Iranian Journal of Diabetes and Lipid Disorders

Investigating the Relationship between Serum GLP-1 Levels and Thyroid-Related Hormones and Some Anthropometric Indices after a Period of Calisthenics Exercises in Diabetic Children

Vazgen Minasian

Background: Clinical studies have demonstrated that diabetes, as a metabolic disorder, can significantly impact the quality of life of individuals affected by the condition. Physical activity has been identified as a potentially effective therapeutic intervention for managing diabetes in these individuals. This study examined the correlation between serum levels of GLP-1 and the hormones thyroxine, TSH, insulin, glucose, HbA1c, VO2max, as well as various anthropometric indicators after eight weeks of calisthenics exercises.
Methods: This semi-experimental study involved 14 sedentary children with type 1 diabetes, averaging 12.42±1.28 years, selected through non-random sampling. The participants performed calisthenics exercises for eight weeks (three sessions per week). Physiological assessments and blood samples were collected 48 hours before and after the training period. The relationship was analyzed using Pearson's correlation test, and intra-group changes were assessed using paired t-tests.
Results: The findings demonstrated a positive and significant correlation between GLP-1 and insulin both before (r= 0.703, P= 0.005) and after the exercise intervention (r= 0.668, P= 0.009). Additionally, an inverse and significant correlation was observed between GLP-1 and waist circumference (WC) levels before (r= 0.633, P= 0.019) and after exercise (r= 0.575, P= 0.043), as well as between GLP-1 and body fat percentage after exercise (r= 0.676, P= 0.007). In terms of intra-group changes, the results indicated a significant increase in GLP-1, insulin, and VO2max, along with a significant decrease in WC.

Conclusion: The findings of this study show that engaging in calisthenics exercises can be effective in reducing the negative effects of type 1 diabetes and increasing the health of diabetic children.

Comparison the Effect of Two Type Resistance Training on Metabolism Branched-Chain, Aromatic Amino Acids and Insulin Resistance in Overweight and Obese Male Students

Mehdi Changizi

Background: Obesity is known to have metabolic complications including insulin resistance (IR) and metabolic disorder. The aim of this study was to compare the effect of two traditional 12-week circular resistance training methods on the levels of branched and aromatic amino acids and insulin resistance of overweight and obese men.
Methods: The current research method is of the clinical trial type, with Thirty-three overweight and obese men with mean and standard deviation of age, weight and body mass index were 17.7±0.13 years, 92±2.45 kg and 30.70±32 1.32 kg / m2, respectively. They were selected and randomly divided into three groups: circular resistance training (n= 11), traditional resistance training (n= 11) and control (n= 11). The training program consisted of two traditional resistance training protocols and 12-week wave circuits that were exactly the same volume; Which was run three times a week. Blood sampling was performed 48 hours before and after the training protocol and after 8 hours of fasting. HPLC was used to measure serum levels of amino acids.
Results: The results of analysis of variance in the groups showed that circuit training more than 2 times compared to traditional training reduces total BCAAs (35.9 vs. 15.5%) and AAAs in serum (19.5 vs. 9%) and equally the level of insulin resistance. (23 and 26.7 percent, respectively) reduced the door in overweight and obese young men.
Conclusion: The results of this study showed that the level of changes in circular resistance training was higher than traditional. Circular resistance training may be able to prevent obesity-related metabolic disorders.

The Effect of Resistance Training on the Content of Endoplasmic Reticulum Stress-Related Proteins and Unfolded Protein Response in the Left Ventricle of the Heart of Type 2 Diabetic Rats

Mohammad Sherafati Moghadam

Background: Endoplasmic reticulum stress leads to unfolded or folded protein response, and ATF4 and CHOP proteins play very important roles in this signalling pathway; Therefore, the aim of this research is the effect of resistance training on the content of ATF4 and CHOP proteins in the left ventricle of the heart of type 2 diabetic rats.
Methods: In this experimental study, 12 two-month-old male Sprague Dawley rats were selected and their weight reached an average of 280±20 gr after four weeks. Type 2 diabetes was induced by injecting nicotinamide solutions (110 mg/kg) and streptozotocin (60 mg/kg). The rats were randomly divided into 2 groups, resistance training and diabetic control; Resistance training consisted of 8 weeks and 3 sessions per week of climbing a vertical ladder with an 85-degree slope, one meter long with 26 steps and 2 cm space between each step. To analyze data, independent t-test was used in SPSS version 29 and Graphpad Prism version 10.2.3. A significance level of P≤0.05 is considered.
Results: The content of ATF4 and CHOP proteins after 8 weeks of resistance training showed a significant change compared to the control group in the left ventricle of the heart (P=0.001).
Conclusion: The increase of ATF4 and CHOP proteins can lead to increased cell death of cardiomyocytes in the left ventricle of the heart of type 2 diabetic subjects through increasing the endoplasmic reticulum stress and initiating the unfolded or folded protein response.

