Document Type : Research Paper I Open Access I Released under (CC BY-NC) license
Authors
1 PhD in Cardiac Exercise Physiology, Faculty of Sports Sciences, Kharazmi University, Tehran, Iran
2 Assistant Professor, Department of Sports Sciences, Farhangian University, Shahid Chamran Campus, Tehran, Iran
3 Phd Exercise Physiology, Faculty of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran
4 Assistant Professor, Department of Sports Physiology, Faculty of Literature and Human Sciences, Zabol, Zabol, Iran.
Abstract
Background: The purpose of this present study was to investigate the effect of an interval training course on some inflammatory and anti-inflammatory factors of the heart tissue of rats with type 2 diabetes. Methodology: In this research, 60 male rats were selected and made diabetic with nicotinamide and streptozocin (STZ), and then randomly divided into 6 groups of 10: control, intermittent exercise, sham, intermittent exercise + saline, diabetic and diabetes + interval training were divided. The rats in the training groups performed an interval training program using a treadmill for 6 weeks and 5 days a week. Data analysis was done with one-way analysis of variance significant P≤0.05. Results: The results of this research showed that the levels of blood glucose, TNF-α and CRP in the intermittent exercise and diabetes+interval exercise groups had a significant decrease compared to the control and diabetes groups (P=0.001, P=0.001 and P=0.003 respectively). P) and insulin resistance index did not change significantly (P=0.21). Also, the amount of IL-10 in the intermittent exercise and diabetes+intermittent exercise groups had a significant increase compared to the control and diabetes groups, respectively (P=0.01). Conclusion: The results of this study showed that interval training can be used as a therapeutic strategy to reduce the inflammatory factors TNF-α and CRP and increase the anti-inflammatory factor IL-10 in heart tissue of type 2 diabetic patients.
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- Yazdekhasti E, Shavandi N, Mahmoudian A, Saremi A. (2020). Effects of Resvin Supplement on the levels of Interleukin-6 and C-Reactive Protein and Insulin Resistance in Women with Type 2 Diabetes. Journal of Isfahan Medical School. Feb 20;32(320):2484–90.
- Brownrigg JRW, Hughes CO, Burleigh D, Karthikesalingam A, Patterson BO, Holt PJ, et al. (2016). Microvascular disease and risk of cardiovascular events among individuals with type 2 diabetes: a population-level cohort study. The Lancet Diabetes & Endocrinology. Jul 1;4(7):588–97.
- Kosuru R, Kandula V, Rai U, Prakash S, Xia Z, Singh S. (2018). Pterostilbene Decreases Cardiac Oxidative Stress and Inflammation via Activation of AMPK/Nrf2/HO-1 Pathway in Fructose-Fed Diabetic Rats. Cardiovasc Drugs Ther. Apr 1;32(2):147–63.
- Prabhu SD, Frangogiannis NG. (2016). The Biological Basis for Cardiac Repair After Myocardial Infarction. Circulation Research. Jun 24;119(1):91–112.
- Yaturu S, Rains J, Jain SK. (2008). Relationship of elevated osteoprotegerin with insulin resistance, CRP, and TNF-α levels in men with type 2 diabetes. Cytokine. Oct 1;44(1):168–71.
- Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. (2001). Effects of Exercise on Glycemic Control and Body Mass in Type 2 Diabetes MellitusA Meta-analysis of Controlled Clinical Trials. JAMA. Sep 12;286(10):1218–27.
- de Lemos ET, Oliveira J, Pinheiro JP, Reis F. (2012). Regular physical exercise as a strategy to improve antioxidant and anti-inflammatory status: benefits in type 2 diabetes mellitus. Oxid Med Cell Longev.;2012:741545.
- Soltanian Z, Vanaky B, Ramezani Fard N, Shakeri N, Shams Z, Fakhari Rad F. (2012). Effect of Eight Weeks Resistance Training On Gene Expression of TNF-Α and IL10 in the Heart of Type II Diabetic Male Rats. SSU_Journals. Oct 15;27(6):1656–67.
- Azizzadeh T, Zolfaghari MR, Fattahi A, Khademvatani K. (2021). Effect of moderate-intensity continuous training and high-intensity interval training with astaxanthin supplementation on inflammatory factors of cardiac tissue in type 2 diabetic rats. EBNESINA. Oct 10;23(3):12–22.
