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Biomechanics and Medicine in Swimming XI

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Swimm<strong>in</strong>g, Cycl<strong>in</strong>g, Runn<strong>in</strong>g <strong>and</strong> Cardiovascular<br />

Health<br />

Bagheri, A.B. 1 , Mohebbi, h.d. 2 , Azizi, M.h. 3 , saiiari, A.r. 3<br />

1 Islamic Azad University-Dezful Branch, Dezful, Iran<br />

2 University of Guilan, Rasht, Iran<br />

3 Islamic Azad University-Abadan Branch, Abadan, Iran<br />

A number of epidemiological studies have proved the benefits of regular<br />

physical activity for the prevention of CHD. Exercise recommendations<br />

for health can be obta<strong>in</strong>ed from extrapolation between different modes<br />

of exercise. Forty non-athlete male youth participated <strong>in</strong> this study for<br />

the comparative effects of swimm<strong>in</strong>g, cycl<strong>in</strong>g <strong>and</strong> runn<strong>in</strong>g on lipid <strong>and</strong><br />

lipoprote<strong>in</strong>s serum. In this study, after aerobic tra<strong>in</strong><strong>in</strong>g, HDL-c <strong>in</strong>creased<br />

<strong>and</strong> LDL-c decreased; so TC <strong>and</strong> TG decreased. The f<strong>in</strong>d<strong>in</strong>gs<br />

suggest that moderate tra<strong>in</strong><strong>in</strong>g performed over many weeks <strong>in</strong>duces<br />

positive changes <strong>in</strong> the plasma lipid <strong>and</strong> lipoprote<strong>in</strong>s concentration <strong>in</strong><br />

youth. However, there were differences between the three groups. Swimm<strong>in</strong>g,<br />

runn<strong>in</strong>g <strong>and</strong> cycl<strong>in</strong>g are positive for health, although this study<br />

suggested that they have different effects.<br />

Key words: swimm<strong>in</strong>g, cycl<strong>in</strong>g, runn<strong>in</strong>g, aerobic tra<strong>in</strong><strong>in</strong>g, tc, tG,<br />

ldl-c, hdl-c<br />

IntroductIon<br />

Cardiovascular diseases (CVD) are also reported to be the lead<strong>in</strong>g cause<br />

of death <strong>in</strong> the eastern Mediterranean region <strong>in</strong>clud<strong>in</strong>g Iran. Epidemiological<br />

studies have shown that a sedentary life <strong>and</strong> obesity are related<br />

to coronary heart disease (CHD) (Andersen et al., 1995). In numerous<br />

studies, <strong>in</strong>verse associations have been demonstrated between physical<br />

activity, obesity <strong>and</strong> CHD (Daniel J. G, 2008. Kl<strong>in</strong>e et al., 1987. K<strong>in</strong>g<br />

et al., 1995). A number of epidemiological studies have proved the benefits<br />

of regular physical activity for the prevention of CHD. Despite the<br />

fact that exercise is crucial <strong>in</strong> weight management, the obese are found<br />

to have reduced exercise tolerance compared with the non-obese <strong>and</strong> are,<br />

<strong>in</strong> fact, less active. Fat is the major source of energy dur<strong>in</strong>g low-<strong>in</strong>tensity<br />

exercise, <strong>and</strong> as the <strong>in</strong>tensity <strong>in</strong>creases, the proportional contribution of<br />

fat decreases. Nonetheless, at 75-80% of VO 2 max, total fat oxidation is<br />

markedly above the rest<strong>in</strong>g value because the proportional contribution<br />

of fat oxidation is not great, the total rate of energy expenditure is high.<br />

Plasma fatty acids are the major source of energy dur<strong>in</strong>g mild to moderate<br />

energy expenditure. Exercise recommendations for health can be<br />

obta<strong>in</strong>ed from extrapolation between different modes of exercise.<br />

Methods<br />

Subjects: Forty non-athletic men (Age 22.56 ± 2.77 yr) with overweight<br />

(BMI >25 kg·m -2 ) participated <strong>in</strong> this study. Subjects were made fully<br />

aware of the risks, benefits <strong>and</strong> stresses of the study <strong>and</strong> were given both<br />

verbal <strong>and</strong> written <strong>in</strong>structions outl<strong>in</strong><strong>in</strong>g the experimental procedure,<br />