Comparison of the Effect of Aerobic Exercise and Gymnema Sylvestre Supplement on Some Markers Related to Cardiomyopathy in Type 2 Diabetic Mice

Khosro Jalali Dehkordi

Background: Type 2 diabetes and its relationship with cardiovascular diseases is one of the concerns of today's society. Although the favorable role of aerobic exercise and gymnema sylvester supplement consumption in diabetic patients has been reported, the effect of aerobic exercise and gymnema sylvester supplement consumption on heart tissue is not well known. Therefore, the purpose of this research is Comparison of the effect of aerobic exercise and gymnema sylvestre supplement on some markers related to cardiomyopathy in type 2 diabetic mice.
Methods: The present research was experimental. The statistical samples included 40 male C57BL/6 mice (with an average age of 8 to 10 weeks and a weight of 20 to 25 gr). who became diabetic after 20 weeks of feeding with a high-fat diet. Then randomly divided into five eight groups including: diabetes + exercise (TDM), diabetes + gymnema sylvester (GSDM), diabetes + exercise + gymnema sylvester (TGSDM), diabetes (DM) and healthy control (CN). The aerobic exercise program consisted of exercises at a speed of 10 m/min for six weeks and five training sessions per week on a treadmill. Daily consumption of gymnema sylvester at the rate of 0.1 g/kg orally alone and also with training intervention was done for six weeks. Serum glucose concentration was measured by enzymatic method, insulin level by ELISA method, insulin resistance by HOMA-IR method and expression of CASPASE-1 and NLRP3 genes by RT-PCR method. Data evaluation was calculated using covariance statistical test and Bonferroni's post hoc test, the significance level was considered as P≤ 0.05.
Results: The findings showed that aerobic exercise and gymnema sylvestre supplement alone caused a significant decrease in the levels of glucose, insulin, insulin resistance and the expression of CASPASE-1 and NLRP3 genes in the heart tissue (P≤ 0.05), the largest decrease in the dependent variables related to the aerobic exercise group with Gymnema Sylvester supplement (P≤0.05). Also, there is no significant difference between the dependent variables of the diabetes group and aerobic exercise and the diabetes group and Gymnema Sylvester supplement (P≤ 0.05).
Conclusion: Six weeks of aerobic exercise, gymnema sylvester supplement and aerobic exercise combined with gymnema sylvester supplement improves blood variables by reducing glucose, insulin and insulin resistance, as well as improving markers related to cardiomyopathy by reducing the expression of caspase-1 and NLRP3 genes in the heart tissue in type 2 diabetic mice.

Effect of Moderate-Intensity Interval Training (MIIT) on Total and Phosphorylated Content of Ribosomal Protein S6K1 in Heart Tissue of Type 2 Diabetic Rats

Hamed Alizadeh pahlavani

Background: Type 2 diabetes is characterized by insulin resistance and hyperglycemia and can lead to heart disease. Therefore, the aim of the present study is to investigate the effect of MIIT on the S6K1 pathway in the myocardium, which is related to the control of cell growth and proliferation.
Methods: In this study, 12 two-month-old male Sprague Dawley rats with an average weight of 280±30 grams participated. To induce diabetes, nicotinamide and streptozotocin solutions were injected with a dose of 110 mg/kg and 60 mg/kg, respectively. The blood sugar of rats was determined between 126-260 mg/dL as an indicator of type 2 diabetes. After the induction of diabetes, the rats were randomly divided into diabetic training group (6 heads) and diabetic control group (6 heads). The diabetic training group trained for 4 weeks and 4 sessions every week. 24 hours after the last training session, the left ventricle of heart was isolated and the amount of protein was measured by western blotting method. Variables were analyzed through independent t-tests. The significance level of study was considered P≤0.05.
Results: Data analysis showed that the intracellular content of total (P=0.62), phosphorylated (P=0.85), and total to phosphorylated (P=0.77) S6K1 protein did not show significant changes after 4 weeks of MIIT.
Conclusion: It seems that after 4 weeks of MIIT, S6K1 protein does not change significantly, so it seems that the duration and intensity of training and nutritional conditions to increase S6K1 phosphorylation should be considered in future research

Changes in GLUT4 Gene Expression in Soleus Muscle Tissue and Insulin Resistance Index After HIIT and Consumption of Chromosome Royal Gel in Type 2 Diabetic Obese Rats

