تاثیر یک دوره تمرین هوازی همراه با مکمل استویا روی هپاتوکاینها و مقاومت به انسولین در موشهای دیابتی نوع یک
محورهای موضوعی :
فصلنامه زیست شناسی جانوری
اسماعیل پیری
1
,
اکبر نوری حبشی
2
,
محمد رضا ذولفقاری دیدنی
3
1 - گروه فیزیولوژی ورزشی و حرکات اصلاحی، دانشگده علوم ورزشی، دانشگاه ارومیه، ارومیه، ایران
2 - گروه فیزیولوژی ورزشی و حرکات اصلاحی، دانشگده علوم ورزشی، دانشگاه ارومیه، ارومیه، ایران
3 - گروه فیزیولوژی ورزشی و حرکات اصلاحی، دانشگده علوم ورزشی، دانشگاه ارومیه، ارومیه، ایران
تاریخ دریافت : 1401/06/23
تاریخ پذیرش : 1401/10/18
تاریخ انتشار : 1402/06/01
کلید واژه:
استویا,
تمرین هوازی,
مقاومت به انسولین,
دیابت نوع 1,
چکیده مقاله :
دیابت یکی از دلایل اصلی مرگ و میر در کشورهای در حال توسعه است. از راه های پیشگیری از دیابت و جلوگیری از عوارض ناشی از آن، انجام فعالیت بدنی و استفاده از مکمل های آنتی اکسیدانی است. هدف از پژوهش حاضر بررسی تاثیر یک دوره تمرین هوازی و مکمل استویا روی فتوئین b، پنتراکسین ۳ و GDF-15 پلاسما و مقاومت به انسولین در موشهای دیابتی نوع 1 بود. برای این منظور 25 موش دیابتی نوع یک به 5 گروه کنترل-سالم، کنترل دیابت، دیابت مکمل، دیابت تمرین و دیابت تمرین-مکمل تقسیم شدند. برنامه تمرینی رت ها برای مدت 65 روز، با سرعت 20 تا 30 متر بر دقیقه با شدت 10 تا 25 متر/دقیقه بود. دوز مصرفی استویا 250 میلی گرم/کیلوگرم وزن بدن به صورت گاواژ دریافت شد. کشتار موشها 48 ساعت بعد از آخرین جلسه تمرینی انجام و خونگیری انجام شد. جهت مقایسه بین گروهها از آزمون آنالیز واریانس یک طرفه و آزمون تعقیبی بونفرونی استفاده شد. بررسی تغییرات بین گروهی نشان داد که تفاوت معنی دار بین گروهها برای فتوئین b، پنتراکسین ۳ و GDF-15 پلاسما وجود دارد (001/0p <). بررسی تغییرات بین کروهی نشان داد که فتوئین B و GDF-15 افزایش معنی دار و پنتراکسین کاهش معنی دار در گروه سالم نسبت به گروه دیابتی داشتند (001/0p <). همچنین بین گروه کنترل دیابت با گروه های تمرین مکمل و تمرین تفاوت معنی دار بین همه شاخص ها وجود داشت (001/0p <). نتایج پژوهش حاضر نشان داد که تمرین هوازی و مکمل استویا میتوانند باعث کاهش مقاومت به انسولین، فتوئین b و GDF-15 و افزایش پنتراکسین ۳ در موشهای دیابتی نوع 1 شوند. این بهبودها در گروهی که تمرین و مکمل را به طور همزمان مصرف کرده بودند، بیشتر بود.
چکیده انگلیسی:
Diabetes is one of the main causes of death in developing countries. One of the ways to prevent diabetes and its complications is to do physical activity and use antioxidant supplements. The aim of this study was to investigate the effect of aerobic training and stevia on fetuin b, pentraxin 3 and GDF-15 in plasma and insulin resistance in type 1 diabetic rats. For this purpose, 25 type 1 diabetic mice were divided into 5 groups: healthy control, diabetes control, supplemental diabetes, training diabetes, and training-supplement diabetes. The training program of the rats was for a period of 65 days, with a speed of 20 to 30 m/min and an intensity of 10-25 m/min. Stevia dosage was 250 mg per kilogram of body weight by gavage. Mice were killed 48 hours after the last training session and blood sampling was done. To compare between groups, one-way ANOVA and Bonferroni's post hoc test were used. Examining the changes between groups showed that there is a significant difference between the groups for fetoin b, pentraxin 3 and plasma GDF-15 (p < 0.001). Examining the changes between groups showed that fetoin B and GDF-15 had a significant increase and pentraxin had a significant decrease in the healthy group compared to the diabetic group (p < 0.001). Also, there was a significant difference between the diabetes control group and the supplement and exercise groups in all indicators (p < 0.001. The results of the present study showed that aerobic exercise and stevia supplementation can decrease fetoin b and GDF-15 and increase pentraxin 3 in type 1 diabetic rats. These improvements were better in the group that took exercise and supplementation at the same time.
