مجله دیابت و متابولیسم ایران
سال بیست و سوم شماره 2 (پیاپی 111، خرداد و تیر 1402)

CTRP3 is known to be an adipose tissue-derived anti-inflammatory hormone that leads to improved insulin resistance. However, the effects of exercise training on this adipokine are poorly understood. Therefore, the aim of the present meta-analysis was to investigate the effect of exercise training on circulating CTRP3 levels in adults with metabolic disorders.

A comprehensive search was conducted in PubMed and Web of Science databases through October 2022 using the keywords "exercise training" and "CTRP3". The inclusion criteria for the current research included human studies with metabolic disorders, exercise training intervention, and circulating CTRP3 values. Standardized mean difference (SMD) and 95% confidence interval were calculated using random method.

A total of 9 studies including 12 intervention arms and 365 participants with metabolic disorders were included in the meta-analysis. The results of data analysis showed that exercise training led to a significant increase in CTRP3 [0.57, (CI: 1.10 to 0.03) P=0.03]. Also, the results of the I2 test showed that there is a high and significant heterogeneity (I2 =84.59, P=0.001) and the results of the Egger test showed a significant publication bias (P=0.001).

Exercise training with a moderate effect size leads to a significant increase in circulating CTRP3 levels in individual with metabolic and cardiovascular diseases, which may be a mediator of the beneficial effects of exercise training.

During recent decades, physical activity has become a key auxiliary tool in controlling many diseases, including diabetes. The aim of this study was to investigate the effect of 8 weeks of resistance training on the plasma levels of preptin and endothelin 1 in men with type 2 diabetes.

The current research is semi-experimental. The statistical sample of this study consisted of 38 men with type 2 diabetes, who were randomly divided into two groups of 19 experimental and control. Subjects in the experimental group performed 8 weeks of resistance training three sessions a week with moderate intensity. 24 hours before and after 8 weeks of training, plasma levels of preptin, endothelin 1, and indicators related to type 2 diabetes were measured by the ELISA method. Correlated t-tests and independent t-tests were used to examine intra-group changes. SPSS software was used to analyze the data (P≥ 0.05).

Correlated t results showed that plasma levels of preptin and insulin resistance index (P= 0.001) as well as plasma endothelin 1 (P= 0.001) decreased significantly in the post-test compared to the pre-test of the experimental group. has been found Also, the independent t-test results showed that the plasma levels of preptin, insulin resistance index (P= 0.001) and endothelin 1 (P= 0.002) were significantly lower in the post-test of the experimental group compared to the control.

According to the obtained results, it seems that doing resistance exercises improves glucose sensitivity by reducing preptin and reducing the possibility of blood pressure by reducing endothelin 1 in preople with type 2 diabetes.

The effects of exercise on kidney tissue in withdrawal syndrome are unclear. In this study, the effect of 8 weeks of endurance training on the protein levels of cytochrome C, caspase 8 and caspase 3 in the kidney tissue of diabetic and diabetic rats with withdrawal syndrome was investigated.

32 male Wistar rats were used in this experimental study. After the induction of diabetes, the rats were randomly divided into 4 groups of 8. Including: diabetes control (D), morphine diabetes (D.M), diabetes + endurance training (D.ET), morphine diabetes+endurance training (D.M.ET). Then, in addicted groups, the oral method was used for morphine dependence. The training groups performed 8 weeks of endurance training protocol. At the end of the study, all rats were anesthetized, dissected and their kidneys were separated and kept at -70 degrees for further investigations. Protein levels of the indicators of this study were measured by ELISA kits. Data were analyzed using one-way ANOVA and Tukey's post hoc test at a significance level of P≤0.05.

The results of this study showed a significant decrease in caspase 3 protein levels in D.ET (P=0.000), D.M.ET (P=0.000) and cytochrome C levels in D.ET (P=0.000), D.M.ET (P=0.000) groups in Comparison with group D. Also, caspase 8 protein levels in D.M.ET group (P=0.015) compared to D group and D.M.ET group (P=0.038) compared to D.M group showed a significant decrease (P≥0.05).

Endurance training can probably have a positive and protective effect on the reduction of kidney tissue apoptosis in diabetic and diabetic withdrawal syndrome rats.

