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تأثیر تمرینات هوازی بر سیستم اتونوم قلبی در مردان میانسال مبتلا به دیابت نوع دوم: مطالعه فراتحلیلی | ||
پژوهشنامه فیزیولوژی ورزشی کاربردی | ||
مقاله 9، دوره 16، شماره 31، شهریور 1399، صفحه 127-143 اصل مقاله (1.06 M) | ||
نوع مقاله: مقاله مروری | ||
شناسه دیجیتال (DOI): 10.22080/jaep.2020.18260.1934 | ||
نویسندگان | ||
عسگر ایران پور* 1؛ بهلول قربانیان2؛ سمیه آذریان سوسهاب3 | ||
1دانش آموخته دکتری فیزیولوژی ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران | ||
2دانشیار فیزیولوژی ورزشی، گروه علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران | ||
3دانش آموخته کارشناسی ارشد فیزیولوژی ورزشی، گروه علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران | ||
تاریخ دریافت: 20 بهمن 1398، تاریخ بازنگری: 28 اسفند 1398، تاریخ پذیرش: 09 تیر 1399 | ||
چکیده | ||
سابقه و هدف: اختلال عملکرد سیستم اتونوم قلبی در افراد مبتلا به دیابت نوع دوم در صورت عدم کنترل میتواند منجر به نوروپاتی دیابتی گردد. هدف از این پژوهش، مطالعه و بررسی فراتحلیلی تأثیر تمرینات هوازی بر سیستم اتونوم قلبی در مردان میانسال مبتلا به دیابت نوع دوم بود. مواد و روشها: با جستجو در پایگاههای علمی Pubmed، Web of Science، ScienceDirect و Magiran تعداد 256 مقاله مرتبط در این زمینه انتخاب گردیدند. در نهایت با مدنظر قرار دادن معیارهای ورود به پژوهش تعداد 11 مقاله جهت بررسی و تجزیه و تحلیل بعد از اعتبارسنجی با استفاده از مقیاس PEDro انتخاب شدند. جهت استخراج داده از هر مقاله از روش PICOS استفاده شد. سپس با استفاده از نرمافزار فراتحلیلی Comprehensive Meta Analysis V3.exe و با استفاده از روش مقایسه گروهی در مطالعات با مدلهای اثرات تصادفی و ثابت اندازه اثر هریک از مطالعات مورد تحلیل قرار گرفت. یافتهها: شرکت منظم در برنامههای تمرینات هوازی در مردان میانسال مبتلا به دیابت نوع دوم سبب اثرات معنیدار بر شاخص زمان محور SDNN (004/0=p ؛ اندازه تاثیر = 33/0) و شاخص فرکانس محور HF (017/0=p ؛ اندازه تاثیر = 23/0) میگردد. همچنین این تمرینات با وجود تغییرات مشهودی در شاخصهای زمان محور rMSSD (069/0=p ؛ اندازه تاثیر = 50/0) و فرکانس محور LF (184/0=p ؛ اندازه تاثیر = 47/0) تاثیر معنیداری را نشان نداد. نتیجهگیری: شرکت منظم در فعالیت ورزشی هوازی با شدت متوسط در مردان میانسال مبتلا به دیابت نوع دوم میتواند تا حدودی از اثرات این بیماری بر عملکرد سیستم اتونوم قلبی جلوگیری به عمل آورد. لذا به بیماران دیابتی مرد میانسال توصیه میگردد، شرکت در فعالیت ورزشی را به عنوان یکی از مداخلات درمانی خود مدنظر قرار دهند. | ||
کلیدواژهها | ||
دیابت نوع دوم؛ سیستم اتونوم قلبی؛ تغییرپذیری ضربان قلب؛ فعالیت ورزشی هوازی؛ مردان میانسال | ||
عنوان مقاله [English] | ||
The Effect of Aerobic Exercise on Cardiac Autonomic System in Middle-Aged Men with Type 2 Diabetes: A Meta-Analysis Study | ||
نویسندگان [English] | ||
Asghar Iranpour1؛ Bahloul Gorbanian2؛ Somaye Azarian3 | ||
1Department of Physical Education and Sports Sciences, Faculty of Educational Sciences, Mohaghegh Ardabili University, Ardabil, Iran | ||
2Department of Exercise Physiology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran | ||
3Department of Exercise Physiology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran | ||
چکیده [English] | ||
