Skip Navigation
Skip to contents

Diabetes Metab J : Diabetes & Metabolism Journal

Search
OPEN ACCESS

Search

Page Path
HOME > Search
40 "Exercise"
Filter
Filter
Article category
Keywords
Publication year
Authors
Funded articles
Sulwon Lecture 2025
Lifestyle and Behavioral Interventions
Article image
Exercise, Exerkines, and Sarcopenia
Hye Soo Chung, Kyung Mook Choi
Diabetes Metab J. 2026;50(1):19-29.   Published online January 1, 2026
DOI: https://doi.org/10.4093/dmj.2025.0972
  • 2,907 View
  • 198 Download
AbstractAbstract PDFPubReader   ePub   
Sarcopenia is a progressive age-related musculoskeletal disorder characterized by loss of skeletal muscle mass, strength, and physical function. Closely associated with aging and physical inactivity, it significantly compromises mobility, independence, and quality of life in older adults. Exercise is widely recognized as an effective non-pharmacological intervention for managing sarcopenia. However, the underlying molecular mechanisms remain incompletely elucidated. Among the emerging mediators, exerkines, physical exercise-induced signaling molecules, are secreted by multiple tissues, including the skeletal muscle, bone, liver, and adipose tissue, and mediate the systemic beneficial impacts of exercise via autocrine, paracrine, and endocrine signaling. These factors play critical roles in interorgan communication, regulation of muscle regeneration, mitochondrial function, inflammation, and metabolic homeostasis. Importantly, the secretion profiles and biological functions of exerkines are modulated by exercise-specific parameters such as mode, intensity, and duration. Understanding the regulatory dynamics of exerkine signaling may offer novel therapeutic avenues, particularly for individuals unable to engage in regular physical activity. This review focuses on the recently identified exerkines relevant to skeletal muscle physiology and their implications in the pathophysiology of sarcopenia. We also provided a comprehensive overview of exerkine responses to various exercise modalities in the prevention and treatment of sarcopenia.
Review
Lifestyle and Behavioral Interventions
Article image
Optimizing Physical Activity Strategies for Older Adults with Diabetes
Hyeon-Jin Yu, Doyoun Hong, Kyuho Kim, Ji Hye Heo, Dong-Hyeok Cho, Yoshitaka Hashimoto, Jae-Seung Yun
Diabetes Metab J. 2025;49(6):1178-1197.   Published online November 1, 2025
DOI: https://doi.org/10.4093/dmj.2025.0967
  • 2,197 View
  • 125 Download
AbstractAbstract PDFPubReader   ePub   
The increasing prevalence of diabetes among older adults has emerged as a major socioeconomic burden. This population is highly heterogeneous, ranging from functionally independent to severely impaired individuals, making it difficult to establish standardized recommendations. Physical activity (PA) is a cornerstone of diabetes management; however, current exercise guidelines do not adequately address the wide spectrum of functional capacities observed in older adults. For those with physical limitations, relatively simple activities such as walking, breaking up sedentary time, incorporating movement into daily routines, and aquatic exercise have been proposed, yet supporting evidence remains limited. This review summarizes the pathophysiologic mechanisms of metabolic and functional changes associated with aging and diabetes—including sarcopenia, altered body composition, and cardiovascular decline—and comprehensively discusses the benefits and precautions of various exercise modalities, tailored recommendations according to diabetes-related complications, and key clinical considerations. We further classified older adults with diabetes into three functional levels, individuals in good health, those with some comorbidities or mild disabilities, and those with high comorbidities and/or functional impairment, and proposed corresponding physical activity strategies for each level. Finally, we highlight practical and feasible approaches, including walking, interrupting sedentary behavior, daily functional movements, and aquatic exercise, to enhance clinical applicability for individuals with reduced physical capacity. These tailored, function-based strategies may help older adults with diabetes achieve safer, more effective, and sustainable improvements in glycemic control and overall health.
Original Articles
Cardiovascular Risk/Epidemiology
Article image
Associations of Cardiocerebrovascular Risks and Exercise according to Menopausal Status in Women with Type 2 Diabetes Mellitus: A Nationwide Cohort Study
Ji-Hee Ko, Sun Joon Moon, Kyung-Do Han, Hye-Mi Kwon, Se-Eun Park, Eun-Jung Rhee, Won-Young Lee
Diabetes Metab J. 2026;50(1):101-114.   Published online August 13, 2025
DOI: https://doi.org/10.4093/dmj.2024.0487
  • 1,723 View
  • 60 Download
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Menopausal status can increase the risk of cardiocerebrovascular diseases (CCVDs) in women with type 2 diabetes mellitus (T2DM). Regular exercise is well-known to reduce this risk. This study explored the impact of exercise on CCVD and mortality in women with T2DM according to their menopausal status.
Methods
A total of 32,477 premenopausal and 53,690 postmenopausal Korean women with T2DM aged 40 to 60 years from a national health examination cohort (2009 to 2018) were included. We evaluated risks for stroke, myocardial infarction (MI), and mortality based on exercise intensity. Cox proportional hazard regression analyses were performed to obtain the adjusted hazard ratio (aHR) and 95% confidence interval.
Results
Exercise reduced stroke, MI, and mortality risks in women with T2DM, regardless of menopausal status. The highest effects of aHR compared to the sedentary group were 0.68 for stroke, 0.66 for MI, and 0.81 for mortality. Postmenopausal women experienced significant MI risk reductions at most exercise intensities, with the greatest reduction in the ≥1,500 metabolic equivalent of task score group unlike premenopausal women. However, stroke and mortality risk reductions in postmenopausal women were less pronounced compared to premenopausal women.
Conclusion
Exercise reduces CCVD risk in women with T2DM across menopausal status. Postmenopausal women with T2DM had more benefits from exercise on MI but fewer benefits on stroke and mortality than premenopausal women. In premenopausal women with T2DM, exercise was not associated with a lower MI risk.
Lifestyle and Behavioral Interventions
Article image
The Preventive Effect of Physical Activity on Gestational Diabetes Mellitus: A Korean Longitudinal Prospective Cohort Study
Ji Hyae Lim, Min Hyoung Kim, Hye-Ji Han, Su Ji Yang, Myung-Gwan Kim, Hyun Jung Lee, You Jung Han, Jin Hoon Chung, Dong Wook Kwak, Seongwoo Yang, Moon Young Kim, Hyun Mee Ryu
Diabetes Metab J. 2025;49(5):1116-1125.   Published online April 23, 2025
DOI: https://doi.org/10.4093/dmj.2024.0280
  • 3,461 View
  • 212 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
To assess longitudinally physical activity patterns and intensity from pre-pregnancy to postpartum and evaluate the association between timing and type of physical activity and the development of gestational diabetes mellitus (GDM).
Methods
The Korean Pregnancy Outcome Study (KPOS) is a prospective cohort study conducted from 2013 to 2017. Our study included 3,457 participants with singleton pregnancies in KPOS, classified according to the pregnancy outcome: GDM (n=231) and normal (n=3,226). Physical activity data were collected at five time points using the short form of the International Physical Activity Questionnaire: before pregnancy, at 12, 24, and 36 gestational weeks (GW), and 6–8 weeks postpartum. Pre-pregnancy physical activity was collected through recall at 12 GW.
Results
Maternal age, pre-pregnancy body mass index, educational status, smoking, mini dietary assessment index, first-degree family history of diabetes, hypertension, parity, pre-existing GDM, and previous macrosomia showed significant differences between the GDM group and the normal group (P<0.05 for all). Pre-pregnancy muscle-strengthening activity was significantly associated with a lower risk of GDM (adjusted odds ratio, 0.46; 95% confidence interval, 0.25 to 0.85).
Conclusion
These findings suggest that physical activity, such as muscle-strengthening activities before pregnancy, could be a preventive strategy to reduce GDM risk. Although the study does not provide evidence that physical activity during pregnancy and postpartum reduces GDM risk, it offers significant insights into the importance of maintaining a healthy level of physical activity from pre-pregnancy to prevent GDM.

Citations

Citations to this article as recorded by  
  • Pre-Conception Physical Activity and the Risk of Gestational Diabetes Mellitus: Findings from the BORN 2020 Study
    Antigoni Tranidou, Antonios Siargkas, Ioannis Tsakiridis, Emmanuela Magriplis, Aikaterini Apostolopoulou, Georgia Koutsouki, Michail Chourdakis, Themistoklis Dagklis
    Nutrients.2025; 17(11): 1832.     CrossRef
  • Prediction of Gestational Diabetes Mellitus: A Nomogram Model Incorporating Lifestyle, Nutrition and Health Literacy Factors
    Minghan Fu, Menglu Qiu, Zhencheng Xie, Laidi Guo, Yun Zhou, Jia Yin, Wanyi Yang, Lishan Ouyang, Ye Ding, Zhixu Wang
    Nutrients.2025; 17(21): 3400.     CrossRef
Basic and Translational Research
Article image
Effect of 4 Weeks Resonance Frequency Breathing on Glucose Metabolism and Autonomic Tone in Healthy Adults
Benedict Herhaus, Andreas Peter, Julia Hummel, Thomas Kubiak, Martin Heni, Katja Petrowski
Diabetes Metab J. 2025;49(6):1219-1228.   Published online April 3, 2025
DOI: https://doi.org/10.4093/dmj.2024.0647
  • 3,605 View
  • 118 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
The autonomic nervous system plays a crucial role in the brain’s communication with metabolically important peripheral organs, modulating insulin sensitivity and secretion. Increased sympathetic tone is a common feature in prediabetes and diabetes. The parasympathetic nervous system activity might be improvable through resonance frequency breathing (RFB) with heart rate variability biofeedback (HRV-BF) training.
Methods
We here investigated the effect of a 4-week mobile RFB-HRV-BF intervention on glucose metabolism and HRV of 30 healthy adults (17 females; mean age 25.77±3.64 years; mean body mass index 22.65±2.95 kg/m2). Before and after the intervention, glucose metabolism was assessed by 75 g oral glucose tolerance tests (with blood sampling every 30 minutes over 2 hours) and HRV was measured through electrocardiography.
Results
RFB-HRV-BF training did not influence glucose metabolism in healthy adults but reduced fasting as well as 2-hour-postload glucose in participants categorized as more insulin resistant before the intervention. In addition, RFB-HRV-BF training was associated with an increase in the time and frequency domain HRV parameters standard deviation of all NN-intervals, root mean square successive differences, HRV high-frequency and HRV low-frequency after 4 weeks of intervention.
Conclusion
Our findings introduce RFB-HRV-BF training as an effective tool to modulate the autonomic nervous system with a shift towards the parasympathetic tone. Along with the observed decrease in glycemia in those with lower insulin sensitivity, RFB-HRV-BF training emerges as a promising non-pharmacological approach to improve glucose metabolism which has to be further investigated in prediabetes and diabetes.

Citations

Citations to this article as recorded by  
  • The autonomic nervous system in the regulation of glucose and lipid metabolism
    Sabrina Wangler, Marc N. Jarczok, Matthew Ennis, Benedict Herhaus, Róbert Wagner, Ratika Sehgal, Martin Heni
    Nature Reviews Endocrinology.2026;[Epub]     CrossRef
Reviews
Cardiovascular Risk/Epidemiology
Article image
Artificial Light at Night and Type 2 Diabetes Mellitus
Jong-Ha Baek, Yong Zhu, Chandra L. Jackson, Yong-Moon Mark Park
Diabetes Metab J. 2024;48(5):847-863.   Published online September 1, 2024
DOI: https://doi.org/10.4093/dmj.2024.0237
  • 25,595 View
  • 527 Download
  • 11 Web of Science
  • 11 Crossref
AbstractAbstract PDFPubReader   ePub   
The widespread and pervasive use of artificial light at night (ALAN) in our modern 24-hour society has emerged as a substantial disruptor of natural circadian rhythms, potentially leading to a rise in unhealthy lifestyle-related behaviors (e.g., poor sleep; shift work). This phenomenon has been associated with an increased risk of type 2 diabetes mellitus (T2DM), which is a pressing global public health concern. However, to date, reviews summarizing associations between ALAN and T2DM have primarily focused on the limited characteristics of exposure (e.g., intensity) to ALAN. This literature review extends beyond prior reviews by consolidating recent studies from 2000 to 2024 regarding associations between both indoor and outdoor ALAN exposure and the incidence or prevalence of T2DM. We also described potential biological mechanisms through which ALAN modulates glucose metabolism. Furthermore, we outlined knowledge gaps and investigated how various ALAN characteristics beyond only light intensity (including light type, timing, duration, wavelength, and individual sensitivity) influence T2DM risk. Recognizing the detrimental impact of ALAN on sleep health and the behavioral correlates of physical activity and dietary patterns, we additionally summarized studies investigating the potential mediating role of each component in the relationship between ALAN and glucose metabolism. Lastly, we proposed implications of chronotherapies and chrononutrition for diabetes management in the context of ALAN exposure.

Citations

Citations to this article as recorded by  
  • Impact of bedroom light exposure on glucose metabolic markers and the role of circadian-dependent meal timing: A population-based cross-sectional study
    Qi Li, Yu-xiang Xu, Xiu-zhen Lu, Yu-ting Shen, Yu-hui Wan, Pu-yu Su, Fang-biao Tao, Xin Chen, Ying Sun
    Ecotoxicology and Environmental Safety.2025; 290: 117589.     CrossRef
  • The impact of environmental pollution on metabolic health and the risk of non-communicable chronic metabolic diseases in humans
    Caterina Formichi, Sonia Caprio, Laura Nigi, Francesco Dotta
    Nutrition, Metabolism and Cardiovascular Diseases.2025; 35(6): 103975.     CrossRef
  • Synergistic effects of air pollution and artificial light at night on diabetes risk: A prospective cohort study
    Desong Wen, Fei Lin, Chaowei Zhang, Ziyu Ge, Xiaohang Li, Zhenzhou Liu, Hanqing Zhao, Weimin Wang, Zhigang Chen, Guoan Zhao
    Environmental Pollution.2025; 379: 126472.     CrossRef
  • Artificial light exposure at night: A hidden risk factor for type 2 diabetes
    Izere Salomon, Shema Sam, Yahya Ur Rehman, Intwari Munyaneza Hope
    Sleep Medicine: X.2025; 10: 100146.     CrossRef
  • Timing and Amplitude of Light Exposure, Not Photoperiod, Predict Blood Lipids in Arctic Residents: A Circadian Light Hypothesis
    Denis Gubin, Sergey Kolomeichuk, Konstantin Danilenko, Oliver Stefani, Alexander Markov, Ivan Petrov, Kirill Voronin, Marina Mezhakova, Mikhail Borisenkov, Aislu Shigabaeva, Julia Boldyreva, Julianna Petrova, Larisa Alkhimova, Dietmar Weinert, Germaine Co
    Biology.2025; 14(7): 799.     CrossRef
  • Association between outdoor artificial light at night, circadian health, and LDL-C in intracranial artery atherosclerotic stenosis
    Le Yang, Quan Wang, He Zheng, Yiqing Wang, Zhigang Miao, Hao Li, Yi Yang
    Clinical Epigenetics.2025;[Epub]     CrossRef
  • Independent and combined relationships between light at night, air pollutants, PM2.5 components and risk of cardiovascular-kidney-metabolic syndrome: a cohort study
    Ziyue Liang, Siyu Qing, Yifang Liang, Renfang Zhang, Mengyao Sun, Ziyu Ren, Chunejie Xu, Fei Lin, Yongbin Wang
    BMC Public Health.2025;[Epub]     CrossRef
  • Independent and combined relationships between nighttime light exposure, air pollution, PM2.5 constituents, greenness and diabetes or high blood sugar: a national prospective cohort study
    Siyu Qing, Ziyue Liang, Yifang Liang, Renfang Zhang, Xiaojie Chen, Wenqing Wang, Chunejie Xu, Fei Lin, Yongbin Wang
    BMC Public Health.2025;[Epub]     CrossRef
  • Glucose homeostasis during recurrent periods of sleep restriction and recovery in healthy young adults
    Yuki Y Y Cheung, Torance Y L Tan, Tiffany B Koa, Chin Meng Khoo, June C Lo
    SLEEPJ.2025;[Epub]     CrossRef
  • Normalized Amplitude of Blue Light Exposure (NA BLE) as a Novel Index for Circadian Light Hygiene: Associations with Actigraphy Measures and Seasonal Dependencies
    Denis G. Gubin, Julia V. Boldyreva, Liina A. Danilova, Sergei N. Kolomeichuk, Larisa E. Alkhimova, Alexander A. Markov, Olga A. Malyugina, Natalya V. Kuznetsova, Oliver Stefani, Dietmar Weinert, Germaine Cornelissen
    Russian Open Medical Journal.2025;[Epub]     CrossRef
  • Circadian Deregulation: Back Facing the Sun Toward Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) Development
    Mariana Verdelho Machado
    Nutrients.2024; 16(24): 4294.     CrossRef
Lifestyle
Article image
Type 2 Diabetes Mellitus and Sarcopenia as Comorbid Chronic Diseases in Older Adults: Established and Emerging Treatments and Therapies
Jakub Mesinovic, Jackson J. Fyfe, Jason Talevski, Michael J. Wheeler, Gloria K.W. Leung, Elena S. George, Melkamu T. Hunegnaw, Costas Glavas, Paul Jansons, Robin M. Daly, David Scott
Diabetes Metab J. 2023;47(6):719-742.   Published online September 14, 2023
DOI: https://doi.org/10.4093/dmj.2023.0112
  • 29,181 View
  • 967 Download
  • 46 Web of Science
  • 53 Crossref
AbstractAbstract PDFPubReader   ePub   
Type 2 diabetes mellitus (T2DM) and sarcopenia (low skeletal muscle mass and function) share a bidirectional relationship. The prevalence of these diseases increases with age and they share common risk factors. Skeletal muscle fat infiltration, commonly referred to as myosteatosis, may be a major contributor to both T2DM and sarcopenia in older adults via independent effects on insulin resistance and muscle health. Many strategies to manage T2DM result in energy restriction and subsequent weight loss, and this can lead to significant declines in muscle mass in the absence of resistance exercise, which is also a first-line treatment for sarcopenia. In this review, we highlight recent evidence on established treatments and emerging therapies targeting weight loss and muscle mass and function improvements in older adults with, or at risk of, T2DM and/or sarcopenia. This includes dietary, physical activity and exercise interventions, new generation incretin-based agonists and myostatin-based antagonists, and endoscopic bariatric therapies. We also highlight how digital health technologies and health literacy interventions can increase uptake of, and adherence to, established and emerging treatments and therapies in older adults with T2DM and/or sarcopenia.

Citations

Citations to this article as recorded by  
  • Comparing bone and muscle parameters in community-dwelling older adults with obesity, with or without type 2 diabetes mellitus
    Costas Glavas, Jakub Mesinovic, Peter R. Ebeling, Surbhi Sood, Elena S. George, Melkamu Tamir Hunegnaw, Ayse Zengin, Robin M. Daly, Paul Jansons, David Scott
    Bone.2026; 202: 117680.     CrossRef
  • Prevalence and risk factors of sarcopenia in Asian adults with type 2 diabetes: A systematic review and meta‐analysis
    Yueh‐Chu Wu, Man‐Ting Mao, Hung‐En Huang, Chien‐Ning Huang, Wen‐Chun Liao
    Journal of Diabetes Investigation.2026; 17(1): 83.     CrossRef
  • Sarcopenia and MASLD: novel insights and the future
    Chang-Hai Liu, Qing-Min Zeng, Won Kim, Seung Up Kim, Zobair M. Younossi, Giovanni Targher, Christopher D. Byrne, Christos S. Mantzoros, Phunchai Charatcharoenwitthaya, Isabelle Anne Leclercq, Manuel Romero-Gómez, Hong Tang, Ming-Hua Zheng
    Nature Reviews Endocrinology.2026; 22(3): 139.     CrossRef
  • Air pollution exacerbates cardiovascular-kidney-metabolic syndrome and sarcopenia comorbidity via shared genetic-epigenetic mechanisms: A multi-omics and Mendelian Randomization study
    Shuxu Wei, Zhouwu Shu, Xinyi Li, Suiqin Zhong, Ling Xiao, Ronghuai Shen, Xiaojia Lu, Lingbin He, Youti Zhang, Yan Quan, Xianxi Huang
    Metabolism.2026; 175: 156452.     CrossRef
  • Ageing of human myofibres in the Vastus Lateralis muscle: A narrative review
    Antoneta Granic, Davina C.M. Simoes, T. Scott Bowen, Nessrin Almaghtuf, Gavin Richardson, Avan A. Sayer
    Ageing Research Reviews.2026; 115: 103022.     CrossRef
  • Assessment of screening tools for diabetic sarcopenia in type 2 diabetes mellitus: evidence from a scoping review
    Jiawei Yin, Xiaotu Zhang, Jing Cai, Hongshi Zhang, Xuefeng Sun, Zilin Wang, Ye Zhang, Lin Li
    Frontiers in Endocrinology.2026;[Epub]     CrossRef
  • Body composition and bone mineral density in patients with type 2 diabetes mellitus and sarcopenia
    Mo Li, Qing Zhao
    International Journal of Diabetes in Developing Countries.2026;[Epub]     CrossRef
  • How Pragmatic Are Sarcopenia Intervention Studies? A Systematic Review
    Sophie Van Heden, Zoubayda Baoubbou, Dolores Sanchez‐Rodriguez, Yoke Mun Chan, Charlotte Beaudart
    Journal of Cachexia, Sarcopenia and Muscle.2026;[Epub]     CrossRef
  • Exercise, Exerkines, and Sarcopenia
    Hye Soo Chung, Kyung Mook Choi
    Diabetes & Metabolism Journal.2026; 50(1): 19.     CrossRef
  • Development and validation of a machine learning-based sarcopenia prediction model using the triglyceride glucose–frailty index
    Wang Xiang, Houcheng Zhu, Xiandong Liu, Qingsong Wu
    Journal of International Medical Research.2026;[Epub]     CrossRef
  • Association between weight-adjusted waist index and the incidence of low back pain among middle-aged and older adults: a nationwide prospective cohort study in China
    Xiujie Meng, Wenlong Yu, Junming Ma
    European Spine Journal.2026;[Epub]     CrossRef
  • Investigation of the Relationship Between Glycemic Control and Inflammation–Nutrition Indices in Older Adults with Type 2 Diabetes
    Feyza Mutlay, Murat Das, Merve Durmaz Yıldız, Ferhan Demirer Aydemir, Ece Ünal Çetin, Özge Kurtkulağı
    Medicina.2026; 62(2): 369.     CrossRef
  • Higher body mass index increases the risk of shoulder adhesive capsulitis in young adults: a nationwide cohort study
    Jong-Ho Kim, Jae-Yoon Baek, Kyung-Do Han, Bong-Seoung Kim, Hyuk-Sang Kwon
    Journal of Shoulder and Elbow Surgery.2025; 34(1): 26.     CrossRef
  • Unraveling the dual threat: sarcopenia and insufficient physical activity in diabetes risk
    Hui Shi
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • Molecular insights into Parkinson's disease and type 2 diabetes mellitus: Metformin's role and genetic pathways explored
    Tingting Liu, Haojie Wu, Jianshe Wei
    Experimental Neurology.2025; 385: 115137.     CrossRef
  • Relationship between Muscle Mass by Bioimpedance and Vascular Complications in Type 2 Diabetes Mellitus
    Alejandra Calderón, Cristina Arteaga, Elizabeth Quiroga, Lisbeth Reales, Marcelo Pilamunga, Fernanda Marizande, Alberto Bustillos
    Salud, Ciencia y Tecnología.2025;[Epub]     CrossRef
  • Impact of socioeconomic status on utilisation of a Virtual Emergency Department: An exploratory analysis
    Jason Talevski, Shady Rizk, Loren Sher, Rebecca L Jessup, Adam I Semciw, James H Boyd, Suzanne M Miller, Jennie Hutton
    Emergency Medicine Australasia.2025;[Epub]     CrossRef
  • Risk factors for sarcopenia in community setting across the life course: A systematic review and a meta-analysis of longitudinal studies
    Yajing Gao, Yuli Huang, Ran An, Yi Yang, Xinyao Chen, Qiaoqin Wan
    Archives of Gerontology and Geriatrics.2025; 133: 105807.     CrossRef
  • Development and validation of a predictive model for the risk of possible sarcopenia in middle-aged and older adult diabetes mellitus in China
    Mengyuan Qiao, Haiyan Wang, Mengzhen Qin, Taohong Xing, Yingyang Li
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • Primary Hyperparathyroidism: An Analysis Amid the Co-Occurrence of Type 2 Diabetes Mellitus
    Ana-Maria Gheorghe, Mihaela Stanciu, Claudiu Nistor, Ioana Codruta Lebada, Mara Carsote
    Life.2025; 15(4): 677.     CrossRef
  • A comparative analysis of sarcopenia screening methods in Thai people with type 2 diabetes mellitus in an outpatient setting
    Ornpicha Laohajaroensombat, Thanapat Limpaarayakul, Nattapol Sathavarodom, Apussanee Boonyavarakul, Parinya Samakkarnthai
    BMC Geriatrics.2025;[Epub]     CrossRef
  • Exercise and dietary recommendations to preserve musculoskeletal health during weight loss in adults with obesity: A practical guide
    Jakub Mesinovic, Christopher Hurst, Gloria K. W. Leung, Jack R. Ryan, Robin M. Daly, David Scott
    Reviews in Endocrine and Metabolic Disorders.2025; 26(5): 785.     CrossRef
  • Exploring the link between age at menarche, anthropometry and body fat composition with type II diabetes in a Singapore multi-ethnic cohort
    Paula Benny, Qian Yang, Beverly Wen-Xin Wong, Cuilin Zhang, Eu-Leong Yong, Ling-Jun Li, Zhongwei Huang
    BMC Medicine.2025;[Epub]     CrossRef
  • Current status of older people with chronic diseases adopting digital health technologies: A scoping review
    Chengjin Li, Hansong Wang, Jiajun Yuan, Lili Shi, Yunhao Chen, Zefang Gao, Liebin Zhao, Abilio Oliveira
    DIGITAL HEALTH.2025;[Epub]     CrossRef
  • САРКОПЕНІЯ У ПАЦІЄНТІВ ІЗ ЦУКРОВИМ ДІАБЕТОМ 2 ТИПУ: СУЧАСНІ ДІАГНОСТИЧНІ КРИТЕРІЇ, МЕХАНІЗМИ РОЗВИТКУ ТА СТРАТЕГІЇ ЛІКУВАННЯ
    Лариса Журавльова, Олена Кривоносова, Анна Журавльова
    PROBLEMS OF ENDOCRINE PATHOLOGY.2025; 82(2): 54.     CrossRef
  • Mediation effects of age, intramuscular adipose tissue index and serum albumin on survival status in initial dialysis patients
    Meng-huan Wu, Yu-ting Gao, Yu-xin Ren, Wen Zhou, Jing Zheng, Shi-mei Hou, Yao Wang, Jing-yuan Cao, Xiao-xu Wang, Yan Yang, Bin Wang, Min Yang, Jing-ting Jiang, Min Li
    Renal Failure.2025;[Epub]     CrossRef
  • Associations of circulating apolipoprotein J and myostatin with sarcopenia in older adults with and without type 2 diabetes: a cross-sectional study
    Inha Jung, Da-Hye Shin, Hyun Joo Cho, So Young Park, Da Young Lee, Ji Hee Yu, Nan Hee Kim, Minjin Lee, Young-Bum Kim, Ji A Seo
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • Therapeutic advances in sarcopenia management: From traditional interventions to personalized medicine
    Xiangliang Liu, Xinqiao Chen, Jiuwei Cui
    Clinical Nutrition.2025; 51: 187.     CrossRef
  • The Potential of SARMs and Antimyostatin Agents in Addressing Lean Body Mass Loss From GLP‐1 Agonists: A Literature Review
    Jimmy Wen, Ubaid Ansari, Mouhamad Shehabat, Zaid Ansari, Burhaan Syed, Adam Razick, Daniel Razick, Muzammil Akhtar, Eldo Frezza
    Journal of Diabetes.2025;[Epub]     CrossRef
  • Effects of Blood-Glucose Lowering Therapies on Body Composition and Muscle Outcomes in Type 2 Diabetes: A Narrative Review
    Ioana Bujdei-Tebeică, Doina Andrada Mihai, Anca Mihaela Pantea-Stoian, Simona Diana Ștefan, Claudiu Stoicescu, Cristian Serafinceanu
    Medicina.2025; 61(8): 1399.     CrossRef
  • Vitamin D and Sarcopenia: Implications for Muscle Health
    Héctor Fuentes-Barría, Raúl Aguilera-Eguía, Lissé Angarita-Davila, Diana Rojas-Gómez, Miguel Alarcón-Rivera, Olga López-Soto, Juan Maureira-Sánchez, Valmore Bermúdez, Diego Rivera-Porras, Julio Cesar Contreras-Velázquez
    Biomedicines.2025; 13(8): 1863.     CrossRef
  • Diabetes and Sarcopenia: Metabolomic Signature of Pathogenic Pathways and Targeted Therapies
    Anamaria Andreea Danciu, Cornelia Bala, Georgeta Inceu, Camelia Larisa Vonica, Adriana Rusu, Gabriela Roman, Dana Mihaela Ciobanu
    International Journal of Molecular Sciences.2025; 26(15): 7574.     CrossRef
  • Effectiveness of Sodium-Glucose Transporter 2 Inhibitors and Semaglutide on Body Composition in Type 2 Diabetes Mellitus and Chronic Kidney Disease: A Real-World Cohort Study with Bioelectrical Impedance Analysis
    Qing Yang, Chunmei Qin, Yanlin Lang, Wenjie Yang, Fenghao Yang, Jia Yang, Ke Liu, Jiamin Yuan, Yutong Zou, Fang Liu
    Diabetes, Metabolic Syndrome and Obesity.2025; Volume 18: 2885.     CrossRef
  • Understanding the Role of Sarcopenia and Diet in Diabetes-Related Mortality
    Wonjin Kim
    CardioMetabolic Syndrome Journal.2025; 5(2): 112.     CrossRef
  • Comparison of SGLT-2i and GLP-1RA on cardiovascular and renal outcomes in elderly patients with T2DM: a single-center retrospective cohort study
    Yawei Qin, Xvguang Xv, Liang Cheng, Bin Liu
    International Urology and Nephrology.2025;[Epub]     CrossRef
  • The association between living habits, physical activity level and sarcopenia in chinese older adults with type 2 diabetes mellitus: a cross-sectional study
    Yiting Yue, Huaping Shen, Hongmei Li, Yongjing Zhang, Yiwei Zhao, Rui Zhang, Xiaoyan Xue
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • Phosphoglycerate kinase 1 as a potential biomarker and therapeutic target for diabetic sarcopenia
    Fangyu Li, Qingsheng Wang, Rui Li, Yuanyuan Gao, Ying Wang, Qi Chen
    QJM: An International Journal of Medicine.2025;[Epub]     CrossRef
  • High “sarcopenia index” reduce all-cause mortality in patients with acute myocardial infarction
    Hui Pan, C. Yu Dong, Z. Cheng Yang, Y. Bin Xi, He Lin, J. Lu Zhu, X. Wen Wang, H. Jie Zhan, Z. Hao Wang
    Clinical Nutrition.2025; 54: 91.     CrossRef
  • Myosteatosis and Type 2 Diabetes Mellitus
    Lucian Batista de Oliveira, Vanessa de Oliveira e Silva, Ítalo Caio Lopes Jucá, João Victor Gonçalves dos Santos Torres, Maria Roseneide dos Santos Torres, Fabio Moura, Francisco Bandeira
    Acta Medica (Hradec Kralove, Czech Republic).2025; 68(2): 37.     CrossRef
  • Association between Cardiovascular-Kidney-Metabolic Syndrome and Relative Muscle Loss in American Adults
    Cheng-Di Yuan, Bo-Shui Huang, Zhong-Peng Li, Ji-Wei Zhao, Yao-Wei Zhi
    International Heart Journal.2025; 66(6): 925.     CrossRef
  • Epigenetic silencing of MSTN via m6A modification underlies the renoprotective effects of engineered MSC exosomes with RBM15 depletion in diabetic nephropathy
    Qianlan Dong, Longhao Dong, Yanting Zhu, Xiaoming Wang, Xiaohui Yan
    Functional & Integrative Genomics.2025;[Epub]     CrossRef
  • End-Users’ Perspectives on Implementation Outcomes of Digital Voice Assistants Delivering a Home-Based Lifestyle Intervention in Older Obese Adults with Type 2 Diabetes Mellitus: A Qualitative Analysis
    Costas Glavas, Jiani Ma, Surbhi Sood, Elena S. George, Robin M. Daly, Eugene Gvozdenko, Barbora de Courten, David Scott, Paul Jansons
    Technologies.2025; 13(11): 511.     CrossRef
  • Current Strategies for Healthy Aging: The Interplay Between Nutrition, Metabolism, and Exercise
    Ana Matos, Cezara Tihon, Carolina Costa, Catarina Domingues
    Cureus.2025;[Epub]     CrossRef
  • Is the experience of chronic pain different in frail older adults? A cross-sectional exploratory study
    Nayara Tasse de Oliveira Cirino, Marcos Paulo Miranda de Aquino, Camila Astolphi Lima, Fânia Cristina dos Santos, Mauricio de Miranda Ventura, Monica Rodrigues Perracini
    Arquivos de Neuro-Psiquiatria.2025; 83(10): 001.     CrossRef
  • Ophiopogon japonicus Root Extract Attenuates Obesity-Induced Muscle Atrophy Through Regulation of the PI3K-AKT-mTOR/FoxO3a Signaling Pathway and Lipid Metabolism in Mice and C2C12 Myotubes
    Yang Wang, Haifeng Shao, Chenzi Lyu, Kyung Hee Park, Tran Khoa Nguyen, In Jun Yang, Hyo Won Jung, Yong-Ki Park
    Nutrients.2025; 17(24): 3946.     CrossRef
  • Clinical Nutrition Strategies for the Prevention and Management of Sarcopenia in Older Adults with Type 2 Diabetes
    Sohye Kim
    The Journal of Korean Diabetes.2025; 26(4): 238.     CrossRef
  • Fucoidan ameliorates diabetic skeletal muscle atrophy through PI3K/Akt pathway
    Caixia Li, Yaping Liu, Mingzhi Yang, Haoyue Huang, Lulu Tang, Yufan Miao, Wenjie Li, Xing Li
    Journal of Functional Foods.2024; 114: 106076.     CrossRef
  • Evaluation of the effect of testosterone replacement therapy with a transdermal testosterone on glycemic control in men with type 2 diabetes mellitus
    R. V. Rozhivanov, M. O. Chernova, V. A. Ioutsi, G. A. Mel’nichenko, M. V. Shestakova, E. R. Rozhivanova, E. N. Andreeva, N. G. Mokrysheva
    Diabetes mellitus.2024; 27(2): 120.     CrossRef
  • Higher dietary live microbe intake is associated with a lower risk of sarcopenia
    Kemin Yan, Xiaoyi Ma, Chen Li, Xiang Zhang, Manxuan Shen, Sai Chen, Jia Zhao, Wen He, Hua Hong, Yingying Gong, Gang Yuan
    Clinical Nutrition.2024; 43(7): 1675.     CrossRef
  • d-Pinitol Improves Diabetic Sarcopenia by Regulation of the Gut Microbiome, Metabolome, and Proteome in STZ-Induced SAMP8 Mice
    Xin Yu, Pei Li, Baoying Li, Fei Yu, Wenqian Zhao, Xue Wang, Yajuan Wang, Haiqing Gao, Mei Cheng, Xiaoli Li
    Journal of Agricultural and Food Chemistry.2024; 72(25): 14466.     CrossRef
  • Proteomics Analysis Provides Insights into the Role of Lipid Metabolism in T2DM-Related Sarcopenia
    Jingying Wu, Shengnan Wang, Huafeng Zhuang, Weichun Wang, Yaoguo Wang, Youfang Chen, Zhengping Huang, Chunnuan Chen, Xiaofeng Chen
    ACS Omega.2024; 9(31): 34056.     CrossRef
  • Age- and sex-dependent associations between self-reported physical activity levels and self-reported cardiovascular risk factors: a population-based cross-sectional survey
    Johannes Burtscher, Martin Kopp, Jeannette Klimont, Hanno Ulmer, Barbara Strasser, Martin Burtscher
    BMC Public Health.2024;[Epub]     CrossRef
  • Addressing broader dietary patterns and physical activity in the study of dietary live microbe intake and sarcopenia
    Chun-Yu Shen, Chen-Pi Li, Hui-Chin Chang, Shuo-Yan Gau
    Clinical Nutrition.2024; 43(10): 2388.     CrossRef
Original Article
Basic Research
Article image
Effects Of Exercise Training And Chlorogenic Acid Supplementation On Hepatic Lipid Metabolism In Prediabetes Mice
Samaneh Shirkhani, Sayyed Mohammad Marandi, Mohammad Hossein Nasr-Esfahani, Seung Kyum Kim
Diabetes Metab J. 2023;47(6):771-783.   Published online September 8, 2023
DOI: https://doi.org/10.4093/dmj.2022.0265
  • 7,840 View
  • 222 Download
  • 4 Web of Science
  • 5 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Since prediabetes is a risk factor for metabolic syndromes, it is important to promote a healthy lifestyle to prevent prediabetes. This study aimed to determine the effects of green coffee (GC), chlorogenic acid (CGA) intake, and exercise training (EX) on hepatic lipid metabolism in prediabetes male C57BL/6 mice.
Methods
Forty-nine mice were randomly divided into two groups feeding with a normal diet (n=7) or a high-fat diet (HFD, n=42) for 12 weeks. Then, HFD mice were further divided into six groups (n=7/group): control (pre-D), GC, CGA, EX, GC+EX, and CGA+EX. After additional 10 weeks under the same diet, plasma, and liver samples were obtained.
Results
HFD-induced prediabetes conditions with increases in body weight, glucose, insulin, insulin resistance, and lipid profiles were alleviated in all treatment groups. Acsl3, a candidate gene identified through an in silico approach, was lowered in the pre-D group, while treatments partly restored it. HFD induced adverse alterations of de novo lipogenesis- and β oxidation-associated molecules in the liver. However, GC and CGA supplementation and EX reversed or ameliorated these changes. In most cases, GC or CGA supplementation combined with EX has no synergistic effect and the GC group had similar results to the CGA group.
Conclusion
These findings suggest that regular exercise is an effective non-therapeutic approach for prediabetes, and CGA supplementation could be an alternative to partially mimic the beneficial effects of exercise on prediabetes.

