نوع مقاله : مقاله پژوهشی Released under CC BY-NC 4.0 license I Open Access I
نویسندگان
1 دانشجوی کارشناسی ارشد (فیزیولوژی ورزشی)، دانشکدة علوم ورزشی، دانشگاه مازندران، مازندران، ایران.
2 استاد، گروه فیزیولوژی ورزشی، دانشکدة علوم ورزشی، دانشگاه مازندران، بابلسر، ایران و مرکز پژوهشی سلامت و عملکرد ورزشی، دانشگاه مازندران، بابلسر، ایران.
چکیده
مقدمه و هدف: امروزه اعتیاد به اینترنت و استفادة بی‌رویه از آن یک مشکل جهانی محسوب می‌شود. هدف از تحقیق حاضر بررسی مزایای بالقوة دو و چهار هفته برنامة تمرین واقعیت مجازی (VR) با و بدون پیاده‌روی تناوبی نوردیک (INW) بر VO2max و نشانگرهای ترکیب بدن شامل شاخص تودة بدن (BMI)، نسبت کمر به لگن (WHR)، نسبت کمر به قد (WHtR)، شاخص چاقی بدن (BAI)، شاخص حجم شکم (AVI)، شاخص مخروطی (CI) و شاخص شکل بدن (ABSI) در دختران نوجوان معتاد به اینترنت بود.
روش پژوهش: یک طرح کارآزمایی شاهددار تصادفی روی 80 دختر نوجوان (سن 14 سال و قد 159 سانتی‌متر و وزن50/64 کیلوگرم و 7656/33 (میلی‌لیتر/کیلوگرم/دقیقه VO2max ) انجام شد که به‌طور تصادفی به گروه‌های VR، INW، VR+INW و کنترل تقسیم شدند. آزمودنی‌ها هفته‌ای سه جلسه مداخلة VR با و بدون تمرین INWحدود 60 دقیقه‌ای را به مدت 2 و یا 4 هفته انجام دادند. اندازه‌گیری‌ها در ابتدا و در مرحلة پیگیری (دو و چهار هفته پس از مداخله) انجام شد. آنالیز واریانس در اندازه‌گیری مکرر برای ارزیابی پارامترها انجام گرفت.
یافته‌ها: دو هفته مداخله‌های INW یا VR تأثیر معناداری بر شاخص آمادگی قلبی- تنفسی و ترکیب بدن نداشت. پس از تمرین INW، افزایش معناداری در مقادیر VO2max در مقایسه با گروه کنترل مشاهده شد (046/0 P=). پارامترهای CI و ABSI بهبود شایان توجهی را به‌خصوص در گروه VR+INW پس از چهار هفته مداخله نشان دادند (مقدار P به‌ترتیب برابر با 001/0 و 003/0).
نتیجه‌گیری: مداخلة چهارهفته‌ای VR همراهINW با مزایای بالقوة وضعیت سلامتی همراه است و می‌تواند راهبرد غیردارویی مهمی برای جلوگیری از کم‌تحرکی و حفظ وضعیت سلامتی خوب در دختران نوجوان باشد.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
The 2- and 4-Weeks Effectiveness of Virtual Reality with and Without Interval Nordic Walking Exercise Program on Body Composition and VO2max in Internet Addiction Girls
نویسندگان [English]
- zahra Shirovi Khozani 1
- Valiollah Dabidi Roshan 2
1 Faculty of Sports Sciences, Mazandaran University, Babolsar, Iran
2 Department of Sports Physiology, Faculty of Physical Education and Sport Sciences, University, of Mazandaran, Babolsar, Iran.
چکیده [English]
Introduction and Aims: Internet addiction and its excessive use are a recognized global problem. The aim of this study was to investigate the potential benefits of 2 and 4 weeks of a virtual reality (VR) exercise program with and without intermittent Nordic walking (INW) on VO2max and body composition markers, including body mass index (BMI), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), body adiposity index (BAI), abdominal volume index (AVI), cone index (CI), and body shape index (ABSI) in teenage girls with Internet addiction.
Methods: A randomized controlled trial was conducted on 80 adolescent girls (age 14 years, height 159 cm, weight 64.50 kg, VO2max 33.7656 ml/kg/min) who were randomly assigned to one of four groups: VR, INW, VR+INW, or control. Participants in the intervention groups performed three 60-minute sessions per week for either 2 or 4 weeks. Measurements were taken at baseline and at follow-up (2 and 4 weeks post-intervention). A repeated measures analysis of variance (ANOVA) was performed to evaluate the parameters.
