Iranian Journal of

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Background: kallikrein 7 (KLK7), a serine protease with a chymotrypsin-like specificity, is able to cleave human insulin in the A- and B-chain. The aim of this study was to investigate the effects of aerobic exercise training on plasma KLK7 concentration and insulin resistance index (HOMA-IR) in normal and overweight sedentary women.

Methods: Twenty-eight sedentary women, aged 24-60 years, voluntary participated in this study and according to body mass index status divided into normal (n=15) and overweight (n=13) groups. All subjects completed an 8-week progressive aerobic exercise training program (running with 40- 80% Heart rate reserve). Metabolic and Anthropometric (body weight, BMI, body fat percentage) parameters in addition to plasma KLK7 concentrations were measured at baseline and end of training program.

Results: Body fat percentage significantly decreased (P<0.05) and maximum oxygen consumption increased (P<0.05) by this training program in both training groups. At baseline, plasma KLK7 concentration in overweight women was significantly higher compared with normal weight group (P<0.05). Plasma KLK7 concentrations significantly increased after 8-week aerobic exercise training only in normal weight group (P<0.05). Changes in plasma KLK7 concentrations were not correlated with changes in insulin concentration and insulin resistance index (P<0.05).

Conclusion: Aerobic exercise training could be an effective factor to increase plasma KLK7 concentration in sedentary women. These data do not support a role of plasma KLK7 in insulin resistance alterations.

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Background: The relationship between adipokines, insulin resistance and type 2 diabetes has been well documented. However, the effect of exercise training modalities on some of the new adipokines and their association with insulin resistance is not clear. The purpose of this study was to compare the effect of endurance and progressive resistance training on serum adiponectin, vaspin and insulin resistance in overweight and obese men.
Methods: 33 overweight men (mean BMI= 27.3 kg/m2) were randomly divided into 3 groups of n=11, including; 1- continues training, 2- progressive resistance training and 3-control. The training protocols was lasted to eight weeks, three days a week in continues and progressive resistance training groups. Before the beginning of the training and 72 hours after the last training session, blood samples were collected for measuring serum adiponectin, vaspin, glucose and insulin.
Results: There was a significant decrease in insulin levels and a significant increase in serum adiponectin and vaspin in both groups of continuous and progressive resistance training (P<0.05). After the training, there was a significant difference between the groups in the concentration of adiponectin (P= 0.001) and vaspin (P= 0.021). However, there was no significant difference between continuous and progressive resistance training groups in any of the variables.
Conclusion: It seems that progressive resistance training like the endurance training, improves anti-inflammatory indices and insulin resistance of overweight and obese men.

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Background: The formation of islet amyloid polypeptide (IAPP) have been proposed for d increased b-cell apoptosis in type 2 diabetes. Exercise training plays a protective role against diabetes. Alpha lipoic acid (ALA) is a powerful biological antioxidant. However, the role of exercise training and ALA on IAPP are not well understood. The aim of the present study was to investigate the effect of training with different intensity and Alpha lipoic acid supplement on pancreatic mRNA IAPP in rats with type 2 diabetes.
Methods: In this experimental study, 35 wistar rats were randomly divided into seven groups: control, diabetic (D), diabetic+ alpha lipoic acid (ALA), diabetic high intensity training (HIT), diabetic moderate intensity training (MIT), diabetes HIT+ALA (ALA+HIT), diabetic MIT +ALA (ALA+MIT). The HIT and MIT protocols was performed five days a week for six weeks. HIIT included 10 bouts of four minutes (running at 85–90% of VO2max) and MIT 13 bouts of four minutes (running at 65–70% of VO2max). ALA was administered orally 20 mg/kg once a day by gavage. Real-time PCR method for the relative expression of mRNA of IAPP gene were used.
Results: The level of IPAA increased significantly in diabetic group compared to control (p=0.0039). Also, level of IPAA decreased significantly in ALA (p=0.01) and ALA+HIT diabetic group (p=0.021).
Conclusion: diabetes is associated with increased mRNA IAPP in pancreatic b-cell and HIT plus ALA can be as an effective intervention in decreasing IAPP in pancreatic b-cell. in diabetics.

