توصيف و ارتباط عملكرد قلبي تنفسي و تركيب بدني با استفاده از روش هاي نوين در مردان و زنان اصفهاني

The Description and Relationship of Cardiorespiratory Function and Body Composition Using Modern Methods in the Isfahan Men and Women

زﻣﯿﻨﻪ و ﻫﺪف: ﺷﺎﺧﺺ ﺗﻮده ﺑﺪن و ﻣﺤﯿﻂ ﮐﻤﺮ، ﭼﺮﺑﯽ زﯾﺮﭘﻮﺳﺘﯽ را از ﺑﺎﻓﺖ ﭼﺮﺑﯽ اﺣﺸﺎﯾﯽ ﮐﻪ ﻣﯿﺰان زﯾﺎدي ﺑﺎ اﺧﺘﻼل در ﻋﻤﻠﮑﺮد ﻗﻠﺒﯽ ﺗﻨﻔﺴﯽ ﻣﺮﺗﺒﻂ اﺳﺖ، ﻣﺘﻤﺎﯾﺰ ﻧﻤﯽﮐﻨﺪ. ﻫﺪف ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ، ارزﯾﺎﺑﯽ ﻏﯿﺮﺗﻬﺎﺟﻤﯽ آﻣﺎدﮔﯽ ﺗﻨﻔﺴﯽ )CRF( در ﻣﺮدان و زﻧﺎن اﺻﻔﻬﺎن و ارﺗﺒﺎط اﺣﺘﻤﺎﻟﯽ ﺑﯿﻦ ﺷﺎﺧﺺﻫﺎي ﺟﺪﯾﺪ ﭼﺎﻗﯽ ﺷﮑﻤﯽ ﺑﺎCRF ﺑﻮد. ﻣﻮاد و روشﻫﺎ: در ﯾﮏ ﻣﻄﺎﻟﻌﻪ ﻣﻘﻄﻌﯽ روي اﻓﺮاد ﺳﺎﻟﻢ 25 ﺗﺎ 65 ﺳﺎل اﺻﻔﻬﺎن، ﻣﺠﻤﻮﻋﺎ 248 آزﻣﻮدﻧﯽ ﺷﺎﻣﻞ زﻧﺎن و ﻣﺮدان ﺑﺎ ﻣﯿﺎﻧﮕﯿﻦ ﺳﻨﯽ زﻧﺎن 11/39 ±50/ 37 و ﻣﺮدان 12/90 ± 41/99 ﺑﻪ ﺻﻮرت داوﻃﻠﺒﺎﻧﻪ در ﭘﮋوﻫﺶ ﺷﺮﮐﺖ ﮐﺮدﻧﺪ. اﻃﻼﻋﺎت ﭼﺎﻗﯽ ﺷﮑﻤﯽ ﺷﺎﻣﻞ ﺷﺎﺧﺺ ﺷﮑﻞ ﺑﺪن )ABSI(، ﺷﺎﺧﺺ ﭼﺎﻗﯽ ﺑﺪن )BAI(، ﻧﺴﺒﺖ ﮐﻤﺮ ﺑﻪ ﻟﮕﻦ )WHR(، ﻋﻤﻠﮑﺮد ﻗﻠﺒﯽ ﺗﻨﻔﺴﯽ )ﺣﺪاﮐﺜﺮ اﮐﺴﯿﮋن ﻣﺼﺮﻓﯽ ﺑﻪدﺳﺖآﻣﺪه از ﭘﺮوﺗﮑﻞﻫﺎي ﮔﺎم ﺷﻤﺎر و راﮐﭙﻮرت و ﺑﺮوس( و ﻓﯿﺰﯾﻮﻟﻮژﯾﮏ )ﻓﺸﺎرﺧﻮن ﺳﯿﺴﺘﻮﻟﯿﮏ و دﯾﺎﺳﺘﻮﻟﯿﮏ و ﺿﺮﺑﺎن ﻗﻠﺐ( ﺟﻤﻊآوري ﺷﺪﻧﺪ و ﻣﻮرد ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﻗﺮار ﮔﺮﻓﺖ. ﻧﺘﺎﯾﺞ: ﻣﯿﺎﻧﮕﯿﻦ ﺗﻌﺪاد ﮔﺎﻣﻬﺎي روزاﻧﻪ در زﻧﺎن و ﻣﺮدان ﺑﻪ ﺗﺮﺗﯿﺐ 6172 و 6341 ﮐﻪ در ﻫﺮ دو ﮔﺮوه ﭘﺎﯾﯿﻦﺗﺮ از ﻣﻘﺎدﯾﺮ ﻃﺒﯿﻌﯽ ﺑﻮده اﺳﺖ. در ﻣﻘﺎﺑﻞ، ﺷﺎﺧﺺﻫﺎي ﭼﺎﻗﯽ اﺣﺸﺎﯾﯽ در داﻣﻨﻪ ﺑﺎﻻﯾﯽ ﻣﻘﺎدﯾﺮ ﻃﺒﯿﻌﯽ در اﻓﺮاد ﺑﺎ ﻫﻤﺎن ﺳﻦ ﺑﻮد. ﺑﻌﻼوه، ﻣﻘﺎدﯾﺮ Vo2max ﮔﺎم ﺷﻤﺎر ﺑﻪ ﺗﺮﺗﯿﺐ 10/50 ± 30/58 و 8/91 ± 51/59 و Vo2max راﮐﭙﻮرت14/06 ± 38/04و 13/51 ±43/13 و Vo2max ﺑﺮوس 03/ 4± 45/ 32و 51/ 5± 44/26 ﺑﻪ دﺳﺖ آﻣﺪ ﮐﻪ ﺗﻘﺮﯾﺒﺎً در ﺗﻤﺎم ﺷﺎﺧﺺﻫﺎي ﺗﺮﮐﯿﺐ ﺑﺪﻧﯽ ﺑﻪاﺳﺘﺜﻨﺎي ABSI ﺑﻪﻃﻮر ﻣﻨﻔﯽ ﺑﺎ VO2max ﺑﺮآورد ﺷﺪه ﺑﻪوﺳﯿﻠﻪ ﭘﺮوﺗﮑﻞﻫﺎي ﮔﺎم ﺷﻤﺎر و راﮐﭙﻮرت ﻣﺮﺗﺒﻂ ﺑﻮد. ﻧﺘﯿﺠﻪﮔﯿﺮي: دادهﻫﺎي ﻣﺎ ﺿﺮورت ﮔﺴﺘﺮش ﻣﺪاﺧﻠﻪﻫﺎﯾﯽ ﺑﺮاي ﺑﻬﺒﻮد آﻣﺎدﮔﯽ ﺟﺴﻤﺎﻧﯽ و ﭘﯿﺸﮕﯿﺮي از اﻓﺰاﯾﺶ ﭼﺎﻗﯽ را ﻣﻮرد ﺗﺄﮐﯿﺪ ﻗﺮار ﻣﯽدﻫﺪ. ﭘﮋوﻫﺶ ﻃﻮﻟﯽ ﺑﺮاي ﺗﺎﺋﯿﺪ ارﺗﺒﺎط ﺑﺎﻟﻘﻮه ﻋﻠﯽ ﺑﯿﻦ اﯾﻦ ﺗﻐﯿﯿﺮﻫﺎ ﻣﻮردﻧﯿﺎز ﺧﻮاﻫﺪ ﺑﻮد.

