نوع مقاله : مقاله پژوهشی Released under CC BY-NC 4.0 license I Open Access I

نویسندگان

1 دانشیار، گروه تربیت بدنی، واحد محلات، دانشگاه آزاد اسلامی، محلات، ایران

2 کارشناس‌ارشد، واحد محلات، دانشگاه آزاد اسلامی، محلات، ایران

چکیده

 
دیابت، اختلال متابولیکی است که به‌وسیلۀ هیپرگلیسمی به‌دنبال نقص در ترشح انسولین، مقاومت به انسولین یا هر دو مشخص می‌شود. هدف از این مطالعه بررسی اثر تمرینات تناوبی با شدت بالا (HIIT) بر سطوح آدیپونکتین سرمی و مقاومت به انسولین زنان دیابتی نوع دو بود. به همین منظور 35 نفر از زنان دیابتی نوع دو دارای اضافه‌وزن (BMI بین 30-25 کیلوگرم بر متر مربع) با دامنۀ سنی 45 تا 60 سال داوطلبانه در تحقیق حاضر شدند و در دو گروه تمرین HIIT (17n=) و کنترل (18n=) قرار گرفتند. گروه HIIT به مدت هشت هفته (سه جلسه در هفته، 6-4 تکرار 30 ثانیه‌ای با حداکثر تلاش با شدت 250 درصد و استراحت 4 دقیقه‌ای بین تکرارها) تمرینات چرخ کارسنج را انجام دادند. نتایج تی وابسته نشان داد بین میانگین داده­های پیش‌آزمون و پس‌آزمون مقاومت به انسولین و درصد چربی بدن گروه HIIT کاهش معنا­دار و بین میانگین سطوح آدیپونکتین سرمی و حداکثر اکسیژن مصرفی افزایش معناداری مشاهده شد (05/0P<). همچنین نتایج تحلیل کوواریانس تفاوت معنا­داری را بین گروه­های تمرینی در میزان آدیپونکتین (026/0P= و 21/3F=)، مقاومت به انسولین (007/0P= و 28/5F=) و درصد چربی (041/0P= و 60/2F=) نسبت به گروه کنترل نشان داد. از طرفی میزان وزن و شاخص تودۀ بدنی آزمودنی‌ها تغییر معناداری نداشت (05/0< P). احتمالاً می‌توان گفت که انجام هشت هفته تمرینات سرعتی شدید (HIIT) بدون تغییر در مقدار وزن و شاخص تودۀ بدنی می‌تواند تأثیرات مثبتی بر مقاومت به انسولین، درصد چربی و سطوح آدیپونکتین زنان مبتلا به دیابت نوع دو داشته باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of 8 Weeks of High-Intensity Interval Training (HIIT) on Serum Adiponectin Levels and Insulin Resistance of Women with Type 2 Diabetes

نویسندگان [English]

  • Bahram Abedi 1
  • Elham Oghovat 2

چکیده [English]

 
Diabetes is a metabolic disorder specified by hyperglycemia following a defect in insulin secretion, insulin resistance or both. The aim of this study was to examine the effect of high-intensity interval training (HIIT) on serum adiponectin levels and insulin resistance of women with type 2 diabetes. For this purpose, 35 overweight women with type 2 diabetes (age range 45-60 years, BMI 25-30 kg/m2) voluntarily participated in this study and were assigned to the HIIT training group (n=17) and control group (n=18). The HIIT group conducted their training on an ergometer for 8 weeks (3 sessions per week, 4-6 30-second repetitions with highest effort and 250% intensity with 4-min. rest intervals). The results of dependent t test showed a significant decrease in the mean scores of pretest and posttest of insulin resistance and body fat percentage in HIIT group and a significant increase in mean scores of serum adiponectin levels and maximal oxygen uptake (P<0.05). The analysis of covariance showed significant differences between training and control groups in levels of adiponectin (F=3.21, P=0.026), insulin resistance (F=5.28, P=0.007) and fat percentage (F=2.60, P=0.041). Weight and body mass index of participants did not change significantly (P>0.05). It may be noted that 8 weeks of high-intensity interval training (HIIT) with no changes in weight and body mass index could have positive effects on insulin resistance, fat percentage and adiponectin levels in women with type 2 diabetes.

کلیدواژه‌ها [English]

  • Adiponectin
  • insulin resistance
  • Training
  • type 2 diabetes
  1. توفیقی، اصغر؛ صمدیان، زهرا (1392). مقایسۀاثر 12هفتهتمرینورزشی هوازیومقاومتیبرسطوحسرمی رزیستینو شاخص‌هایگلیسمیدرزنانیائسۀچاقمبتلابهدیابتنوع2 (مقایسۀدونوع پروتکلورزشی)، جندی‌شاپور، دورة 12 ، ش 6، ص 676 -665.

 

  1. علی‌زاده، زهرا؛ کردی، رامین؛ حسین‌زاده، محمدجواد؛ منصورنیا، محمدعلی (1390). بررسیتأثیرورزشهوازیمداومومتناوببرسطحلیپیدوقندخونناشتادر خانم‌هایدارایشاخصتودۀبدنیبالاترازkg/m2 25 ، دانشکدۀ پزشکی، دورۀ 69 ، ش 4، ص 259-253.