منابع و مأخذ:
Adela R., Banerjee S.K. 2015. GDF-15 as a target and biomarker for diabetes and cardiovascular diseases: a translational prospective. Journal of Diabetes Research, 2015.
Akbari, A., Tadibi, V., Behpour, N. 2019. The effect of Stevia extract consumption and aerobic eExercise on serum omentin-1 and lipid profile in STZ induced diabetic rats. Journal of Sport Biosciences, 11(2):179-194.
Akbarzadeh, S., Eskandari, F., Tangestani, H., Bagherinejad, S.T., Bargahi, A., Bazzi, P., Rahbar, A.R. 2015. The effect of Stevia rebaudiana on serum omentin and visfatin level in STZ-induced diabetic rats. Journal of Dietary Dupplements, 12(1):11-22.
Almarashda, O., Abdi, S., Yakout, S., Khattak, M.N.K., Al-Daghri, N.M. 2022. Hepatokines Fetuin-A and Fetuin-B status in obese Saudi patient with diabetes mellitus type 2. American Journal of Translational Research, 14(5):3292.
Assaei, R., Mokarram, P., Dastghaib, S., Darbandi, S., Darbandi, M., Zal, F., Omrani, G.H.R. 2016. Hypoglycemic effect of aquatic extract of Stevia in pancreas of diabetic rats: PPARγ-dependent regulation or antioxidant potential. Avicenna Journal of Medical Biotechnology, 8(2):65.
Bootcov, M.R., Bauskin, A.R., Valenzuela, S. M., Moore, A. G., Bansal, M., He, X.Y., Pryor, K. 1997. MIC-1, a novel macrophage inhibitory cytokine, is a divergent member of the TGF-β superfamily. Proceedings of the National Academy of Sciences, 94(21):11514-11519.
Boulogne, M., Sadoune, M., Launay, J., Baudet, M., Cohen-Solal, A., Logeart, D. 2017. Inflammation versus mechanical stretch biomarkers over time in acutely decompensated heart failure with reduced ejection fraction. International Journal of Cardiology, 226:53-59.
Cai, L., Li, C., Wang, Y., Mo, Y., Yin, J., Ma, X. 2021. Increased serum GDF15 related to improvement in metabolism by lifestyle intervention among young overweight and obese adults. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14:1195.
Carrera-Lanestosa, A., Coral-Martínez, T., Ruíz-Ciau, D., Moguel-Ordoñez, Y., Segura-Campos, M.R. 2020. Phenolic compounds and major steviol glucosides by HPLC-DAD-RP and invitro evaluation of the biological activity of aqueous and ethanolic extracts of leaves and stems: S. rebaudiana Bertoni (creole variety INIFAP C01) S. rebaudiana Bertoni (creole variety INIFAP C01): Bioactive compounds and Functionality. International Journal of Food Properties, 23(1):199-212.
Chen, T.H., Chen, S.C., Chan, P., Chu, Y.L., Yang, H.Y., Cheng, J.T. 2005. Mechanism of the hypoglycemic effect of stevioside, a glycoside of Stevia rebaudiana. Planta Medica, 71(02):108-113.
Chrysovergis, K., Wang, X., Kosak, J., Lee, S.H., Kim, J.S., Foley, J.F., Eling, T.E. 2014. NAG-1/GDF-15 prevents obesity by increasing thermogenesis, lipolysis and oxidative metabolism. International Journal of Obesity, 38(12):1555-1564.
Chu, S.H., Park, J.-H., Lee, M.K., Jekal, Y., Ahn, K.Y., Chung, J.Y., Im, J.-A. 2012. The association between pentraxin 3 and insulin resistance in obese children at baseline and after physical activity intervention. Clinica Chimica Acta, 413(19-20):1430-1437.
De Luca, C., Olefsky, J.M. 2008. Inflammation and insulin resistance. FEBS Letters, 582(1):97-105.
