نوع مقاله : مقاله پژوهشی Released under (CC BY-NC) license I Open Access I
نویسندگان
گروه تربیت بدنی، واحد رشت ، دانشگاه آزاد اسلامی ، رشت ، ایران
چکیده
هدف: به نظر می رسد که تمرین ورزشی برای بهبود سندروم متابولیک و چاقی موثر باشد، با این وجود پیشینه ی محدودی در خصوص تمرینات ریتمیک در آب و افراد یائسه وجود دارد. لذا هدف از پژوهش حاضر، تعیین اثر تمرینات ریتمیک در آب بر لپتین، آلدوسترون و فشار خون زنان یائسه چاق مبتلا به سندروم متابولیک بود.
روش شناسی : این مطالعه یک کارآزمایی بالینی بود که روی 31 زن 75-65 ساله چاق و یائسه مبتلا به سندروم متابولیک (15 نفر گروه شاهد و 16 نفر گروه تجربی) انجام شد. داوطلبین به صورت تصادفی به دو گروه شاهد و تجربی تقسیم شدند. گروه تجربی 12 هفته، سه جلسه در هفته و 60 دقیقه در هر جلسه تمرینات ریتمیک در آب را انجام دادند. متغیرهای لپتین، آلدوسترون و فشارخون قبل و پس از اتمام مداخله در هر دو گروه اندازه گیری شد. جهت تحلیل داده ها از آزمون های تی همبسته و کوواریانس در نرم افزار SPSS نسخه 21 استفاده شد.
یافته ها: 12 هفته تمرینات ریتمیک در آب موجب کاهش معنی دار لپتین (001/0 P =)، آلدوسترون (001/0 P =)، فشارخون سیستولیک (001/0 P =)، و فشار خون دیاستولیک (031/0 P=) زنان یائسه چاق مبتلا به سندروم متابولیک شد.
نتیجه گیری: به نظر می رسد تمرینات ریتمیک در آب تاثیر مطلوبی بر لپتین، آلدوسترون و فشارخون زنان یائسه چاق مبتلا به سندروم متابولیک دارد.
واژگان کلیدی: لپتین، آلدسترون، فشار خون و تمرینات ریتمیک در آب
کلیدواژهها
عنوان مقاله [English]
The effect of 12 weeks water-based rhythmic exercise training on leptin, aldosterone and blood pressure in obese postmenopausal women with metabolic syndrome
نویسندگان [English]
- Hanie Berahman
- alireza Elmiyeh
- Mohammad Reza Fadaei
Department of physical education , rasht branch , Islamic azad university , rasht, Iran
چکیده [English]
Aim: It seems that exercise training may have benefits for improving metabolic syndrome and obesity. However, there are limited documents in effect of water-based rhythmic exercise training and the menopause population. Therefore, the aim of this study was to determine the effect of water-based rhythmic exercise training on leptin, aldosterone and blood pressure in obese postmenopausal women with metabolic syndrome.
Method: This study was a clinical trial performed on 31 obese and postmenopausal women aged 65-75 years with metabolic syndrome (15 in the control group and 16 in the experimental group). The participants were randomly allocated into control and experimental groups. The experimental group performed that water-based rhythmic exercise training for 12 weeks, three sessions per week and 60 minutes per session. Leptin, aldosterone and blood pressure were measured before and after the end of the intervention period in both groups. Data were analyzed using independent t – test and Covariance by SPSS software version 16.
Results: Twelve weeks water-based rhythmic exercise training significantly reduced leptin (P = 0.001), aldosterone (P = 0.001), systolic blood pressure (P = 0.001) and diastolic blood pressure (P = 0.031) in obese postmenopausal women with metabolic syndrome.
Conclusion: It seems that water-based rhythmic exercise training have a positive effect on leptin, aldosterone and blood pressure on Obese postmenopausal women with metabolic syndrome.
Keywords: leptin, aldosterone, blood pressure and water-based rhythmic exercise training.
کلیدواژهها [English]
- leptin
- aldosterone
- blood pressure and water-based rhythmic exercise training
- Lobo RA, Davis SR, De Villiers TJ, Gompel A, Henderson VW, Hodis HN, et al. Prevention of diseases after menopause. Climacteric : the journal of the International Menopause Society. 2014;17(5):540-56.
