تاثیر تمرینات تداومی با شدت متوسط (MICT) بر سطح پلاسمایی دی پپتیدیل پپتیداز 4(DPP4) و WISP-1 در زنان چاق مبتلا به دیابت نوع2

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

نویسنده

گروه علوم ورزشی، دانشکدة علوم انسانی، دانشگاه مراغه، مراغه، ایران

چکیده

هدف: دیابت نوع 2 با افزایش سطح فاکتورهای التهابی سیستمیک همراه است که موجب اختلال در عملکرد انسولین می­شود بنابراین هدف از تحقیق حاضر بررسی تاثیر تمرین تناوبی با شدت متوسط بر سطح سرمی دی پپتیدیل پپتیداز 4 و WISP-1 در زنان چاق مبتلا به دیابت نوع2 بود. روش شناسی: پژوهش حاضر از نوع نیمه تجربی با طرح پیش آزمون و پس آزمون بود. جامعه­ی آماری شامل 40 زن چاق مبتلا به دیابت نوع 2 با میانگین سنی 32/1±2/43 و میانگین شاخص تود                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ه بدنی 74/0±1/30  کیلوگرم بر متر مربع بودند. آزمودنی­ها به طور تصادفی در دو گروه 20 نفری تجربی و کنترل قرار گرفتند. گروه تجربی، تمرینات تناوبی با شدت متوسط را با شدت 60 درصد ضربان قلب ذخیره  و به مدت 12 هفته، هفته­ای سه جلسه 60 دقیقه­ای انجام دادند. قبل و بعد از تمرین شاخص­های ترکیب­بدنی و بیوشیمیایی سنجش شدند. از تحلیل واریانس دو طرفه و تی زوجی برای تحلیل داده­ها استفاده شد.  یافته‌ها: نتایج تحقیق حاضر نشان داد که تفاوت معنی­داری در سطوح سرمی DPP-4 (001/0p=) و WISP-1 (001/0p=)، وزن بدن (001/0p=) و شاخص توده بوده (001/0p=) بین گروه تجربی در مقایسه با گروه کنترل وجود داشت. همچنین 12 هفته تمرین تناوبی با شدت متوسط منجر به کاهش معنی­دار DPP-4 ( 001/0p=) و WISP-1 (001/0p=)، وزن بدن (001/0p=) و شاخص توده بدنی (001/0p=) در پس آزمون در مقایسه با پیش آزمون می­گردد. علاوه بر این ارتباط معنی­داری بین تغییرات غلظت DPP-4 و WISP-1 بعد از 12 هفته تمرینات تناوبی با شدت متوسط وجود داشت (001/0p=). نتیجه‌گیری: به نظر می­رسد انجام تمرینات تناوبی با شدت متوسط  با تعدیل سایتوکین­های پیش التهابی از جمله DPP-4  و WISP-1 تاثیر معناداری بر عوامل موثر در بهبود شرایط بیماری دیابت نوع 2 دارد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effect of moderate intensity continuous training (MICT) on the plasma level of dipeptidyl peptidase 4 (DPP4) and WISP-1 in obese women with type 2 diabetes

نویسنده [English]

  • solmaz babaei
Department of Sports Sciences, Faculty of Humanities, University of Maragheh, Maragheh, Iran.
چکیده [English]

Aim:      The study aimed to investigate the impact of moderate-intensity interval training on serum levels of Dipeptidyl Peptidase-4 (DPP-4) and WISP-1 in obese women with type 2 diabetes.Methodology:This semi-experimental research utilized a pre-test and post-test design. The sample consisted of 40 obese women diagnosed with type 2 diabetes, with a body mass index (BMI) of 30.1 ± 0.74 kg/m². Participants were randomly divided into two groups of 20: an experimental group and a control group. The experimental group engaged in moderate-intensity interval training at 60% of their heart rate reserve for 12 weeks, attending three 60-minute sessions each week. Body composition and biochemical markers were assessed before and after the training program. Data analysis was conducted using two-way ANOVA and paired t-tests.Result:The results indicated significant differences in serum levels of DPP-4 (p = 0.001) and WISP-1 (p = 0.001), body weight (p = 0.001), and BMI (p = 0.001) between the experimental and control groups. Additionally, after 12 weeks of moderate-intensity interval training, there was a significant reduction in DPP-4 (p = 0.001) and WISP-1 levels (p = 0.001), body weight (p = 0.001), and BMI (p = 0.001) in the post-test compared to the pre-test. A significant correlation was also found between the changes in DPP-4 and WISP-1 concentrations after the training period (p = 0.001).Conclusion: The findings suggest that moderate-intensity interval training significantly modulates pro-inflammatory cytokines such as DPP-4 and WISP-1, indicating a meaningful impact on factors influencing the management of type 2 diabetes conditions.
 

