fa پیلاتس و خارخاسک یک پروتکل مداخله ای موثر برای بهبود عملکرد جنسی در زنان یائسه فیزیولوژی Physiology پژوهشي Research <div style="text-align: justify;"><span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" nazanin="" style="font-family:"><strong><span lang="AR-SA" style="font-size:9.0pt"><span style="letter-spacing:-.1pt">ﻣﻘﺪﻣﻪ</span></span></strong><b><span lang="AR-SA" style="font-size:9.0pt"><span style="letter-spacing:-.1pt">: </span></span></b><span b="" lang="AR-SA" mitra="" style="font-family:">افزایش امید به زندگی در زنان یائسه و ایجاد مشکلات هورمونی، افراد را به سمت استفاده از طب مکمل و جای‌گزین سوق داده است. بنابراین، هدف این مطالعه، بررسی اثر یک دوره تمرین پیلاتس به همراه مکمل یاری خارخاسک بر عملکرد جنسی در زنان یائسه بود.</span><b><span lang="AR-SA" style="font-family:"B Mitra""></span></b></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" nazanin="" style="font-family:"><strong><span lang="AR-SA" style="font-size:9.0pt"><span style="letter-spacing:-.25pt">روش</span></span> <span lang="AR-SA" style="font-size:9.0pt">ﮐﺎر</span></strong><b><span dir="LTR" style="font-size:9.0pt">:</span></b><span b="" mitra="" style="font-family:"> <span lang="AR-SA" style="color:black">در این مطالعه نیمه‌تجربی با طرح پیش‌آزمون-پس‌آزمون، 28 زن یائسه</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">(</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">48 تا نودساله</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">) </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">به‌طور تصادفی ساده، در شهر اراک و در سال 1402 و بعد از تکمیل رضایت‌نامه آگاهانه انتخاب شدند و در گروه‌های مکمل یاری </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">خارخاسک </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">(</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">T</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">)، تمرین پیلاتس</span></span>&nbsp;<span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">+</span></span>&nbsp;<span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">خارخاسک </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">(</span></span><a name="_Hlk181004376"><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">PT</span></span></span></a><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">+</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">T</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">)</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">و کنترل (</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">C</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">) قرار گرفتند</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">. گروه</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black"> پیلاتس</span></span>&nbsp;<span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">+</span></span>&nbsp;<span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">خارخاسک به</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">مدت</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">هشت هفته</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">هر</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">هفته</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">سه جلسه</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">شصت‌دقیقه</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">‌</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">ای</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">تمرینات</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">پیلاتس</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">انجام</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">دادند</span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">و </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">روز</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">ی </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">یک بار خارخاسک (450 میلی‌گرم) به‌صورت خوراکی دریافت کردند؛ درحالی‌که گروه </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">مکمل </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">خارخاسک فقط خارخاسک را روزی یک بار در تمام دوره هشت‌هفته‌ای مصرف می‌کردند. 48 ساعت قبل و 48 ساعت بعد از مداخله تمرینی، عملکرد جنسی (پرسش‌نامه </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">FSFI</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">)، ترکیب بدنی و قدرت عضلانی (هند گریپ) ارزیابی شد. داده‌ها به‌وسیله نرم‌افزار اس‌پی‌اس‌اس نسخه 24 و آزمون‌های تحلیل کوواریانس و بونفرونی تحلیل شدند.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" nazanin="" style="font-family:"><strong><span lang="AR-SA" style="font-size:9.0pt"><span style="letter-spacing:-.1pt">یﺎﻓﺘﻪﻫﺎ</span></span><span dir="LTR" style="font-size:9.0pt"><span style="letter-spacing:-.1pt">:</span></span></strong><b> </b><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">در این پژوهش، توده و قدرت عضلانی در گروه‌های مداخله (</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">T</span></span></span> <span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">و </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">PT+T</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">) نسبت به گروه کنترل به‌طور معناداری افزایش یافت </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">(001/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">)</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">. دریافتیم که خارخاسک در پنج بُعد میل، تحریک روانی، رطوبت، ارگاسم و رضایتمندی جنسی نسبت به گروه کنترل، با بهبود همراه است </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">(01/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">)</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">. به‌علاوه، نتایج نشان داد خارخاسک به همراه تمرین پیلاتس نسبت به گروه‌های کنترل و</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black"> مکمل </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">خارخاسک، اثر مثبتی بر عملکرد جنسی زنان یائسه در شش بُعد میل، تحریک روانی، رطوبت، ارگاسم، رضایتمندی و درد جنسی دارد </span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">(01/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">)</span></span><span b="" lang="AR-SA" mitra="" style="font-family:"><span style="color:black">. </span></span></span></span></span></span><br> <strong><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt">نتیجه ﮔﯿﺮی</span></span></span></strong><b><span style="font-size:9.