نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، موسسه آموزش عالی شمس گنبد، گنبد کاووس، ایران.

2 کارشناسی ارشد فیزیولوژی ورزشی، دانشکده علوم انسانی، موسسه آموزش عالی شمس گنبد، گنبد کاووس، ایران.

چکیده

زمینه و هدف: با توجه به نقش فعالیت بدنی بر عوامل موثر بر بیماری‌‌های متابولیک، هدف از پژوهش حاضر بررسی تاثیر تمرینات ایروبیک با شدت متوسط بر سطوح سرمی آدیپونکتین، عامل نکروز‌‌ دهنده تومور آلفا (TNF-α) و نسبت آدیپونکتین به TNF-α در مردان دارای سندرم متابولیک بود. روش تحقیق: در پژوهش نیمه‌‌تجربی حاضر که با طرح پیش آزمون - پس آزمون با گروه کنترل به اجرا درآمد، 24 مرد مبتلا به سندرم متابولیک در محدوده سنی 50-40 سال با میانگین شاخص توده بدن 22/2 ± 90/32 کیلوگرم بر متر مربع با توجه به معیارهای ورود و خروج انتخاب و به طور تصادفی به دو گروه کنترل و تمرین تقسیم شدند. مداخله تمرینی شامل شش هفته تمرینات ایروبیک با شدت 65-60 درصد حداکثر ضربان قلب ذخیره و تکرار سه جلسه در هفته بود. سطوح سرمی آدیپونکتین و  TNF-αبه روش الایزا و گلوکز ناشتا، تری گلیسیرید و لیپوپروتئین کلسترول پر چگال به روش آنزیمی و کالریمتریک سنجیده شدند. تحلیل آماری با نرم افزار SPSS نسخه 24 و با استفاده از آزمون تحلیل واریانس با اندازه‌‌گیری مکرر در سطح معنی‌‌داری 05/0≥p صورت گرفت. یافته ها: شش هفته تمرین هوازی با شدت متوسط سبب افزایش معنی‌‌دار سطوح سرمی آدیپونکتین (008/=p) و نسبت آدیپونکتین به TNF-α (001/0=p) و همچنین کاهش معنی‌‌دار TNF-α (01/0=p) نسبت به قبل از تمرین در مردان دارای سندرم متابولیک شد. همچنین سطوح سرمی شاخص‌‌های متابولیک اعم از گلوکز ناشتا (001/0=p)، تری‌‌گلیسیرید (003/0=p)، لیپوپروتئین پرچگال (03/0=p) و همچنین شاخص توده بدن (04/0=p ) در گروه تمرین بهبود معنی‌‌دار نسبت به قبل از مداخله پیدا کرد. بیشترین تغییر در نسبت آدیپونکتین به TNF-α و کمترین تغییر در لیپوپروتئین پرچگال مشاهده شد. نتیجه گیری: به نظر می‌‌رسد تمرینات ایروبیک با شدت متوسط با تعدیل در شاخص‌‌های مرتبط با بیماری سندرم متابولیک و همچنین کاهش التهاب، می‌‌تواند سبب بهبود این بیماری گردد. 

کلیدواژه‌ها

عنوان مقاله [English]

The effect of moderate aerobic exercises on serum levels of adiponectin, TNF-α and the adiponectin/TNF-α ratio in men with metabolic syndrome

نویسندگان [English]

  • Exir Vizvari 1
  • Omid Gharavi 2

1 Assistant Professor at Department of Physical Education and Sport Sciences, Faculty of Humanities, Shams Institute of Higher Education, Gonbad Kavous, Iran.

2 MS.c in Exercise Physiology, Department of Physical Education and Sport Sciences, Faculty of Humanities, Shams Institute of Higher Education, Gonbad Kavous, Iran.

چکیده [English]

