تاثیر 8 هفته تمرین مقاومتی شدید بر سطوح سرمی پرپتین،آدروپین و هورمون انسولین در مردان چاق مبتلا به پیش دیابت

نوع مقاله : مقاله پژوهشی Released under (CC BY-NC 4.0) license I Open Access I

نویسندگان

1 دانشجوی کارشناسی ارشد فیزیولوژی ورزشی و تندرستی، دانشکده علوم انسانی، دانشگاه کاشان، کاشان، ایران

2 دانشیار فیزیولوژی ورزشی دانشگاه کاشان

3 دکترای تخصصی فیزیولوژی ورزشی دانشگاه محقق اردبیلی

10.22049/jahssp.2024.29330.1621

چکیده

هدف: سایتوکاین­های پرپتین و آدروپین در متابولیسم انرژی نقش تنظیمی دارند، اما مکانیزم آنها در افراد چاق پیش­دیابتی در پاسخ به ورزش به خوبی مشخص نیست. هدف از تحقیق حاضر بررسی تاثیر 8 هفته تمرین مقاومتی دایره­ای شدید بر سطوح سرمی پرپتین و آدروپین در مردان چاق مبتلا به پیش دیابت بود. روش‌ شناسی: در این مطالعه نیمه‌تجربی 30 نفر از مردان چاق پیش‌دیابتی با میانگین (سن: 57/4±76/37، وزن: 87/4±23/98، BMI: 29/1±87/30) به صورت تصادفی به دو گروه تجربی و کنترل (هر گروه 15 نفر)، تقسیم شدند. گروه تجربی به مدت 8 هفته و هر هفته سه جلسه به مدت 60 دقیقه در برنامه HIRT با شدت 80 تا 85 درصد یک تکرار بیشینه شرکت کردند. سطوح سرمی آدروپین، پرپتین و انسولین در دو نوبت پیش و پس آزمون اندازه‌گیری شد. تحلیل داده‌ها با استفاده از آزمون t مستقل و t زوجی در سطح معناداری 05/0>P  انجام شد. یافته‌ها: مقادیر پرپتین (002/0=P)، انسولین (007/0=P)، گلوکز (001/0=P)، مقاومت به انسولین (001/0=P)، در گروه تجربی نسبت به گروه کنترل کاهش معناداری یافت، در حالیکه سطح آدروپین (003/0=P) افزایش معناداری نشان داد. نتایج t زوجی کاهش معنادار پرپتین (001/0=P، 20/0- درصد)، افزایش آدروپین (001/0=P، 5/21 درصد)، و کاهش شاخص­های مرتبط با دیابت (انسولین (001/0=P، 5/17- درصد)، گلوکز (001/0=P، 1/19- درصد) و مقاومت به انسولین (001/0=P، 5/17- درصد)  در پاسخ به پروتکل تمرین را نشان داد (05/0>P).  نتیجه‌گیری: احتمالاً تمرینات HIRT می­تواند بر شاخص­های آدروپین، پرپتین و برخی شاخص­های دیابت و ترکیب بدن در مردان چاق پیش­دیابتی تاثیر مفیدی داشته باشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effect of 8 weeks of intense resistance training on serum levels of perpetin, atropine and insulin hormone in obese men with prediabetes

نویسندگان [English]

  • Hani Hudwan 1
  • mohammad javad pourvaghar 2
  • mohammad ebrahim bahram 3
1 Master's student in sports physiology and health, Faculty of Humanities, University of Kashan, Kashan, Iran
2 Associate Professor of Sports Physiology, Faculty of Humanities, Kashan of University, Kashan, Iran
3 Ph.D in Exercise physiology, educational sciences and psychology, University of Mohaghegh Ardabili, Iran
چکیده [English]

