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Background and Objective: Accumulating evidence indicates a relation between aerobic capacity and glucose concentration, although the molecular mechanisms of this relationship are not fully known yet. This study was done to determine the effect of effect of 12 weeks aerobic exercise training on aerobic capacity and glucose concentration in obese men. Methods: In this quasi-experimental study, thirty two adult obese males were divided into interventional and control groups. Anthropometrical indexes, fasting blood glucose and insulin, resting heart rate and aerobic capacity (VO2max) were measured before and after a 12 weeks aerobic exercise in the interventional and control groups. Beta cell function was calculated by fasting glucose and insulin. Results: Long time aerobic exercise led to significant reduction in glucose (112±10 vs. 85±11 mg/dl), anthropometrical indces, BMI (28.44±2.29 vs. 33.24±5.14), increase in VO2max (26.12±4.11 vs. 32±6.41 ml/kg/min), beta cell function (83±23 vs. 181±35) and in interventional group in comparision with controls. A significant correlation was found between the changes in VO2max with changes in beta cell function and glucose level, these correlations were independent of BMI. There was no significant change in insulin level between intervention and control groups. Conclusion: Increased aerobic capacity or cardiovascular fitness by exercise training improve beta cell function of glucose concentration in obese men.

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Background and Objective: A few data is available about effect of exercise training on level of resistin and novel insulin resistance indices in underweight inactive men. This study was performed to determine the effect of a period of resistance training on serum level of resistin and insulin resistance indices in underweight inactive men. Methods: In this clinical trial study, nineteen underweight inactive men were randomly divided into resistance training (n=9, 20.9±3.6 yr) and controls (n=10, 21.4±2.7 yr). Resistance training protocol consisted of twelve weeks weight training, 3 sessions training per week, each session for 60 minutes. General characteristics of subjects, serum concentration of resistin, and indices adiponectin-resistin (AR), homeostasis model assessment - adiponectin ratio (HOMA-AD) and insulin resistance (IRAR) were assessed before and after the training. Results: HOMA-AD and IRAR were reduced in resistance training group compare to controls, while serum resistin and AR did not significant reduce. Pretest-posttest difference means of HOMA-AD and IRAR were different between resistance training and control groups, while no significant differences were observed in the case of serum resistin concentration and AR. These parameters were not significant in the control group. Conclusion: Resistance training is associated with improved insulin resistance (decrease of HOMA-AD and IRAR indices), while did not change resistin level in underweight inactive men.

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Background and Objective: Child abuse is a common phenomenon with variety of reasons; the most important one is mother psychiatric disorders. Concurrent interventions in the family can recover the mother and reduce child abuse. This study was done to evaluate the effect of therapeutic intervention on general health of child abused mothers. Methods: This clinical trial study was conducted on 57 children and their child abused mothers whom referred to child psychiatry and pediatric department of Imam Hossien hospital, Tehran, Iran during November 2009- April 2010. Children and their families were visited by a psychiatrist and depend on the child and the family after either pharmaceutical or psychological interventions was taken. Parent management training was done for all mothers in 8 weekly sessions. General health questionnaire were filled by mothers before intervention in the third and sixth months following the intervention. Results: Total score of general health, depression and anxiety of child abused mothers were 31.3±1.90, 5.26±0.66, 8.10±0.46, respectively. It was significantly increased after six months intervention in comparison with pre-intervention (37.3±2.34, 7.48±0.72, 10.44±0.58, respectively). Conclusion: Appropriate therapeutic intervention and parent management training for mothers can improve general health of child abused mothers.