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Background: Artificial intelligence analysis based on the gene list obtained from the DisGeNET database identified the important genes involved in the heart damage process. Data enrichment highlighted the apoptosis signaling pathway as a vital pathway in cardiovascular risk. Hence, we estimated the binding affinity of chemical and plant bioactive molecules for cytochrome-c protein. Here, we performed to evaluate the effect of eight weeks of resistance training (RT) with Tribulus Terrestris (TT) consumption on the mechanism of apoptosis in the heart tissue of rats exposed to stanozolol.
Methods: Thirty-five male rats were divided into seven groups: (1) Control, (2) Stanozolol (ST), (3) ST + 100 mg / kg TT, (4) ST + 50 mg / kg TT, (5) ST + RT (SRT), (6) S + RT + 100 mg / kg T (SRTT100), and (7) ST + RT + 50 mg / kg T (SRTT50). Differential gene expression was measured by q-RT-PCR. In bioinformatics analysis, the apoptosis signaling pathway was defined as a critical process in heart damage. In addition, adverse effects of Tribulus Terrestris and stanozolol on heart tissue were detected through the apoptotic pathway by molecular docking.
Result: Resistance training along with 100 mg/kg reduced CRP and cytochrome-c Moreover, 100 mg/kg TT as a more favorable effect than 50 mg/kg TT
Conclusion: we showed the beneficial effects of Tribulus Terrestris, the plant’s bioactive compound that can reduce cardiovascular risks by impairing the formation of apoptosome assemblages and inflammation.

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Background: Myogenin (MyoG) and Myostatin (Mstn) play role in muscle growth and wasting, respectively. The present study aimed to investigate the combined effect of High-intensity Interval Training (HIIT) and Metformin drug (Metf) on gene expression of MyoG and Mstn in skeletal muscle of type 2 diabetic mice.
Methods: 25 mice (C57BL/6) were assigned to two groups, including 1) Control © (n=5), and 2) HFD (n=20). The mice of the HFD group were fed a high-fat diet for 16 weeks. After 16 weeks, the mice with over 200 mg/dl were selected as diabetic mice. Then, the diabetic mice were divided into four groups including 1) Control Diabetic (CD) (n=5), 2) Diabet with Metf (DM) (n=5), 3) Diabet with HIIT (DH) (n=5) 4) Diabet with Metf and HIIT (DMH) (n=5). The mice of experimental groups underwent the interventions for eight weeks. The Real-Time–PCR methods were used to measure the mRNA expression of MyoG and Mstn in the Rectus-Femoris muscle.
Results: HIIT (but no Metf) upregulated the gene expression of MyoG (p=0.05). Metformin did not affect Mstn expression (p=0.45), However, HIIT downregulated the expression of Mstn (p=0.001). Metformin did not affect decreasingly or incrementally the downregulating effect of HIIT on Mstn expression (p=0.95).
Conclusion: Metf may not positively or negatively affect the expression changes of MyoG and Mstn induced by HIIT in skeletal muscle of mice with type 2 diabetes.

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Background: 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.
Methods: 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.
Results: 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).
Conclusion: 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.

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Background: Fetuin-A, as a hepatokine, plays an important role in the regulation of whole-body metabolism, which is increased with chronic diseases. Therefore, the aim of this meta-analysis is to investigate the effect of exercise training on Fetuin-A levels in individuals with metabolic and kidney diseases.
Methods: A systematic search was conducted in PubMed, Web of Science, and Google Scholar databases until November 2022 using the keywords "exercise training" and "Fetuin-A". To determine the effect size, standardized mean difference (SMD) and 95% confidence interval were calculated using CMA2 software. Heterogeneity was evaluated using the I2 test, and publication bias was evaluated by visual interpretation of the funnel plot and Egger's test. The quality of the included studies was evaluated using the PEDRO checklist.
Results: A total of 16 studies including 21 trials arms and 554 subjects with type 2 diabetes, obesity and kidney disease were included in the meta-analysis. Exercise training resulted in a significant decrease in Fetuin-A levels [-0.93 (CI: -1.35 to -0.51) P= 0.001]. There was a high heterogeneity (I2= 89.24, P= 0.001) and also a significant publication bias (P= 0.001). The results of subgroup analysis based on the type of exercise training showed that aerobic training resulted in a significant decrease in Fetuin-A (P= 0.001) while the reduction of this marker with combined training was not significant (P= 0.33).
Conclusion: Exercise training, especially aerobic training, results in a decrease in Fetuin-A levels in metabolic patients, which may be contributed to the beneficial effects of exercise.

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Background: This review aims to investigate and analyze recent studies related to the effects of various exercise training on adipokines secreted from adipose tissue in patients with type 2 diabetes.
Methods: Search in Persian and Latin databases PubMed, ScienceDirect, Google Scholar, Magiran, and SID with the keywords aerobic exercise, resistance training, High-intensity interval training, diabetes, Adipokine, Leptin, Adiponectin, and Resistin, resistance training, intense interval training, aerobic exercise, combined exercise, adipokine, leptin, adiponectin and resistin were performed to retrieve articles published in the period from 2010 to 2023.
Results: The results obtained from the study showed that aerobic exercise with moderate intensity (60 to 80%) reduces the leptin levels of diabetic patients, however, the effect of combined exercises (aerobic and resistance) is much greater than other types of exercises. In addition, aerobic exercises with moderate intensity (50 to 70%) lead to an increase in adiponectin levels in diabetic patients, however, high-intensity interval training (HIIT) had a greater effect in increasing adiponectin levels than other exercises. Also, studies showed that all three types of activities, aerobic exercise (50-70% intensity), intense intermittent exercise, and resistance exercise (30-70% 1RM) have the same effects in reducing the resistance levels of diabetic patients.
Conclusion: Aerobic exercises with medium and high intensity and especially combined exercises (aerobic and resistance) while improving adipokines, decreasing leptin and resistin levels, and also increasing adiponectin in diabetic patients.

