ارتباط کیفیت خواب با شاخص‌های عملکردی قلبی ـ عروقی در زنان جوان فعال و غیر فعال

نویسندگان

گروه فیزیولوژی ورزشی، دانشکده تربیت بدنی، دانشگاه مازندران، بابلسر، ایران

چکیده

مقدمه: کاهش کیفیت‌ خواب، منجر به اختلال عملکرد دستگاه قلبی‌ـ‌عروقی می‌شود. پژوهش حاضر با هدف بررسی ارتباط بین کیفیت‌ خواب و شاخص‌های عملکردی قلبی‌ـ‌عروقی و مقایسه آن‌ها در زنان جوان فعال و غیرفعال انجام شده‌ است.
روش کار: 30 زن جوان سالم به صورت تصادفی به دو گروه فعال (15نفر) و غیرفعال (15نفر) تقسیم شدند. کیفیت‌ خواب با استفاده از پرسشنامه پیتزبورگ ارزیابی گردید. شاخص‌های عملکردی قلبی‌ـ‌عروقی شامل فشارخون سیستولیک و دیاستولیک، فشار متوسط شریانی، ضربان قلب استراحتی و حداکثر، حداکثر اکسیژن مصرفی، حاصلضرب دوگانه استراحتی و حداکثر و نبض اکسیژن استراحتی و حداکثر اندازه‌گیری شدند. داده­‌ها با استفاده از نرم­ افزار SPSS نسخه 22 و آزمون‌های من ـ ویتنی و رگرسیون خطی چندگانه مورد پردازش قرار گرفت.
یافته‌ها: افزایش معنادار در حداکثر اکسیژن مصرفی و نبض اکسیژن استراحتی و حداکثر گروه فعال در مقایسه با گروه غیرفعال نشان داده‌شد ( p-value= 0.000، p-value= 0.000، p-value= 0.000). ضربان قلب حداکثر و امتیاز کیفیت‌خواب در گروه فعال نسبت به گروه غیرفعال به طور معنادار کمتر بود ( p-value=0.018، p-value=0.047). در گروه فعال، با افزایش در شاخص‌های عملکردی قلبی‌ـ‌عروقی، کاهشی غیرمعنادار در امتیاز کیفیت‌خواب مشاهده شد ( p-value≥0.05 ). در گروه غیرفعال، با افزایش ضربان قلب استراحتی (  p-value=0.047)، فشار خون سیستولیک (p-value=0.000)، فشار متوسط شریانی (p-value=0.000) و حاصلضرب دوگانه استراحتی و حداکثر (p-value=0.048، p-value=0.046) ، افزایشی معنادار در امتیاز کیفیت خواب مشاهده شد.  
نتیجه‌گیری: نتایج نشان داد، فعالیت‌بدنی منظم منجر به بهبود عملکرد قلبی‌ـ‌عروقی و کیفیت‌خواب و بی تحرکی جسمانی از طریق نقص عملکرد قلبی ـ عروقی منجر به کاهش کیفیت خواب زنان جوان می شود.
 

کلیدواژه‌ها

عنوان مقاله [English]

Relationship between sleep quality and functional Cardiovascular Variables in active and none-active young women

نویسندگان [English]

  • Kamal Sadat-Hoseini
  • Lida babaei
  • Taiebeh Sadati-Bizaki

Department of Sport Physiology, Faculty of Physical Education and Sport Sciences, University of Mazandaran, Babolsar, Iran

چکیده [English]