Aim: Cytokines preptin and adropin have a regulatory role in energy metabolism, but their mechanism in response to exercise in obese prediabetic subjects is not well understood. The aim of this study was to investigate the effect of 8 weeks of intense circuit resistance training on serum levels of preptin and adropin in obese men with prediabetes. Method: In this semi-experimental study, 30 obese prediabetic men were randomly divided into two experimental and control groups (15 people in each group). The experimental group participated in the HIRT program with an intensity of 80-85% of one maximum repetition for 8 weeks and three sessions for 60 minutes each week. Serum levels of adropin, preptin, and insulin were measured on two occasions before and after the test. Data analysis was done using independent t test and paired t test at a significance level of P<0.05. Results: The levels of preptin (P=0.002), insulin (P=0.007), glucose (P=0.001), insulin resistance (P=0.001) decreased significantly in the experimental group compared to the control group. While the level of adropin showed a significant increase (P=0.003). Paired t results showed a significant decrease in preptin (P=0.001, -0.20 percent), an increase in adropin (P=0.001, 21.5 percent), and a decrease in indicators related to diabetes insulin (P = 0.001) P, -17.5 percent), glucose (P=0.001, -19.1 percent) and insulin resistance (P=0.001, -17.5 percent) in response to the exercise protocol (P<0.05). Conclusion: Probably, HIRT exercises can have a beneficial effect on adropin, preptin and some diabetes indicators and body composition in pre-diabetic obese men.

کلیدواژه‌ها [English]

  • High-Intensity Circuit Training
  • Preptin
  • Adropin
  • Prediabetes
  • Insulin Resistance
  1. 1. Shiroyeh A, Emami F, Sanaee M, Tarighi R. The Effect of Aerobic Training on Preptin, Adropin and Insulin Resistance in Overweight Men. Journal of Ardabil University of Medical Sciences. 2020; 20(4):551-61.[In Persian]
  2. 2. Finkelstein EA, Khavjou OA, Thompson H, Trogdon JG, Pan L, Sherry B, Dietz W. Obesity and severe obesity forecasts through 2030. American journal of preventive medicine. 2012;42(6):563-70.
  3. 3. Yarmohammadi M, Behboudi L, Eizadi M. Effect of Aerobic Training on Glucose-6-phosphatase Expression in the Liver Hepatocytes and Fasting Glucose in Type II Diabetic Rats. Journal of Diabetes Nursing. 2019;6(4):618-30.[In Persian]
  4. 4. Aydin S. Three new players in energy regulation: preptin, adropin and irisin. Peptides. 2014;56:94-110.
  5. 5. Akhavan Rasoolzadeh E, Nazarali P, Alizadeh R. Effect of endurance and resistance training on adropin and insulin resistance among overweight men: a randomized clinical trial. Physiology and Pharmacology. 2022;26(3):239-47.[In Persian]
  6. 6. Aydin S, Kuloglu T, Aydin S, Eren MN, Yilmaz M, Kalayci M, et al. Expression of adropin in rat brain, cerebellum, kidneys, heart, liver, and pancreas in streptozotocin-induced diabetes. Molecular and cellular biochemistry. 2013;380:73-81.
  7. 7. BUCHANAN CM, PHILLIPS AR, COOPER GJ. Preptin derived from proinsulin-like growth factor II (proIGF-II) is secreted from pancreatic islet β-cells and enhances insulin secretion. Biochemical Journal. 2001;360(2):431-9.
  8. 8. Soori R, Ramezankhani A, Ravasi AA, Akbarnejad A. Effect of aerobic exercise and caloric restriction on serum adropin levels and homa-ir in obese sedentary women. Sport physiology. 2017;9(34):49-62.[In Persian]
  9. 9. Miladi Ghomi H, Abedi B, Ramezani S. The effect of a period of circular resistance training on serum perptin levels and insulin resistance in men with type 2 diabetes. Journal of Sport Biosciences. 2021;13(3):383-97.[In Persian]
  10. 10. Ramezani S, Porrahim Ghouroghchi A, Yaghobi M, Afroundeh R, Rasouli M. The Effect of Eight Weeks of Resistance Training on the Plasma Levels of Preptin and Endothelin 1 in Men with Type 2 Diabetes. Iranian Journal of Diabetes and Metabolism. 2023; 23(2):80-90.[In Persian]
  11. 11. Afroundeh R, Bahram ME. The effect of resistance training with body weight (TRX) on serum levels of Perpetin, Adropine and metabolic factors associated with metabolic syndrome in overweight elderly men. Journal FEYZ. 2022;26(3):292-301.[In Persian]
  12. 12. Safarimosavi S, Mohebbi H, Rohani H. High-intensity interval vs. continuous endurance training: Preventive effects on hormonal changes and physiological adaptations in prediabetes patients. The Journal of Strength & Conditioning Research. 2021;35(3):731-8.[In Persian]
  13. 13. NazarAli P, Qadim, A, Rahmani, Hiva. Effect of high-intensity circuit training on serum levels of peptin and insulin resistance in inactive overweight women. Sport physiology. 2018;10(40):149-62.[In Persian]
  14. 14. Fujie S, Hasegawa N, Kurihara T, Sanada K, Hamaoka T, Iemitsu M. Association between aerobic exercise training effects of serum adropin level, arterial stiffness, and adiposity in obese elderly adults. Applied Physiology, Nutrition, and Metabolism. 2017;42(1):8-14.
  15. 15. Salmanpour M, Soori R, H’mida C, Halouani J, Clarck CT, Pournemati P, et al. The effect of 8 weeks of combined interval (resistance-interval training) and combined endurance (endurance-resistance training) on plasma levels of adropin and nitric oxide in males with high blood pressure. Irish Journal of Medical Science. 2022;191(6):2559-68.
  16. 16. Amini M, Esmaillzadeh A, Sadeghi M, Mehvarifar N, Amini M, Zare M. The association of hypertriglyceridemic waist phenotype with type 2 diabetes mellitus among individuals with first relative history of diabetes. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2011;16(2):156.[In Persian]
  17. 17. Ghanbari A, Souri R, Farah A. The effect of a period of low-intensity aerobic activity on serum adropin levels and insulin resistance index of inactive obese boys. Iranian Journal of Diabetes and Metabolism. 2019;18(5):266-74.[In Persian]
  18. 18. Sanchis-Gomar F, Alis R, Rampinini E, Bosio A, Ferioli D, La Torre A, et al. Adropin and apelin fluctuations throughout a season in professional soccer players: Are they related with performance? Peptides. 2015;70:32-6.

