تاثیر تمرین هوازی منظم بر مقادیر فتوئین- A و آدیپونکتین در زنان یائسه مبتلا به دیابت نوع 2 دارای اضافه وزن

نویسندگان

1 دانشیار فیزیولوژی ورزشی، گروه تربیت بدنی، دانشگاه آزاد اسلامی واحد قائمشهر، قائم شهر، ایران

2 کارشناس ارشد فیزیولوژی ورزش، گروه تربیت بدنی،دانشگاه آزاداسلامی واحدساری، ساری، ایران

چکیده

مقدمه: مقدار بالای فتوئین -A و هیپوآدیپونکتینی با اختلال در تنظیم گلوگز و پاتوژنز دیابت نوع دو همراه است. از این رو، هدف از پژوهش حاضر تعیین اثر تمرینات هوازی منظم بر مقادیر پلاسمایی فتوئین- A و آدیپونکتین در زنان یائسه مبتلا به دیابت نوع دو دارای اضافه وزن بود.
روش کار: در این پژوهش نیمه تجربی، ابتدا به صورت در دسترس و هدفمند، 20 زن یائسه مبتلا به دیابت نوع دو انتخاب و سپس به روش تصادفی ساده به گروه های تمرین و کنترل تقسیم شدند (n=10). برنامه تمرینی شامل 25 تا 40 دقیقه تمرین هوازی با شدت 50 تا 70 حداکثر ضربان قلب، سه جلسه در هفته و به مدت هشت هفته بود. مقادیر پلاسمایی فتوئین- A  و آدیپونکتین به روش الایزا و مقدار گلوگز به روش رنگ سنجی آنزیماتیک اندازه گیری شد. داده ها با استفاده از آزمون های t زوجی و  t مستقل در سطح معناداری 0.05˂P با کمک نرم افزار SPSS تحلیل شدند.
یافته ها: بر اساس نتایج پس از 8 هفته تمرین هوازی مقادیر گلوگز ناشتا (0.002=P )،  فتوئین-  A (P =0.001) و وزن بدن(0.001=P) در زنان یائسه مبتلا به دیابت نوع دو کاهش و مقدار آدیپونکتین (0.001>P ) افزایش یافت.
نتیجه گیری: به نظر می رسد فعالیت ورزشی هوازی منظم می تواند برخی از اثرات مطلوب خود را در شرایط پاتولوژیکی دیابت نوع دو  از طریق کاهش مقادیر پلاسمایی فتوئین -A و  تنطیم مثبت آدیپونکتین میانجی گری کند.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of Regular Exercise Training on Fetuin-A and Adiponectin Levels in Postmenopausal Owerweight Women with Type 2 Diabetes Mellitus

نویسندگان [English]

  • Masoumeh Habibian 1
  • Fatemeh Abbaszadeh Talarposhti 2

1 ssociate professor, Department of Physical Education and sport Science, Qaemshahar Branch, Islamic Azad University, Qaemshahar, Iran

2 MSc, Department of Physical Education and sport Science, Sari Branch, Islamic Azad University, Sari, Iran

چکیده [English]

Introduction: Higher levels of fetuin-A and hypoadiponectinemia are associated with impaired glucose regulation and
pathogenesis of type 2 diabetes. The aim of this study was to determine the effect of regular exercise training on Fetuin-A and Adiponectin levels in postmenopausal overweight women with type 2 diabetes mellitus (T2DM).
Materials & Methods: In this semi experimental research, twenty sedentary postmenopausal overweight with T2DM were
selected through convenience sampling and then randomly divided into control and exercise groups (n=10). Training program consisted of 25-40 minutes of aerobic exercise at 50-70 percent of maximal heart rate, 3 sessions per week for 8 weeks. The plasma levels of Fetuin-A and Adiponectin using ELISA method and glucose levels via enzymatic colorimetric method were measured. Data were analyzed by paired and independent t tests. The level of statistical significance was set at P< 0.05.
Results: Based on the results, after 8 weeks of aerobic exercise the levels of fasting glucose (P = 0.002), Fetuin-A (P=0.001) and body weight (P = 0.001) decreased in postmenopausal women with type 2 diabetes and adiponectin levels (P< 0.001) increased.
Conclusion: It seems that regular aerobic exercise can mediate some of its beneficial effects in the pathological
conditions of type 2 diabetes by lowering plasma levels of Fetuin-A and up-regulating adiponectin.

