پژوهشگاه تربیت بدنی و علوم ورزشی (وزارت علوم ، تحقیقات و فناوری) فیزیولوژی ورزشی 2322-164X 16 64 2024 12 21 The Effect of 12 Weeks of Resistance Training and Electrical Muscle Stimulation (EMS) on Serum Levels of Insulin-Like Growth Factor 1 (IGF-1), Insulin, Glucose, Insulin Resistance and Body Composition in Overweight Men تاثیر 12 هفته تمرین مقاومتی و تحریک الکتریکی عضله( EMS) بر سطوح سرمی فاکتور رشد شبه انسولین 1 (IGF-1)، انسولین، گلوکز، مقاومت به انسولین و ترکیب بدن در مردان دارای اضافه وزن 71 51 4640 10.22089/spj.2025.17669.2351 FA مهشید فتحی گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران 0000-0003-2167-3987 جلیل رئیسی گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران 0000-0002-6569-431X فهیمه اسفرجانی گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران 0000-0001-8132-8419 Journal Article 2025 01 14 Background and Purpose Obesity is one of the biggest public health challenges of the present century, such that today the health sector of most countries in the world is struggling with issues and complications resulting from the increasing incidence of obesity. Insulin-like growth factor-1 (IGF-1) is an anabolic hormone produced primarily by the liver as a result of interaction with growth hormone. In addition to the liver, IGF-1 is also produced in most extrahepatic tissues and acts as an endocrine, autocrine, and paracrine growth factor to regulate cell growth. Obesity is associated with chronic inflammation, which contributes to insulin resistance (IR) and type 2 diabetes. Insulin resistance impairs the ability of muscle cells to take up and store glucose and triglycerides, leading to high levels of glucose and triglycerides in the circulation. IR is increasingly common in all individuals, including middle-aged, overweight, and sedentary individuals. Exercise <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-bidi-language: FA;">Training plays an important role in metabolic health, particularly in the insulin-like growth factor-1 system, and may be an alternative treatment for controlling changes in IGF-1 metabolism. Regular exercise can also improve insulin signaling in muscle. improve skeletal muscle mass and increase insulin sensitivity. Therefore, the aim of this study was to investigate the effects of 12 weeks of resistance training and EMS training on IGF-1 levels, insulin, glucose, insulin resistance, and body composition in overweight men<span dir="RTL" lang="FA" style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-bidi-language: FA;">. Materials and Methods The sample of the present study was made up of 40 overweight men with a BMI between 25 and 29.9. The age range of the subjects was between 30 and 50, and they had no regular physical activity during the past 6 months. The subjects were divided into 3 groups: EMS training (n=15), resistance training (n= 13), control (n=12) were divided. The exercises were performed for the resistance training group with an intensity of 50% to 85% of a maximum repetition and for the EMS training group as a pressure perception (master) with a value of 70% to 85%. In this study, an effort was made to control the volume and number of sets and repetitions in each session so that the amount of work done in both groups was approximately equal, despite the difference in intensity percentage, and therefore the impact of the difference in intensity on the results was minimized. Participants were asked to report their exercise intensity using the Borg Rating of Perceived Exertion (RPE) scale. The intensity of both EMS and resistance training was adjusted to achieve approximately equal RPE scores across both groups. The exercises were performed 3 days a week for 12 weeks. The training time in each session was 40 minutes. Also, they completed a three-day food diary form and a personalized meal plan was designed for each of them. Fasting blood samples were taken 48 hours before the first training session and 48 hours after the last training session to measure serum IGF-1 levels and insulin resistance. Blood sampling was done in two stages (pre-test stage and post-test stage). To measure IGF-1 factor, a DRG brand kit made in Germany with a sensitivity of 9.75 ng/ml was used by ELISA method. Blood glucose was measured using a ParsAzmoun company kit with a sensitivity of 5 mg/dl, and blood insulin levels were measured using ELISA method and a human kit (Beta Biomed) made in the USA with a sensitivity of 0.11(u IU/mL), and insulin resistance was measured using the homeostasis model assessment method (HOMA-IR) Body composition and anthropometric variables were examined in both pre-test and post-test stages using the XContact -356 body analyzer made by Jawon Medical Company, South Korea Findings The results showed that in the subjects of the three resistance training, EMS and control groups, there was a significant difference between the mean IGF-1 (P=0.001, F=30.7) at different time points (pre-test, post-test) in the groups. Also, according to the results of the between-group effects of IGF-1 in the subjects of the three resistance training, EMS and control groups, there was no significant difference in the mean IGF-1 (P=0.44, F=0.82) between the groups after 12 weeks of training.The mean IGF-1 in the resistance and EMS groups increased in the post-test compared to the pre-test, so that the EMS group increased by 14.07% and the resistance group increased by 11.82% compared to the pre-test. The results of insulin, glucose, and insulin resistance showed that in the subjects of the resistance training, EMS, and control groups, there was a significant difference between the mean insulin (P=0.001, F=42.09), glucose (P=0.001, F=13.9), and insulin resistance (P=0.001, F=48.5) at different time points (pre-test and post-test) in the groups. Also, according to the results of the between-group effects of insulin, glucose, and insulin resistance in the subjects of the three resistance training, EMS, and control groups, there was no significant difference in the mean glucose (P=0.29, F=1.28), insulin (P=0.13, F=2.1), and insulin resistance (P=0.11, F=2.3) between the groups after 12 weeks of training. The mean insulin, glucose, and insulin resistance in the resistance and EMS groups decreased in the post-test compared to the pre-test, so that after 12 weeks of training, insulin decreased by 17.6% in the EMS group and 19.4% in the resistance group compared to the pre-test, glucose decreased by 9.4% in the EMS group and 7.92% in the resistance group compared to the pre-test, and insulin resistance decreased by 25.9% in the EMS group and 25.5% in the resistance group compared to the pre-test. In addition, in all three resistance training, EMS and control groups, there was a significant difference between the mean percentage of fat, weight, skeletal muscle weight, and soft tissue weight at different time points (pre-test and post-test) in the groups (P≤0.05). However, there was no significant difference in the mean percentage of fat, body weight, skeletal muscle weight, and soft tissue weight between the groups after 12 weeks of training (P≥0.05). <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">Conclusion <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">In summary, the results of the present study showed that both resistance training