Effect of Acute and Chronic Exercise on Beta-Cell Function in Diabetic Patients
DOI:
https://doi.org/10.22100/jkh.v6i4.125Keywords:
Beta cell function, Diabetes, Exercise.Abstract
Introduction: Factors influencing diabetes prevalence and dysfunction of β- cells are not fully understood. In this study, we studied the effect of acute and long-term exercise training on β-cell function and on insulin sensitivity in diabetic patients.
Methods: In this interventional study a total of 30 adult men with type 2 diabetes with mean age of 43 years were randomly assigned into the experimental group (exercise) or control group (detraining). Blood glucose, insulin sensitivity and beta-cell function were measured in fasting (overnight fast), immediately after an acute submaximal exercise and after a three month aerobic exercise in the experimental group. These variables also were measured in the control group at the same times. Anthropometrical indexes also were measured before and after study in all patients. A repeated measure ANOVA was used to analyze the data.
Results: Fasting glucose decreased and beta-cell function increased significantly in responses to acute and long-time exercise in experimental group (P<0.05). In addition, there was no significant change in insulin sensitivity in response to acute exercise (P≥0.05), but increased significantly after long exercise training (P<0.05). All variables remained without change in control group.
Conclusion: Our findings suggest that decrease in blood glucose concentration after exercise training in diabetic patients is due to improving in insulin sensitivity and beta cell function in these patients.
References
Wang C, Guan Y, Yang J. cytokines in the progression of pancreatic β-cell dysfunction. Int J Endocrinol 2010;2010:515136.
DeFronzo RA, Bonadonna RC, Ferrannini E. Pathogenesis of NIDDM: a balanced overview. Diabetes Care 1992;15(3):318-353.
Park S, Hong SM, Lee JE, Sung SR. 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 2007;103(5):1764-71.
Retnakaran R, Hanley AJ, Raif N, Hirning CR, Connelly PW, Sermer M, et al. Adiponectin and beta cell dysfunction in gestational diabetes: pathophysiological implications. Diabetologia 2005;48(5):993-1001.
Király MA, Bates HE, Kaniuk NA, Yue JT, Brumell JH, Matthews SG, et al. Swim training prevents hyperglycemia in ZDF rats: mechanisms involved in the partial maintenance of beta-cell function. Am J Physiol Endocrinol Metab 2008;294(2):E271-83.
Bergman RN, Finegood DT, Kahn SE. The evolution of β-cell dysfunction and insulin resistance in type 2 diabetes. Eur J Clin Invest 2002;32(3):35-45.
Weyer C, Bogardus C, Mott DM, Pratley RE. The natural history of insulin secretary dysfunction and insulin resistance in the pathogenesis of type 2 diabetes mellitus. J Clin Invest 1999;104(6): 787-794.
Stumvoll M, Goldstein BJ, van Haeften TW. Type 2 diabetes: principles of pathogenesis and therapy. The Lancet 2005;365(9);1333-1346.
Andersson AK, Flodstr¨om M, Sandler S. Cytokineinduced inhibition of insulin release from mouse pancreatic β-cells deficient in inducible nitric oxide synthase. Biochemical and Biophysical Research Communications 2001;281(2):396-403.
Maedler K, Sergeev P, Ehses JA. Leptin modulates β cell expression of IL-1 receptor antagonist and release of IL-1β in human islets. Proc Natl Acad Sci USA 2004;101(21):8138-43.
Nayak BS, Ramsingh D, Gooding S. Plasma adiponectin levels are related to obesity, inflammation, blood lipids and insulin in type 2 diabetic and non-diabetic Trinidadians. Prim Care Diabetes 2010;4(3):187-192.
Tang Z, Yuan L, Gu C, Liu Y, Zhu L. Effect of exercise on the expression of adiponectin mRNA and GLUT4 mRNA in type 2 diabetic rats. J Huazhong Univ Sci Technolog Med Sci 2005;25(2):191-193.
De Salles Bf, Simão R, Fleck SJ, Dias I, Kraemer-Aguiar LG, Bouskela E. Effects of resistance training on cytokines. Int J Sports Med. 2010;31(7):441-50.
Sheu WH, Chang TM, Lee WJ, Ou HC, Wu CM, Tseng LN, et al. Effect of weight loss on proinflammatory state of mononuclear cells in obese women. Obesity (Silver Spring) 2008;16(5):1033-8.
Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 2001;286(10):1218-27.
Tokmakidis SP, Zois CE, Volaklis KA, Kotsa K, Touvra AM. 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 2004;92(4-5):437-42.
Marita AR, Sarkar JA, Rane S. Type 2 diabetes in non-obese Indian subjects is associated with reduced leptin levels: Study from Mumbai, Western India. Mol Cell Biochem 2005;275(1-2):143-51.
Westermark P, Wilander E. The influence of amyloid deposits on the islet volume in maturity onset diabetes mellitus. Diabetologia 1978;15(5):417-421.
Pick A, Clark J, Kubstrup C, Levisetti M, Pugh W, Bonner-Weir S, et al. 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 1998;47(3):358-364.
Tanaka Y, Gleason CE, Tran PO, Harmon JS, Robertson RP. Prevention of glucose toxicity in HIT-T15 cells and zucker diabetic fatty rats by antioxidants. PNAS 1999;96(19):10857-62.
Ohneda M, Inman LR, Unger RH. Caloric restriction in obese prediabetic rats prevents beta-cell depletion, loss of beta-cell GLUT 2 and glucose incompetence. Diabetologia 1995;38(2):173-179.
Gabriely I, Ma XH, Yang XM, Atzmon G, Rajala MW, Berg AH, et al. Removal of visceral fat prevents insulin resistance and glucose intolerance of aging: an adipokine-mediated process?. Diabetes 2002;51(10):2951-58.
Okada S, Hiuge A, Makino H, Nagumo A, Takaki H, Konishi H, et al. Effect of Exercise Intervention on Endothelial Function and Incidence of Cardiovascular Disease in Patients with Type 2 Diabetes. J Atheroscler Thromb 2010;17(8):828-33.
Pold R, Jensen LS, Jessen N, Buhl ES, Schmitz O, Flyvbjerg A, et al. Long-term AICAR administration and exercise prevents diabetes in ZDF rats. Diabetes 2005;54(4):928-934.
Hays NP, Starling RD, Sullivan DH, Fluckey JD, Coker RH, Williams RH, et al. 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 2006;61(3):299-304.
Hays NP, Starling RD, Sullivan DH, Fluckey JD, Coker RH, Evans WJ. Comparison of insulin sensitivity assessment indices with euglycemic-hyperinsulinemic clamp data after a dietary and exercise intervention in older adults. Metabolism 2006;55(4):525-532.
Bloem CJ, Chang AM. Short-Term Exercise Improves B- Cell Function and Insulin Resistance in Older People with Impaired Glucose Tolerance. J Clin Endocrinol Metab 2008;93(2):387-92.
Rhodes CJ, White MF. Molecular insights into insulin action and secretion. Eur J Clin Invest 2002;32(3):3-13.
Goldberg RB. Cytokine and cytokine-like inflammation markers, endothelial dysfunction, and imbalanced coagulation in development of diabetes and its complications. J Clin Endocrinol Metab 2009;94(9):3171-82.
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