Effects of resistance training on insulin resistance and pancreatic β-cells function in male patients with type 2 diabetes
الموضوعات : Journal of Physical Activity and HormonesLatifeh Tavakol 1 , Mohadeseh Nematolahzadeh Mahani 2
1 - BS in Exercise physiology, Department of Exercise physiology, Shiraz branch, Islamic Azad University, Shiraz, Iran
2 - MS in exercise physiology, Education Administration in Shiraz
الکلمات المفتاحية: Resistance training, Insulin resistance, Diabetes, Hyperglycemia,
ملخص المقالة :
Introduction: Physical activity improves the regulation of glucose homeostasis in both type 2 diabetes (T2D) patients and healthy individuals, but the effect on pancreatic β cell function is unknown. The aim of present study was to examine the effect of 8 weeks resistance training on pancreatic β-cells function and insulin resistance in male patients with T2D. Material & Methods: Seventeen obese/overweight men (age: 53.1 ± 11.0 years and BMI: 27.0 ± 2.8 Kg/m2 mean± SD) with T2D participated as the subject. The subjects were randomly assign to control group (n=8) or the resistance training group (n=9). Subjects executed six resistance exercises selected to stress the major muscle groups in the following order: chest press, shoulder press, latissimus pull down, leg extension, leg curls and leg press. Resistance training consisted of 40-50 min of station weight training per day, 3 days a week, for 8 weeks. This training was performed in 6 stations and included 3 sets with 8-10 maximal repetitions at 70-80% of 1-RM in each station. Results: The data indicated that fasting glucose (from 162.5 ± 27.8 to 116.7 ± 34.9 mg/dl; P=0.04), fasting insulin (from 6.6 ± 1.2 to 4.8 ± 1.6 IU/ml; P=0.03) and insulin resistance index (from 2.6 ± 0.7 to 1.4 ± 0.4; P=0.03) were decrease and pancreatic β-cells function (from 25.4 ± 7.8 to 42.6 ± 20.6; P=0.04) was increased significantly in the training group compare to the control group. Conclusion: In summary, it seems that resistance training utilized in this study improves pancreatic β-cells function and insulin resistance in male patients with T2D.
1. Unger RH. Glucagon physiology and pathophysiology. N Engl J Med 1971; 285: 443-449.
2. Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZX, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 1997; 20: 537-544.
3. Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001; 344: 1343-1350.
4. Lindstrom J, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksson J, et al. The Finnish Diabetes Prevention Study (DPS): Lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care 2003; 26: 3230-3236.
5. Kahn SE (2003) The relative contributions of insulin resistance and beta-cell dysfunction to the pathophysiology of Type 2 diabetes. Diabetologia 46: 3–19.
6. Kahn SE, Hull RL, Utzschneider KM. Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature2006; 444: 840-846.
7. Kahn SE. The relative contributions of insulin resistance and beta-cell dysfunction to the pathophysiology of Type 2 diabetes. Diabetologia 2003; 46: 3-19.
8. Wright A, Burden AC, Paisey RB, Cull CA, Holman RR. U.K. Prospective Diabetes Study Group. Sulfonylurea inadequacy: efficacy of addition of insulin over 6 years in patients with type 2 diabetes in the U.K. Prospective Diabetes Study (UKPDS 57). Diabetes Care 2002; 25: 330-336.
9. Guardado-Mendoza R, Jimenez-Ceja L, Majluf-Cruz A, Kamath S, Fiorentino TV, et al. Impact of obesity severity and duration on pancreatic β- and α-cell dynamics in normoglycemic non-human primates. Int J Obes (Lond) 2013; 37: 1071-1078.
10. Lee SC, Pervaiz S. Apoptosis in the pathophysiology of diabetes mellitus. Int J Biochem Cell Biol 2007; 39: 497-504.
11. Russo GT, Giorda CB, Cercone S, Nicolucci A, Cucinotta D; BetaDecline Study Group. Factors associated with beta-cell dysfunction in type 2 diabetes: the BETADECLINE study. PLoS One 2014; 9:e109702.
12. Farbod M, Sarpooshi A, Silakhory F. Short term aerobic training improves fasting glucose and beta cell function in obese/overweight women. Biol Forum 2014; 6: 264-267.
13. Omidi M, Moghadasi M. Regular aerobic training improves insulin resistance but not pancreatic β-cells function in female patients with type 2 diabetes. J Physic Act Horm 2017; 1:1-17.