Results: Two weeks of INW or VR interventions had no significant effect on cardiorespiratory fitness (VO2max) or body composition. After 4 weeks, a significant increase in VO2max was observed in the INW group compared to the control group (p = 0.046). The CI and ABSI showed significant improvement, particularly in the VR+INW group after 4 weeks of intervention (p = 0.001 and p = 0.003, respectively).
Conclusion: A 4-week combined VR and INW intervention is associated with benefits to health status and can be an important non-pharmacological strategy to prevent physical inactivity and maintain good health in adolescent girls.
کلیدواژه‌ها [English]
- Virtual Reality Technology
- Cardiorespiratory Fitness
- Body Composition
- Adolescent
- . Nordic Walking
- Marciano L, Camerini AL, Schulz PJ. Neuroticism and internet addiction: What is next? A systematic conceptual review. Personality and individual differences. 2022 Feb 1;185:111260.
- Mathew P, Raman K. Impact of problematic internet use on the academic stress and academic performance among adolescents in selected school, Kochi Kerala, India. World Journal of Advanced Research and Reviews. 2021;12(2):109-19.
- Durmus G, Ortabag T, Ozdemir S. Determining the relationship between obesity and problematic internet use among adolescents. Iranian Journal of Public Health. 2021 Sep;50(9):1796.
- Daşdemir F, Orbatu D, Bektaş M, Özkan B. Impact of the coronavirus disease 2019 pandemic on obesity, internet addiction, and sleep quality in adolescents. Journal of Pediatric Nursing. 2022 Sep 1;66:196-201.
- Tsitsika AK, Andrie EK, Psaltopoulou T, Tzavara CK, Sergentanis TN, Ntanasis-Stathopoulos I, Bacopoulou F, Richardson C, Chrousos GP, Tsolia M. Association between problematic internet use, socio-demographic variables and obesity among European adolescents. The European Journal of Public Health. 2016 Aug 1;26(4):617-22.
- Mustafaoglu R, Yasaci Z, Zirek E, Griffiths MD, Ozdincler AR. The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study. The Korean journal of pain. 2021 Jan 1;34(1):72-81.
- Yang G, Cao J, Li Y, Cheng P, Liu B, Hao Z, Yao H, Shi D, Peng L, Guo L, Ren Z. Association between internet addiction and the risk of musculoskeletal pain in Chinese college freshmen–a cross-sectional study. Frontiers in psychology. 2019 Sep 3;10:1959.
- Güneş M, Demirer B, Şimşek A. The relationship between internet addiction with eating disorders and musculoskeletal health among university students. Journal of Public Health. 2023 Dec;31(12):2115-21.
- Li S, Wu Q, Tang C, Chen Z, Liu L. Exercise-based interventions for internet addiction: neurobiological and neuropsychological evidence. Frontiers in psychology. 2020 Jun 25;11:1296.
- Lin L, Liu J, Cao X, Wen S, Xu J, Xue Z, Lu J. Internet addiction mediates the association between cyber victimization and psychological and physical symptoms: moderation by physical exercise. BMC psychiatry. 2020 Dec;20:1-8.
- Koçak ÇV. How does regular exercise affect internet addiction level in university students?. Physical education of students. 2019 Aug 28;23(4):186-90.
- Jurikova J, Kyzlink J. BENEFITS OF NORDIC WALKING. Discobolul-Physical Education, Sport & Kinetotherapy Journal. 2020 Dec 2;59.
- Kettinen J, Tikkanen H, Venojärvi M. Comparative effectiveness of playing golf to Nordic walking and walking on acute physiological effects on cardiometabolic markers in healthy older adults: a randomised cross-over study. BMJ Open Sport—Exercise Medicine. 2023;9(1).
- Liu Y, Xie W, Ossowski Z. The effects of Nordic Walking on health in adults: A systematic review. Journal of Education, Health and Sport. 2023;13(1):188-96.
- Grigoletto A, Mauro M, Oppio A, Greco G, Fischetti F, Cataldi S, Toselli S. Effects of Nordic Walking training on anthropometric, body composition and functional parameters in the middle-aged population. International Journal of Environmental Research and Public Health. 2022 Jun 17;19(12):7433.
