Iranian Journal of

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Background: Zinc-Alpha 2-Glycoprotein (ZAG) has recently been implicated in the regulation of adipose tissue metabolism due to its negative association with obesity and insulin resistance. The purpose of this study is to investigate the effect of eight weeks HIIT on level of ZAG in plasma and adipose tissue in type 2 diabetic male rats.
Methods: Twenty one male rats were divided into the three groups of sham control (healthy), control (diabetic), and interval training (diabetic with training). The training group received 8 weeks of training sessions each with 5-12 repetitions of high intensity training for 15-30 seconds at the speed of 27-34 meters per second on a treadmill followed by one minute of active rest. Twenty four hours after the training session blood and body fat samples were taken to measure ZAG levels. The data was analyzed using one-way ANOVA and Tukey’s post hock test at the significance level of 0.05 (P<0.05).
Results: There were significant differences between the sham control and the control with respect to ZAG contents in adipose tissue, which was lower in the diabetic control group (P<0.001). Moreover, significant differences in ZAG contents of adipose tissue were also observed between the sham control and the group receiving the training, with the sham control having higher ZAG contents in adipose tissue (P<0.005). The eight-week HIIT significantly increased the amount of secreted ZAG in adipose tissue compared to the control diabetic group (P=0.003). No significant differences were recorded between the groups in ZAG plasma levels.
Conclusion: The HIIT increased ZAG content in the adipose tissue of the male diabetic rats. This can reduce insulin resistance in type 2 diabetes.

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Background: Interleukin-6(IL-6) and Tumor Necroes Factor-alpha (TNF-α) are secreted by adipose tissue and are potential regulators of low grade inflammation and metabolic disorders in Obesity Type 2 Diabetes (OT2D). hence, present study examined the effects of interval training with different diet on low grade inflammation and some of metabolic indexes in OT2D.
Methods: forty-five  OT2D men were randomly assigned into a High intensity interval training(HIIT) plus  normal diet group (ND+H), low carbohydrate diet plus   HIIT group(LC+H)   or  HIIT plus   low fat diet group(LF+H) that involved adherence to a 1200-1500 kcal/day(ND+H: 28% fat, 54% carb and 18% protein; LC+H: 42% fat, 40% carb and 18% protein; LF+H: 20% fat, 62% carb and 18% protein) while participating in a supervised HIIT (3 d/week for 12 weeks). Anthropometrics, physiologic features and fasting blood samples were obtained at 0, 8(8 weeks diet only), 16, 20(12 weeks HIIT plus diet) and 24(4 weeks diet only) weeks.
Results: Maximum Oxygen Consumption (VO2max) after 24 weeks of intervention, the LC + H group (P = 0.001, F = 2.195) and LF + H group (P = 0.014, F = 3.548) showed a significant decrease Compared to the pre-test, this decrease was not observed in the ND + H group. The decrease in IL-6 index with other variables (except for maximum oxygen consumption) showed a significant relationship, but the VO2max index had a significant reverse relationship [for LC + H group (p = 0.001, r = -0.54); For LF + H group (p = 0.019, r = -0.41 =), they showed IL-6. In line with changes in IL6, there was a significant difference in TNF-α index in all stages of the study. After 24 weeks of intervention, the LC + H group (P = 0.001, F = 5.541) and LF + H group (p = 0.001, F = 9.654) had a significant reduction compared to the pre-test , But this decrease was not observed in the ND + H group. Significant increase in VO2peak with significant decreases in insulin, HOMA-IR and HbA1c was observed in all groups. Also, there was a significant decrease in IL-6 and TNF-α in LC + H and LF + H groups. Changes in IL-6 and TNF-α showed an inverse association with peak oxygen consumption. Pearson's analysis revealed meaningful relationships between changes in lipid profiles with peak oxygen consumption. VO2peak significant increases in all groups with significant decreases in insulin, HOMA-IR and HbA1c in all groups. Also, IL-6 and TNFα significant decreases in LC+H and LF+H groups. Changes in IL-6 and TNFα significantly Inverse correlated with VO2peak.  Pearson analysis revealed significant correlations between changes in lipid profile to VO2peak.
Conclusion: Results support contentions that diet and exercise affects low grade inflammatory and fitness, lipid and glycemic profiles that changes in IL-6 and TNF-α be correlated with some of these changes.
 