Citations

Citations to this article as recorded by  
  • Stevioside Improves Liver Insulin Resistance in Prediabetic Mice via IRS1/PI3K/AKT Signaling Pathway
    Changfa Zhang, Lili Kang, Kangjun Li, Jingyi Zhang, Yingxin Liu, Ruoting Wang, Guowei Li
    Molecular Nutrition & Food Research.2025;[Epub]     CrossRef
  • Advances in the research on phenolic acids and flavonoids in vinegar: Sources, formation and degradation mechanisms, and functional properties
    Cheng-Hao Jin, Yong-Zhu Zhang, Feng-Hua Wu, Chang-Ling Wu, Peng Wang, Wei Feng, Lin-Mei Liang, Wei-Jiang Xu, Xiao-Tao Sun, Xing-Quan Liu, Guan-Yu Fang
    Food Research International.2025; 222: 117702.     CrossRef
  • Integrated Genomic–Metabolomic Analysis for Tri-Categorical Classification of Type 2 Diabetes Status in the Korean Ansan–Ansung Cohort
    Junho Cha, Sungkyoung Choi
    International Journal of Molecular Sciences.2025; 26(23): 11688.     CrossRef
  • TFEB activator tanshinone IIA and derivatives derived from Salvia miltiorrhiza Bge. Attenuate hepatic steatosis and insulin resistance
    Lulu Zheng, Beiyan Li, Anlei Yuan, Shijie Bi, Harrison Puscher, Chaoqun Liu, Liansheng Qiao, Yanjiang Qiao, Shifeng Wang, Yanling Zhang
    Journal of Ethnopharmacology.2024; 335: 118662.     CrossRef
  • Research progress on the pharmacological activity and mechanism of chlorogenic acid in alleviating acute kidney injury in sepsis patients
    Renke Sun, Hui Su, Kecheng Zhai, Yangmengna Gao, Shangping Fang
    Perioperative Precision Medicine.2023;[Epub]     CrossRef
Sulwon Lecture 2021
Basic Research
Article image
Exercise, Mitohormesis, and Mitochondrial ORF of the 12S rRNA Type-C (MOTS-c)
Tae Kwan Yoon, Chan Hee Lee, Obin Kwon, Min-Seon Kim
Diabetes Metab J. 2022;46(3):402-413.   Published online May 25, 2022
DOI: https://doi.org/10.4093/dmj.2022.0092
  • 12,937 View
  • 314 Download
  • 19 Web of Science
  • 20 Crossref
AbstractAbstract PDFPubReader   ePub   
Low levels of mitochondrial stress are beneficial for organismal health and survival through a process known as mitohormesis. Mitohormetic responses occur during or after exercise and may mediate some salutary effects of exercise on metabolism. Exercise-related mitohormesis involves reactive oxygen species production, mitochondrial unfolded protein response (UPRmt), and release of mitochondria-derived peptides (MDPs). MDPs are a group of small peptides encoded by mitochondrial DNA with beneficial metabolic effects. Among MDPs, mitochondrial ORF of the 12S rRNA type-c (MOTS-c) is the most associated with exercise. MOTS-c expression levels increase in skeletal muscles, systemic circulation, and the hypothalamus upon exercise. Systemic MOTS-c administration increases exercise performance by boosting skeletal muscle stress responses and by enhancing metabolic adaptation to exercise. Exogenous MOTS-c also stimulates thermogenesis in subcutaneous white adipose tissues, thereby enhancing energy expenditure and contributing to the anti-obesity effects of exercise training. This review briefly summarizes the mitohormetic mechanisms of exercise with an emphasis on MOTS-c.

Citations

Citations to this article as recorded by  
  • Aerobic exercise and MOTS-c attenuate diabetic myocardial fibrosis via inhibition of the THBS1/TGF-β signaling pathway
    Zhiyu Li, Tutu Wang, Yu Fu, Feilong Chen, Shunchang Li
    Frontiers in Endocrinology.2026;[Epub]     CrossRef
  • Endurance training enhances skeletal muscle mitochondrial respiration by promoting MOTS-c secretion
    Yiwei Feng, Zhijian Rao, Xu Tian, Yi Hu, Liantian Yue, Yifan Meng, Qiuling Zhong, Wei Chen, Wenlong Xu, Haoran Li, Yingjia Hu, Rengfei Shi
    Free Radical Biology and Medicine.2025; 227: 619.     CrossRef
  • The impact of mitokine MOTS-c administration on the soleus muscle of rats subjected to a 7-day hindlimb suspension
    Daria A. Sidorenko, Irina D. Lvova, Sergey A. Tyganov, Boris S. Shenkman, Kristina A. Sharlo
    Journal of Muscle Research and Cell Motility.2025; 46(3): 215.     CrossRef
  • Aging-associated Aberrant Mitochondrial Redox Signaling, Physical Activity, and Sarcopenia
    Mehmet Can Atayik, Erdem Atasever, Seydanur Turgut, Ufuk Cakatay
    Current Aging Science.2025; 18(2): 120.     CrossRef
  • Mitochondria, Sex, and Cardiovascular Disease: A Complex Interplay
    Andrea Iboleon-Jimenez, Alberto Contreras-Muñoz, Cristian Peláez-Berdún, Rafael Franco-Hita, Alba Sesmero, Ainhoa Robles-Mezcua, Jose M. García-Pinilla, Manuel Jimenez-Navarro, Mora Murri
    International Journal of Molecular Sciences.2025; 26(18): 8971.     CrossRef
  • Repeated Heat Stress Modulates the Levels of the Mitokines MOTS-C and FGF21 in Active Men during Calf Muscle Immobilization
    RABIE ELHUSSEINY, MOHAMMED IHSAN, MARIEM LABIDI, MARINE ALHAMMOUD, KHOULOUD MTIBAA, NELDA NADER, NADA NASIR, ABDULAZIZ FAROOQ, EMMANOUI PAPAKOSTAS, BRUNO OLORY, FLAVIO CRUZ, PIETER D’HOOGHE, SEBASTIEN RACINAIS, LOUISE DELDICQUE
    Medicine & Science in Sports & Exercise.2025; 57(12): 2764.     CrossRef
  • Mitochondrial-derived peptides: Antidiabetic functions and evolutionary perspectives
    Satadeepa Kal, Sumana Mahata, Suborno Jati, Sushil K. Mahata
    Peptides.2024; 172: 171147.     CrossRef
  • Beneficial Effects of Low-Grade Mitochondrial Stress on Metabolic Diseases and Aging
    Se Hee Min, Gil Myoung Kang, Jae Woo Park, Min-Seon Kim
    Yonsei Medical Journal.2024; 65(2): 55.     CrossRef
  • Roles of Myokines and Muscle-Derived Extracellular Vesicles in Musculoskeletal Deterioration under Disuse Conditions
    Jie Zhang, Yunfang Gao, Jiangwei Yan
    Metabolites.2024; 14(2): 88.     CrossRef
  • The current insights of mitochondrial hormesis in the occurrence and treatment of bone and cartilage degeneration
    Wacili Da, Quan Chen, Bin Shen
    Biological Research.2024;[Epub]     CrossRef
  • Mitochondria-derived peptide is an effective target for treating streptozotocin induced painful diabetic neuropathy through induction of activated protein kinase/peroxisome proliferator-activated receptor gamma coactivator 1alpha -mediated mitochondrial b
    Lingfei Xu, Xihui Tang, Long Yang, Min Chang, Yuqing Xu, Qingsong Chen, Chen Lu, Su Liu, Jinhong Jiang
    Molecular Pain.2024;[Epub]     CrossRef
  • MOTS-c is an effective target for treating cancer-induced bone pain through the induction of AMPK-mediated <?A3B2 pi6?>mitochondrial biogenesis
    Long Yang, Miaomiao Li, Yucheng Liu, Yang Bai, Tianyu Yin, Yangyang Chen, Jinhong Jiang, Su Liu
    Acta Biochimica et Biophysica Sinica.2024; 56(9): 1323.     CrossRef
  • Adipose thermogenic mechanisms by cold, exercise and intermittent fasting: Similarities, disparities and the application in treatment
    Linshan Chen, Longhua Liu
    Clinical Nutrition.2024; 43(9): 2043.     CrossRef
  • Sedentary Lifestyles and a Hypercaloric Diets During Middle Age, are Binomial Conducive to Fatal Progression, That is Counteracted by the Hormetic Treatment of Exercise, Metformin, and Tert-Butyl Hydroquinone: An Analysis of Female Middle-Aged Rat Liver M
    Stefanie Paola López-Cervantes, Rafael Toledo-Pérez, Jaime Abraham De Lira-Sánchez, Giovanni García-Cruz, Mercedes Esparza-Perusquía, Armando Luna-López, Juan Pablo Pardo, Oscar Flores-Herrera, Mina Konigsberg
    Dose-Response.2024;[Epub]     CrossRef
  • Antifragility and antiinflammaging: Can they play a role for a healthy longevity?
    Fabiola Olivieri, Francesco Prattichizzo, Fabrizia Lattanzio, Anna Rita Bonfigli, Liana Spazzafumo
    Ageing Research Reviews.2023; 84: 101836.     CrossRef
  • MOTS-c: A promising mitochondrial-derived peptide for therapeutic exploitation
    Yuejun Zheng, Zilin Wei, Tianhui Wang
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
  • MOTS-c: A potential anti-pulmonary fibrosis factor derived by mitochondria
    Zewei Zhang, Dongmei Chen, Kaili Du, Yaping Huang, Xingzhe Li, Quwen Li, Xiaoting Lv
    Mitochondrion.2023; 71: 76.     CrossRef
  • Mitochondrial-Encoded Peptide MOTS-c, Diabetes, and Aging-Related Diseases
    Byung Soo Kong, Changhan Lee, Young Min Cho
    Diabetes & Metabolism Journal.2023; 47(3): 315.     CrossRef
  • MOTS-c Serum Concentration Positively Correlates with Lower-Body Muscle Strength and Is Not Related to Maximal Oxygen Uptake—A Preliminary Study
    Remigiusz Domin, Michał Pytka, Mikołaj Żołyński, Jan Niziński, Marcin Rucinski, Przemysław Guzik, Jacek Zieliński, Marek Ruchała
    International Journal of Molecular Sciences.2023; 24(19): 14951.     CrossRef
  • Unique Properties of Apicomplexan Mitochondria
    Ian M. Lamb, Ijeoma C. Okoye, Michael W. Mather, Akhil B. Vaidya
    Annual Review of Microbiology.2023; 77(1): 541.     CrossRef
Review
Metabolic Risk/Epidemiology
Article image
Lifestyle Interventions for Non-Obese Patients Both with, and at Risk, of Non-Alcoholic Fatty Liver Disease
Xin-Lei Zhang, Ting-Yao Wang, Giovanni Targher, Christopher D. Byrne, Ming-Hua Zheng
Diabetes Metab J. 2022;46(3):391-401.   Published online May 25, 2022
DOI: https://doi.org/10.4093/dmj.2022.0048
  • 11,700 View
  • 322 Download
  • 24 Web of Science
  • 24 Crossref
AbstractAbstract PDFPubReader   ePub   
Non-alcoholic fatty liver disease occurring in non-obese subjects (the so-called non-obese NAFLD) is a highly prevalent but neglected liver condition, which is closely associated with metabolic disorders and suboptimal lifestyles. Landmark studies have shown that lifestyle interventions are potentially beneficial in decreasing the risk of developing non-obese NAFLD and in ameliorating NAFLD in non-obese individuals with pre-existing NAFLD. Lifestyle interventions usually refer to changes in eating habits and physical activity, both of which have a powerful effect on non-obese NAFLD and on risk factors for non-obese NAFLD. However, to date, patients and health-care professionals have a poor awareness and understanding of non-obese NAFLD and the beneficial effects of lifestyle interventions in this patient population. The aim of this narrative review is to briefly discuss the evidence for the effects of lifestyle changes and what changes are needed amongst medical personnel and other stakeholders in order to raise awareness of non-obese NAFLD.

Citations

Citations to this article as recorded by  
  • Long-term outcomes following hepatectomy in patients with lean non-alcoholic fatty liver disease-associated hepatocellular carcinoma versus overweight and obese counterparts: A multicenter analysis
    Wei Zhang, Min-Yu Li, Zi-Qiang Li, Yong-Kang Diao, Xing-Kai Liu, Hong-Wei Guo, Xiao-Chang Wu, Hong Wang, Si-Yuan Wang, Ya-Hao Zhou, Jun Lu, Kong-Ying Lin, Wei-Min Gu, Ting-Hao Chen, Jie Li, Ying-Jian Liang, Lan-Qing Yao, Ming-Da Wang, Chao Li, Dong-Xu Yin
    Asian Journal of Surgery.2025; 48(1): 150.     CrossRef
  • Lipid profile and non-alcoholic fatty liver disease detected by ultrasonography: is systemic inflammation a necessary mediator?
    Wenzhen Li, Feng Wang, Zhimin Li, Wenting Feng, Hongying Huang, Mei-Po Kwan, Lap Ah Tse
    Annals of Medicine.2025;[Epub]     CrossRef
  • Targeting Metabolism: Innovative Therapies for MASLD Unveiled
    Weixin Wang, Xin Gao, Wentong Niu, Jinping Yin, Kan He
    International Journal of Molecular Sciences.2025; 26(9): 4077.     CrossRef
  • Clinical Guidelines of the Russian Society for the Study of the Liver, Russian Gastroenterological Association, Russian Society for the Prevention of Non-Communicable Diseases, Russian Association of Endocrinologists, Russian Scientific Medical Society of
    V. T. Ivashkin, O. M. Drapkina, M. V. Maevskaya, K. L. Raikhelson, S. V. Okovityi, M. S. Zharkova, V. R. Grechishnikova, D. I. Abdulganieva, S. A. Alekseenko, M. D. Ardatskaya, I. G. Bakulin, N. V. Bakulina, P. O. Bogomolov, V. V. Breder, E. V. Vinnitskay
    Russian Journal of Gastroenterology, Hepatology, Coloproctology.2025; 35(1): 94.     CrossRef
  • Associations between skeletal muscle strength and chronic kidney disease in patients with MASLD
    Xin-Lei Zhang, Yeqing Gu, Jing Zhao, Pei-Wu Zhu, Wen-Ying Chen, Gang Li, Wen-Yue Liu, Wen Zheng, Ni Zhang, Li-Li Chen, Giovanni Targher, Christopher D. Byrne, Kaijun Niu, Dan-Qin Sun, Ming-Hua Zheng
    Communications Medicine.2025;[Epub]     CrossRef
  • Beyond obesity: lean metabolic dysfunction-associated steatohepatitis from unveiling molecular pathogenesis to therapeutic advancement
    Indrajit Bhattacharya, Deep Kumar Maity, Amit Kumar, Sampriti Sarkar, Teeshyo Bhattacharya, Amrita Sahu, Remya Sreedhar, Somasundaram Arumugam
    Naunyn-Schmiedeberg's Archives of Pharmacology.2025; 398(10): 13647.     CrossRef
  • Strategies for Mitigating Fatty Liver Disease Risk: A Systematic Review of Policy Interventions
    Mohamad Ali Abyazi, Mohammadkarim Bahadori, Parisa Mehdizadeh, Emad Nobahar
    Hepatitis Monthly.2025;[Epub]     CrossRef
  • Gut microbiota and metabolomics in metabolic dysfunction-associated fatty liver disease: interaction, mechanism, and therapeutic value
    Luyu Wang, Hongtao Wang, Jian Wu, Changyi Ji, Ying Wang, Mengmeng Gu, Miaomiao Li, Hongwei Yang
    Frontiers in Cellular and Infection Microbiology.2025;[Epub]     CrossRef
  • Cholecystectomy and non-alcoholic fatty liver disease: Exploring the hidden connection and implications
    Xue-Yan Liu, Jing Ma, Yan Jiao
    World Journal of Gastrointestinal Surgery.2025;[Epub]     CrossRef
  • Knowledge, attitude, and practice on dietary management among patients with non-alcoholic fatty liver disease: a cross-sectional study in Sichuan
    Li Xu, Shanshan Hu, Ying Ye, Xiaoli Xie, Pinghui Zhou, Hong Shen, Xiaochen Zhao
    BMC Public Health.2025;[Epub]     CrossRef
  • Triglycerides Mediate the Influence of Body Mass Index on Non-Alcoholic Fatty Liver Disease in a Non-Obese Chinese Population with Normal Low-Density Lipoprotein Cholesterol Levels
    Xixi Han, Jingwen Kong, Hemin Zhang, Yuan Zhao, Yafeng Zheng, Chao Wei
    Obesity Facts.2024; 17(2): 191.     CrossRef
  • AI‐based digital pathology provides newer insights into lifestyle intervention‐induced fibrosis regression in MASLD: An exploratory study
    Hai‐Yang Yuan, Xiao‐Fei Tong, Ya‐Yun Ren, Yang‐Yang Li, Xin‐Lei Wang, Li‐Li Chen, Sui‐Dan Chen, Xiao‐Zhi Jin, Xiao‐Dong Wang, Giovanni Targher, Christopher D. Byrne, Lai Wei, Vincent W.‐S Wong, Dean Tai, Arun J. Sanyal, Hong You, Ming‐Hua Zheng
    Liver International.2024; 44(10): 2572.     CrossRef
  • Current strategies for nonalcoholic fatty liver disease treatment (Review)
    Jing Sun, Xiuli Jin, Yiling Li
    International Journal of Molecular Medicine.2024;[Epub]     CrossRef
  • Lifestyle deterioration linked to elevated inflammatory cytokines over a two-month follow-up
    Kai Guo, Xuejiao Zeng, Xiaoming Liu, Panpan He, Zhiwei Zhang, Qianwen Yang, Lei Wang, Lipeng Jing
    Scientific Reports.2024;[Epub]     CrossRef
  • Exploration of the potential mechanism of aqueous extract of Artemisia capillaris for the treatment of non-alcoholic fatty liver disease based on network pharmacology and experimental verification
    Meng Liang, Siyu Dong, Yi Guo, Yuyi Zhang, Xiao Xiao, Jun Ma, Xiaowen Jiang, Wenhui Yu
    Journal of Pharmacy and Pharmacology.2024; 76(10): 1328.     CrossRef
  • Meta-analysis of randomized controlled trials of the effects of synbiotics, probiotics, or prebiotics in controlling glucose homeostasis in non-alcoholic fatty liver disease patients
    Siqi Ding, Qing Hong, Yuanyue Yao, Minwen Gu, Jie Cui, Wenhui Li, Jian Zhang, Chengcheng Zhang, Jinchi Jiang, Yonghong Hu
    Food & Function.2024; 15(19): 9954.     CrossRef
  • Investigation of the mechanism by which Tegillarca granosa polysaccharide regulates non-alcoholic fatty liver disease in mice by modulating Lactobacillus Johnsonii
    Hanwen Zhang, Xingwen Yang, Jinyu Chen, Qihong Jiang, Shiwei Yao, Lin Chen, Xingwei Xiang
    International Journal of Biological Macromolecules.2024; 282: 137259.     CrossRef
  • Patients with NAFLD exhibit more advanced fibrosis in liver biopsy than patients with other chronic liver diseases
    Lydia Rohr, Peter Lemmer, Marie Henning, Andrea Tannapfel, Theodor Baars, Paul Manka, Ali Canbay, Jan-Peter Sowa
    Zeitschrift für Gastroenterologie.2023; 61(01): 29.     CrossRef
  • Performance of Simple Fibrosis Score in Non-Alcoholic Fatty Liver Disease with and without Type 2 Diabetes
    Seung Min Chung, Min Kyu Kang, Jun Sung Moon, Jung Gil Park
    Endocrinology and Metabolism.2023; 38(2): 277.     CrossRef
  • An international multidisciplinary consensus statement on MAFLD and the risk of CVD
    Xiao-Dong Zhou, Giovanni Targher, Christopher D. Byrne, Virend Somers, Seung Up Kim, C. Anwar A. Chahal, Vincent Wai-Sun Wong, Jingjing Cai, Michael D. Shapiro, Mohammed Eslam, Philippe Gabriel Steg, Ki-Chul Sung, Anoop Misra, Jian-Jun Li, Carlos Brotons,
    Hepatology International.2023; 17(4): 773.     CrossRef
  • Lean or Non-obese Nonalcoholic Fatty Liver Disease Patients: Are They Really Lean?
    Eugene Han, Yong-ho Lee
    Clinical and Molecular Hepatology.2023; 29(4): 980.     CrossRef
  • Sex-Based Differences and Risk Factors for Comorbid Nonalcoholic Fatty Liver Disease in Patients with Bipolar Disorder: A Cross-Sectional Retrospective Study
    Ying Wang, Yiyi Liu, Xun Zhang, Qing Wu
    Diabetes, Metabolic Syndrome and Obesity.2023; Volume 16: 3533.     CrossRef
  • Benefits of Physical Exercise as Approach to Prevention and Reversion of Non-Alcoholic Fatty Liver Disease in Children and Adolescents with Obesity
    Valeria Calcaterra, Vittoria Magenes, Matteo Vandoni, Clarissa Berardo, Luca Marin, Alice Bianchi, Erika Cordaro, Giustino Silvestro, Dario Silvestri, Vittoria Carnevale Pellino, Cristina Cereda, Gianvincenzo Zuccotti
    Children.2022; 9(8): 1174.     CrossRef
  • The effects of supplementation of probiotics, prebiotics, or synbiotics on patients with non-alcoholic fatty liver disease: A meta-analysis of randomized controlled trials
    Wenmin Xing, Wenyan Gao, Xiaoling Lv, Zhenlei Zhao, Genxiang Mao, Xiaoyan Dong, Zuyong Zhang
    Frontiers in Nutrition.2022;[Epub]     CrossRef
Original Articles
Lifestyle
Article image
Effectiveness of Resistance Exercise on Inflammatory Biomarkers in Patients with Type 2 Diabetes Mellitus: A Systematic Review with Meta-Analysis
Rubén Fernández-Rodríguez, Sonia Monedero-Carrasco, Bruno Bizzozero-Peroni, Miriam Garrido-Miguel, Arthur Eumann Mesas, Vicente Martínez-Vizcaíno
Diabetes Metab J. 2023;47(1):118-134.   Published online April 29, 2022
DOI: https://doi.org/10.4093/dmj.2022.0007
  • 19,852 View
  • 433 Download
  • 23 Web of Science
  • 25 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Type 2 diabetes mellitus (T2DM) is related to increased inflammatory processes. The effects of resistance exercise on inflammatory biomarkers in T2DM are controversial. Our purpose was to determine the effectiveness of resistance exercise on inflammatory biomarkers in patients diagnosed with T2DM.
Methods
We searched four databases until September 2021. We included randomized clinical trials (RCTs) of the effects of resistance exercise on inflammatory biomarkers (C-reactive protein [CRP], tumor necrosis factor alpha, interleukin-6, and interleukin-10) in patients with T2DM. A random effects meta-analysis was conducted to determine the standardized mean difference (SMD) and the raw mean difference (MD) for CRP.
Results
Thirteen RCTs were included in the review, and 11 in the meta-analysis for CRP. Lower CRP levels were observed when resistance exercise was compared with the control groups (SMD=–0.20; 95% confidence interval [CI], –0.37 to –0.02). When conducting the MD meta-analysis, resistance exercise showed a significant decrease in CRP of –0.59 mg/dL (95% CI, –0.88 to –0.30); otherwise, in the control groups, the CRP values increased 0.19 mg/dL (95% CI, 0.17 to 0.21).
Conclusion
Evidence supports resistance exercise as an effective strategy to manage systemic inflammation by decreasing CRP levels in patients with T2DM. The evidence is still inconclusive for other inflammatory biomarkers.

