نقش ترتیب تمرین در افزایش مزایای تمرین ترکیبی (مقاومتی و هوازی) بر سختی شریانی مردان جوان مبتلا به فشار خون

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، مرکز تحقیقات طب ورزشی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

2 استادیار، مرکز تحقیقات طب ورزشی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران (نویسنده مسئول)

3 استادیار، مرکز تحقیقات طب ورزشی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

4 مرکز تحقیقات طب ورزشی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

چکیده

مقدمه: تمرینات هوازی و مقاومتی دارای اثرات متفاوتی بر شاخصه های سیستم قلبی عروقی هستند.هدف از انجام این پژوهش بررسی اثر ترتیب انجام تمرین ترکیبی بر سختی شریانی مردان جوان می باشد.
روش کار: بیست شرکت کننده مرد با سطح پیش فشارخونی در دامنه سنی 45-30 سال به صورت در دسترس در 3 گروه کنترل (5=Cl; n) ، ترکیبی هوازی-مقاومتی (7= ART; n) و ترکیبی مقاومتی-هوازی(8= RAT; n) به انجام 8 هفته پروتکل تمرین ترکیبی پرداختند. بخش هوازی تمرین شامل 20 دقیقه فعالیت بر روی تردمیل یا دوچرخه کارسنج با شدت89-60 % ضربان قلب ذخیره (HRR) و بخش مقاومتی شامل کار با وزنه با 84-70 % یک تکرار بیشینه (1RM) بود. سختی شریانی با استفاده از شاخص ضربان موج-نبض (PWV) اندازه گیری شد. مقایسه های آماری با استفاده از آزمونهای t همبسته و آنالیز کوواریانس انجام شد.
نتایج: نتایج درون گروهی نشان داد تمرین در هر دو گروه تجربی باعث کاهش معنادار در سختی شریانی شد اما در مقایسه بین گروه ها تنها توالی RT اختلاف معناداری با دو گروه کنترل (008/0=P) و AR (137/0=P) داشت و تفاوت ها بین دو گروه CL و AR (330/0=P) غیرمعنادار بود.
نتیجه­گیری: پیشنهاد می شود تمرین ترکیبی با توالی مقاومتی-هوازی انجام شود تا افراد از مزایای مربوط به کاهش خطرات بیماری قلبی عروقی بهره ببرند.

کلیدواژه‌ها


عنوان مقاله [English]

The role of exercise order in increasing the beneficial effects of combined (aerobic and resistant) training on arterial stiffness in prehypertensive young men

نویسندگان [English]

  • Farhad Rahimi 1
  • Saied Keshavarz 2
  • Jamshid Banaie 3
  • Mahnaz Marvi-Esfahani 4
1 PhD candidate, Sport Medicine Research Center, Najafabad Branch, Islamic Azad University, Najafabad.Iran
2 Assistant professor, Sport Medicine Research Center, Najafabad Branch, Islamic Azad University, Najafabad.Iran
3 7. Assistant professor, Sport Medicine Research Center, Najafabad Branch, Islamic Azad University, Najafabad.Iran.
4 Sport Medicine Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
چکیده [English]

Introduction: Aerobic and resistance training have different effects on the characteristics of the cardiovascular system. The aim of this study was to the role of exercise order in increasing the beneficial effects of combined (aerobic and resistant) training on arterial stiffness in prehypertensive young men.
Material and Methods: Twenty male participants with pre-hypertensive levels in the age range of 30-45 years were available in 3 groups: control (Cl; n = 5), aerobic-resistance combination (ART; n = 7) and resistance-aerobic combination ( RAT = 8) performed 8 weeks of combined training protocol. The aerobic part of the training consisted of 20 minutes of activity on a treadmill or bicycle with an intensity of 89-60% of the reserve heart rate (HRR) and the resistance part consisted of working with weights with 84-70% of a maximum repetition (1RM). Arterial stiffness was measured using pulse wave-pulse index (PWV). Statistical comparisons were performed using paired t-test and analysis of covariance.
Results: Intragroup results showed that exercise in both experimental groups caused a significant reduction in arterial stiffness, but in comparison between the groups, only the RT sequence was significantly different from the control groups (P = 0.008) and AR (P = 0.137). ) And the differences between the two groups CL and AR (P = 0.330) were non-significant
 (P <0.01) and Yang schema therapy was effective only in emotional regulation (P <0.01). The results also showed that there was a significant difference between the effectiveness of the native schema therapy package and Young's schema therapy on reducing the desire for divorce at the level of P <0.01, but there was no significant difference between the effectiveness of these two methods on improving emotional regulation (P <0.01).
Conclusion: It is suggested that combined exercise with resistance-aerobic sequence be performed so that individuals can enjoy the benefits of reducing the risks of cardiovascular disease.