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Background and Objective: Multiple sclerosis (MS) is the most common progressive neurologic disorder among young adults. This disease leads to lesions regarded to as demylinating plaques which are scattered in the white matter of CNS hence create various neurological problems. This study was done to evaluate the effect of 8 weeks selective training program with instructions focus of internal and external attention on statical balance of MS patients. Methods: In this quasi-experimental study, 23 MS patients were non-randomly divided into, two interventional and one control groups. Training program for two interventional were carried out in 8 weeks, three sessions per week, and each session lasted about one hour. Pre and post test to evaluate the fall risk of subjects using Biodex system was performed in three groups. Results: Statical balance was significantly improved in the two interventional compared to control group (P<0.05). Conclusion: The training program with instructions focus of internal and external attention significantly improves statical balance of MS patients.

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Background and Objective: Adiponectin is one of the adiposaitocines which secret from adipose tissue and is very effective in the pathogenesis of obesity and its associated disorders, especially in elderly people who are at risk for cardiovascular disease. This study was carried out to evaluate the effect of eight weeks of endurance and resistance training on adiponectin level, insulin resistance index in inactive elderly men. Methods: In this quasi-experimental study, 24 inactive elderly men were non-randomly divided into interventional and control groups. The combined training included endurance training (with intensity of 60-70% of maximum heart rate reserve) and resistance training (with intensity of 70% one repetition maximum). The training performed 3 times per week (one hour session) for 8 weeks. Results: The eight weeks of combined training increased the adiponectin level in interventional group compared to the controls (P<0.05). Insulin and FBS levels, insulin resistance index, and body fat percentage significantly reduced in interventional group compared to the controls (P<0.05). Conclusion: The eight weeks of combined training increases the adiponectin level and reduces insulin resistance in elderly men.

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Background and Objective: Flax seed has been shown to play a role in the prevention and treatment of dislipidemia and inflammation, which may enhance the benefits of training. This study was done to determine the effect of 10 weeks of aerobic training with flax seed supplementation on blood lipids profile and C-reactive protein in obese women.

Methods: In this clinical trail study, 45 obese middle-age women were randomly divided into 3 groups. Aerobic training program was performed 50-60 min/d, 3d/wk, for 10 weeks. Subjects in aerobic training with flax seed supplementation were received 6-9 garms, daily of flax seed. Body composition and metabolic parameters were assessed before and after the training period.

Results: Flax seed supplementation significantly improved triglyceride, HDL-cholesterol TC/HDL, body weight, body mass index, waist circumference and fat mass (P<0.05). Flax seed supplementation in combination  with aerobic training significantly improved adiposity indices body weight,body mass index, waist circumference , fat mass, triglyceride, HDL- cholesterol, LDL- cholesterol, LDL/HDL and TC/HDL (P<0.05).

Conclusion: Flax seed is safe and effective for improvement of cardiometabolic health in obse women and combination of flax seed can enhance beneficial effect of training over a ten-week period.

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Background and Objective: Different physical activities affect on anti-oxidative system. Varity, period and intensity of activities are necessary in health improvement. This study was carried out to determine the effect of medium period of progressive anaerobic training on serum level of superoxide dismutase and Catalase in female rats.

Methods: In this experimental study, 30 female rats were randomly allocated into control and anaerobic training groups. The training program lasted for 8 weeks with control (without activity) and anaerobic including 3 sessions in a week with speed of 24-30 meters per minute in slope range (515) for 30 seconds.

Results: Serum level of superoxide dismutase was significantly increased in progressive anaerobic training group (109.1±17.3 U/ml) in compare to controls (98.8±12.8 U/ml) (P<0.05). Serum level of Catalase was 51.2±7.2 and 48.4±4.2 U/ml in control and progressive anaerobic training, respectively. This difference was not significant.

Conclusion: The medium period of progressive anaerobic training influences serum level of superoxide dismutase and Catalase in female rats.

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Background and Objective: Cardiovascular diseases are the main cause of 50% of death in women after menopause. This study was done to evaluate the effect of combined training on cystatin C, high- sensitivity C-reactive protein and some cardiovascular risk factors in sedentary postmenopausal women.