Dostálová, I., Roubíček, T., Bártlová, M., Mráz, M., Lacinová, Z., Haluzíková, D., Haluzík, M. 2009. Increased serum concentrations of macrophage inhibitory cytokine-1 in patients with obesity and type 2 diabetes mellitus: the influence of very low calorie diet. European Journal of Endocrinology, 161(3):397-404.
Dridi, R., Dridi, N., Govindasamy, K., Gmada, N., Aouadi, R., Guénard, H., Hackney, A.C. 2021. Effects of Endurance Training Intensity on Pulmonary Diffusing Capacity at Rest and after Maximal Aerobic Exercise in Young Athletes. International Journal of Environmental Research and Public Health, 18(23):12359.
Fairlie, W.D., Zhang, H.P., Brown, P. K., Russell, P. K., Bauskin, A.R., Breit, S.N. 2000. Expression of a TGF-β superfamily protein, macrophage inhibitory cytokine-1, in the yeast Pichia pastoris. Gene, 254(1-2):67-76.
Galliera, E., Lombardi, G., Marazzi, M. G., Grasso, D., Vianello, E., Pozzoni, R., Corsi Romanelli, M.M. 2014. Acute exercise in elite rugby players increases the circulating level of the cardiovascular biomarker GDF-15. Scandinavian Journal of Clinical and Laboratory Investigation, 74(6):492-499.
Gregersen, S., Jeppesen, P. B., Holst, J. J., Hermansen, K. 2004. Antihyperglycemic effects of stevioside in type 2 diabetic subjects. Metabolism, 53(1):73-76.
Guo, H., Qiu, X., Deis, J., Lin, T.Y., Chen, X. 2020. Pentraxin 3 deficiency exacerbates lipopolysaccharide-induced inflammation in adipose tissue. International Journal of Obesity, 44(2): 525-538.
Guo, V.Y., Cao, B., Cai, C., Cheng, K. K.Y., Cheung, B.M.Y. 2018. Fetuin-A levels and risk of type 2 diabetes mellitus: a systematic review and meta-analysis. Acta Diabetologica, 55(1):87-98.
Hussein, A.M., Eid, E.A., Bin-Jaliah, I., Taha, M., Lashin, L.S. 2020. Exercise and Stevia rebaudiana (R) extracts attenuate diabetic cardiomyopathy in type 2 diabetic rats: possible underlying mechanisms. Endocr Metab Immune Disord Drug Targets, 20:1117-1132.
Ivy J.L. 1997. Role of exercise training in the prevention and treatment of insulin resistance and non-insulin-dependent diabetes mellitus. Sports Medicine, 24(5): 321-336.
Jan, S. A., Habib, N., Shinwari, Z. K., Ali, M., Ali, N. 2021. The anti-diabetic activities of natural sweetener plant Stevia: an updated review. SN Applied Sciences, 3(4):1-6.
Karakas, M. F., Buyukkaya, E., Kurt, M., Motor, S., Akcay, A. B., Karakas, E., Sen, N. 2013. Serum pentraxin-3 levels are associated with the severity of metabolic syndrome. Medical Principles and Practice, 22(3):274-279.
Kleinert, M., Clemmensen, C., Sjøberg, K. A., Carl, C.S., Jeppesen, J.F., Wojtaszewski, J.F., Richter, E.A. 2018. Exercise increases circulating GDF15 in humans. Molecular metabolism, 9:187-191.
Kolahdouzi, S., Baghadam, M., Kani-Golzar, F.A., Saeidi, A., Jabbour, G., Ayadi, A., Zouhal, H. 2019. Progressive circuit resistance training improves inflammatory biomarkers and insulin resistance in obese men. Physiology and Behavior, 205:15-21.
Kralisch, S., Hoffmann, A., Klöting, N., Bachmann, A., Kratzsch, J., Blüher, M., Fasshauer, M. 2017. The novel adipokine/hepatokine fetuin B in severe human and murine diabetic kidney disease. Diabetes and Metabolism, 43(5):465-468.
Kralisch, S., Hoffmann, A., Lössner, U., Kratzsch, J., Blüher, M., Stumvoll, M., Ebert, T. 2017. Regulation of the novel adipokines/hepatokines fetuin A and fetuin B in gestational diabetes mellitus. Metabolism, 68:88-94.
Li, J., Li, Y., Chai, R., Yu, X., Yu, Z. 2022. PTX3 Protects Intestinal Mucosal Barrier Damage in Sepsis Through Toll-Like Receptor Signaling Pathway. Inflammation, 45(6):2339-2351.