Citations

Citations to this article as recorded by  
  • Inflammation biomarker and physical exercise: A bibliometric study
    Andi Sri Dewi Anggraeni M, Ulfah Widyastuti Arsal, Andi Ainun Zulkiah Surur
    BIO Web of Conferences.2026; 217: 02005.     CrossRef
  • Exercise Interventions for the Prevention and Treatment of Anthracycline-Induced Cardiotoxicity in Women with Breast Cancer: A Systematic Review
    Hongmei Li, Haiyun Liu, Boliang Wang, Xiao Jia, Jingjing Yu, Yurong Zhang, Die Sang, Yimin Zhang
    Journal of Science in Sport and Exercise.2025; 7(1): 14.     CrossRef
  • Predictors of Resistance Training Behavior among Glucagon-like Peptide 1 Medication Users
    Justin M. Kompf, Ryan E. Rhodes
    Translational Journal of the American College of Sports Medicine.2025;[Epub]     CrossRef
  • Comparative Efficacy of Different Exercise Modes on Inflammatory Markers in Patients With Type 2 Diabetes Mellitus: A Systematic Review With Pairwise and Network Meta‐Analyses
    Mousa Khalafi, Aref Habibi Maleki, Michael E. Symonds, Karim Azali Alamdari, Mahsa Ehsanifar, Sara K. Rosenkranz
    Obesity Reviews.2025;[Epub]     CrossRef
  • Effect of heat therapy compared with strength training on metabolic profile, heat shock response, inflammation, cardiovascular responses and microbiota in individuals with type 2 diabetes: study protocol of a randomized trial
    Patrícia Martins Bock, Lucas Stahlhöfer Kowalewski, Layane Ramos Ayres, Mariana Kras Borges Russo, Gabriela Tomedi Leites, Andreza Francisco Martins, Álvaro Reischak de Oliveira, Mauricio Krause
    Sao Paulo Medical Journal.2025;[Epub]     CrossRef
  • The impact of exercise on chronic systemic inflammation: a systematic review and meta–meta-analysis
    Olga Magni, Giannis Arnaoutis, Demosthenes Panagiotakos
    Sport Sciences for Health.2025; 21(3): 1405.     CrossRef
  • Risk of End-Stage Kidney Disease in Individuals with Diabetes Living Alone: A Large-Scale Population-Based Study
    Kyunghun Sung, Jae-Seung Yun, Bongseong Kim, Hun-Sung Kim, Jae-Hyoung Cho, Yong-Moon Mark Park, Kyungdo Han, Seung-Hwan Lee
    Diabetes & Metabolism Journal.2025; 49(4): 862.     CrossRef
  • Impact of home-based multi-task exercise training on executive function and TNF/IL-10 ratio in postmenopausal women with diabetes
    A. Jamali, M. Molanouri Shamsi, M. Behmanesh, A. Kouhkan, P. Hassani-Abharian, M. Pourmohammad, R. Negaresh, H. Adibi, S. Soudi
    Cytokine.2025; 194: 157001.     CrossRef
  • Physical activity for prevention of cardiovascular disease: consensus statement of Korean Society of Cardio-cerebrovascular Disease Prevention
    Ye Seul Yang, Eu Jeong Ku, Seung-Hyun Ko, Eun-Jung Rhee, Sang-Hyun Ihm, Sung Hee Choi, Won-Young Lee
    The Korean Journal of Internal Medicine.2025; 40(5): 696.     CrossRef
  • The Anti-Inflammatory Effects of Resistance Training in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis
    Nikolaos P. E. Kadoglou, Chrysostomos Georgiou, Nikolaos Balaskas, Chrystalla Panayiotou, Michail Vardas, Andreas Mitsis, Constantine N. Antonopoulos
    Biomolecules.2025; 15(10): 1417.     CrossRef
  • Physical activity for prevention of cardiovascular disease: a consensus statement of the Korean Society of Cardio-cerebrovascular Disease Prevention
    Ye Seul Yang, Eu Jeong Ku, Seung-Hyun Ko, Eun-Jung Rhee, Sang-Hyun Ihm, Sung Hee Choi, Won-Young Lee
    Cardiovascular Prevention and Pharmacotherapy.2025; 7(4): 120.     CrossRef
  • Resistance Training Improves Hemodynamics Involving Autonomic and Immune Responses
    Eduarda Teodora Rachid-Wolpp, Boris Brill, Anamei Silva Reis, Meiry Souza Moura-Maia, Naiara Nadia Moreira-Silva, Mariana Alvarez-Souza, Max Silva-Sousa, Elano Silva-Sousa, Fernanda Rodrigues Monteiro, André Luis Lacerda Bachi, Luis V F de Oliveira, Yanes
    International Journal of Sports Medicine.2025;[Epub]     CrossRef
  • Exercise as a modulator of systemic inflammation and oxidative stress biomarkers across clinical and healthy populations: an umbrella meta-analysis
    Wei Feng, Yanzhong Wang, Xin Gu, Duonan Yu, Zhiwei Liu
    BMC Sports Science, Medicine and Rehabilitation.2025;[Epub]     CrossRef
  • Körperliche Aktivität und Trainingstherapie bei Typ-2-Diabetes – ein Update
    Andreas M. Nieß, Ansgar Thiel
    Diabetologie und Stoffwechsel.2024; 19(01): 38.     CrossRef
  • Genetic predisposition, lifestyle inflammation score, food-based dietary inflammatory index, and the risk for incident diabetes: Findings from the KoGES data
    Hye Ah Lee, Hyesook Park, Bomi Park
    Nutrition, Metabolism and Cardiovascular Diseases.2024; 34(3): 642.     CrossRef
  • Associations of meeting 24-h movement guidelines and metabolic syndrome in Korean adults during the COVID-19 pandemic
    S.W. Shin, Y. Choi, Y.H. Kang, J. Kim
    Public Health.2024; 227: 187.     CrossRef
  • Association of hypoglycemic events with cognitive impairment in patients with type 2 diabetes mellitus: Protocol for a dose-response meta-analysis
    Min Ye, Ai Hong Yuan, Qi Qi Yang, Qun Wei Li, Fei Yue Li, Yan Wei, Muhammad Shahzad Aslam
    PLOS ONE.2024; 19(2): e0296662.     CrossRef
  • Effectiveness of resistance training in modulating inflammatory biomarkers among Asian patients with sarcopenia: a systematic review and meta-analysis of randomized controlled trials
    Jingxian Xue, Xi Han, Yan Zheng, Qiuxia Zhang, Lingyu Kong
    Frontiers in Immunology.2024;[Epub]     CrossRef
  • Low-Intensity Resistance Exercise in Cardiac Rehabilitation: A Narrative Review of Mechanistic Evidence and Clinical Implications
    Jemima Jansen, Paul W. Marshall, Jocelyne R. Benatar, Rebecca Cross, Tia K. Lindbom, Michael Kingsley
    Journal of Clinical Medicine.2024; 13(23): 7338.     CrossRef
  • Long-term impact of adherence to muscle-strengthening guidelines on inflammation markers: a 17-year follow-up study with obesity parameters as mediators
    Antonio Garcia-Hermoso, Yasmin Ezzatvar, Rodrigo Yáñez-Sepúlveda, Jorge Olivares-Arancibia, Jacqueline Páez-Herrera, José Francisco López-Gil
    BMJ Open Sport & Exercise Medicine.2024; 10(4): e002229.     CrossRef
  • Additive impact of diabetes and sarcopenia on all-cause and cardiovascular mortality: A longitudinal nationwide population-based study
    Eyun Song, Soon Young Hwang, Min Jeong Park, Ahreum Jang, Kyeong Jin Kim, Ji Hee Yu, Nam Hoon Kim, Hye Jin Yoo, Ji A. Seo, Sin Gon Kim, Nan Hee Kim, Sei Hyun Baik, Kyung Mook Choi
    Metabolism.2023; 148: 155678.     CrossRef
  • Endothelial progenitor cell response to a multicomponent exercise training program in adults with cardiovascular risk factors
    Suiane Cavalcante, Manuel Teixeira, Marisol Gouveia, Ana Duarte, Miriam Ferreira, Maria I. Simões, Maria Conceição, Mariana Costa, Ilda P. Ribeiro, Ana Cristina Gonçalves, José Oliveira, Fernando Ribeiro
    German Journal of Exercise and Sport Research.2023; 53(2): 225.     CrossRef
  • “Does Physical Exercise Promote Health Benefits for Diabetic Patients during the COVID-19 Pandemic?”: A Systematic Review
    Erivaldo de Souza, Daniela Meneses-Santos, Josué Cruz Santos, Felipe J. Aidar, Carla Roberta de Oliveira Carvalho, Jymmys Lopes dos Santos, Anderson Carlos Marçal
    Sports.2023; 11(10): 192.     CrossRef
  • Effect of exercise on inflammatory markers in postmenopausal women with overweight and obesity: A systematic review and meta-analysis
    Liang Tan, Weihua Yan, Weilin Yang, Agata Kamionka, Mariusz Lipowski, Zijian Zhao, Gang Zhao
    Experimental Gerontology.2023; 183: 112310.     CrossRef
  • Resistance Training Improves Beta Cell Glucose Sensing and Survival in Diabetic Models
    Gabriela Alves Bronczek, Gabriela Moreira Soares, Carine Marmentini, Antonio Carlos Boschero, José Maria Costa-Júnior
    International Journal of Molecular Sciences.2022; 23(16): 9427.     CrossRef
Lifestyle
Article image
Changes in Patterns of Physical Activity and Risk of Heart Failure in Newly Diagnosed Diabetes Mellitus Patients
Inha Jung, Hyemi Kwon, Se Eun Park, Kyung-Do Han, Yong-Gyu Park, Eun-Jung Rhee, Won-Young Lee
Diabetes Metab J. 2022;46(2):327-336.   Published online November 24, 2021
DOI: https://doi.org/10.4093/dmj.2021.0046
  • 9,583 View
  • 268 Download
  • 11 Web of Science
  • 14 Crossref
Graphical AbstractGraphical Abstract AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Exercise is recommended for type 2 diabetes mellitus (T2DM) patients to prevent cardiovascular disease. However, the effects of physical activity (PA) for reducing the risk of heart failure (HF) has yet to be elucidated. We aimed to assess the effect of changes in patterns of PA on incident HF, especially in newly diagnosed diabetic patients.
Methods
We examined health examination data and claims records of 294,528 participants from the Korean National Health Insurance Service who underwent health examinations between 2009 and 2012 and were newly diagnosed with T2DM. Participants were classified into the four groups according to changes in PA between before and after the diagnosis of T2DM: continuously inactive, inactive to active, active to inactive, and continuously active. The development of HF was analyzed until 2017.
Results
As compared with those who were continuously inactive, those who became physically active after diagnosis showed a reduced risk for HF (adjusted hazard ratio [aHR], 0.79; 95% confidence interval [CI], 0.66 to 0.93). Those who were continuously active had the lowest risk for HF (aHR, 0.77; 95% CI, 0.62 to 0.96). As compared with those who were inactive, those who exercised regularly, either performing vigorous or moderate PA, had a lower HF risk (aHR, 0.79; 95% CI, 0.69 to 0.91).
Conclusion
Among individuals with newly diagnosed T2DM, the risk of HF was reduced in those with higher levels of PA after diagnosis was made. Our results suggest either increasing or maintaining the frequency of PA after the diagnosis of T2DM may lower the risk of HF.

Citations

Citations to this article as recorded by  
  • Global, regional, and national burden of major diabetes-related complications attributable to physical inactivity
    Jayne Feter, Natan Feter, Rodrigo Leal-Menezes, Pedro C. Hallal, Daniel Umpierre
    Journal of Sport and Health Science.2026; : 101123.     CrossRef
  • Life-course obesity and heart failure: a two-sample Mendelian randomization study
    Haili Wang, Jie Min, Lei Zhong, Jinyu Zhang, Lili Ye, Chunrong Chen
    Internal and Emergency Medicine.2025; 20(1): 171.     CrossRef
  • Critical Appraisal of Pharmaceutical Therapy in Diabetic Cardiomyopathy—Challenges and Prospectives
    Elina Khattab, Michaelia Kyriakou, Elena Leonidou, Stefanos Sokratous, Angeliki Mouzarou, Michael M. Myrianthefs, Nikolaos P. E. Kadoglou
    Pharmaceuticals.2025; 18(1): 134.     CrossRef
  • Sitagliptin, diabetes mellitus, and heart failure: an in-depth review of sitagliptin therapy and heart failure in patients with diabetes mellitus
    Mohammadjavad Sotoudeheian, Seyed-Mohamad-Sadegh Mirahmadi, Pedram Salehi Darjani, Mohammad Moradi, Mohammad Pirhayati, Mohammad Sedigh Dakkali, Mehdi Taghizadeh, Reza Azarbad, Hamidreza Pazoki Toroudi
    Diabetology International.2025; 16(2): 237.     CrossRef
  • Exploring the Lack of Physical Activity among Adolescents Worldwide
    Dalmacito A. Cordero Jr.
    Diabetes & Metabolism Journal.2025; 49(3): 513.     CrossRef
  • Physical activity for prevention of cardiovascular disease: consensus statement of Korean Society of Cardio-cerebrovascular Disease Prevention
    Ye Seul Yang, Eu Jeong Ku, Seung-Hyun Ko, Eun-Jung Rhee, Sang-Hyun Ihm, Sung Hee Choi, Won-Young Lee
    The Korean Journal of Internal Medicine.2025; 40(5): 696.     CrossRef
  • Physical activity for prevention of cardiovascular disease: a consensus statement of the Korean Society of Cardio-cerebrovascular Disease Prevention
    Ye Seul Yang, Eu Jeong Ku, Seung-Hyun Ko, Eun-Jung Rhee, Sang-Hyun Ihm, Sung Hee Choi, Won-Young Lee
    Cardiovascular Prevention and Pharmacotherapy.2025; 7(4): 120.     CrossRef
  • Associations Between Physical Activity and the Risk of Hip Fracture Depending on Glycemic Status: A Nationwide Cohort Study
    Kyoung Min Kim, Kyoung Jin Kim, Kyungdo Han, Yumie Rhee
    The Journal of Clinical Endocrinology & Metabolism.2024; 109(3): e1194.     CrossRef
  • Association between exercise habits and incident type 2 diabetes mellitus in patients with thyroid cancer: nationwide population-based study
    Jiyun Park, Jin-Hyung Jung, Hyunju Park, Young Shin Song, Soo-Kyung Kim, Yong-Wook Cho, Kyungdo Han, Kyung-Soo Kim
    BMC Medicine.2024;[Epub]     CrossRef
  • Dose-Response Relationship Between Physical Activity and the Morbidity and Mortality of Cardiovascular Disease Among Individuals With Diabetes: Meta-Analysis of Prospective Cohort Studies
    Yang Chen, Xingsheng Jin, Guochong Chen, Ru Wang, Haili Tian
    JMIR Public Health and Surveillance.2024; 10: e54318.     CrossRef
  • Evaluation and Management of Patients With Diabetes and Heart Failure: A Korean Diabetes Association and Korean Society of Heart Failure Consensus Statement
    Kyu-Sun Lee, Junghyun Noh, Seong-Mi Park, Kyung Mook Choi, Seok-Min Kang, Kyu-Chang Won, Hyun-Jai Cho, Min Kyong Moon
    International Journal of Heart Failure.2023; 5(1): 1.     CrossRef
  • Evaluation and Management of Patients with Diabetes and Heart Failure: A Korean Diabetes Association and Korean Society of Heart Failure Consensus Statement
    Kyu-Sun Lee, Junghyun Noh, Seong-Mi Park, Kyung Mook Choi, Seok-Min Kang, Kyu-Chang Won, Hyun-Jai Cho, Min Kyong Moon
    Diabetes & Metabolism Journal.2023; 47(1): 10.     CrossRef
  • Association of plasma brain-derived neurotrophic factor levels and frailty in community-dwelling older adults
    Eun Roh, Soon Young Hwang, Eyun Song, Min Jeong Park, Hye Jin Yoo, Sei Hyun Baik, Miji Kim, Chang Won Won, Kyung Mook Choi
    Scientific Reports.2022;[Epub]     CrossRef
  • The associations between changes in hepatic steatosis and heart failure and mortality: a nationwide cohort study
    Jiyun Park, Gyuri Kim, Hasung Kim, Jungkuk Lee, Sang-Man Jin, Jae Hyeon Kim
    Cardiovascular Diabetology.2022;[Epub]     CrossRef
Metabolic Risk/Epidemiology
Article image
Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018
Jiun Chae, Moon Young Seo, Shin-Hye Kim, Mi Jung Park
Diabetes Metab J. 2021;45(6):880-889.   Published online July 6, 2021
DOI: https://doi.org/10.4093/dmj.2020.0185
  • 10,932 View
  • 290 Download
  • 26 Web of Science
  • 27 Crossref
Graphical AbstractGraphical Abstract AbstractAbstract PDFPubReader   ePub   
Background
There is a lack of recent research on the changes in risk factors for metabolic syndrome (MetS) in the Asian pediatric population. We aimed to determine the 12-year trends in the prevalence of MetS and relevant lifestyle factors such as smoking, exercise, and calorie intake among Korean adolescents.
Methods
We investigated trends in MetS and lifestyle factors among 6,308 adolescents aged 12 to 18 years from the Korea National Health and Nutrition Examination Survey, 2007 to 2018.
Results
The prevalence of MetS was stable from 2007 to 2018 (1.7% to 2.2%). There were significant increases in the prevalence of central obesity (from 8.1% to 11.2%, P=0.012) and hyperglycemia (from 5.3% to 10.4%, P<0.001) and decreases in hypo-high-density lipoprotein (HDL)-cholesterolemia (from 22.4% to 14.8%, P<0.001). Total calorie intake and calorie intake from fat significantly increased (P<0.001), whereas calorie intake from carbohydrates significantly decreased (P<0.001) during the study period. The proportions of tobacco smokers and regular walkers significantly decreased from 2007 to 2018. After controlling for all covariates, total calorie intake was positively correlated with waist circumference (P<0.05). HDL-cholesterol was negatively associated with carbohydrate consumption (P<0.01) and positively associated with fat consumption (P<0.001). Regular walking and regular strength training were associated with lower waist circumference (P<0.05). Smoking was associated with lower fasting glucose levels (P<0.01).
Conclusion
Although the prevalence rate of MetS is stable among Korean adolescents, the prevalence of central obesity and hyperglycemia has increased greatly in the recent decade. Public education on proper dietary intake and lifestyle modification is required.

Citations

Citations to this article as recorded by  
  • Association between vitamin D status and insulin resistance in Korean adolescents: differential effects of obesity using non-insulin-based indices
    Eunji Mun, Kyung Hee Kim, Jung Eun Choi, Hyesook Park, Hye Ah Lee, Hae Soon Kim
    BMC Pediatrics.2026;[Epub]     CrossRef
  • National Trends of Vascular Risk Factor Control Among Stroke Survivors in Korea: From the National Health and Nutrition Examination Survey 2010 to 2021
    Eung-Joon Lee, Han-Yeong Jeong, Keun-Hwa Jung
    Journal of Korean Medical Science.2025;[Epub]     CrossRef
  • Concentrations of Serum Per- and Polyfluoroalkyl Substances and Lipid Health in Adolescents: A Cross-Sectional Study from the Korean National Environmental Health Survey 2018–2020
    Min-Won Shin, Habyeong Kang, Shin-Hye Kim
    Toxics.2025; 13(2): 91.     CrossRef
  • Hidden link between endocrine-disrupting chemicals and pediatric obesity
    Min Won Shin, Shin-Hye Kim
    Clinical and Experimental Pediatrics.2025; 68(3): 199.     CrossRef
  • Association between mothers’ working hours and metabolic syndrome in children and adolescents: data from the Korea National Health and Nutrition Examination Survey, 2016–2020
    Myoung-hye Lee, Joo-Eun Jeong, Hoon-Ki Park, Hwan-Sik Hwang, Kye-Yeung Park
    Korean Journal of Family Medicine.2025; 46(2): 84.     CrossRef
  • Age-related insulin resistance changes in children and adolescents and its impact on the accuracy of diagnosis of metabolic syndrome
    Insung Kim, Kyu-Na Lee, Juyoung Sung, Yoon Ji Ahn, Minji Im, Kyungdo Han, Sung Yoon Cho
    Annals of Pediatric Endocrinology & Metabolism.2025; 30(4): 213.     CrossRef
  • Binational comparison of the association between socioeconomic status and metabolic syndrome: A nationally representative study in South Korea and the United States
    Yoon Lee, Ye Won Kim, Juyeong Kim, André Hajek, Yusheng Li, Jiyoung Hwang, Selin Woo, Dong Keon Yon
    Preventive Medicine Reports.2025; 60: 103298.     CrossRef
  • Relationship between sedentary time and cognitive decline in hypertensive patients-mediating role of the weight-adjusted waist circumference index
    Mengdi Zhang, Donghai Liu, Shunxin Lv, Cong Wang, Huachen Jiao
    Scientific Reports.2025;[Epub]     CrossRef
  • Impact of Overseas Deployment on Fatty Liver and Metabolic Diseases Among Korean Soldiers
    Chang In Han, Jaejun Lee
    Military Medicine.2024; 189(7-8): e1621.     CrossRef
  • The impacts of dietary sphingomyelin supplementation on metabolic parameters of healthy adults: a systematic review and meta-analysis of randomized controlled trials
    Chen-Zi Li, Li-Mei Wu, Chen-Xi Zhu, Huan-Yu Du, Guo-Xun Chen, Fang Yang
    Frontiers in Nutrition.2024;[Epub]     CrossRef
  • Association between Thyroid Function and Insulin Resistance Indices in Korean Adolescents: Findings from the 2014–2015 Korea National Health and Nutrition Examination Survey
    Eunji Mun, Hye Ah Lee, Jung Eun Choi, Rosie Lee, Kyung Hee Kim, Hyesook Park, Hae Soon Kim
    Children.2024; 11(3): 370.     CrossRef
  • The Association Between Obesity Measures and Metabolic Syndrome Risk in Korean Adolescents Aged 10–18 Years
    Munku Song, Seamon Kang, Hyunsik Kang
    Journal of Multidisciplinary Healthcare.2024; Volume 17: 1769.     CrossRef
  • Harnessing Metabolic Indices as a Predictive Tool for Cardiovascular Disease in a Korean Population without Known Major Cardiovascular Event
    Hyun-Jin Kim, Byung Sik Kim, Yonggu Lee, Sang Bong Ahn, Dong Wook Kim, Jeong-Hun Shin
    Diabetes & Metabolism Journal.2024; 48(3): 449.     CrossRef
  • Estimated pulse wave velocity as a forefront indicator of developing metabolic syndrome in Korean adults
    Hyun-Jin Kim, Byung Sik Kim, Dong Wook Kim, Jeong-Hun Shin
    The Korean Journal of Internal Medicine.2024; 39(4): 612.     CrossRef
  • Ongoing increasing trends in central precocious puberty incidence among Korean boys and girls from 2008 to 2020
    Sinyoung Kang, Mi Jung Park, Jung Min Kim, Jin-Sung Yuk, Shin-Hye Kim, Jun Mori
    PLOS ONE.2023; 18(3): e0283510.     CrossRef
  • The association between urinary cotinine level and metabolic syndrome profiles among adolescents: findings from the Ewha Birth and growth study
    Hyunjin Park, Ui-Jeong Kim, Eun Jeong Choi, Seunghee Jun, Bomi Park, Hye Ah Lee, Hae Soon Kim, Hyesook Park
    BMC Public Health.2023;[Epub]     CrossRef
  • Artificial Intelligence-Based Speech Analysis System for Medical Support
    Eui-Sun Kim, Dong Jin Shin, Sung Tae Cho, Kyung Jin Chung
    International Neurourology Journal.2023; 27(2): 99.     CrossRef
  • The effect of hypothalamic involvement and growth hormone treatment on cardiovascular risk factors during the transition period in patients with childhood-onset craniopharyngioma
    Sang Hee Park, Yun Jeong Lee, Jung-Eun Cheon, Choong Ho Shin, Hae Woon Jung, Young Ah Lee
    Annals of Pediatric Endocrinology & Metabolism.2023; 28(2): 107.     CrossRef
  • Increase of Prevalence of Obesity and Metabolic Syndrome in Children and Adolescents in Korea during the COVID-19 Pandemic: A Cross-Sectional Study Using the KNHANES
    Jung Eun Choi, Hye Ah Lee, Sung Won Park, Jung Won Lee, Ji Hyen Lee, Hyesook Park, Hae Soon Kim
    Children.2023; 10(7): 1105.     CrossRef
  • The Prevalence of Abdominal Obesity and Metabolic Syndrome in Korean Children and Adolescents
    Ja Hyang Cho
    Journal of Obesity & Metabolic Syndrome.2023; 32(2): 103.     CrossRef
  • Temporal Trends of the Prevalence of Abdominal Obesity and Metabolic Syndrome in Korean Children and Adolescents between 2007 and 2020
    Jieun Lee, Sung-Chan Kang, Obin Kwon, Seung-sik Hwang, Jin Soo Moon, Hyun Wook Chae, Jaehyun Kim
    Journal of Obesity & Metabolic Syndrome.2023; 32(2): 170.     CrossRef
  • Changes in the Number of Children and Adolescents with Complex Chronic Conditions and Medical Spending: Analyzing National Health Insurance Claims Data from 2011 to 2021
    Jeong-Yoon Oh, Su-Jin Cho, Jin-Seon Jung, Jin-Suk Cho, Choon-Seon Park
    Health Insurance Review & Assessment Service Research.2023; 3(2): 155.     CrossRef
  • Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018 (Diabetes Metab J 2021;45:880-9)
    Dae Jung Kim
    Diabetes & Metabolism Journal.2022; 46(2): 349.     CrossRef
  • Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018 (Diabetes Metab J 2021;45:880-9)
    Jiun Chae, Moon Young Seo, Shin-Hye Kim, Mi Jung Park
    Diabetes & Metabolism Journal.2022; 46(2): 351.     CrossRef
  • Comprehensive Understanding for Application in Korean Patients with Type 2 Diabetes Mellitus of the Consensus Statement on Carbohydrate-Restricted Diets by Korean Diabetes Association, Korean Society for the Study of Obesity, and Korean Society of Hyperte
    Jong Han Choi, Jee-Hyun Kang, Suk Chon
    Diabetes & Metabolism Journal.2022; 46(3): 377.     CrossRef
  • Environmental polycyclic aromatic hydrocarbon exposure in relation to metabolic syndrome in US adults
    Xue Yang, Qingping Xue, Ying Wen, Yichao Huang, Yi Wang, Gaga Mahai, Tong Yan, Yanjun Liu, Tao Rong, Yixin Wang, Da Chen, Shuqin Zeng, Chun-Xia Yang, Xiong-Fei Pan
    Science of The Total Environment.2022; 840: 156673.     CrossRef
  • Commentary on "Single point insulin sensitivity estimator for predicting type 2 diabetes mellitus in obese adolescents"
    Shin-Hye Kim
    Annals of Pediatric Endocrinology & Metabolism.2022; 27(3): 155.     CrossRef
Others
Article image
Can Habitual Exercise Help Reduce Serum Concentrations of Lipophilic Chemical Mixtures? Association between Physical Activity and Persistent Organic Pollutants
Yu-Mi Lee, Ji-Yeon Shin, Se-A Kim, David R. Jacobs, Duk-Hee Lee
Diabetes Metab J. 2020;44(5):764-774.   Published online May 11, 2020
DOI: https://doi.org/10.4093/dmj.2019.0158
  • 9,100 View
  • 98 Download
  • 10 Web of Science
  • 13 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background

Low-dose persistent organic pollutants (POPs), especially organochlorine pesticides (OCPs), have emerged as a new risk factor of many chronic diseases. As serum concentrations of POPs in humans are mainly determined by both their release from adipose tissue to circulation and their elimination from circulation, management of these internal pathways may be important in controlling the serum concentrations of POPs. As habitual physical activity can increase the elimination of POPs from circulation, we evaluated whether chronic physical activity is related to low serum POP concentrations.

Methods

A cross-sectional study of 1,850 healthy adults (age ≥20 years) without cardio-metabolic diseases who participated in the U.S. National Health and Nutrition Examination Survey 1999 to 2004 was conducted. Information on moderate or vigorous leisure-time physical activity was obtained based on questionnaires. Serum concentrations of OCPs and polychlorinated biphenyls were investigated as typical POPs.

Results

Serum concentrations of OCPs among physically active subjects were significantly lower than those among physically inactive subjects (312.8 ng/g lipid vs. 538.0 ng/g lipid, P<0.001). This difference was maintained after adjustment for potential confounders. When analyses were restricted to physically active subjects, there were small decreases in the serum concentrations of OCPs with increasing duration of physical activity, showing a curvilinear relationship over the whole range of physical activity (Pquadratic <0.001). In analyses stratified by age, sex, body mass index, and smoking status, a strong inverse association was similarly observed among all subgroups.

Conclusion

Physical activity may assist in decreasing serum concentrations of lipophilic chemical mixtures such as OCPs.

Citations

Citations to this article as recorded by  
  • Associations between per- and polyfluoroalkyl substances and menstrual cycle regularity in reproductive-aged female: A cross-sectional study
    Aiqin Qiu, Kai Luo, Huan Liu, Jialing Huang, Xiaotu Liu, Jun Zhang, Da Chen, Weiwei Cheng, Wei Huang
    Emerging Contaminants.2025; 11(1): 100438.     CrossRef
  • Association of Human Milk Dioxin Like-POPs Levels with Maternal Characteristics and Newborn Anthropometric Measurements: A Cross-sectional Study from Southern India
    Amala Varghese, Rahul M. Chirackal, V. C. Manoj, C. Kesavachandran, K. P. Prathish
    Exposure and Health.2025; 17(4): 1047.     CrossRef
  • Is Physical Activity an Efficient Strategy to Control the Adverse Effects of Persistent Organic Pollutants in the Context of Obesity? A Narrative Review
    Quentin A. Serrano, Sébastien Le Garf, Vincent Martin, Serge S. Colson, Nicolas Chevalier
    International Journal of Molecular Sciences.2024; 25(2): 883.     CrossRef
  • Untargeted metabolomics reveal signatures of a healthy lifestyle
    Wimal Pathmasiri, Blake R. Rushing, Susan McRitchie, Mansi Choudhari, Xiuxia Du, Alexsandr Smirnov, Matteo Pelleigrini, Michael J. Thompson, Camila A. Sakaguchi, David C. Nieman, Susan J. Sumner
    Scientific Reports.2024;[Epub]     CrossRef
  • Unraveling the pesticide-diabetes connection: A case-cohort study integrating Mendelian randomization analysis with a focus on physical activity's mitigating effect
    Dandan Wei, Jiayu Shi, Zhiwei Chen, Haoran Xu, Xuyan Wu, Yao Guo, Xin Zen, Caini Fan, Xiaotian Liu, Jian Hou, Wenqian Huo, Linlin Li, Tao Jing, Chongjian Wang, Zhenxing Mao
    Ecotoxicology and Environmental Safety.2024; 283: 116778.     CrossRef
  • Prospective study on the joint effect of persistent organic pollutants and glucose metabolism on chronic kidney disease: Modifying effects of lifestyle interventions
    Dandan Wei, Jiayu Shi, Haoran Xu, Yao Guo, Xueyan Wu, Zhiwei Chen, Taimeng Chen, Huilin Lou, Erbao Han, Guozhen Han, Yumeng Yan, Xiaotian Liu, Xin Zeng, Caini Fan, Jian Hou, Wenqian Huo, Linlin Li, Tao Jing, Chongjian Wang, Zhenxing Mao
    Science of The Total Environment.2024; 951: 175694.     CrossRef
  • Associations between polychlorinated biphenyls and cancer risk among type 2 diabetes: The modifying effects of lifestyle
    Peiwen Li, Yu Wang, Qianying Liu, Yan Yan, Zhuoya Zhao, Shiyang Zhang, Chengyong Jia, Jun An, Cheng Xu, Xin Zhang, Tao Jing, Huan Guo, Meian He
    Chemosphere.2024; 366: 143442.     CrossRef
  • Physical exercise and persistent organic pollutants
    Chang Liu, Hui sheng Hou
    Heliyon.2023; 9(9): e19661.     CrossRef
  • Exposure to a low concentration of mixed organochlorine pesticides impairs glucose metabolism and mitochondrial function in L6 myotubes and zebrafish
    Chul-Min Park, Ki-Tae Kim, Dong-Young Rhyu
    Journal of Hazardous Materials.2021; 414: 125437.     CrossRef
  • Can Environmental Pollutants Be a Factor Linking Obesity and COVID-19?
    Duk-Hee Lee
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Letter to the Editor: Effect of fatty fish or nut consumption on concentrations of persistent organic pollutants in overweight or obese men and women: A randomized controlled clinical trial
    Yu-Mi Lee, Duk-Hee Lee
    Nutrition, Metabolism and Cardiovascular Diseases.2020; 30(5): 849.     CrossRef
  • Can habitual exercise really increase serum concentrations of persistent organic pollutants?
    Yu-Mi Lee, Duk-Hee Lee
    Environment International.2020; 140: 105615.     CrossRef
  • Response to correspondence ENVINT_2020_552 “Can habitual exercise really increase serum concentrations of persistent organic pollutants?”
    Sidsel L. Domazet, Tina K. Jensen, Anders Grøntved
    Environment International.2020; 140: 105616.     CrossRef
Lifesytle
Combined Aerobic and Resistance Exercise Training Reduces Circulating Apolipoprotein J Levels and Improves Insulin Resistance in Postmenopausal Diabetic Women
Yun Kyung Jeon, Sang Soo Kim, Jong Ho Kim, Hyun Jeong Kim, Hyun Jun Kim, Jang Jun Park, Yuen Suk Cho, So Hee Joung, Ji Ryang Kim, Bo Hyun Kim, Sang Heon Song, In Joo Kim, Yong Ki Kim, Young-Bum Kim
Diabetes Metab J. 2020;44(1):103-112.   Published online February 21, 2020
DOI: https://doi.org/10.4093/dmj.2018.0160
  • 14,950 View
  • 229 Download
  • 28 Web of Science
  • 25 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background

Circulating apolipoprotein J (ApoJ) is closely associated with insulin resistance; however, the effect of exercise on circulating ApoJ levels and the association of ApoJ with metabolic indices remain unknown. Here, we investigated whether a combined exercise can alter the circulating ApoJ level, and whether these changes are associated with metabolic indices in patients with type 2 diabetes mellitus.