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Background: Cytokines are immune related factors. Production of pro inflammatory cytokines in diabetic patients is increased, which is exacerbated by vigorous training. This study investigates the response of serum IL-2 and IL-4 to eight-week high Intensity Interval Training (HIIT) with caffeine intake on inflammatory and anti-inflammatory responses in diabetic rats.
Methods: In a clinical-interventional animal study, 50 male rats were randomly assigned to 5 equal groups (control group (C), diabetes group (D), diabetes + caffeine group (D+Ca), diabetes + training group (D+T), diabetes + training + caffeine group (D+Ca+T)) and subjected to 8 weeks of caffeine supplementation (70 mg / kg of caffeine powder was injected five days each week) and 8 weeks of 5 sessions per week with 6 to 12 times, 2-min intervals with intensity of 85-90% of maximal speed. 48 hours after the last training session, immunological factors including IL-2 and IL-4 were measured. Statistical analysis of variables was performed using One-way ANOVA and Tukey tests at the significant level (P<0.05).
Results: The results showed that (D+Ca) group had the lowest IL2 in comparison with (D) group (P= 0.001). IL-4 had the highest in (D+Ca) and (D+Ca+T) groups (P = 0.001). But these differences were not statistically significant between (D+Ca) and (D+Ca+T) groups (P= 0.67).
Conclusion: It seems that caffeine to play a role in improving the status of IL-2 and IL-4 in streptozotocin-induced diabetes, but HIIT exercises are not effective in this regard.

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Background: The aim of the present study was to investigate the effect of 8 weeks of HIIT training and supplementation of black grape seed extract on Wnt and Β-catenin gene expression in pancreatic tissue in male rats with type 2 diabetes.
Methods: In this experimental study, 40 male Wistar rats, with average weight of 250 ± 20 gr, after induction of diabetes by STZ, were randomly divided into 5 groups: training- supplement, training-placebo, supplement and diabetic-control and base control. After becoming diabetic, rats were familiarized with protocol for one week and then trained for eight weeks, five days a week. They ran on treadmill with 90% of VO2 max. Intragastric injection of GSPE extracted from black grape seed (Cabernet sauvignon) once a day for 8 weeks (250 mg/kg, proanthocyanidin content >96%). 24 hours after the last session of training, pancreas tissue was extracted, and the level of gene expression was measured by Real Time-PCR. In all statistical analyzes, the statistical significance level was considered to be 0.05.
Results: Eight weeks and supplement significantly increased the mean expression of Wnt and Β-catenin genes in pancreatic tissue of type 2 diabetic rats but the effect of exercise with black grape seed extract on the expression of Wnt genes in the pancreas of diabetic rats was not significant.
Conclusion: It seems that regulating the expression of Wnt and Β-catenin genes through exercise and consumption of black grape seed extract is likely to improve and maintain the function of pancreatic beta cells, especially in diabetic samples.

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Backgrond: Although some studies have studied the mechanism of action of beta cells in animal models and more or less in human populations, but so far the role of exercise therapy or exercise exercise HIIT along with black grape supplementation on the expression of involved genes Less has been studied in pancreatic beta cells, so the aim of the present study was to investigate the effect of eight weeks of intense intermittent exercise with black grape supplementation on the expression of PPARα and PPARγ gene in pancreatic tissue of male rats with type 2 diabetes.
Methods: The study was conducted in the form of an experimental design. The subjects of this project were 40 8-month-old male rats with an average weight of 250 grams. After familiarizing the subjects with exercise and induction of diabetes by STZ, the subjects were randomly divided into 5 groups including exercise, supplement, exercise and supplement, diabetic control and basic control. After 8 weeks of training, 5 sessions per week for 8 weeks with 90% Vo2max activity and supplementation of black grape seed extract, PPARα and PPARγ genes were measured after RNA extraction from pancreas and cDNA synthesis. PPARα and PPARγ genes were measured by Time-Real PCR. Data were analyzed using independent t-test and two-factor analysis of variance at a significance level of 0.05 by SPSS software version 24.
Results: The effect of exercise with consumption of black grape seed extract on the expression of PPARγ and PPARα genes in the pancreas of diabetic rats was not significant, but exercise alone significantly increased the expression of PPARα gene in the pancreatic tissue of diabetic specimens. Consumption of black grape seed extract alone significantly increased the expression of PPARγ and PPARα genes.
Conclusion: It seems that regulating the expression of PPARα and PPARγ genes through exercise and consumption of black grape seed extract may lead to the improvement and maintenance of pancreatic beta cell function in diabetic rats.