- Gobbo S, Bullo V, Roma E, Duregon F, Bocalini DS, Rica RL, Di Blasio A, Cugusi L, Vendramin B, Bergamo M, Cruz-Diaz D. Nordic walking promoted weight loss in overweight and obese people: a systematic review for future exercise prescription. Journal of Functional Morphology and Kinesiology. 2019 Jun 18;4(2):36.
- Guo L, Chen J, Yuan W. The effect of HIIT on body composition, cardiovascular fitness, psychological well-being, and executive function of overweight/obese female young adults. Frontiers in Psychology. 2023 Jan 18;13:1095328.
- Kantorowicz M, Szymura J, Szygula Z, Kusmierczyk J, Maciejczyk M, Wiecek M. Nordic walking at maximal fat oxidation intensity decreases circulating asprosin and visceral obesity in women with metabolic disorders. Frontiers in Physiology. 2021 Sep 3;12:726783.
- Quaye L, Owiredu WK, Amidu N, Dapare PP, Adams Y. Comparative abilities of body mass index, waist circumference, abdominal volume index, body adiposity index, and Conicity index as predictive screening tools for metabolic syndrome among apparently healthy Ghanaian adults. Journal of obesity. 2019 Oct;2019.
- Park SJ, Lee JW. Effects of Virtual Reality Pilates Training on Duration of Posture Maintenance and Flow in Young, Healthy Individuals: Randomized Crossover Trial. JMIR Serious Games. 2023 Oct 19;11(1):e49080.
- Lee HT, Kim YS. The effect of sports VR training for improving human body composition. EURASIP Journal on Image and Video Processing. 2018 Dec;2018(1):1-5.
- Shahbal S, Khan A, Zammar AM, Hamdi AM, Alharbi H, Alzahrani AH, Alammi ME, Almutairi HK. Technology Addiction, Sleep Disturbance and Physical Inactivity Among Psychiatric Patients. Int J Clin Skill. 2016;16:231.
- Demin D, Poskotinova L. Neurophysiologic Reactions during Heart Rate Variability Biofeedback Session in Adolescents with Different Risk of Internet Addiction. International Journal of Environmental Research and Public Health. 2022 Feb 27;19(5):2759.
- Poskotinova LV, Krivonogova OV, Zaborsky OS. Cardiovascular response to physical exercise and the risk of Internet addiction in 15–16-year-old adolescents. Journal of Behavioral Addictions. 2021 Jul 15;10(2):347-51.
- Qian B, Huang M, Xu M, Hong Y. Internet use and quality of life: The multiple mediating effects of risk perception and internet addiction. International Journal of Environmental Research and Public Health. 2022 Feb 4;19(3):1795.
- Saadati HM, Mirzaei H, Okhovat B, Khodamoradi F. Association between internet addiction and loneliness across the world: A meta-analysis and systematic review. SSM-population health. 2021 Dec 1;16:100948 In Persian.
- Pan Psychological and exercise interventions for teenagers with internet addiction disorder. Revista Argentina de Clínica Psicológica. 2020;29(2):226.
- Plungytė V, Dudonienė V, Varnienė L. Is Nordic Walking more Effective than Walking without Poles Treating Overweight and Obesity in Adolescents. Reabilitacijos mokslai: slauga, kineziterapija, ergoterapija. 2015 Dec 29;2(13).
- Kuzina EN, Spivak EM, Nezhkina NN. Personification of nordic walking course in children with bronchial asthma depending on physical health level and disease control. Perm Medical Journal. 2020;37(6):48-53.
- Sousa CV, Hwang J, Cabrera-Perez R, Fernandez A, Misawa A, Newhook K, Lu AS. Active video games in fully immersive virtual reality elicit moderate-to-vigorous physical activity and improve cognitive performance in sedentary college students. Journal of Sport and Health Science. 2022 Mar 1;11(2):164-71.
- Li S. The effect of using virtual reality equipment on people's motivation to exercise (Bachelor's thesis, University of Twente).
- Young KS. Internet addiction: The emergence of a new clinical disorder. Cyberpsychology & behavior. 2009 Jan 29;1(3).
- Toozandehjani A, Mahmoodi Z, Rahimzadeh M, Motlagh AJ, Kamrani MA, Saeieh SE. The predictor role of Internet addiction in high-risk behaviors and general health status among Alborz students: A structural equation model. Heliyon. 2021 May 1;7(5) In Persian.