- Min SH, Kim S-H, Jeong I-K, Cho HC, Jeong J-O, Lee J-H, et al. Independent association of serum aldosterone level with metabolic syndrome and insulin resistance in Korean adults. Korean circulation journal. 2018;48(3):198-208.
- Derby CA, Crawford SL, Pasternak RC, Sowers M, Sternfeld B, Matthews KA. Lipid changes during the menopause transition in relation to age and weight: the Study of Women's Health Across the Nation. American journal of epidemiology. 2009;169(11):1352-61.
- Stachowiak G, Pertynski T, Pertynska-Marczewska M. Metabolic disorders in menopause. Przeglad menopauzalny = Menopause review. 2015;14(1):59-64.
- Golbidi S, Mesdaghinia A, Laher I. Exercise in the metabolic syndrome. Oxidative medicine and cellular longevity. 2012;2012.
- Faulkner JL, Bruder-Nascimento T, de Chantemèle EJB. The regulation of aldosterone secretion by leptin: implications in obesity-related cardiovascular disease. Current opinion in nephrology and hypertension. 2018;27(2):63.
- Silva MAB, Cau SBA, Lopes RAM, Manzato CP, Neves KB, Bruder-Nascimento T, et al. Mineralocorticoid receptor blockade prevents vascular remodelling in a rodent model of type 2 diabetes mellitus. Clinical Science. 2015;129(7):533-45.
- Kidambi S, Kotchen JM, Grim CE, Raff H, Mao J, Singh RJ, et al. Association of adrenal steroids with hypertension and the metabolic syndrome in blacks. Hypertension. 2007;49(3):704-11.
- Lawes CM, Vander Hoorn S, Rodgers A. Global burden of blood-pressure-related disease, 2001. Lancet (London, England). 2008;371(9623):1513-8.
- Ingle L, Mellis M, Brodie D, Sandercock GR. Associations between cardiorespiratory fitness and the metabolic syndrome in British men. Heart. 2017;103(7):524-8.
- Lin X, Zhang X, Guo J, Roberts CK, McKenzie S, Wu WC, et al. Effects of exercise training on cardiorespiratory fitness and biomarkers of cardiometabolic health: a systematic review and meta‐analysis of randomized controlled trials. Journal of the American Heart Association. 2015;4(7):e002014.
- Hordern MD, Dunstan DW, Prins JB, Baker MK, Singh MAF, Coombes JS. Exercise prescription for patients with type 2 diabetes and pre-diabetes: a position statement from Exercise and Sport Science Australia. Journal of Science and Medicine in Sport. 2012;15(1):25-31.
- Ekblom Ö, Ekblom-Bak E, Rosengren A, Hallsten M, Bergström G, Börjesson M. Cardiorespiratory fitness, sedentary behaviour and physical activity are independently associated with the metabolic syndrome, results from the SCAPIS pilot study. PloS one. 2015;10(6):e0131586.
- Katzmarzyk PT. Physical activity, sedentary behavior, and health: paradigm paralysis or paradigm shift? Diabetes. 2010;59(11):2717-25.
- Rezaeimanesh D, Farsani PA. The effect of an 8-week selected aquatic aerobic training period on plasma Leptin and insulin resistance in men with type 2 diabetes. Journal of Advanced Pharmacy Education & Research| Apr-Jun. 2019;9(S2).
- Goessler K, Polito M, Cornelissen VA. Effect of exercise training on the renin–angiotensin–aldosterone system in healthy individuals: a systematic review and meta-analysis. Hypertension Research. 2016;39(3):119.
- Braith RW, Welsch MA, Feigenbaum MS, Kluess HA, Pepine CJ. Neuroendocrine activation in heart failure is modified by endurance exercise training. Journal of the American College of Cardiology. 1999;34(4):1170-5.
- Collier S, Sandberg K, Moody A, Frechette V, Curry C, Ji H, et al. Reduction of plasma aldosterone and arterial stiffness in obese pre-and stage1 hypertensive subjects after aerobic exercise. Journal of human hypertension. 2015;29(1):53.
- Carroll JF, Convertino VA, Wood CE, Graves JE, Lowenthal DT, Pollock ML. Effect of training on blood volume and plasma hormone concentrations in the elderly. Medicine and science in sports and exercise. 1995;27(1):79-84.