Methods: In this quasi -experimental study, 24 sedentary postmenopausal women (50-65 years) were non-randomly divided into experimental and control groups. Women in the experimental group were received a combined training program including aerobic exercise (65-75% of MHR) and resistance exercise (55-65% of 1RM), 4 d/wk for 10 weeks. The control group did not participate in any physical activity. Body weight, BMI, BF%, blood pressure, levels of cystatin C, C-reactive protein, triglyceride, HDL-C and LDL-C were measured before and after study.

Results: Exercise training showed no significant effect on serum levels of cystatin C, C-reactive protein and cardiovascular risk factors such as HDL-C, LDL-C, triglyceride and blood pressure in postmenopausal women.

Conclusion: Short-term combined training with moderate intensity has no effect on cystatin C levels and other cardiovascular risk factors in sedentary postmenopausal women.

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Background and Objective: Several studies have shown that high level of Endothelin-1 and Malondialdehyde lead to an increase in the risk of coronary artery diseases. This study was done to evaluate the effect of aerobic training on Endothelin-1 and Malondialdehyde in inactive elderly women.

Methods: In this quasi -experimental study, 21 inactive elderly women with range of 60-70 year non-randomly divided into experimental (n=11) and control (n=10) groups. The aerobic training including eight weeks aerobic training (with intensity of 50-70 percent of reserve heart rate), 3 times a week, and 60 minutes per session. Endothelin-1 and Malondialdehyde were measured at baseline and at the end of the study.

Results: After eight weeks of aerobic exercise, Endothelin-1 level reduced in intervention group (35.96%) and control group (41.09%) (P<0.05). After eight weeks of aerobic exercise there was no significat difference between intervention and control groups. After eight weeks of aerobic exercise reduce of Malondialdehyde level in intervention and control groups was not significant difference.

Conclusion: Regarding to reducing the serum level of Endothelin-1 in in the control and experimental groups, the aerobic training with moderate intensity did not lead to reduce in levels of serum Endothelin-1 in elderly women.

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Background and Objective: Homocysteine and atherogenic index are significant and independent risk factors for cardiovascular diseases. This study was done to determine the effect of 10 weeks endurance swimming training on serum homocysteine level and atherogenic index in rats.

Methods: In this experimental study, 20 adult male Wistar rats (180±20 g) were randomly allocated into control (n=10) and experimental (n=10) groups. Animals in experimental group swam ten weeks of endurance training (5 days a week, for 60 minutes a day) with a 5% body weight load attached to the tail. At the end of 10 weeks and after the last of training session and 12 hours of fasting animals were sacrificed. Blood samples were taken and serum homocysteine level, atherogenic index and
NON-HDL-cholesterol were measured.

Results: Serum homocysteine level, atherogenic index and NON-HDL-cholesterol of animals significantly reduced in the experimental group compared to the controls (P<0.05).

Conclusion: Ten weeks of endurance swimming training with low to moderate intensity improves homocysteine level and atherogenic index in animal model.

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Background and Objective: Breast cancer and related treatments induce various physical symptoms. One of suggested method for preventing or reducing physical symptoms is exercise training. This study was done to evaluate the effect of 8 weeks Pilates exercises physical fitness indices in breast cancer patients.
Methods: In this randomized clinical trial study 30 female breast cancer patients were divided into intervention (n=15) and control (n=15) groups by block randomization method. Pilates exercise for 8 weeks, 3 days a week for 60 min in every session was performed in Patients in interventional group but patients in control group did not participate in any regular physical activity. Flexibility, coordination, back and hand strength and muscular strength were determined using Wells, alternate hand wall toss, one leg –stance, back and handgrip dynamometer, sit up tests, respectively.
Results: Pilates exercises significantly increased flexibility, balance, coordination, back and hand strength, muscular endurance and sit up in interventional group in compared to controls (P<0.05).
Conclusion: Pilates exercise improves physical fitness indices in women with breast cancer.