14. Wallace TM, Levy JC, Matthews DR. Use and abuse of HOMA modeling. Diabetes Care 2004; 27: 1487-1495.
15. Kahn SE, Carr DB, Faulenbach MV, Utzschneider KM. An examination of beta-cell function measures and their potential use for estimating beta-cell mass. Diabetes Obes Metab 2008; 4: 63-76.
16. Onat D, Brillon D, Colombo PC, Schmidt AM. Human vascular endothelial cells: a model system for studying vascular inflammation in diabetes and atherosclerosis. Current diabetes reports 2011; 11: 193-202.
17. Abate N, Garg A. Heterogeneity in adipose tissue metabolism: causes, implications and management of regional adiposity. Progress in lipid research 1995; 34: 53-70.
18. Eves ND, Plotnikoff RC. Resistance training and type 2 diabetes. Diabetes care 2006; 29: 1933-1941.
19. Azari N, Rahmati M, Fathi M. The effect of resistance exercise on blood glucose, insulin and insulin resistance in Iranian patients with type II diabetes: A systematic review and meta-analysis. Iran J Diabete Obes 2018; 10: 50-60.
20. Krisan AD, Collins DE, Crain AM, Kwong CC, Singh MK, Bernard JR, et al. Resistance training enhances components of the insulin signaling cascade in normal and high-fat-fed rodent skeletal muscle. J Appl Physiol 2004; 96: 1691-1700.
21. Holten MK, Zacho M, Gaster M, Juel C, Wojtaszewski JF, Dela F. Strength training increases insulin-mediated glucose uptake, GLUT4 content, and insulin signaling in skeletal muscle in patients with type 2 diabetes. Diabetes 2004; 53: 294-305.
22. Amozad Mahdirji H, Dabidi Roshan V, Talebi Gorgani E. Effect of Circular Resistance Training on Serum Vaspin Concentration and Insulin Resistance Indicator in Patients with Type 2 Diabetes. J Sport Physiol Physic Act 2012; 5: 735-744.
23. AminiLari Z, Fararouei M, Amanat S, Sinaei E, Dianatinasab S, AminiLari M, et al. The effect of 12 weeks aerobic, resistance, and combined exercises on omentin-1 levels and insulin resistance among type 2 diabetic middle-aged women. Diabete Metab J 2017; 41: 205-212.
24. Egger A, Niederseer D, Diem G, Finkenzeller T, Ledl-Kurkowski E, Forstner R, et al. Different types of resistance training in type 2 diabetes mellitus: effects on glycaemic control, muscle mass and strength. Europ J Prevent Cardiol 2013; 20: 1051-1060.
25. Dunstan DW, Daly RM, Owen N, Jolley D, De Courten M, Shaw J, et al. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabete care 2002; 25: 1729-1736.
26. Zhang QJ, Li QX, Zhang HF, Zhang KR, Guo WY, Wang HC, et al. Swim training sensitizes myocardial response to insulin: Role of Aktdependent eNOS activation. Cardiovasc Res 2007; 75: 369-380.
27. Albright A, Franz M, Hornsby G, Kriska A, Marrero D, Ullrich I, et al. American College of Sports Medicine position stand. Exercise and type 2 diabetes. Med Sci Sport Exerc 2000; 32: 1345-1360.
28. Wang Y, Simar D, Fiatarone Singh, MA. Adaptations to exercise training within skeletal muscle in adults with type 2 diabetes or impaired glucose tolerance: a systematic review. Diabetes Metab Res Rev 2009; 25: 13-40.
29. Souri R, Ranjbar SH, Vahabi K, Shabkhiz F. The effect of interval aerobic training on RBP4 and HOMA-IR in type 2 diabetics' pationt. Iran J lipid Diabetes 2011; 10: 388-397.
30. Pi-Sunyer X, Blackburn G, Brancati FL, Bray GA, Bright R, Clark JM, et al. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the look AHEAD trial. Diabete Care 2007; 30:1374-1383.
31. Tresierras MA, Balady GJ. Resistance training in the treatment of diabetes and obesity: mechanisms and outcomes. J Cardiopulm Rehabil Prev 2009; 29: 67-75.
32. Haffner SM, Kennedy E, Gonzalez C, Stern MP, Miettinen H. A prospective analysis of the HOMA model. The Mexico City Diabetes Study. Diabete Care 1996; 19: 1138-1141.
33. Madsen SM, Thorup AC, Overgaard K, Jeppesen PB. High Intensity Interval Training Improves Glycaemic Control and Pancreatic β Cell Function of Type 2 Diabetes Patients. PLoS One 2015; 10: 1-24.