کلیدواژه‌ها [English]

  • Adiponectin
  • Exercise Trainig
  • Fetuin-A
  • type 2 diabetes
1. Fondjo LA, Sakyi SA, Owiredu WKBA, Laing EF, Owiredu EW, Awusi EK, et al. Evaluating Vitamin D Status in Pre- and Postmenopausal Type 2 Diabetics and Its Association with Glucose 2. Ren Y, Zhang M, Liu Y, Sun X, Wang B, Zhao Y, et al. Association of menopause and type 2 diabetes mellitus. Menopause. 2019;26(3):325-330. 3. Azali Alamdari K, Khalafi M. The effects of high intensity interval training on serum levels of FGF21 and insulin resistance in obese men. ijdld. 2019; 18 (1) :41-48[Persian]. 4. Roshanzamir F, Miraghajani M, Rouhani MH, Mansourian M, Ghiasvand R Safavi SM. The association between circulating fetuin-A levels and type 2 diabetes mellitus risk: systematic review and meta- 5. Keskin M, Culha C, Gulcelik NE, Ademoglu E, Keskin A, Aral Y. Fetuin-A levels determine cardiovascular risk in young diabetic patients. Biomedical Research. 2017; 28 (15): 6767-6772. 6. Beigi T, Shafaei A, Khoshnia M, Marjani A. Serum Fetuin A Level, Liver Enzymes Activities and Insulin Resistance in Patients with Type 2 Diabetes. J Med Sci. 2015:(5): 229-234. 7. Zhou ZW, Ju HX, Sun MZ, Chen HM, Fu QP, Jiang DM. Serum fetuin-A levels in obese and non-obese subjects with and without type 2 diabetes mellitus. Clin Chim Acta. 2018;476:98-102. 8. Blumenthal JB, Gitterman A, Ryan AS, Prior SJ. Effects of Exercise Training and Weight Loss on Plasma Fetuin-A Levels and Insulin Sensitivity in Overweight Older Men. J Diabetes Res. 9. Becic T, Studenik C, Hoffmann G. Exercise Increases Adiponectin and Reduces Leptin Levels in Prediabetic and Diabetic Individuals: Systematic Review and Meta-Analysis of Randomized Controlled 10. Wang Y, Meng RW, Kunutsor SK, Chowdhury R, Yuan JM, Koh WP, et al. Plasma adiponectin levels and type 2 diabetes risk: a nested case-control study in a Chinese population and an updated 11. Izadi M, Goodarzi MT, Soheili Sh, Samari Khalaj HR, Doali H, Kiyani F. The Effect of A Short Time Exercise on Adiponectin And Insulin Sensitivity in Type 2 Diabetic Patients: A Short Report. J 12. Su H, Lau WB, Ma XL. Hypoadiponectinaemia in diabetes mellitus type 2: molecular mechanisms and clinical significance. Clin Exp Pharmacol Physiol. 2011 ;38(12):897-904. 13. Jung CH , Kim BY, Kim CH, Kang SK, Jung SH, Mok JO. Associations of serum fetuin-A levels with insulin resistance and vascular complications in patients with type 2 diabetes. Diab Vasc Dis Res. 14. Pérez-Sotelo D, Roca-Rivada A , Larrosa-García M, Castelao C, Baamonde I, Baltar J, et al. Visceral and subcutaneous adipose tissue express and secrete functional alpha2hsglycoprotein (fetuin a) 15. Acadi Ahangar S, Habibian M. Effect of regular exercise training on apelin and tumor necrosis factor alpha levels in hypertensive postmenopausal women with type 2 diabetes mellitus. J Gorgan 16. Zhang LY, Liu T, Teng YQ, Yao XY, Zhao TT, Lin LY,et al. Effect of a 12-Week Aerobic Exercise Training on Serum Fetuin-A and Adipocytokine Levels in Type 2 Diabetes. Exp Clin Endocrinol 17. Ramírez-Vélez R, García-Hermoso A, Hackney AC, Izquierdo M. Effects of exercise training on Fetuin-a in obese, type 2 diabetes and cardiovascular disease in adults and elderly: a systematic review 18. Lee S, Norheim F, Gulseth HL, Langleite TM, Kolnes KJ, Tangen DS, et al. Interaction between plasma fetuin‐A and free fatty acids predicts changes in insulin sensitivity in response to long‐term 19. Trepanowski J, Mey J, Varady K. Fetuin-a: a novel link between obesity and related complications. Int J Obes. 2015;39(5):734–41. 