. Nikroo H, Nematy M, Sima HR, Attarzade HS. The effect of restricted diet with or without aerobic training program on cardio respiratory fitness and anthropometric indices in patients with non alcoholic steatohepatitis. Journal of North Khorasan University of Medical Sciences. 2011; 3(3):91-9. [DOI:10.29252/jnkums.3.3.91] [DOI:10.29252/jnkums.3.3.91]
32. Duncan GE, Perri MG, Anton SD, Limacher MC, Martin AD, Lowenthal DT, et al. Effects of exercise on emerging and traditional cardiovascular risk factors. Preventive Medicine. 2004; 39(5):894-902. [DOI:10.1016/j.ypmed.2004.03.012] [PMID] [DOI:10.1016/j.ypmed.2004.03.012]
33. Contrò V, Bianco A, Cooper J, Sacco A, Macchiarella A, Traina M, et al. Effects of different circuit training protocols on body mass, fat mass and blood parameters in overweight adults. Journal of Biological Research. 2017; 90(1). [DOI:10.4081/jbr.2017.6279] [DOI:10.4081/jbr.2017.6279]
34. Freitas A, Costa A, Pereira C, Batalha N. Effects of endurance versus strength training programs in the lipid profile of sedentary young adults. Paper presented at: Proceedings of the International Congress of the Research Center in Sports Sciences, Health Sciences & Human Development. 11-12 November 2016; Évora, Portugal.
35. Olson TP, Dengel DR, Leon AS, Schmitz KH. Changes in inflammatory biomarkers following one-year of moderate resistance training in overweight women. International Journal of Obesity. 2007; 31(6):996-1003. [DOI:10.1038/sj.ijo.0803534] [PMID] [DOI:10.1038/sj.ijo.0803534]
36. Romijn JA, Coyle EF, Sidossis LS, Rosenblatt J, Wolfe RR. Substrate metabolism during different exercise intensities in endurance-trained women. Journal of Applied Physiology. 2000; 88(5):1707-14. [DOI:10.1152/jappl.2000.88.5.1707] [PMID] [DOI:10.1152/jappl.2000.88.5.1707]
37. Wolfe RR, Klein SA, Carraro FA, Weber JM. Role of triglyceride-fatty acid cycle in controlling fat metabolism in humans during and after exercise. American Journal of Physiology-Endocrinology and Metabolism. 1990; 258(2):E382-9. [DOI:10.1152/ajpendo.1990.258.2.E382] [PMID] [DOI:10.1152/ajpendo.1990.258.2.E382]
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