کلیدواژه‌ها [English]

  • Combined Exercise
  • Arterial Stiffness
  • Exercise Sequence
  • Hemodynamic Indices
  • Physical Activity
  1. Laurent S, Alivon M, Beaussier H, Boutouyrie P. Aortic stiffness as a tissue biomarker for predicting future
    cardiovascular events in asymptomatic hypertensive subjects. Annals of medicine. 2012;44(sup1):S93-S7.
    2. Franklin SS. Arterial stiffness and hypertension: a two-way street? : Am Heart Assoc; 2005.
    3. Kaess BM, Rong J, Larson MG, Hamburg NM, Vita JA, Levy D, et al. Aortic stiffness, blood pressure
    progression, and incident hypertension. Jama. 2012;308(9):875-81.
    4. Payne RA, Wilkinson IB, Webb DJ. Arterial stiffness and hypertension: emerging concepts. Hypertension.
    2010;55(1):9-14.
    5. Bautista LE. Inflammation, endothelial dysfunction, and the risk of high blood pressure: epidemiologic and
    biological evidence. Journal of Human Hypertension. 2003;17(4):223-30.
    6. Wang C-H, Li S-H, Weisel RD, Fedak PW, Dumont AS, Szmitko P, et al. C-reactive protein upregulates
    angiotensin type 1 receptors in vascular smooth muscle. Circulation. 2003;107(13):1783-90.
    7. Hayashi K, Sugawara J, Komine H, Maeda S, Yokoi T. Effects of aerobic exercise training on the stiffness of
    central and peripheral arteries in middle-aged sedentary men. The Japanese journal of physiology. 2005;55(4):235-9.
    8. KAKIYAMA T, Sugawara J, MURAKAMI H, MAEDA S, KUNO S, MATSUDA M. Effects of short-term
    endurance training on aortic distensibility in young males. Medicine & Science in Sports & Exercise. 2005;37(2):267-
    71.
    9. Currie KD, Thomas SG, Goodman JM. Effects of short-term endurance exercise training on vascular function
    in young males. European journal of applied physiology. 2009;107(2):211-8.
  2. 10. Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N, Hubbard VS, et al. 2013 AHA/ACC Guideline
    on Lifestyle Management to Reduce Cardiovascular Risk: A Report of the American College of Cardiology/American
    Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology. 2014;63(25, Part
    B):2960-84.
    11. Jenkins NT, Martin JS, Laughlin MH, Padilla J. Exercise-induced signals for vascular endothelial adaptations:
    implications for cardiovascular disease. Current cardiovascular risk reports. 2012;6(4):331-46.
    12. Padilla J, Simmons GH, Bender SB, Arce-Esquivel AA, Whyte JJ, Laughlin MH. Vascular effects of exercise:
    endothelial adaptations beyond active muscle beds. Physiology. 2011;26(3):132-45.
    13. Ashor AW, Lara J, Siervo M, Celis-Morales C, Mathers JC. Effects of exercise modalities on arterial stiffness
    and wave reflection: a systematic review and meta-analysis of randomized controlled trials. PloS one.
    2014;9(10):e110034.
    14. Cocks M, Shaw CS, Shepherd SO, Fisher JP, Ranasinghe A, Barker TA, et al. Sprint interval and
    moderate‐intensity continuous training have equal benefits on aerobic capacity, insulin sensitivity, muscle
    capillarisation and endothelial eNOS/NAD (P) Hoxidase protein ratio in obese men. The Journal of physiology.
    2016;594(8):2307-21.
    15. Rahimi F, Keshavarz S, Banai C, Marvi Isfahani M. Comparison of the effect of different training methods
    (aerobic, resistance and combination) with high intensity on blood pressure and arterial stiffness in young men with
    hypertension. Journal of Mashhad University of Medical Sciences. 2020; 63 (3)
    16. Miyachi M. Effects of resistance training on arterial stiffness: a meta-analysis. British journal of sports
    medicine. 2013;47(6):393-6.
    17. Okamoto T, Masuhara M, Ikuta K. Upper but not lower limb resistance training increases arterial stiffness in
    humans. European Journal of Applied Physiology. 2009;107(2):127-34.
    18. Cortez-Cooper MY, Anton MM, DeVan AE, Neidre DB, Cook JN, Tanaka H. The effects of strength training
    on central arterial compliance in middle-aged and older adults. European journal of cardiovascular prevention and
