| تعداد نشریات | 32 |
| تعداد شمارهها | 591 |
| تعداد مقالات | 5,779 |
| تعداد مشاهده مقاله | 8,660,788 |
| تعداد دریافت فایل اصل مقاله | 6,342,643 |
اثر تمرین هوازی بر سطح سرمی ریلاکسین، شدت درد کمر و عملکرد عضلات تنه زنان باردار | ||
| پژوهشنامه فیزیولوژی ورزشی کاربردی | ||
| مقاله 1، دوره 21، شماره 42، آذر 1404، صفحه 15-29 اصل مقاله (493 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22080/jaep.2026.30384.2236 | ||
| نویسندگان | ||
| طاهره صمدی1؛ مهتاب معظمی* 2؛ مریم کریمی3؛ اعظم ملانوروزی4؛ میترا خادم الشریعه4 | ||
| 1کارشناس ارشد فیزیولوژی ورزشی، مدیریت درمان تامین اجتماعی خراسان شمالی، بیمارستان ثامن الائمه، بجنورد، ایران. | ||
| 2دانشیار گروه فیزیولوژی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه فردوسی مشهد، مشهد، ایران. | ||
| 3گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، دانشگاه کوثر بجنورد، بجنورد، ایران. | ||
| 4استادیار گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، دانشگاه کوثر بجنورد، بجنورد، ایران. | ||
| تاریخ دریافت: 06 آبان 1404، تاریخ بازنگری: 26 آذر 1404، تاریخ پذیرش: 07 بهمن 1404 | ||
| چکیده | ||
| اهداف: هدف این مطالعه بررسی تأثیر هشت هفته تمرین هوازی با شدت متوسط بر سطح سرمی هورمون ریلاکسین، شدت کمردرد، استقامت عضلات شکمی و قدرت عضلات اکستنسور پشت در زنان باردار کمخطر بود. روش مطالعه: به این منظور، از میان خانمهای باردار با حاملگی اول و دوم، ۲۹ نفر بهعنوان نمونه در دسترس انتخاب شدند و پس از انصراف ۴ نفر در مراحل اولیه (قبل از پیشآزمون و شروع مداخله)، در نهایت ۲۴ نفر مطالعه را به پایان رساندند که بهصورت تصادفی به گروه تجربی ( 13 نفر) و کنترل (11نفر) تقسیم شدند. برنامه تمرینی هوازی با شدت 40 % تا 75% حداکثر ضربان قلب به مدت هشت هفته انجام شد. 24 ساعت قبل از شروع اولین جلسه تمرین و 48 ساعت پس از انجام آخرین جلسه تمرین، اندازهگیریهای لازم و نمونهگیری خونی، به عمل آمد. برای مقایسه میانگین دادهها از آزمون آنوا با اندازهگیری مکرر و آزمونهای ناپارامتریک ویلکاکسون و یومن ویتنی استفاده گردید. یافته ها: هشت هفته تمرینات هوازی سبب افزایش معنادار هورمون ریلاکسین (001/0= P) و استقامت عضلانی (001/0 = P) در گروه تجربی شد، اما تغییر معناداری را در شاخص درد کمر و قدرت عضلات پشت ایجاد نکرد. شدت کمردرد در گروه تمرین تغییر معنیداری نداشت اما در گروه کنترل بهطور معنیداری تشدید شد (۰۱۳/0= P). نتیجهگیری: تمرین هوازی منظم و نظارتشده میتواند بهعنوان راهکاری ایمن برای افزایش ریلاکسین سرمی، بهبود استقامت عضلات شکمی و پیشگیری از تشدید کمردرد در دوران بارداری توصیه شود، اما برای کاهش قابلتوجه کمردرد لازم است با تمرینات تقویتی اختصاصی عضلات تنه و پشت ترکیب گردد. | ||
| کلیدواژهها | ||
| تمرین هوازی؛ ریلاکسین؛ کمردرد بارداری؛ استقامت عضلات شکمی؛ بارداری | ||
| عنوان مقاله [English] | ||
| Effect of Moderate-Intensity Aerobic Training on Serum Relaxin Levels, Low Back Pain Intensity, and Core Muscle Performance in Low-Risk Pregnant Women | ||
| نویسندگان [English] | ||
| Tahere Samadi1؛ Mahtab Moazzami2؛ Maryam Karimi3؛ Azam Mollanovruzi4؛ Mitra Khademsharie4 | ||
| 1North Khorasan Social Security Treatment Management, Samen Aeme Hospital, Bojnord, Iran. | ||
| 2Department of Exercise Physiology, Faculty of Sport Sciences, Ferdowsi University of Mashhad, Mashhad, Iran. | ||
| 3Department of Sport Sciences, Faculty of Humanities, Kosar University of Bojnord, Bojnord, Iran. | ||
| 4Department of Sport Sciences, Faculty of Humanities, Kosar University of Bojnord, Bojnord, Iran | ||
| چکیده [English] | ||
| Objectives: The aim of this study was to investigate the effect of eight weeks of moderate-intensity aerobic training on serum relaxin hormone levels, low back pain intensity, abdominal muscle endurance, and back muscle strength in low-risk pregnant women. Methods: 29 pregnant women with first or second pregnancy were selected as an available sample. After the withdrawal of 4 participants in the early stages (before the pre-test and the start of the intervention), finally 24 participants completed the study and were randomly divided into experimental (n=13) and control (n=11) groups. The aerobic training program was performed at 40% to 75% of maximum heart rate for eight weeks. Necessary measurements and blood