بررسی تاثیر برنامه بازتوانی قلب (تمرین همزمان مقاومتی و استقامتی) بر تغییرات هموسیستئین، اینترلوکین -6 و اینترلوکین -10 سرم مردان بیمار قلبی

نویسندگان

1 دانشجوی دکتری فیزیولوژی ورزشی، دانشگاه تهران، پردیس بین المللی کیش، ایران

2 استاد فیزیولوژی ورزشی،دانشکده تربیت بدنی ، دانشگاه تهران، تهران، ایران

3 کارشناس ارشد، گروه تربیت بدنی و علوم ورزشی، دانشگاه آزاد اسلامی واحد دهاقان، اصفهان، ایران

4 استادیار فیزیولوژی ورزشی، گروه تربیت بدنی وزارت آموزش و پرورش ، تهران ، ایران

چکیده

هدف تحقیق حاضر عبارت است از بررسی تاثیر تمرینات استقامتی- مقاومتی بر تغییرات هموسیستئین، اینترلوکین-6 و اینترلوکین-10 سرم مردان بیمار قلبی است. بدین منظور38 بیمار که به مراکز درمانی قلب و عروق شهرستان شاهین شهر مراجعه کرده اند، به صورت در دسترس انتخاب شدند. این بیماران همگی افرادی بودند که تحت جراحی بای پس یا آنژیوپلاستی بالون قرار گرفته بودند. پس از تشکیل پرونده بیماران، پرسشنامه اطلاعات فردی برای آنها تکمیل شده و آزمایش های لازم برای تعیین عوامل خطرزای آنها انجام شد. قبل و بعد از شروع برنامه تمرین اندازه گیری شاخص های تن سنجی (وزن، دور کمر، دور باسن و چربی زیر جلد سه ناحیه)، آزمایشات خونی از نظر اینترلوکین-6، اینترلوکین-10، هموسیستئین و تست قدم زدن به مدت 6 دقیقه ( جهت معین نمودن ظرفیت بدنی) انجام شد. برنامه تمرین 3 روز در هفته به مدت 24 جلسه و طول هر جلسه تمرین یک ساعت بود. نتایج نشان داد که برنامه توانبخشی موجب کاهش معنی دار سطح سایتوکین های التهابی و نیز هموسیستئین گشته است. بطور کلی تحقیق حاضر نشان داد که برنامه بازتوانی با استفاده از دو روش تمرینی استقامتی و مقاومتی با توجه به تاثیر اختصاصی هر یک از دو روش می توان روش مناسبی جهت بهبود ظرفیت عملکردی در بیماران قلبی باشد.

کلیدواژه‌ها


عنوان مقاله [English]

A Survey of the Effect of a Cardiac Rehabilitation Program (Concurrent Resistance-Endurance Training) on Homocysteine, Interleukin-6 and Interleukin-10 Changes in Men with Heart Disease

نویسندگان [English]

  • Saeed Rostami 1
  • Abbas Ali Gaeini 2
  • Alireza Zamani 3
  • Seyyed Hadi Hosseini 4
1 PhD Student of Exercise Physiology, University of Tehran, International Campus of Kish, Iran
2 Professor of Exercise Physiology, Faculty of Physical Education, University of Tehran, Tehran, Iran
3 MSc, Department of Physical Education and Sport Sciences, Islamic Azad University, Dehaghan Branch, Isfahan, Iran
4 Assistant Professor of Exercise Physiology, Department of Physical Education, Ministry of Education, Tehran, Iran
چکیده [English]

The aim of the present study was to investigate the effect of endurance-resistance training on serum changes of homocysteine, interleukin-6, and IL-10 in men with heart disease. For this purpose, 38 patients who referred to medical cardiovascular centers of Shahin Shahr city were selected by convenience sampling method. The patients had undergone bypass surgery or angioplasty balloon. Patients filled out a demographic questionnaire and necessary tests were conducted to determine their risk factors. Before and after the training, anthropometric indexes (weight, waist circumference, hip circumference and subcutaneous fat in three regions) were measured and blood tests for IL-6, IL-10, homocysteine and walk test for 6 min. (to determine physical capacity) were carried out. The training protocol lasted 24 sessions, 3 days a week, one hour each session. Results showed that the rehabilitation program significantly reduced homocysteine ​​and inflammatory cytokines. Overall, the present study showed that a rehabilitation program with concurrent resistance-endurance training can be a suitable method to improve functional capacity in patients with heart disease given the specific effect of each type of training.

کلیدواژه‌ها [English]

  • Rehabilitation
  • endurance-resistance training
  • interleukin
  • homocysteine
  • patient with heard disease
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