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Background and Objective: Obesity and overwight affects on respiratory phyological indeces including pulmonary voulume, spirometery function, mechanical function of air ways neuro-muscular functions and capacity of exchange of gases. The obese and overwight subjects have high risk in reduction respiratory valume syndrome. This study was done to compare the effects of three resistance training programs with different intensities on pulmonary function, physical function and body composition in overweight girls.
Methods: In this quasi - experimental study, thirty overweight inactive girls were non-randomly divided into 3 equal groups (n=10) of resistance training with different intensity based on their 1 RM (light, 55-65%, moderate, 65-75%, and heavy, 75-85%, repsctively). The training progams were done for 9 weeks (3 sessions per week). Each session consists of 5 stations with 3 sets while rest intervals between the repetiotions and stations were 60-90 seconds and 90-120 seconds, respectively. Before and after the end of the training programs, spirometry, body composition, muscular strength and endurance of the upper body and VO2max were measured.
Results: 9 weeks resistance training program with 55-65%, 65-75%, and 75-85% 1RM intensities had no significant effect in the spirometry parameters, body weight, body mass index, upper body muscular endurance and VO2max. Fat percentage in 55-65% group significantly reduced in compared to those of 65-75%, and 75-85% 1RM groups (P<0.05). The upper body muscular strength in group with 75-85% 1RM significantly increased in compared to groups with 55-65% and 65-75% 1RM (P<0.05).
Conclusion: Overweight girls can apply resistance training with 55-65% 1RM to reduce the percent of body fat, and enhance the upper body strength through trainings with 75-85% 1RM. In relation to pulmonary function indices and indices of physical function and body composition, there was no dference between three training programs.

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Background and Objective: Oxidative stress plays an important role in the pathogenesis of some diseases such as atherosclerosis and doing high intensity training may enhance oxidative stress. This study was done to evaluate the effect of eight weeks resistance training on malondialdehyd, total, antioxidant capacity, liver enzymes and lipid profile in overweight and obese women.
Methods: In this quasi-experimental study, 16 overweight and obese women were non-randomly divided into intervention (n=9) and control (n=7) groups. The resistance training included the resistance training (with intensity of 50-80% one repetition maximum) that lasted for 8 weeks and 3 sessions per week. Every session lasted for 60 minutes. Malondialdehyd, total antioxidant capacity, liver enzymes and lipid profile for each subject was measured.
Results: The eight weeks resistance training significantly increased total antioxidant capacity high density lipoprotein and triglyceride in interventional group in compared to controls (p<0.05). The eight weeks resistance training significantly reduced alanine aminotransferase in comparison with control group (p<0.05).
Conclusion: Eight weeks resistance training by reducing malondialdehyd and increasing total antioxidant capacity may reduce the risk of atherosclerosis disease and improving cardiovascular health.

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Background and Objective: Angiogenesis and expression of angiogenic factors in tumor are associated with increased risk of metastasis and reduction of treatment outcomes. This study was performed to evaluate the effect of endurance training on the angiogenic factors (VEGFR-2, VEGF) of tumor in breast cancer bearing mice.
Methods: In this experimental study, 20 BALB/c mice following breast cancer induction were randomly allocated into two groups of experimental (n=10) and control (n=10). Breast cancer tumors were induced by MC4-L2 cell infusion. Animals in the experimental group were received endurance training for 6 weeks, 5 days a week with gradual increase in intensity from 12 to 20 (m.min-1) and duration from 25 to 55 minutes. Tumor volume was measured weekly with digital caliper. Expression of two angiogenic proteins of VEGFR-2 and VEGF were measured by ELISA method.
Results: Endurance training significantly reduced VEGFR-2 protein in training group (1.524±0.324 ng ml^-1) compared to the control group (2.686±0.815 ng ml^-1) (p<0.05), whereas, there was no significant difference in the VEGF protein in the training group (734.633±110.131 pg ml^-1) compared to the control group (756.317±72.32 pg ml^-1). The tumor volume significantly decreased in the training group compared to the control group (p<0.05).
Conclusion: Regular endurance training induces anti-angiogenic effects in tumor tissue of breast cancer bearing mice.