Background and Aim: Considering the role of physical activity on some factors affecting metabolic diseases, the aim of this study was to investigate the effect of moderate aerobic exercise on serum levels of adiponectin, tumor necrosis factor alpha (TNF-α) and adiponectin/TNF-α ratio in men with metabolic syndrome. Materials and Methods: In this semi-experimental study with a pre-test to post-test design, 24 men with metabolic syndrome, the age range of 40-50 years with a BMI=32.90±2.22 kg/m2 were selected according to the inclusion and exclusion criteria and they were randomly divided into control and exercise groups. The training intervention included six weeks of moderate aerobic exercises (60-65% HRmax) and three times per week. Serum levels of adiponectin and TNF-α were measured by ELISA and Fasting glucose, triglyceride and high density lipoprotein were measured by enzymatic calorimetric method. Statistical analysis was performed by SPSS24 software using repeated measures ANOVA at significant level were set at p≤0.05. Results: Six weeks of moderate aerobic exercise in men with metabolic syndrome caused a significant increase in serum levels of adiponectin (p=0.008) and the adiponectin/TNF-α ratio (p=0.003) as well as a significant decrease in TNF-α (p=0.01) also were observed. Moreover, serum levels of metabolic parameters including fasting glucose (p=0.001), triglyceride (p=0.003), high-density lipoprotein cholestrol (p=0.03) and BMI (p=0.04) showed a significant improvement at post test. The highest change in the adiponectin/TNF-α and the lowest change in high-density lipoprotein cholestrol were observed. Conclusion: It seems that moderate aerobic exercise by adjusting the parameters related to the metabolic syndrome disease and also reducing inflammation, can improve the symptoms of this disease.

کلیدواژه‌ها [English]