19        Soori R, Hemmatfar A. The Effect Of A Period Of Aerobic Exercise With Low Intensity On Adropin Levels And Insulin Resistance Index In Obese Sedentary Adolescent Boys. Iranian Journal of Diabetes and Metabolism. 2019;18(5):266-74.[In Persian]

  1. 20. Polkowska A, Pasierowska IE, Pasławska M, Pawluczuk E, Bossowski Assessment of serum concentrations of adropin, afamin, and neudesin in children with type 1 diabetes. BioMed research international. 2019;2019.
  2. 21. Es-Haghi A, Al-Abyadh T, Mehrad-Majd H. The clinical value of serum adropin level in early detection of diabetic nephropathy. Kidney and Blood Pressure Research. 2021;46(6):734-40.
  3. 22. Medicine ACoS. Guidelines for exercise testing and prescription: Williams & Wilkins; 1991.
  4. Medicine ACoS. ACSM's resource manual for guidelines for exercise testing and prescription: Lippincott Williams & Wilkins; 2012.
  5. 24. Jackson AS, Pollock ML. Generalized equations for predicting body density of men. British journal of nutrition. 1978;40(3):497-504.
  6. 25. Jorge MLMP, de Oliveira VN, Resende NM, Paraiso LF, Calixto A, Diniz ALD, et al. The effects of aerobic, resistance, and combined exercise on metabolic control, inflammatory markers, adipocytokines, and muscle insulin signaling in patients with type 2 diabetes mellitus. Metabolism. 2011;60(9):1244-52.
  7. 26. Brzycki M. A practical approach to strength training. Masters Press. 1989.
  8. 27. Hajinia M, Haghighi AH, Askari R. The effect of high-intensity interval training and high-intensity resistance training on the Lipid profile and body composition in overweight and obese men. Journal of Torbat Heydariyeh University of Medical Sciences. 2020;8(3):61-74.[In Persian]
  9. 28. Idris I, Al-Ubaidi F. Discordance between non-HDL cholesterol and LDL cholesterol levels in patients with diabetes without previous cardiovascular events. Diabetes & metabolism. 2010;36(4):299-304.
  10. 29. Ahmadizad S, Haghighi AH, Hamedinia MR. Effects of resistance versus endurance training on serum adiponectin and insulin resistance index. European journal of Endocrinology. 2007;157(5):625-32.
  11. 30. El-Eshmawy M, Abdel Aal I. Relationships between preptin and osteocalcin in obese, overweight, and normal weight adults. Applied Physiology, Nutrition, and Metabolism. 2015 Mar;40(3):218-22.
  12. 31. Ramezankhani A, Soori R, Ravasi A, Akbarnejad A. Comparison of aerobic exercise and caloric restriction on serum preptin levels and indicators of insulin resistance in obese sedentary women. 2015.
  13. 32. Kalayci M, Halifeoglu I, Kalayci H, Ugur K, Yilmaz M. Plasma preptin levels in patients with type 2 diabetes mellitus. Int J Med Biochem. 2019;2(1):1-5.
  14. 33. Moradi G, Gharmani M. The effect of aerobic and interval training on atropine levels and insulin resistance in overweight men. Sports and biological sciences. 2022;14(27):13-23.[In Persian]
  15. 34. Ahmed EH, Hatam AM. Adropin, Insulin, Insulin Resistance and Lipid Profile Levels in Diabetes Mellitus Type2 Patients: Diabetes biomarkers. International Journal of Medical Sciences. 2023;1;6(3):31-5.