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Background: The relationship between low PGC-1α expression and several metabolic diseases such as diabetes and obesity has been identified. This study investigates the effect of eight-week high intensity interval training (HIIT) and caffeine intake on mitochondrial biogenesis in soleus muscle in diabetic rats induced Streptozotocin.
Methods: In a clinical-interventional animal study, 50 male rats were randomly assigned to 5 equal groups (control group(C), diabetes group(D), diabetes + caffeine group(D+Caf), diabetes + training group(D+T), diabetes + training + caffeine group(D+CAF+T)) and subjected to 8 weeks of caffeine supplementation (70 mg / kg of caffeine powder was injected five days each week) and 8 weeks of 5 sessions per week with 6 to 12 times, 2-min intervals with intensity of 85-90% of maximal speed. Blood was collected directly from the left ventricle to measure blood glucose levels. The soleus muscle of the left leg was extracted and PGC-1α measured by Western Blot method. Independent t-tests, two-way analysis of variance, and Eta squared (p <0.05) were used to analyze the data.
Results: The results showed that induction of diabetes significantly increased blood glucose (P <0.01) and significantly decreased mRNAPGC-1α (P = 0.002). Also, both high-intensity interval training (p = 0.001) and caffeine supplementation (p = 0.03) significantly increased mRNAPGC-1α.
Conclusion: Based on the results of this study, it is possible to suggest the use of HIIT and caffeine consumption as an effective intervention in increasing mitochondrial biogenesis in diabetics. However, a clear statement in this regard requires further research in this area.

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Background: Although some studies have studied the mechanism of action of beta cells in animal models and more or less in human populations, but so far the role of exercise therapy or exercise exercise HIIT with black grape supplementation on the expression of genes involved in pancreatic beta cells This study investigates the effect of black grape supplementation combined with intense intermittent exercise on Bcl-2 and Bax genes in pancreatic tissue of rats with type 2 diabetes.
Methods: The study was conducted in the form of an experimental design. The subjects of this project were 40 8-month-old male rats with an average weight of 250 grams. After familiarizing the subjects with exercise and induction of diabetes by STZ, the subjects were randomly divided into 5 groups including exercise, supplement, exercise and supplement, diabetic control and basic control. After 8 weeks of training, which was 5 sessions per week for 8 weeks, the activity was on a treadmill with an intensity of 90% Vo2max and supplementation with black grape seed extract. Bcl-2 and Bax genes were measured after RNA extraction from pancreas and cDNA synthesis. Bcl-2 and Bax genes were measured by Time-Real PCR. Data were analyzed using independent t-test and two-factor analysis of variance at the significance level of 0.05 by SPSS software version 24.
Results: The results showed that the main effect of exercise had no significant effect on Bcl-2 gene expression. The main effect of the extract on the expression of this gene was significant. Also, the interaction between exercise and Bcl-2 supplementation was not significant. Regarding Bax gene expression, it was shown that the main effect of exercise on the gene was significant. The main effect of extract and interaction of exercise and supplementation on Bax gene expression was not significant. No significant changes were observed in the effect of exercise and extract on the expression of Bcl-2 and Bax genes.
Conclusion: It seems that regulating the expression of Bcl-2 and Bax genes through exercise and consumption of black grape seed extract is likely to improve and maintain pancreatic beta cell function in diabetic rats.