  • Aerobic exercise
  • Adiponectin
  • Tumor necrosis factor alpha
  • Metabolic syndrome
  • Insulin resistance
Afzalpour, M.E., Ilbeigi, S., Chedani, F., Ghadimi, H., & Shariatzadeh Joneydi, M. (2021). Assessment of physical fitness and preparing norm in 18-60 years old of Birjand’s men and women. Journal of Practical Studies of Biosciences in Sport, 9(20), 98-112. [In Persian], https://doi.org/10.22077/jpsbs.2020.3680.1582.
An, J.N., Yoo, K.D., Hwang, J.H., Kim, H.L., Kim, S.H., & Yang, S.H. (2015). Circulating tumour necrosis factor receptors 1 and 2 predict contrast‐induced nephropathy and progressive renal dysfunction: A prospective cohort study. Nephrology, 20(8), 552-9. https://doi.org/10.1111/nep.12448.
Appachi, S., Kelly, K.R., Schauer, P.R., Kirwan, J.P., Hazen, S., & Gupta, M. (2011). Reduced cardiovascular risk following bariatricsurgeries is related to a partial recovery from adiposopathy. Obesity Surgery, 21(12), 1928-1936. https://doi.org/10.1007/s11695-011-0447-5.
Azali Alamdari, K., Armanfar, M., & Khodaei, O. (2015). The effect of high intensity interval training on serum adiponectin, insulin resistance and markers of metabolic syndrome in men with metabolic syndrome. Biannual Journal of Applied Health Studies in Sport physiology, 5(1), 69-76. [In Persian], https://doi:10.22049/JAHSSP.2022.28030.1503.
Azali Alamdari, K., & Gholami, F. (2017). Effect of aerobic training on retinol binding protein-4 and insulin resistance in women with metabolic syndrome. Metabolism and Exercise, 5(2), 109-119. [In Persian], https://jme.guilan.ac.ir/article_2067.html?lang=en.
Baghersad Renani, L., Khoramipour, K., Ahmadihekmatkar, A.H., Rahmaty, S., & Gaeini, A.A. (2020). Adiponectin, disease, and exercise: A narrative review. Iranian Journal of Endocrinology and Metabolism, 22(3), 194-206. [In Persian], http://ijem.sbmu.ac.ir/article-1-2742-en.html.
Banaeifar, A., Eizadi, M., Sohaily, Sh., Parsyan, H., & Sayedhossaini, M. A. (2017). Adiponectin/TNF-α ratio following a selected aerobic training in sedentary adult obese men. Avicenna Journal of Medical Biochemistry, 5(1), 29-34. https://doi.org/10.15171/ajmb.2017.05.
Bennett, G., Strissel, K.J., DeFuria, J., Wang, J., Wu, D., & Burkly, L.C. (2014). Deletion of TNF‐like weak inducer of apoptosis (TWEAK) protects mice from adipose and systemic impacts of severe obesity. Obesity, 22(6), 1485-94. https://doi.org/10.1002/oby.20726.
Bolboli, L., Mamashli, M., & Rajabi, M. (2018). The effect of aerobic exercise on hormone levels of adiponectin and insulin resistance index in women with type 2 diabetes. Sport Physiology, 10(37), 63-86. [In Persian], https://doi.org/10.22089/spj.2018.1154.
Bouchonville, M., Armamento-Villareal, R., Shah, K., Napoli, N., Sinacore, D.R., & Qualls, C. (2014). Weight loss, exercise or both and cardiometabolic risk factors in obese older adults: results of a randomized controlled trial. International Journal of Obesity, 38(3), 423- 31. https://doi.org/10.1038/ijo.2013.122.
Chatripour, R., Sadeghi Rad, K., Sharifi, H., & Jorvand, R. (2021). Comparison of the prevalence of metabolic syndrome in military and non-military (civilian) personnel and Its relationship with lifestyle. Journal of Military Medicine, 23(4), 358-366. [In Persian],  https://doi.org/10.30491/JMM.23.4.358.
Eizadi, M., Haji Rasouli, M., & Khorshidi, D. (2019). The effect of 3 months of aerobic training on TNF-α and insulin resistance in obese men with type 2 diabetes. Journal of Sport Biosciences, 11(3), 253-269. [In Persian], https://doi.org/10.22059/jsb.2019.207867.1085.
El-Kader, M.S., Al-Jiffri, O., & Ashmawy, E.M. (2013). Impact of weight loss on markers of systemic inflammation in obese Saudi children with asthma. African Health Sciences, 13(3), 682-688. https://doi.org/10.4314/ahs.v13i3.23.
Esna Ashari, F., Pirdehghan, A., Safarzadeh Khoshabi, A., Gharakhani, M., & Jiryaee, N. (2018). Prevalence of metabolic syndrome in patients admitted to the cardiology ward of farshchian hospital in hamadan city. Avicenna Journal of Clinical Medicine, 25(3), 177-184. [In Persian], https://doi.org/10.21859/ajcm.25.3.177.
Esposito, K., Pontillo, A., Giugliano, F., Giugliano, G., Marfella, R., & Nicoletti, G. (2003). Association of low interleukin-10 levels with the metabolic syndrome in obese women. The Journal of Clinical Endocrinology & Metabolism, 88(3), 1055-58.  https://doi.org/10.1210/jc.2002-021437.
Farkhani, B.M., Asghari, H., Razavi, H., Behradnasab, M., & Mogharnasi, M. (2021). Effect of 4 weeks concurrent resistance-endurance training with continuous and interval methods on muscular power, strength and maximal oxygen consumption in young men soccer players. Journal of Practical Studies of Biosciences in Sport, 9(19), 20-32. [In Persian], https://doi.org/10.22077/jpsbs.2020.3435.1561.
Fasshauer, M., Kralisch, S., & Klier, M. (2003). Adiponectin gene expression and secretion is inhibited by interleukin-6 in 3T3-L1 adipocytes. Biochemical and Biophysical Research Communications, 301(4), 1045-50. https://doi.org/10.1016/s0006-291x(03)00090-1.
Ghasemi, M., & Taghian, F. (2018). Comparison the effects of 12 weeks increasing aerobic exercise & licorice consumption on adiponectin levels in obese women. Pars Journal of Medical Sciences,16(4), 30-38. [In Persian], https://doi.org/10.52547/jmj.16.4.30.