Li, J., Yang, L., Qin, W., Zhang, G., Yuan, J., Wang, F. 2013. Adaptive induction of growth differentiation factor 15 attenuates endothelial cell apoptosis in response to high glucose stimulus. PLoS One, 8(6):e65549.
Li, L., Spranger, L., Stobäus, N., Beer, F., Decker, A.M., Wernicke, C., Mai, K. 2021. Fetuin-B, a potential link of liver-adipose tissue cross talk during diet-induced weight loss–weight maintenance. Nutrition and Diabetes, 11(1):1-7.
Li, Z., Lin, M., Liu, C., Wang, D., Shi, X., Chen, Z., Li, X. 2018. Fetuin-B links nonalcoholic fatty liver disease to type 2 diabetes via inducing insulin resistance: association and path analyses. Cytokine, 108:145-150.
Lockhart, S.M., Saudek, V., O’Rahilly, S. 2020. GDF15: a hormone conveying somatic distress to the brain. Endocrine Reviews, 41(4):bnaa007.
Miyaki, A., Choi, Y., Maeda, S.(2014. Pentraxin 3 production in the adipose tissue and the skeletal muscle in diabetic-obese mice. The American Journal of the Medical Sciences, 347(3):228-233.
Miyaki, A., Maeda, S., Choi, Y., Akazawa, N., Eto, M., Tanaka, K., Ajisaka, R. 2013. Association of plasma pentraxin 3 with arterial stiffness in overweight and obese individuals. American Journal of Hypertension, 26(10):1250-1255.
Moghadami, K., Shabani, M., Khalafi, M. 2020. The effect of aerobic training on serum levels of Growth differentiation factor-15 and insulin resistance in elderly women with metabolic syndrome. Daneshvar Medicine, 27(6);57-66.
Moghaddasi, Y., Ghazalian, F., Abediankenari, S., Ebrahim, K., Abednatanzi, H. 2020. Effect of aerobic and resistance training on gdf-15 levels in patients with type 1 diabetes. Journal of Mazandaran University of Medical Sciences, 30(186):123-132.
Mohd-Radzman, N.H., Ismail, W.I. W., Adam, Z., Jaapar, S.S., Adam, A. 2013. Potential roles of Stevia rebaudiana Bertoni in abrogating insulin resistance and diabetes: a review. Evidence-Based Complementary and Alternative Medicine, 2013:718049.
Moradi, M., Akbarnejhad, A., Choobineh, S., Shabkhiz, F. 2021. The effect of eight weeks of intense and continuous intermittent training on GDF15 and IL6 factor levels in overweight men. KAUMS Journal (FEYZ), 25(3):978-986.
Munk, P. S., Valborgland, T., Butt, N., & Larsen, A. I. 2011. Response of growth differentiation factor-15 to percutaneous coronary intervention and regular exercise training. Scandinavian Cardiovascular Journal, 45(1):27-32.
Norata, G.D., Marchesi, P., Pulakazhi Venu, V. K., Pasqualini, F., Anselmo, A., Moalli, F., Catapano, A.L. 2009. Deficiency of the long pentraxin PTX3 promotes vascular inflammation and atherosclerosis. Circulation, 120(8):699-708.
Oliveira, E.B.d., Gotschlich, C., Liu, T. 1979. Primary structure of human C-reactive protein. Journal of Biological Chemistry, 254(2):489-502.
Osorio-Conles, O., Guitart, M., Chacon, M.R., Maymo-Masip, E., Moreno-Navarrete, J.M., Montori-Grau, M., Gomez-Foix, A.M. 2011. Plasma PTX3 protein levels inversely correlate with insulin secretion and obesity, whereas visceral adipose tissue PTX3 gene expression is increased in obesity. American Journal of Physiology-Endocrinology and Metabolism, 301(6): E1254-E1261.
Patel, S., Alvarez-Guaita, A., Melvin, A., Rimmington, D., Dattilo, A., Miedzybrodzka, E.L., Meek, C.L. 2019. GDF15 provides an endocrine signal of nutritional stress in mice and humans. Cell Metabolism, 29(3):707-718.
Peter, A., Kovarova, M., Staiger, H., Machann, J., Schick, F., Königsrainer, A., Häring, H.U. 2018. The hepatokines fetuin-A and fetuin-B are upregulated in the state of hepatic steatosis and may differently impact on glucose homeostasis in humans. American Journal of Physiology-Endocrinology and Metabolism, 314(3):E266-E273.