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Background: Inflammation is one of the main causes of obesity and type 2 diabetes due to obesity and can increase metabolic disorders. Because exercise and diet are effective in reducing inflammation, Hence, Present Study Examined the Effects Of 24 Weeks Interventions On IL-6 Index Changes in Obesity Type 2 Diabetic Men: Influenced by HIIT And Diet Regimes
Methods: In this study, 70 men (Obese Type 2 Diabetic Patients) were randomly assigned into 7 groups (4 groups in different diet plus HIIT intervention and 3 groups only in different diet) that involved adherence to a 1,200 kcal/day for 1 week until 1,900 kcal/d diet for 24 weeks while participating in a supervised HIIT (12 week) followed with 4 weeks primarily diet regimes. Diet regimes consist of standard diet (50% CHO, 32% fat), low carbohydrate diet (25% CHO, 57% fat; 70% of 57% fat was unsaturated fat), low fat diet (67% CHO, 15% fat) and high fat (25% CHO, 57% fat; 50% of 57% fat was saturates fat), while protein was 18% for all groups. Anthropometrics and physiologies parameters, Body composition and fasting blood samples were obtained at 0, 4, 8, 14, 20 and 24 weeks. Data were analyzed by repeated measures analysis, one-way ANOVA test. Data are presented as mean±SD changes from baseline.
Results: results indicated that between differences times wasn’t show significant different (F (5,315) =3.66; P=0.002; η2=0.055).  also results demonstrated that within groups changes interactions don’t show significant different (F (5,315) =1.61; P=0.025; η2=0.133). This results also revelated that maximum increase and decrease of IL-6 was in high fat diet (28.09±19.80) and low CHO+HIIT (-28.89±25.13) after 24 weeks interventions. maximum increase and decrease of IL-6 was in high fat diet (26.74±25.33) and low fat +HIIT (-32.11±29.17) After 12 weeks HIIT + diet interventions.
Conclusion: Results support contentions that different diet regimes and exercise were selectively affects Pro Inflammatory markers and that changes in low CHO and low fat plus HIIT and low CHO meals plus with HIIE may be benefit for obese type 2 diabetic patients

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Background: Family members of C1q/tumor necrosis factor (TNF) related proteins (CTRPs) have been shown to play an important role in metabolism and inflammation. However, there is limited information on the association of high-intensity intermittent exercise (HIIT) with CTRP1 and CTRP3 protein levels in patients with type 2 diabetes. Therefore, this study aims to evaluate the effects of 12 weeks HIIT on CTRP1 and CTRP3 protein levels in women with type 2 diabetes.
Methods: In a quasi-experimental study and pretest and post-test design, 30 women with type 2 diabetes (mean±SD, age: 40.69±4.21 years and body mass index:34.81±2.88 kg/m² ) were randomly into two HIIT group (n=10) and control group (n=15). Exercise group performed a HIIT program three sessions per week, with and intensity of 80-90% MHR, 60 minutes per session for twele weeks. Weight, BMI, Vo2peak, FBG and serum levels of CTRP1 and CTRP3 were measured before and after the study period. The data were analyzed using paired sample t test and analysis of ANCOVA at the level of less than 0.05.
Results: After 12 weeks HIIT, there was significant differences in weight, BMI, Vo2peak, FBG and CTRP3 and CTRP5 serum levels between groups (p >0.05). However, ANCOVA test showed a significant decrease in weight, BMI, FBG and CTRP1 and CTRP3 serum levels and a significant increase in Vo2peak in the HIIT group compared to the control group after intervention (P<0.05).
Conclusion: The findings suggest that 12 weeks of HIIT program were an effective and safe method of improving the CTRP1 and CTRP3 serum levels in obese women with type 2 diabetes. However, more research with more control are needed to determine the effects of this non-pharmacological intervention on anti-inflammatory adipokine.

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Background: Type 2 diabetes is the most common endocrine disease that can cause tissue damage and apoptosis. The purpose of the present study was to study the changes in the expression of related liver apoptosis genes after High Intensity Training (HIT) and royal jelly in type 2 diabetic rats.
Methods: The statistical sample of the study was 36 male rats that became diabetic after 20 weeks of high-fat diet and injection of 25 ml/kg of STZ. Fasting glucose between 150 and 400 mg/dl was considered as the criteria for type 2 diabetes. Diabetic rats were placed in 4 groups: control, HIIT, Jelly, and HIIT-Jelly. The HIITprotocol was performed 8 weeks, 5 sessions / week with intense 2-minute intervals with 2-8 intervals and 80-90% vo2max and one-minute rest intervals with 50-56% vo2max and Royal Jelly gavage at 100 mg/kg for 5 days / week. Data analysis was done using one-way and two-factor analysis of variance and post hoc test.
Results: The results showed that compared to the control group, HIIT led to a significant decrease in glucose and insulin resistance index. Also, HIIT and royal jelly consumption led to a decrease in Bax gene expression and an increase in Bcl2 gen expression and a decrease in the Bax/Bcl2 ratio in liver cells compared to the control group (P<0.05).
Conclusion: HIIT with royal jelly in diabetic rats led to the reduction and improvement of glycemic index and insulin resistance and appropriate changes in the expression of liver apoptotic genes.