and EMS significantly increased IGF-1 levels, but this increase was greater in the EMS group. In addition, in both groups, glucose, insulin, and insulin resistance levels decreased, and body composition improved in overweight men. Overall, given the positive results of EMS, it seems that this new training style can be considered an alternative or complement to resistance training. <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">Article Message <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">EMS training may be an effective training method in increasing IGF-1 levels and improving insulin resistance in overweight men compared to resistance training. <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">Ethical Considerations <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">This research has been approved by the Research Ethics Committee of Isfahan University with code IR.UI.REC.1403.028 Funding <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">This study received no funding from public, commercial, or nonprofit organizations. Authors’ Contributions <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">All authors contributed to the design, implementation, and writing of all sections of this study. Conflicts of Interest <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">The authors declared no conflict of interest. Acknowledgement <span style="font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; mso-bidi-language: FA;">This article is derived from the thesis of the Professional Doctoral Course in Exercise Physiology at University of Isfahan. We would like to extend our sincere gratitude to all those who contributed to the successful completion of this research. <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">هدف: در پژوهش حاضر، تاثیر <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Adobe Arabic'; mso-hansi-font-family: 'Adobe Arabic'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">12<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> هفته تمرین مقاومتی<span dir="LTR" lang="FA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">و تحریک الکتریکی عضله <span dir="LTR" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">(EMS<span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">)<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> بر سطوح سرمی فاکتور رشد شبه انسولین <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Adobe Arabic'; mso-hansi-font-family: 'Adobe Arabic'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">1<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> <span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">(<span dir="LTR" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">IGF-1<span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">)<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">، انسولین، گلوکز و مقاومت به انسولین<span dir="LTR" lang="FA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">و ترکیب بدن در مردان دارای اضافه وزن بررسی شد. مواد و روش‌ها: پژوهش حاضر از نوع نیمه تجربی، پیش آزمون _ پس آزمون با گروه کنترل بود. <span dir="LTR" lang="FA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">نمونه پژوهش حاضر را <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Adobe Arabic'; mso-hansi-font-family: 'Adobe Arabic'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">40<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> مرد میانسال سالم دارای اضافه وزن<span dir="LTR" lang="FA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">تشکیل دادند. آزمودنی‌ها بصورت تصادفی به 3 گروه تمرین <span dir="LTR" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">EMS<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">، تمرین مقاومتی وکنترل تقسیم شدند. دوره تمرینی به مدت <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Adobe Arabic'; mso-hansi-font-family: 'Adobe Arabic'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">12<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> هفته و <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Adobe Arabic'; mso-hansi-font-family: 'Adobe Arabic'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">3<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> جلسه در هفته<span dir="LTR" lang="FA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">و هر جلسه به مدت <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Adobe Arabic'; mso-hansi-font-family: 'Adobe Arabic'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;">40<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-ascii-theme-font: major-bidi; mso-hansi-font-family: 'Times New Roman'; mso-hansi-theme-font: major-bidi; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; mso-bidi-language: FA;"> دقیقه انجام گردید<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">. <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">در هر جلسه تمرینی، هر یک از گروه‌ها هفت حرکت ورزشی متفاوت را در سه نوبت (ست) با <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Adobe Arabic'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Adobe Arabic'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">12<span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> تا <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Adobe Arabic'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Adobe Arabic'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">15<span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> تکرار در هر ست انجام دادند<span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">.<span style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تمرینات<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">برای<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">گروه<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تمرینات<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">مقاومتی<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">با<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">شدت<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> 50<span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تا<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> 85<span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">درصد<span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">یک<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تکرار<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">بیشینه<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">و<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">برای<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">گروه<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تمرینات<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span dir="LTR" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">EMS<span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">به<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">صورت<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">درک<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">فشار<span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">با<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">مقدار 70 <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تا<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> 85<span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">درصد <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">فرکانس<span dir="LTR" lang="FA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">انجام<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">شدIGF-1 <span dir="LTR" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">.