Background and Purpose: Cardiac autonomic system dysfunction in type 2 diabetic patients can lead to diabetic neuropathy. The purpose of this study was to investigate the meta-analysis of the effect of aerobic exercise on cardiac autonomic system in middle-aged men with type 2 diabetes. Methodology: A total of 256 related articles were selected by searching in the Pubmed, Web of Science, ScienceDirect and Magiran databases. Finally, considering the inclusion criteria, 11 articles were selected for evaluation and analysis after validation using PEDro scale. PICOS method was used to extract data from each article. Then, they were analyzed using Comprehensive Meta Analysis V3.exe software with group comparisons method and random and fixed effects size models of each study. Results: Regular participation in aerobic training programs in middle-aged men with type 2 diabetes had significant effects on SDNN as time domain index (p = 0.004; effect size = 0.33) and HF as frequency domain index (P = 0.017; effect size = 0.23). Also, these exercises had an insignificant effect on the rMSSD as time domain index (p = 0.096; effect size = 0.50) and LF as frequency domain index (p = 0.184; effect size = 0.47). Conclusion: Regular participation in moderate intensity aerobic exercise in middle-aged men with type 2 diabetes can partially prevent the effects of this disease on cardiac autonomic system function. Therefore, it is recommended for middle-aged diabetic patients to consider exercise as one of their therapeutic modalities. | ||
کلیدواژهها [English] | ||
Type 2 Diabetes, Cardiac Autonomic System, Heart Rate Variability, Aerobic Exercise, Middle-Aged Men | ||
مراجع | ||
##Väätäinen S, Keinänen-Kiukaanniemi S, Saramies J, Uusitalo H, Tuomilehto J, Martikainen J. Quality of life along the diabetes continuum: a cross-sectional view of health-related quality of life and general health status in middle-aged and older Finns. Quality of Life Research. 2014 Sep 1; 23(7):1935-44.##Yu Y, Feng L, Shao Y, Tu P, Wu HP, Ding X, Xiao WH. Quality of life and emotional change for middle-aged and elderly patients with diabetic retinopathy. International journal of ophthalmology. 2013; 6(1):71.##Lee WJ, Song KH, Noh JH, Choi YJ, Jo MW. Health-related quality of life using the EuroQol 5D questionnaire in Korean patients with type 2 diabetes. Journal of Korean medical science. 2012 Mar 1; 27(3):255-60.##Benichou T, Pereira B, Mermillod M, Tauveron I, Pfabigan D, Maqdasy S, Dutheil F. Heart rate variability in type 2 diabetes mellitus: A systematic review and meta–analysis. PLoS One. 2018 Apr 2; 13(4):e0195166.##Arroyo-Carmona RE, López-Serrano AL, Albarado-Ibañez A, Mendoza-Lucero FM, Medel-Cajica D, López-Mayorga RM, Torres-Jácome J. Heart rate variability as early biomarker for the evaluation of diabetes mellitus progress. Journal of diabetes research. 2016; 2016.##Tsai MW, Chie WC, Kuo TB, Chen MF, Liu JP, Chen TH, Wu YT. Effects of exercise training on heart rate variability after coronary angioplasty. Physical therapy. 2006 May 1; 86(5):626-35.##Ciccacci C, Latini A, Greco C, Politi C, D'Amato C, Lauro D, Novelli G, Borgiani P, Spallone V. Association between a MIR499A polymorphism and diabetic neuropathy in type 2 diabetes. Journal of Diabetes and its Complications. 2018 Jan 1;32(1):11-7.##Tracy JA, Dyck PJ. The spectrum of diabetic neuropathies. Physical medicine and rehabilitation clinics of North America. 2008 Feb 1;19(1):1-26.##Udupa K, Sathyaprabha TN, Thirthalli J, Kishore KR, Lavekar GS, Raju TR, Gangadhar BN. Alteration of cardiac autonomic functions in patients with major depression: a study using heart rate variability measures. Journal of affective disorders. 2007 Jun 1; 100(1-3):137-41.