- Xiao M, Chen C, Wang J, Cai A, Zhou D, Liu G, Feng Y. Association of adiposity indices with prehypertension among Chinese adults: A cross‐sectional study. The Journal of Clinical Hypertension. 2023 Mar 27.
- Gowda V, Philip KM. Abdominal volume index and conicity index in predicting metabolic abnormalities in young women of different socioeconomic class. Int J Med Sci Public Health. 2016;5(7):1452-6.
- Islami F, Saghebjoo M, Kazemi T. Effect of Gym and Home-based Combined Training on Indicators of Central Obesity and Quality of Life in Men with Primary Hypertension. Journal of health research in community. 2023 Jan 10;8(4):60-76 In Persian.
- Lokpo SY, Ametefe CY, Osei-Yeboah J, Owiredu WK, Ahenkorah-Fondjo L, Agordoh PD, Acheampong E, Duedu KO, Adejumo EN, Appiah M, Asiamah EA. Performance of Body Adiposity Index and Relative Fat Mass in Predicting Bioelectric Impedance Analysis-Derived Body Fat Percentage: A Cross-Sectional Study among Patients with Type 2 Diabetes in the Ho Municipality, Ghana. BioMed Research International. 2023 Apr 17;2023.
- Gomez-Peralta F, Abreu C, Cruz-Bravo M, Alcarria E, Gutierrez-Buey G, Krakauer NY, Krakauer JC. Relationship between “a body shape index (ABSI)” and body composition in obese patients with type 2 diabetes. Diabetology & metabolic syndrome. 2018 Dec;10(1):1-8.
- Lubans DR, Morgan PJ, Callister R, Collins CE. The relationship between pedometer step counts and estimated VO2Max as determined by a submaximal fitness test in adolescents. Pediatric Exercise Science. 2008 Aug 1;20(3):273-84.
- Andrade AL, Enumo SR, Passos MA, Vellozo EP, Schoen TH, Kulik MA, Niskier SR, Vitalle MS. Problematic internet use, emotional problems and quality of life among adolescents. Psico-USF. 2021 Apr 14;26:41-51.
- Chen CY, Chen IH, O’Brien KS, Latner JD, Lin CY. Psychological distress and internet-related behaviors between schoolchildren with and without overweight during the COVID-19 outbreak. International Journal of Obesity. 2021 Mar;45(3):677-86.
- Mustafaoglu R, Yasaci Z, Zirek E, Griffiths MD, Ozdincler AR. The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study. The Korean journal of pain. 2021 Jan 1;34(1):72-81.
- Hayat AA, Kojuri J, Mitra Amini MD. Academic procrastination of medical students: The role of Internet addiction. Journal of advances in medical education & professionalism. 2020 Apr;8(2):83.
- Lee HS, Park JH. Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above. Journal of physical therapy science. 2015;27(8):2453-6.
- Bojorquez I, Ojeda-Revah L. Urban public parks and mental health in adult women: Mediating and moderating factors. International Journal of Social Psychiatry. 2018 Nov;64(7):637-46.
- Dadvand P, Bartoll X, Basagaña X, Dalmau-Bueno A, Martinez D, Ambros A, Cirach M, Triguero-Mas M, Gascon M, Borrell C, Nieuwenhuijsen MJ. Green spaces and General Health: Roles of mental health status, social support, and physical activity. Environment international. 2016 May 1;91:161-7.
- Seo EY, Kim YS, Lee YJ, Hur MH. Virtual Reality Exercise Program Effects on Body Mass Index, Depression, Exercise Fun and Exercise Immersion in Overweight Middle-Aged Women: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2023 Jan 4;20(2):900.
- Mologne MS, Hu J, Carrillo E, Gomez D, Yamamoto T, Lu S, Browne JD, Dolezal BA. The Efficacy of an Immersive Virtual Reality Exergame Incorporating an Adaptive Cable Resistance System on Fitness and Cardiometabolic Measures: A 12-Week Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2022 Dec 23;20(1):210.
- Pau M, Porta M, Bertoni R, Mattos FG, Cocco E, Cattaneo D. Effect of immersive virtual reality training on hand-to-mouth task performance in people with Multiple Sclerosis: A quantitative kinematic study. Multiple Sclerosis and Related Disorders. 2023 Jan 1;69:104455.
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