  16. 35. Wilding J. The importance of weight management in type 2 diabetes mellitus. International journal of clinical practice. 2014;68(6):682-91.
  17. 36. Ganesh‐Kumar K, Zhang J, Gao S, Rossi J, McGuinness OP, Halem HH, et al. Adropin deficiency is associated with increased adiposity and insulin resistance. Obesity. 2012;20(7):1394-402.
  18. 37. Alizadeh R, Golestani N, Moradi L, Rezaeinejad N. Effect of aerobic exercise with maximal fat oxidation intensity, on adropin and insulin resistance among overweight women. Iranian Journal of Endocrinology and Metabolism. 2018;20(2):81-8.[In Persian]
  19. 38. Jasaszwili M, Wojciechowicz T, Billert M, Strowski MZ, Nowak KW, Skrzypski M. Effects of adropin on proliferation and differentiation of 3T3-L1 cells and rat primary preadipocytes. Molecular and cellular endocrinology. 2019;496:110532.
  20. 39. Jasaszwili M, Pruszyńska-Oszmałek E, Wojciechowicz T, Strowski MZ, Nowak KW, Skrzypski M. Adropin slightly modulates lipolysis, lipogenesis and expression of adipokines but not glucose uptake in rodent adipocytes. Genes. 2021;12(6):914.
  21. 40. Jasaszwili M, Wojciechowicz T, Strowski MZ, Nowak KW, Skrzypski M. Adropin stimulates proliferation but suppresses differentiation in rat primary brown preadipocytes. Archives of Biochemistry and Biophysics. 2020;692:108536.
  22. 41. Skrzypski M, Kołodziejski PA, Pruszyńska-Oszmałek E, Wojciechowicz T, Janicka P, Krążek M, et al. Daily Treatment of Mice with Type 2 Diabetes with Adropin for Four Weeks Improves Glucolipid Profile, Reduces Hepatic Lipid Content and Restores Elevated Hepatic Enzymes in Serum. International Journal of Molecular Sciences. 2022;23(17):9807.
  23. 42. Zheng J, Liu M, Chen L, Yin F, Zhu X, Gou J, et al. Association between serum adropin level and coronary artery disease: a systematic review and meta-analysis. Cardiovascular Diagnosis and Therapy. 2019;9(1):1.
  24. 43. Kumar KG, Trevaskis JL, Lam DD, Sutton GM, Koza RA, Chouljenko VN, et al. Identification of adropin as a secreted factor linking dietary macronutrient intake with energy homeostasis and lipid metabolism. Cell metabolism. 2008;8(6):468-81.
  25. 44. Butler AA, Tam CS, Stanhope KL, Wolfe BM, Ali MR, O'Keeffe M, et al. Low circulating adropin concentrations with obesity and aging correlate with risk factors for metabolic disease and increase after gastric bypass surgery in humans. The Journal of Clinical Endocrinology & Metabolism. 2012;97(10):3783-91.
  26. 45. Choi H-N, Yim J-E. Plasma adropin as a potential marker predicting obesity and obesity-associated cancer in Korean patients with type 2 diabetes mellitus. Journal of Cancer Prevention. 2018;23(4):191.
  27. 46. Thapa D, Stoner MW, Zhang M, Xie B, Manning JR, Guimaraes D, et al. Adropin regulates pyruvate dehydrogenase in cardiac cells via a novel GPCR-MAPK-PDK4 signaling pathway. Redox biology. 2018;18:25-32.
  28. 47. Taji Tabas A, Mogharnasi M. The effect of 10 week resistance exercise training on serum levels of nesfatin-1 and insulin resistance index in woman with type 2 diabetes. Iranian journal of Diabetes and Metabolism. 2015;14(3):179-8.[In Persian]