##Yildirir A, Kabakci G, Akgul E, Tokgozoglu L, Oto A. Effects of menstrual cycle on cardiac autonomic innervation as assessed by heart rate variability. Annals of noninvasive electrocardiology. 2001 Jan;7(1):60-3.##Thayer JF, Yamamoto SS, Brosschot JF. The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. International journal of cardiology. 2010 May 28;141(2):122-31.##May LE, Glaros A, Yeh HW, Clapp III JF, Gustafson KM. Aerobic exercise during pregnancy influences fetal cardiac autonomic control of heart rate and heart rate variability. Early human development. 2010 Apr 1;86(4):213-7.##Xhyheri B, Manfrini O, Mazzolini M, Pizzi C, Bugiardini R. Heart rate variability today. Progress in cardiovascular diseases. 2012 Nov 1;55(3):321-31.##Sessa F, Anna V, Messina G, Cibelli G, Monda V, Marsala G, Ruberto M, Biondi A, Cascio O, Bertozzi G, Pisanelli D. Heart rate variability as predictive factor for sudden cardiac death. Aging (Albany NY). 2018 Feb;10(2):166.##Iranpour A, Vahedie Namin S, Bolboli LA. The Effects Of Land, Normal Water, And Warm Water Aerobic Exercises On Heart Rate Variability In Recovery Period In Healthy Young Men. The Journal of Urmia University of Medical Sciences. 2018;29(5):349-61.##Flouris A.D, Bravi A, Wright-Beatty H, Green G, Seely A, Kenny G. Heart rate variability during exertional heat stress: Effects of heat production and treatment. European Journal of Applied Physiology. 2014; 114(4):785-792.##Bolboli L, Iranpour A. Effect of aerobic exercise on cardiovascular nervous system using geometric method Poincare plot. Journal of Applied erxrcise Physiology, 2018; 15 (30): 9-10. doi: 10.22080 / jaep.2019.15941.1861.##Howorka K, Pumprla J, Haber P, Koller-Strametz J, Mondrzyk J, Schabmann A. Effects of physical training on heart rate variability in diabetic patients with various degrees of cardiovascular autonomic neuropathy. Cardiovascular research. 1997 Apr 1;34(1):206-14.##Parpa KM, Michaelides MA, Brown BS. Effect of High Intensity Interval Training on Heart Rate Variability in Individuals with Type 2 Diabetes. Journal of Exercise Physiology Online. 2009 Aug 1;12.(4).##Elkins MR, Moseley AM, Sherrington C, Herbert RD, Maher CG. Growth in the Physiotherapy Evidence Database (PEDro) and use of the PEDro scale.##Bertani M, Lasalvia A, Bonetto C, Tosato S, Cristofalo D, Bissoli S, De Santi K, Mazzoncini R, Lazzarotto L, Santi M, Sale A. The influence of gender on clinical and social characteristics of patients at psychosis onset: a report from the Psychosis Incident Cohort Outcome Study (PICOS). Psychological medicine. 2012 Apr;42(4):769-80.##Jørgensen NB, Jacobsen SH, Dirksen C, Bojsen-Møller KN, Naver L, Hvolris L, Clausen TR, Wulff BS, Worm D, Lindqvist Hansen D, Madsbad S. Acute and long-term effects of Roux-en-Y gastric bypass on glucose metabolism in subjects with Type 2 diabetes and normal glucose tolerance. American Journal of Physiology-Endocrinology and Metabolism. 2012 Jul 1;303(1):E122-31.##Draghici AE, Taylor JA. The physiological basis and measurement of heart rate variability in humans. Journal of Physiological Anthropology. 2016 Dec 1;35(1):22.##Goit RK, Pant BN, Shrewastwa MK. Moderate intensity exercise improves heart rate variability in obese adults with type 2 diabetes. Indian heart journal. 2018 Jul 1;70(4):486-91.