کلیدواژه‌ها [English]

  • moderate intensity interval training
  • DPP-4
  • WISP-1
  • obese women
  • type 2 diabetes
  1. 1. Tanimura Y, Aoi W, Mizushima K, Higashimura Y, Naito Y. Combined treatment of dipeptidyl peptidase‐4 inhibitor and exercise training improves lipid profile in KK/Ta mice. Experimental Physiology. 2019;104(7):1051-60.
  2. 2. Abednatanzi H, Gholami M. Study of liver damage from mir-423-5p and Akt2-FAM3a pathway HIIT and royal jelly in type 2 diabetic rats. Iranian Journal of Diabetes and Metabolism. 2024;24(1):34-46. [In persian]
  3. 3. Tayebi SM, Saeidi A, Shahghasi R, Golmohammadi M. The eight-week circuit resistance training decreased the serum levels of WISP-1 and WISP-2 in individuals with type 2 diabetes. Annals of Applied Sport Science. 2023;11(4):1-9. [In persian]
  4. 4. Daniele G, Guardado Mendoza R, Winnier D, Fiorentino T, Pengou Z, Cornell J, et al. The inflammatory status score including IL-6, TNF-α, osteopontin, fractalkine, MCP-1 and adiponectin underlies whole-body insulin resistance and hyperglycemia in type 2 diabetes mellitus. Acta diabetologica. 2014;51:123-31.
  5. 5. Falcao-Pires I, Castro-Chaves P, Miranda-Silva D, Lourenco AP, Leite-Moreira AF. Physiological, pathological and potential therapeutic roles of adipokines. Drug discovery today. 2012;17(15-16):880-9.
  6. 6. Blüher M. Adipokines–removing road blocks to obesity and diabetes therapy. Molecular metabolism. 2014;3(3):230-240
  7. 7. Bahreini A, Fathi R. Comparing the Effect of eight weeks of interval and continuous aAerobic training on serum levels of WISP1 and TNF-αin overweight/0bese girls. Journal of Sports and Biomotor Sciences. 2017;9(18):1-12. [In persian]
  8. 8. Bahador H, Taghian F. The effect of 8 weeks interval exercises and vitamin D supplementation on plasma levels of dipeptidyl peptidase-4 and retinol binding protein 4 in overweight women. 2019;21(2): 73-82. [In persian]
  9. 9. Malin SK, Huang H, Mulya A, Kashyap SR, Kirwan JP. Lower dipeptidyl peptidase-4 following exercise training plus weight loss is related to increased insulin sensitivity in adults with metabolic syndrome. Peptides. 2013;47:142-7.
  10. 10. Raschke S, Eckardt K, Bjørklund Holven K, Jensen J, Eckel J. Identification and validation of novel contraction-regulated myokines released from primary human skeletal muscle cells. PloS one. 2013;8(4):e62008.
  11. 11. Drucker DJ. Dipeptidyl peptidase-4 inhibition and the treatment of type 2 diabetes: preclinical biology and mechanisms of action. Diabetes care. 2007;30(6):1335-1345
  12. 12. Lamers D, Famulla S, Wronkowitz N, Hartwig S, Lehr S, Ouwens DM, et al. Dipeptidyl peptidase 4 is a novel adipokine potentially linking obesity to the metabolic syndrome. Diabetes. 2011;60(7):1917-25.
  13. 13. Conarello SL, Li Z, Ronan J, Roy RS, Zhu L, Jiang G, et al. Mice lacking dipeptidyl peptidase IV are protected against obesity and insulin resistance. Proceedings of the National Academy of Sciences. 2003;100(11):6825-30.
  14. 14. Baumeier C, Saussenthaler S, Kammel A, Jähnert M, Schlüter L, Hesse D, et al. Hepatic DPP4 DNA methylation associates with fatty liver. Diabetes. 2017;66(1):25-35.
  15. 15. Ouchi N, Parker JL, Lugus JJ, Walsh K. Adipokines in inflammation and metabolic disease. Nature reviews immunology. 2011;11(2):85-97.
  16. 16. Murahovschi V, Pivovarova O, Ilkavets I, Dmitrieva RM, Döcke S, Keyhani-Nejad F, et al. WISP1 is a novel adipokine linked to inflammation in obesity. Diabetes. 2015;64(3):856-66.
  17. 17. Fasshauer M, Blüher M. Adipokines in health and disease. Trends in pharmacological sciences. 2015;36(7):461-70.
  18. 18. Esser N, Legrand-Poels S, Piette J, Scheen AJ, Paquot N. Inflammation as a link between obesity, metabolic syndrome and type 2 diabetes. Diabetes research and clinical practice. 2014;105(2):141-50.