Expression of FoxO transcription factors whould increase during certain forms of atrophy. In a dephosphorylated state, FoxOs participate in ubiquitin-mediated proteasomal degradation through the transcriptional activation of E3-ubiquitin ligases such as MAFbx/atrogin-1. Therefore, the study aimed to determine the effect of combination of continuous exercise and resveratrol supplementation on foxo-1 and Atrogin-1 gene expression in the left ventricular tissue of male Wistar rats.

In this study, 25 male Wistar rats with 180-250 g weight were randomly classified into 5 groups, including healthy control (n=5), diabetic control (n=5), diabetic resveratrol (n=5), diabetic-continuous exercise (n=5), and resveratrol+ continuous exercise+ diabetes (n=5). After inducing diabetes by intraperitoneal injection of streptozotocin, animals in expremental groups were carried out an 8-week exercise program on a treadmill with 60-75% Vo2max. One-way ANOVA and Tukey test with statistical level (P<0.05) was used to compare the differences between groups.

The results showed that gene expression of Atrodin-1 were significantly markedly in the ARDM group compared to the DM group (P= 0.02) but the gene expression of foxo-1 only was significantly changed (P= 0.001) in ARDM group to compared with the other groups (P>0.05).

It seems that the Foxo1 gene expression fluctuations along with the significant decrease in the expression of the atherogen-1 gene can be improving the diabetic heart as a non-pharmacological method.

Diabetes leads to numerous side effects in the cardiovascular system and also to improper functioning of the body's antioxidant system. The aim of this study is to investigate the effect of six weeks of high-intensity interval training with coenzyme Q10 supplementation on the values of Nrf2 and NQO1 in heart muscle of elderly diabetic rats.

In this experimental study, 48 elderly male rats (18 months old) were randomly divided into four groups of intense aerobic exercise with coenzyme Q10 supplementation, intense aerobic exercise group, coenzyme Q10 supplement intake group, and control group. Induction of diabetes was done by injecting a single dose of streptozotocin in the amount of 60 mg/kg intraperitoneally. The program of high intensity interval training was done for six weeks. Coenzyme Q10 supplement group received orally at a dose of 200 mg/kg. Western blot method was used to measure Nrf2 and NQO1 values. The data were analyzed by one-way analysis of variance and Tukey's post hoc test at a significance level of P <0.05.

The results showed taking coenzyme Q10 supplement (P= 0.014), intense intermittent exercise (P= 0.001) and intense intermittent exercise with coenzyme Q10 supplement (P= 0.001) significantly increased Nrf2 values in the hearts of diabetic elderly rats. Also, the use of coenzyme Q10 supplement (P=0.0366), intense intermittent exercise (P= 0.014) and intense intermittent exercise along with coenzyme Q10 supplement use (P= 0.002) significantly increased the amount of NQO1 in the hearts of diabetic aged male rats.

Intermittent intense training along with supplement consumption improves heart function in elderly diabetic patients through increasing endogenous antioxidant enzymes.

The main cause of death of diabetic patients is heart disease. Exercise improves insulin resistance and reduces the mortality of diabetic patients. The aim of this research was the effect of six weeks endurance training on some miRs related to diabetic cardiomyopathy, FBS and insulin resistance index in male Wistar rats.

After induction of diabetes, male Wistar rats with an average weight of 200gr and age of 8 weeks were randomly classified into four groups: sham, control, endurance training and healthy. Endurance training was performed for 6 weeks. Gene expression was investigated using Real Time PCR. The statistical tests of this research were One Way Anova and T Correlated. The data were normalized by GapDh method and 2-(∆∆CT).

Endurance training leads to a significant decrease in FBS (P: 0.00) and insulin resistance index (P: 0.00) and there was a significant increase in VO2peak (P: 0.001). The expression levels of miR-373 and miR-195 in the exercise group did not change significantly compared to the diabetic control group (P > 0.05). But the effect of training led to an increase in the expression of miR-373 (P: 0.4) and a decrease in the expression of miR-195 (P: 0.9).

Aerobic exercise improved the aerobic capacity of the exercise group. In addition, exercise led to the relative improvement of diabetes complications (increasing the expression level of miR-373 and decreasing the expression level of miR-195). Therefore, it is recommended that patients with cardiomyopathy should focus on aerobic exercises.