fa تاثیر تمرین ورزشی و مکمل چای سبز بر بهبود شاخص‌های گلیسمیک در بزرگسالان دارای اضافه وزن و چاق: مرور نظام‌مند و فراتحلیل طب کار، آسیب شناسی ورزشی،فیزیولوژی ورزش Occupational Medicine مروری Review <p><span style="font-size:12pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">هدف:</span></span></b> <span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">تمرین ورزشی به همراه مصرف چای سبز، به عنوان شیوه‌ای مهم در کنترل و پیشگیری از چاقی و عوارض ناشی از آن مانند دیابت و مقاومت به انسولین توصیه شده است. هدف فراتحلیل حاضر، اثر تمرین ورزشی و مکمل چای سبز بر بهبود شاخص‌های گلیسمیک در بزرگسالان دارای اضافه وزن و چاق بود.</span></span></span><b><span lang="FA" style="font-size:13.0pt"><span style="font-family:"B Yagut""></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">منابع اطلاعات یا داده‌ها:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"> جستجوی سیستماتیک مقالات انگلیسی و فارسی منتشر شده از پایگاه‌های اطلاعاتی</span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="letter-spacing:-.4pt">PubMed </span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">،</span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="letter-spacing:-.4pt">Web of Science </span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">، </span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="letter-spacing:-.4pt">Scopus</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">، </span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="letter-spacing:-.4pt">Sid</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"> و </span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="letter-spacing:-.4pt">Magiran</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"> تا ژوئن سال 2024 انجام شد.</span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">روش‌های انتخاب برای مطالعه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">تفاوت میانگین و فاصله اطمینان 95% (</span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="letter-spacing:-.4pt">CI</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">) با استفاده از مدل اثر تصادفی محاسبه شد. ناهمگونی با استفاده از آزمون (</span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="letter-spacing:-.4pt">I²</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">) و سوگیری انتشار با تحلیل بصری فونل پلات و آزمون </span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="letter-spacing:-.4pt">Egger</span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"> بررسی شدند.</span></span></span><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" yagut="">ترکیب مطالب و نتایج</span></b><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">: </span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">در مجموع 11 مطالعه و 245 آزمودنی بزرگسال دارای اضافه وزن و چاق وارد فراتحلیل حاضر شدند. ترکیب تمرین ورزشی و مکمل چای سبز سبب کاهش معنادار </span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">گلوکز<b> </b></span></span><span dir="LTR" style="font-size:11.0pt">]</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">001/0</span></span><span dir="LTR" style="font-size:11.0pt">P=</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""> ،(673/4- الی 124/1-) 899/2</span></span><span dir="LTR" style="font-size:11.0pt">-</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">=</span></span><span dir="LTR" style="font-size:11.0pt">[</span><span dir="LTR" style="font-size:10.0pt"><span cg="" style="font-family:" times="">WMD</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">نسبت به گروه کنترل در بزرگسالان دارای اضافه وزن و چاق شد.</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">ترکیب تمرین ورزشی و مکمل چای سبز سبب تغییر معنادار</span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""> انسولین </span></span><span dir="LTR" style="font-size:11.0pt">]</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">232/0</span></span><span dir="LTR" style="font-size:11.0pt">P=</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""> ،(348/4- الی 053/1-) 648/1</span></span><span dir="LTR" style="font-size:11.0pt">-</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">=‌</span></span><span dir="LTR" style="font-size:11.0pt">[</span><span dir="LTR" style="font-size:10.0pt"><span cg="" style="font-family:" times="">WMD</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">و </span></span><span dir="LTR" style="font-size:10.0pt"><span cg="" style="font-family:" times="">HOMA-IR</span></span> <span dir="LTR" style="font-size:11.0pt">]</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">627/0</span></span><span dir="LTR" style="font-size:11.0pt">P=</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""> ،(151/2- الی 297/1) 427/0</span></span><span dir="LTR" style="font-size:11.0pt">-</span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">=‌</span></span><span dir="LTR" style="font-size:11.0pt">[</span><span dir="LTR" style="font-size:10.0pt"><span cg="" style="font-family:" times="">WMD</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut="">نسبت به گروه کنترل در بزرگسالان دارای اضافه وزن و چاق نشد</span></span><span b="" lang="FA" style="font-family:" yagut="">.