    rehabilitation. 2008;15(2):149-55.
    19. Figueroa A, Park SY, Seo DY, Sanchez-Gonzalez MA, Baek YH. Combined resistance and endurance
    exercise training improves arterial stiffness, blood pressure, and muscle strength in postmenopausal women.
    Menopause. 2011;18(9):980-4.
    20. Kawano H, Tanaka H, Miyachi M. Resistance training and arterial compliance: keeping the benefits while
    minimizing the stiffening. Journal of hypertension. 2006;24(9):1753-9.
    21. Shiotsu Y, Watanabe Y, Tujii S, Yanagita M. Effect of exercise order of combined aerobic and resistance
    training on arterial stiffness in older men. Experimental gerontology. 2018;111:27-34.
    22. Ansari, Sepideh, Sharifi, Khoob Tez, Kamrani, Fakhrzadeh, et al. The relationship between arterial stiffness
    and cognitive status in the elderly. Iranian Journal of Diabetes and Metabolism. 2014; 13 (6): 513-24
    23. Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee I-M, et al. Quantity and quality of
    exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently
    healthy adults: guidance for prescribing exercise. 2011.
    24. Jorge MLMP, de Oliveira VN, Resende NM, Paraiso LF, Calixto A, Diniz ALD, et al. The effects of aerobic,
    resistance, and combined exercise on metabolic control, inflammatory markers, adipocytokines, and muscle insulin
    signaling in patients with type 2 diabetes mellitus. Metabolism. 2011;60(9):1244-52.
    25. Okamoto T, Masuhara M, Ikuta K. Combined aerobic and resistance training and vascular function: effect of
    aerobic exercise before and after resistance training. Journal of applied physiology. 2007;103(5):1655-61.
    26. Patel RS, Al Mheid I, Morris AA, Ahmed Y, Kavtaradze N, Ali S, et al. Oxidative stress is associated with
    impaired arterial elasticity. Atherosclerosis. 2011;218(1):90-5.
    27. Ruangthai R, Phoemsapthawee J. Combined exercise training improves blood pressure and antioxidant
    capacity in elderly individuals with hypertension. Journal of Exercise Science & Fitness. 2019;17(2):67-76.
    28. Way KL, Sultana RN, Sabag A, Baker MK, Johnson NA. The effect of high Intensity interval training versus
    moderate intensity continuous training on arterial stiffness and 24h blood pressure responses: A systematic review and
    meta-analysis. Journal of Science and Medicine in Sport. 2019;22(4):385-91.
    29. Miyachi M. Effects of resistance training on arterial stiffness: a meta-analysis. Br J Sports Med.
    2013;47(6):393-6.
    30. Casey DP, Beck DT, Braith RW. Progressive resistance training without volume increases does not alter
    arterial stiffness and aortic wave reflection. Experimental biology and medicine. 2007;232(9):1228-35.
    31. Carter JR, Ray CA, Downs EM, Cooke WH. Strength training reduces arterial blood pressure but not
    sympathetic neural activity in young normotensive subjects. Journal of Applied Physiology. 2003;94(6):2212-6.
    32. DeVan AE, Anton MM, Cook JN, Neidre DB, Cortez-Cooper MY, Tanaka H. Acute effects of resistance
    exercise on arterial compliance. Journal of Applied Physiology. 2005;98(6):2287-91.
  3. 33. Fahs CA, Heffernan KS, Fernhall B. Hemodynamic and vascular response to resistance exercise with Larginine. Medicine and science in sports and exercise. 2009;41(4):773-9.
    34. Heffernan KS, Fahs CA, Iwamoto GA, Jae SY, Wilund KR, Woods JA, et al. Resistance exercise training
    reduces central blood pressure and improves microvascular function in African American and white men.
    Atherosclerosis. 2009;207(1):220-6.
    35. Safar ME, Czernichow S, Blacher J. Obesity, arterial stiffness, and cardiovascular risk. Journal of the
    American Society of Nephrology. 2006;17(4 suppl 2):S109-S11.
    36. Montero D, Vinet A, Roberts CK. Effect of combined aerobic and resistance training versus aerobic training
    on arterial stiffness. International Journal of Cardiology. 2015;178:69-76.