Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
The Effect of Aerobic Exercise (Swimming) and Oral Contraceptives on Some Hormonal Variables According to Age and Childbirth: Analytical Study
Aerobik Egzersiz (Yüzme) ve Oral Kontraseptiflerin Yaş ve Çocuk Doğurmaya Göre Bazı Hormonal Değişkenlere Etkisi: Analitik Çalışma
Guebli ABDELKADERa, Yağmur KOCAOĞLUb, Sahioualdi BOUCHRA c, Francisco Jeci de HOLANDAd, Nurtekin ERKMENb, Reguieg MADANIe, Zerf MOHAMMEDf
aLaboratory APS, Society, Education, and Health, Faculty of Physical Education and Sports, Hassiba Benbouali University of Chlef, Algeria
bDepartment of Trainer Education Program, Selçuk University Faculty of Sports Sciences, Konya, Türkiye
cDepartment of Biology, Faculty of Natural and Life Sciences, Djillali Liabes University of Sidi Bel Abbes, Algeria
dDepartment of Physical Education, UNIPLAN, Brazil
eSMAH Laboratory, Faculty of Physical Education and Sports, Abdelhamid Ibn Badiss University of Mostaganem, Algeria
fOPAPS Laboratory, Faculty of Physical Education and Sports, Abdelhamid Ibn Badiss University of Mostaganem, Algeria
Turkiye Klinikleri J Sports Sci. 2022;14(1):22-30
doi: 10.5336/sportsci.2021-84117
Article Language: EN
Full Text
ABSTRACT
Objective: This study aims to examine the effect of aerobic exercise (AE) (swimming) and oral contraceptives (OCs) on some hormonal variables according to the variables of age and childbirth through analyzing the parameters of weight, body mass index (BMI), triglycerides, cholesterol, glucose and progesterone. Material and Methods: Our study includes a sample of 16 married women (between 20-30 years of age). The sample were enrolled in the same-discipline, and were divided in 2 groups, the 1st group (G1) has kids while the 2nd group (G2) does not. The subjects have been taking OCs (3rd generation; Meliane®, Microgynon®) for at least the last 6 months, and they haven't been pregnant for the last year. AE (swimming) was practiced 2-3 times/week for 75 min maximal in moderate-intensity, for 13 weeks. The changes in hormonal parameters (pre- and post- intervention) were measured. The data were analyzed by SPSS 22.0 program, descriptive statistics (mean±standard deviation), Student's t and ANOVA tests. Results: The results showed that most parameters including weight and BMI (p≤0.005), progesterone (p≤0.001) changed significantly in postintervention in comparison to pre-intervention for both groups. Cholesterol and glucose (p≤0.05) changed for G2. In addition, progesterone in post-intervention changed significantly between the 2 groups (p≤0.05). Conclusion: In conclusion, the results confirm that the variables of age and childbirth do effect the hormonal values of women during the period of taking OCs especially in progesterone hormone which has implications for the shape of women's body. Therefore, we propose that practicing AE such as swimming is a safe and useful method for the stability of hormone values in the normal and ideal level. This practise aids in preventing obesity, the risk of developing heart disease, and artery disease for women in realtion to the factors of aging and childbirth.

Keywords: Women; oral contraceptives (pills); swim; hormonal parameters; childbirth
ÖZET
Amaç: Bu çalışmanın amacı aerobik egzersizin (AE)(yüzme) ve oral kontraseptiflerin (OK) yaş ve çocuk doğurma gibi değişkenlere göre bazı hormonal değişkenler üzerindeki etkilerini vücut ağırlığı, beden kitle indeksi (BKİ), trigliserid, kolesterol, glukoz ve progesteron parametrelerini incelemek suretiyle araştırmaktır. Gereç ve Yöntemler: Çalışmamızın örneklemini (20-30 yaşları arasında) 16 evli kadın oluşturmuştur. Örneklem aynı disiplinde alınmıştır ve 2 gruba ayrılmıştır, 1.gruptakilerin (G1) çocuğu varken 2.gruptakilerin (G2) yoktur. Katılımcılar en az 6 aydır OK (3.kuşak; Meliane®, Microgynon®) almaktaydılar ve son 1 yıl içinde gebelik yaşamamışlardı. On üç haftadır haftada 2-3 kez, orta yoğunlukta, en fazla 75 dak olmak üzere aerobik egzersiz (yüzme) yapıldı. Hormonal parametrelerdeki değişiklikler (girişim öncesi ve sonrası) ölçüldü. Veriler SPSS 22.0 programı, tanımlayıcı istatistikler (ortalama standart sapma), Student t-testi ve ANOVA testleri ile incelendi. Bulgular: Sonuçlar vücut ağırlığı ve BKİ (p≤0.005), progesteron (p≤0.001) gibi çoğu parametrenin her iki grupta girişim öncesi değerlere göre girişim sonrasında anlamlı olarak değiştiğini göstermiştir. G2'de kolesterol ve glukoz değişmiştir (p≤0.05). Sonuç: Sonuç olarak, bulgular yaş ve çocuk doğurma değişkenlerinin kadınların OK kullandıkları süreçte hormonal değerleri, özellikle kadın vücudunun şekillenmesinde etkileri olan progesteron hormonunu etkilediğini doğrulamaktadır. Bu nedenle, yüzme gibi AE yapmanın hormon düzeylerinin normal ve ideal düzeylerde kalması için güvenilir ve faydalı bir yöntem olduğunu düşünüyoruz. Bu uygulama kadınlarda yaşlanma ve çocuk doğurma ile ilişkili olarak obezitenin önlenmesi, kalp hastalığı ve arter hastalığı gelişim riskini önlemeye yardımcı olur.