20. Slopien R, Wender-Ozegowska E, Rogowicz-Frontczak A, Meczekalski B, Zozulinska-Ziolkiewicz D, Jaremek JD, et al. Menopause and diabetes: EMAS clinical guide. Maturitas. 2018;117:6-10. 21. Jung CH, Kim BY, Kim CH, Kang SK, Jung SH, Mok JO. Association of serum adipocytokine levels with cardiac autonomic neuropathy in type 2 diabetic patients. Cardiovasc Diabetol. 22. Zhou ZW, Ju HX, Sun MZ, Chen HM, Fu QP, Jiang DM. Serum fetuin-A levels in obese and non-obese subjects with and without type 2 diabetes mellitus. Clin Chim Acta. 2018; 476:98–102. 23. Reinehr T, Karges B, Meissner T, Wiegand S, Fritsch M, Holl RW, et al. Fibroblast growth factor 21 and fetuin-a in obese adolescents with and without type 2 diabetes. J Clin Endocrinol Metab. 24. Al-Said NH, Taha FM, Abdel-Aziz GM, Abdel-Tawab MS. Fetuin-A level in type 2 diabetic patients: relation to microvascular complications. Egypt J Intern Med. 2018;30:121-30. 25. Malin SK, Mulya A, Fealy CE, Haus JM, Pagadala MR, Scelsi AR, et al. Fetuin-a is linked to improved glucose tolerance after short-term exercise training in nonalcoholic fatty liver disease. J Appl 26. Jafari Ghaleh No SA, Fathi M, Hejazi K, Ziayi M. The effects of eight weeks of aerobic interval exercise on omentin-1, resistin, and adiponectin in elderly men with type 2 diabetes. MJMS. 2017; 20 27. shavandi N, saremi A, Ghorbani A, Parastesh M. Relationship between adiponectin and insulin resistance in type II diabetic men after aerobic training. J Arak Uni Med Sci. 2011; 14 (2) 28. Yu N, Ruan Y, Gao X, Sun J. Systematic Review and Meta-Analysis of Randomized, Controlled Trials on the Effect of Exercise on Serum Leptin and Adiponectin in Overweight and Obese 29. Choi J, Kobayashi H, Okuda H, Harada KH, Takeda M, Fujimoto H, et al. β-cell-specific overexpression of adiponectin receptor 1 does not improve diabetes mellitus in Akita mice. PLoS One. 30. Huang H, Iida KT, Sone H, Yokoo T, Yamada N, Ajisaka. The effect of exercise training on adiponectin receptor expression in KKAy obese/diabetic mice. J Endocrinol 2006;189(3):643-53. 31. Roos M, Oikonomou D, von Eynatten M, Luppa PB, Heemann U, Lutz J, et al. Associations of fetuin-A levels with vascular disease in type 2 diabetes patients with early diabetic nephropathy. 32. Ishibashi A, Ikeda Y, Ohguro T, et al. Serum fetuin-A is an independent marker of insulin resistance in Japanese men. J Atheroscler Thromb. 2010; 17: 925–933. 33. Yang J, Maika S, Craddock L, King JA, Liu ZM. Chronic activation of AMP activated protein kinase-alpha1 in liver leads to decreased adiposity in mice. Biochem Biophys Res Commun. 2008; 34. Sujana C, Huth C, Zierer A, Meesters S, Sudduth-Klinger J, Koenig W, et al. Association of fetuin-A with incident type 2 diabetes: results from the MONICA/KORA Augsburg study and a systematic 35. Stefan N, Sun Q, Fritsche A, Machann J, Schick F, Gerst F, et al. Impact of the adipokine adiponectin and the hepatokine fetuin-A on the development of type 2 diabetes: prospective cohort-