اثر تمرین بازتوانی قلبی به دو شکل تداومی و تناوبی بر هموسیستئین، پپتید دهلیزی دفع کننده سدیم سرمی و ظرفیت عملکردی در بیماران قلبی بعد از عمل پیوند عروق کرونر

نویسندگان
ناصر حیدری 1
علیرضا رمضانی 1
خسرو میناوند 2
رضا قراخانلو 3
1 گروه فیزیولوژی ورزشی، دانشکده تربیت بدنی، دانشگاه تربیت دبیر شهید رجایی، تهران، ایران
2 بخش قلب و عروق، بیمارستان علوم پزشکی امیر کبیر، اراک، ایران
3 گروه فیزیولوژی ورزشی، دانشکده تربیت بدنی، دانشگاه تربیت مدرس، تهران، ایران
چکیده
مقدمه

هدف تحقیق حاضر، بررسی اثر تمرین بازتوانی قلبی به دو شکل تداومی و تناوبی بر ظرفیت عملکردی، هموسیستئین و پپتید دهلیزی دفع‌کننده سدیم سرمی در بیماران قلبی بعد از عمل پیوند عروق کرونر می‌باشد.

مواد و روش­ها

30 بیمار در سه گروه تمرین تداومی، تناوبی و کنترل قرار گرفتند. افراد با توجه به گروه‌شان به مدت 8 هفته تمرین نموده و قبل و بعد از اجرای تمرین، آزمون‌های خون‌گیری برای سنجش هموسیستئین و پپتید دهلیزی دفع‌کننده سدیم (ANP) استفاده شد. همچنین، ظرفیت عملکردی آزمودنی­ها مورد اندازه‌گیری قرار گرفت. برای تجزیه و تحلیل داده‌ها، از آزمون تحلیل واریانس ترکیبی و در صورت تفاوت، جهت تعیین محل تفاوت از آزمون تعقیبی بونفرونی استفاده و تحلیل‌های آماری با استفاده از نرم‌افزارSpss نسخه 20 انجام شد.

یافته­ها

هموسیستئین سرم پس از 8 هفته تمرین در گروه‌ تداومی کاهش یافت، در گروه تناوبی نیز این کاهش معنی‌دار بود، بطوریکه در گروه تمرین تناوبی بیش از تمرین تداومی بود. اجرای تمرینات تداومی منجر به کاهش معنی‌دار ANP گردید. همچنین، تمرین تناوبی سبب کاهش معنی‌دار ANP شد، بین دو گروه تناوبی و تداومی تفاوت معنی‌داری مشاهده نشد. بهبود ظرفیت عملکردی در گروه تداومی و تناوبی معنی‌دار بود، افزایش ظرفیت عملکردی در گروه تمرین تناوبی بیش از تمرین تداومی بود.

نتیجه­گیری

نتایج تحقیق نشان داد که انجام تمرین تناوبی ظرفیت عملکردی بیماران CABG را افزایش داد، از سوی دیگر سبب کاهش هموسیستئین و ANP سرمی شد. احتمالا تمرین تناوبی همانند تمرین تداومی می‌تواند به عنوان تمرینی ایمن در برنامه بازتوانی قلبی این بیماران مورد استفاده قرارگیرد.
کلیدواژه‌ها
پیوند عروق کرونر
تمرین تناوبی
هموسیستئین
ظرفیت عملکردی
پپتید دهلیزی

عنوان مقاله English

The effect of continuous and interval cardiac rehabilitation training on homocysteine, serum Atrial natriuretic peptide, and functional capacity in coronary artery bypass graft patients

نویسنده English

naser heidari 1
1 Department of Sport Physiology, Faculty of Physical Education, Tarbiat Dabir Shahid Rajaei University, Tehran, Iran
2 Cardiovascular Department, Amir Kabir Hospital of Medical Sciences, Arak, Iran
3 Department of Sports Physiology, Faculty of Physical Education, Tarbiat Modares University, Tehran, Iran
چکیده English

Introduction

The purpose of this study was to investigate the effect of continuous and interval cardiac rehabilitation training on functional capacity homocysteine and Atrial natriuretic peptide (ANP) in Coronary artery bypass surgery patients.

Materials and Methods

According to the aim of the study, 30 patients with inclusion criteria were selected and divided into three groups: continuous and interval training and control group. Individuals were trained for 8 weeks according to their special program. Before and after training protocol, blood sampling was used to measure homocysteine and ANP and functional capacity was assessed. To analyze the data, mixed design analysis of variance was used and when differences were significant Bonferroni post hoc test was used to determine the place of difference. All statistical analyzes were performed using SPSS software version 20.

Results

Serum homocysteine decreased significantly after 8 weeks of training in both experimental groups, this decline was higher in the interval training group than the continuous training group (p <0.05). The intervention of continuous and interval exercises significantly reduced the level of serum ANP and improved functional capacity in experimental groups, in which the interval group experienced more improvement of functional capacity than the continuation training group (p <0.05).

Conclusion

In this study, it was observed that interval training could increase functional capacity and cause to decrease the inflammatory factors, thereby preventing further complications in these patients like heart attacks.

کلیدواژه‌ها English

bypass surgery
interval training
homocysteine
functional capacity
Atrial natriuretic peptide
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