Rangraz, E., Mirzaei, B., Nia, F. R. 2019. The effect of resistance training on serum levels of NT-proBNP, GDF-15, and markers of cardiac damage in the elderly males. International Journal of Applied Exercise Physiology, 8(1):138-148.
Saeidi, A., C Hackney, A., Tayebi, S. M., Ahmadian, M., Zouhal, H. 2019. Diabetes, insulin resistance, fetuin-B and exercise training. Annals of Applied Sport Science, 7(2):1-2.
Saeidi, A., Haghighi, M.M., Kolahdouzi, S., Daraei, A., Abderrahmane, A. B., Essop, M. F., Zouhal, H. 2021. The effects of physical activity on adipokines in individuals with overweight/obesity across the lifespan: A narrative review. Obesity Reviews, 22(1):e13090.
Saeidi, A., Nouri-Habashi, A., Razi, O., Ataeinosrat, A., Rahmani, H., Mollabashi, S.S., Al Kiyumi, M.H. 2023. Astaxanthin supplemented with high-intensity functional training decreases adipokines levels and cardiovascular risk factors in men with obesity. Nutrients, 15(2):286.
Saeidi, A., Shishvan, S. R., Soltani, M., Tarazi, F., Doyle-Baker, P.K., Shahrbanian, S., Moriarty, T.A. 2022. Differential effects of exercise programs on neuregulin 4, body composition and cardiometabolic risk factors in men with obesity. Frontiers in Physiology, 12:
Saeidi, A., Soltani, M., Daraei, A., Nohbaradar, H., Haghighi, M.M., Khosravi, N., VanDusseldorp, T. A. 2021. The effects of aerobic-resistance training and broccoli supplementation on plasma dectin-1 and insulin resistance in males with type 2 diabetes. Nutrients, 13(9):3144.
Salio, M., Chimenti, S., De Angelis, N., Molla, F., Maina, V., Nebuloni, M., Mantovani, A. 2008. Cardioprotective function of the long pentraxin PTX3 in acute myocardial infarction. Circulation, 117(8):1055-1064.
Samadi, A., Abbassi Daloii, A., Barari, A., Saeidi, A. 2020. The effect of twelve weeks of combined training with and without canagliflozin consumption on fetuin A and fetuin B in type 2 diabetic men. Journal of Basic Research in Medical Sciences, 7(4):20-30.
Sarookhani, M., & Arefian, E. 2014. Molecular mechanism of insulin resistance. Journal of Inflammatory Diseases, 18(5):57-64.
Shivanna, N., Naika, M., Khanum, F., Kaul, V. K. 2013. Antioxidant, anti-diabetic and renal protective properties of Stevia rebaudiana. Journal of Diabetes and its Complications, 27(2):103-113.
Slusher, A.L., Mischo, A.B., Acevedo, E.O. 2016. Pentraxin 3 is an anti-inflammatory protein associated with lipid-induced interleukin 10 in vitro. Cytokine, 86:36-40.
Slusher, A. L., Shibata, Y., Whitehurst, M., Maharaj, A., Quiles, J. M., Huang, C.J. 2017. Exercise reduced pentraxin 3 levels produced by endotoxin-stimulated human peripheral blood mononuclear cells in obese individuals. Experimental Biology and Medicine, 242(12):1279-1286.
Soleymani, K., Abbassi-Daloii, A., Ziaolhagh, S. J., Saeidi, A. 2021. The effect of aerobic training and stevia on the expression of miR-322 and cyclin D1 in heart tissue of type 1 diabetic rats. KAUMS Journal (FEYZ), 25(6):1286-1293.
Soleymani, K., Abbassi Daloii, A., Barari, A.R., Saeidi, A. 2020. Effect of Eight Weeks of Endurance Training and Stevia Supplemention on Atrial Natriuretic Peptide and β-Myosin Heavy Chain Expression Levels in Heart Tissue of Rats With Type 1 Diabetes. Journal of Inflammatory Diseases, 24(4):308-319.
Swindell, N., Mackintosh, K., McNarry, M., Stephens, J.W., Sluik, D., Fogelholm, M., Handjieva-Darlenska, T. 2018. Objectively measured physical activity and sedentary time are associated with cardiometabolic risk factors in adults with prediabetes: the PREVIEW study. Diabetes care, 41(3):562-569.