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Background: The Purpose of this study was to evaluate the effect of High Intensity Interval Training & Royal Jelly on expression of the genes of the hepatic miR-423-5P - FAM3A-AKt2 pathway in rats.
Methods: The statistical population was 36 male Wistar rats and reaching a weight of 193 ± 20 grams, they were subjected to a high-fat diet diet and intraperitoneal injection of 25 mg STZ. Blood sugar above 150 to 400 mg/dl was considered as a criterion to ensure that the mice had type 2 diabetes. Then divided into 4 groups (diabetic control group, intermittent exercise, Royal Jelly and exercise-Royal Jelly group). The experimental group of did HIIT with a 20 to 36 m/min. for 8 weeks. Royal jelly experimental groups consumed 100 mg/kg royal Jelly. 48 hours after the last training session, the mice were anesthetized with ether and blood was taken from the heart and tissue was removed, including liver tissue, and the tissue sample was transferred to a freezer temperature of -80. Serum glucose measurements were performed by an Auto analyzer. Insulin was measured by an ELISA kit, and the insulin resistance index was measured by formulas. The expression level of miRNA-423-5P, FAM3A and AKt genes in liver tissue was measured using Real Time-PCR method .the data, analyzed by one-way analysis of variance and Bonferroni’s post hoc and univariate and effect size. The significance level was considered to be p≥ 0.05.
Results: The findings showed that the expression of the hepatic miR-423-5P gene in the experimental groups of intermittent exercise with royal jelly and the exercise group and the gel group significantly decreased compared to the control group, and the expression of the FAM3A gene increased in the experimental groups compared to the control group. Non-significant and the expression of AKt2 gene in the training group and the training group with gel increased significantly compared to the control group, and in the gel group only compared to the control group, there was a non-significant increase, Also, there was a significant decrease in glucose in the experimental groups of HIIT exercise and HIIT- Royal jelly compared to the diabetic control group (p <0.05).Expression of the miR-423-5P gene was significantly lower in all groups compared to control, expression of mRNA FAM3 had insignificant increase and expression of mRNA AKt2 had a significant increase in groups of regular exercise and exercise with nutritional intervention. This gene had an insignificant increase of expression in the group with only nutritional intervention.
Conclusion: It seems that HIIT and royal jelly consumption, both alone and in combination, although with greater effect, can create favorable changes in the expression of Mir 4235p. FAM3A and AKt2 help to improve the condition of the liver.

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Background: Adipogenesis is a dynamic process that leads to the phenotype of mature fat cells and plays a significant role in obesity and diabetes. The present study investigates the effect of Eight –Weeks of High-Intensity Interval Training (HIIT) and L -carnitine Consumption on the expression of BMP7 protein in visceral adipose tissue in diabetic rats.
Methods: In an experimental clinical-intervention study, 50  male Wistar rats were divided into 5 equal groups of control (C), diabetic (D), supplemental diabetic (D + LC), diabetic with exercise (D + T), supplement and exercise (D + LC + T). The training program consisted of eight weeks, 5 sessions per week (6 to 12 2-minute sessions with an intensity of 85-90% of the maximum speed). The subjects received 30 mg/kg body weight L-carnitine through drinking water. Visceral fat was extracted and the expression level of BMP7 protein was assessed using Western Blotting. Data analysis was performed by one-way ANOVA and Tukey post hoc test at a significant level of (P< 0.05).
Results: The results showed that the expression of BMP7, the adipogenesis stimulating protein, in (D + T) and (D + LC + T) groups increased significantly (P< 0.001).
Conclusion: According to the results, it seems that HIIT exercise alone and with L-carnitine Consumption is more effective in the expression of protein associated with adipogenesis expression in visceral fat. However, a clear statement requires further research in this area.

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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.