- Hafstad AD, Boardman N, Aasum E. (2015). How exercise may amend metabolic disturbances in diabetic cardiomyopathy. Antioxid Redox Signal. Jun 10;22(17):1587–605.
- Bassuk SS, Manson JE. (2005).Epidemiological evidence for the role of physical activity in reducing risk of type 2 diabetes and cardiovascular disease. J Appl Physiol (1985). Sep;99(3):1193–204.
- Trapp EG, Chisholm DJ, Freund J, Boutcher SH. (2008).The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women. Int J Obes. Apr;32(4):684–91.
- Shirwaikar A, Rajendran K, Punitha ISR. (2005). Antidiabetic activity of alcoholic stem extract of Coscinium fenestratum in streptozotocin-nicotinamide induced type 2 diabetic rats. Journal of Ethnopharmacology. Feb 28;97(2):369–74.
- Palsamy P, Subramanian S. (2008). Resveratrol, a natural phytoalexin, normalizes hyperglycemia in streptozotocin-nicotinamide induced experimental diabetic rats. Biomedicine & Pharmacotherapy. Nov 1;62(9):598–605.
- Moradi M, Habibi A, Tabandeh MR, Shakerian S. (2020). Effect of 6 Weeks of Continuous and Periodic Aerobic Exercises on Hippocampus Total Antioxidant Capacity and Balance in Parkinson’s Model Rats. Sport Physiology. Mar 20;12(45):95–108.
- Farzanegi P. (2017). The effect of regular swim training with two different time periods on serum levels of NO, VEGF, and TGF-β1 in diabetic male rats. Pathobiology Research. Aug 10;20(2):37–48.
- Newton RL, Johnson WD, Larrivee S, Hendrick C, Harris M, Johannsen NM, et al. (2020). A Randomized Community-based Exercise Training Trial in African American Men: ARTIIS. Med Sci Sports Exerc. Feb;52(2):408–16.
- Rajan S, Ye J, Bai S, Huang F, Guo YL. (2008). NF-κB, but not p38 MAP Kinase, is required for TNF-α-induced expression of cell adhesion molecules in endothelial cells. Journal of Cellular Biochemistry.;105(2):477–86.
- Gibala MJ, McGee SL. (2008). Metabolic Adaptations to Short-term High-Intensity Interval Training: A Little Pain for a Lot of Gain? Exercise and Sport Sciences Reviews. Apr;36(2):58–63.
- Bruce CR, Anderson MJ, Carey AL, Newman DG, Bonen A, Kriketos AD, et al. (2003). Muscle Oxidative Capacity Is a Better Predictor of Insulin Sensitivity than Lipid Status. The Journal of Clinical Endocrinology & Metabolism. Nov 1;88(11):5444–51.
- Touvra AM, Volaklis KA, Spassis AT, Zois CE, Douda HT, Kotsa K, et al. (2011). Combined strength and aerobic training increases transforming growth factor-β1 in patients with type 2 diabetes. Hormones. Apr 1;10(2):125–30.
- Arefirad T, Shakeri N, Ebrahim K, Nasli-Esfahani E. (2022). Effects of Interval Training on Inflammatory Markers Among Type II Diabetic Patients. Alborz University Medical Journal. Mar 10;11(2):179–86.
- Zamanpour L, Banitalebi E, Amirhosseini SE. (2016). The Effect Of Sprint Training And Combined Aerobic And Strength Training On Some Inflammatory Markers And Insulin Resistance In Women With Diabetes Mellitus (T2dm). Iranian Journal of Diabetes and Metabolism. Jul 10;15(5):300–11.
- Wilund KR. (2007). Is the anti-inflammatory effect of regular exercise responsible for reduced cardiovascular disease? Clinical Science. May 1;112(11):543–55.
- Pischon T, Boeing H, Hoffmann K, Bergmann M, Schulze MB, Overvad K, et al. (2008). General and Abdominal Adiposity and Risk of Death in Europe. New England Journal of Medicine. Nov 13;359(20):2105–20.
- Karstoft K, Pedersen BK. (2016). Exercise and type 2 diabetes: focus on metabolism and inflammation. Immunology & Cell Biology.;94(2):146–50.
