Pilates ve Düşük Şiddetli Kardiyo Egzersizlerinin Kadınlarda İnsülin Direnci Üzerine Etkisi

Amaç: İnsülin direnci gelişmiş kadınlarda pilates ve düşük şiddetli kardiyo egzersizlerinin insülin direncine etkisini incelemektir. Gereç ve Yöntem: Çalışmaya son altı ayda düzenli olarak herhangi bir egzersiz programına katılmamış ve ilaç tedavisi görmeyen, insülin direnci gelişmiş 20-40 yaş aralığında kadınlar dahil edildi. 45 gönüllü kadın eşit olarak düşük şiddetli kardiyo egzersizi (DŞKE), pilates egzersizi (PE) ve kontrol (K) guruplarına ayrıldı. Egzersiz gruplarına haftada 3 gün, bir çalışmada 60 dakikalık pilates veya düşük şiddetli kardiyo egzersiz programı uygulandı. Kadınların 12 haftalık egzersiz uygulaması öncesi ve sonrası kilo, vücut kütle indeksi (VKİ), bel ve kalça çevresi, bel-kalça oranı (BKO) gibi antropometrik ölçümlerinin yanı sıra trigliserit (TG), yüksek dansiteli lipoprotein (HDL), düşük dansiteli lipoprotein (LDL), total kolesterol (TC), açlık kan şekeri (AKŞ), açlık insülin (Aİ) ve insülin direnci (İD) gibi kan parametreleri ölçüldü. Grupların ön test ve son test ölçümleri Wilcoxon İşaret T testi, gruplar arası farklılıklar Kruskal Wallis H testi, grupların ikili karşılaştırmaları ise Mann Whitney U testi kullanılarak SPSS 18.0 programında analiz edildi. Bulgular: DŞKE ve PE egzersizlerinin kilo, VKİ, bel ve kalça çevresinde istatistiksel olarak anlamlı azalmaya neden olduğu, C grubunda ise istatistiksel olarak anlamlı bir fark olmadığı saptandı. Her iki egzersizin AKŞ, Aİ ve İD değerlerinde istatistiksel olarak anlamlı bir azalmaya neden olduğu saptandı. LDL (p=0.04) ve TC (p=0.03) seviyelerinin DŞKE gurubunda azaldığı gözlemlenirken, PE gurubunda değişmediği görüldü. 12 haftalık egzersiz sonrasında guruplar arasında Aİ ve İD değerlerinde istatistiksel olarak anlamlı bir fark olduğu (p=0.01), AKŞ değerlerinde ise guruplar arasında anlamlı bir fark olmadığı görüldü. K gurubu ile karşılaştırıldığında DŞKE gurubunda İD’nin (p=0.04) istatistiksel olarak anlamlı düzeyde azaldığı görüldü. Sonuç: 12 haftalık DŞKE programının İD düzeyini azaltmaya yardımcı olduğu görülmüştür. Programlara esneklik ve dengeyi artıran, pilates gibi destekleyici egzersiz türleri de eklenmelidir.

The Effect of Pilates and Low Intensity Cardio Exercise on Insulin Resistance in Women

Objective: Aim of the study was to determine the effect of pilates and low-intensity cardio-exercise on insulin resistance among women who have developed insulin resistance. Material and Methods: The study included women with insulin resistance aged 20 to 40 years who neither regularly attend any exercise program nor received any medication for the last six months. A total of 45 volunteer women were equally divided into low-intensity cardio exercise (LICE), pilates exercise (PE) and control (K) groups. Exercise groups received a 60-minute pilates or low-intensity cardio exercise program 3 times a week. Anthropometric measurements of the participants such as height, weight, body mass index, waist and hip circumferences, waist-to-hip ratio as well as blood parameters such as triglyceride (TG), high density lipoprotein (HDL), low density lipoprotein (LDL), total cholesterol (TC), fasting blood glucose (FBG), fasting insulin (FI) and insulin resistance (IR) were measured before and after the 12 week exercise period. Pre and post-test measurements of the groups were analyzed by Wilcoxon Sign-T test, differences between the groups by Kruskal Wallis H test, and paired comparisons of the groups were analyzed by Mann Whitney U test using SPSS 18.0 software. Results: It was found that LICE and PE exercises caused a statistically significant decrease in weight, body mass index, waist and hip circumference, however, there was no statistically significant difference in C group. It was found that both exercises caused a statistically significant decrease in FBS, FI and IR values. Although LDL (p=0.04) and TC (p=0.03) were decreased in LICE group, they remained almost same in the PE group. After 12 weeks of exercise, there was a statistically significant difference between the groups in terms of FI and IR (p=0.01), but there was no significant difference in fasting blood glucose values. A statistically significant decline in IR (p=0.04) was observed in LICE group when compared to C group. Conclusion: LICE program helps to decrease the IR when administered for at least 12 weeks. Pograms should include flexibility and balance impoving exercises such as pilates.

Kaynakça

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Kaynak Göster

Spor Hekimliği Dergisi
  • ISSN: 1300-0551
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1966

368154

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