Effect of circuit resistance and jogging exercise training on the markers of metabolic syndrome in women with type 2 diabetes

الموضوعات : Journal of Physical Activity and Hormones

Marzieh Nazari ¹ (Department of Physical Education and Sports Science, Rasht Branch, Islamic Azad University, Rasht, Iran)
Ramin Shabani ² (Professor, Department of Physical Education and Sports Science, Rasht Branch, Islamic Azad University, Rasht, Iran)
Shahram Gholamrezaei darsara ³ (Assistant Professor, Department of Physical Education and Sports Science, Rasht Branch, Islamic Azad University, Rasht, Iran)

تاريخ الإرسال : 03 الإثنين , ربيع الأول, 1445 تاريخ التأكيد : 03 الأربعاء , ربيع الثاني, 1445 تاريخ الإصدار : 16 الجمعة , صفر, 1445

الکلمات المفتاحية: glycemic control, Resistance training, Lipid profile, Aerobic training, Gogging training, Diabetes mellitus,

ملخص المقالة :

Introduction:Although the effectiveness of exercise in improving the markers of metabolic syndrome in diabetes is well documented, there is less certainty about the relative effectiveness of different types of exercise. Therefore, this study aimed to investigate the effect of circuit resistance training (CRT) and jogging exercise training on lipid profile, glycosylated hemoglobin (HbA1c), fasting blood sugar (FBS), blood pressure, and waist circumference (WC) in female subjects with type 2 diabetes.Material and methods: Thirty obese and overweight women with type 2 diabetes with a (mean ± SD: age, 51.37±5.56 years and body mass index (BMI), 31.34±3.09 kg/m2 were randomized to CRT (n=10) (8 stations with 40- 65% 1RM), jogging training (n=10) (25-50 min with 45-75% of target heart rate) or control group (n=10). Exercise training was performed three times a week for 12 weeks. Anthropometric measures, blood samples, and blood pressure were recorded before and after the exercise intervention and for the control group. A covariance analysis test was used to compare the groups to analyze the influences of exercise training on MS markers.Results: HbA1c in the circuit resistance training group was significantly improved compared to the control group (P = 0.01), but no significant difference was observed in the jogging group. Additionally, a decrease in total cholesterol (TC) was observed in both CRT (P = 0.01) and jogging groups (P = 0.01). Both training groups differed significantly from the control group (P <0.05). No significant improvement was observed in FBS, LDL-cholesterol, HDL-cholesterol, triglycerides (TG), waist circumference, and blood pressure (P >0.05).Conclusions: It can be concluded that twelve-week circuit resistance training with moderate intensity significantly improved HbA1c and total cholesterol and that jogging exercise training was practical for total cholesterol. It is recommended that patients with type 2 diabetes are encouraged to perform both jogging and circuit resistance training with moderate frequency, duration, and intensity.

المصادر:

References

 

1. Shai I, Jiang R, Manson JE, Stampfer MJ, Willett WC, Colditz GA, et al. Ethnicity, obesity, and risk of type 2 diabetes in women: a 20-year follow-up study. Diabetes care. 2006;29(7):1585-90.


2. Tylutka A, Morawin B, Walas Ł, Michałek M, Gwara A, Zembron-Lacny A. Assessment of metabolic syndrome predictors about inflammation and visceral fat tissue in older adults. Scientific Reports. 2023;13(1):89.


3. KG A. International diabetes federation task force on epidemiology and prevention; National Heart, lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; International Association for the Study of Obesity: harmonizing the Metabolic Syndrome: a joint interim statement of the international diabetes federation task force on epidemiology and prevention; national heart, lung, and blood institute; American heart association; world heart federation; international atherosclerosis society; and international association for the study of obesity. Circulation. 2009;120:1640-5.


4. Tauler P, Bennasar-Veny M, Morales-Asencio J, Lopez-Gonzalez A, Vicente-Herrero T. Prevalence of Premorbid Metabolic Syndrome in. pone 0089281. 2014.


5. Malkani S, Mordes JP. Implications of using hemoglobin A1C for diagnosing diabetes mellitus. The American journal of medicine. 2011;124(5):395-401.


6. Marx JO, RATAMESS NA, NINDL BC, GOTSHALK LA, VOLEK JS, Dohi K, et al. Low-volume circuit versus high-volume periodized resistance training in women. Medicine & Science in Sports & Exercise. 2001;33(4):635-43.