Methods

Postmenopausal women with type 2 diabetes mellitus were randomly assigned into either an exercise (EXE, n=30) or control (CON, n=15) group. Participants in the EXE group were enrolled in a 12-week program consisting of a combination of aerobic and resistance exercises. At baseline, 4, 8, and 12 weeks, body composition and metabolic parameters including homeostatic model assessment of insulin resistance (HOMA-IR) and serum ApoJ levels were assessed.

Results

In the EXE group, ApoJ levels decreased 26.3% and 19.4%, relative to baseline, at 8 and 12 weeks, respectively. Between-group differences were significant at 8 and 12 weeks (P<0.05 and P<0.001, respectively). In the EXE group, 12 weeks of exercise resulted in significant decreases in body weight, percent body fat, and HOMA-IR indices. Concurrently, weight-adjusted appendicular skeletal muscle mass (ASM/wt) was increased in the EXE group compared with the CON group. Importantly, changes in the ApoJ level were significantly correlated with changes in ASM/wt.

Conclusion

Exercise training resulted in a significant decrease in the circulating ApoJ level, with changes in ApoJ associated with an improvement in some insulin resistance indices. These data suggest that circulating ApoJ may be a useful metabolic marker for assessing the effects of exercise on insulin resistance.

Citations

Citations to this article as recorded by  
  • Treinamento físico combinado melhora componentes para síndrome metabólica em mulheres jovens: um estudo de coorte retrospectiva
    Stefhany Beatriz Almeida da Silva, Vanessa Goltzman, Brenna Emmanuella Carvalho Agostinho, Franklin Fernandes Dias, Beatriz Gonçalves Barbosa da Fonsêca, Luis Ângelo Macedo Santiago
    Revista de Educação Física / Journal of Physical Education.2025; 93(4): 244.     CrossRef
  • Effect of combined aerobic exercise and resistance training on postmenopausal women with type 2 diabetes: a systematic review and meta-analysis
    Vitor Engracia Valenti, André dos Santos Chagas, Peter Chedraui, Ingrid Soares de Souza, Andrey Alves Porto, Isabel Cristina Esposito Sorpreso, Jose Maria Soares Júnior, Juliana Zangirolami-Raimundo, David M. Garner, Rodrigo Daminello Raimundo
    Gynecological Endocrinology.2025;[Epub]     CrossRef
  • Bridging systemic metabolic dysfunction and Alzheimer’s disease: the liver interface
    Dan Song, Yang Li, Ling-Ling Yang, Ya-Xi Luo, Xiu-Qing Yao
    Molecular Neurodegeneration.2025;[Epub]     CrossRef
  • Associations of circulating apolipoprotein J and myostatin with sarcopenia in older adults with and without type 2 diabetes: a cross-sectional study
    Inha Jung, Da-Hye Shin, Hyun Joo Cho, So Young Park, Da Young Lee, Ji Hee Yu, Nan Hee Kim, Minjin Lee, Young-Bum Kim, Ji A Seo
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • Effects of concurrent continuous aerobic and short rest resistance exercise training on metabolic biomarkers in type 2 diabetes patients: a systematic review and meta-analysis
    Friew Amare, Alemmebrat Kiflu, Aschenaki Taddese
    Diabetology & Metabolic Syndrome.2025;[Epub]     CrossRef
  • Effects of different exercise modes on the risk factors of arteriosclerosis in postmenopausal women: A systematic review and network meta-analysis
    Jin Li, Peizhen Zhang, Yuting Yang
    Journal of Human Hypertension.2025; 39(9): 601.     CrossRef
  • Combined Effects of Exercise and Broccoli Supplementation on Metabolic and Lipoprotein Biomarkers in Adults with Type 2 Diabetes: A Randomized Controlled Trial
    Maryam Delfan, Masoumeh Gharedaghi, Farzaneh Zeynali, Rawad El Hage, Anthony C. Hackney, Halil İbrahim Ceylan, Ayoub Saeidi, Ismail Laher, Nicola Luigi Bragazzi, Hassane Zouhal
    Nutrients.2025; 17(17): 2735.     CrossRef
  • Sociodemographic, Lifestyle, and Social Isolation Correlates of TyG, METS-IR, and SPISE-IR Scores in a Large Spanish Working Population
    Pere Riutord-Sbert, Pedro Juan Tárraga López, Ángel Arturo López-González, Irene Coll Campayo, Carla Busquets-Cortés, José Ignacio Ramírez Manent
    Medical Sciences.2025; 13(3): 171.     CrossRef
  • Network meta-analysis of the effects of combined exercise and vitamin intervention on insulin resistance and related indicators in patients with type 2 diabetes
    Fangquan Deng, Yin Ji, Haijun Kong, Yebiao Fu, Hanqiao Zhang, Junting Zhang
    Frontiers in Nutrition.2025;[Epub]     CrossRef
  • Effects of aerobic, resistance, interval, and combined training on glucose metabolism in older adults: insights into type, dose, and mechanism
    Qilong Zhang, Yifan Guo, Hengyi Zhang, Weiliang Xu, Lijun Yin
    Frontiers in Physiology.2025;[Epub]     CrossRef
  • Effectiveness of multi-component exercise in individuals with type 2 diabetes: a systematic review and meta-analysis
    Zhiyuan Sun, Haiqing Zeng, Hualei Liu, Mengqi Hu, Xuewen Tian, Dewei Mao, Rui Zhang
    PeerJ.2025; 13: e20146.     CrossRef
  • Dynamics of Apolipoprotein J Levels and Metabolic Parameters Following Bariatric Surgery
    Kellen Cristina da Cruz Rodrigues, Minjin Lee, Yejee Lim, Jennie Young, Brendon Chung, Susan Phillips, Theodore P. Ciaraldi, Young‐Bum Kim
    Clinical Endocrinology.2025;[Epub]     CrossRef
  • The function of previously unappreciated exerkines secreted by muscle in regulation of neurodegenerative diseases
    Xuepeng Bian, Qian Wang, Yibing Wang, Shujie Lou
    Frontiers in Molecular Neuroscience.2024;[Epub]     CrossRef
  • A randomized controlled trial of an app-based intervention on physical activity and glycemic control in people with type 2 diabetes
    Gyuri Kim, Seohyun Kim, You-Bin Lee, Sang-Man Jin, Kyu Yeon Hur, Jae Hyeon Kim
    BMC Medicine.2024;[Epub]     CrossRef
  • Exercise modalities for type 2 diabetes: A systematic review and network meta‐analysis of randomized trials
    Liangying Hou, Qi Wang, Bei Pan, Rui Li, Yanfei Li, Juanjuan He, Tianzhu Qin, Liujiao Cao, Na Zhang, Changhao Cao, Long Ge, Kehu Yang
    Diabetes/Metabolism Research and Reviews.2023;[Epub]     CrossRef
  • Estimating the Effect of Aerobic Exercise Training on Novel Lipid Biomarkers: A Systematic Review and Multivariate Meta-Analysis of Randomized Controlled Trials
    Gina Wood, Emily Taylor, Vanessa Ng, Anna Murrell, Aditya Patil, Tom van der Touw, Mitch Wolden, Nick Andronicos, Neil A. Smart
    Sports Medicine.2023; 53(4): 871.     CrossRef
  • 2023 update on Italian guidelines for the treatment of type 2 diabetes
    Edoardo Mannucci, Riccardo Candido, Lina delle Monache, Marco Gallo, Andrea Giaccari, Maria Luisa Masini, Angela Mazzone, Gerardo Medea, Basilio Pintaudi, Giovanni Targher, Marina Trento, Giuseppe Turchetti, Valentina Lorenzoni, Matteo Monami
    Acta Diabetologica.2023; 60(8): 1119.     CrossRef
  • The Effect of Eight Weeks of Concurrent Training on Serum Levels of Paraxonase-1, Irisin, Lipid Profile, and Insulin Resistance in Men With Metabolic Syndrome
    Seyed Amir Hosain Diba Hosaini, Morvarid Vafaee, Bahram Abedi
    Hormozgan Medical Journal.2023; 27(1): 43.     CrossRef
  • An Overview of the TRP-Oxidative Stress Axis in Metabolic Syndrome: Insights for Novel Therapeutic Approaches
    Mizael C. Araújo, Suzany H. S. Soczek, Jaqueline P. Pontes, Leonardo A. C. Marques, Gabriela S. Santos, Gisele Simão, Laryssa R. Bueno, Daniele Maria-Ferreira, Marcelo N. Muscará, Elizabeth S. Fernandes
    Cells.2022; 11(8): 1292.     CrossRef
  • Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial
    Yunda Huang, Junhua Han, Qing Gu, Yanwei Cai, Jingyuan Li, Shasha Wang, Suijun Wang, Ru Wang, Xiangyun Liu
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • Effect of combined aerobic and resistance exercise on blood pressure in postmenopausal women: A systematic review and meta-analysis of randomized controlled trials
    Huihui Xi, Yayu He, Yirou Niu, Xin Sui, Jun Zhang, Ruiting Zhu, Haiyan Xu, Shuang Zhang, Yang Li, Yuan Yuan, Lirong Guo
    Experimental Gerontology.2021; 155: 111560.     CrossRef
  • Effects of Augmented-Reality-Based Exercise on Muscle Parameters, Physical Performance, and Exercise Self-Efficacy for Older Adults
    Sangwan Jeon, Jiyoun Kim
    International Journal of Environmental Research and Public Health.2020; 17(9): 3260.     CrossRef
  • Apolipoprotein J is a hepatokine regulating muscle glucose metabolism and insulin sensitivity
    Ji A Seo, Min-Cheol Kang, Won-Mo Yang, Won Min Hwang, Sang Soo Kim, Soo Hyun Hong, Jee-In Heo, Achana Vijyakumar, Leandro Pereira de Moura, Aykut Uner, Hu Huang, Seung Hwan Lee, Inês S. Lima, Kyong Soo Park, Min Seon Kim, Yossi Dagon, Thomas E. Willnow, V
    Nature Communications.2020;[Epub]     CrossRef
  • Impact of Skeletal Muscle Mass on Metabolic Health
    Gyuri Kim, Jae Hyeon Kim
    Endocrinology and Metabolism.2020; 35(1): 1.     CrossRef
  • Habitual Combined Exercise Protects against Age-Associated Decline in Vascular Function and Lipid Profiles in Elderly Postmenopausal Women
    Elizabeth J. Pekas, John Shin, Won-Mok Son, Ronald J. Headid, Song-Young Park
    International Journal of Environmental Research and Public Health.2020; 17(11): 3893.     CrossRef
Lifestyle
Body Fat Is Related to Sedentary Behavior and Light Physical Activity but Not to Moderate-Vigorous Physical Activity in Type 2 Diabetes Mellitus
Keun Hee An, Kyung Ah Han, Tae Seo Sohn, Ie Byung Park, Hae Jin Kim, Sung Dae Moon, Kyung Wan Min
Diabetes Metab J. 2020;44(2):316-325.   Published online November 12, 2019
DOI: https://doi.org/10.4093/dmj.2019.0029
  • 9,893 View
  • 162 Download
  • 14 Web of Science
  • 17 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

Sedentary behavior (SB) has emerged as a new risk factor for cardiovascular accidents. We investigated whether physical activity levels or SB were related to percent body fat (%BF) in type 2 diabetes mellitus (T2DM).

Methods

In this cross sectional study, we measured the duration of SB, light physical activity (LPA), moderate to vigorous physical activity (MVPA), total energy expenditure, and step counts using a wireless activity tracker (Fitbit HR; FB) for 7 days in free-living conditions, along with %BF using a bio impedance analyzer (Inbody; Biospace) in 120 smartphone users with T2DM. Subjects were divided into exercise (Exe, n=68) and non-exercise (nonExe, n=52) groups based on self-reports of whether the recommended exercises (30 min/day, 3 days/week for 3 months) were performed. SBt, LPAt, MVPAt were transformed from SB, LPA, MVPA for normally distributed variables.

Results

Participants were: female, 59.2%; age, 59.3±8.4 years; body mass index, 25.5±3.4 kg/m2; glycosylated hemoglobin (HbA1c), 7.6%±1.2%; %BF, 30.4%±7.1%. They performed SB for 15.7±3.7 hr/day, LPA for 4.4±1.7 hr/day, and MVPA for 0.9±0.8 hr/day. The %BF was related to SBt and LPAt, but not to MVPA after adjustments for age, gender, and HbA1c. VPA was significantly higher in the Exe group than in the nonExe group, but SB, LPA, and moderate physical activity were not different. Predicted %BF was 89.494 to 0.105 (age), −13.047 (gender), −0.507 (HbA1c), −7.655 (LPAt) (F[4, 64]=62.929, P<0.001), with an R2 of 0.785 in multiple linear regression analysis.

Conclusion

Reduced body fat in elderly diabetic patients might be associated with reduced inactivity and increased LPA.

Citations

Citations to this article as recorded by  
  • Associations of nonoccupational sedentary behaviors with cardiometabolic outcomes: coronary artery risk development in young adults (CARDIA)
    Gabriel Zieff, Michael P Bancks, Kelley Pettee Gabriel, Bethany Barone Gibbs, Justin B Moore, Jared P Reis, Keeron Stone, Lee Stoner
    Annals of Behavioral Medicine.2025;[Epub]     CrossRef
  • The Power of Movement: Linking Physical Activity with Nutritional Health and Blood Sugar Balance in a Dalmatian Type 2 Diabetic Population
    Josipa Radić, Andrej Belančić, Hana Đogaš, Marijana Vučković, Tina Đogaš, Leida Tandara, Marina Grubić, Lucija Šolić Šegvić, Ivana Novak, Mislav Radić
    Nutrients.2025; 17(1): 187.     CrossRef
  • Development and validation of a prognostic model for critically ill type 2 diabetes patients in ICU based on composite inflammatory indicators
    Lin Liu, Yan-Bo Zhao, Zhuo-Ting Cheng, Ya-Hui Li, Yang Liu
    Scientific Reports.2025;[Epub]     CrossRef
  • Cardiovascular Disease Risk Factors and Arterial Health in Adults With Down Syndrome
    Brantley K. Ballenger, Stanley P. Brown, Bo Fernhall, Robert W. Motl, Stamatis Agiovlasitis
    Journal of Clinical Exercise Physiology.2025; 14(1): 10.     CrossRef
  • Revolutionizing diabetes management: Artificial intelligence (AI) from assessment to advanced monitoring
    Mobin Ghaderi, Kosar Chitzan-Zadeh, Milad Mokarami, Mobina Mokarami, Marzieh Shokoohi, Reza Golchin Vafa
    Next Research.2025; 2(3): 100472.     CrossRef
  • The importance of daily life activities in managing obesity in patients with type 2 diabetes mellitus: a study using physical activity records
    Yushin Yamamoto, Minoru Yamada, Yusuke Terao, Akiyoshi Miyazawa, Iwao Kojima, Shu Tanaka, Kosaku Katsumata, Keigo Sato, Ryosuke Kita, Shunya Mimatsu, Naoki Tani, Keita Aida, Shunsuke Funazaki, Hodaka Yamada, Masashi Yoshida, Kazuo Hara
    Diabetology International.2025; 16(4): 801.     CrossRef
  • Explanatory variables of objectively measured 24-h movement behaviors in people with prediabetes and type 2 diabetes: A systematic review
    Lotte Bogaert, Iris Willems, Patrick Calders, Eveline Dirinck, Manon Kinaupenne, Marga Decraene, Bruno Lapauw, Boyd Strumane, Margot Van Daele, Vera Verbestel, Marieke De Craemer
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2024; 18(4): 102995.     CrossRef
  • Short-Term Effects of a Mobile Health Intervention on Healthy Behaviors and Cardiometabolic Health in Sedentary Employees: A Quasi-Experimental Study (Preprint)
    Yun-Ping Lin, Shu-Hua Lu, Kwo-Chen Lee, Wei-Fen Ma, Ya-Fang Ho, Wen-Chun Liao, Hui-Ting Yang, OiSaeng Hong
    JMIR mHealth and uHealth.2024;[Epub]     CrossRef
  • Association between depression, anemia and physical activity using isotemporal substitution analysis
    Hee-kyoung Nam, Jungmi Park, Sung-il Cho
    BMC Public Health.2023;[Epub]     CrossRef
  • The Impact of Wearable Technologies in Health Research: Scoping Review
    Sophie Huhn, Miriam Axt, Hanns-Christian Gunga, Martina Anna Maggioni, Stephen Munga, David Obor, Ali Sié, Valentin Boudo, Aditi Bunker, Rainer Sauerborn, Till Bärnighausen, Sandra Barteit
    JMIR mHealth and uHealth.2022; 10(1): e34384.     CrossRef
  • The Correlation of Prediabetes and Type 2 Diabetes With Adiposity in Adults
    Juan Sun, Zhen Liu, Zimu Zhang, Ziyang Zeng, Weiming Kang
    Frontiers in Nutrition.2022;[Epub]     CrossRef
  • The Physical Activity Assessment of Adults With Type 2 Diabetes Using Accelerometer-Based Cut Points: Scoping Review
    Ioana A Moldovan, Alexa Bragg, Anna S Nidhiry, Barbara A De La Cruz, Suzanne E Mitchell
    Interactive Journal of Medical Research.2022; 11(2): e34433.     CrossRef
  • Effects of 4 Weeks of a Technique-Specific Protocol with High-Intensity Intervals on General and Specific Physical Fitness in Taekwondo Athletes: An Inter-Individual Analysis
    Alex Ojeda-Aravena, Tomás Herrera-Valenzuela, Pablo Valdés-Badilla, Jorge Cancino-López, José Zapata-Bastias, José Manuel García-García
    International Journal of Environmental Research and Public Health.2021; 18(7): 3643.     CrossRef
  • Inter-Individual Variability of a High-Intensity Interval Training With Specific Techniques vs. Repeated Sprints Program in Sport-Related Fitness of Taekwondo Athletes
    Alex Ojeda-Aravena, Tomás Herrera-Valenzuela, Pablo Valdés-Badilla, Jorge Cancino-López, José Zapata-Bastias, José Manuel García-García
    Frontiers in Physiology.2021;[Epub]     CrossRef
  • EFFECT OF SPORTS MEDICINE ON REDUCING BODY FAT PERCENTAGE AND LEAN BODY MASS
    Chunyan Fan
    Revista Brasileira de Medicina do Esporte.2021; 27(7): 714.     CrossRef
  • Validation of the effectiveness of a digital integrated healthcare platform utilizing an AI-based dietary management solution and a real-time continuous glucose monitoring system for diabetes management: a randomized controlled trial
    Sung Woon Park, Gyuri Kim, You-Cheol Hwang, Woo Je Lee, Hyunjin Park, Jae Hyeon Kim
    BMC Medical Informatics and Decision Making.2020;[Epub]     CrossRef
  • Brain activity during a working memory task in different postures: an EEG study
    Ju-Yeon Jung, Hwi-Young Cho, Chang-Ki Kang
    Ergonomics.2020; 63(11): 1359.     CrossRef
Short Communication
Clinical Diabetes & Therapeutics
Three Months Monitored Metabolic Fitness Modulates Cardiovascular Risk Factors in Diabetic Patients
Ilenia Cirilli, Sonia Silvestri, Fabio Marcheggiani, Fabiola Olivieri, Roberta Galeazzi, Roberto Antonicelli, Rina Recchioni, Fiorella Marcheselli, Tiziana Bacchetti, Luca Tiano, Patrick Orlando
Diabetes Metab J. 2019;43(6):893-897.   Published online June 27, 2019
DOI: https://doi.org/10.4093/dmj.2018.0254
  • 7,141 View
  • 59 Download
  • 14 Web of Science
  • 14 Crossref
AbstractAbstract PDFPubReader   ePub   

Cardiovascular diseases represent the leading cause of death and moderate physical exercise is associated with a reduction in cardiovascular risk. The aim of the study was to evaluate the correlation between the amount of exercise recorded daily by a wearable gravitometer for 3 months and selected biochemical and clinical parameters. Nineteen sedentary type 2 diabetics were recruited and distributed into three homogenous groups, low, medium, and high exercise, according to the level of physical exercise monitored and expressed as MOVEs. Data showed an inverse correlation between MOVEs and oxidative stress indexes and a significant improvement in paraoxonase-1 activities and endothelial functionality. Decrease of visceral/total adipose tissue ratio, systolic blood pressure and a down-regulation of the inflammatory microRNA-146a in high exercise group were observed. Finally, a decrease of glycosylated hemoglobin and an up-regulation of the angiogenic microRNA-130a in medium exercise one was obtained. In this study, precise daily monitoring permitted to underline the importance of the amount of physical activity to counteract some cardiovascular risk factors persisting in diabetes. Finally, it identifies new microRNA biomarkers for future investigation on the same topic.

Citations

Citations to this article as recorded by  
  • The comparison of miRNA expression levels in Type 2 diabetes and diabetic peripheral neuropathy patients
    Aleyna Ayaz, Sibel Kuras, Bekir Erdogan, Hanife Serife Aktas, Mahmud Esad Pence, Halime Hanim Pence
    Clinical Biochemistry.2025; 138: 110946.     CrossRef
  • Effectiveness of Wearable Technologies in Supporting Physical Activity and Metabolic Health in Adults with Type 2 Diabetes: A Systematic–Narrative Hybrid Review
    Alessandra Laffi, Michela Persiani, Alessandro Piras, Andrea Meoni, Milena Raffi
    Healthcare.2025; 13(19): 2422.     CrossRef
  • Redox-sensitive miRNAs and Humanin could mediate effects of exercise and astaxanthin on oxidative stress and inflammation in type 2 diabetes
    Aref Basereh, Karen Khoramipour, Najmeh Hosseini, Mahdieh HajHosseini, Adeleh Khodabakhshi, Ladan Amirkhosravi, Kayvan Khoramipour
    Scientific Reports.2025;[Epub]     CrossRef
  • Emerging roles of microRNAs as diagnostics and potential therapeutic interest in type 2 diabetes mellitus
    Dharmsheel Shrivastav, Desh Deepak Singh
    World Journal of Clinical Cases.2024; 12(3): 525.     CrossRef
  • Is It Possible to Train the Endothelium?—A Narrative Literature Review
    Karolina Biernat, Natalia Kuciel, Justyna Mazurek, Katarzyna Hap
    Life.2024; 14(5): 616.     CrossRef
  • The Effect of Physical Activity/Exercise on miRNA Expression and Function in Non-Communicable Diseases—A Systematic Review
    Moomna Afzal, Francesca Greco, Federico Quinzi, Francesca Scionti, Samantha Maurotti, Tiziana Montalcini, Annamaria Mancini, Pasqualina Buono, Gian Pietro Emerenziani
    International Journal of Molecular Sciences.2024; 25(13): 6813.     CrossRef
  • Dose-Response Relationship Between Physical Activity and the Morbidity and Mortality of Cardiovascular Disease Among Individuals With Diabetes: Meta-Analysis of Prospective Cohort Studies
    Yang Chen, Xingsheng Jin, Guochong Chen, Ru Wang, Haili Tian
    JMIR Public Health and Surveillance.2024; 10: e54318.     CrossRef
  • Modulation of the antioxidant enzyme paraoxonase-1 for protection against cardiovascular diseases
    Waleska Dornas, Maisa Silva
    Nutrition, Metabolism and Cardiovascular Diseases.2024; 34(12): 2611.     CrossRef
  • Research Landscape of Diabetes mHealth Technologies
    Pedro F. Castillo-Valdez, Marisela Rodriguez-Salvador, Yuh-Shan Ho
    Foresight and STI Governance.2024; 18(1): 19.     CrossRef
  • Effects of Seven Weeks of Combined Physical Training on High-Density Lipoprotein Functionality in Overweight/Obese Subjects
    Tiziana Bacchetti, Camilla Morresi, Gianna Ferretti, Anders Larsson, Torbjörn Åkerfeldt, Michael Svensson
    Metabolites.2023; 13(10): 1068.     CrossRef
  • Physical Exercise Protects Against Endothelial Dysfunction in Cardiovascular and Metabolic Diseases
    Juan Gao, Xue Pan, Guoping Li, Emeli Chatterjee, Junjie Xiao
    Journal of Cardiovascular Translational Research.2022; 15(3): 604.     CrossRef
  • Effects of Exercise Training on the Paracrine Function of Circulating Angiogenic Cells
    William S. Evans, Ryan M. Sapp, Katherine I. Kim, James M. Heilman, James Hagberg, Steven J. Prior
    International Journal of Sports Medicine.2021; 42(12): 1047.     CrossRef
  • Chronic and Transient Hyperglycemia Induces Changes in the Expression Patterns of IL6 and ADIPOQ Genes and Their Associated Epigenetic Modifications in Differentiating Human Visceral Adipocytes
    Adam Wróblewski, Justyna Strycharz, Ewa Świderska, Aneta Balcerczyk, Janusz Szemraj, Józef Drzewoski, Agnieszka Śliwińska
    International Journal of Molecular Sciences.2021; 22(13): 6964.     CrossRef
  • The Potential Role of MicroRNA in Diabetic Cardiomyopathy
    Jin Hwa Kim
    Diabetes & Metabolism Journal.2020; 44(1): 54.     CrossRef
Original Articles
Clinical Diabetes & Therapeutics
Effectiveness of Exercise Intervention in Reducing Body Weight and Glycosylated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus in Korea: A Systematic Review and Meta-Analysis
Ji-Eun Jang, Yongin Cho, Byung Wan Lee, Ein-Soon Shin, Sun Hee Lee
Diabetes Metab J. 2019;43(3):302-318.   Published online November 19, 2018
DOI: https://doi.org/10.4093/dmj.2018.0062
  • 11,434 View
  • 138 Download
  • 16 Web of Science
  • 19 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background

This study aimed to assess the effectiveness of exercise intervention in reducing body weight and glycosylated hemoglobin (HbA1c) level in patients with type 2 diabetes mellitus (T2DM) in Korea.

Methods

Cochrane, PubMed, Embase, KoreaMed, KMbase, NDSL, KCI, RISS, and DBpia databases were used to search randomized controlled trials and controlled clinical trials that compared exercise with non-exercise intervention among patients with non-insulin-treated T2DM in Korea. The effectiveness of exercise intervention was estimated by the mean difference in body weight changes and HbA1c level. Weighted mean difference (WMD) with its corresponding 95% confidence interval (CI) was used as the effect size. The pooled mean differences of outcomes were calculated using a random-effects model.

Results

We identified 7,692 studies through literature search and selected 23 articles (723 participants). Compared with the control group, exercise intervention (17 studies) was associated with a significant decline in HbA1c level (WMD, −0.58%; 95% CI, −0.89 to −0.27; I2=73%). Although no significant effectiveness on body weight was observed, eight aerobic training studies showed a significant reduction in body weight (WMD, −2.25 kg; 95% CI, −4.36 to −0.13; I2=17%) in the subgroup analysis.

Conclusion

Exercise significantly improves glycemic control; however, it does not significantly reduce body weight. Aerobic training can be beneficial for patients with non-insulin-treated T2DM in Korea.