Haram Baf, A., Nikbakht, M., & Habibi, A.H. (2016). Acute effect of incremental aerobic exercise with arm and leg on response of heart rate and blood pressure recovery in active and inactive girls. Journal of Applied Health Studies in Sport Physiology, 4(1), 37-44. [In Persian], https://doi.org/10.22049/JASSP.2019.26546.1217.
Jackson, A.S., & Pollock, M.L. (1978). Geeralized equations for predicting body density of men. British Journal of Nutrition, 40(3), 497-504. https://doi.org/10.1079/bjn19780152
Khanvari, T., Rohani, H., Vakili, J., & Sari Sarraf, V. (2021). Effect of high-intensity interval training on leptin, adiponectin, and leptin/adiponectin ratio in overweight adolescent Boys. Yafte, 23(3), 43-56. [In Persian], https://doi.org/10.32592/yafteh.2021.23.3.5
Kim, Y., Nam, J., Dong, W., Kim, K., Sang, H., & Chul, W. (2015). The effects of aerobic exercise training on serum osteocalcin, adipocytokines and insulin resistance on obese young males. Clinical Endocrinology, 82(22), 686-94. https://doi.org/10.1111/cen.12601
Maleki, S., Behpoor, N., & Tadibi, V. (2020). Effect of 8 weeks of resistance training and supplementation of cinnamon on plasma levels of leptin and adiponectin in overweight women. Journal of Practical Studies of Biosciences in Sport, 8(16), 132-142. [In Persian], https://doi.org/10.22077/jpsbs.2019.2082.1465.
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. [In Persian], https://daneshvarmed.shahed.ac.ir/article_1895_en.html?lang=en.
Mullen, K.L., Tishinsky, J.M., Robinson, L.E., & Dyck, D.J. (2010). Skeletal muscle inflammation is not responsible for the rapid impairment in adiponectin response with high- fat feeding in rats. American Journal of Physiology, Regulatory, Integrative and Comparative Physiology, 299(2), 500-8. https://doi.org/10.1152/ajpregu.00080.2010.
Ouchi, N., Parker, J.L., Lugus, J.J., & Walsh, K. (2011). Adipokines in inflammation and metabolic disease. Nature Reviews Immunology, 11(2), 85-97. https://doi.org/10.1038/nri2921.
Pattyn, N., Cornelissen, V.A., Eshghi, S.R.T., & Vanhees, L. (2013). The effect of exercise on the cardiovascular risk factors constituting the metabolic syndrome. Sports Medicine, 43(2), 121-33. https://doi.org/10.1007/s40279-012-0003-z.
Piroozan, F., Daryanoosh, F., Jafari, H., & Sherafati Moghadam, M. (2015). The effect of 12-week exercise with omega-3 supplement consumption on serum level changes of adiponectin, leptin, and insulin in girls. Avicenna Journal of Clinical Medicine, 22(2),129-136. [In Persian], http://sjh.umsha.ac.ir/article-1-43-fa.html.
Racil, G., Ounis, O.B., Hammouda, O., Kallel, A., Zouhal, H., & Chamari, K. (2013). Effects of high vs. moderate exercise intensity during interval training on lipids and adiponectin levels in obese young females. European Journal of Applied Physiology, 113(10), 2531-40. https://doi.org/10.1007/s00421-013-2689-5.
Sari-Sarraf, V., Amirsasan, R., & Iraqi, S F. (2021). Comparison of changes in miR-146a gene expression and serum levels of TNF-α, IL-6 and CRP following interval or continuous aerobic training with calorie restriction in obese women. Journal of Practical Studies of Biosciences in Sport, 9(20), 30-43. [In Persian], https://doi.org/10.22077/jpsbs.2020.3560.1572.
Schulze, M.B., Shai, I., Rimm, E.B., Li, T., Rifai, N., & Hu, F.B. (2005). Adiponectin and future coronary heart disease among men with type 2 diabetes. Diabetes, 54(2), 534-539. https://doi.org/10.2337/diabetes.54.2.534.
Troy, P., Len, K., Karol, D., & Christin, M. (2018). Understanding the factors that effect maximal fat oxidation. Journal of the International Society of Sports Nutrition, 15(3), 2-10. https://doi.org/10.1186/s12970-018-0207-1.
Vizvari, E., Farzanegi, P., & Abaszade Sourati, H. (2019). Effect of moderate aerobic training on serum levels of angiogenic and angiostatic factors in women with type 2 diabetes. Journal of Ilam University of Medical Sciences, 27(1), 112-121. [In Persian], https://doi.org/10.29252/sjimu.27.1.112.
Wang, X., You, T., Murphy, K., Lyles, M.F., & Nicklas, B.J. (2015). Addition of exercise increases plasma adiponectin and release from adipose tissue. Medicine and Science in Sports and Exercise, 47(11), 2450-5. https://doi.org/10.1249/mss.0000000000000670.
Whyte, L.J., Gill, J.M., & Cathcart, A.J. (2010). Effect of 2 weeks of sprint interval training on health-related outcomes in sedentary overweight/obese men. Metabolism, 59(10), 1421-8. https://doi.org/10.1016/j.metabol.2010.01.002.
Yamauchi, T., Kamon, J., Minokoshi, Y., Ito, Y., Waki, H., Uchida, S., & Yamashita, Y. (2002). Adiponectin stimulates glucose utilization and fatty-acid oxidation by activating AMP-activated protein kinase. Nature Medicine, 8(11), 1288-95. https://doi.org/10.1038/nm788.
Yokoyama, H., Emoto, M,, Araki, T., Fujiwara, S., Motoyama, K., & Morioka, T. (2004). Effect of aerobic exercise on plasma adiponectin levels and insulin resistance in type 2 diabetes. Diabetes Care, 27(7), 1756-8. https://doi.org/10.2337/diacare.27.7.1756.
You, T., & Nicklas, B.J. (2008). Effects of exercise on adipokines and the metabolic syndrome. Current Diabetes Reports, 8(1), 7-11.  https://doi.org/10.1007/s11892-008-0003-4.