  19. 19. Grünberg JR, Hammarstedt A, Hedjazifar S, Smith U. The novel secreted adipokine WNT1-inducible signaling pathway protein 2 (WISP2) is a mesenchymal cell activator of canonical WNT. Journal of biological chemistry. 2014;289(10):6899-907.
  20. 20. Kharghani A, Rezaeian N, Yaghoubi A. Effect of aerobic training on serum levels of WISP1 and TNF-α and insulin resistance in obese men with type 2 diabetes. Journal of Applied Exercise Physiology. 2022;18(35):153-64. [In persian]
  21. 21. Richter EA, Hargreaves M. Exercise, GLUT4, and skeletal muscle glucose uptake. Physiological reviews. 2013.
  22. 22. Pedersen BK, Febbraio MA. Muscles, exercise and obesity: skeletal muscle as a secretory organ. Nature Reviews Endocrinology. 2012;8(8):457-65.
  23. 23. Chang JS, Kim TH, Kong ID. Exercise intervention lowers aberrant serum WISP-1 levels with insulin resistance in breast cancer survivors: A randomized controlled trial. Scientific reports. 2020;10(1):10898.
  24. 24. Ebrahimi A. The effect of moderate-intensity continuous training Vs. high-intensity interval training on visceral and subcutaneous fats in obese women. Journal of Rafsanjan University of Medical Sciences. 2018;16(11):999-1012. [In persian]
  25. 25. Davies SR, Davies ML, Sanders A, Parr C, Torkington J, Jiang WG. Differential expression of the CCN family member WISP-1, WISP-2 and WISP-3 in human colorectal cancer and the prognostic implications. International journal of oncology. 2010;36(5):1129-36.
  26. 26. Klimontov VV, Bulumbaeva DM, Fazullina ON, Lykov AP, Bgatova NP, Orlov NB, et al. Circulating Wnt1‐inducible signaling pathway protein‐1 (WISP‐1/CCN4) is a novel biomarker of adiposity in subjects with type 2 diabetes. Journal of Cell Communication and Signaling. 2020;14(1):101-9.
  27. 27. Sahin Ersoy G, Altun Ensari T, Subas S, Giray B, Simsek EE, Cevik O. WISP1 is a novel adipokine linked to metabolic parameters in gestational diabetes mellitus. The journal of maternal-fetal & neonatal medicine. 2017;30(8):942-6.
  28. 28. Hörbelt T, Tacke C, Markova M, Herzfeld de Wiza D, Van de Velde F, Bekaert M, et al. The novel adipokine WISP1 associates with insulin resistance and impairs insulin action in human myotubes and mouse hepatocytes. Diabetologia. 2018;61:2054-65.
  29. 29. Tacke C, Aleksandrova K, Rehfeldt M, Murahovschi V, Markova M, Kemper M, et al. Assessment of circulating Wnt1 inducible signalling pathway protein 1 (WISP‐1)/CCN4 as a novel biomarker of obesity. Journal of cell communication and signaling. 2018;12(3):539-48.
  30. 30. Barchetta I, Cimini FA, Capoccia D, De Gioannis R, Porzia A, Mainiero F, et al. WISP1 is a marker of systemic and adipose tissue inflammation in dysmetabolic subjects with or without type 2 diabetes. Journal of the Endocrine Society. 2017;1(6):660-70.
  31. 31. Gregg EW, Shaw JE. Global health effects of overweight and obesity. Mass Medical Soc; 2017. p. 80-1.
  32. 32. Azali A, Gholami F. Effect of aerobic training on retinol binding protein-4 and insulin resistance in women with metabolic syndrome. Metabolism and Exercise A Bioannual Journal. 2015;2016(5):15. [In persian]
  33. 33. Abbassi-Daloii A, Shaghi R, Ahmadi M, Kohanpour MA. determine the effects of resistance training on serum levels of GLP-1, DPP-4 and insulin resistance in obese men. Journal of Sport and Exercise Physiology. 2017;10(1):21-30. [In persian]
  34. 34. Rahimi N, Sharif MAS, Goharian AR, Pour AH. The effects of aerobic exercises and 25 (OH) D supplementation on GLP1 and DPP4 level in type II diabetic patients. International Journal of Preventive Medicine. 2017;8(1):56. [In persian]
  35. 35. Samuel VT, Shulman GI. Mechanisms for insulin resistance: common threads and missing links. Cell. 2012;148(5):852-7.