 

 

3. Adams, O. P. (2013). "The impact of brief high-intensity exercise on blood glucose levels". Diabetes Metab Syndr Obes., Vol. 27 No.6, PP:113-122

 

4. Bouassida, A., Chamari, K., Zaouali, M., Feki, Y., Zbidi, A., Tabka, Z. (2010). "Review on leptin and adiponectin responses and adaptations to acute and chronic exercise". Br J Sports Med., Vol.44 No.9, PP: 620-30.

 

5. Buchan, D. S,, Ollis, S., Young, J. D., Cooper, S. M., Shield, J. P., Baker, J. S. (2013). "High intensity interval running enhances measures of physical fitness but not metabolic measures of cardiovascular disease risk in healthy adolescents". BMC public health., Vol.13 No.1 PP:498.

 

6. Chen, L., Pei, J. H., Kuang, J., Chen, H. M., Chen, Z., Li, Z. W., Yang, H. Z. (2015). "Effect of lifestyle intervention in patients with type 2 diabetes: a meta-analysis". Metabolism., Vol.64 No.2 PP:338-347

 

7. Coburn, J. W., Malek, M. H. (2011). "NSCA's Essentials of Personal Training": Human Kinetics Publishers.

 

8. Coker, R. H., Hays, N. P., Williams, R. H., Brown, A. D., Freeling, S. A., Kortebein, P. M., et al. (2006). "Exercise-induced changes in insulin action and glycogen metabolism in elderly adults". Med Sci Sports Exerc., Vol.38 No.3 PP:433-8.

 

9. Coker, R. H., Williams, R. H., Kortebein, P. M., Sullivan, D. H., Evans, W. J. (2009). "Influence of exercise intensity on abdominal fat and adiponectin in elderly adults". Metabolic syndrome and related disorders., Vol.7 No.4 PP:363-368.

 

10. Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R., et al. (2010). "Exercise and type 2 diabetes the American College of Sports Medicine and the American Diabetes Association: joint position statement". Diabetes care., Vol.33 No.12 PP:147-167.

 

11. Cuff, D. J., Meneilly, G. S., Martin, A., Ignaszewski, A., Tildesley, H. D., Frohlich, J. J. (2003). "Effective exercise modality to reduce insulin resistance in women with type 2 diabetes". Diabetes care., Vol.26 No.11 PP: 2977-2982.

 

12-Engeli, S., Gorzelniak, K., Kreutz, R., Runkel, N., Distler, A., Sharma, A. M. (1999). "Co-expression of renin-angiotensin system genes in human adipose tissue". Journal of hypertension., Vol.17 No.4 PP:555-560.

 

13. Gibala, M. J. (2007). "High-intensity interval training: a time-efficient strategy for health promotion"? Current sports medicine reports., Vol.6 No.4 PP:211- 3.

 

14. Gibala, M. J., Little, J. P., Van, Essen. M., Wilkin, G. P., Burgomaster, K. A., Safdar, A., et al. (2006). "Short-term sprint interval versus traditional endurance training: similar initial adaptations in human skeletal muscle and exercise performance". The Journal of physiology., Vol. 575 No.3 PP:901-911.

 

15. Gist, N. H., Fedewa, M. V., Dishman, R. K., Cureton, K. J. (2014). "Sprint interval training effects on aerobic capacity: a systematic review and meta-analysis". Sports Med., Vol. 44 No.2 PP: 269-79.

 

16. Grediagin, M. A., Cody, M., Rupp, J., Benardot, D., Shern, R. (1995). "Exercise intensity does not effect body composition change in untrained, moderately overfat women". Journal of the American Dietetic Association., Vol. 95 No.6 PP:661-5.

 

17. Hovanloo, F., Arefirad, T., Ahmadizad, S. (2013). "Effects of sprint interval and continuous endurance training on serum levels of inflammatory biomarkers". J Diabetes Metab Disord., Vol.12 No.1 PP:22.

 

18. Huang, H., Iida, K. T., Sone, H., Yokoo, T., Yamada, N., Ajisaka, R. (2006). "The effect of exercise training on adiponectin receptor expression in KKAy obese/diabetic mice". Journal of endocrinology., Vol.189 No.3 PP:643-53.

 

19. Hulver, M. W., Zheng, D., Tanner, C. J., Houmard, J. A., Kraus, W. E., Slentz, C. A, et al. (2002). "Adiponectin is not altered with exercise training despite enhanced insulin action". American Journal of Physiology-Endocrinology and Metabolism., Vol.283 No.4 PP:861-865.

 

20. Jorsal, A., Tarnow, L., Frystyk, J., Lajer, M., Flyvbjerg, A., Parving, H. H, Vionnet, N., Rossing, P.( 2008). "Serum adiponectin predicts all-cause mortality and end stage renal disease in patients with type I diabetes and diabetic nephropathy". Kidney Int., Vol.74 No.5 PP: 649-654.