##Sacre JW, Jellis CL, Jenkins C, Haluska BA, Baumert M, Coombes JS, Marwick TH. A six-month exercise intervention in subclinical diabetic heart disease: effects on exercise capacity, autonomic and myocardial function. Metabolism. 2014 Sep 1;63(9):1104-14.##Pagkalos M, Koutlianos N, Kouidi E, Pagkalos E, Mandroukas K, Deligiannis A. Heart rate variability modifications following exercise training in type 2 diabetic patients with definite cardiac autonomic neuropathy. British journal of sports medicine. 2008 Jan 1;42(1):47-54.##Riley CE. The Effect of a Square-Stepping Exercise Intervention on Heart Rate Variability in Older Individuals with Type 2 Diabetes and Subjective Cognitive Complaints.##Fakhrzadeh H, Yamini-Sharif A, Sharifi F, Tajalizadekhoob Y, Mirarefin M, Mohammadzadeh M, Sadeghian S, Badamchizadeh Z, Larijani B. Cardiac autonomic neuropathy measured by heart rate variability and markers of subclinical atherosclerosis in early type 2 diabetes. ISRN endocrinology. 2012 Dec 4;2012.##Loimaala A, Huikuri HV, Kööbi T, Rinne M, Nenonen A, Vuori I. Exercise training improves baroreflex sensitivity in type 2 diabetes. Diabetes. 2003 Jul 1;52(7):1837-42.##Bahremand M, Shahebrahimi K, Seyedi F, Montazeri N. Relationship between changes in heart rate variability indices and blood glucose control in Type 2 Diabetes Mellitus. Revista Latinoamericana de Hipertension. 2019 Jul 1;14(3):328-31.##Vasheghani M, Sarvghadi F, Beyranvand MR. The association between cardiac autonomic neuropathy and diabetes control. Diabetes, metabolic syndrome and obesity: targets and therapy. 2019;12:581.##Piralaiy E, Siahkuhian M, Nikoukheslat S, Bolboli L, Aslan Abadi N, Sheikhalizadeh M, Fathollahi S.[Efficacy of the Moderate Intensity Aerobic training on Heart Rate Variability (HRV) in Patients with the Type-2 Diabetic Neuropathy]. Med J Tabriz Uni Med Sciences Health Services. 2019 August- September; 41(3):44-52. Persian.##Tsioufis C, Dimitriadis K, Taxiarchou E, Vasiliadou C, Chartzoulakis G, Tousoulis D, Manolis A, Stefanadis C, Kallikazaros I. Diverse associations of microalbuminuria with C-reactive protein, interleukin-18 and soluble CD 40 ligand in male essential hypertensive subjects. American journal of hypertension. 2006 May 1;19(5):462-6.##Chowdhary S, Vaile JC, Fletcher J, Ross HF, Coote JH, Townend JN. Nitric oxide and cardiac autonomic control in humans. Hypertension. 2000 Aug;36(2):264-9.##Júnior AD, Moreira HG, Daher MT. Analysis of heart rate variability in hypertensive patients before and after treatment with angiotensin II-converting enzyme inhibitors. Arquivos brasileiros de cardiologia. 2004 Aug;83(2):169.##Cassidy S, Vaidya V, Houghton D, Zalewski P, Seferovic JP, Hallsworth K, MacGowan GA, Trenell MI, Jakovljevic DG. Unsupervised high-intensity interval training improves glycaemic control but not cardiovascular autonomic function in type 2 diabetes patients: A randomised controlled trial. Diabetes and Vascular Disease Research. 2019 Jan;16(1):69-76.##Shelver M. The Effect of Frequency in Volume Matched Exercise Training on Aerobic Capacity, Heart Rate Variability, and Glucose Variability in Type 2 Diabetes (Master's thesis, NTNU).##Zoppini G, Cacciatori V, Gemma ML, Moghetti P, Targher G, Zamboni C, Thomaseth K, Bellavere F, Muggeo M. Effect of moderate aerobic exercise on sympatho‐vagal balance in Type 2 diabetic patients. Diabetic medicine. 2007 Apr;24(4):370-6.## | ||
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