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.1pt">:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> براساس یافته‌های این تحقیق، تجویز هم‌زمان</span></span><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> تمرین پیلاتس و مکمل خارخاسک نسبت به مکمل‌دهی به‌تنهایی، در بهبود عملکرد جنسی زنان یائسه مؤثرتر است.&nbsp;</span></span></div> <div style="text-align: justify;"><span style="font-size:12pt"><span style="line-height:95%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:95%"><span style="font-family:Optima">Introduction: </span></span></span></b><span style="font-size:9.0pt"><span style="line-height:95%"><span style="font-family:Optima"><span style="color:black">Increased life expectancy in menopausal women and hormonal problems have led people to use complementary and alternative medicine. Therefore, the present study aimed to investigate the effect of a Pilates training course with the addition of <i>Tribulus terrestris</i> on sexual function in menopausal women. </span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:95%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:95%"><span style="font-family:Optima">Methods</span></span></span></b><span style="font-size:9.0pt"><span style="line-height:95%"><span style="font-family:Optima">: <span style="color:black">In this quasi-experimental study with a pre-test-post-test design, 28 postmenopausal women (48.90 years old) were selected by simple random sampling in Arak city, Iran, in 2023, and after obtaining informed consent, they were divided into the following groups: <a name="_Hlk191113840"><i>Tribulus terrestris</i><b> </b></a>supplement (T), Pilates + <i>Tribulus terrestris</i> (PT+T), and control (C). The PT+T group performed three 60-minute Pilates sessions per week for eight weeks and received one <i>Tribulus terrestris</i> (450 mg) orally every day, while the T group consumed only <i>Tribulus terrestris</i> once a day for the entire 8-week period. Two days (48 hours) before and after the exercise intervention, sexual function (assessed using the FSFI questionnaire), body composition, and muscle strength (measured by hand grip) were evaluated. Data were analyzed using the SPSS (version 24) software and analysis of covariance and Bonferroni tests. </span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:95%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:95%"><span style="font-family:Optima">Results:</span></span></span></b><span style="font-size:9.0pt"><span style="line-height:95%"><span style="font-family:Optima"> <span style="color:black">It was observed that muscle mass and strength in the intervention groups (T and PT+T) increased significantly compared to group C (P=0.001). We found that <i>Tribulus terrestris</i> was associated with improvements in five dimensions of desire, psychological arousal, wetness, orgasm, and sexual satisfaction compared to group C (P=0.01). In addition, the results showed that <i>Tribulus terrestris,</i> along with Pilates training, had a positive effect on the sexual function of postmenopausal women in six dimensions of desire, psychological arousal, wetness, orgasm, satisfaction, and sexual pain compared to groups C and T (P=0.01).<b> </b></span></span></span></span></span></span></span><br> <b><span style="font-size:9.0pt"><span style="font-family:Optima">Conclusion</span></span></b><span style="font-size:9.0pt"><span style="font-family:Optima">: <span style="color:black">Our findings suggest that the simultaneous administration of Pilates and Tribulus terrestris supplementation is more effective in improving the sexual function of postmenopausal women compared to the group related to supplementation alone.</span></span></span></div> یائسگی, طب گیاهی, عملکرد جنسی, پیلاتس, خارخاسک Herbal medicine, Menopause, Pilates, Sexual function, Tribulus terrestris 65 75 http://cmja.arakmu.ac.ir/browse.php?a_code=A-10-468-6&slc_lang=fa&sid=1 Marjan Moradi مرجان مرادی f-noroozi@araku.ac.ir 100319475328460019838 0009-0001-5856-9310 No M.Sc. in Exercise Physiology, Department of Exercise Physiology, Faculty of Sport Sciences, Arak University, Arak, Iran کارشناس ارشد، گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه اراک، ایران Abbas Saremi عباس صارمی a-saremi@araku.ac.ir 100319475328460019839 0009-0002-5856-9310 Yes Professor of Exercise Physiology, Department of Sports Science, Faculty of Sport Sciences, Arak University, Arak, Iran استاد، گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه اراک، ایران Mohammad Parastesh محمد پرستش m-parastesh@araku.ac.ir 100319475328460019840 100319475328460019840 No Associate Professor of Exercise Physiology, Department of Sports Science, Faculty of Sport Sciences, Arak University, Arak, Iran دانشیار، گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه اراک، ایران