The Effect of Changes Induced by Exercise Training on the Pro- Inflammatory, Inflammatory and Anti-Inflammatory Adipocytokines in Obese Type 2 Diabetic Patients

Saleh  Afrasyabi

doi:10.18502/ijdl.v25i3.20230

Saleh Afrasyabi Sports Science Department, Faculty of Literature and Human Sciences, Persian Gulf University, Bushehr, Iran

DOI: https://doi.org/10.18502/ijdl.v25i3.20230

Keywords: Type 2 diabetes, Obesity, Persistence, Interval training, Resistance training, Combined training, Aerobic training

Abstract

Background: Today, obesity is closely related to metabolic syndrome and especially type 2 diabetes, which changes the secretion and release of adipocytokines, and different training programs have different results on these indicators. Therefore, the aim of the present study is to investigate the durability of changes caused by exercise programs on adipocytokine indices of obese type 2 diabetic patients.

Methods: In this semi-experimental study, 45 obese men with type 2 diabetes were randomly divided into a control group (no exercise) and 4 exercise groups (aerobic, combined, resistance and high-intensity interval). The exercise program of the groups was considered based on the calories consumed in each session. The participants performed 12 weeks of training programs and 12 weeks of non-training. Physiological, anthropometric indicators and inflammatory and pro-inflammatory indicators (IL-6, TNF-α, resistin and leptin) and anti-inflammatory indicators (adiponectin and SFRP5) were measured before the program and at weeks 6, 12, 18 and 24. became.

Results: After 12 weeks of combined, aerobic, high intensity and resistance training, anti-inflammatory indices (adiponectin and SFRP5) showed a significant increase compared to the baseline (before starting the training program) (P< 0.05). Regarding pro-inflammatory and anti-inflammatory indicators (IL-6, TNF-α, resistin and leptin), a significant decrease was observed in all groups after 12 weeks of training program (P< 0.05). In this study, a significant improvement in weight loss and blood glucose was observed after 12 weeks of exercise program in all 4 exercise groups (P< 0.05). In the second part of the findings (non-training or durability of training effect), it was resistance training that showed a lower percentage decrease (P< 0.05) in anti-inflammatory indices and an increase in pro-inflammatory and inflammatory indices after 12 weeks of non-training, which showed the durability It shows more recovery in obese type 2 diabetic patients (P< 0.05).

Conclusion: The findings of the research showed that high-intensity interval training after 12 weeks can cause a greater effect on inflammatory, pro-inflammatory and anti-inflammatory indicators compared to aerobic, combined and resistance training. But this is the resistance exercise that caused the reduction in inflammatory, pro-inflammatory indicators and increase in anti-inflammatory indicators in obese type 2 diabetic patients to be more permanent. Therefore, the effectiveness of resistance training in non-training conditions from three methods of high-intensity interval training, aerobic and combined (aerobic + resistance) has a greater effect on low-grade inflammation and results in a longer recovery in obese type 2 diabetic patients.