Document Type : Research Paper I Open Access I Released under (CC BY-NC) license

Authors

1 PhD in Exercise Physiology, Department of Exercise Physiology, University Campus2, University of Guilan, Rasht-Iran.

2 Associate Professor of Exercise Physiology, Department of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Rasht-Iran

3 Professor of Exercise Physiology, Department of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Rasht-Iran. Department of Exercise Physiology, Faculty of Sport Sciences, Ferdowsi University of Mashhad, Mashhad, Iran.

Abstract

Introduction: The effect of exercise training on the energy requirements of muscle tissues is achieved through an adaptive increase in capillary density, resulting in greater blood supply. When combined with the consumption of specific supplements, this can improve cellular function. Combining supplements with concurrent training represents a novel and significant approach. Therefore, the present study aimed to determine the effects of resistance-aerobic training and mixed supplementation (L-arginine, caffeine, and L-carnitine) on vascular endothelial growth factor (VEGF) and hypoxia-inducible factor 1a (HIF-1a) in inactive obese men.
Methodology: Twenty-eight inactive obese men from Rasht city (mean age: 37.02±3.89 years, height: 1.74±0.66 m, and BMI: 34.04±1.24 kg/m²) were randomly divided into three groups: resistance-aerobic training with combined supplementation (n = 10), resistance-aerobic training with placebo (n = 9), and combined supplementation without training (n = 9). Aerobic training (30 minutes at 55-75% maximum heart rate) and resistance training (30 minutes at 50-70% of one repetition maximum) were performed, along with a mixed supplement containing 1000 mg of L-arginine, 200 mg of caffeine, and 1000 mg of L-carnitine. This regimen continued for 10 weeks (3 sessions per week). Blood samples were collected before and after the training intervention.
Results: The results of the MANCOVA test showed that resistance-aerobic exercises performed at moderate intensity, along with the mixed supplement, significantly increased blood levels of VEGF (p = 0.001) and significantly decreased HIF-1a (p = 0.0001) in inactive obese men.
Conclusions: In summary, the results of this study indicated that moderate-intensity resistance-aerobic training, when combined with mixed supplementation (L-arginine, caffeine, and L-carnitine), enhanced angiogenic and hypoxic stimulation factors in inactive obese men.

