مقایسه تأثیر تمرین ورزشی با رژیم‌ غذایی کاهش وزن در برابر رژیم غذایی کاهش وزن تنها بر فشارخون در افراد دارای اضافه‌وزن و چاق: مروری نظام مند و فراتحلیل

نوع مقاله : مقاله مروری Released under CC BY 4.0 license I Open Access I

نویسندگان

1 پژوهشگر فوق دکتری فیزیولوژی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران.

2 استاد فیزولوژی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران.

10.22049/jahssp.2021.27283.1359

چکیده

زمینه و هدف: تمرین ورزشی و رژیم غذایی کاهش وزن به عنوان مداخلات موثر در کاهش فشار خون شناخته شده اند. با این حال مطالعه فراتحلیلی جامعی در زمینه مقایسه تأثیر تمرین ورزشی با رژیم‌ غذایی کاهش وزن در برابر رژیم غذایی کاهش وزن تنها بر فشارخون در افراد دارای اضافه‌وزن و چاق وجود ندارد که هدف مطالعه حاضر می باشد. روش پژوهش: جستجو در پایگاه‌های اطلاعاتی PubMed وCochrane Library Magiran، Sid و Google Scholar تا بهمن سال 1399 برای مقالات فارسی و تا February سال 2021 برای مقالات انگلیسی انجام شد. فراتحلیل برای مقایسه تاثیر تمرین ورزشی با رژیم غذایی کاهش وزن در برابر رژیم غذایی کاهش وزن تنها انجام شد. برای این منظور WMD و فاصله اطمینان 95 درصد (CI) با استفاده از مدل اثر تصادفی یا ثابت محاسبه شد. همچنین، آزمون I2 جهت تعیین ناهمگونی و فونل پلات و تست Egger برای تعیین سوگیری انتشار استفاده شدند. یافته‌ها: نتایج فراتحلیل 48 مداخله نشان داد که تمرین ورزشی با رژیم غذایی اثرات معنی‌داری بر کاهش فشارخون سیستولی به میزان 53/1 میلی متر جیوه در برابر رژیم غذایی تنها دارد [001/0p= ،(62/0- الی 44/2CI: -) 53/1-]. همچنین، تمرین ورزشی با رژیم غذایی منجر به کاهش معنی دار فشارخون دیاستولی به میزان 50/1 میلی متر جیوه در برابر رژیم غذایی تنها می‌شود [001/0p < ،(65/0- الی 35/2CI: -) 50/1-]. نتیجه‌گیری: نتایج مطالعه حاضر نشان داد که اضافه کردن تمرینات ورزشی به رژیم غذایی کاهش وزن می تواند اثرات بیشتری برای کاهش فشار خون داشته باشد.

کلیدواژه‌ها


عنوان مقاله [English]

A comparison of the impact of exercise training with weight loss diet versus weight loss diet alone on blood pressure in individual with overweight or obesity: a systemic review and meta-analysis

نویسندگان [English]

  • Mousa Khalafi 1
  • Ali Asghar Ravasi 2
1 Postdoctoral student of Exercise Physiology, Faculty of Physical Educational and Sport Science, University of Tehran, Tehran, Iran
2 Professor of Exercise Physiology, Faculty of Physical Educational and Sport Science, University of Tehran, Tehran, Iran.
چکیده [English]

Background& purpose: Exercise training and weight loss diet are known to be effective interventions for improving blood pressure control. However, there is no comprehensive meta-analytical study comparing the effect of exercise with weight loss diet versus weight loss diet alone on blood pressure in individual with overweight and obesity. Methods: The PubMed and Cochrane Library Magiran, Sid and Google Scholar databases were searched until February 2016 for Persian and English articles. Meta-analyses were conducted to compare the effect exercise training with weight loss diet compared to weight loss diet alone. Therefore, WMD and 95% confidence interval (CI) were calculated using a random or fixed effect models. Moreover, I2 test was used to determine heterogeneity and funnel plot and Egger test was used to determine publication bias. Results: The results of meta-analysis of 48 interventions showed that exercise training with diet has significant effects on reducing systolic blood pressure at the rate of 1.53 mm Hg compared to diet alone [-1.53, (CI:-2.44 to -0.62), p=0.001]. Also, exercise with diet leads to a significant reduction in diastolic blood pressure at the rate of 1.50 mm Hg compared to diet alone [-1.50 (CI:-2.35 to -0.65), p < 0.001]. Conclusions: The results of the present study showed that adding exercise training to the weight loss diet could have more effects on lowering blood pressure.

کلیدواژه‌ها [English]

  • Exercise training
  • diet
  • Blood Pressure
  • Obesity
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