</span><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt"></span></span></b></span></span></span></span></span><br> <b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" yagut="">نتیجه‌گیری</span></span></b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">: یافته‌های این پژوهش نشان داد که ترکیب تمرین ورزشی و مکمل چای سبز سبب کاهش معنادار گلوکز می‌شود. بنابراین ترکیب این دو مداخله می‌تواند به عنوان یک راهکار غیردارویی و کاربردی برای کنترل دیابت پیشنهاد می‌شود.</span></span></span></p> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Introduction</span></span></b><b><span dir="RTL" lang="FA" style="font-size:13.0pt"><span b="" style="font-family:" yagut="">:</span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">Exercise training </span></span><span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">along with the consumption of green tea has been recommended as an important way to control and prevent obesity and its complications such as diabetes and insulin resistance. The aim of this meta-analysis was </span></span><span style="font-size:10.0pt"><span cg="" style="font-family:" times="">to investigate </span></span><span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">the effect of </span></span><span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">exercise training </span></span><span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">and green tea supplementation on improving glycemic indices in </span></span><span style="font-size:11.0pt"><span cg="" style="font-family:" times=""><span style="letter-spacing:-.4pt">adults with overweight and obesity</span></span></span><span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">.</span></span><b><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Information sources or data</span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span style="font-family:Nazanin">:</span></span></b> <span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">A systematic search of English and Persian articles published in PubMed, Web of Science, Scopus, Sid, and Magiran databases was conducted until June 2024.</span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Selection methods for study</span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:11.0pt">:</span></b> <span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">Mean difference and 95% confidence interval (CI) were calculated using random effect model. Heterogeneity was evaluated using the (I²) test, and publication bias was evaluated by visual analysis of the funnel plot and Egger&#39;s test.</span></span> &nbsp;&nbsp;</span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Combine content and results</span></span></b>: <span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">A total of 11 studies and 245 adults with overweight and obesity were included in the present meta-analysis. The combination of exercise training and green tea supplement causes a significant reduction in glucose [WMD= -2.899 (-1.124 to -4.673), P=0.001], compared to the control group in adults with overweight and obese. The combination of exercise training and green tea supplement did not significantly change in insulin [WMD= -1.648 (1.053 to -4.348), P=0.232], and HOMA-IR [WMD= -0.427 (1.297 to -2.151), P=0.627]</span></span><span style="font-size:10.0pt"><span cg="" style="font-family:" times="">, c</span></span><span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">compared to the control group in adults with overweight and obesity.</span></span><b><span style="font-size:11.0pt"><span style="font-family:"CG Times",serif"></span></span></b></span></span><br> <b><span style="font-size:11.0pt"><span cg="" style="font-family:" times="">Conclusion</span></span><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">:</span></span></b> <span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times="">The findings of this research showed that the combination of exercise training and green tea supplementation causes a significant reduction in glucose. Therefore, the combination of these two interventions can be suggested as a practical and non-pharmacological solution to </span></span><span style="font-size:10.0pt"><span cg="" style="font-family:" times="">control</span></span><span lang="EN" style="font-size:10.0pt"><span cg="" style="font-family:" times=""> diabetes.</span></span> تمرین ورزشی, چای سبز, مقاومت به انسولین, چاق. Exercise training, Green Tea, Insulin Resistance, Obesity. 291 308 http://jpm.hums.ac.ir/browse.php?a_code=A-10-775-1&slc_lang=fa&sid=1 Fatemeh Kazeminasab فاطمه کاظمی نسب fkazeminasab@kashanu.ac.ir 100319475328460011144 100319475328460011144 No Assistant Professor, Department of Physical Education and Sports Science, Faculty of Humanities, University of Kashan, Kashan, Iran گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، دانشگاه کاشان، کاشان، ایران. Rahman Soori رحمان سوری Soori@ut.ac.ir 100319475328460011145 100319475328460011145 Yes Professor, Department of Exercise Physiology, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran. گروه فیزیولوژی فعالیت ورزشی، دانشگاه علوم ورزشی و تندرستی، دانشگاه تهران، تهران، ایران. Omid Zafarmand امید ظفرمند OMIDZAFARMAND2202@GMAIL.COM 100319475328460011146 100319475328460011146 No Master of Exercise Physiology, Department of Physical Education and Sports Sciences, School of Humanities, University of Yasouj, Yasouj, Iran. گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، دانشگاه یاسوج، یاسوج، ایران.