Effects of exercise on glycaemic control and insulin action in type II diabetes mellitus

Paper Details

Research Paper 01/12/2011
Views (307) Download (4)
current_issue_feature_image
publication_file

Effects of exercise on glycaemic control and insulin action in type II diabetes mellitus

Eizadi Mojtaba, Khorshidi Davood, Dooaly Hussein, Samarikhalaj Hamidreza
Int. J. Biosci.1( 6), 147-154, December 2011.
Certificate: IJB 2011 [Generate Certificate]

Abstract

Exercise training is widely used for improving glycemic control and insulin action in diabetic patients. This study aimed to investigation effect a single bout and long exercise training program on glycemic indicators in type 2 diabetic patients. A 32 adult males with type 2 diabetic placed randomly in two control and experimental groups. For measuring of glucose and insulin concentration, a venous blood sample was collected after an overnight fast, immediately a single bout exercise and after three months aerobic exercise program in experimental group or control group (detraining in all stages). From insulin and glucose data used for calculation insulin sensitivity, insulin resistance and ß-cell function. Anthropometric indices in both groups were measured before and after prolonged exercise. Statistical analysis was performed using independent-paired T test (p <0.05). There were no significant changes in insulin sensitivity and insulin resistance after single bout exercise compared to baseline levels, but long-time exercise program improved significantly these variables(p <0.05). Glucose concentration decreased significantly and b-cell function increased significantly in response to either single bout or long-time exercise (p <0.05). None of the variables in the control group changed (p ≥ 0.05). Our findings indicate that the reduction in blood glucose concentrations after exercise in patients with diabetes is due to improvement of insulin action and beta cell function.

VIEWS 3

Andersson AK, Flodstr¨om M, Sandler S. 2001. Cytokineinduced inhibition of insulin release from mouse pancreatic β-cells deficient in inducible nitric oxide synthase. Biochemical and Biophysical Research Communications 281(2), 396–403.

Bergman RN, Finegood DT, Kahn SE. 2002. The evolution of β-cell dysfunction and insulin resistance in type 2 diabetes. Eur J Clin Invest 32(3), 35–45.

Bloem CJ, Chang AM. 2008. Short-Term Exercise Improves B- Cell Function and Insulin Resistance in Older People with Impaired Glucose Tolerance. J Clin Endocrinol Metab 93(2), 387-92.

Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. 2001. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 286(10), 1218-27.

Chang AM, SmithMJ, Galecki AT, BloemCJ,Halter JB. 2006. Impaired ß-cell function in human aging: response to nicotinic acid-induced insulin resistance. J Clin Endocrinol Metab 91(9), 3303–9.

de Salles BF, Simão R, Fleck SJ, Dias I, Kraemer-Aguiar LG, Bouskela E.2010. Effects of resistance training on cytokines. Int J Sports Med 31(7), 441-50.

DeFronzo RA, Bonadonna RC, Ferrannini E. 1992. Pathogenesis of NIDDM: a balanced overview. Diabetes Care 15(3), 318–353.

Gabriely I, Ma XH, Yang XM, Atzmon G, Rajala MW, Berg AH et al. 2002. Removal of visceral fat prevents insulin resistance and glucose intolerance of aging: an adipokine-mediated process? Diabetes 51(10), 2951–2958.

Goldberg RB. 2009. Cytokine and cytokine-like inflammation markers, endothelial dysfunction, and imbalanced coagulation in development of diabetes and its complications. J Clin Endocrinol Metab 94(9), 3171-82.

Hays NP, Starling RD, Sullivan DH, Fluckey JD, Coker RH, Evans WJ. 2006. Comparison of insulin sensitivity assessment indices with euglycemic-hyperinsulinemic clamp data after a dietary and exercise intervention in older adults. Metabolism 55(4), 525–532.

Hays NP, Starling RD, Sullivan DH, Fluckey JD, Coker RH, Williams RH et al. 2006. Effects of an ad libitum, high carbohydrate diet and aerobic exercise training on insulin action and muscle metabolism in older men and women. J Gerontol A Biol Sci Med Sci 61(3), 299–304.

Jetton TL, Lausier J, LaRock K, Trotman WE, Larmie B, Habibovic A et al. 2005. Mechanisms of compensatory beta-cell growth in insulin-resistant rats: roles of Akt kinase. Diabetes 54(8), 2294– 304.

Király MA, Bates HE, Kaniuk NA, Yue JT, Brumell JH, Matthews SG et al. 2008. Swim training prevents hyperglycemia in ZDF rats: mechanisms involved in the partial maintenance of beta-cell function. Am J Physiol Endocrinol Metab 294(2), 271-83.

Maedler K, Sergeev P, Ehses JA. 2004. Leptin modulates β cell expression of IL-1 receptor antagonist and release of IL-1β in human islets. Proceedings of the National Academy of Sciences of the United States of America 101(21), 8138–43.