- Kesireddy V, Tan Y, Kline D, Brock G, Odei JB, Kluwe B, et al. The Association of Life’s Simple 7 with Aldosterone among African Americans in the Jackson Heart Study. Nutrients. 2019;11(5):955.
- Shari M, Yusof SM, Johar M, Kek TL, Idris NM, Hussain RNJR. 12-weeks of Aqua Zumba Fitness® and metabolic syndrome in obese women. Malaysian Journal of Movement, Health & Exercise. 2018;7(2).
- Martínez PYO, López JAH, Diaz DP, Trujillo DAZ, Teixeira AM. Effects of three months of water-based exercise training on metabolic syndrome components in older women. Retos: nuevas tendencias en educación física, deporte y recreación. 2019(35):181-4.
- Nakhaei H, Mogharnasi M, Fanaei H. Effect of swimming training on levels of asprosin, lipid profile, glucose and insulin resistance in rats with metabolic syndrome. Obesity Medicine. 2019:100111.
- Ubago-Guisado E, Gallardo L. Effects of Zumba® and Aquagym on Bone Mass in Inactive Middle-Aged Women. Medicina. 2019;55(1):23.
- Johnson K. Benefits of Water Exercise for Cardiac Patients: Considerations and Recommendations. 2017.
- Shiraishi M, Schou M, Gybel M, Christensen NJ, Norsk P. Comparison of acute cardiovascular responses to water immersion and head-down tilt in humans. Journal of Applied Physiology. 2002;92(1):264-8.
- Rezai N, abedi b, Fatolahi H. Effect of Eight Weeks of Aerobic Aquatic and Land Exercise Training on Leptin, Resistin, and Insulin Resistance in Obese Women. Pejouhesh dar Pezeshki (Research in Medicine). 2019;43(2):83-9.
- Hayase H, Nomura S, Abe T, Izawa T. Relation between fat distributions and several plasma adipocytokines after exercise training in premenopausal and postmenopausal women. Journal of physiological anthropology and applied human science. 2002;21(2):105-13.
- Khosravi N, Eskandari Z, Farajivafa V, Hanson ED, Agha-alinejad H, Abdollah-pour A, et al. Effect of 6 months of aerobic training on adipokines as breast cancer risk factors in postmenopausal women: A randomized controlled trial. Journal of cancer research and therapeutics. 2018;14(6):1336.
- Carter RA, McCutcheon LJ, Valle E, Meilahn EN, Geor RJ. Effects of exercise training on adiposity, insulin sensitivity, and plasma hormone and lipid concentrations in overweight or obese, insulin-resistant horses. American journal of veterinary research. 2010;71(3):314-21.
- Sari R, Balci MK, Balci N, Karayalcin U. Acute effect of exercise on plasma leptin level and insulin resistance in obese women with stable caloric intake. Endocrine research. 2007;32(1-2):9-17.
- Rodrigues KCdC, Pereira RM, Campos TDPd, Moura RFd, Silva ASRd, Cintra DE, et al. The Role of Physical Exercise to Improve the Browning of White Adipose Tissue via POMC Neurons. Frontiers in Cellular Neuroscience. 2018;12(88).
- Jones JM, Dowling TC, Park JJ, Phares DA, Park JY, Obisesan TO, et al. Differential aerobic exercise‐induced changes in plasma aldosterone between African Americans and Caucasians. Experimental physiology. 2007;92(5):871-9.
- de Barros Cruz LG, Bocchi EA, Grassi G, Guimaraes GV. Neurohumoral and endothelial responses to heated water-based exercise in resistant hypertensive Patients. Circulation Journal. 2017;81(3):339-45.
- Wong A, Kwak Y-S, Scott SD, Pekas EJ, Son W-M, Kim J-S, et al. The effects of swimming training on arterial function, muscular strength, and cardiorespiratory capacity in postmenopausal women with stage 2 hypertension. Menopause. 2019;26(6):653-8.
- Epstein M. Renal, endocrine, and hemodynamic effects of water immersion in humans. Comprehensive Physiology. 2010:845-53.
- Júnior F, Gomes SG, da Silva FF, Souza PM, Oliveira EC, Coelho DB, et al. The effects of aquatic and land exercise on resting blood pressure and post-exercise hypotension response in elderly hypertensives. Cardiovascular journal of Africa. 2019;30:1-7.