<strong>and</strong> their <strong>in</strong>formed consent was obta<strong>in</strong>ed before screen<strong>in</strong>g. The personal<br />

<strong>and</strong> medical <strong>in</strong>formation of the participants was obta<strong>in</strong>ed, as well as<br />

previous exercise history by questionnaire. A pre-participatory exercise<br />

screen<strong>in</strong>g questionnaire [Physical Activity Read<strong>in</strong>ess questionnaire<br />

(PARQ)] was adm<strong>in</strong>istered (Chisholm et al., 1975). All participants<br />

were asymptomatic <strong>and</strong> were not tak<strong>in</strong>g any form of medication known<br />

to affect the lipoprote<strong>in</strong> profile. Before the tra<strong>in</strong><strong>in</strong>g program (basel<strong>in</strong>e),<br />

accord<strong>in</strong>g to the National Cholesterol Education Program (NCEP; 26)<br />

classification of risk, no participants had ‘’borderl<strong>in</strong>e’’ or ‘’ undesirable’’<br />

concentrations of either TC <strong>and</strong> LDL-C. These youth were all classified<br />

as hav<strong>in</strong>g ‘’desirable’’ concentrations of TC <strong>and</strong> LDL-c at basel<strong>in</strong>e.<br />

Subjects were divided <strong>in</strong>to four groups r<strong>and</strong>omly; that <strong>in</strong>cluded ten per-<br />

chaPter6.medic<strong>in</strong>e<strong>and</strong>watersafety<br />

sons each. Three groups were assigned tra<strong>in</strong><strong>in</strong>g regimens (swimm<strong>in</strong>g,<br />

runn<strong>in</strong>g, <strong>and</strong> cycl<strong>in</strong>g), <strong>and</strong> completed the exercise tra<strong>in</strong><strong>in</strong>g program. Ten<br />

subjects served as controls.<br />

Measurements: Body weight (BW) was measured through calibrated<br />

cl<strong>in</strong>ical scale <strong>and</strong> height was measured through stadiometer while the<br />

participants wear<strong>in</strong>g light cloth<strong>in</strong>g with no shoes. Body Mass Index<br />

(BMI) was calculated as weight <strong>in</strong> kilograms divided by height <strong>in</strong> meters<br />

squared (kg·m -2 ). Five ml of venous blood sample were collected after a<br />

12-14 hours fast <strong>in</strong>to vacationer tubes without anticoagulant <strong>in</strong> pre-test<br />

<strong>and</strong> post test. Blood was allowed to clot at room temperature for 30<br />

m<strong>in</strong> before be<strong>in</strong>g centrifuged. Serum <strong>and</strong> red blood cells were separated<br />

by centrifuge at 1500gr for 20 m<strong>in</strong>. serum was transferred <strong>and</strong> stored<br />

at-80º for analysis of lipids <strong>and</strong> lipoprote<strong>in</strong>s. Total cholesterol (TC)<br />

measured by the CHOD-PAP method. TG by the GPO-PAP method,<br />

high density cholesterol (HDL) was determ<strong>in</strong>ed after separation with<br />

phosphotungstic acid <strong>and</strong> magnesium chloride, all us<strong>in</strong>g established kit<br />

methods from Boehr<strong>in</strong>ger (Mannnheim, Germany). Low density lipoprote<strong>in</strong>s<br />

(LDL) was then estimated by us<strong>in</strong>g the Friedeweald equation<br />

(Friedewald et al., 1972).<br />

Swimm<strong>in</strong>g Tra<strong>in</strong><strong>in</strong>g: Ten non-athlete male volunteers used swimm<strong>in</strong>g<br />

tra<strong>in</strong><strong>in</strong>g three times per week (t/wk) consecutively for 16 weeks.<br />

Technique tra<strong>in</strong><strong>in</strong>g (crawl) was provided to the subjects before start<strong>in</strong>g.<br />

