Evaluation the effect of aerobic training and LPG massage, On insulin resistance and leptin to adiponectin ratio in sedentary obese women

Adiponectin and leptin are two peptide hormones that regulate energy balance. In this study, ratio of leptin to adiponectin, along with the insulin resistance index, is a good indicator for the diagnostic purposes of obesity and diabetes.

Sixty obese women aged 35-45 years (BMI ≥30) were divided into four groups: control, exercise, massage, and exercise+massage. Aerobic exercise included aerobic training, 8weeks, 3days/week, that bigan with 25 minutes and 55% of HRmax, and in the last week reached 40 minutes and 85% of HRmax. Massage was performed by LPG device for 30 minutes, 3days/week and 8 weeks. The combined group performed an exercise program after 30 minutes of massage. Blood samples were taken from the vein of the left hand, bifor and 48h after the exercise and massage intervention, and after 12h of fasting. were measured the Leptin, adiponectin,insulin and glucose levels . In order to analized the data, one-way ANOVA with Tukey post hoc test was used at a significance level of p≥0.05.

The levels of glucose, insulin, insulin resistance, fat percentage, BMI, leptin, adiponectin, and leptin/adiponectin in the post-test of exercise+massage group were significantly changed compared with post-test of three groups, (p=0.001).

Performing aerobic exercise with massage on glucose, insulin, insulin resistance, leptin and adiponectin levels seems to be more effective than exercise and massage alone.