Highlights

  1. Damirchi A, Mehrabani J, Mousavi F. The relationship between obesity, overweight and demographic factors with physical activity in 18-69 year-old adults in Rasht City. Iranian Journal of Endocrinology and Metabolism. 2013 Aug;15(4):378-86. URL: http://ijem.sbmu.ac.ir/article-1-1511-en.htm
  2. Corvera S, Solivan-Rivera J, Yang Loureiro Z. Angiogenesis in adipose tissue and obesity. Angiogenesis. 2022 Dec;25(4):439-53. [doi:10.1007/s10456-022-09848-3]
  3. Ioannidou A, Fisher RM, Hagberg CE. The multifaceted roles of the adipose tissue vasculature. Obesity Reviews. 2022 Apr;23(4):e13403. [doi:10.1111/obr.13403]
  4. Tryfonos A, Tzanis G, Pitsolis T, Karatzanos E, Koutsilieris M, Nanas S, et al. Exercise training enhances angiogenesis-related gene responses in skeletal muscle of patients with chronic heart failure. Cells. 2021 Aug;10(8):1915. [doi:10.3390/cells10081915]
  5. Kretschmer M, Rüdiger D, Zahler S. Mechanical aspects of angiogenesis. Cancers. 2021 Oct;13(19):4987. [doi:10.3390/cancers13194987]
  6. Esteghlal S, Mokhtari MJ, Beyzaei Z. Quercetin can inhibit angiogenesis via the down regulation of MALAT1 and MIAT LncRNAs in human umbilical vein endothelial cells. International Journal of Preventive Medicine. 2021 Jul;12:59. [doi:10.4103/ijpvm.IJPVM_333_19]
  7. Shaw P, Dwivedi SKD, Bhattacharya R, Mukherjee P, Rao G. VEGF signaling: role in angiogenesis and beyond. Biochimica et Biophysica Acta (BBA) - Reviews on Cancer. 2024 Feb;1879(2):189079. [doi:10.1016/j.bbcan.2024.189079]
  8. Keck PJ, Hauser SD, Krivi G, Sanzo K, Warren T, Feder J, et al. Vascular permeability factor, an endothelial cell mitogen related to PDGF. Science. 1989 Dec;246(4935):1309-12. [doi:10.1126/science.2479987]
  9. Ho QT, Kuo CJ. Vascular endothelial growth factor: biology and therapeutic applications. The International Journal of Biochemistry & Cell Biology. 2007 Jul;39(7-8):1349-57. [doi:10.1016/j.biocel.2007.01.034]
  10. McConell GK. Effects of L-arginine supplementation on exercise metabolism. Current Opinion in Clinical Nutrition and Metabolic Care. 2007 Jan;10(1):46-51. [doi:10.1097/MCO.0b013e32801162fa]
  11. Poblete JMS, Ballinger MN, Bao S, Alghothani M, Hinojosa L, Gurney T, et al. Macrophage HIF-1α mediates obesity-related adipose tissue dysfunction via interleukin-1 receptor-associated kinase M. American Journal of Physiology-Endocrinology and Metabolism. 2020 May;318(5):E689-E700. [doi:10.1152/ajpendo.00412.2019]
  12. Gaspar JM, Velloso LA. Hypoxia inducible factor as a central regulator of metabolism - implications for the development of obesity. Frontiers in Neuroscience. 2018 Nov;12:813. [doi:10.3389/fnins.2018.00813]
  13. Sun K, Halberg N, Khan M, Magalang UJ, Scherer PE. Selective inhibition of hypoxia-inducible factor 1α ameliorates adipose tissue dysfunction. Molecular and Cellular Biology. 2013 Mar;33(5):904-17. [doi:10.1128/MCB.01498-12]
  14. Vital TM, Stein AM, de Melo Coelho FG, Arantes FJ, Teodorov E, Santos-Galduróz RF. Physical exercise and vascular endothelial growth factor (VEGF) in elderly: a systematic review. Archives of Gerontology and Geriatrics. 2014 Sep;59(2):234-9. [doi:10.1016/j.archger.2014.04.011]
  15. Gambardella J, Fiordelisi A, Spigno L, Boldrini L, Lungonelli G, Di Vaia E, et al. Effects of chronic supplementation of L-arginine on physical fitness in water polo players. Oxidative Medicine and Cellular Longevity. 2021 Mar;2021:6684568. [doi:10.1155/2021/6684568]
  16. Burke R, Piñero A, Coleman M, Mohan A, Sapuppo M, Augustin F, et al. The effects of creatine supplementation combined with resistance training on regional measures of muscle hypertrophy: a systematic review with meta-analysis. Nutrients. 2023 May;15(9):2116. [doi:10.3390/nu15092116]
  17. Rey S, Semenza GL. Hypoxia-inducible factor-1-dependent mechanisms of vascularization and vascular remodelling. Cardiovascular Research. 2010 May;86(2):236-42. [doi:10.1093/cvr/cvq045]
  18. Ho TK, Abraham DJ, Black CM, Baker DM. Hypoxia-inducible factor 1 in lower limb ischemia. Vascular. 2006 Nov;14(6):321-7. [doi:10.2310/6670.2006.00055]
  19. Rashti BA, Mehrabani J, Damirchi A, Babaei P. The influence of concurrent training intensity on serum irisin and abdominal fat in postmenopausal women. Przeglad Menopauzalny. 2019 Sep;18(3):166-73. [doi:10.5114/pm.2019.90377]
  20. Lindholm ME, Rundqvist H. Skeletal muscle hypoxia-inducible factor-1 and exercise. Experimental Physiology. 2016 Jan;101(1):28-32. [doi:10.1113/EP085318]
  21. Nantakool S, Punturee K, Konghakote S, Sitthichoke C, Phirom K, Chuatrakoon B. Immediate effects of aerobic exercise and whole-body vibration on fat oxidation, lipid mobilization, and cardiovascular response in individuals with obesity. Journal of Clinical Medicine. 2023 Jan;13(1):44. [doi:10.3390/jcm13010044]
  22. Sousa-Silva R, Cholewa JM, Pessôa KA, Xia Z, Lauver JD, Rossi FE, et al. Creatine supplementation combined with blood flow restriction training enhances muscle thickness and performance: a randomized, placebo-controlled, and double-blind study. Applied Physiology, Nutrition, and Metabolism. 2023 Jun;48(6):417-26. [doi:10.1139/apnm-2022-0309]