Introduction: Poor sleep quality lead to cardiovascular dysfunction. Present study was aimed to investigate the
relationship between sleep quality and functional cardiovascular variables and their comparison in active and none-active young women.
Materials and Methods: Thirty healthy young women were randomly assigned in two active (n=15) and none-active (n=15) groups. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The functional cardiovascular variables including systolic and diastolic blood pressure, mean arterial pressure, resting and maximal heart rate, VO2max, resting and maximal rate pressure product and resting and maximal oxygen pulse were measured. The data was processed by using SPSS version 22 and Mann-Whitney and Multiple Linear Regression.
Results: A significant increase showed in VO2max and resting and maximal oxygen pulse in active group when compared with the none-active group (P-value=0.000, P-value=0.000, P-value=0.000). Maximal heart rate and score of sleep quality index in active group was significantly lower than none-active group (P-value=0.047, P-value=0.018). In active group with increasing in functional cardiovascular variables an insignificant reduction in score of sleep quality were observed (P-value≥0.05). In in-active group with increasing in resting heart rate (P-value=0.047), systolic blood pressure (P-value=0.000), mean arterial pressure (P-value=0.000) and resting and maximal rate pressure product (P-value=0.046, P-
value=0.048) a significant increase in score of sleep quality was observed.
Conclusion: The results indicated that, regular physical activity led to improve cardiovascular function and sleep
quality and physical inactivity through the cardiovascular dysfunction led to a decrease in young women sleep quality.

کلیدواژه‌ها [English]