7. Norhammar A, Schenck-Gustafsson K. Type 2 diabetes and cardiovascular disease in women. Diabetologia. 2013;56:1-9.


8. Mesch V, Boero L, Siseles N, Royer M, Prada M, Sayegh F, et al. Metabolic syndrome throughout the menopausal transition: influence of age and menopausal status. Climacteric. 2006;9(1):40-8.


9. Park Y-W, Zhu S, Palaniappan L, Heshka S, Carnethon MR, Heymsfield SB. The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994. Archives of internal medicine. 2003;163(4):427-36.


10. Chudyk A, Petrella RJ. Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes care. 2011;34(5):1228-37.


11. Kanaley JA, Colberg SR, Corcoran MH, Malin SK, Rodriguez NR, Crespo CJ, et al. Exercise/physical activity in individuals with type 2 diabetes: a consensus statement from the American College of Sports Medicine. Medicine and science in sports and exercise. 2022.


12. Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine and science in sports and exercise. 2009;41(2):459-71.


13. Arora E, Shenoy S, Sandhu J. Effects of resistance training on metabolic profile of adults with type 2 diabetes. Indian Journal of Medical Research. 2009;129(5):515-9.


14. Ramachandran A, Snehalatha C, Mary S, Mukesh B, Bhaskar A, Vijay V, et al. The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1). Diabetologia. 2006;49:289-97.


15. Grøntved A, Pan A, Mekary RA, Stampfer M, Willett WC, Manson JE, et al. Muscle-strengthening and conditioning activities and risk of type 2 diabetes: a prospective study in two cohorts of US women. PLoS medicine. 2014;11(1):e1001587.


16. Perez-Gomez J, Vicente-Rodríguez G, Royo IA, Martínez-Redondo D, Foncillas JP, Moreno LA, et al. Effect of endurance and resistance training on regional fat mass and lipid profile. Nutricion hospitalaria. 2013;28(2):340-6.


17. Bosma M. Lipid homeostasis in exercise. Drug discovery today. 2014;19(7):1019-23.


18. Paoli A, Pacelli QF, Moro T, Marcolin G, Neri M, Battaglia G, et al. Effects of high-intensity circuit training, low-intensity circuit training and endurance training on blood pressure and lipoproteins in middle-aged, overweight men. Lipids in health and disease. 2013;12(1):1-8.


19. Lemes ÍR, Ferreira PH, Linares SN, Machado AF, Pastre CM, Netto J. Resistance training reduces systolic blood pressure in metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials. British journal of sports medicine. 2016;50(23):1438-42.


20. Hamasaki H, Kawashima Y, Tamada Y, Furuta M, Katsuyama H, Sako A, et al. Associations of low-intensity resistance training with body composition and lipid profile in obese patients with type 2 diabetes. PLoS One. 2015;10(7):e0132959.


21. Umpierre D, Ribeiro PA, Kramer CK, Leitao CB, Zucatti AT, Azevedo MJ, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. Jama. 2011;305(17):1790-9.


22. Ivey FM, Ryan AS. Resistive training improves insulin sensitivity after stroke. Journal of Stroke and Cerebrovascular Diseases. 2014;23(2):225-9.


23. Jorge MLMP, de Oliveira VN, Resende NM, Paraiso LF, Calixto A, Diniz ALD, et al. The effects of aerobic, resistance, and combined exercise on metabolic control, inflammatory markers, adipocytokines, and muscle insulin signaling in patients with type 2 diabetes mellitus. Metabolism. 2011;60(9):1244-52.


24. Dunn AL, Marcus BH, Kampert JB, Garcia ME, Kohl III HW, Blair SN. Reduction in cardiovascular disease risk factors: 6-month results from ProjectActive. Preventive medicine. 1997;26(6):883-92.


25. Kadoglou NP, Vrabas IS, Kapelouzou A, Lampropoulos S, Sailer N, Kostakis A, et al. The impact of aerobic exercise training on novel adipokines, apelin, and ghrelin in patients with type 2 diabetes. Medical science monitor: international medical journal of experimental and clinical research. 2012;18(5):CR290.


26. Scheers T, Philippaerts R, Lefevre J. SenseWear-determined physical activity and sedentary behavior and metabolic syndrome. Medicine and science in sports and exercise. 2013;45(3):481-9.


27. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation. 2005;112(17):2735-52.