- Ghareghani P, Shanaki M, Ahmadi S, Khoshdel AR, Rezvan N, Meshkani R, et al. (2018). Aerobic endurance training improves nonalcoholic fatty liver disease (NAFLD) features via miR-33 dependent autophagy induction in high fat diet fed mice. Obesity Research & Clinical Practice. Jan 1;12(1, Supplement 1):80–9.
- Moller DE. (2000). Potential Role of TNF-α in the Pathogenesis of Insulin Resistance and Type 2 Diabetes. Trends in Endocrinology & Metabolism. Aug 1;11(6):212–7.
- Makki K, Froguel P, Wolowczuk I. (2013). Adipose Tissue in Obesity-Related Inflammation and Insulin Resistance: Cells, Cytokines, and Chemokines. ISRN Inflammation. Dec 22;2013:1–12.
- Strom A, Kolb H, Martin S, Herder C, Simon MC, Koenig W, et al. (2012). Improved Preservation of Residual Beta Cell Function by Atorvastatin in Patients with Recent Onset Type 1 Diabetes and High CRP Levels (DIATOR Trial). PLOS ONE. Mar 20;7(3):e33108.
- Deetman PE, Bakker SJ, Dullaart RP. (2013). High sensitive C-reactive protein and serum amyloid A are inversely related to serum bilirubin: effect-modification by metabolic syndrome. Cardiovascular Diabetology. Nov 9;12(1):166.
- Spranger J, Kroke A, Möhlig M, Hoffmann K, Bergmann MM, Ristow M, et al. (2003). Inflammatory Cytokines and the Risk to Develop Type 2 Diabetes: Results of the Prospective Population-Based European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study. Diabetes. Mar 1;52(3):812–7.
- Pedersen BK. (2017). Anti-inflammatory effects of exercise: role in diabetes and cardiovascular disease. European Journal of Clinical Investigation.;47(8):600–11.
- Ouchi N, Parker JL, Lugus JJ, Walsh K. (2011). Adipokines in inflammation and metabolic disease. Nat Rev Immunol. Feb;11(2):85–97.
- Keller C, Keller P, Giralt M, Hidalgo J, Pedersen BK. (2004). Exercise normalises overexpression of TNF-α in knockout mice. Biochemical and Biophysical Research Communications. Aug 13;321(1):179–82.
- Flesch M, Höper A, Dell’Italia L, Evans K, Bond R, Peshock R, et al. (2003). Activation and Functional Significance of the Renin-Angiotensin System in Mice With Cardiac Restricted Overexpression of Tumor Necrosis Factor. Circulation. Aug 5;108(5):598–604.
- Popa C, Netea MG, Radstake T, Meer JWMV der, Stalenhoef AFH, Riel PLCM van, et al. (2005). Influence of anti-tumour necrosis factor therapy on cardiovascular risk factors in patients with active rheumatoid arthritis. Annals of the Rheumatic Diseases. Feb 1;64(2):303–5.
- Timmerman KL, Flynn MG, Coen PM, Markofski MM, Pence BD. (2008). Exercise training-induced lowering of inflammatory (CD14+CD16+) monocytes: a role in the anti-inflammatory influence of exercise? J Leukoc Biol. Nov;84(5):1271–8.
- Lee S, Park Y, Zhang C. (2011). Exercise Training Prevents Coronary Endothelial Dysfunction in Type 2 Diabetic Mice. Am J Biomed Sci. Oct 1;3(4):241–52.
- Conroy SM, Courneya KS, Brenner DR, Shaw E, O’Reilly R, Yasui Y, et al. (2016). Impact of aerobic exercise on levels of IL-4 and IL-10: results from two randomized intervention trials. Cancer Med. Sep;5(9):2385–97.
- Nakamura M, Sadoshima J. (2020). Cardiomyopathy in obesity, insulin resistance and diabetes. J Physiol. Jul;598(14):2977–93.
- Dietrich M, Jialal I. (2005). The effect of weight loss on a stable biomarker of inflammation, C-reactive protein. Nutr Rev. Jan;63(1):22–8.
- Libardi CA, De Souza GV, Cavaglieri CR, Madruga VA, Chacon-Mikahil MPT. (2012). Effect of resistance, endurance, and concurrent training on TNF-α, IL-6, and CRP. Med Sci Sports Exerc. Jan;44(1):50–6.
- Kroemer G, López-Otín C, Madeo F, de Cabo R. (2018). Carbotoxicity-Noxious Effects of Carbohydrates. Cell. Oct 18;175(3):605–14.