پاسخ شاخص‌های همودینامیک و انعقادی به یک جلسه فعالیت هوازی با و بدون محدودیت جریان خون در بیماران پرفشار خونی

نوع مقاله : علمی - پژوهشی

نویسندگان

بخش علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران

چکیده

هدف: فعالیت ورزشی هوازی بسته به شدت و مدت فعالیت منجر به تغییراتی در عوامل همودینامیکی و دستگاه هموستاتیک در بیماران پرفشار خونی می­شود که در صورت اعمال محدودیت جریان خون در زمان فعالیت می­توان انتظار تغییرات متفاوتی داشت. بنابراین، هدف از پژوهش حاضر، بررسی پاسخ برخی شاخص‌های همودینامیک و انعقادی به یک جلسه فعالیت ورزشی هوازی با و بدون محدودیت جریان خون در بیماران پرفشار خونی بود.
روش‌ها: تعداد 10 بیمار پرفشار خونی در 2 جلسه فعالیت هوازی (5 نوبت، هر نوبت 2 دقیقه‌ فعالیت با سرعت 4 کیلومتر در ساعت با یک دقیقه استراحت‌ غیرفعال) با و بدون محدودیت جریان خون با طرح توازن متقابل شرکت کردند. فشارخون قبل، بلافاصله، 5، 10، 15، 30 و 60 دقیقه پس از فعالیت، تعداد پلاکت­ها، زمان پروترومبین و زمان نسبی ترومبوپلاستین فعال شده قبل، بلافاصله، 30 دقیقه و 24 ساعت پس از فعالیت، ضربان قلب و شاخص درک از فشار نیز در نوبت‌های مختلف فعالیت اندازه‌گیری شد.
نتایج: اثر زمان در همه عوامل اندازه‌گیری شده غیر از تعداد پلاکت­ها (055/0=P) معنا­دار بود (001/0>P) در حالی که تعامل زمان- شرایط فعالیت غیر از ضربان قلب (011/0=P) در بقیه عوامل غیرمعنا­دار بود ­(05/0<P).
نتیجه‌گیری: براساس نتایج، محدودیت جریان خون منجر به افزایش عوامل همودینامیکی و کاهش زمان تشکیل لخته در بیماران پرفشارخونی شد ولی تفاوت‌های موجود بین فعالیت هوازی با و بدون جریان خون معنا‌دار نبود، بنابراین، به نظر می‌رسد فعالیت با محدودیت جریان خون خطر اضافی را بر دستگاه قلبی- عروقی و عوامل انعقادی افراد میانسال دارای پرفشار خونی اعمال نمی‌کند.

کلیدواژه‌ها

عنوان مقاله [English]

Acute Effect of Single Bout Aerobic exercise with and without Blood Flow Restriction on Hemodynamic and Coagulation Indicators in Hypertension Disease

نویسندگان [English]

  • Zahra Karimi Ahmadabadi
  • Javad Nemati
  • Seyed Hesamuddin Mousavinia
  • Rasoul Rezaei
Department of Sports Science, Faculty of Educational Sciences and Psychology, Shiraz University, Shiraz, Iran
چکیده [English]

Purpose: Depending on the intensity and duration of activity, aerobic exercise leads to changes in hemodynamic factors and the hemostatic system in hypertensive patients, which can be expected to change if blood flow is restricted during exercise. Therefore, the purpose of the present study was to investigate the response of some hemodynamic and coagulation indicators to aerobic exercise with and without blood flow restriction in hypertensive patients.
Methods: 10 hypertensive patients participated in two sessions of aerobic exercise (five bouts, two minutes of exercise at a speed of four km / h /one minute of inactive recovery) with and without blood flow restriction in a cross-over design. Blood pressure was measured before, immediately, five, 10, 15, 30 and 60 minutes after exercise. Platelet counts, Prothrombin Time and activated Partial Thromboplastin Time were taken before, immediately, 30 minutes and 24 hours after exercise. Heart rate and rate of perceived exertion were also measured at different times of exercise.
Results: The effect of time was significant on all measured factors (P < 0.001) except platelet counts (P = 0.055), while the time-condition interaction was non-significant on other factors (P > 0.05) except heart rate (P = 0.011).
Conclusion: Based on the results, blood flow restriction increased hemodynamic factors and decreased clotting time in hypertensive patients, but the differences between aerobic exercise with and without blood flow restriction were not significant, so it seems that exercise with limited blood flow does not pose an additional risk on the cardiovascular system and coagulation factors of middle-aged people with hypertension.

کلیدواژه‌ها [English]

  • Blood pressure
  • Heart rate
  • Platelet counts
  • Prothrombin Time
  • activated Partial Thromboplastin Time

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سابقه مقاله

  • تاریخ دریافت: 22 دی 1399
  • تاریخ بازنگری: 03 مرداد 1400
  • تاریخ پذیرش: 30 مرداد 1400
  • تاریخ اولین انتشار: 15 فروردین 1401
  • تاریخ انتشار: 01 اردیبهشت 1401

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