Shah FT, Sayani F, Trompeter S, Drasar E, Piga A. Challenges of blood transfusions in β-thalassemia. Blood Rev 2019; 37: 100588.
Gaudio A, Morabito N, Catalano A, Rapisarda R, Xourafa A, Lasco A. Pathogenesis of thalassemia major-associated osteoporosis: a review with insights from clinical experience. J Clin Res Pediatr Endocrinol 2019; 11(2): 110-7.
Oliveros O, Trachtenberg F, Haines D, Gerstenberger E, Martin M, Carson S, et al. Pain over time and its effects on life in thalassemia. Am J Hematol 2013; 88(11): 939-43.
Rahgozar S, Moafi A, Yavari F, Hourfar H. Alloantibody detection in major Beta Thalassemic patients transfused within less-than-20-day intervals. Sci J Iran Blood Transfus Organ 2005; 1(2): 1-9. [Article in Farsi]
Hadipour Dehshal M, Tabrizi Namini M, Hantoushzadeh R, Yousefi Darestani S. β-Thalassemia in Iran: things everyone needs to know about this disease. Hemoglobin 2019; 43(3): 166-73.
Arbab G, Nikparvar M, Gaeini AA, Sobhani A. The effect of eight weeks of concurrent exercise on NT-proBNP and ferritin serum levels of Beta Thalassemia Major patients. Hormozgan Med J 2016; 20(1): 10-7. [Article in Farsi]
Zarezadeh Y, Ebrahimi E, Ghaydari ME, Amani A, Jalili A. The Effects of Aerobic Exercise on Body Iron Indices in Normal Subjects and in Patients with Thalassemia Major. Sci J Kurd Univ Med Sci 2001; 5(2): 1-6. [Article in Farsi]
Dehkordi AH, Hasani T, Fekri K, Deris F, Etemadifar S. Effects of aquatic exercise on dimensions of quality of life and blood indicators in patients with beta-thalassemia major. Int J Prev Med 2020; 11: 128.
Arian M, Memarian R, Vakilian F, Badiee Z. Impact of an 8-week walking program on quality of life in patients with thalassemia major. FEYZ 2013; 17(5): 463-70. [Article in Farsi]
Çiçek G. The Effects of Different Exercise Types on Hematological Parameters in Sedentary Women. Journal of Education and Training Studies 2018; 6(8): 96-101.
Benedetto D, Rao CM, Cefalù C, Aguglia DO, Cattadori G, D’Ascola DG, et al. Effects of blood transfusion on exercise capacity in thalassemia major patients. PLoS One 2015; 10(5): e0127553.
El Nahas EM, Gabr AA. Impact of aerobic exercises on iron deficiency anemia in girls. Int J Physiother Res 2017; 5(5): 2399-04.
Vivek P, Bharti VK, Giri A, Kalia S, Raj T, Kumar B. Endurance exercise causes adverse changes in some hematological and physio-biochemical indices in ponies under high altitude stress condition. Indian Journal of Animal Sciences 2018; 88(2): 222-8.
Bordbar MR, Silavizadeh S, Haghpanah S, Kamfiroozi R, Bardestani M, Karimi M. Hydroxyurea treatment in transfusion-dependent β-thalassemia patients. Iran Red Crescent Med J 2014; 16(6): e18028.
Fathi A, Amani F, Khoshbaf E. Effect of Hydroxy Urea in treatment of patients with thalassemia Intermedia. SSU Journals 2014; 22(5): 1455-63. [Article in Farsi]
Heffernan KS, Fahs CA, Shinsako KK, Jae SY, Fernhall B. Heart rate recovery and heart rate complexity following resistance exercise training and detraining in young men. Am J Physiol Heart Circ Physiol 2007; 293(5): H3180-6.
Amiri Parsa T, Khademosharie M, Azarnive M. The effect of aerobic training on fibrinogen and blood cells in obese girls. Sci J Iran Blood Transfus Organ 2019; 16(3): 217-27. [Article in Farsi]
Eastwood A, Bourdon P, Norton K, Lewis N, Snowden K, Gore C. No change in hemoglobin mass after 40 days of physical activity in previously untrained adults. Scand J Med Sci Sports 2012; 22(6): 722-8.