Anahtar Kelimeler: Kadınlar; oral kontraseptifler (hap); yüzme; hormonal parametreler; çocuk doğurma
REFERENCES:
  1. Sevim Y. Antrenman Bilgisi. 1. Baskı. Ankara: Nobel Kitabevi; 2002. [Link] 
  2. Aybike Ş. Çalışan ve çalışmayan kadınların egzersiz bilgi ve bilinç düzeylerinin karşılaştırılması [Yüksek lisans tezi]. Denizli: Pamukkale Üniversitesi; 2019. [Link] 
  3. Abdelkader G, de Holanda J, Zabchi N, Sahi Oaldi B. The effects of physical activity and diet on reducing the body mass index in Adolescent: Systematic review. J Chall. 2021;13(2):68-79. [Crossref] 
  4. Turkoglu I. Menstrual döngü sürecinde dinlenme metabolik hızı, vücut bileşimi ve besin alımındaki bireysel farklılıkların saptanması [Yüksek lisans tezi]. Ankara: Hacettepe Üniversitesi; 2010.
  5. Teixeira AL da S, Fernandes Júnior W, Marques FAD, Lacio ML de, Dias MRC. Influência das diferentes fases do ciclo menstrual na flexibilidade de mulheres jovens [Influence of different phases of menstrual cycle on flexibility of young women]. Rev Bras Med Esporte. 2012;18(6):361-4. [Crossref] 
  6. Akyılmaz F, Özçelik N, Polat G. Premenstruel sendrom görülme sıklığı [Frequency of premenstrual syndromen]. Medeni Med J. 2003;18(2):106-9. [Link] 
  7. Hamburg NM, McMackin CJ, Huang AL, Shenouda SM, Widlansky ME, Schulz E, et al. Physical inactivity rapidly induces insulin resistance and microvascular dysfunction in healthy volunteers. Arterioscler Thromb Vasc Biol. 2007;27(12):2650-6. [Crossref]  [PubMed]  [PMC] 
  8. Güner Z. Düşük dozlu oral kontraseptif steroidlerin, ateroskleroz, kardiyovasküler hastalık ve damar endotel hasar belirteçleri üzerine etkileri [Uzmanlık tezi]. Aydın: Adnan Menderes Üniversitesi; 2008. [Link] 
  9. Volpato LK, Siqueira IR, Nunes RD, Piovezan AP. Association between hormonal contraception and injuries induced by human papillomavirus in the Uterine Cervix. Rev Bras Ginecol E ObstetríciaRBGO Gynecol Obstet. 2018;40(04):196-202. [Crossref]  [PubMed] 
  10. Kalkwarf KL. Effect of oral contraceptive therapy on gingival inflammation in humans. J Periodontol. 1978;49(11):560-3. [Crossref]  [PubMed] 
  11. Kayaalp SO. Oral Contraceptives and Other Contraceptive Methods. 1st ed. Ankara: Bookstore; 2002.
  12. Günay M, Şıktar E, Şıktar E. Antrenman Bilimi. Batman Belediyespor Kültür Eğitim ve Spor Yayın Ank Özgür Web Ofset Matbaacılık; 2017. p.797.