Marita AR, Sarkar JA, Rane S. 2005. Type 2 diabetes in non-obese Indian subjects is associated with reduced leptin levels: Study from Mumbai, Western India. Mol Cell Biochem 275(1-2), 143-51.

Mullis R, Campbell IT, Wearden AJ, Morriss RK, Pearson DJ. 1999. Prediction of peak oxygen uptake in chronic fatigue syndrome. Br J Sports Med 33(5), 352-6.

Nayak   BS,   Ramsingh    D,   Gooding   S.   2010. Plasma adiponectin levels are related to obesity, inflammation, blood lipids and insulin in type 2 diabetic and non-diabetic Trinidadians. Prim Care Diabetes 4(3), 187–92.

Ohneda M, Inman LR, Unger RH. 1995. Caloric restriction in obese prediabetic rats prevents beta-cell depletion, loss of beta-cell GLUT 2 and glucose incompetence. Diabetologia 38(2), 173–179.

Okada S, Hiuge A, Makino H, Nagumo A, Takaki H, Konishi H et al. 2010. Effect of Exercise Intervention on Endothelial Function and Incidence of Cardiovascular Disease in Patients with Type 2 Diabetes. J Atheroscler Thromb 17(8), 828-33.

Park  S, Hong  SM,  Lee  JE,  Sung  SR.  2007. Exercise improves glucose homeostasis that has been impaired by a high-fat diet by potentiating pancreatic B- cell function and mass through IRS2 in diabetic rats. J Appl Physiol 103(5), 1764-71.

Pick A, Clark J, Kubstrup C, Levisetti M, Pugh W, Bonner-Weir S et al. 1998. Role of apoptosis in failure of beta-cell mass compensation for insulin resistance and beta-cell defects in the male Zucker diabetic fatty rat. Diabetes 47(3), 358–364.

Poehlman ET, Dvorak RV, DeNinoWF, BrochuM, Ades PA. 2000. Effects of resistance training and endurance training on insulin sensitivity in nonobese, young women: a controlled randomized trial. J Clin Endocrinol Metab 85(2), 2463–8.

Pold R, Jensen LS, Jessen N, Buhl ES, Schmitz O, Flyvbjerg A et al. 2005. Long-term AICAR administration and exercise prevents diabetes in ZDF rats. Diabetes 54(4), 928–934.

Retnakaran R, Hanley AJ, Raif N, Hirning CR, Connelly PW, Sermer M et al. 2005. Adiponectin and beta cell dysfunction in gestational diabetes: pathophysiological implications. Diabetologia 48(5), 993-1001.

Rhodes CJ, White MF. 2002. Molecular insights into insulin action and secretion. Eur J Clin Invest 32(3), 3–13.

Rooman I, Lardon J, Bouwen L. 2002. Gastrin stimulates ß-cell neogenesis and increases islet mass from transdifferentiated but not from normal exocrine pancreas tissue. Diabetes 51(3), 686–90.

Sheu WH, Chang TM, Lee WJ, Ou HC, Wu CM, Tseng LN et al. 2008.Effect of weight loss on proinflammatory state of mononuclear cells in obese women. Obesity (Silver Spring) 16(5), 1033-8.

Short KR, Vittone JL, BigelowML, Proctor DN, Rizza RA, Coenen-Schimke JM et al. 2003. Impact of aerobic exercise training on age-related changes in insulin sensitivity and muscle oxidative capacity. Diabetes 52(8), 1888–96.

Stumvoll M, Goldstein BJ, van Haeften TW. 2005. Type 2 diabetes: principles of pathogenesis and therapy. The Lancet 365(9) 1333–46.

Tanaka Y, Gleason CE, Tran PO, Harmon JS, Robertson RP. 1999. Prevention of glucose toxicity in HIT-T15 cells and Zucker diabetic fatty rats by antioxidants. Proc Natl Acad Sci USA 96(19), 10857– 10862.

Tang Z, Yuan L, Gu C, Liu Y, Zhu L. 2005. Effect of exercise on the expression of adiponectin mRNA and GLUT4 mRNA in type 2 diabetic rats. J Huazhong Univ Sci Technolog Med Sci 25(2), 191-3, 201.

Tokmakidis SP, Zois CE, Volaklis KA, Kotsa K, Touvra AM. 2004. The effects of a combined strength and aerobic exercise program on glucose control and insulin action in women with type 2 diabetes. Eur J Appl Physiol 92(4-5), 437-42.

Westermark P, Wilander E. 1978. The influence of amyloid deposits on the islet volume in maturity onset diabetes mellitus. Diabetologia 15(5), 417– 421.

Weyer C, Bogardus C, Mott DM, Pratley RE. 1999. The natural history of insulin secretary dysfunction and insulin resistance in the pathogenesis of type 2 diabetes mellitus. J Clin Invest 104(6), 787– 794.