The swimm<strong>in</strong>g tra<strong>in</strong><strong>in</strong>g program consisted of submaximal crawl 30 m<strong>in</strong><br />

pr day (m<strong>in</strong>/d) (5 m<strong>in</strong> activity <strong>and</strong> 2 m<strong>in</strong> rest), 2d/wk with 50 – 60<br />

percentage of each subject’s predicted maximal heart rate (max HR)<br />

<strong>in</strong>tensity <strong>in</strong> first <strong>and</strong> second month. Throughout the rema<strong>in</strong>der of the<br />

month, subjects tra<strong>in</strong>ed at 30 m<strong>in</strong>/d (5 m<strong>in</strong> activity <strong>and</strong> 1 m<strong>in</strong> rest), 2d/<br />

wk, approximately 70 – 80 percentage of maxHR. Dur<strong>in</strong>g this study, the<br />

subjects conducted to warm-up <strong>and</strong> cool-down (static stretch<strong>in</strong>g <strong>and</strong><br />

low <strong>in</strong>tensity exercise).<br />

Runn<strong>in</strong>g Tra<strong>in</strong><strong>in</strong>g: Ten non-athlete subjects performed runn<strong>in</strong>g exercise<br />

three t/wk dur<strong>in</strong>g 16 weeks. They tra<strong>in</strong>ed at 30 m<strong>in</strong>/d (5 m<strong>in</strong><br />

activity <strong>and</strong> 2 m<strong>in</strong> rest), 2d/wk with 50 –60 percentage of each subject’s<br />

max HR <strong>in</strong>tensity <strong>in</strong> first <strong>and</strong> second week. Almost all subjects were<br />

work<strong>in</strong>g at approximately 70 – 80 percentage of maxHR <strong>in</strong> throughout<br />

the rema<strong>in</strong>der of the weeks.<br />

Cycl<strong>in</strong>g Tra<strong>in</strong><strong>in</strong>g: Ten non-athlete male ended cycl<strong>in</strong>g (ergometer)<br />

exercise three t/wk consecutively for 16 weeks. Subjects tra<strong>in</strong>ed at 30<br />

m<strong>in</strong>/d (5 m<strong>in</strong> activity <strong>and</strong> 2 m<strong>in</strong> rest), 2d/wk with 50 –60 percentage<br />

of each subject’s predicted max HR <strong>in</strong>tensity <strong>in</strong> first <strong>and</strong> second week.<br />

Almost all subjects were work<strong>in</strong>g at approximately 70 – 80 percentage<br />

of maxHR <strong>in</strong> throughout the rema<strong>in</strong>der of the weeks.<br />

Statistical Analysis: Before hypothesis test<strong>in</strong>g, data were assessed for<br />

normality of distribution <strong>and</strong> homogeneity of variance. SPSS (V 15)<br />

<strong>and</strong> Microsoft office Excel (V 2007) was utilized for statistical analysis<br />

<strong>and</strong> graphic presentation. Ma<strong>in</strong> effects of tra<strong>in</strong><strong>in</strong>g modality <strong>and</strong> time<br />

(pre <strong>and</strong> post-exercise), were assessed us<strong>in</strong>g One-Way Analysis of Variance.<br />

Statistical significance was conferred at P ≤ 0.05. Tukey test was<br />

used for post hoc comparisons, when ma<strong>in</strong> effects were detected.<br />

results<br />

After 16 week of swimm<strong>in</strong>g, cycl<strong>in</strong>g <strong>and</strong> runn<strong>in</strong>g exercise, there were<br />

differences between experimental groups <strong>and</strong> control for TC (P ≤ 0.05)<br />

(Figure 1) . (Control Group = 155.78 ± 35.3 vs. 157.35 ± 35.4, Swimm<strong>in</strong>g<br />

Group (SG) = 155.76 ± 33 vs. 136.41 ± 35.9; Cycl<strong>in</strong>g Group<br />

(CG) = 154.93 ± 36 vs. 140.03 ± 21.8; Runn<strong>in</strong>g Group (RG) = 156.34 ±<br />

34.7 vs. 139.25 ± 35.8). Total Cholesterol <strong>in</strong> three groups decreased; SG:<br />

12.42%, CG: 9.61%, RG: 10.93%. Comparison with Tukey test showed<br />

that no significant differences between Control Group <strong>and</strong> CG (p =<br />

0.530) so RG (p= 0.317); but there were significant differences between<br />

control group <strong>and</strong> SG (p = 0.012).<br />

357

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