Citations

Citations to this article as recorded by  
  • A Feasibility Study of a Web Application Intervention for Persons With Uncontrolled Diabetes
    Atchara Meenasantirak, Chalee Siripitakchai, Natthawut Suriya
    Health Promotion Journal of Australia.2025;[Epub]     CrossRef
  • Surface electromyography for characterizing neuromuscular changes in diabetic peripheral neuropathy
    I. Junquera-Godoy, J.L. Martinez-De-Juan, G. González Lorente, J.M. Carot-Sierra, J. Gomis-Tena, J. Saiz, R. López Mateu, G.C. Mas Penalva, S.Garcia Blasco, E. Boix Carreño, E. Soler Climent, G. Prats-Boluda
    Journal of Electromyography and Kinesiology.2025; 82: 102991.     CrossRef
  • 2025 Clinical Practice Guidelines for Diabetes Management in Korea: Recommendation of the Korean Diabetes Association
    Shinae Kang, Seon Mee Kang, Jong Han Choi, Seung-Hyun Ko, Bo Kyung Koo, Hyuk-Sang Kwon, Mi Kyung Kim, Sang Yong Kim, Soo-Kyung Kim, Young-eun Kim, Eun Sook Kim, Jae Hyeon Kim, Chong Hwa Kim, Ji Min Kim, Hae Jin Kim, Min Kyong Moon, Sun Joon Moon, Jun Sung
    Diabetes & Metabolism Journal.2025; 49(4): 582.     CrossRef
  • Lifestyle Management of Hypertension and Type 2 Diabetes
    JungHwan Kim
    Korean Journal of Family Practice.2025; 15(3): 120.     CrossRef
  • Effect of low-volume combined aerobic and resistance high-intensity interval training on vascular health in people with type 2 diabetes: a randomised controlled trial
    Emily R. Cox, Trishan Gajanand, Shelley E. Keating, Matthew D. Hordern, Nicola W. Burton, Daniel J. Green, Joyce S. Ramos, Maximiano V. Ramos, Robert G. Fassett, Stephen V. Cox, Jeff S. Coombes, Tom G. Bailey
    European Journal of Applied Physiology.2024; 124(9): 2819.     CrossRef
  • 2023 Clinical Practice Guidelines for Diabetes Management in Korea: Full Version Recommendation of the Korean Diabetes Association
    Jun Sung Moon, Shinae Kang, Jong Han Choi, Kyung Ae Lee, Joon Ho Moon, Suk Chon, Dae Jung Kim, Hyun Jin Kim, Ji A Seo, Mee Kyoung Kim, Jeong Hyun Lim, Yoon Ju Song, Ye Seul Yang, Jae Hyeon Kim, You-Bin Lee, Junghyun Noh, Kyu Yeon Hur, Jong Suk Park, Sang
    Diabetes & Metabolism Journal.2024; 48(4): 546.     CrossRef
  • Exercise as a Therapeutic Intervention for Chronic Disease Management: A Comprehensive Review
    Maryam Fairag, Saif A Alzahrani, Naif Alshehri, Arjwan O Alamoudi, Yazeed Alkheriji, Omar A Alzahrani, Abdulrahman M Alomari, Yahya A Alzahrani, Shahad Mohammed Alghamdi, Amer Fayraq
    Cureus.2024;[Epub]     CrossRef
  • The anti-inflammatory effects of aerobic exercise training in patients with type 2 diabetes: A systematic review and meta-analysis
    Georgia Papagianni, Chrystalla Panayiotou, Michail Vardas, Nikolaos Balaskas, Constantinos Antonopoulos, Dimitrios Tachmatzidis, Triantafyllos Didangelos, Vaia Lambadiari, Nikolaos P.E. Kadoglou
    Cytokine.2023; 164: 156157.     CrossRef
  • Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass Index
    Ye-lim Shin, Heesoh Yoo, Joo Young Hong, Jooeun Kim, Kyung-do Han, Kyu-Na Lee, Yang-Hyun Kim
    Journal of Obesity & Metabolic Syndrome.2023; 32(1): 55.     CrossRef
  • Exercise therapy for diabetes mellitus
    Chaiho Jeong, Tae-Seo Sohn
    Journal of the Korean Medical Association.2023; 66(7): 427.     CrossRef
  • Effects of an evidence‐based nursing intervention on prevention of anxiety and depression in the postpartum period
    Jun Meng, Junying Du, Xiaoli Diao, Yingxia Zou
    Stress and Health.2022; 38(3): 435.     CrossRef
  • Effect of exercise intervention dosage on reducing visceral adipose tissue: a systematic review and network meta-analysis of randomized controlled trials
    Yu-Hsuan Chang, Hui-Ying Yang, Shiow-Ching Shun
    International Journal of Obesity.2021; 45(5): 982.     CrossRef
  • Development and validation of the type 2 diabetes mellitus 10-year risk score prediction models from survey data
    Gregor Stiglic, Fei Wang, Aziz Sheikh, Leona Cilar
    Primary Care Diabetes.2021; 15(4): 699.     CrossRef
  • Pioglitazone for NAFLD Patients With Prediabetes or Type 2 Diabetes Mellitus: A Meta-Analysis
    Jingxuan Lian, Jianfang Fu
    Frontiers in Endocrinology.2021;[Epub]     CrossRef
  • Exercise Training: The Holistic Approach in Cardiovascular Prevention
    Francesco Giallauria, Teresa Strisciuglio, Gianluigi Cuomo, Anna Di Lorenzo, Andrea D’Angelo, Mario Volpicelli, Raffaele Izzo, Maria Virginia Manzi, Emanuele Barbato, Carmine Morisco
    High Blood Pressure & Cardiovascular Prevention.2021; 28(6): 561.     CrossRef
  • Effect of chronic High Intensity Interval Training on glycosylated haemoglobin in people with type 2 diabetes: a meta-analysis
    María Cristina Arrieta-Leandro, Jessenia Hernández-Elizondo, Judith Jiménez-Díaz
    Human Movement.2021; 24(1): 32.     CrossRef
  • Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes Mellitus: A Position Statement of the Fatty Liver Research Group of the Korean Diabetes Association
    Byung-Wan Lee, Yong-ho Lee, Cheol-Young Park, Eun-Jung Rhee, Won-Young Lee, Nan-Hee Kim, Kyung Mook Choi, Keun-Gyu Park, Yeon-Kyung Choi, Bong-Soo Cha, Dae Ho Lee
    Diabetes & Metabolism Journal.2020; 44(3): 382.     CrossRef
  • Beneficial effect of anti-diabetic drugs for nonalcoholic fatty liver disease
    Kyung-Soo Kim, Byung-Wan Lee
    Clinical and Molecular Hepatology.2020; 26(4): 430.     CrossRef
  • Factors Influencing Glycemic Control among Type 2 Diabetes Mellitus Patients: The Sixth Korea National Health and Nutrition Examination Survey (2013~2015)
    Mee Ock Gu
    Korean Journal of Adult Nursing.2019; 31(3): 235.     CrossRef
Obesity and Metabolic Syndrome
Beneficial Effects of Aerobic Exercise Training Combined with Rosiglitazone on Glucose Metabolism in Otsuka Long Evans Tokushima Fatty Rats
Shan-Ji Piao, So Hun Kim, Young Ju Suh, Seong-Bin Hong, Seong Hee Ahn, Da Hae Seo, In-Sun Park, Moonsuk Nam
Diabetes Metab J. 2017;41(6):474-485.   Published online November 15, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.6.474
  • 6,668 View
  • 42 Download
  • 4 Web of Science
  • 3 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

Regular aerobic exercise is essential for the prevention and management of type 2 diabetes mellitus and may be particularly beneficial for those treated with thiazolidinediones, since it may prevent associated weight gain. This study aimed to evaluate the effect of combined exercise and rosiglitazone treatment on body composition and glucose metabolism in obese diabetes-prone animals.

Methods

We analyzed metabolic parameters, body composition, and islet profiles in Otsuka Long Evans Tokushima Fatty rats after 28 weeks of aerobic exercise, rosiglitazone treatment, and combined exercise and rosiglitazone treatment.

Results

Combined exercise with rosiglitazone showed significantly less increase in weight and epididymal fat compared to rosiglitazone treatment. Aerobic exercise alone and combined rosiglitazone and exercise treatment led to similar retention of lean body mass. All experimental groups showed a decrease in fasting glucose. However, the combined exercise and rosiglitazone therapy group showed prominent improvement in glucose tolerance compared to the other groups. Rescue of islet destruction was observed in all experimental groups, but was most prominent in the combined therapy group.

Conclusion

Regular aerobic exercise combined with rosiglitazone treatment can compensate for the adverse effect of rosiglitazone treatment and has benefit for islet preservation.

Citations

Citations to this article as recorded by  
  • A Review of Animal Models for Studying Bone Health in Type-2 Diabetes Mellitus (T2DM) and Obesity
    Saiful Iqbal Norazman, Anis Syauqina Mohd Zaffarin, Ahmad Nazrun Shuid, Haniza Hassan, Ima Nirwana Soleiman, Wong Sok Kuan, Ekram Alias
    International Journal of Molecular Sciences.2024; 25(17): 9399.     CrossRef
  • Impacts of an Exercise Intervention on the Health of Pancreatic Beta-Cells: A Review
    Shuang Zhang, Yaru Wei, Chunxiao Wang
    International Journal of Environmental Research and Public Health.2022; 19(12): 7229.     CrossRef
  • Molecular mechanisms by which aerobic exercise induces insulin sensitivity
    Habib Yaribeygi, Stephen L. Atkin, Luis E. Simental‐Mendía, Amirhossein Sahebkar
    Journal of Cellular Physiology.2019; 234(8): 12385.     CrossRef
Others
The Effect of 12 Weeks Aerobic, Resistance, and Combined Exercises on Omentin-1 Levels and Insulin Resistance among Type 2 Diabetic Middle-Aged Women
Zeinab AminiLari, Mohammad Fararouei, Sasan Amanat, Ehsan Sinaei, Safa Dianatinasab, Mahmood AminiLari, Nima Daneshi, Mostafa Dianatinasab
Diabetes Metab J. 2017;41(3):205-212.   Published online May 18, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.205
  • 10,279 View
  • 149 Download
  • 69 Web of Science
  • 70 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

Recent studies have shown that omentin-1 derived from adipokines can affect physiological regulations and some metabolic dis-eases such as type 2 diabetes mellitus (T2DM).

Methods

The purpose of this study was to examine the impact of 12 weeks of aerobic (cycle ergometer), resistance, and combined exercises on omentin-1 level, glucose and insulin resistance indices in overweight middle age women with T2DM. In this study, 60 overweight middle age diabetic women were selected using simple random sampling and they were assigned to three groups of aerobic exercise (n=12), resistant exercise (n=12) and combined exercise (n=13), and one control group (n=15). Exercises were done in a three times per week sessions for a total of 12 weeks. Blood samples were collected before each exercise session and 24 hours after of the last session.

Results

Present study showed that fasting blood sugar decreased significantly in all intervention groups, while homeostasis model assessment of insulin resistance (HOMA-IR) decreased only in the aerobic and combined exercises groups. Furthermore, there was a significant increase in the omentin-1 level only in the combined exercise group.

Conclusion

Compared to aerobic and resistance exercises, 12 weeks of combined exercise was more efficient in improving HOMA-IR and increasing serum omentin-1 among women with T2DM.

Citations

Citations to this article as recorded by  
  • Impact of exercise sequence in concurrent training on insulin resistance, glycemic control, and blood pressure in Type 2 diabetes
    Friew Amare, Alemmebrat Kiflu, Aschenaki Taddese, Ozeas de Lima Lins-Filho
    PLOS One.2026; 21(1): e0340587.     CrossRef
  • Effects of exercise training on oxidative phosphorylation-related genes in a diabetic heart via microarray analysis
    Iqbal Ali Shah, Shahid Ishaq, Shin-Da Lee, Bor-Tsang Wu
    BMC Cardiovascular Disorders.2026;[Epub]     CrossRef
  • Optimal strategies for exercise intervention in older people diabetic patients: The impacts of intensity, form, and frequency on glycemic control
    Xueru Yan, Yujuan Lu, Haoda Zhang, Chen Zhu, Lan Tian, Jishuai Chen, Enpeng He, Yingying Li
    Archives of Gerontology and Geriatrics.2025; 128: 105621.     CrossRef
  • The Function of Myostatin in Ameliorating Bone Metabolism Abnormalities in Individuals with Type 2 Diabetes Mellitus by Exercise
    Chenghao Zhong, Xinyu Zeng, Xiaoyan Yi, Yuxin Yang, Jianbo Hu, Rongbin Yin, Xianghe Chen
    Current Issues in Molecular Biology.2025; 47(3): 158.     CrossRef
  • Exerkine-mediated organ interactions: A new interpretation of exercise on cardiovascular function improvement
    Renhan Liu, Yue Xi, Xinyan Duan, Yifei Zhao, Zhenjun Tian
    Life Sciences.2025; 371: 123628.     CrossRef
  • Mechanisms of endurance and resistance exercise in type 2 diabetes mellitus: A Narrative review
    Xinwen Zhao, Fengwei Huang, Yidi Sun, Lisha Li
    Biochemical and Biophysical Research Communications.2025; 761: 151731.     CrossRef
  • The Effects of Concurrent Training Versus Aerobic or Resistance Training Alone on Body Composition in Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis
    Mousa Khalafi, Shokoufeh Kheradmand, Aref Habibi Maleki, Michael E. Symonds, Sara K. Rosenkranz, Alexios Batrakoulis
    Healthcare.2025; 13(7): 776.     CrossRef
  • Effects of Commuter Cycling on Physical Activity, Cardiometabolic Health and Body Composition
    B. James Novis, Elaine A. Hargreaves, Tim Jowett, Nancy J. Rehrer
    European Journal of Sport Science.2025;[Epub]     CrossRef
  • Effects of Skeletal Muscle Hypertrophy on Fat Mass and Glucose Homeostasis in Humans and Animals: A Narrative Review with Systematic Literature Search
    Tim Havers, Steffen Held, Martin Schönfelder, Stephan Geisler, Henning Wackerhage
    Sports Medicine.2025; 55(8): 1867.     CrossRef
  • Comparative effectiveness of various combined interventions for type 2 diabetes and obesity: a systematic review and network meta-analysis
    Li Cui, Donglei Lu, Sijie Tan, Liquan Cao
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • Effects of concurrent continuous aerobic and short rest resistance exercise training on metabolic biomarkers in type 2 diabetes patients: a systematic review and meta-analysis
    Friew Amare, Alemmebrat Kiflu, Aschenaki Taddese
    Diabetology & Metabolic Syndrome.2025;[Epub]     CrossRef
  • The effects of resistance training on glycemic control, cardiometabolic health, and body composition in middle-aged and older women with type 2 diabetes and overweight or obesity: A systematic review and meta-analysis
    Ruojiang Liu, Xiaofeng Shi, Xiang Zhang
    Maturitas.2025; 201: 108691.     CrossRef
  • Genetica e attività fisica: dalla prestazione atletica alla clinica
    Antonio IMPERATORE, Cristina MENNITTI, Giulia DE FONZO, Raffaele AMITRANO, Mariella CALVANESE, Alessandro GENTILE, Fabiana DI FUSCO, Victoria DI MARTINO, Ludovica PRETE, Fernanda IAFUSCO, Mattia DIGNO, Paola BORRELLI, Giulia FRISSO, Nadia TINTO, Barbara L
    Biochimica Clinica.2025;[Epub]     CrossRef
  • Toward a Multi-Trait Genetic Panel Targeting Training, Rehabilitation, and Chronic Disease Prevention: A Narrative Review
    Antonio Imperatore, Cristina Mennitti, Giulia De Fonzo, Raffaele Amitrano, Alessandro Gentile, Mariella Calvanese, Fernanda Iafusco, Serena Coppola, Mattia Digno, Paola Borrelli, Barbara Lombardo, Giulia Frisso, Roberto Berni Canani, Nadia Tinto, Valeria
    Genes.2025; 16(11): 1309.     CrossRef
  • Network meta-analysis of the effects of combined exercise and vitamin intervention on insulin resistance and related indicators in patients with type 2 diabetes
    Fangquan Deng, Yin Ji, Haijun Kong, Yebiao Fu, Hanqiao Zhang, Junting Zhang
    Frontiers in Nutrition.2025;[Epub]     CrossRef
  • Omentin-1 and diabetes: more evidence but far from enough
    Jing Xu, Min Li, Xinli Jiang, Yuling Wang, Huijie Ma, Yaru Zhou, Meimei Tian, Yan Liu
    Archives of Physiology and Biochemistry.2024; 130(6): 599.     CrossRef
  • Effect of Exercise Training on Some Anti-Inflammatory Adipokines, High Sensitivity C-Reactive Protein, and Clinical Outcomes in Sedentary Adults With Metabolic Syndrome
    Kelian Gao, Zhanguo Su, Junyan Meng, Yuzhong Yao, LiGuang Li, Yiping Su, Gholam Rasul Mohammad Rahimi
    Biological Research For Nursing.2024; 26(1): 125.     CrossRef
  • The effect of exercise training on serum Omentin-1 levels, glycemic control and body composition in adults population: a systematic review and meta-analysis of randomized controlled trials
    Ali Asgari, Arghavan Niyazi, Ali Nejatian Hoseinpour, Shayan Setayesh, Rokhsare Fazolahzade Mousavi, Gholam Rasul Mohammad Rahimi
    International Journal of Diabetes in Developing Countries.2024; 44(3): 437.     CrossRef
  • Enhancing cardiometabolic health: unveiling the synergistic effects of high-intensity interval training with spirulina supplementation on selected adipokines, insulin resistance, and anthropometric indices in obese males
    Maryam Delfan, Ayoub Saeidi, Rashmi Supriya, Kurt A Escobar, Ismail Laher, Katie M. Heinrich, Katja Weiss, Beat Knechtle, Hassane Zouhal
    Nutrition & Metabolism.2024;[Epub]     CrossRef
  • Mitochondria‐associated membranes contribution to exercise‐mediated alleviation of hepatic insulin resistance: Contrasting high‐intensity interval training with moderate‐intensity continuous training in a high‐fat diet mouse model
    Xi Li, Jun Yang Yang, Wen Zhi Hu, YuXin Ruan, Hong Ying Chen, Qiang Zhang, Zhe Zhang, Zhe Shu Ding
    Journal of Diabetes.2024;[Epub]     CrossRef
  • The Impact of Resistance Exercise Training on Glycemic Control Among Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Yuwen Wan, Zhanguo Su
    Biological Research For Nursing.2024; 26(4): 597.     CrossRef
  • Impact of resistance exercise program on muscle strength, cardiopulmonary function and glycolipid metabolism of bedridden population aged 80 years and above: A randomized controlled trial
    Yingjie Wang, Xiaopeng Huo, Xiaojing Wang, Hongwei Zhu, Xiaoxing Lai, Tong Yu
    Medicine.2024; 103(24): e38412.     CrossRef
  • Effects of resistance training on cardiovascular risk factors in patients with type 2 diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials
    Yan Sun, Mingwei Sun, Xia Zeng, Liojuan Xiang Je, Zhannguo Su Guo
    Acta Diabetologica.2024; 62(1): 11.     CrossRef
  • Aerobic Exercise and Weight Loss in Adults
    Ahmad Jayedi, Sepideh Soltani, Alireza Emadi, Mahdieh-Sadat Zargar, Ali Najafi
    JAMA Network Open.2024; 7(12): e2452185.     CrossRef
  • Exercise training-induced changes in exerkine concentrations may be relevant to the metabolic control of type 2 diabetes mellitus patients: A systematic review and meta-analysis of randomized controlled trials
    Antonio García-Hermoso, Robinson Ramírez-Vélez, Javier Díez, Arantxa González, Mikel Izquierdo
    Journal of Sport and Health Science.2023; 12(2): 147.     CrossRef
  • Physical Activity Types, Physical Activity Levels and Risk of Diabetes in General Adults: The NHANES 2007–2018
    Chunnan Li, Shaomei Shang, Wannian Liang
    International Journal of Environmental Research and Public Health.2023; 20(2): 1398.     CrossRef
  • Intensity Differences of Resistance Training for Type 2 Diabetic Patients: A Systematic Review and Meta-Analysis
    Tenglong Fan, Man-Hsu Lin, Kijin Kim
    Healthcare.2023; 11(3): 440.     CrossRef
  • Chronic Resistance Training Effects on Serum Adipokines in Type 2 Diabetes Mellitus: A Systematic Review
    Pablo Jiménez-Martínez, Rodrigo Ramirez-Campillo, Carlos Alix-Fages, Javier Gene-Morales, Amador García-Ramos, Juan C. Colado
    Healthcare.2023; 11(4): 594.     CrossRef
  • The impact of high intensity interval training on serum omentin-1 levels, lipid profile, and insulin resistance in obese men with type 2 diabetes mellitus
    Ahmed S. Ahmed, Marwan S. Ahmed
    Isokinetics and Exercise Science.2023; 31(3): 221.     CrossRef
  • Long‐term effects of different exercise training modes on cytokines and adipokines in individuals with overweight/obesity and cardiometabolic diseases: A systematic review, meta‐analysis, and meta‐regression of randomized controlled trials
    Sebastian Del Rosso, María Lucía Baraquet, Adrián Barale, María Daniela Defagó, Fernando Tortosa, Nilda Raquel Perovic, Maria Pilar Aoki
    Obesity Reviews.2023;[Epub]     CrossRef
  • The Effects of Eight Weeks of Circuit Resistance Training on Serum METRNL Levels and Insulin Resistance in Individuals with Type 2 Diabetes
    Seyed Morteza Tayebi, Milad Golmohammadi, Rasoul Eslami, Nadia Shakiba, Pablo B. Costa
    Journal of Diabetes & Metabolic Disorders.2023; 22(2): 1151.     CrossRef
  • The Effect of Eight Weeks of Concurrent Training on Serum Levels of Paraxonase-1, Irisin, Lipid Profile, and Insulin Resistance in Men With Metabolic Syndrome
    Seyed Amir Hosain Diba Hosaini, Morvarid Vafaee, Bahram Abedi
    Hormozgan Medical Journal.2023; 27(1): 43.     CrossRef
  • Astaxanthin Supplementation Augments the Benefits of CrossFit Workouts on Semaphorin 3C and Other Adipokines in Males with Obesity
    Rashmi Supriya, Sevda Rahbari Shishvan, Movahed Kefayati, Hossein Abednatanzi, Omid Razi, Reza Bagheri, Kurt A. Escobar, Zhaleh Pashaei, Ayoub Saeidi, Shahnaz Shahrbanian, Sovan Bagchi, Pallav Sengupta, Maisa Hamed Al Kiyumi, Katie M. Heinrich, Hassane Zo
    Nutrients.2023; 15(22): 4803.     CrossRef
  • Joint Association of Relative Grip Strength and Resting Heart Rate with the Risk of Developing Diabetes in Middle-Aged Adults
    DooYong Park, YeonSoo Kim, Eunkyung Kim
    The Korean Journal of Sports Medicine.2023; 41(4): 216.     CrossRef
  • High-intensity Interval Training Improves Lipocalin-2 and Omentin-1 Levels in Men with Obesity
    Sirvan Atashak, Stephen R. Stannard, Ali Daraei, Mohammad Soltani, Ayoub Saeidi, Fatah Moradi, Ismail Laher, Anthony C. Hackney, Hassane Zouhal
    International Journal of Sports Medicine.2022; 43(04): 328.     CrossRef
  • Effect of resistance training on HbA1c in adults with type 2 diabetes mellitus and the moderating effect of changes in muscular strength: a systematic review and meta-analysis
    Anna K Jansson, Li X Chan, David R Lubans, Mitch J Duncan, Ronald C Plotnikoff
    BMJ Open Diabetes Research & Care.2022; 10(2): e002595.     CrossRef
  • Exercise and Type II Diabetes Mellitus: A Brief Guide for Exercise Professionals
    Alexios Batrakoulis, Athanasios Z. Jamurtas, Ioannis G. Fatouros
    Strength & Conditioning Journal.2022; 44(6): 64.     CrossRef
  • Effects of High-Intensity Interval Training on Selected Adipokines and Cardiometabolic Risk Markers in Normal-Weight and Overweight/Obese Young Males—A Pre-Post Test Trial
    Nejmeddine Ouerghi, Mohamed Kacem Ben Fradj, Martine Duclos, Anissa Bouassida, Moncef Feki, Katja Weiss, Beat Knechtle
    Biology.2022; 11(6): 853.     CrossRef
  • Comparison of the Effect of Endurance, Strength and Endurance-Strength Training on Glucose and Insulin Homeostasis and the Lipid Profile of Overweight and Obese Subjects: A Systematic Review and Meta-Analysis
    Małgorzata Jamka, Aleksandra Makarewicz-Bukowska, Kamila Bokayeva, Angelika Śmidowicz, Jakub Geltz, Marta Kokot, Nina Kaczmarek, Agnieszka Żok, Victoria Kononets, Judyta Cielecka-Piontek, Edyta Mądry, Jarosław Walkowiak
    International Journal of Environmental Research and Public Health.2022; 19(22): 14928.     CrossRef
  • The effects of physical activity on adipokines in individuals with overweight/obesity across the lifespan: A narrative review
    Ayoub Saeidi, Marjan Mosalman Haghighi, Sarkawt Kolahdouzi, Ali Daraei, Abderraouf Ben Abderrahmane, M. Faadiel Essop, Ismail Laher, Anthony C. Hackney, Hassane Zouhal
    Obesity Reviews.2021;[Epub]     CrossRef
  • The effect of combined resistance aerobic exercise training on concentrations of asprosin and complement C1q tumor necrosis factor-related protein-1 in men with type 2 diabetes
    Mehdi Zarei, Javad Nakhzari Khodakheyr, Amin Rashidlamir, Amir Montazeri
    Sport Sciences for Health.2021; 17(4): 863.     CrossRef
  • Relationships between serum omentin-1 concentration, body composition and physical activity levels in older women
    Shuo Li, Jingjing Xue, Ping Hong
    Medicine.2021; 100(10): e25020.     CrossRef
  • Markers of branched-chain amino acid catabolism are not affected by exercise training in pregnant women with obesity
    Brittany R. Allman, Beverly J. Spray, Kelly E. Mercer, Aline Andres, Elisabet Børsheim
    Journal of Applied Physiology.2021; 130(3): 651.     CrossRef
  • Physical activity and adipokine levels in individuals with type 2 diabetes: A literature review and practical applications
    Hassane Zouhal, Navabeh Zare-kookandeh, Marjan Mosalman Haghighi, Ali Daraei, Maysa de Sousa, Mohammad Soltani, Abderraouf Ben Abderrahman, Jed M. Tijani, Anthony C. Hackney, Ismail Laher, Ayoub Saeidi
    Reviews in Endocrine and Metabolic Disorders.2021; 22(4): 987.     CrossRef
  • Effects of Aerobic Exercise on Fasting Blood Glucose and Blood Pressure Levels of Diabetic-Hypertensive Clients at a Diabetes Clinicin Accra, Ghana
    Edmund Lotsu, Samuel Kwakye, Tawagidu Mohammed, Bridgette Opoku, Jonathan Quartey, Henry Lawson
    Journal of Preventive and Rehabilitative Medicine.2021; 3(2): 75.     CrossRef
  • The Effects of Different Exercise Modalities in the Treatment of Cardiometabolic Risk Factors in Obese Adolescents with Sedentary Behavior—A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Daxin Li, Ping Chen
    Children.2021; 8(11): 1062.     CrossRef
  • Effectiveness of combined exercise in people with type 2 diabetes and concurrent overweight/obesity: a systematic review and meta-analysis
    Xiaoyan Zhao, Qianyu He, Yongmei Zeng, Li Cheng
    BMJ Open.2021; 11(10): e046252.     CrossRef
  • Effects of aerobic, resistance, and combined exercise on metabolic syndrome parameters and cardiovascular risk factors: a systematic review and network meta-analysis
    Minyu Liang, Yichao Pan, Tong Zhong, Yingchun Zeng, Andy S.K. Cheng
    Reviews in Cardiovascular Medicine.2021;[Epub]     CrossRef
  • Latihan Senam dapat Menurunkan Kadar Glukosa Darah Pada Penderita Diabetes Melitus Tipe II

    Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan.2021;[Epub]     CrossRef
  • The effects of aerobic, resistance, and combined exercises on the plasma irisin levels, HOMA-IR, and lipid profiles in women with metabolic syndrome: A randomized controlled trial
    Aria Dianatinasab, Roghayeh Koroni, Mehrdad Bahramian, Zahra Bagheri-Hosseinabadi, Mojtaba Vaismoradi, Mohammad Fararouei, Sasan Amanat
    Journal of Exercise Science & Fitness.2020; 18(3): 168.     CrossRef
  • The association between serum omentin level and bodyweight: A systematic review and meta-analysis of observational studies
    Arman Arab, Seyedeh Parisa Moosavian, Amir Hadi, Elham Karimi, Maryam Nasirian
    Clinical Nutrition ESPEN.2020; 39: 22.     CrossRef
  • Antidiabetic Effects of Physical Activity: How It Helps to Control Type 2 Diabetes


    Addisu Dabi Wake
    Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2020; Volume 13: 2909.     CrossRef
  • Role of swimming on muscle PGC-1α, FNDC5 mRNA, and assessment of serum omentin, adropin, and irisin in high carbohydrate high fat (HCHF) diet induced obesity in rats
    Ehsan Badawy, Nabila A. El-laithy, Safaa M. Morsy, Magdi N. Ashour, Tahany R. Elias, Mahmoud M. Masoud, Omnia Aly
    Egyptian Journal of Medical Human Genetics.2020;[Epub]     CrossRef
  • A Randomized Controlled Trial on the Effects of 12 Weeks of Aerobic, Resistance, and Combined Exercises Training on the Serum Levels of Nesfatin-1, Irisin-1 and HOMA-IR
    Sasan Amanat, Ehsan Sinaei, Mohammad Panji, Reza MohammadporHodki, Zahra Bagheri-Hosseinabadi, Hadis Asadimehr, Mohammad Fararouei, Aria Dianatinasab
    Frontiers in Physiology.2020;[Epub]     CrossRef
  • The Impact of Aging on Adipose Function and Adipokine Synthesis
    Peter Mancuso, Benjamin Bouchard
    Frontiers in Endocrinology.2019;[Epub]     CrossRef
  • Omentin-1 in diabetes mellitus: A systematic review and meta-analysis
    Xiongfeng Pan, Atipatsa C. Kaminga, Shi Wu Wen, Kwabena Acheampong, Aizhong Liu, Omid Beiki
    PLOS ONE.2019; 14(12): e0226292.     CrossRef
  • Physical Exercise and Neuroinflammation in Major Depressive Disorder
    Zuleide M. Ignácio, Renato S. da Silva, Marcos E. Plissari, João Quevedo, Gislaine Z. Réus
    Molecular Neurobiology.2019; 56(12): 8323.     CrossRef
  • Effects of Eight Weeks of High Intensity Functional Training on Glucose Control and Body Composition among Overweight and Obese Adults
    Yuri Feito, Pratik Patel, Andrea Sal Redondo, Katie M. Heinrich
    Sports.2019; 7(2): 51.     CrossRef
  • Exercise and Omentin: Their Role in the Crosstalk Between Muscle and Adipose Tissues in Type 2 Diabetes Mellitus Rat Models
    Cynthia Aparecida de Castro, Karina Ana da Silva, Marina Campos Rocha, Marcela Sene-Fiorese, Keico Okino Nonaka, Iran Malavazi, Fernanda de Freitas Anibal, Ana Cláudia Garcia de Oliveira Duarte
    Frontiers in Physiology.2019;[Epub]     CrossRef
  • Resistance Exercise Intensity is Correlated with Attenuation of HbA1c and Insulin in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis
    Yubo Liu, Weibing Ye, Qian Chen, Yong Zhang, Chia-Hua Kuo, Mallikarjuna Korivi
    International Journal of Environmental Research and Public Health.2019; 16(1): 140.     CrossRef
  • Mechanisms Involved in Glycemic Control Promoted by Exercise in Diabetics
    Eric Francelino Andrade, Víviam de Oliveira Silva, Débora Ribeiro Orlando, Luciano José Pereira
    Current Diabetes Reviews.2019; 15(2): 105.     CrossRef
  • Effects of 12 weeks of high intensity circuit training on abdominal fat, physical fitness, blood lipids, and insulin resistance in middle-aged obese women
    Won-Beom Park, Hyun-Seok Cho, Man-Gyoon Lee
    Korean Journal of Sport Science.2019; : 236.     CrossRef
  • The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial
    Mostafa Dianatinasab, Mohammad Fararouei, Valiollah Padehban, Aria Dianatinasab, Yousef Alimohamadi, Shohreh Beheshti, Zeinab AminiLari, Mahmood AminiLari
    Journal of Exercise Science & Fitness.2018; 16(1): 21.     CrossRef
  • Green tea consumption reduces apelin and orexin-A in overweight and obese women with different training modalities
    Rahman Soori, Azadeh Safei, Parisa Pournemati, Amine Ghram
    Sport Sciences for Health.2018; 14(2): 421.     CrossRef
  • Lifestyle interventions for improving health and health behaviours in women with type 2 diabetes: A systematic review of the literature 2011–2017
    Charrlotte Seib, Joy Parkinson, Nicole McDonald, Haruka Fujihira, Stephanie Zietek, Debra Anderson
    Maturitas.2018; 111: 1.     CrossRef
  • Association of Self-Care Behaviors and Quality of Life among Patients with Type 2 Diabetes Mellitus: Chaldoran County, Iran
    Towhid Babazadeh, Mostafa Dianatinasab, Amin Daemi, Hossein Ali Nikbakht, Fatemeh Moradi, Saber Ghaffari-fam
    Diabetes & Metabolism Journal.2017; 41(6): 449.     CrossRef
  • Response: The Effect of 12 Weeks Aerobic, Resistance, and Combined Exercises on Omentin-1 Levels and Insulin Resistance among Type 2 Diabetic Middle-Aged Women (Diabetes Metab J2017;41:205-12)
    Sasan Amanat, Mohammad Fararouei, Mostafa Dianatinasab
    Diabetes & Metabolism Journal.2017; 41(4): 324.     CrossRef
  • Effects of Resistance Training on Serum Inflammatory Markers and CatSper 1-4 Protein Expression in Testis of OLETF Rats
    Min-Ki Lee, Se-Hwan Park, Jin-Hwan Yoon
    Exercise Science.2017; 26(3): 204.     CrossRef
  • Letter: The Effect of 12 Weeks Aerobic, Resistance, and Combined Exercises on Omentin-1 Levels and Insulin Resistance among Type 2 Diabetic Middle-Aged Women (Diabetes Metab J 2017;41:205-12)
    Hye Soon Kim
    Diabetes & Metabolism Journal.2017; 41(4): 322.     CrossRef
  • Role of Omentin, Vaspin, Cardiotrophin-1, TWEAK and NOV/CCN3 in Obesity and Diabetes Development
    Xavier Escoté, Saioa Gómez-Zorita, Miguel López-Yoldi, Iñaki Milton-Laskibar, Alfredo Fernández-Quintela, J. Martínez, María Moreno-Aliaga, María Portillo
    International Journal of Molecular Sciences.2017; 18(8): 1770.     CrossRef
Maximal Fat Oxidation Rate during Exercise in Korean Women with Type 2 Diabetes Mellitus
Min Hwa Suk, Yeo-Jin Moon, Sung Woo Park, Cheol-Young Park, Yun A Shin
Diabetes Metab J. 2015;39(4):328-334.   Published online July 8, 2015
DOI: https://doi.org/10.4093/dmj.2015.39.4.328
  • 8,537 View
  • 50 Download
  • 16 Web of Science
  • 11 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

The purpose of this study was to determine the appropriate exercise intensity associated with maximum fat oxidation, improvement of body composition, and metabolic status in Korean women with type 2 diabetes mellitus (T2DM).