<span lang="AR-SA" style="font-size: 9.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">،<span dir="LTR" lang="AR-SA" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">گلوکز،<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">انسولین<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">و<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">مقاومت<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">به<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">انسولین<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">در<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">پیش<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">آزمون<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">و<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">پس<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">آزمون<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">مورد<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">اندازه<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">گیری<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">قرار<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">گرفت. <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">از <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تحلیل واریانس با اندازه تکراری و سطح<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">معناداری<span dir="LTR" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; background: white;">0.05 <span style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; background: white;"> <span dir="LTR" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; background: white;">P<span dir="LTR" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; background: white;">≤<span style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-ascii-theme-font: major-bidi; mso-fareast-font-family: Calibri; mso-hansi-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">ا<span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">ستفاده<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">شد.<span style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> یافته<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">‌<span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">ها:<span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> نتایج<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">نشان<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">داد<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">که<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">سطوح<span dir="LTR" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">IGF-1 <span style="font-size: 9.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">در<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">پس<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">آزمون<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">نسبت<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">به<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">پیش<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">آزمون<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">افزایش<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">معناداری<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">را<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">در<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">هر<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">دو<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">گروه<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تمرینی<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">مقاومتی<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">و<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> EMS <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">داشت(P=0.001,F=30.7)<span lang="AR-SA" style="font-size: 9.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">،<span dir="LTR" lang="AR-SA" style="font-size: 9.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">بطوری که گروه EMS<span style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> 14/07<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">درصد و گروه مقاومتی 11/82 <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">درصد نسبت به پیش‌آزمون افزایش داشت.<span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">سطوح<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">انسولین(P=0.001,F=42.09)<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">، <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">گلوکز(P=0.001,F=13.9) <span style="font-size: 9.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">و<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">شاخص<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">مقاومت<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">به<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">انسولین(P=0.001,F=48.5) <span style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">نیز<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">در<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">پس<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">آزمون<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">نسبت<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">به<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">پیش<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">آزمون<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">در<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">هر<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">دو<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">گروه<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">تمرینی<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">نسبت<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">به<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">کنترل <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">به طور معناداری کاهش یافت.<span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">نتیجهگیری: این پژوهش نشان داد که تمرینات EMS<span style="font-size: 9.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;"> <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">در مقایسه با تمرینات مقاومتی، رویکردی موثرتر در بهبود مقاومت به انسولین، افزایش سطح<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> IGF-1 <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">و بهبود ترکیب بدنی در افراد <span lang="FA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white; mso-bidi-language: FA;">دارای اضافه وزن <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">دارد. این یافته‌ها حاکی از آن است که تمرین<span dir="LTR" lang="AR-SA" style="font-size: 10.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;"> EMS <span lang="AR-SA" style="font-size: 10.0pt; mso-ascii-font-family: 'Times New Roman'; mso-fareast-font-family: Calibri; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'B Nazanin'; color: black; mso-themecolor: text1; background: white;">می‌تواند به عنوان یک روش تمرینی جایگزین یا مکمل برای تمرینات مقاومتی در نظر گرفته شود.

https://spj.ssrc.ac.ir/article_4640_080c993fb3b58e26c1d2265bf9da0af3.pdf