tests were conducted 24 hours before the start of the first training session and 48 hours after the last training session. Repeated-measures ANOVA as well as non-parametric Wilcoxon and Mann-Whitney U tests were used to compare the mean data Results: Exercise training caused a significant increase in relaxin hormone (P = 0.001) and muscle endurance (P = 0.001) in the experimental group, but did not produce a significant change in low back pain index or back muscle strength. Low back pain intensity showed no significant change in the exercise group but significantly worsened in the control group (P = 0.013). Conclusion: Regular aerobic training can be recommended as a safe strategy to increase serum relaxin, improve abdominal muscle endurance, and prevent the exacerbation of low back pain during pregnancy; however, to achieve a significant reduction in low back pain, it should be combined with specific strengthening exercises for the trunk and back muscles. | ||
| کلیدواژهها [English] | ||
| Aerobic Training, Relaxin, Pregnancy Low Back Pain, Abdominal Muscle Endurance, Pregnancy | ||
| مراجع | ||
|
##Atkinson, C., Lampe, J. W., Tworoger, S. S., Ulrich, C. M., Bowen, D., Irwin, M. L., Schwartz, R. S., Rajan, B. K., Yasui, Y., & Potter, J. D. (2004). Effects of a moderate intensity exercise intervention on estrogen metabolism in postmenopausal women. Cancer Epidemiology Biomarkers & Prevention, 13(5), 868-874. ##Berger, G. K., Rockov, Z. A., Byrne, C., Trentacosta, N. E., & Stone, M. A. (2023). The role of relaxin in anterior cruciate ligament injuries: a systematic review. European Journal of Orthopaedic Surgery & Traumatology, 1-8. ##Chan, C. W., Au Yeung, E., & Law, B. M. (2019). Effectiveness of physical activity interventions on pregnancy-related outcomes among pregnant women: a systematic review. International Journal of Environmental Research and Public Health, 16(10), 1840. ##Conder, R., Zamani, R., & Akrami, M. (2019). The biomechanics of pregnancy: A systematic review. Journal of Functional Morphology and Kinesiology, 4(4), 72. ##Davenport, M. H., Marchand, A.-A., Mottola, M. F., Poitras, V. J., Gray, C. E., Garcia, A. J., Barrowman, N., Sobierajski, F., James, M., & Meah, V. L. (2019). Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis. British Journal of Sports Medicine, 53(2), 90-98. ##Dehghan, F., Haerian, B., Muniandy, S., Yusof, A., Dragoo, J., & Salleh, N. (2014). The effect of relaxin on the musculoskeletal system. Scandinavian journal of medicine & science in sports, 24(4), e220-e229. ##Dumas, G., Reid, J., Wolfe, L., Griffin, M., & McGrath, M. (1995). Exercise, posture, and back pain during pregnancy: Part 1. Exercise and posture. Clinical Biomechanics, 10(2), 98-103. ##Elloumi, M., El Elj, N., Zaouali, M., Maso, F., Filaire, E., Tabka, Z., & Lac, G. (2005). IGFBP-3, a sensitive marker of physical training and overtraining. British journal of sports medicine, 39(9), 604-610. ##Ferreira, C. W. S., & Alburquerque-Sendı´ n, F. (2013). Effectiveness of physical therapy for pregnancy-related low back and/or pelvic pain after delivery: a systematic review. Physiotherapy theory and practice, 29(6), 419-431. ##Foxcroft¹, K. F., Rowlands, I. J., Byrne, N. M., McIntyre, H. D., Callaway, L. K., & au, B. g. k. f. h. q. g. (2011). Exercise in obese pregnant women: the role of social factors, lifestyle and pregnancy symptoms. BMC pregnancy and childbirth, 11, 1-7. ##Fukano, M., Tsukahara, Y., Takei, S., Nose-Ogura, S., Fujii, T., & Torii, S. (2021). Recovery of abdominal muscle thickness and contractile function in women after childbirth. International Journal of Environmental Research and Public Health, 18(4), 2130. ##Garshasbi, A., & Faghih Zadeh, S. (2005). The effect of exercise on the intensity of low back pain in pregnant women. International Journal of Gynecology & Obstetrics, 88(3), 271-275. ##Garshasbi A, Faghihzadeh S. Investigating the effect of exercise on back pain severity and spine kinematics in pregnant women. Daneshvar medicine 2010;17(3):45-50. (Persian) ##Goldsmith, L. T., & Weiss, G. (2009 .