  29. 48. Samadpour Masouleh S, Siahkouhian M, Jafarnezhadgero A, Farzizadeh R. The Effect of Eight Weeks of TRX Resistance Training Along With Using Taurine Supplementation on Glycemic Indices of Type 2 Diabetic Females. The Scientific Journal of Rehabilitation Medicine. 2022;11(4):548-59. [In Persian]
  30. 49. Shakil-ur-Rehman S, Karimi H, Gillani SA. Effects of supervised structured aerobic exercise training program on fasting blood glucose level, plasma insulin level, glycemic control, and insulin resistance in type 2 diabetes mellitus. Pakistan journal of medical sciences. 2017;33(3):576.
  31. 50. Sparks LM, Johannsen NM, Church TS, Earnest CP, Moonen-Kornips E, Moro C, et al. Nine months of combined training improves ex vivo skeletal muscle metabolism in individuals with type 2 diabetes. The Journal of Clinical Endocrinology & Metabolism. 2013;98(4):1694-702.
  32. 51. Cauza E, Hanusch-Enserer U, Strasser B, Ludvik B, Metz-Schimmerl S, Pacini G, et al. The relative benefits of endurance and strength training on the metabolic factors and muscle function of people with type 2 diabetes mellitus. Archives of physical medicine and rehabilitation. 2005;86(8):1527-33.
  33. 52. Ognjanovic S, Jacobs D, Steinberger J, Moran A, Sinaiko AR. Relation of chemokines to BMI and insulin resistance at ages 18–21. International journal of obesity. 2013;37(3):420-3.
  34. 53. Omidi M, Moghadasi M. Effect of 8 weeks aerobic training on pancreatic β-cells function and insulin resistance of female patients with type 2 diabetes. Iranian Journal of Diabetes and Metabolism. 2018;17(2):79-86.[In Persian]
  35. 54. Mir MM, Mir R, Alghamdi MAA, Wani JI, Sabah ZU, Jeelani M, et al. Differential association of selected adipocytokines, adiponectin, leptin, resistin, visfatin and chemerin, with the pathogenesis and progression of type 2 diabetes mellitus (T2DM) in the Asir region of Saudi Arabia: a case control study. Journal of Personalized Medicine. 2022;12(5):735.
  36. 55. Hosseini F, Abdollahpur N, Bahrami Abdehgah E. Effect of eight weeks high intensity aerobic exercise on C-reactive protein levels in obese middle-aged men. Journal of Physical Activity and Hormones. 2019;2(4):15-26.[In Persian]
  37. 56. Liu Y, Liu S-x, Cai Y, Xie K-l, Zhang W-l, Zheng F. Effects of combined aerobic and resistance training on the glycolipid metabolism and inflammation levels in type 2 diabetes mellitus. Journal of physical therapy science. 2015;27(7):2365-71.
  38. 57. Ansari ZM, Nasiruddin M, Khan RA, Haque SF. Protective Role ofNigella sativain Diabetic Nephropathy: A Randomized Clinical Trial. Saudi journal of kidney diseases and transplantation. 2017;28(1):9-14.
  39. 58. Frøsig C, Rose AJ, Treebak JT, Kiens B, Richter EA, Wojtaszewski JF. Effects of endurance exercise training on insulin signaling in human skeletal muscle: interactions at the level of phosphatidylinositol 3-kinase, Akt, and AS160. Diabetes. 2007;56(8):2093-102.
  40. 59. Koopman R, Manders RJ, Zorenc AH, Hul GB, Kuipers H, Keizer HA, van Loon LJ. A single session of resistance exercise enhances insulin sensitivity for at least 24 h in healthy men. European journal of applied physiology. 2005;94:180-7.