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Background: Diabetes can disrupt the balance of cell death through different cell pathways, and exercise or consumption supplements can be effective in maintaining the balance of cell death types; Therefore, the purpose of this research is the effect of magnesium supplementation and exercise training on the content of CREB2 and C/EBP homologous protein (CHOP) in the left ventricle of the heart of type 2 diabetic rats.
Methods: In this experimental study, 24 2-month-old male Sprague‌-Dawley rats with an average weight of 280±20 grams were selected. Type 2 diabetes was induced by injecting nicotinamide and streptozotocin solutions. The rats were randomly divided into 4 groups, 1) control, 2) supplement, 3) training and 4) training+supplement; Resistance training consisted of 8 weeks and 3 weekly sessions of climbing a ladder. Magnesium supplement was given to rats once a day. To analyze the data, one-way ANOVA and Tukey's post hoc tests were used in SPSS version 29.
Results: Eight weeks of magnesium supplementation and resistance training led to a significant change in the content of CREB2 and CHOP proteins between groups in the left ventricle of the heart (p=0.001). A significant decrease was observed in the groups of resistance training + magnesium supplement and magnesium supplement compared to the control group (p≥0.05); But the resistance training group had increased compared to the control group (p≥0.05).
Conclusion: The increase and decrease of CREB2 and CHOP proteins in the left ventricle of the heart can lead to improvement and physiological adaptation, like a bilateral mechanism.

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Background and purpose: The purpose of this study is to investigate the effect of two types of interval and continuous training on apolipoprotein M, TNF-α and IL-6 of visceral fat in rats fed a high-fat diet.
Method: Twenty-four male Wistar rats were randomly divided into four groups including standard diet (ND), high-fat diet (HFD), high-fat diet with moderate intensity continuous exercise (HFD+MICT), high-fat diet with high intensity interval training (HFD+HIIT). The HIIT and MICT groups performed their group specific exercise for 8 weeks, 5 sessions per week. The HIIT protocol consisted of 6 bouts of 4-minute exercise with an intensity of 85-90% of the maximum speed, which had a 2-minute active rest, and the MICT protocol was with an intensity of 65-70% of the maximum speed. Protein levels of apolipoprotein M, TNF-α and IL-6 in visceral fat were measured using western blot method.
Results: Eight weeks of HFD increased the protein levels of apolipoprotein M, TNF-α, and IL-6 in visceral fat compared to the ND group (P<0.05). In contrast, both HIIT and MICT protocols led to a significant reduction of visceral fat IL-6 compared to the HFD group (P=0.001). Also, MICT caused a significant decrease protein levels apolipoprotein M compared to the HFD group (P=0.04). However, both exercise protocols had no significant effect on TNF-α (P<0.05). Also, there was no significant difference between training groups (P<0.05).
Conclusion: Exercise training improves adipose tissue inflammatory markers in high-fat diet-fed rats, and moderate-intensity continuous training may be a more appropriate approach.
 

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Background: Physical activity and green tea is one of the recommended ways to control obesity and its complications such as cardiovascular diseases, diabetes and liver inflammation. The aim of this study was the combined effect of exercise training and green tea on lipid profile in adults with overweight and obesity.
Methods: A systematic search of English and Persian articles published in PubMed, Web of Science, Scopus, SID, Civilica, and Magiran databases was conducted until June 2024.
Results: A total of 14 studies with 390 adults with overweight and obesity, of which 198 subjects were in the combined exercise and green tea group with an average age of 34 years old and BMI with an average of 30 kg.m², of which 192 subjects in the control group with an average age of 34 years old and BMI with an average of 31 kg.m² entered the present meta-analysis. The results showed that the combination of exercise training and green tea caused a significant decrease in TC [WMD=-22.923 mg/dl, P=0.001], TG [WMD=-9.946 mg/dl, P=0.001], LDL [WMD=-11.675 mg/dl, P=0.001] and insignificant increase HDL [WMD=8.888 mg/dl, P=0.017] in adults with overweight and obesity, compared to the control group.
Conclusion: The results of this meta-analysis showed that the combination of exercise training and green tea in overweight and obese adults decreases TC, TG, LDL and increases HDL. Therefore, exercise and green tea can be suggested to them as a non-medicinal and practical solution to improve lipid profile and reduce cardiovascular diseases, diabetes and liver inflammation.