( Relaxin in human pregnancy. Annals of the New York Academy of Sciences, 1160(1), 130-135. ##Gutke, A., Östgaard, H. C., & Öberg, B. (2006). Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine, 31(5), E149-E155. ##Hall Carrie, M., & Thein Brody, L. (2005). Therapeutic exercise, Moving toward Function. A Wolters Kluwer Company Lippincott Williams & Wilkim, 31, 255-263. ##Hall, J. M., Couse, J. F., & Korach, K. S. (2001). The multifaceted mechanisms of estradiol and estrogen receptor signaling. Journal of biological chemistry, 276(40), 36869-36872. ##Heringlake, M., Kox, T., Poeling, J., Klaus, S., Hanke, T., Franz, N., Eberhardt, F., Heinze, H., Armbruster, F., & Bahlmann, L. (2009). The effects of physical exercise on plasma levels of relaxin, NTproANP, and NTproBNP in patients with ischemic heart disease. European journal of medical research, 14(3), 106-112. ##Hu, X., Ma, M., Zhao, X., Sun, W., Liu, Y., Zheng, Z., & Xu, L. (2020). Effects of exercise therapy for pregnancy-related low back pain and pelvic pain: A protocol for systematic review and meta-analysis. Medicine, 99 (3.( ##Hyun, A. H., Cho, J. Y., & Koo, J. H. (2022). Effect of Home-Based Tele-Pilates Intervention on Pregnant Women: A Pilot Study. Healthcare, ##Khaledan A, Mirdar Sh, Tabari M, Shirvani A, et al. The effect of a special aerobic exercise course on the fetal growth of pregnant women. Hayat 2010;16(1):55-64. (Persian) ##Kluge, J., Hall, D., Louw, Q., Theron, G., & Grové, D. (2011). Specific exercises to treat pregnancy-related low back pain in a South African population. International Journal of Gynecology & Obstetrics, 113(3), 187-191. ##Kotrlik, J., & Higgins, C. (2001). Organizational research: Determining appropriate sample size in survey research appropriate sample size in survey research. Information technology, learning, and performance journal, 19(1), 43. ##Kraemer, R., Durand, R., Acevedo, E., Johnson, L., Kraemer, G., Hebert, E., & Castracane, V. (2004). Rigorous running increases growth hormone and insulin-like growth factor-I without altering ghrelin. Experimental Biology and Medicine, 229(3), 240-246. ##Krüger, S., Graf, J., Merx, M. W., Stickel, T., Kunz, D., Hanrath, P., & Janssens, U. (2004). Relaxin kinetics during dynamic exercise in patients with chronic heart failure. European journal of internal medicine, 15(1), 54-56. ##Kubler, J. M., Clifton, V. L., Moholdt, T., & Beetham, K. S. (2022). The effects of exercise during pregnancy on placental composition: a systematic review and meta-analysis. Placenta, 117, 39-46. ##Li, H., Li, S.-L., Wu, Z.-H., Gong, L., Wang, J.-L., & Li, Y.-Z. (2009). Effect of traditional Chinese herbal Bu-Wang-San on synaptic plasticity in ovariectomised rats. Journal of Pharmacy and Pharmacology, 61(1), 95-101. ##Manyozo, S. (2019). Low back pain during pregnancy: Prevalence, risk factors and association with daily activities among pregnant women in urban Blantyre, Malawi. Malawi Medical Journal, 31(1), 71-76. ##Miquelutti, M. A., Cecatti, J. G., & Makuch, M. Y. (2013). Evaluation of a birth preparation program on lumbopelvic pain, urinary incontinence, anxiety and exercise: a randomized controlled trial. BMC pregnancy and childbirth, 13(1), 1-9. ##Mir, A., Azarbayjani, M. A., Matin Homaei, H., & Fanaei, H. (2019). The effect of different intensity of resistsnce and aerobic exercises on serum relaxin levels in ovariectomized rats. Journal of Practical Studies of Biosciences in Sport, 7(14), 45-55. ##Moreau, C. E., Green, B. N., Johnson, C. D., & Moreau, S. R. (2001). Isometric back extension endurance tests: a review of the literature. Journal of manipulative and physiological therapeutics, 24(2), 110-122. ##Oktaviani, I. (2018). Pilates workouts can reduce pain in pregnant women. Complementary therapies in clinical practice, 31, 349-351. ##Owe, K. M., Nystad, W., & Bø, K. (2009). Correlates of regular exercise during pregnancy: the Norwegian Mother and Child Cohort Study. Scandinavian journal of medicine & science in sports, 19(5), 637-645. ##Peolsson, A., Ludvigsson, M. L., Wibault, J., Dedering, Å., & Peterson, G. (2014). Function in patients with cervical radiculopathy or chronic whiplash-associated disorders compared with healthy volunteers. Journal of manipulative and physiological therapeutics, 37(4), 211-218. ##Peterson, C. D., Haas, M., & Gregory, W. T. (2012). A pilot randomized controlled trial comparing the efficacy of exercise, spinal manipulation, and neuro emotional technique for the treatment of pregnancy-related low back pain. Chiropractic & Manual Therapies, 20, 1-13. ##Petrenko, A. P., Castelo-Branco, C., Marshalov, D. V., Kuligin, A. V., Mysovskaya, Y. S., Shifman, E. M., & Abdulaev, A. M. R. (2021). Physiology of intra‐abdominal volume during pregnancy. Journal of Obstetrics and Gynaecology, 41(7), 1016-1022. ##Prudencio, C. B., Nunes, S. K., Pinheiro, F. A., Filho, C. I. S., Antonio, F. I., de Aquino Nava, G. T., Rudge, M. V. C., & Barbosa, A. M. P. (2022). Relaxin-2 during pregnancy according to glycemia, continence status, and pelvic floor muscle function. International Urogynecology Journal, 33(11), 3203-3211. ##Rezvani M, Royai A. The effect of eight weeks of resistance training and low-calorie diet on body composition, relaxin and serum lipid profiles of postmenopausal women. Physiology of exercise and physical activity 2017;18(10):99-106. (Persian). ##Riebe, D., Ehrman, J. K., Liguori, G., & Magal, M. (2018). ACSM’s guidelines for exercise testing and prescription. American College of Sports Medicine. ##Sabino, J., & Grauer, J. N. (2008). Pregnancy and low back pain. Current reviews in musculoskeletal medicine, 1, 137-141. ##Saccomanni, B. (2011). Low back pain associated with pregnancy: a review of literature. European Orthopaedics and Traumatology, 1, 169-174. ##Schoenfeld, J., Haller, B., Weichenberger, M., Lorenz, E. S., Grabs, V., Halle, M., & Scherr, J. (2020). Prolonged and strenuous exercise does not influence serum relaxin levels in healthy male athletes. European journal of preventive cardiology, 27(19), 2351-2353. ##Sedaghati P, Agha Alinejad H, Arjmand A. Investigating the effect of a course of aerobic exercise on pregnancy outcome. Olympic 2006;34(14):63-72 ( Persian). ##Shen, W.-C., & Chen, C.-H. (2021). Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trial. Complementary Therapies in Medicine, 57, 102671. ##Sonaglia, F., Milia, P., Caserio, M., Bigazzi, B., & Bigazzi, B. (2013). Efficacy and safety of oral porcine relaxin (pRLX) in adjunct to physical exercise in the treatment of peripheral arterial disease (PAD). Efficacy and safety of oral porcine relaxin (pRLX) in adjunct to physical exercise in the treatment of peripheral arterial disease (PAD), 84-91. ##Sonmezer, E., Özköslü, M. A., & Yosmaoğlu, H. B. (2021). The effects of clinical pilates exercises on functional disability, pain, quality of life and lumbopelvic stabilization in pregnant women with low back pain: A randomized controlled study. Journal of back and musculoskeletal rehabilitation, 34(1), 69-76. ##Susanti, N. Y., & Madhav, N. (2022). Exercise for Pregnancy and Pregnant Women Back Pain. STRADA Jurnal Ilmiah Kesehatan, 11(1), 15-19. ##Xue, X., Yang, X., Deng, Z., Chen, Y., Mao, X., Tu, H., Zhou, L., Li, N., Sun, J., & He, Y. (2022). Effect of Kinesio taping on Pregnancy-related low back pain: A protocol for systematic review and meta-analysis. Plos one, 17(1), e0261766. ##Yan, C.-F., Hung, Y.-C., Gau, M.-L., & Lin, K.-C. (2014). Effects of a stability ball exercise programme on low back pain and daily life interference during pregnancy. Midwifery, 30 (4), 412-419. ##Yousefabadi, S. R., Sarani, A., Arbabshastan, M. E., Adineh, H. A., & Shahnavazi, M. (2019). The effect of exercise on back pain and lordosis in the second trimester of pregnancy. Drug Invention Today, 11 (9) ## | ||
|
آمار تعداد مشاهده مقاله: 186 تعداد دریافت فایل اصل مقاله: 96 |
||