Methods

The study included a T2DM group (12 women) and a control group (12 women). The groups were matched in age and body mass index. The subjects performed a graded exercise test on a cycle ergometer to measure their maximal fat oxidation (Fatmax). We also measured their body composition, metabolic profiles, and mitochondrial DNA (mtDNA).

Results

The exercise intensity for Fatmax was significantly lower in the T2DM group (34.19% maximal oxygen uptake [VO2 max]) than the control group (51.80% VO2 max). Additionally, the rate of fat oxidation during exercise (P<0.05) and mtDNA (P<0.05) were significantly lower in the T2DM group than the control group. The VO2 max level (P<0.001) and the insulin level (P<0.05) were positively correlated with the rate of fat oxidation.

Conclusion

The results of this study suggest lower exercise intensity that achieves Fatmax is recommended for improving fat oxidation and enhancing fitness levels in Korean women with T2DM. Our data could be useful when considering an exercise regimen to improve health and fitness.

Citations

Citations to this article as recorded by  
  • Type 2 diabetes mellitus’ impact on heart failure patients’ exercise tolerance: a focus on maximal fat oxidation during exercise
    Huiying Zhu, Jianchao Pan, Jianxuan Wen, Xiaojing Dang, Xiankun Chen, Yunxiang Fan, Weihui Lu, Wei Jiang
    Frontiers in Cardiovascular Medicine.2025;[Epub]     CrossRef
  • Methodological issues related to maximal fat oxidation and FATmax reproducibility: a narrative review
    Isaac A. Chávez Guevara, Francisco J. Amaro-Gahete
    International Journal of Obesity.2025; 49(10): 1984.     CrossRef
  • Toward Exercise Guidelines for Optimizing Fat Oxidation During Exercise in Obesity: A Systematic Review and Meta-Regression
    Isaac A. Chávez-Guevara, Francisco J. Amaro-Gahete, Arnulfo Ramos-Jiménez, Jean Frederic Brun
    Sports Medicine.2023; 53(12): 2399.     CrossRef
  • Cardiorespiratory fitness in individuals with type 2 diabetes mellitus: a systematic review and meta-analysis
    Aline Chagastelles Pinto de Macedo, Camila Wohlgemuth Schaan, Patricia Martins Bock, Mariana Brutto de Pinto, Cintia Ehlers Botton, Daniel Umpierre, Beatriz D. Schaan
    Archives of Endocrinology and Metabolism.2023;[Epub]     CrossRef
  • Inclusion of sprints during moderate-intensity continuous exercise enhances post-exercise fat oxidation in young males
    Bruno Nicanor Mello-Silva, Gabriel Völz Protzen, Fabrício Boscolo Del Vecchio
    Applied Physiology, Nutrition, and Metabolism.2022; 47(2): 165.     CrossRef
  • Resting and exercise metabolic characteristics in obese children with insulin resistance
    Cao Youxiang, Zhu Lin, Chen Zekai, Xie Weijun
    Frontiers in Physiology.2022;[Epub]     CrossRef
  • Impact of Acute Eccentric versus Concentric Running on Exercise‐Induced Fat Oxidation and Postexercise Physical Activity in Untrained Men
    Shaea Alkahtani, Osama Aljuhani, Nasser Alkhalidi, Naif Almasuod, Omar Hezam, Ibrahim Aljaloud, Haitham Abdel Hamid Dawoud, Ahmed Abdusalam, Danilo Sales Bocalini
    BioMed Research International.2020;[Epub]     CrossRef
  • Diurnal influences of fasted and non-fasted brisk walking on gastric emptying rate, metabolic responses, and appetite in healthy males
    Victoria J. McIver, Lewis R. Mattin, Gethin H. Evans, Adora M.W. Yau
    Appetite.2019; 143: 104411.     CrossRef
  • Myokine/Adipokine Response to “Aerobic” Exercise: Is It Just a Matter of Exercise Load?
    Zihong He, Ye Tian, Pedro L. Valenzuela, Chuanye Huang, Jiexiu Zhao, Ping Hong, Zilin He, Shuhui Yin, Alejandro Lucia
    Frontiers in Physiology.2019;[Epub]     CrossRef
  • Exercise as ‘precision medicine’ for insulin resistance and its progression to type 2 diabetes: a research review
    Fred J. DiMenna, Avigdor D. Arad
    BMC Sports Science, Medicine and Rehabilitation.2018;[Epub]     CrossRef
  • High-intensity aerobic interval training improves aerobic fitness and HbA1c among persons diagnosed with type 2 diabetes
    Eva Maria Støa, Sondre Meling, Lill-Katrin Nyhus, Glenn Strømstad, Karl Magnus Mangerud, Jan Helgerud, Solfrid Bratland-Sanda, Øyvind Støren
    European Journal of Applied Physiology.2017; 117(3): 455.     CrossRef
Arterial Stiffness by Aerobic Exercise Is Related with Aerobic Capacity, Physical Activity Energy Expenditure and Total Fat but not with Insulin Sensitivity in Obese Female Patients with Type 2 Diabetes
Ji Yeon Jung, Kyung Wan Min, Hee Jung Ahn, Hwi Ryun Kwon, Jae Hyuk Lee, Kang Seo Park, Kyung Ah Han
Diabetes Metab J. 2014;38(6):439-448.   Published online December 15, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.6.439
  • 8,286 View
  • 41 Download
  • 11 Web of Science
  • 8 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

Arterial stiffness is an important factor in atherosclerosis. Thus we examined whether aerobic exercise could reduce arterial stiffness in obese women with type 2 diabetes without diabetic complication.

Methods

A total of 35 women with type 2 diabetes (body mass index, 26.6±2.8 kg/m2; age, 56.4±1.9 years; duration of diabetes, 4.7±4.8 years) were assigned to aerobic exercise group (AEG) or control group (CG). AEG completed a 12-week exercise program (3.6 to 5.2 metabolic equivalents, 3 day/week, 60 min/day), with their exercise activities monitored by accelerometers. We measured abdominal total fat area (TFA), visceral fat area (VFA), and subcutaneous fat area (SFA) by computed tomography, insulin sensitivity by insulin tolerance test (KITT), and augmentation index (AIx) by SphygmoCor at baseline and at the end of the 12-week program.

Results

The AIx was improved in the AEG compared with the CG (P<0.001). The percent change of AIx had significant correlation with the improvement of physical activity energy expenditure (PAEE), aerobic capacity, TFA, and SFA (r=-0.416, P=0.013; r=0.560, P<0.001; r=0.489, P=0.003; r=0.531, P=0.001, respectively), but not with insulin sensitivity, energy intake, or VFA.

Conclusion

Improvement in aortic stiffness by aerobic exercise is related with the improvement of aerobic capacity, PAEE, and total fat but not with insulin sensitivity or energy intake in obese women with type 2 diabetes.

Citations

Citations to this article as recorded by  
  • Relationship between objectively measured physical activity and subclinical cardiovascular disease: a systematic review
    Aparna Narendrula, Ellen Brinza, Christine Horvat Davey, Chris T Longenecker, Allison R Webel
    BMJ Open Sport & Exercise Medicine.2024; 10(1): e001596.     CrossRef
  • The Effects of Exercise Interventions on Ectopic and Subcutaneous Fat in Patients with Type 2 Diabetes Mellitus: A Systematic Review, Meta-Analysis, and Meta-Regression
    Fatemeh Kazeminasab, Ali Bahrami Kerchi, Nasim Behzadnejad, Saba Belyani, Sara K. Rosenkranz, Reza Bagheri, Fred Dutheil
    Journal of Clinical Medicine.2024; 13(17): 5005.     CrossRef
  • Aerobic Exercise and Weight Loss in Adults
    Ahmad Jayedi, Sepideh Soltani, Alireza Emadi, Mahdieh-Sadat Zargar, Ali Najafi
    JAMA Network Open.2024; 7(12): e2452185.     CrossRef
  • Aerobic training reduces pancreatic fat content and improves β‐cell function: A randomized controlled trial using IDEAL‐IQ magnetic resonance imaging
    Min Li, Qidong Zheng, Joshua D. Miller, Panpan Zuo, Xiaodan Yuan, Jitao Feng, Chao Liu, Shan Bao, Qingqing Lou
    Diabetes/Metabolism Research and Reviews.2022;[Epub]     CrossRef
  • Effect of aerobic exercise on waist circumference in adults with overweight or obesity: A systematic review and meta‐analysis
    Alex Armstrong, Klaus Jungbluth Rodriguez, Angelo Sabag, Yorgi Mavros, Helen M. Parker, Shelley E. Keating, Nathan A. Johnson
    Obesity Reviews.2022;[Epub]     CrossRef
  • Aortic waveform responses to insulin in late versus early chronotype with metabolic syndrome
    Mary‐Margaret E. Remchak, Emily M. Heiston, Anna Ballantyne, Brielle L. Dotson, Steven K. Malin
    Physiological Reports.2022;[Epub]     CrossRef
  • Exercise and ectopic fat in type 2 diabetes: A systematic review and meta-analysis
    A. Sabag, K.L. Way, S.E. Keating, R.N. Sultana, H.T. O’Connor, M.K. Baker, V.H. Chuter, J. George, N.A. Johnson
    Diabetes & Metabolism.2017; 43(3): 195.     CrossRef
  • Arterial Stiffness Measured with the Cuff Oscillometric Method Is Predictive of Exercise Capacity in Patients with Cardiac Diseases
    Yasushi Tazawa, Nobuyoshi Mori, Yoshiko Ogawa, Osamu Ito, Masahiro Kohzuki
    The Tohoku Journal of Experimental Medicine.2016; 239(2): 127.     CrossRef
Effect of Treadmill Exercise on Interleukin-15 Expression and Glucose Tolerance in Zucker Diabetic Fatty Rats
Hee-Jae Kim, Jae Young Park, Seung Lyul Oh, Yong-An Kim, Byunghun So, Je Kyung Seong, Wook Song
Diabetes Metab J. 2013;37(5):358-364.   Published online October 17, 2013
DOI: https://doi.org/10.4093/dmj.2013.37.5.358
  • 7,478 View
  • 43 Download
  • 26 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

Interleukin-15 (IL-15), a well-known myokine, is highly expressed in skeletal muscle and is involved in muscle-fat crosstalk. Recently, a role of skeletal muscle-derived IL-15 in the improvement of glucose homeostasis and insulin sensitivity has been proposed. However, little is known regarding the influence of endurance training on IL-15 expression in type 2 diabetic skeletal muscles. We investigated the effect of endurance exercise training on glucose tolerance and IL-15 expression in skeletal muscles using type 2 diabetic animal models.

Methods

Male Zucker diabetic fatty (ZDF) and ZDF lean control (ZLC) rats were randomly divided into three groups: sedentary ZLC, sedentary ZDF (ZDF-Con), and exercised ZDF (ZDF-Ex). The ZDF-Ex rats were forced to run a motor-driven treadmill for 60 minutes once a day 5 times per week for 12 weeks. Intraperitoneal glucose tolerance test (IPGTT) was performed after 12 weeks. Expression of IL-15 was measured using ELISA in extracted soleus (SOL) and gastrocnemius medial muscles.

Results

After 12 weeks of treadmill training, reduction of body weight was observed in ZDF-Ex compared to ZDF-Con rats. Glucose tolerance using IPGTT in diabetic rats was significantly improved in ZDF-Ex rats. Furthermore, the expression of IL-15 was significantly increased (P<0.01) only in the SOL of ZDF-Ex rats compared to ZDF-Con. Additionally, IL-15 expression in SOL muscles was negatively correlated with change of body weight (R=-0.424, P=0.04).

Conclusion

The present study results suggest that 12 weeks of progressive endurance training significantly improved glucose tolerance with concomitant increase of IL-15 expression in SOL muscles of type 2 diabetic rats.

Citations

Citations to this article as recorded by  
  • Physical Activity, Exerkines, and Their Role in Cancer Cachexia
    Jan Bilski, Aleksandra Szlachcic, Agata Ptak-Belowska, Tomasz Brzozowski
    International Journal of Molecular Sciences.2025; 26(16): 8011.     CrossRef
  • Beyond muscles: Investigating immunoregulatory myokines in acute resistance exercise – A systematic review and meta‐analysis
    Miriam Ringleb, Florian Javelle, Simon Haunhorst, Wilhelm Bloch, Lena Fennen, Sabine Baumgart, Sebastian Drube, Philipp A. Reuken, Mathias W. Pletz, Heiko Wagner, Holger H. W. Gabriel, Christian Puta
    The FASEB Journal.2024;[Epub]     CrossRef
  • The effects of gut microbiome manipulation on glycemic indices in patients with non-alcoholic fatty liver disease: a comprehensive umbrella review
    Azin Vakilpour, Ehsan Amini-Salehi, Arman Soltani Moghadam, Mohammad-Hossein Keivanlou, Negin Letafatkar, Arman Habibi, Mohammad Hashemi, Negar Eslami, Reza Zare, Naeim Norouzi, Hamed Delam, Farahnaz Joukar, Fariborz Mansour-Ghanaei, Soheil Hassanipour, S
    Nutrition & Diabetes.2024;[Epub]     CrossRef
  • Exercise‐regulated white adipocyte differentitation: An insight into its role and mechanism
    Linjing Yan, Liang Guo
    Journal of Cellular Physiology.2023; 238(8): 1670.     CrossRef
  • Effects of short-term physical training on the interleukin-15 signalling pathway and glucose tolerance in aged rats
    Luciele Guerra Minuzzi, Luciana Renata da Conceição, Vitor Rosetto Muñoz, Renan Fudoli Lins Vieira, Rafael Calais Gaspar, Adelino S.R. da Silva, Dennys Esper Cintra, Leandro Pereira de Moura, Eduardo Rochete Ropelle, Ana Maria Teixeira, José Rodrigo Pauli
    Cytokine.2021; 137: 155306.     CrossRef
  • Swimming Program on Mildly Diabetic Rats in Pregnancy
    Nathália C. D. Macedo, Isabela L. Iessi, Franciane Q. Gallego, Aline O. Netto, Yuri K. Sinzato, Gustavo T. Volpato, Elena Zambrano, Débora C. Damasceno
    Reproductive Sciences.2021; 28(8): 2223.     CrossRef
  • Exercise training and de-training effects on serum leptin and TNF-α in high fat induced diabetic rats
    Hamideh Dinari Ghozhdi, Ali Heidarianpour, Maryam Keshvari, Hassan Tavassoli
    Diabetology & Metabolic Syndrome.2021;[Epub]     CrossRef
  • Exercise-Induced Myokines can Explain the Importance of Physical Activity in the Elderly: An Overview
    Jenny Hyosun Kwon, Kyoung Min Moon, Kyueng-Whan Min
    Healthcare.2020; 8(4): 378.     CrossRef
  • Myokine/Adipokine Response to “Aerobic” Exercise: Is It Just a Matter of Exercise Load?
    Zihong He, Ye Tian, Pedro L. Valenzuela, Chuanye Huang, Jiexiu Zhao, Ping Hong, Zilin He, Shuhui Yin, Alejandro Lucia
    Frontiers in Physiology.2019;[Epub]     CrossRef
  • Overexpression of Interleukin-15 exhibits improved glucose tolerance and promotes GLUT4 translocation via AMP-Activated protein kinase pathway in skeletal muscle
    Taku Fujimoto, Ken Sugimoto, Toshimasa Takahashi, Yukiko Yasunobe, Keyu Xie, Minoru Tanaka, Yuri Ohnishi, Shino Yoshida, Hitomi Kurinami, Hiroshi Akasaka, Yoichi Takami, Yasushi Takeya, Koichi Yamamoto, Hiromi Rakugi
    Biochemical and Biophysical Research Communications.2019; 509(4): 994.     CrossRef
  • Insights from Exercise-induced Cardioprotection-from Clinical Application to Basic Research
    Hao Jiang, Beijian Zhang, Daile Jia, Wenlong Yang, Aijun Sun, Junbo Ge
    Current Pharmaceutical Design.2019; 25(35): 3751.     CrossRef
  • Myokine Response to High-Intensity Interval vs. Resistance Exercise: An Individual Approach
    Zihong He, Ye Tian, Pedro L. Valenzuela, Chuanye Huang, Jiexiu Zhao, Ping Hong, Zilin He, Shuhui Yin, Alejandro Lucia
    Frontiers in Physiology.2018;[Epub]     CrossRef
  • A systematic review of “myokines and metabolic regulation”
    Henry H. León-Ariza, María P. Mendoza-Navarrete, María I. Maldonado-Arango, Daniel A. Botero-Rosas
    Apunts. Medicina de l'Esport.2018; 53(200): 155.     CrossRef
  • Exercise benefits in cardiovascular disease: beyond attenuation of traditional risk factors
    Carmen Fiuza-Luces, Alejandro Santos-Lozano, Michael Joyner, Pedro Carrera-Bastos, Oscar Picazo, José L. Zugaza, Mikel Izquierdo, Luis M. Ruilope, Alejandro Lucia
    Nature Reviews Cardiology.2018; 15(12): 731.     CrossRef
  • Effects of 8 Weeks Resistance Exercise on GSH, SOD, TBARS Activities and GLUT2 mRNA Expression of Pancreas in OLETF Rats
    Min-Ki Lee, Jin-Hwan Yoon
    The Korean Journal of Physical Education.2017; 56(3): 551.     CrossRef
  • Exercise effects on perivascular adipose tissue: endocrine and paracrine determinants of vascular function
    B C S Boa, J S Yudkin, V W M van Hinsbergh, E Bouskela, E C Eringa
    British Journal of Pharmacology.2017; 174(20): 3466.     CrossRef
  • IL15RA is required for osteoblast function and bone mineralization
    Emanuele Loro, Girish Ramaswamy, Abhishek Chandra, Wei-Ju Tseng, Manoj K. Mishra, Eileen M. Shore, Tejvir S. Khurana
    Bone.2017; 103: 20.     CrossRef
  • Interleukin‐15 in obesity and metabolic dysfunction: current understanding and future perspectives
    Y. Duan, F. Li, W. Wang, Q. Guo, C. Wen, Y. Li, Y. Yin
    Obesity Reviews.2017; 18(10): 1147.     CrossRef
  • Effects of interval aerobic training combined with strength exercise on body composition, glycaemic and lipid profile and aerobic capacity of obese rats
    Irene Coll-Risco, Virginia A. Aparicio, Elena Nebot, Daniel Camiletti-Moirón, Rosario Martínez, Garyfallia Kapravelou, María López-Jurado, Jesús M. Porres, Pilar Aranda
    Journal of Sports Sciences.2016; 34(15): 1452.     CrossRef
  • Exercise-induced alterations in pancreatic oxidative stress and mitochondrial function in type 2 diabetic Goto-Kakizaki rats
    Haider Raza, Annie John, Jasmin Shafarin, Frank C. Howarth
    Physiological Reports.2016; 4(8): e12751.     CrossRef
  • Interval aerobic training combined with strength-endurance exercise improves metabolic markers beyond caloric restriction in Zucker rats
    V.A. Aparicio, I. Coll-Risco, D. Camiletti-Moirón, E. Nebot, R. Martínez, M. López-Jurado, P. Aranda
    Nutrition, Metabolism and Cardiovascular Diseases.2016; 26(8): 713.     CrossRef
  • IL-15 expression increased in response to treadmill running and inhibited endoplasmic reticulum stress in skeletal muscle in rats
    Hong-Tao Yang, Li-Jie Luo, Wen-Jia Chen, Lei Zhao, Chao-Shu Tang, Yong-Fen Qi, Jing Zhang
    Endocrine.2015; 48(1): 152.     CrossRef
  • Time course of IL-15 expression after acute resistance exercise in trained rats: effect of diabetes and skeletal muscle phenotype
    Mahdieh Molanouri Shamsi, Zuhair Mohammad Hassan, LeBris S. Quinn, Reza Gharakhanlou, Leila Baghersad, Mehdi Mahdavi
    Endocrine.2015; 49(2): 396.     CrossRef
  • The search for exercise factors in humans
    Milène Catoire, Sander Kersten
    The FASEB Journal.2015; 29(5): 1615.     CrossRef
  • Muscle-specific deletion of exons 2 and 3 of theIL15RAgene in mice: effects on contractile properties of fast and slow muscles
    Grant O'Connell, Ge Guo, Janelle Stricker, LeBris S. Quinn, Averil Ma, Emidio E. Pistilli
    Journal of Applied Physiology.2015; 118(4): 437.     CrossRef
  • Exercise-induced myokines in health and metabolic diseases
    Byunghun So, Hee-Jae Kim, Jinsoo Kim, Wook Song
    Integrative Medicine Research.2014; 3(4): 172.     CrossRef
Reviews
Regulation of Muscle Pyruvate Dehydrogenase Complex in Insulin Resistance: Effects of Exercise and Dichloroacetate
Dumitru Constantin-Teodosiu
Diabetes Metab J. 2013;37(5):301-314.   Published online October 17, 2013
DOI: https://doi.org/10.4093/dmj.2013.37.5.301
  • 12,020 View
  • 101 Download
  • 47 Crossref
AbstractAbstract PDFPubReader   ePub   

Since the mitochondrial pyruvate dehydrogenase complex (PDC) controls the rate of carbohydrate oxidation, impairment of PDC activity mediated by high-fat intake has been advocated as a causative factor for the skeletal muscle insulin resistance, metabolic syndrome, and the onset of type 2 diabetes (T2D). There are also situations where muscle insulin resistance can occur independently from high-fat dietary intake such as sepsis, inflammation, or drug administration though they all may share the same underlying mechanism, i.e., via activation of forkhead box family of transcription factors, and to a lower extent via peroxisome proliferator-activated receptors. The main feature of T2D is a chronic elevation in blood glucose levels. Chronic systemic hyperglycaemia is toxic and can lead to cellular dysfunction that may become irreversible over time due to deterioration of the pericyte cell's ability to provide vascular stability and control to endothelial proliferation. Therefore, it may not be surprising that T2D's complications are mainly macrovascular and microvascular related, i.e., neuropathy, retinopathy, nephropathy, coronary artery, and peripheral vascular diseases. However, life style intervention such as exercise, which is the most potent physiological activator of muscle PDC, along with pharmacological intervention such as administration of dichloroacetate or L-carnitine can prove to be viable strategies for treating muscle insulin resistance in obesity and T2D as they can potentially restore whole body glucose disposal.