Schmidt W, Prommer N. Effects of various training modalities on blood volume. Scand J Med Sci Sports 2008; 18: 57-69.
Sohn EY, Kato R, Noetzli LJ, Gera A, Coates T, Harmatz P, et al. Exercise performance in thalassemia major: correlation with cardiac iron burden. Am J Hematol 2013; 88(3): 193-7.
Noushad S, Ahmed S, Jafri H, Sherwani SK. Effect of Exercise on Hematological Parameters: A Study on Trained versus Un-Trained Male Subjects. Pakistan Journal of Life & Social Sciences. 2012; 10(1): 18-21.
Nader E, Skinner S, Romana M, Fort R, Lemonne N, Guillot N, et al. Blood rheology: key parameters,
impact on blood flow, role in sickle cell disease and effects of exercise. Front Physiol 2019; 10: 1329.
Marinov BI, Terziyski KV, Sapunarova KG, Kostianev SS. Exercise performance in children with severe beta-thalassemia before and after transfusion. Folia Med 2008; 50(4): 48-54.
Molazem Z, Noormohammadi R, Dokouhaki R, Zakerinia M, Bagheri Z. The effects of nutrition, exercise, and a praying program on reducing iron overload in patients with beta-thalassemia major: A randomized clinical trial. Iran J Pediatr 2016; 26(5): e3869.
Sci J Iran Blood Transfus Organ 2022;19 (2): 158-165
Original Article
Impact of an Aerobic Exercise Training Course on Transfusion Blood Volume in Patients with β-Thalassemia major Abdollahi Darmian F.1, Delavar R.1, Nikoofar M.1, Naderi M.2 1Faculty of Education and Psychology, University of Sistan and Baluchestan, Zahedan, Iran 2School of Medicine, Children and Adolescents Health Research Center, Research Institute of Cellular and Molecular Sciences in Infectious Diseases Ali Ibn e Abitaleb Hospital, Zahedan University of Medical Sciences, Zahedan, Iran Abstract Background and Objectives Blood transfusion in patients with beta-thalassemia major can be considered as one of the major individual and social problems of this disease. This study is aimed to evaluate the effect of an aerobic exercise course on transfusion blood volume of patients with β-thalassemia major.
Materials and Methods The present study was a quasi-experimental study with pre-test, post-test design with a control group in 2020-2021 in Zahedan. The subjects of the present study (24 patients with thalassemia major aged 15 to 35 years) were randomized by variable block method and were divided into two groups of exercise (n= 14) and control (n= 10). Participants in exercise group started regular walking for 8 weeks. Paired t- test statistical method was applied to analyse the data within the groups while analyse of covariance (ANCOVA) method was utilized to compare the groups, p< 0.05.
Results Intra-group comparisons revealed the reduction of transfusion blood volume following 8 weeks of aerobic exercise in both exercise (2421.43 ± 462.73 mL, p = 0.001) and control (2130.0 ± 330.15 mL, p = 0.039) groups, when compared to the pre-study exercise. Results of inter-group comparisons demonstrated no significant difference in two studied groups (p = 0.221), although the reduction of transfusion blood volume in exercise group was more evident than the control group. Conclusions According to the results, it is concluded that doing aerobic exercise training accompanied with the treatment methods utilized for thalassemia major patients reduced their need for blood transfusions, when exercise duration is sufficiently long.
Correspondence: Delavar R., PhD in Sports Physiology. Faculty of Education and Psychology, University of Sistan and Baluchestan. P.O.Box: 98155-987, Zahedan, Iran. Tel: (+9854) 31136724; Fax: (+9854) 31136724 E-mail: delavar@ped.usb.ac.ir
Abdollahi Darmian F, Delavar R, Nikoofar M, Naderi M. Impact of an Aerobic Exercise Training Course on Transfusion Blood Volume in Patients with β-Thalassemia major. Sci J Iran Blood Transfus Organ 2022; 19 (2) :158-165 URL: http://bloodjournal.ir/article-1-1429-en.html