fa بررسی تاثیر اختلالات خواب بر شاخص های قلبی عروقی و عملکرد ورزشی در بیماران دیابتی تخصصي Special پژوهشي Research <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">زمینه و هدف:</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> دیابت ملیتوس یکی از عوامل اصلی مرگ و میر در جهان می‌باشد که در نتیجه نقص در ترشح یا عملکرد انسولین ایجاد می‌گردد. گاه بی خوابی می‌تواند از عوارض دیابت باشد و یا اینکه خود، عاملی برای ایجاد دیابت شود. از سوی دیگر اختلال در کیفیت خواب، خطر افزایش ابتلا به دیابت و مرگ و میر را به دنبال دارد.</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">همچنین </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">برخی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تحقیقات</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نشان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">داده اند</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">کم</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خوابی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">عملکردهای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ورزشکاران</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آثار</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مختلفی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">دارد. هدف</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پژوهش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بررسی </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">تاثیر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اختلالات خواب</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">شاخص</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">های</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">قلبی - عروقی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">عملکرد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ورزشی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بیماران دیابتی بود</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"> .</span></span></span><br> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">مواد و روش ها</span></span></strong>: <span style="font-family:b lotus;"><span style="font-size:10.0pt;">&nbsp;مطالعه حاضر از نوع نیمه تجربی و شامل </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">۲۵ </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">نفر از بیماران مرد مبتلا به دیابت</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> نوع دو </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">بودند که براساس شرایط مطالعه انتخاب شدند. آزمون</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">های</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مربوط</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اندازه گیری</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">توان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">هوازی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">(آزمون</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">وینگیت)،</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">فشار</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خون</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">،</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ضربان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">قلب، میزان قند خون</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">چهار</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">هفته</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اجرا</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">گردید.</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">برای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ارزیابی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اطلاعات</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">روش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آماری</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تحلیل</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">واریانس</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اندازه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">گیری</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مکرر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آزمون</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تعقیبی بونفرونی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">استفاده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">شد</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">.</span></span></span><br> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">یافته</span></span></strong> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ها:</span></span></strong> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">&nbsp;بی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خوابی موجب</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">افزایش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">معنی داری بر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میزان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">قند خون ، ضربان قلب </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> توان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">هوازی بیماران</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">داشت(05/0></span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">P</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">)، اما</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">فشار</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خون</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تاثیر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">معنی داری</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مشاهده نشد(05/0<</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">P</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">)</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">.</span></span></span><br> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">نتیجه‌گیری</span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">:</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آنجایی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">کم</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خوابی می‌تواند</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">منجر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">افزایش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خطر ابتلا به عوارض دیابت شود، لذا بهبود خواب افراد ابتلا به دیابت باید مورد توجه قرار گیرد</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">.</span></span></span> <strong>Background</strong>: Diabetes mellitus is one of the leading causes of death in the world as a result of a defect in the secretion or function of insulin. Sometimes insomnia can be a complication of diabetes or it can be a factor in diabetes. On the other hand, impairment in sleep quality is associated with increased risk of diabetes and mortality. Some studies have also shown that sleep deprivation has different effects on athletic performance. The purpose of this study was to investigate the effect of sleep disorders on cardiovascular and exercise performance in diabetic patients.<br> <strong>Materials and Methods: </strong>The present study was a quasi-experimental and included 25 diabetic patients selected according to the study conditions. Tests for measuring anaerobic power (Wingate test), blood pressure, heart rate, and blood glucose levels were performed in four weeks. Data were analyzed by repeated measures of variance analysis and Bonferron&#39;s post hoc test.<br> <strong>Results: </strong>Insomnia caused a significant increase in blood glucose, heart rate and anaerobic power (P<0.05), but there was no significant effect on the blood pressure (P>0.05).<br> <strong>Conclusion: </strong>Since sleep deprivation can increase the risk of complications of diabetes, improving the sleep patterns of people with diabetes should be considered.<strong><span dir="RTL"> </span></strong> اختلالات خواب, شاخص‌های قلبی عروقی, عملکرد ورزشی, بیماران دیابتی Sleep disorders, cardiovascular indexes, Athletic performance, Diabetic patients 75 82 http://aums.abzums.ac.ir/browse.php?a_code=A-10-890-15&slc_lang=fa&sid=1 Afshin Rahbarghazi افشین رهبرقاضی 10031947532846006518 10031947532846006518 No Ph.D. Student of Exercise Physiology, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran دانشجوی دکتری فیزیولوژی ورزشی، دانشکده علوم تربیتی و روانشناسی دانشگاه محقق اردبیلی، اردبیل، ایران Marefat Siahkouhian معرفت سیاه‌کوهیان m_siahkohian@uma.ac.ir 10031947532846006519 10031947532846006519 Yes Department of Physical Education and Sport Sciences, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran استاد فیزیولوژی ورزشی، گروه فیزیولوژی ورزشی، دانشکده علوم تربیتی و روانشناسی، اردبیل، ایران