  13. Aksoy M. Etinil östradiol (0.30 mg) ve drospirenon (3 mg) içeren oral kontraseptiflerin servikal mukus mukoprotein içeriği üzerine etkisi [Uzmanlık tezi]. Trabzon: Karadeniz Teknik Üniversitesi; 2010. [Link] 
  14. Thompson B, Almarjawi A, Sculley D, Janse de Jonge X. The effect of the menstrual cycle and oral contraceptives on acute responses and chronic adaptations to resistance training: A systematic review of the literature. Sports Med. 2020;50(1):171-85. [Crossref]  [PubMed] 
  15. Evliyaoglu S, Alikasifoglu M, Ercan O. Ergenlerde menstrüel döngü bozuklukları [Menstrual cycle disorders in adolescence]. 2010;45:6-12. [Link] 
  16. Kraemer WJ, Häkkinen K. The Handbooks of Sports Medicine and Science: Strength Training for Sport. 1st ed. New York, NY: John Wiley & Sons; 2008. [Link] 
  17. Burrows M, Peters CE. The influence of oral contraceptives on athletic performance in female athletes. Sports Med. 2007;37(7):557-74. [Crossref]  [PubMed] 
  18. Grimes DA, Shields WC. Family planning for obese women: Challenges and opportunities. Contraception. 2005;72(1):1-4. [Crossref]  [PubMed] 
  19. De Souza MJ, Miller BE, Loucks AB, Luciano AA, Pescatello LS, Campbell CG, et al. High frequency of luteal phase deficiency and anovulation in recreational women runners: blunted elevation in follicle-stimulating hormone observed during luteal-follicular transition. J Clin Endocrinol Metab. 1998;83(12):4220-32. [Crossref]  [PubMed] 
  20. Lewis NA, Howatson G, Morton K, Hill J, Pedlar CR. Alterations in redox homeostasis in the elite endurance athlete. Sports Med. 2015;45(3):379-409. [Crossref]  [PubMed] 
  21. Costello JT, Bieuzen F, Bleakley CM. Where are all the female participants in sports and exercise medicine research? Eur J Sport Sci. 2014;14(8):847-51. [Crossref]  [PubMed] 
  22. Sung E, Han A, Hinrichs T, Vorgerd M, Manchado C, Platen P. Effects of follicular versus luteal phase-based strength training in young women. Springerplus. 2014;3:668. [Crossref]  [PubMed]  [PMC] 
  23. Pöllänen E, Ronkainen PH, Suominen H, Takala T, Koskinen S, Puolakka J, et al. Muscular transcriptome in postmenopausal women with or without hormone replacement. Rejuvenation Res. 2007;10(4):485-500. [Crossref]  [PubMed] 
  24. Sipilä S, Taaffe DR, Cheng S, Puolakka J, Toivanen J, Suominen H. Effects of hormone replacement therapy and high-impact physical exercise on skeletal muscle in post-menopausal women: a randomized placebo-controlled study. Clin Sci (Lond). 2001;101(2):147-57. [Crossref]  [PubMed] 
  25. Enea C, Boisseau N, Fargeas-Gluck MA, Diaz V, Dugué B. Circulating androgens in women: exercise-induced changes. Sports Med. 2011;41(1):1-15. [Crossref]  [PubMed] 
  26. Enns DL, Tiidus PM. The influence of estrogen on skeletal muscle: Sex matters. Sports Med. 2010;40(1):41-58. [Crossref]  [PubMed] 
  27. Lowe DA, Baltgalvis KA, Greising SM. Mechanisms behind estrogen's beneficial effect on muscle strength in females. Exerc Sport Sci Rev. 2010;38(2):61-7. [Crossref]  [PubMed]  [PMC] 
  28. Barros RP, Gustafsson JÅ. Estrogen receptors and the metabolic network. Cell Metab. 2011;14(3):289-99. [Crossref]  [PubMed] 
  29. Peters C, Burrows M. Androgenicity of the progestin in oral contraceptives does not affect maximal leg strength. Contraception. 2006;74(6):487-91. [Crossref]  [PubMed] 
  30. Rechichi C, Dawson B, Goodman C. Athletic performance and the oral contraceptive. Int J Sports Physiol Perform. 2009;4(2):151-62. [Crossref]  [PubMed] 
  31. Reis E, Frick U, Schmidtbleicher D. Frequency variations of strength training sessions triggered by the phases of the menstrual cycle. Int J Sports Med. 1995;16(8):545-50. [Crossref]  [PubMed] 
  32. Ceriello A, Esposito K, Piconi L, Ihnat MA, Thorpe JE, Testa R, et al. Oscillating glucose is more deleterious to endothelial function and oxidative stress than mean glucose in normal and type 2 diabetic patients. Diabetes. 2008;57(5):1349-54. [Crossref]  [PubMed] 
  33. Bird SR, Hawley JA. Update on the effects of physical activity on insulin sensitivity in humans. BMJ Open Sport Exerc Med. 2017;2(1):e000143. [Crossref]  [PubMed]  [PMC] 
  34. Robinson JA, Burke AE. Obesity and hormonal contraceptive efficacy. Womens Health (Lond). 2013;9(5):453-66. [Crossref]  [PubMed]  [PMC] 
  35. Larsen B, Cox AJ, Quinn K, Fisher R, Minahan C. Immune response in women during exercise in the heat: A spotlight on oral contraception. J Sports Sci Med. 2018;17(2):229-36. [PubMed]  [PMC] 

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