Takalooei, F., Shahrbanian, S., & C Hackney, A. 2022. Regulation of Metabolic Homeostasis by Reducing Selected Hepato-adipokines in Response to Three Types of Resistance Training in Men with Obesity. Journal of Basic Research in Medical Sciences, 9(1):50-61.
Teodoro, J. S., Gomes, A. P., Varela, A. T., Duarte, F. V., Rolo, A. P., & Palmeira, C. M. 2013. Uncovering the beginning of diabetes: the cellular redox status and oxidative stress as starting players in hyperglycemic damage. Molecular and cellular biochemistry, 376(1):103-110.
Triki, R., Zouhal, H., Chtourou, H., Salhi, I., Jebabli, N., Saeidi, A., Abderrahman, A.B. 2023. Timing of Resistance Training During Ramadan Fasting and Its Effects on Muscle Strength and Hypertrophy. International Journal of Sports Physiology and Performance, 1:1-11.
Tsai, V. W., Husaini, Y., Sainsbury, A., Brown, D. A., Breit, S.N. 2018. The MIC-1/GDF15-GFRAL pathway in energy homeostasis: implications for obesity, cachexia, and other associated diseases. Cell Metabolism, 28(3):353-368.
Verges, B. 2009. Lipid modification in type 2 diabetes: the role of LDL and HDL. Fundamental and Clinical Pharmacology, 23(6):681-685.
Wang, T., Guo, M., Song, X., Zhang, Z., Jiang, H., Wang, W., Zhang, N. 2014. Stevioside plays an anti-inflammatory role by regulating the NF-κB and MAPK pathways in S. aureus-infected mouse mammary glands. Inflammation, 37(5):1837-1846.
Witasp, A., Carrero, J.J., Michaëlsson, K., Ahlström, H., Kullberg, J., Adamsson, V., Lind, L. 2014. Inflammatory biomarker pentraxin 3 (PTX3) in relation to obesity, body fat depots and weight loss. Obesity, 22(5):1373-1379.
Xiong, Y., Walker, K., Min, X., Hale, C., Tran, T., Komorowski, R., Kemp, D. 2017. Long-acting MIC-1/GDF15 molecules to treat obesity: Evidence from mice to monkeys. Science translational medicine, 9(412):eaan8732.
Zaidan, U. H., Zen, N. I. M., Amran, N. A., Shamsi, S., Abd Gani, S.S. 2019. Biochemical evaluation of phenolic compounds and steviol glycoside from Stevia rebaudiana extracts associated with in vitro antidiabetic potential. Biocatalysis and agricultural biotechnology, 18:10
Zangeneh, M., Najafi, F., Tahvilian, R., Haghnazari, L., Zangeneh, A., Abiari, M., Moradi, R. 2016. Study on the in vitro antibacterial properties of alcoholic extract of Stevia rebaudiana in west of Iran. International Journal of Scientific Engineering and Research, 7(11):1352-1359.
Zempo-Miyaki, A., Fujie, S., Sato, K., Hasegawa, N., Sanada, K., Maeda, S., Iemitsu, M. 2016. Elevated pentraxin 3 level at the early stage of exercise training is associated with reduction of arterial stiffness in middle-aged and older adults. Journal of human hypertension, 30(9):521-526.
Zempo-Miyaki, A., Kumagai, H., Yoshikawa, T., Myoenzono, K., So, R., Otsuki, T., Maeda, S. 2019. Pentraxin 3 increases in adult overweight and obese men after weight loss by dietary modification with exercise training. Applied Physiology, Nutrition, and Metabolism, 44(2):111-117.
Zouhal, H., Ben Abderrahman, A., Khodamoradi, A., Saeidi, A., Jayavel, A., Hackney, A.C., Jabbour, G. 2020. Effects of physical training on anthropometrics, physical and physiological capacities in individuals with obesity: A systematic review. Obesity Reviews, 21(9):e13039.
Zouhal, H., Rhibi, F., Salhi, A., Jayavel, A., Hackney, A.C., Saeidi, A., Abderrahman, A.B. 2023. The effects of exercise training on plasma volume variations: A systematic review. International Journal of Sports Medicine. doi: 10.1055/a-1667-6624.
Zouhal, H., Zare-Kookandeh, N., Haghighi, M.M., Daraei, A., de Sousa, M., Soltani, M., Laher, I. 2021. Physical activity and adipokine levels in individuals with type 2 diabetes: A literature review and practical applications. Reviews in Endocrine and Metabolic Disorders, 22(4): 987-1011
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