 

21. Kraemer, R. R., Aboudehen, K. S., Carruth, A. K., Durand, R. J., Acevedo, E. O., Hebert, E. P., et al. (2003). "Adiponectin responses to continuous and progressively intense intermittent exercise". Medicine and Science in Sports and Exercise., Vol.35 No.8 PP:1320-1325.

 

22. Kraemer, R. R., Castracane, V. D. (2007). "Exercise and humoral mediators of peripheral energy balance: ghrelin and adiponectin". Experimental biology and medicine., Vol.232 No.2 PP:184-194.

 

23. Larose, J., Sigal, R., Khandwala, F., Kenny, G. (2012). "Comparison of strength development with resistance training and combined exercise training in type 2 diabetes". Scandinavian journal of medicine & science in sports., Vol. 22 No.4 PP:45-54.

 

24. Lee, S. H., Hong, H. R., Han, T. K., Kang, H. S. (2015). "Aerobic training increases the expression of adiponectin receptor genes in the peripheral blood mononuclear cells of young men". Biol Sport Sep., Vol. 32 No.3 PP:181-186.

 

25. Leggate, M., Carter, W. G., Evans, M. J, Vennard, R. A., Sribala-Sundaram, S., Nimmo, M. A. (2012). " Determination of inflammatory and prominent proteomic changes in plasma and adipose tissue after high-intensity intermittent training in overweight and obese males ". Journal of Applied Physiology., Vol. 112 No.8 PP:1353-60.

 

26. McCormack, S. E., McCarthy, M. A., Harrington, S. G., Farilla, L., Hrovat, M. I., Systrom, D. M., Thomas, B. J. (2014). "Effects of exercise and lifestyle modification on fitness, insulin resistance, skeletal muscle oxidative phosphorylation and intramyocellular lipid content in obese children and adolescents". Pediatric ObeHITy., Vol.9 No.4 PP: 281–291.

 

27. Neil Thomas, G., Q Jiang, C., Taheri, S., H Xiao, Z., Tomlinson, B., MY Cheung, B., et al. (2010). "A systematic review of lifestyle modification and glucose intolerance in the prevention of type 2 diabetes". Current diabetes reviews., Vol.6 No.6 PP:378-387.

 

28. Ohashi, K., Shibata, R., Murohara, T., Ouchi, N. (2014). "Role of anti-inflammatory adipokines in obeHITy-related diseases". Trends in endocrinology and metabolism: TEM., Vol.25 No.7 PP: 348-355.

 

29. Pavkov, M. E., Bennett, P. H., Knowler, W. C., Krakoff, J., Sievers, M. L., Nelson, R. G. (2006). "Effect of youth-onset type 2 diabetes mellitus on incidence of end-stage renal disease and mortality in young and middle-aged Pima Indians". Jama., Vol.296 No.4 PP:421-426.

 

30. Rawal, L. B., Tapp, R. J., Williams, E. D., Chan, C., Yasin, S., Oldenburg, B. (2012). "Prevention of type 2 diabetes and its complications in developing countries: a review". International journal of behavioral medicine., Vol.19 No.2 PP:121-133.

 

31. Ryan, A. S., Nicklas, B. J., Berman, D. M., Elahi, D. (2003). "Adiponectin levels do not change with moderate dietary induced weight loss and exercise in obese postmenopausal women". International journal of obeHITy., Vol.27 No.9 PP:1066-1071.

 

32. Simpson, K. A., Singh, M. A. F. (2008). "Effects of exercise on adiponectin: a systematic review". ObeHITy., Vol.16 No.2 PP:241-56.

 

33. Simpson, S. H., Corabian, P., Jacobs, P., Johnson, J. A. (2003). "The cost of major comorbidity in people with diabetes mellitus". Canadian Medical Association Journal., Vol.168 No.13 PP:1661-1667.

 

 

34. Shing, C. M., Webb, J. J., Driller, M. W., Williams, A. D., Fell, J. W. (2013). "Circulating adiponectin concentration and body composition are altered in response to high-intensity interval training". The Journal of Strength & Conditioning Research., Vol.27 No.8 PP:2213-8.

 

35.Talanian, J. L., Galloway, S. D., Heigenhauser, G. J., Bonen, A., Spriet, L. L. (2007). "Two weeks of high-intensity aerobic interval training increases the capacity for fat oxidation during exercise in women". Journal of applied physiology., Vol.102 No.4 PP:1439-47.

 

 

36. Trapp, E., Chisholm, D., Freund, J., Boutcher, S. (2008). "The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women". International Journal of ObeHITy., Vol.32 No.4 PP:684-91.

 

37. Wannamethee, S. G., Lowe, G. D. O., Rumley, A., Cherry, L., Whincup, P. H., Sattar, N. (2007) "Adipokines and risk of type 2 diabetes in older men". Diabetes care., Vol.30 No.5 PP:1200-1205.

 

38. Zhang, Y., Zhang, Y., Mills, P. J., Rehman, J. (2006). "Dynamic Exercise Can Acutely Increase Circulating Adiponectin". Circulation., Vol.114 No.18 PP: 881.