Background & Purpose: Body mass index and waist circumference do not distinguish subcutaneous fat from visceral fat, which is associated with high levels of cardiovascular dysfunction. The aim of present study was to evaluate the non-invasive respiratory fitness (CRF) in men and women in Isfahan and the possible relationship between the new indicators of abdominal obesity with CRF. Methodology: In a cross-sectional study on healthy subjects aged 25 to 65 years old in Isfahan, a total of 248 subjects were male and female with a mean age of 37.31 ± 11.39 men and 41.99 ±12.91 men volunteered for the study. Abdominal obesity data includes ABSI, BAI, WHR, cardiopulmonary function (maximum oxygen consumption derived from step by step protocols, rocket and Bruce) and physiological (systolic and diastolic blood pressure) and heart rate were collected and analyzed. Results: The average number of daily steps in men and women was 6172 and 6341, respectively, which was lower in both groups than normal values. In contrast, visceral obesity indices were highly range than those in the same age group. In addition, pedometer Vo2max values were 30.58 ± 10.51, 59.59 ± 91.8 and Vo2max, respectively, were 38.04 ± 14.66, 43.13 ± 13.51, and Vo2max Bruce, and 32/45 ± 4/03 ,44/26 ± 5/51 It was found that almost all body composition indices other than ABSI were negatively related to VO2max by step-by-step protocols and rocket protocols. Conclusion: Our data emphasizes the necessity to develop interventions to improve CRF and to prevent the increase of obesity. Longitudinal research will be required to confirm a potential link of causality between these variables.