  • Cardiovascular System Functions
  • Physical Activity
  • Sleep Quality
  • Young Women
1. Stanton R, Donohue T, Garnon M, Happell B. The Relationship Between Exercise Intensity and Sleep Quality in People Hospitalised Due to Affective Disorders: A Pilot Study. Issues Ment Health Nurs 2016; 37(2):70-4. 2. Taibi DM, Landis CA, Petry H, Vitiello MV. A systematic review of valerian as a sleep aid: safe but not effective. Sleep Med Rev. 2007; 11(3):209-30. 3. Mindell JA, Cook RA, Nikolovski J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med. 2015; 16(4):483-488. 4. Jackowska M, Steptoe A. Sleep and future cardiovascular risk: prospective analysis from the English Longitudinal Study of Ageing. Sleep Med. 2015; 16: 768–774. 5. Liu H, Chen A. Roles of sleep deprivation in cardiovascular dysfunctions. Lfs 2019; 219: 231-237. 6. Prather AA, Epel ES, Cohen BE, Neylan TC, Whooley MA. Gender differences in the prospective associations of self-reported sleep quality with biomarkers of systemic inflammation and coagulation: findings from the Heart and Soul Study. J Psychiatr Res. 2013; 47(9):1228–35. 7. Hale L, Parente V, Dowd JB, et al. Fibrinogen may mediate the association between long sleep duration and coronary heart disease. J Sleep Res. 2013; 22(3):305–14. 8. Matthews KA, Zheng H, Kravitz HM, Sowers M, Bromberger JT, Buysse DJ, et al. Are inflammatory and coagulation biomarkers related to sleep characteristics in mid-life women?: Study of Women's Health across the Nation sleep study. Sleep. 2010; 33(12):1649. 9. Dishman R.K, Sui X, Church T.S, Kline C.E, Youngstedt S.D, Blair S.N. Decline in Cardiorespiratory Fitness and Odds of Incident Sleep Complaints. Med Sci Sports Exerc. 2015; 47(5): 960-966. 10. Afzalpour M. S, Khamesan A, Fazel, A. A comparison of health-related quality of life, body composition, and physical fitness of active and non-active male faculty members of the Birjand University. Appl Exer Physiol J. 2010; 6(12): 106-119. [In Persian] 11. Woodruffe S, Neubeck L, Clark RA, Gray K, Ferry C, Finan J, et al. Australian Cardiovascular Health and Rehabilitation Association (ACRA) core components of cardiovascular disease secondary prevention and cardiac rehabilitation 2014. Heart Lung Circ. 2015; 24(5):430-441. 12. Davoodabadi Farahani M, Vakiliyan K, Seyyed Zadeh Aghdam N. Effect of fish oil supplementation on mean arterial pressure in pregnancy. AMUJ. 2012; 15(64): 18-25. [In Persian] 13. Kaminsky LA. ACSM’s health-related physical fitness assessment manual. Fourth edition; United States: American College of Sports Medicine; 2014. 14. Kraus RM, Stallings HW, Yeager RC, Gavin TP. Circulating plasma VEGF response to exercise in sedentary and endurance-trained men. J Appl Physiol. 2004; 96(4):1445-50. 15. Hargens TA, Griffin DC, Kaminsky LA, Whaley MH. The influence of aerobic exercise training on the double product break point in low-to-moderate risk adults. Eur J Appl Physiol. 2011; 111(2):313-8. 16. Wasserman K, Hansen J, Sue M, William W, Kathy E, Xing G. Principles of Exercise Testing and Interpretation: Including Pathophysiology and Clinical Applications. 5nd ed. Hardcover Publishers; 2011. p.315. 17. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28: 193-213. 18. Omachi TA. Measures of sleep in rheumatologic diseases: Epworth Sleepiness Scale (ESS), Functional Outcome of Sleep Questionnaire (FOSQ), Insomnia Severity Index (ISI), and Pittsburgh Sleep Quality Index (PSQI). Arthritis Care Res (Hoboken). 2011; 63(11): 287-96. 19. Hasanzadeh H, Alavi K, Ghalebandi MF, Yadolahi Z, Gharaei B, Sadeghikia G. Sleep quality in Iranian drivers recognized as responsiblefor severe road accidents. J Res Behav Sci. 2008; 6(2): 97-107. [In Persian] 20. Mendelson M, Borowik A, Michallet AS, Perrin C, Monneret D, Faure P, et al. Sleep quality, sleep duration and physical activity in obese adolescents: effects of exercise training. Pediatr Obes. 2016; 11(1):26-32. 21. Lee T Ferris LT., Williams JS, Shen CL, O’Keefe KA, Hale KB. Resistance training improves sleep quality in older adults a pilot study. J Sports Sci Med. 2005; 4, 354-60. 22. Mc Carley RW. Neurobiology of REM sleep. Handb Clin Neurol. 2011; 98:151– 71. 23. Tartibian B, Yaghoob nezhad F, Abdollah Zadeh N. Comparison of respiratory parameters and sleep quality in active and none active young men: relationship between respiratory parameters and sleep quality. RJMS. 2014; (20) 117: 31-39. [In Persian] 24. Chennaoui M, Arnal P.J, Sauvet F, Leger D. Sleep and exercise: A reciprocal issue? Sleep Med Rev. 2015; 20; 59-72. 25. Lin X, Zhang X, Guo J, Roberts C.K, McKenzie S, Wu W.Ch, et al. Effects of Exercise Training on Cardiorespiratory Fitness and Biomarkers of Cardiometabolic Health: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Am Heart Assoc. 2015; 4:1-23. 26. Brun J.F, Connes P, Varlet-Marie E. Alterations of blood rheology during and after exercise are both consequences and modifiers of body's adaptation to muscular activity. Sci Sports. 2007. 22(6): p. 251-266. 27. Mousa T.M, Liu D, Cornish K.G, Zucker I.H. Exercise training enhances baroreflex sensitivity by an angiotensin IIdependent mechanism in chronic heart failure. J Appl Physiol. 2008; 104 (3):616-624. 28. alvert JW, Condit ME, Aragón JP, Nicholson CK, Moody BF, Hood RL, et al. Exercise protects against myocardial ischemia-reperfusion injury via stimulation of beta (3)-adrenergic receptors and increased nitric oxide signaling: role of nitrite and nitrosothiols. Circ Res. 2011; 108(12): 1448-1458. 29. Tartibian B, Shabani M, Ebrahimi-Torkamani B. Relationship between some immunological indexes and maximal oxygen pulse in active girls: effect of a bout of intense aerobic physical activity. Feyz. 2016; 20(1): 25-32. [In Persian]