Citations

Citations to this article as recorded by  
  • Oxidative stress and metabolism meet epigenetic modulation in physical exercise
    José Luis García-Giménez, Irene Cánovas-Cervera, Federico V. Pallardó
    Free Radical Biology and Medicine.2024; 213: 123.     CrossRef
  • The pyruvate dehydrogenase complex: Life’s essential, vulnerable and druggable energy homeostat
    Peter W. Stacpoole, Charles E. McCall
    Mitochondrion.2023; 70: 59.     CrossRef
  • Regulating mitochondrial metabolism by targeting pyruvate dehydrogenase with dichloroacetate, a metabolic messenger
    Nick Schoenmann, Nicholas Tannenbaum, Ryan M. Hodgeman, Raghavan Pillai Raju
    Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease.2023; 1869(7): 166769.     CrossRef
  • Serum metabolomics profiling by proton nuclear magnetic resonance spectrometry of the response to single oral macronutrient challenges in women with polycystic ovary syndrome (PCOS) compared with male and female controls
    Héctor F. Escobar-Morreale, María Ángeles Martínez-García, María Insenser, Nicolau Cañellas, Xavier Correig, Manuel Luque-Ramírez
    Biology of Sex Differences.2023;[Epub]     CrossRef
  • Metabolomics and mitochondrial dysfunction in cardiometabolic disease
    Abhishek Shastry, Kimberly Dunham-Snary
    Life Sciences.2023; 333: 122137.     CrossRef
  • Loss of metabolic flexibility as a result of overexpression of pyruvate dehydrogenase kinases in muscle, liver and the immune system: Therapeutic targets in metabolic diseases
    Jae‐Han Jeon, Themis Thoudam, Eun Jung Choi, Min‐Ji Kim, Robert A Harris, In‐Kyu Lee
    Journal of Diabetes Investigation.2021; 12(1): 21.     CrossRef
  • Targeting pyruvate dehydrogenase kinase signaling in the development of effective cancer therapy
    Saleha Anwar, Anas Shamsi, Taj Mohammad, Asimul Islam, Md. Imtaiyaz Hassan
    Biochimica et Biophysica Acta (BBA) - Reviews on Cancer.2021; 1876(1): 188568.     CrossRef
  • Effect of exercise training on skeletal muscle protein expression in relation to insulin sensitivity: Per‐protocol analysis of a randomized controlled trial (GO‐ACTIWE)
    Lea Bruhn, Rasmus Kjøbsted, Jonas Salling Quist, Anne Sofie Gram, Mads Rosenkilde, Kristine Færch, Jørgen F.P. Wojtaszewski, Bente Stallknecht, Martin Bæk Blond
    Physiological Reports.2021;[Epub]     CrossRef
  • The Mechanism behind Influenza Virus Cytokine Storm
    Yinuo Gu, Xu Zuo, Siyu Zhang, Zhuoer Ouyang, Shengyu Jiang, Fang Wang, Guoqiang Wang
    Viruses.2021; 13(7): 1362.     CrossRef
  • Suppression of Pyruvate Dehydrogenase Kinase by Dichloroacetate in Cancer and Skeletal Muscle Cells Is Isoform Specific and Partially Independent of HIF-1α
    Nives Škorja Milić, Klemen Dolinar, Katarina Miš, Urška Matkovič, Maruša Bizjak, Mojca Pavlin, Matej Podbregar, Sergej Pirkmajer
    International Journal of Molecular Sciences.2021; 22(16): 8610.     CrossRef
  • The Regulatory Roles of PPARs in Skeletal Muscle Fuel Metabolism and Inflammation: Impact of PPAR Agonism on Muscle in Chronic Disease, Contraction and Sepsis
    Hannah Crossland, Dumitru Constantin-Teodosiu, Paul L. Greenhaff
    International Journal of Molecular Sciences.2021; 22(18): 9775.     CrossRef
  • PPARα, δ and FOXO1 Gene Silencing Overturns Palmitate-Induced Inhibition of Pyruvate Oxidation Differentially in C2C12 Myotubes
    Hung-Che Chien, Despina Constantin, Paul L. Greenhaff, Dumitru Constantin-Teodosiu
    Biology.2021; 10(11): 1098.     CrossRef
  • Molecular Mechanisms of Muscle Fatigue
    Dumitru Constantin-Teodosiu, Despina Constantin
    International Journal of Molecular Sciences.2021; 22(21): 11587.     CrossRef
  • Coronavirus Disease-19 (COVID-19) and Modern Lifestyle Diseases
    Pallav Sengupta, Sulagna Dutta
    Biomedical and Pharmacology Journal.2021; 14(4): 2245.     CrossRef
  • A single bout of resistance exercise improves postprandial lipid metabolism in overweight/obese men with prediabetes
    Adam J. Bittel, Daniel C. Bittel, Bettina Mittendorfer, Bruce W. Patterson, Adewole L. Okunade, Jun Yoshino, Lane C. Porter, Nada A. Abumrad, Dominic N. Reeds, W. Todd Cade
    Diabetologia.2020; 63(3): 611.     CrossRef
  • An integrative approach to the regulation of mitochondrial respiration during exercise: Focus on high-intensity exercise
    Jose A.L. Calbet, Saúl Martín-Rodríguez, Marcos Martin-Rincon, David Morales-Alamo
    Redox Biology.2020; 35: 101478.     CrossRef
  • PPARδ and FOXO1 Mediate Palmitate-Induced Inhibition of Muscle Pyruvate Dehydrogenase Complex and CHO Oxidation, Events Reversed by Electrical Pulse Stimulation
    Hung-Che Chien, Paul L. Greenhaff, Dumitru Constantin-Teodosiu
    International Journal of Molecular Sciences.2020; 21(16): 5942.     CrossRef
  • Cancer cachexia has many symptoms but only one cause: anoxia
    Tomas Koltai
    F1000Research.2020; 9: 250.     CrossRef
  • Structural basis for the inhibition of PDK2 by novel ATP- and lipoyl-binding site targeting compounds
    Jihoon Kang, Haushabhau S. Pagire, Donguk Kang, Yo Han Song, In Kyu Lee, Kang Taek Lee, Chin-Ju Park, Jin Hee Ahn, Jungwook Kim
    Biochemical and Biophysical Research Communications.2020; 527(3): 778.     CrossRef
  • Influenza and obesity: its odd relationship and the lessons for COVID-19 pandemic
    Livio Luzi, Maria Grazia Radaelli
    Acta Diabetologica.2020; 57(6): 759.     CrossRef
  • Changes in gene expression of lactate carriers (MCT1 and CD147) in cardiac muscle of diabetic male rats: the effect of dichloroacetate and endurance training
    H. Rezaeinasab, A. Habibi, M. Nikbakht, M. Rashno, S. Shakerian
    The Ukrainian Biochemical Journal.2020; 92(5): 111.     CrossRef
  • Mitochondrial Uncoupling Coordinated With PDH Activation Safely Ameliorates Hyperglycemia via Promoting Glucose Oxidation
    Haowen Jiang, Jia Jin, Yanan Duan, Zhifu Xie, Yufeng Li, Anhui Gao, Min Gu, Xinwen Zhang, Chang Peng, Chunmei Xia, Tiancheng Dong, Hui Li, Lifang Yu, Jie Tang, Fan Yang, Jingya Li, Jia Li
    Diabetes.2019; 68(12): 2197.     CrossRef
  • Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Induced by Repeated Forced Swimming in Mice
    Takuya Ohba, Shinichi Domoto, Miyu Tanaka, Shinsuke Nakamura, Masamitsu Shimazawa, Hideaki Hara
    Biological and Pharmaceutical Bulletin.2019; 42(7): 1140.     CrossRef
  • The Beta Cell in Type 2 Diabetes
    Ashley A. Christensen, Maureen Gannon
    Current Diabetes Reports.2019;[Epub]     CrossRef
  • Reduced expression of Twist 1 is protective against insulin resistance of adipocytes and involves mitochondrial dysfunction
    Sumei Lu, Hong Wang, Rui Ren, Xiaohong Shi, Yanmei Zhang, Wanshan Ma
    Scientific Reports.2018;[Epub]     CrossRef
  • PDK4 Deficiency Suppresses Hepatic Glucagon Signaling by Decreasing cAMP Levels
    Bo-Yoon Park, Jae-Han Jeon, Younghoon Go, Hye Jin Ham, Jeong-Eun Kim, Eun Kyung Yoo, Woong Hee Kwon, Nam-Ho Jeoung, Yong Hyun Jeon, Seung-Hoi Koo, Byung-Gyu Kim, Ling He, Keun-Gyu Park, Robert A. Harris, In-Kyu Lee
    Diabetes.2018; 67(10): 2054.     CrossRef
  • Differences in Muscle Metabolism Between Triathletes and Normally Active Volunteers Investigated Using Multinuclear Magnetic Resonance Spectroscopy at 7T
    Radka Klepochová, Ladislav Valkovič, Thomas Hochwartner, Christoph Triska, Norbert Bachl, Harald Tschan, Siegfried Trattnig, Michael Krebs, Martin Krššák
    Frontiers in Physiology.2018;[Epub]     CrossRef
  • Defining the contribution of skeletal muscle pyruvate dehydrogenase α1 to exercise performance and insulin action
    Kristoffer Svensson, Jessica R. Dent, Shahriar Tahvilian, Vitor F. Martins, Abha Sathe, Julien Ochala, Mulchand S. Patel, Simon Schenk
    American Journal of Physiology-Endocrinology and Metabolism.2018; 315(5): E1034.     CrossRef
  • Early-onset and classical forms of type 2 diabetes show impaired expression of genes involved in muscle branched-chain amino acids metabolism
    María Isabel Hernández-Alvarez, Angels Díaz-Ramos, María Berdasco, Jeff Cobb, Evarist Planet, Diane Cooper, Agnieszka Pazderska, Krzystof Wanic, Declan O’Hanlon, Antonio Gomez, Laura R. de la Ballina, Manel Esteller, Manuel Palacin, Donal J. O’Gorman, Joh
    Scientific Reports.2017;[Epub]     CrossRef
  • Therapeutic Targeting of the Pyruvate Dehydrogenase Complex/Pyruvate Dehydrogenase Kinase (PDC/PDK) Axis in Cancer
    Peter W Stacpoole
    JNCI: Journal of the National Cancer Institute.2017;[Epub]     CrossRef
  • Hyperpalatable Diet and Physical Exercise Modulate the Expression of the Glial Monocarboxylate Transporters MCT1 and 4
    Luis V. Portela, Andressa W. Brochier, Clarissa B. Haas, Afonso Kopczynski de Carvalho, Jussania A. Gnoato, Eduardo R. Zimmer, Eduardo Kalinine, Luc Pellerin, Alexandre P. Muller
    Molecular Neurobiology.2017; 54(8): 5807.     CrossRef
  • Mitochondrial targeting by dichloroacetate improves outcome following hemorrhagic shock
    Kumar Subramani, Sumin Lu, Marie Warren, Xiaogang Chu, Haroldo A. Toque, R. William Caldwell, Michael P. Diamond, Raghavan Raju
    Scientific Reports.2017;[Epub]     CrossRef
  • The effect of age and unilateral leg immobilization for 2 weeks on substrate utilization during moderate‐intensity exercise in human skeletal muscle
    A. Vigelsø, M. Gram, R. Dybboe, A. B. Kuhlman, C. Prats, P. L. Greenhaff, D. Constantin‐Teodosiu, J. B. Birk, J. F. P. Wojtaszewski, F. Dela, J. W. Helge
    The Journal of Physiology.2016; 594(8): 2339.     CrossRef
  • Global Kinetic Analysis of Mammalian E3 Reveals pH-dependent NAD+/NADH Regulation, Physiological Kinetic Reversibility, and Catalytic Optimum
    Michael A. Moxley, Daniel A. Beard, Jason N. Bazil
    Journal of Biological Chemistry.2016; 291(6): 2712.     CrossRef
  • Pyruvate dehydrogenase kinase regulates hepatitis C virus replication
    Gwon-Soo Jung, Jae-Han Jeon, Yeon-Kyung Choi, Se Young Jang, Soo Young Park, Sung-Woo Kim, Jun-Kyu Byun, Mi-Kyung Kim, Sungwoo Lee, Eui-Cheol Shin, In-Kyu Lee, Yu Na Kang, Keun-Gyu Park
    Scientific Reports.2016;[Epub]     CrossRef
  • Altered heart proteome in fructose-fed Fisher 344 rats exposed to bisphenol A
    S.A. Ljunggren, M. Iggland, M. Rönn, L. Lind, P.M. Lind, H. Karlsson
    Toxicology.2016; 347-349: 6.     CrossRef
  • Unacylated ghrelin restores insulin and autophagic signaling in skeletal muscle of diabetic mice
    Bjorn T. Tam, Xiao M. Pei, Benjamin Y. Yung, Shea P. Yip, Lawrence W. Chan, Cesar S. Wong, Parco M. Siu
    Pflügers Archiv - European Journal of Physiology.2015; 467(12): 2555.     CrossRef
  • Sex-related differences in the effects of high-fat diets on DHEA-treated rats
    Ana Lúcia Cecconello, Marcia Trapp, Ana Lúcia Hoefel, Cláudia Vieira Marques, Bruno Dutra Arbo, Gabriela Osterkamp, Luiz Carlos Rios Kucharski, Maria Flávia Marques Ribeiro
    Endocrine.2015; 48(3): 985.     CrossRef
  • Pharmacological Blockade of Cannabinoid CB1 Receptors in Diet-Induced Obesity Regulates Mitochondrial Dihydrolipoamide Dehydrogenase in Muscle
    Sergio Arrabal, Miguel Angel Lucena, Miren Josune Canduela, Almudena Ramos-Uriarte, Patricia Rivera, Antonia Serrano, Francisco Javier Pavón, Juan Decara, Antonio Vargas, Elena Baixeras, Mercedes Martín-Rufián, Javier Márquez, Pedro Fernández-Llébrez, Bau
    PLOS ONE.2015; 10(12): e0145244.     CrossRef
  • A glance at … exercise and glucose uptake
    Michael J. Glade, Kyl Smith
    Nutrition.2015; 31(6): 893.     CrossRef
  • Perpetual muscle PDH activation in PDH kinase knockout mice protects against high-fat feeding–induced muscle insulin resistance
    Dumitru Constantin-Teodosiu, Francis B. Stephens, Paul L. Greenhaff
    Proceedings of the National Academy of Sciences.2015;[Epub]     CrossRef
  • Statin-Induced Increases in Atrophy Gene Expression Occur Independently of Changes in PGC1α Protein and Mitochondrial Content
    Craig A. Goodman, Derk Pol, Evelyn Zacharewicz, Robert S. Lee-Young, Rod J. Snow, Aaron P. Russell, Glenn K. McConell, Ashok Kumar
    PLOS ONE.2015; 10(5): e0128398.     CrossRef
  • 13C metabolic flux analysis shows that resistin impairs the metabolic response to insulin in L6E9 myotubes
    Shirley Guzmán, Silvia Marin, Anibal Miranda, Vitaly A Selivanov, Josep J Centelles, Romain Harmancey, Fatima Smih, Annie Turkieh, Yves Durocher, Antonio Zorzano, Philippe Rouet, Marta Cascante
    BMC Systems Biology.2014;[Epub]     CrossRef
  • Translational Research: From Biological Discovery to Public Benefit (or Not)
    Michael R. Emmert-Buck
    Advances in Biology.2014; 2014: 1.     CrossRef
  • Diabetic Worker with History of Falls: A Case Study
    Ann R. Lurati
    Workplace Health & Safety.2014; 62(5): 175.     CrossRef
  • Diabetic Worker With History of Falls: A Case Study
    Ann R. Lurati
    Workplace Health & Safety.2014; 62(5): 175.     CrossRef
  • Mitochondrial Pyruvate Carrier 2 Hypomorphism in Mice Leads to Defects in Glucose-Stimulated Insulin Secretion
    Patrick A. Vigueira, Kyle S. McCommis, George G. Schweitzer, Maria S. Remedi, Kari T. Chambers, Xiaorong Fu, William G. McDonald, Serena L. Cole, Jerry R. Colca, Rolf F. Kletzien, Shawn C. Burgess, Brian N. Finck
    Cell Reports.2014; 7(6): 2042.     CrossRef
Effects of Exercise Alone on Insulin Sensitivity and Glucose Tolerance in Obese Youth
SoJung Lee, YoonMyung Kim
Diabetes Metab J. 2013;37(4):225-232.   Published online August 14, 2013
DOI: https://doi.org/10.4093/dmj.2013.37.4.225
  • 8,011 View
  • 62 Download
  • 19 Crossref
AbstractAbstract PDFPubReader   ePub   

As with the dramatic increases in childhood obesity over the past decades, the incidence of type 2 diabetes has increased among children and adolescents in the United States. Insulin resistance is a common feature of childhood obesity and increases the risk of type 2 diabetes, metabolic syndrome, and atherogenic lipoprotein profile in obese youth. Although cross-sectional studies report beneficial effects of physical activity or cardiorespiratory fitness on insulin sensitivity, the role of regular exercise alone (e.g., no calorie restriction) as a strategy to reduce the risk of type 2 diabetes is unclear in obese children and adolescents. In this mini review, we examined the independent effects of various exercise on glucose tolerance and insulin sensitivity in obese youth.

Citations

Citations to this article as recorded by  
  • Obesity blunts insulin sensitivity improvements and attenuates strength gains following resistance training in nondiabetic men
    Ramzi A. Al-Horani, Khaled M. Alsays, Osama Abo Alrob
    European Journal of Applied Physiology.2024; 124(5): 1425.     CrossRef
  • Lifestyle and Pharmacological Interventions and Treatment Indications for the Management of Obesity in Children and Adolescents
    Despina Herouvi, George Paltoglou, Alexandra Soldatou, Christina Kalpia, Spyridon Karanasios, Kyriaki Karavanaki
    Children.2023; 10(7): 1230.     CrossRef
  • Predictors of postprandial glycaemia, insulinaemia and insulin resistance in adolescents
    Ryan A. Williams, Karah J. Dring, Simon B. Cooper, John G. Morris, Caroline Sunderland, Mary E. Nevill
    British Journal of Nutrition.2021; 125(10): 1101.     CrossRef
  • HHOM-051608 A Whey Protein Formulation Fortified with Herbal Actives Improves Exercise Performance and Muscle Strength
    Kamlesh K. Vishwakarma, Madan M. Narendra, Mohammed M. Azeemuddin, Poornima Shankar, Prathibha Babshet, Mohamed Rafiq, Uddagiri V. Babu
    International Journal of Nutrition, Pharmacology, Neurological Diseases.2021; 11(1): 80.     CrossRef
  • New insights into the pharmacological treatment of pediatric patients with type 2 diabetes
    Tatsuhiko Urakami
    Clinical Pediatric Endocrinology.2018; 27(1): 1.     CrossRef
  • Effect of 7 days of exercise on exogenous carbohydrate oxidation and insulin resistance in children with obesity
    Lisa Chu, Katherine M. Morrison, Michael C. Riddell, Sandeep Raha, Brian W. Timmons
    Applied Physiology, Nutrition, and Metabolism.2018; 43(7): 677.     CrossRef
  • 12-Week aerobic exercise and nutritional program minimized the presence of the 64Arg allele on insulin resistance
    Gerusa E. Milano-Gai, Lupe Furtado-Alle, Jorge Mota, Leilane Lazarotto, Gisele E. Milano, Ricardo R. de Souza Lehtonen, Ana C.K. Titski, Íncare C. Jesus, Luciane V. Tureck, Rosana B. Radominski, Manuel João Coelho-e-Silva, Neiva Leite
    Journal of Pediatric Endocrinology and Metabolism.2018; 31(9): 1033.     CrossRef
  • ADRB2 Gln27Glu polymorphism influenced changes in leptin but not body composition or metabolic and other inflammatory parameters after twelve weeks of combined training in overweight adolescents
    Neiva Leite, Larissa Rosa da Silva, Íncare Correa de Jesus, Wendell Arthur Lopes, Claudia Regina Cavaglieri, Cássio Leandro Consentino, Rosana Bento Radominski, Ricardo Lehtonen Rodrigues de Souza, Luciane Viater Tureck, Lupe Furtado-Alle
    Motriz: Revista de Educação Física.2018;[Epub]     CrossRef
  • Patterns of Physical Activity Adherence by Adolescents With Diabetes or Obesity Enrolled in a Personalized Community-Based Intervention
    Sara F. Michaliszyn, Melinda Higgins, Melissa Spezia Faulkner
    The Diabetes Educator.2018; 44(6): 519.     CrossRef
  • Diet Quality and Mortality Risk in Metabolically Obese Normal-Weight Adults
    Yong-Moon Mark Park, Teresa T. Fung, Susan E. Steck, Jiajia Zhang, Linda J. Hazlett, Kyungdo Han, Seung-Hwan Lee, Anwar T. Merchant
    Mayo Clinic Proceedings.2016; 91(10): 1372.     CrossRef
  • Mediterranean diet and mortality risk in metabolically healthy obese and metabolically unhealthy obese phenotypes
    Y-M Park, S E Steck, T T Fung, J Zhang, L J Hazlett, K Han, A T Merchant
    International Journal of Obesity.2016; 40(10): 1541.     CrossRef
  • Efeitos metabólicos do exercício físico na obesidade infantil: uma visão atual
    Santiago Tavares Paes, João Carlos Bouzas Marins, Ana Eliza Andreazzi
    Revista Paulista de Pediatria.2015; 33(1): 122.     CrossRef
  • Metabolic effects of exercise on childhood obesity: a current view
    Santiago Tavares Paes, João Carlos Bouzas Marins, Ana Eliza Andreazzi
    Revista Paulista de Pediatria (English Edition).2015; 33(1): 122.     CrossRef
  • Impact of regular physical activity on blood glucose control and cardiovascular risk factors in adolescents with type 2 diabetes mellitus - a multicenter study of 578 patients from 225 centres
    A Herbst, T Kapellen, E Schober, C Graf, T Meissner, RW Holl
    Pediatric Diabetes.2015; 16(3): 204.     CrossRef
  • Impact of exercise training without caloric restriction on inflammation, insulin resistance and visceral fat mass in obese adolescents
    M. Mendelson, A.‐S. Michallet, D. Monneret, C. Perrin, F. Estève, P. R. Lombard, P. Faure, P. Lévy, A. Favre‐Juvin, J.‐L. Pépin, B. Wuyam, P. Flore
    Pediatric Obesity.2015; 10(4): 311.     CrossRef
  • Early-life sleep deprivation persistently depresses melatonin production and bio-energetics of the pineal gland: potential implications for the development of metabolic deficiency
    Li-You Chen, Cheng Tiong, Chung-Hung Tsai, Wen-Chieh Liao, Shun-Fa Yang, Su-Chung Youn, Fu-Der Mai, Hung-Ming Chang
    Brain Structure and Function.2015; 220(2): 663.     CrossRef
  • Whey Protein Improves Exercise Performance and Biochemical Profiles in Trained Mice
    WEN-CHYUAN CHEN, WEN-CHING HUANG, CHIEN-CHAO CHIU, YU-KAI CHANG, CHI-CHANG HUANG
    Medicine & Science in Sports & Exercise.2014; 46(8): 1517.     CrossRef
  • Type 2 diabetes in the child and adolescent
    Phil Zeitler, Junfen Fu, Nikhil Tandon, Kristen Nadeau, Tatsuhiko Urakami, Timothy Barrett, David Maahs
    Pediatric Diabetes.2014; 15(S20): 26.     CrossRef
  • ENDOCRINOLOGY AND ADOLESCENCE: Aerobic exercise reduces insulin resistance markers in obese youth: a meta-analysis of randomized controlled trials
    Antonio García-Hermoso, Jose M Saavedra, Yolanda Escalante, Mairena Sánchez-López, Vicente Martínez-Vizcaíno
    European Journal of Endocrinology.2014; 171(4): R163.     CrossRef
AMPK and Exercise: Glucose Uptake and Insulin Sensitivity
Hayley M. O'Neill
Diabetes Metab J. 2013;37(1):1-21.   Published online February 15, 2013
DOI: https://doi.org/10.4093/dmj.2013.37.1.1
  • 30,074 View
  • 348 Download
  • 216 Crossref
AbstractAbstract PDFPubReader   ePub   

AMPK is an evolutionary conserved sensor of cellular energy status that is activated during exercise. Pharmacological activation of AMPK promotes glucose uptake, fatty acid oxidation, mitochondrial biogenesis, and insulin sensitivity; processes that are reduced in obesity and contribute to the development of insulin resistance. AMPK deficient mouse models have been used to provide direct genetic evidence either supporting or refuting a role for AMPK in regulating these processes. Exercise promotes glucose uptake by an insulin dependent mechanism involving AMPK. Exercise is important for improving insulin sensitivity; however, it is not known if AMPK is required for these improvements. Understanding how these metabolic processes are regulated is important for the development of new strategies that target obesity-induced insulin resistance. This review will discuss the involvement of AMPK in regulating skeletal muscle metabolism (glucose uptake, glycogen synthesis, and insulin sensitivity).