Keywords

Main Subjects

  1. Damirchi A, Mehrabani J, Mousavi F. The relationship between obesity, overweight and demographic factors with physical activity in 18-69 year-old adults in Rasht City. Iranian Journal of Endocrinology and Metabolism. 2013 Aug;15(4):378-86. URL: http://ijem.sbmu.ac.ir/article-1-1511-en.htm
  2. Corvera S, Solivan-Rivera J, Yang Loureiro Z. Angiogenesis in adipose tissue and obesity. Angiogenesis. 2022 Dec;25(4):439-53. [doi:10.1007/s10456-022-09848-3]
  3. Ioannidou A, Fisher RM, Hagberg CE. The multifaceted roles of the adipose tissue vasculature. Obesity Reviews. 2022 Apr;23(4):e13403. [doi:10.1111/obr.13403]
  4. Tryfonos A, Tzanis G, Pitsolis T, Karatzanos E, Koutsilieris M, Nanas S, et al. Exercise training enhances angiogenesis-related gene responses in skeletal muscle of patients with chronic heart failure. Cells. 2021 Aug;10(8):1915. [doi:10.3390/cells10081915]
  5. Kretschmer M, Rüdiger D, Zahler S. Mechanical aspects of angiogenesis. Cancers. 2021 Oct;13(19):4987. [doi:10.3390/cancers13194987]
  6. Esteghlal S, Mokhtari MJ, Beyzaei Z. Quercetin can inhibit angiogenesis via the down regulation of MALAT1 and MIAT LncRNAs in human umbilical vein endothelial cells. International Journal of Preventive Medicine. 2021 Jul;12:59. [doi:10.4103/ijpvm.IJPVM_333_19]
  7. Shaw P, Dwivedi SKD, Bhattacharya R, Mukherjee P, Rao G. VEGF signaling: role in angiogenesis and beyond. Biochimica et Biophysica Acta (BBA) - Reviews on Cancer. 2024 Feb;1879(2):189079. [doi:10.1016/j.bbcan.2024.189079]
  8. Keck PJ, Hauser SD, Krivi G, Sanzo K, Warren T, Feder J, et al. Vascular permeability factor, an endothelial cell mitogen related to PDGF. Science. 1989 Dec;246(4935):1309-12. [doi:10.1126/science.2479987]
  9. Ho QT, Kuo CJ. Vascular endothelial growth factor: biology and therapeutic applications. The International Journal of Biochemistry & Cell Biology. 2007 Jul;39(7-8):1349-57. [doi:10.1016/j.biocel.2007.01.034]
  10. McConell GK. Effects of L-arginine supplementation on exercise metabolism. Current Opinion in Clinical Nutrition and Metabolic Care. 2007 Jan;10(1):46-51. [doi:10.1097/MCO.0b013e32801162fa]
  11. Poblete JMS, Ballinger MN, Bao S, Alghothani M, Hinojosa L, Gurney T, et al. Macrophage HIF-1α mediates obesity-related adipose tissue dysfunction via interleukin-1 receptor-associated kinase M. American Journal of Physiology-Endocrinology and Metabolism. 2020 May;318(5):E689-E700. [doi:10.1152/ajpendo.00412.2019]
  12. Gaspar JM, Velloso LA. Hypoxia inducible factor as a central regulator of metabolism - implications for the development of obesity. Frontiers in Neuroscience. 2018 Nov;12:813. [doi:10.3389/fnins.2018.00813]
  13. Sun K, Halberg N, Khan M, Magalang UJ, Scherer PE. Selective inhibition of hypoxia-inducible factor 1α ameliorates adipose tissue dysfunction. Molecular and Cellular Biology. 2013 Mar;33(5):904-17. [doi:10.1128/MCB.01498-12]
  14. Vital TM, Stein AM, de Melo Coelho FG, Arantes FJ, Teodorov E, Santos-Galduróz RF. Physical exercise and vascular endothelial growth factor (VEGF) in elderly: a systematic review. Archives of Gerontology and Geriatrics. 2014 Sep;59(2):234-9. [doi:10.1016/j.archger.2014.04.011]
  15. Gambardella J, Fiordelisi A, Spigno L, Boldrini L, Lungonelli G, Di Vaia E, et al. Effects of chronic supplementation of L-arginine on physical fitness in water polo players. Oxidative Medicine and Cellular Longevity. 2021 Mar;2021:6684568. [doi:10.1155/2021/6684568]
  16. Burke R, Piñero A, Coleman M, Mohan A, Sapuppo M, Augustin F, et al. The effects of creatine supplementation combined with resistance training on regional measures of muscle hypertrophy: a systematic review with meta-analysis. Nutrients. 2023 May;15(9):2116. [doi:10.3390/nu15092116]
  17. Rey S, Semenza GL. Hypoxia-inducible factor-1-dependent mechanisms of vascularization and vascular remodelling. Cardiovascular Research. 2010 May;86(2):236-42. [doi:10.1093/cvr/cvq045]
  18. Ho TK, Abraham DJ, Black CM, Baker DM. Hypoxia-inducible factor 1 in lower limb ischemia. Vascular. 2006 Nov;14(6):321-7. [doi:10.2310/6670.2006.00055]
  19. Rashti BA, Mehrabani J, Damirchi A, Babaei P. The influence of concurrent training intensity on serum irisin and abdominal fat in postmenopausal women. Przeglad Menopauzalny. 2019 Sep;18(3):166-73. [doi:10.5114/pm.2019.90377]
  20. Lindholm ME, Rundqvist H. Skeletal muscle hypoxia-inducible factor-1 and exercise. Experimental Physiology. 2016 Jan;101(1):28-32. [doi:10.1113/EP085318]
  21. Nantakool S, Punturee K, Konghakote S, Sitthichoke C, Phirom K, Chuatrakoon B. Immediate effects of aerobic exercise and whole-body vibration on fat oxidation, lipid mobilization, and cardiovascular response in individuals with obesity. Journal of Clinical Medicine. 2023 Jan;13(1):44. [doi:10.3390/jcm13010044]
  22. Sousa-Silva R, Cholewa JM, Pessôa KA, Xia Z, Lauver JD, Rossi FE, et al. Creatine supplementation combined with blood flow restriction training enhances muscle thickness and performance: a randomized, placebo-controlled, and double-blind study. Applied Physiology, Nutrition, and Metabolism. 2023 Jun;48(6):417-26. [doi:10.1139/apnm-2022-0309]