Hossein Abednatanzi

Background: Type 2 diabetes is the most common endocrine disease that occurs due to glucose intolerance due to imbalance between insulin demand and reserves. Glucose transport to the muscle fiber is carried out by glucose transporter proteins (GLUTs). GLUT4 is the most important glucose transporter isoform in skeletal muscles. Insulin and exercise stimulate the fast and intense transfer of GLUT4 to the plasma membrane and cause the absorption of glucose in muscle and fat tissue. The aim of the present study was to study the changes in GLUT4 gene expression in soleus muscle tissue and insulin resistance index after HIIT and royal jelly in type 2 diabetic obese rats.
Methods: The statistical subject consisted of wistar rats became diabetic after a 20 weeks high-fat diet by intraperitoneal injection of 25 mg/kg STZ. Rats with fasting glucose between 150 and 400 mg / dL were considered to have type 2 diabetes. HIIT protocol and gavage performed for eight weeks, five sessions per week with 2-minute alternation of 2 and 8 intervals with 80 to 90% vo2max and a one-minute rest cycle with 50 to 56% vo2max. Royal Jelly was given by gavage at a dose of 100 mg / kg 5 days a week.
Results: Data analysis using two-way analysis of variance test showed that in comparison with the control group, HIIT led to a significant reduction in glucose and insulin resistance index.so data shown that a significant increase in soleuse mascle GLUT4 gene expression compared to the control group and HIIT and royal jelly (P = 0.001).
Conclusion: HIIT and royal jelly were effective in reducing insulin resistance index and expression of genes effective in glucose consumption in soleus muscle. Also, HIIT and royal jelly led to an increase in GLUT4 gene expression in the soleus muscle compared to the control group, which is important in glucose consumption in diabetics.

The Effect of Moderate-Intensity Continuous Training (MICT) on Total and Phosphorylated Content of Eukaryotic Translation Initiation Factor-4E-Binding Protein-1 (4EBP1) in the Muscle Tissue of Type 1 Diabetic Rats

Hamed Alizadeh pahlavani

Background: Type 1 diabetes is characterized by persistent hyperglycemia and leads to impaired protein synthesis and ultimately muscle breakdown and reduction in muscle function. Therefore, this research was conducted with the aim of investigating the effect of moderate intensity continuous training (MICT) on the amount of 4EBP1 in the biceps muscle of type 1 diabetic rats.
Methods: The present study is of experimental-fundamental type in which 12 2-month-old male Sprague Dawley rats with an average weight of 280±30 grams participated. To induce type 1 diabetes, streptozotocin (STZ) solution was injected intraperitoneally at a dose of 65 mg/kg. 3 days after the injection, blood sugar above 300 mg/dl was considered as an indicator of type 1 diabetes. After the induction of diabetes, the rats were randomly divided into 2 diabetic training groups (6 heads) and diabetic control groups (6 heads). The continuous training program (32 minutes with an intensity of 50-70% of maximum speed) was 8 weeks and 3 sessions every week. Data analysis was done through independent t-tests. Data analysis was done using GraphPad Prism software version 10.2.2. The significance level of the present study was considered P≤0.05.
Results: In the training group after 8 weeks of MICT, the intracellular content of phosphorylated (P=0.0001), total (P=0.0001) and the ratio of phosphorylated to total (P=0.002) protein 4EBP1 showed a significant change compared to the control group in the twin muscle tissue.
Conclusion: 4EBP1 protein seems to increase through 8 weeks of MICT and this mechanism can increase muscle synthesis in muscle tissue.

Investigating and Comparing the Health Literacy of Pregnant Women with Gestational Diabetes and Non-Diabetics Referring to Health Centers in Yazd City in 2023

Mahdieh Joukar

Background: gestational diabetes is one of the most common diseases during pregnancy, and health literacy of pregnant mothers plays an important role in the prevention and management of the disease. The study aimed to examine and compare the health literacy of pregnant women with gestational and non-diabetic diabetes visiting health centers in the city of Yazd in 1402.
Methods: This descriptive-analytical study was conducted on 206 diabetic and non-diabetic pregnant women; the cluster health center sampling method and pregnant mothers were randomized sampling method. The data was collected using a health literacy questionnaire and analyzed using Chi Square tests, independent t-Tests and variance analysis.
Results: The results of the study showed that the average health literacy score of non-diabetic pregnant mothers (74.26 ± 13.75) was significantly higher than the average health literacy score of diabetic mothers (47.527 ± 21.06) (P< 0.001) and the percentage of diabetic women with insufficient health literacy was reported as 69% and 3.9% of non-diabetic women, which indicates a significant difference in the level of health literacy between diabetic and non-diabetic pregnant mothers (P< 0.001). In addition, diabetic mothers showed an inverse relationship between health literacy and the number of pregnancies and their children, while this trend was not observed in non-diabetic mothers (P< 0.001).
Conclusion: The results of this study indicate that non-diabetic pregnant women have higher health literacy than those with gestational diabetes, highlighting the importance of enhancing health literacy in this group of mothers. Additionally, the strong relationship between health literacy and the mother's diabetes status underscores the need for targeted programs and training to improve health literacy among diabetic pregnant women. Therefore, enhancing health literacy can be crucial in better managing gestational diabetes and improving maternal health outcomes.