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Background and Objective: The synthesis of uncoupling protein 1 (UCP1) in adipose tissue plays an important role in providing resistance and prevention of fat accumulation, weight gain and obesity. This study was done to evaluate the effect of eight weeks aerobic training with moderate and high intensities on serum levels of Irisin and UCP1 white adipose tissue in obese male rats.
Methods: In this experimental study, 24 adult obese male Wistar rats (weight: 250 to 300 gr, BMI>30g/cm²) were randomly assigned into three groups including moderate aerobic training intensity, high intensity aerobic training and control group. The aerobic exercise training was included 8 weeks (5 sessions/per-week for 60 min per session). All training groups carried out aerobic training with 28 m/min (moderate intensity), aerobic training with 34 m/min (high intensity) on treadmill. 48 hours after the training period, the level of UCP1 and Irisin protein was measured.
Results: The level of UCP-1 in adipose tissue and serum Irisin in both aerobic training intensities increased compared to control group, but this increase only in aerobic training group with a moderate intensity was singnificant (p<0.05).
Conclusion: Eight weeks aerobic training with moderate intensity leads to increase of UCP-1 in adipose tissue and Irisin levels.

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Background and Objective: Opium consumption and addiction can negatively affect on pulmonary and physical function. This study was done to determine the effect of the combined training with different intensities on pulmonary and physical function in addicted men.
Methods: This quesi-experimental study was carried out on 30 addicted men with an average age of 37.6±7.1 years, who were under treatment in Sabzevar city rehabilitation center in north-east of Iran during Fall of 2015. The subjects were non-randomly divided into three equal groups including control, the first intervention group, and the second intervention group. The control group did not participate in any training program. The interventional groups participated in an aerobic and resistance training period for six weeks (four times a week). The training intensities of the first and second intervention groups were 50-65% and 65-80% of HRmax or 1RM, respectively. Preior and after the training period, spirometry tests, maximal oxygen uptake, strength and endurance of upper body muscles and special strength of respiratory muscles were measured from all of the subjects.
Results: The both intervention groups improved the peak expiratory flow index compared to control group (p<0.05). Furthermore, the peak expiratory flow index significantly increased in the second intervention group compared to the first intervention group. There was no significant difference in the indices of special strength of respiratory muscles, maximal aerobic power, and maximal voluntary ventilation between the three groups .Upper body muscles' endurance and strength, forced expiratory volume and forced vital capacity parameters significantly increased in the second intervention group compared to the control group. The forced expiratory volume in the first second to forced vital capacity ratio index significantly increased in the  two interventional groups compared to control group (p<0.05), but there was no significant difference between the first and second interventional groups.
Conclusion: The performance of aerobic and resistance trainings  with higher intensity improves indices of the forced vital capacity, the forced expiratory volume in the first second, and upper body muscles' strength and endurance of addicted males.

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Background and Objective: The phenomenon of aging is one of the evolutionary stages of life and it is an inevitable part of human society that can lead to poor balance and consequent harm, loss of independence and early death. This study was done to determine the effect of Pilates exercise on functional balance of elderly men.
Methods: This quasi-experimental study was done on 28 elderly men with an average age of above 60 years. Subjects were non-randomly divided into intervention and control groups. Eldely men in intervention group were received Pilates training for 6 weeks, 3 sessions per week. To measure the functional balance was used of the timed up and go test. Pre-test and post-test of was done for functional balance in intervention and control groups.
Results: The functional balance significantly reduced in intervention group (10.11±0.53 sec) in compared to controls (12.61±1.14 sec) (p<0.05).
Conclusion: Pilates training have an important role in improving the performance balance of elderly men.