28. Lind M, Odén A, Fahlén M, Eliasson B. The true value of HbA1c as a predictor of diabetic complications: simulations of HbA1c variables. PloS one. 2009;4(2):e4412.


29. Campbell AP. DASH eating plan: an eating pattern for diabetes management. Diabetes Spectrum. 2017;30(2):76-81.


30. Sadeghi Eshtehardi F, Peeri M, Azarbayjani MA. The effect of different intensity circuit resistance training on the levels of selected adipokines (WISP-1, WISP-2, BMP4) in obese postmenopausal women. Razi Journal of Medical Sciences. 2022;28(12):15-27.


31. Kang S, Woo JH, Shin KO, Kim D, Lee H-J, Kim YJ, et al. Circuit resistance exercise improves glycemic control and adipokines in females with type 2 diabetes mellitus. Journal of sports science & medicine. 2009;8(4):682.


32. Wycherley T, Brinkworth GD, Noakes M, Buckley J, Clifton P. Effect of caloric restriction with and without exercise training on oxidative stress and endothelial function in obese subjects with type 2 diabetes. Diabetes, Obesity, and Metabolism. 2008;10(11):1062-73.


33. Eriksson J, Taimela S, Eriksson K, Parviainen S, Peltonen J, Kujala U. Resistance training in the treatment of non-insulin-dependent diabetes mellitus. International journal of sports medicine. 1997;18(04):242-6.


34. Cauza E, Hanusch-Enserer U, Strasser B, Ludvik B, Metz-Schimmerl S, Pacini G, et al. The relative benefits of endurance and strength training on the metabolic factors and muscle function of people with type 2 diabetes mellitus. Archives of physical medicine and rehabilitation. 2005;86(8):1527-33.


35. Snowling NJ, Hopkins WG. Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes care. 2006;29(11):2518-27.


36. Moradian H, Hossein Pour Delavar S, Zabet A. The effects of eight weeks circuit resistance training on Interleukin-1β, TNF-α and blood pressure in pre-hypertensive obese women. Journal of Sport Biosciences. 2022;14(1):67-84.


37. Church TS, Blair SN, Cocreham S, Johannsen N, Johnson W, Kramer K, et al. Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes: a randomized controlled trial. Jama. 2010;304(20):2253-62.


38. Scheers T, Philippaerts R, Lefevre J. Compliance with different physical activity recommendations and its association with socio-demographic characteristics using an objective measure. BMC public health. 2013;13(1):1-10.


39. AL D. Reduction in cardiovascular disease risk factors: 6-month results from Project Active. Prev Med. 1997;26:883-92.


40. DE BDSDR. EFFECT OF CIRCUIT RESISTANCE TRAINING ON BLOOD BIOMARKERS OF CARDIOVASCULAR DISEASE RISK IN OLDER WOMEN.


41. Tomar RH, Hashim MH, Al-Qahtani MH. Effects of a 12-week aerobic training on glycemic control in type 2 diabetes mellitus male patients. Saudi Med J. 2013;34(7):757-9.


42. da Silva CA, Ribeiro JP, Canto JCA, da Silva RE, Junior GBS, Botura E, et al. High-intensity aerobic training improves endothelium-dependent vasodilation in patients with metabolic syndrome and type 2 diabetes mellitus. Diabetes Research and Clinical Practice. 2012;95(2):237-45.


43. Lockard B, Earnest CP, Oliver J, Goodenough C, Rasmussen C, Greenwood M, et al. Retrospective analysis of protein-and carbohydrate-focused diets combined with exercise on metabolic syndrome prevalence in overweight and obese women. Metabolic syndrome and related disorders. 2016;14(4):228-37.


44. Tibana RA, Navalta J, Bottaro M, Vieira D, Tajra V, Silva AdO, et al. Effects of eight weeks of resistance training on the risk factors of metabolic syndrome in overweight/obese women-“A Pilot Study.” Diabetology & metabolic syndrome. 2013;5:1-8.


45. Castaneda C, Layne JE, Munoz-Orians L, Gordon PL, Walsmith J, Foldvari M, et al. A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes. Diabetes care. 2002;25(12):2335-41.


46. Hazley L, Ingle L, Tsakirides C, Carroll S, Nagi D. Impact of a short-term, moderate intensity, lower volume circuit resistance training programme on metabolic risk factors in overweight/obese type 2 diabetics. Research in Sports Medicine. 2010;18(4):251-62.