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Background and Objective: Aging reduces cardiac autonomic function parameters such as heart rate response to exercise and heart rate recovery after physical activity. This study aimed to determine the parasympathetic nerves reactivation after upper body exercise among young and middle-aged men.
Methods: In this quasi-experimental study 24 active men based on their age were divided into two groups including 30-35 (young) and 55-60 years old men (middle-aged). Participants performed upper body exercise on a Monark arm ergometer. During the test, heart rate was recorded continuously by electrocardiogram. Also, participants' heart rate was recorded for 10 minutes after completion of the test. In order to measure the time domain parameters of heart rate variability (PNN50 and RMSSD), one-minute successive RR waves intervals collected in 5 minutes and 10 minutes after the completion of the test and then were transmitted to the heart rate variability software for analysis. Also, heart rate recovery was measured in one minute and two minutes after the test by the difference between the maximum heart rate during the test with heart rate in one and two minutes after the completion of the test.
Results: There was a significant difference between PNN50 in minutes 5 and 10 after the test in young men (P<0.05). Young men also had higher values of RMSSD in minutes 5 and 10 compared to middle-aged men. The heart rate recovery in the 2 minutes after test was significantly higher than 1 minute after test in both groups (P<0.05). Heart rate recovery was higher in young people than in middle-aged people at 5 and 10 minutes after high-intensity exercise due to faster withdrawal of sympathetic nerves.
Conclusion: Changes in the autonomic nervous system is dependent on the type, duration of activity, and the age of the participants.
 

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Background and Objective: Increasing the cost of energy in obesity preventing and treating and reducing its complications can be achieved by stimulating the factors including Irisin and FGF21 associated with browning of the white adipose tissue. The aim of this study was to determine the effect of 12 weeks of light and heavy interval exercises on the level of irisin and FGF21 in obese and overweight women.
Methods: This clinical traial study was done on 35 overweight and obese women (39.8±3.85 years old and body mass index 27.1±3.37 kg/m²). The subjects were divided randomly into three groups of interval exercises including Heavy (n=12), light (n=12), and control (n=11) groups. The training program included 12 weeks of heavy and light interval exercises for 25 to 60 minutes per session and three sessions per week. Before and after the training period, irisin and FGF21 serum indices were measured for each subject.
Results: Serum level of FGF21 increased only after 12 weeks of heavy interval training (P<0.05). However, there was no change in serum irisin levels after both heavy and light interval exercises. Body fat percentage, waist to hip ratio, and BMI Subjects of light and heavy interval exercises reduced and VO₂max increased significantly compared to control group (P<0.05).
Conclusion: 12 weeks of low and heavy interval training without altering serum levels of irisin have a beneficial effect on increasing VO₂max and improving body composition. Also, heavy interval training has a significant increase in FGF21, Which can be effective in weight loss through the browning of white adipose tissue.
 

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Background and Objective: Couple burnout is phenomenon which affects many couples. It is the main cause of emotional divorce, and it can provide a ground for formal divorce of couples. This study was conducted to evaluate the effectiveness of stress inoculation training (SIT) on reducing couple burnout among married women.

Methods: This quasi-experimental study was performed on 30 married women whom refered to Aram psychological and counseling service center in Gorgan, norhern Iran during 2016. The subjects selected by available sampling method and were assigned into intervention and control groups via a non-randomized method. Subjects in intervention group were received the stress inoculation training intervention in eight 2-hour session in groups (one session per week). The control group did not receive intervention until the end of the follow up stage. The data gathering tool was Couple Burnout Measure of Pinez (1996) which was completed by all subjects in pre-test, post-test and one-month follow up.

Results: After treatment and one-month follow up, the stress inoculation training intervention was effective on reducing couple burnout and its components including physical fatigue, mental fatigue, and emotional fatigue (P<0.05).

Conclusion: Stress inoculation training reduces couple burnout and its components in married women. Therfore, stress inoculation training recommends to be an appropriate interventional option for reducing marital problems and improving couple relationships.