Citations

Citations to this article as recorded by  
  • Exercise-induced stress pathways: Crosstalk between AMPK, HSPs, and inflammation
    Lijuan Xiang, Zhanguo Su
    Journal of Investigative Medicine.2026; 74(2): 95.     CrossRef
  • Therapeutic effects of Angelica gigas Nakai in experimental rat model of polycystic ovary syndrome with network pharmacology
    Bomee Lee, Go Woon Lee, La Yoon Choi, Sujin Kwon, Yong-Deok Jeon, Mi Hye Kim, Sae Hun Kim
    Food Science and Biotechnology.2026; 35(1): 285.     CrossRef
  • Residential Greenness and Subtypes of Gestational Diabetes Mellitus: A Metabolomic Investigation
    Jun Cao, Wen Jiang, Tian Zhang, Zhichao Yuan, Dongjian Yang, Liu Liu, Qingli Zhang, Jun Zhang
    Ecotoxicology and Environmental Safety.2026; 309: 119667.     CrossRef
  • Improvements in glucose metabolism after high-, but not low-, volume strength exercise in individuals with obesity are associated with baseline insulin resistance: a secondary analysis from a randomized clinical trial
    Luis Filipe Rocha Silva, Paulo H. Evangelista Silva, Jordan Ottoni do Carmo, Bruna Caroline Chaves Garcia, Elizabethe Adriana Esteves, Marco Fabrício Dias-Peixoto, Fernando Gripp, Oscar Chavez, Valmor Tricoli, Zachary Aaron Mang, Fabiano Trigueiro Amorim,
    European Journal of Applied Physiology.2026;[Epub]     CrossRef
  • Nur77 Regulates the Phosphorylation of Smad3, Thereby Influencing Skeletal Muscle Fibrosis Caused by Obesity
    Na Li, Tingting Tian, Qihe Zhao, Difei Wang
    The FASEB Journal.2026;[Epub]     CrossRef
  • Metabolic Reprogramming of Anti-cancer T Cells: Targeting AMPK and PPAR to Optimize Cancer Immunotherapy
    Abduldaheem Turki Jalil, Hassan Hadi Al-Kazzaz, Firas A. Hassan, Safaa Halool Mohammed, Muna S. Merza, Tahani Aslandook, Ahmed Elewadi, Ali Fadhil, Ali Alsalamy
    Indian Journal of Clinical Biochemistry.2025; 40(2): 165.     CrossRef
  • 1-Deoxynojirimycin affects high glucose-induced pancreatic beta-cell dysfunction through regulating CEBPA expression and AMPK pathway
    Xiaoying Li, Shenggui Liu, Siqi Wang, Xinghui Ai, Lin Wei
    Biochemistry and Cell Biology.2025; 103: 1.     CrossRef
  • Myogenic differentiation markers in muscle tissue after aerobic training
    Rastegar Hoseini, Zahra Hoseini, Ayob Kamangar
    Heliyon.2025; 11(2): e41888.     CrossRef
  • Tomatine Improves Glucose Metabolism and Mitochondrial Respiration in Insulin-Resistant Hepatocyte Cell Lines AML12 and HepG2 via an AMP-Activated Protein Kinase-Dependent Pathway
    Yu Geon Lee, Donghwan Kim
    Cells.2025; 14(5): 329.     CrossRef
  • The Combined Effect of High-Intensity Interval Training and Time-Restricted Feeding on the AKT-IGF-1-mTOR Signaling Pathway in the Muscle Tissue of Type 2 Diabetic Rats
    Motahareh Mohebinejad, Fatemeh Kazeminasab, Mahtab Ghanbari Rad, Reza Bagheri, Mazdak Razi, Darryn Willoughby, Fred Dutheil
    Nutrients.2025; 17(9): 1404.     CrossRef
  • Meeting physical activity and resistance exercise guidelines associated with significantly reduced prevalence of diabetes in older adults
    Chiho Kim, Dong-Hyuk Park, YongJun Lee, Eun Chan Kim, Chang-geun Oh, Dong Hoon Lee, Justin Y Jeon
    Age and Ageing.2025;[Epub]     CrossRef
  • Insulin resistance mediates the association between physical activity and mortality in US adults with metabolic syndrome
    Kedi Gao, Youliang Lin
    Scientific Reports.2025;[Epub]     CrossRef
  • Exercise orchestrates systemic metabolic and neuroimmune homeostasis via the brain–muscle–liver axis to slow down aging and neurodegeneration: a narrative review
    Jianda Kong, Yingao Xie, Rao Fan, Qinglu Wang, Ying Luo, Panpan Dong
    European Journal of Medical Research.2025;[Epub]     CrossRef
  • The Role of Seaweed Derived Bioactive Compounds in Preventing Cellular Senescence and Aging
    Hiruni S Kumarasinghe, Thilina L Gunathilaka
    Natural Product Communications.2025;[Epub]     CrossRef
  • Impact of polymorphisms on gene expression and splicing in response to exercise and diet-induced weight loss in human skeletal muscle tissues
    Wenjing Wang, Wei Lin Liew, Shiqi Huang, Edmund Chan, Amelia Li Min Tan, Chi Tian, Yihan Tong, Yuntian Zhang, Fei Liu, Yixian Qin, Sean Jun Leong Ou, Suresh Anand Sadananthan, Sambasivam Sendhil Velan, Kavita Venkataraman, Sarah R. Langley, Petretto Enric
    Cell Genomics.2025; 5(9): 100951.     CrossRef
  • Keel Bone Damage in Commercial Laying Hen Hybrids
    N. Abdallah, K. Kursun, M. Baylan
    Veterinary Medicine and Science.2025;[Epub]     CrossRef
  • AMPK/mTOR balance during exercise: implications for insulin resistance in aging muscle
    Xie Mingzheng, Weng You
    Molecular and Cellular Biochemistry.2025; 480(12): 5941.     CrossRef
  • The Impact of Aerobic vs. Resistance Exercises on Serum miR-204, miR-181, Metabolic Biomarkers and Physical Fitness in Diabetic Children: A Randomized Control Trial
    Mohammad Ali Shams, Vazgen Minasian, Mahin Hashemipour, Silva Hovsepian
    Zahedan Journal of Research in Medical Sciences.2025;[Epub]     CrossRef
  • Physical activity and glioblastoma: a paradigm shift in neuro-oncology therapy
    Lin Xie, Feng Wang
    Frontiers in Oncology.2025;[Epub]     CrossRef
  • Antidiabetic potential of Gynura procumbens (Lour.) Merr.: a review of in vitro and in vivo studies
    Nurul Hafizah Mohd Nor, Farah Hanan Fathihah Jaffar, Mohd Izhar Ariff Mohd Kashim, Mohd Helmy Mokhtar
    Frontiers in Pharmacology.2025;[Epub]     CrossRef
  • Effects of different exercise prescription parameters on metabolic and inflammatory biomarkers in cancer patients: a systematic review, meta-analysis, and meta-regression
    Jingyu Wang, Yuxuan He, Ziqian Wang, Zhouluo Wang, Yongqi Miao, Jae-Young Choi
    Frontiers in Immunology.2025;[Epub]     CrossRef
  • Therapeutic Potential of Citrus Species Against Metabolic Syndrome: Insights from Preclinical and Clinical Studies
    Punam Kumari, Pervej Alom Barbhuiya, Manash Pratim Pathak
    Current Nutrition Reports.2025;[Epub]     CrossRef
  • Nidulin stimulates glucose uptake in myotubes through the IRS-AKT pathway and alters redox balance and intracellular calcium
    Kanittha Chantarasakha, Arunrat Yangchum, Masahiko Isaka, Surapun Tepaamorndech
    Natural Products and Bioprospecting.2025;[Epub]     CrossRef
  • Impact of Arabinoxylan Consumption on Glycemic Control: A Systematic Review and Meta-Analysis of Preclinical and Clinical Studies
    Yujing Xu, Yuxin Liang, Jung Eun Kim
    Nutrients.2025; 17(17): 2840.     CrossRef
  • Mixed twitch and tetanus electrical stimulation via belt-electrode effectively attenuates denervation-induced muscle atrophy
    Hiroyuki Uno, Mako Isemura, Shohei Kamiya, Ryuji Akimoto, Katsu Hosoki, Shunta Tadano, Karina Kouzaki, Yuki Tamura, Takaya Kotani, Koichi Nakazato, Atsushi Asakura,
    PLOS One.2025; 20(10): e0334691.     CrossRef
  • Ayurvedic perspective of mitochondrial dysfunction and vitiation of Meda Dhatu in obesity (Sthaulya) through insights from quantum biology
    Dhara Nileshkumar Deliwala, Yogesh Shamrao Deole
    Journal of Drug Research in Ayurvedic Sciences.2025; 10(Suppl 2): S144.     CrossRef
  • THE IMPACT OF VARIOUS LIFESTYLE FACTORS ON BLOOD GLUCOSE CONTROL IN INDIVIDUALS WITH TYPE 2 DIABETES: A REVIEW OF CURRENT RESEARCH AND CLINICAL RECOMMENDATIONS
    Ryszard Łagowski, Julia Kosęda, Honorata Juniewicz, Zuzanna Kudlińska, Patryk Heryć, Karolina Kananowicz, Zofia Laska, Marianna Latour, Anna Jędrasiak, Jakub Piotrowski
    International Journal of Innovative Technologies in Social Science.2025;[Epub]     CrossRef
  • Salidroside inhibits insulin resistance and hepatic steatosis by downregulating miR-21 and subsequent activation of AMPK and upregulation of PPARα in the liver and muscles of high fat diet-fed rats
    Zakiah N. Almohawes, Attalla El-Kott, Kareem Morsy, Ali A. Shati, Ayman E. El-Kenawy, Heba S. Khalifa, Fahmy G. Elsaid, Abd-El-Karim M. Abd-Lateif, Ahmed Abu-Zaiton, Eman R. Ebealy, Mohamed M. Abdel-Daim, Reham A. Ghanem, Eman M. Abd-Ella
    Archives of Physiology and Biochemistry.2024; 130(3): 257.     CrossRef
  • Risks and benefits of salicylates in food: a narrative review
    Joanna Suliburska, Rafsan Syabani Cholik
    Nutrition Reviews.2024; 82(11): 1594.     CrossRef
  • Effectiveness of Combined Aerobic and Resistance Exercise on Cognition, Metabolic Health, Physical Function, and Health-related Quality of Life in Middle-aged and Older Adults With Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis
    Jinghua Zhang, Wilson Wai San Tam, Kanokwan Hounsri, Joji Kusuyama, Vivien Xi Wu
    Archives of Physical Medicine and Rehabilitation.2024; 105(8): 1585.     CrossRef
  • Molecular mechanisms underlying sarcopenia in heart failure
    Cody A. Rutledge
    The Journal of Cardiovascular Aging.2024;[Epub]     CrossRef
  • Diarrhea induced by insufficient fat absorption in weaned piglets: Causes and nutrition regulation
    Yuying Li, Pengjun Shi, Kang Yao, Qian Lin, Mansheng Wang, Zhenping Hou, Wenjie Tang, Hui Diao
    Animal Nutrition.2024; 16: 299.     CrossRef
  • Small peptides: could they have a big role in metabolism and the response to exercise?
    Muhammed M. Atakan, İbrahim Türkel, Berkay Özerkliğ, Şükran N. Koşar, Dale F. Taylor, Xu Yan, David J. Bishop
    The Journal of Physiology.2024; 602(4): 545.     CrossRef
  • The genetic and dietary landscape of the muscle insulin signalling network
    Julian van Gerwen, Stewart WC Masson, Harry B Cutler, Alexis Diaz Vegas, Meg Potter, Jacqueline Stöckli, Søren Madsen, Marin E Nelson, Sean J Humphrey, David E James
    eLife.2024;[Epub]     CrossRef
  • Endurance exercise preconditioning alleviates ferroptosis induced by doxorubicin-induced cardiotoxicity through mitochondrial superoxide-dependent AMPKα2 activation
    Liang Wang, Yang Qiao, Jingzhi Yu, Qihao Wang, Xinyu Wu, Qiqi Cao, Zeyu Zhang, Zhen Feng, Huan He
    Redox Biology.2024; 70: 103079.     CrossRef
  • The genetic and dietary landscape of the muscle insulin signalling network
    Julian van Gerwen, Stewart WC Masson, Harry B Cutler, Alexis Diaz Vegas, Meg Potter, Jacqueline Stöckli, Søren Madsen, Marin E Nelson, Sean J Humphrey, David E James
    eLife.2024;[Epub]     CrossRef
  • AMPK activation modulates IL‐36‐induced inflammatory responses by regulating IκBζ expression in the skin
    Yi‐Ting Huang, Ling‐Ya Chiu, Po‐Hsuan Lu, Pa‐Fan Hsiao, Jen‐Yu Wang, Ping‐Hsun Lu, Nan‐Lin Wu
    British Journal of Pharmacology.2024; 181(15): 2429.     CrossRef
  • Harmine alleviated STZ-induced rat diabetic nephropathy: A potential role via regulating AMPK/Nrf2 pathway and deactivating ataxia-telangiectasia mutated (ATM) signaling
    Manar Mohammed El Tabaa, Maram Mohammed El Tabaa, Eman Rashad, Mohammed Salah Elballal, Ola Elazazy
    International Immunopharmacology.2024; 132: 111954.     CrossRef
  • Exercise-Mediated Protection against Air Pollution-Induced Immune Damage: Mechanisms, Challenges, and Future Directions
    Xingsheng Jin, Yang Chen, Bingxiang Xu, Haili Tian
    Biology.2024; 13(4): 247.     CrossRef
  • The beneficial effects of metformin inclusion on growth performance, glucose utilization, antioxidant capacity and apoptosis of largemouth bass (Micropterus salmoides) fed with high dietary carbohydrates
    Xiaoyuan Wang, Ye Gong, Wenfei Li, Ning Liu, Zishuo Fang, Nihe Zhang, Naisong Chen, Songlin Li
    Aquaculture.2024; 588: 740957.     CrossRef
  • Anthracycline Cardiotoxicity Induces Progressive Changes in Myocardial Metabolism and Mitochondrial Quality Control
    Anabel Díaz-Guerra, Rocío Villena-Gutiérrez, Agustín Clemente-Moragón, Mónica Gómez, Eduardo Oliver, Miguel Fernández-Tocino, Carlos Galán-Arriola, Laura Cádiz, Borja Ibáñez
    JACC: CardioOncology.2024; 6(2): 217.     CrossRef
  • Exploring the Potential of Ribes nigrum L., Aronia melanocarpa (Michx.) Elliott, and Sambucus nigra L. Fruit Polyphenol‐Rich Composition and Metformin Synergy in Type 2 Diabetes Management
    Katarzyna Zima, Barbara Khaidakov, Laura Banaszkiewicz, Krzysztof Lemke, Paulina Karolina Kowalczyk, Manishekhar Kumar
    Journal of Diabetes Research.2024;[Epub]     CrossRef
  • Exercise intervention may play a potential therapeutic role in patients with glioblastoma multiforme (Review)
    Salaheddin Sharif, Nicholas Harman, David Hydock, Thomas Olson
    World Academy of Sciences Journal.2024;[Epub]     CrossRef
  • The Impact of Organized Exercise and Non-organized Leisured Time Activity on Serum Pentraxin3 and C-reactive Protein Levels, Lipid Profile and Physical Fitness in Diabetic Children
    Maryam Nazari, Vazgen Minasian
    Asian Journal of Sports Medicine.2024;[Epub]     CrossRef
  • Resistin alleviates lipopolysaccharide-induced inflammation in bovine alveolar macrophages by activating the AMPK/mTOR signaling pathway and autophagy
    Xiaoping Ma, Aining Yang, Xiaoben Fan, Hong Liu, Yu Gu, Zhisheng Wang, Hongrui Guo, Jing Fang, Hengmin Cui, Liping Gou, Junliang Deng, Dongjie Cai, Zhicai Zuo
    Heliyon.2024; 10(19): e38026.     CrossRef
  • Prospective and challenges of locally applied repurposed pharmaceuticals for periodontal tissue regeneration
    Mohammad El-Nablaway, Fatema Rashed, Ehab S. Taher, Ahmed Abdeen, Noha Taymour, Magdalen M. Soliman, Hany K. Shalaby, Liana Fericean, Bănățean-Dunea Ioan, Mohamed El-Sherbiny, Elturabi Ebrahim, Afaf Abdelkader, Mohamed Abdo, Cucui-Cozma Alexandru, Gamal A
    Frontiers in Bioengineering and Biotechnology.2024;[Epub]     CrossRef
  • Exercise training to preserve vitality capacity in ageing
    Raymond Jones, Taylor L. Taylor, Robert T. Mankowski, Fitzgerald Dodds, Michael Hankes, Joanna Hobson, Yi Lin, Keith Saffold, Silvienne C. Sint Jago, McKenna A. Tharpe, Emily L. Zumbro, Anna Thalacker‐Mercer, Thomas W. Buford
    Experimental Physiology.2024;[Epub]     CrossRef
  • The Intricate Mechanisms of Functional Foods Oyster Mushroom and Fenugreek on Type 2 Diabetic Animal Model
    Arafat Hassan Razon, Md. Alauddin, Nisat Farzana, Sanaullah Mazumdar, Md. Ruhul Amin, Md. Mahedi Hassan Tusher, Md. Asrafuzzaman, Nahid Hasan, Mahfuzur Rahman, Muhammad Saiedullah, Begum Rokeya, Md. Omar Faruque, Eusebio Chiefari
    Journal of Diabetes Research.2024;[Epub]     CrossRef
  • Administration of AICAR, an AMPK Activator, Prevents and Reverses Diabetic Polyneuropathy (DPN) by Regulating Mitophagy
    Krish Chandrasekaran, Joungil Choi, Mohammad Salimian, Ahmad F. Hedayat, James W. Russell
    International Journal of Molecular Sciences.2024; 26(1): 80.     CrossRef
  • Potentilla fulgens upregulate GLUT4, AMPK, AKT and insulin in alloxan-induced diabetic mice: an in vivo and in silico study
    Daiahun Thabah, Donkupar Syiem, Careen Liza Pakyntein, Sagnik Banerjee, Cynthia Erica Kharshiing, Atanu Bhattacharjee
    Archives of Physiology and Biochemistry.2023; 129(5): 1071.     CrossRef
  • The importance of AMPK in obesity and chronic diseases and the relationship of AMPK with nutrition: a literature review
    Eren Canbolat, Funda Pınar Cakıroglu
    Critical Reviews in Food Science and Nutrition.2023; 63(4): 449.     CrossRef
  • Hydrogen Sulfide Regulates Glucose Uptake in Skeletal Muscles via S-Sulfhydration of AMPK in Muscle Fiber Type-Dependent Way
    Kelin Li, Minghui Wang, Ruxia Wang, Xiaojuan Wang, Hongchao Jiao, Jingpeng Zhao, Yunlei Zhou, Haifang Li, Hai Lin
    The Journal of Nutrition.2023; 153(10): 2878.     CrossRef
  • Cellular and Molecular Regulation of Exercise—A Neuronal Perspective
    Ishitha Reddy, Yamini Yadav, Chinmoy Sankar Dey
    Cellular and Molecular Neurobiology.2023; 43(4): 1551.     CrossRef
  • Gene expression profile analysis unravelled the systems level association of renal cell carcinoma with diabetic nephropathy and Matrix-metalloproteinase-9 as a potential therapeutic target
    Aditya Rao, Pavan Gollapalli, Nandini Prasad Shetty
    Journal of Biomolecular Structure and Dynamics.2023; 41(16): 7535.     CrossRef
  • Insulin-mimetic activity of 23-glycosyl oleanane triterpenoids isolated from Gymnema latifolium
    Ha-Thanh-Tung Pham, Eun-Jin Park, Byeol Ryu, Hee-Ju Lee, Thi-Phuong Doan, Hyo-Moon Cho, Thi-Linh-Giang Pham, Won-Keun Oh
    Phytochemistry.2023; 205: 113513.     CrossRef
  • The combination of exercise and metformin inhibits TGF-β1/Smad pathway to attenuate myocardial fibrosis in db/db mice by reducing NF-κB–mediated inflammatory response
    Jingjing Liu, Jiao Lu, Liumei Zhang, Yuting Liu, Yuan Zhang, Yaran Gao, Xinmeng Yuan, Mengqi Xiang, Qiang Tang
    Biomedicine & Pharmacotherapy.2023; 157: 114080.     CrossRef
  • Recent advances in sea cucumber peptide: Production, bioactive properties, and prospects
    Jiacong Man, A. M. Abd El‐Aty, Zuzhe Wang, Mingqian Tan
    Food Frontiers.2023; 4(1): 131.     CrossRef
  • Betulinic Acid: Triterpenoid Derivative Induced NADPH-d Expression in the Urinary System with a Possible Renal Protective Role of Nitric Oxide
    Soo Yue Yin, Siddiqua Ayesha, Chellasamy Panneerselvam, Adel Ibrahim Alalawy, Fahad Mohamed Almutairi, Mohamed Ali Seyed
    Drugs and Drug Candidates.2023; 2(1): 52.     CrossRef
  • Action Mechanism of Metformin and Its Application in Hematological Malignancy Treatments: A Review
    Yi Zhang, Fang Zhou, Jiaheng Guan, Lukun Zhou, Baoan Chen
    Biomolecules.2023; 13(2): 250.     CrossRef
  • The Protective Effect of 11-Keto-β-Boswellic Acid against Diabetic Cardiomyopathy in Rats Entails Activation of AMPK
    Jozaa Z. AlTamimi, Nora A. AlFaris, Ghedeir M. Alshammari, Reham I. Alagal, Dalal H. Aljabryn, Mohammed Abdo Yahya
    Nutrients.2023; 15(7): 1660.     CrossRef
  • Modulation of GPC-4 and GPLD1 serum levels by improving glycemic indices in type 2 diabetes: Resistance training and hawthorn extract intervention
    Ali Heidarianpour, Maryam Keshvari, Siamak Shahidi, Mohammad Zarei
    Heliyon.2023; 9(4): e15537.     CrossRef
  • Oral administration of wild plant‐derived minerals and red ginseng ameliorates insulin resistance in fish through different pathways
    Kiyomi Takase, Izuru Kakuta
    Physiological Reports.2023;[Epub]     CrossRef
  • Anti‐fatigue properties of the ethanol extract of Moringa oleifera leaves in mice
    Xiangyu Bian, Yawen Wang, Renren Yang, Yuying Ma, Weiyun Dong, Changjiang Guo, Weina Gao
    Journal of the Science of Food and Agriculture.2023; 103(11): 5500.     CrossRef
  • AMP-activated protein kinase: An energy sensor and survival mechanism in the reinstatement of metabolic homeostasis
    Ankita Sharma, Sumit Kr Anand, Neha Singh, Upendra Nath Dwivedi, Poonam Kakkar
    Experimental Cell Research.2023; 428(1): 113614.     CrossRef
  • Alternative glucose uptake mediated by β-catenin/RSK1 axis under stress stimuli in mammalian cells
    Caizhu Wang, Ruqin Lin, Xueying Qi, Qiang Xu, Xingsheng Sun, Yurong Zhao, Tianqing Jiang, Jun Jiang, Yu Sun, Yiqun Deng, Jikai Wen
    Biochemical Pharmacology.2023; 214: 115645.     CrossRef
  • Gαi‐coupled GPR41 activation increases Ca2+ influx in C2C12 cells and shows a therapeutic effect in diabetic animals
    Do‐Hyung Lee, Kyung‐Sun Heo, Chang‐Seon Myung
    Obesity.2023; 31(7): 1871.     CrossRef
  • Sapogeninas de Chenopodium quinoa Willd como activadores potenciales de AMPKβ2 para la homeostasis independiente de insulina
    Ricardo Enrique Grados Torrez, Dayana Pamela Bello- Kopa, Ricardo Enrique Grados-Torrez
    Gaceta Médica Boliviana.2023; 46(1): 6.     CrossRef
  • Potential mechanisms of multimodal prehabilitation effects on surgical complications: a narrative review
    Daniel Sibley, Maggie Chen, Malcolm A West, Andrew G Matthew, Daniel Santa Mina, Ian Randall
    Applied Physiology, Nutrition, and Metabolism.2023; 48(9): 639.     CrossRef
  • Insights into the molecular mechanism of muscle textural quality improvement treated by exercise using comparative transcriptome analysis on the hybrid (Erythroculter ilishaeformis ♀ × Ancherythroculter nigrocauda ♂)
    Lang Zhang, Huijie Wei, Yali Yu, Qing Li, Ziwei Song, Yanhong Sun, Pei Li, Jian Chen, Jinhua Gan, Hui Zhang, Xiaorong Lu, Guiying Wang, Li He
    Aquaculture Reports.2023; 31: 101672.     CrossRef
  • Nrf2 modulates the benefits of evening exercise in type 2 diabetes
    Babatunde Fasipe, Ismail Laher
    Sports Medicine and Health Science.2023; 5(4): 251.     CrossRef
  • Early postnatal overnutrition impairs VO2max gains with moderate exercise and increase post-exercise muscle damage in adult male rats
    Douglas Lopes Almeida, Gabriel Sergio Fabricio, Laize Peron Tófolo, Tatiane Aparecida Ribeiro, Camila Cristina Ianoni Matiusso, Maiara Vanusa Guedes Ribeiro, Anna Rebeka Oliveira Ferreira, Audrei Pavanello, Ananda Malta, Kesia Palma-Rigo, Paulo Cezar de F
    Journal of Developmental Origins of Health and Disease.2022; 13(3): 406.     CrossRef
  • Long-term running exercise alleviates cognitive dysfunction in APP/PSEN1 transgenic mice via enhancing brain lysosomal function
    Xue Wang, Yu-ting Zhu, Yi Zhu, Yan-ling Sun, Jun Huang, Zhe Li, Yan Wang, Jun-chao Wu, Zheng-hong Qin, Fang Lin
    Acta Pharmacologica Sinica.2022; 43(4): 850.     CrossRef
  • The Molecular Signature of High-intensity Training in the Human Body
    Patrick Wahl, Wilhelm Bloch, Sebastian Proschinger
    International Journal of Sports Medicine.2022; 43(03): 195.     CrossRef
  • Recent development and advances in the fabrication and biomedical applications of nanoparticle-based drug delivery systems for metformin
    Xiaowei Yang, Qi Lai, Xinmin Yang, Banglin Xie, Bin Zhang, Xiaoyong Zhang, Yen Wei
    Materials Chemistry Frontiers.2022; 6(2): 128.     CrossRef
  • Divergent Effect of Central Incretin Receptors Inhibition in a Rat Model of Sporadic Alzheimer’s Disease
    Jelena Osmanovic Barilar, Ana Knezovic, Jan Homolak, Ana Babic Perhoc, Melita Salkovic-Petrisic
    International Journal of Molecular Sciences.2022; 23(1): 548.     CrossRef
  • The Effect of Various Training on the Expression of the 5’amp-Activated Protein Kinase Α2 and Glucose Transporter - 4 in Type-2 Diabetes Mellitus Rat
    Rahmi Rahmi, Yetty Machrina, Zulham Yamamoto
    Open Access Macedonian Journal of Medical Sciences.2022; 10(A): 1.     CrossRef
  • Avian Orexin: Feed Intake Regulator or Something Else?
    Alison Ramser, Sami Dridi
    Veterinary Sciences.2022; 9(3): 112.     CrossRef
  • Luteolin Synergistically Enhances Antitumor Activity of Oxaliplatin in Colorectal Carcinoma via AMPK Inhibition
    Chan Ho Jang, Nayoung Moon, Jinkyung Lee, Min Jeong Kwon, Jisun Oh, Jong-Sang Kim
    Antioxidants.2022; 11(4): 626.     CrossRef
  • Disrupting AMPK-Glycogen Binding in Mice Increases Carbohydrate Utilization and Reduces Exercise Capacity
    Natalie R. Janzen, Jamie Whitfield, Lisa Murray-Segal, Bruce E. Kemp, John A. Hawley, Nolan J. Hoffman
    Frontiers in Physiology.2022;[Epub]     CrossRef
  • Structure–Activity Relationship of Synthetic Ginkgolic Acid Analogs for Treating Type 2 Diabetes by PTPN9 Inhibition
    Jinsoo Kim, Jinyoung Son, Dohee Ahn, Gibeom Nam, Xiaodi Zhao, Hyuna Park, Woojoo Jeong, Sang J. Chung
    International Journal of Molecular Sciences.2022; 23(7): 3927.     CrossRef
  • Effect of Long-Term Supplementation with Acetic Acid on the Skeletal Muscle of Aging Sprague Dawley Rats
    Hitomi Maruta, Reina Abe, Hiromi Yamashita
    International Journal of Molecular Sciences.2022; 23(9): 4691.     CrossRef
  • AMP activated kinase negatively regulates hepatic Fetuin-A via p38 MAPK-C/EBPβ/E3 Ubiquitin Ligase Signaling pathway
    Vishal Kothari, Jeganathan Ramesh Babu, Suresh T. Mathews, Regis Moreau
    PLOS ONE.2022; 17(5): e0266472.     CrossRef
  • Lariciresinol Displays Anti‐Diabetic Activity through Inhibition of α‐Glucosidase and Activation and Enhancement of Insulin Signaling
    Md Badrul Alam, Jeong‐Sic Ra, Ji‐Young Lim, Bo‐Rim Song, Ahsan Javed, Sang‐Han Lee
    Molecular Nutrition & Food Research.2022;[Epub]     CrossRef
  • Characterizing skeletal muscle dysfunction in women with polycystic ovary syndrome
    Tara McDonnell, Leanne Cussen, Marie McIlroy, Michael W. O’Reilly
    Therapeutic Advances in Endocrinology and Metabolism.2022;[Epub]     CrossRef
  • Anti-diabetic and anti-hyperlipidemic effects of sea cucumber (Cucumaria frondosa) gonad hydrolysates in type II diabetic rats
    Tingting Wang, Lin Zheng, Shuguang Wang, Mouming Zhao, Xiaoling Liu
    Food Science and Human Wellness.2022; 11(6): 1614.     CrossRef
  • Hernandezine, a natural herbal alkaloid, ameliorates type 2 diabetes by activating AMPK in two mouse models
    Jing Bai, Shuai Zhang, Jinjing Cao, Hongbin Sun, Zhiguo Mang, Wei L. Shen, Hao Li
    Phytomedicine.2022; 105: 154366.     CrossRef
  • N-Octyl Caffeamide, a Caffeic Acid Amide Derivative, Prevents Progression of Diabetes and Hepatic Steatosis in High-Fat Diet Induced Obese Mice
    Miao-Yi Wu, Chia-Chu Liu, Su-Chu Lee, Yueh-Hsiung Kuo, Tusty-Jiuan Hsieh
    International Journal of Molecular Sciences.2022; 23(16): 8948.     CrossRef
  • The Potential Therapeutic Role of Metformin in Diabetic and Non-Diabetic Bone Impairment
    Wei Mu, Guoqiang Liang, Yue Feng, Yunyun Jiang, Falin Qu
    Pharmaceuticals.2022; 15(10): 1274.     CrossRef
  • Characteristics of the Protocols Used in Electrical Pulse Stimulation of Cultured Cells for Mimicking In Vivo Exercise: A Systematic Review, Meta-Analysis, and Meta-Regression
    Eleni Nintou, Eleni Karligiotou, Maria Vliora, Leonidas G. Ioannou, Andreas D. Flouris
    International Journal of Molecular Sciences.2022; 23(21): 13446.     CrossRef
  • Heliciopsides A−E, Unusual Macrocyclic and Phenolic Glycosides from the Leaves of Heliciopsis terminalis and Their Stimulation of Glucose Uptake
    Byeol Ryu, Eun-Jin Park, Thi-Phuong Doan, Hyo-Moon Cho, Jin-Pyo An, Thi-Linh-Giang Pham, Ha-Thanh-Tung Pham, Won-Keun Oh
    Pharmaceuticals.2022; 15(11): 1315.     CrossRef
  • Why are physical activity breaks more effective than a single session of isoenergetic exercise in reducing postprandial glucose? A systemic review and meta-analysis
    Hannah Gouldrup, Tongyu Ma
    Journal of Sports Sciences.2021; 39(2): 212.     CrossRef
  • TXNIP/VDUP1 attenuates steatohepatitis via autophagy and fatty acid oxidation
    Hee-Seon Park, Ji-Won Song, Jin-Ho Park, Byung-Kwan Lim, Og-Sung Moon, Hwa-Young Son, Jae-Hyuk Lee, Bin Gao, Young-Suk Won, Hyo-Jung Kwon
    Autophagy.2021; 17(9): 2549.     CrossRef
  • Dissecting the molecular pathways involved in the effects of physical activity on breast cancers cells: A narrative review
    Francesca Maria Orlandella, Anna Elisa De Stefano, Paola Lucia Chiara Iervolino, Pasqualina Buono, Andrea Soricelli, Giuliana Salvatore
    Life Sciences.2021; 265: 118790.     CrossRef
  • In silico study to quantify the effect of exercise on surface GLUT4 translocation in diabetes management
    Darshna M. Joshi, Jignesh Patel, Hardik Bhatt
    Network Modeling Analysis in Health Informatics and Bioinformatics.2021;[Epub]     CrossRef
  • Rationale for the use of metformin and exercise to counteract statin‐associated side effects
    Jonida Haxhi, Paul D. Thompson
    International Journal of Clinical Practice.2021;[Epub]     CrossRef
  • Effects of long-term taurine supplementation on age-related changes in skeletal muscle function of Sprague–Dawley rats
    Yun Ma, Hitomi Maruta, Baojun Sun, Chengduo Wang, Chiaki Isono, Hiromi Yamashita
    Amino Acids.2021; 53(2): 159.     CrossRef
  • The Effect of Swimming Training and Cinnamon Consumption on the Gene Expression of GLUT4 and Insulin Receptor in the Brown Adipose Tissue of Diabetic Rats
    Mojtaba Karimi Fard, Ali Khajehlandi, Amin Mohammadi
    Gene, Cell and Tissue.2021;[Epub]     CrossRef
  • Antiobesity effect of Brassica juncea cultivated in Jeongseon with optimized sinigrin content using 3T3‐L1 adipocytes
    Hee‐Yeon Kwon, Sun‐Il Choi, Xionggao Han, Xiao Men, Gill‐Woong Jang, Ye‐Eun Choi, Ok‐Hwan Lee
    Journal of Food Biochemistry.2021;[Epub]     CrossRef
  • Physicochemical characterization and the hypoglycemia effects of polysaccharide isolated from Passiflora edulis Sims peel
    Yuan Guan, Hefei Sun, Huiying Chen, Peijun Li, Yang Shan, Xia Li
    Food & Function.2021; 12(9): 4221.     CrossRef
  • Sirtuin 1 is not required for contraction-stimulated glucose uptake in mouse skeletal muscle
    Ji H. Kang, Ji E. Park, Jason Dagoon, Stewart W. C. Masson, Troy L. Merry, Shannon N. Bremner, Jessica R. Dent, Simon Schenk
    Journal of Applied Physiology.2021; 130(6): 1893.     CrossRef
  • TRPV1 Activation by Capsaicin Mediates Glucose Oxidation and ATP Production Independent of Insulin Signalling in Mouse Skeletal Muscle Cells
    Parisa Vahidi Ferdowsi, Kiran D. K. Ahuja, Jeffrey M. Beckett, Stephen Myers
    Cells.2021; 10(6): 1560.     CrossRef
  • Effects of exercise on cellular and tissue aging
    Priscila Viana Carapeto, Cristina Aguayo-Mazzucato
    Aging.2021; 13(10): 14522.     CrossRef
  • Biglycan reduces body weight by regulating food intake in mice and improves glucose metabolism through AMPK/AKT dual pathways in skeletal muscle
    InHyeok Chung, Shin Ae Kim, Seolsong Kim, Jung Ok Lee, Clara Yongjoo Park, Juhee Lee, Jun Kang, Jin Young Lee, Ilhyeok Seo, Hye Jeong Lee, Jeong Ah Han, Min Ju Kang, Eunice Lim, Su Jin Kim, Sang Woo Wu, Joo Yeon Oh, Ji Hyung Chung, Eun‐Kyoung Kim, Hyeon S
    The FASEB Journal.2021;[Epub]     CrossRef
  • A Critical Review of the Evidence That Metformin Is a Putative Anti-Aging Drug That Enhances Healthspan and Extends Lifespan
    Ibrahim Mohammed, Morley D. Hollenberg, Hong Ding, Chris R. Triggle
    Frontiers in Endocrinology.2021;[Epub]     CrossRef
  • The acute vs. chronic effect of exercise on insulin sensitivity: nothing lasts forever
    Fred J. DiMenna, Avigdor D. Arad
    Cardiovascular Endocrinology & Metabolism.2021; 10(3): 149.     CrossRef
  • Comparative analyses of liver transcriptomes reveal the effect of exercise on growth-, glucose metabolism-, and oxygen transport-related genes and signaling pathways in grass carp (Ctenopharyngodon idella)
    Lang Zhang, Xiaohui Li, Yali Yu, Lin Zhang, Lixue Dong, Jinhua Gan, Tao Mao, Ting Liu, Jie Peng, Li He
    Comparative Biochemistry and Physiology Part A: Molecular & Integrative Physiology.2021; 262: 111081.     CrossRef
  • Effects of moderate exercise on hepatic amino acid and fatty acid composition, liver transcriptome, and intestinal microbiota in channel catfish (Ictalurus punctatus)
    Lang Zhang, Yali Yu, Lixue Dong, Jinhua Gan, Tao Mao, Ting Liu, Xiaohui Li, Li He
    Comparative Biochemistry and Physiology Part D: Genomics and Proteomics.2021; 40: 100921.     CrossRef
  • Mangosteen xanthone γ-mangostin exerts lowering blood glucose effect with potentiating insulin sensitivity through the mediation of AMPK/PPARγ
    Sih-Pei Chen, Shian-Ren Lin, Ting-Hsu Chen, Hui-Suan Ng, Hip-Seng Yim, Max K. Leong, Ching-Feng Weng
    Biomedicine & Pharmacotherapy.2021; 144: 112333.     CrossRef
  • The effects of naringenin and naringin on the glucose uptake and AMPK phosphorylation in high glucose treated HepG2 cells
    Lakshi A. Dayarathne, Sachithra S. Ranaweera, Premkumar Natraj, Priyanka Rajan, Young Jae Lee, Chang-Hoon Han
    Journal of Veterinary Science.2021;[Epub]     CrossRef
  • Inhibition of Digestive Enzyme and Stimulation of Human Liver Cells (HepG2) Glucose Uptake by Date Seeds Extract
    Hira Shakoor, Fatima Abdelfattah, Khaula Albadi, Mentalla Adib, Jaleel Kizhakkayil, Carine Platat, Armando Zarrelli
    Evidence-Based Complementary and Alternative Medicine.2020;[Epub]     CrossRef
  • Immune-mediated anti-tumor effects of metformin; targeting metabolic reprogramming of T cells as a new possible mechanism for anti-cancer effects of metformin
    Saman Bahrambeigi, Vahid Shafiei-Irannejad
    Biochemical Pharmacology.2020; 174: 113787.     CrossRef
  • Excess Accumulation of Lipid Impairs Insulin Sensitivity in Skeletal Muscle
    Sung Sup Park, Young-Kyo Seo
    International Journal of Molecular Sciences.2020; 21(6): 1949.     CrossRef
  • Regulation of podocytes function by AMP-activated protein kinase
    Dorota Rogacka, Irena Audzeyenka, Agnieszka Piwkowska
    Archives of Biochemistry and Biophysics.2020; 692: 108541.     CrossRef
  • AMPK'nin Biyokimyası: Etki Mekanizmaları ve Diyabetin Tedavisindeki Önemi
    Cemalettin KİSMİROĞLU, Serdar CENGİZ, Mustafa YAMAN
    European Journal of Science and Technology.2020; : 162.     CrossRef
  • Potent Inhibitory Effect of BJ-3105, a 6-Alkoxypyridin-3-ol Derivative, on Murine Colitis Is Mediated by Activating AMPK and Inhibiting NOX
    Pallavi Gurung, Sadan Dahal, Prakash Chaudhary, Diwakar Guragain, Ujjwala Karmacharya, Jung-Ae Kim, Byeong-Seon Jeong
    International Journal of Molecular Sciences.2020; 21(9): 3145.     CrossRef
  • Exchange protein directly activated by cAMP (Epac) 1 plays an essential role in stress-induced exercise capacity by regulating PGC-1α and fatty acid metabolism in skeletal muscle
    Wai-Kin So, Hyoung Kyu Kim, Yingxian Chen, Seung Hun Jeong, Patrick Ka Kit Yeung, Billy C. K. Chow, Jin Han, Sookja K. Chung
    Pflügers Archiv - European Journal of Physiology.2020; 472(2): 195.     CrossRef
  • Metformin ameliorates animal models of dermatitis
    Soo Young Choi, Chanmi Lee, Min-Jeong Heo, Yeong Min Choi, In-sook An, Seunghee Bae, Sungkwan An, Jin Hyuk Jung
    Inflammopharmacology.2020; 28(5): 1293.     CrossRef
  • Design, synthesis and biological evaluation of mogrol derivatives as a novel class of AMPKα2β1γ1 activators
    Junwei Wang, Junhua Liu, Zhifu Xie, Jia Li, Jingya Li, Lihong Hu
    Bioorganic & Medicinal Chemistry Letters.2020; 30(2): 126790.     CrossRef
  • The myokine meteorin‐like (metrnl) improves glucose tolerance in both skeletal muscle cells and mice by targeting AMPKα2
    Jung Ok Lee, Won Seok Byun, Min Ju Kang, Jeong Ah Han, Jiyoung Moon, Min‐Jeong Shin, Ho Jun Lee, Ji Hyung Chung, Jin‐Seok Lee, Chang‐Gue Son, Kwon‐Ho Song, Tae Woo Kim, Eun‐Soo Lee, Hong Min Kim, Choon Hee Chung, Kevin R. W. Ngoei, Naomi X. Y. Ling, Jonat
    The FEBS Journal.2020; 287(10): 2087.     CrossRef
  • Impact of Isoorientin on Metabolic Activity and Lipid Accumulation in Differentiated Adipocytes
    Khanyisani Ziqubu, Christo J. F. Muller, Phiwayinkosi V. Dludla, Sinenhlanhla X. H. Mthembu, Nnini Obonye, Johan Louw, Abidemi P. Kappo, Sonia Silvestri, Patrick Orlando, Luca Tiano, Sithandiwe E. Mazibuko-Mbeje
    Molecules.2020; 25(8): 1773.     CrossRef
  • Mitochondrial dysfunction regulates the JAK–STAT pathway via LKB1-mediated AMPK activation ER-stress-independent manner
    Dong-Yeon Kim, Su-Geun Lim, Kyoungho Suk, Won-Ha Lee
    Biochemistry and Cell Biology.2020; 98(2): 137.     CrossRef
  • cis-Banglene, a bangle (Zingiber purpureum)-derived bioactive compound, promotes mitochondrial biogenesis and glucose uptake by activating the IL-6/AMPK signaling pathway in C2C12 skeletal muscle cells
    Toshio Norikura, Shiori Kajiya, Mami Sugawara, Miwa Kubo, Yoshiyasu Fukuyama, Shin Sato
    Journal of Functional Foods.2020; 64: 103632.     CrossRef
  • Delayed Exercise Training Improves Obesity-Induced Chronic Kidney Disease by Activating AMPK Pathway in High-Fat Diet-Fed Mice
    Florian Juszczak, Maud Vlassembrouck, Olivia Botton, Thomas Zwakhals, Morgane Decarnoncle, Alexandra Tassin, Nathalie Caron, Anne-Emilie Declèves
    International Journal of Molecular Sciences.2020; 22(1): 350.     CrossRef
  • The Regulation of Fat Metabolism during Aerobic Exercise
    Antonella Muscella, Erika Stefàno, Paola Lunetti, Loredana Capobianco, Santo Marsigliante
    Biomolecules.2020; 10(12): 1699.     CrossRef
  • Chronic neuromuscular electrical stimulation improves muscle mass and insulin sensitivity in a mouse model
    Adiel Lotri-Koffi, Marion Pauly, Emeline Lemarié, Diane Godin-Ribuot, Renaud Tamisier, Jean-Louis Pépin, Isabelle Vivodtzev
    Scientific Reports.2019;[Epub]     CrossRef
  • Effect of Aerobic and Resistance Exercise Intervention on Cardiovascular Disease Risk in Women With Early-Stage Breast Cancer
    Kyuwan Lee, Debu Tripathy, Wendy Demark-Wahnefried, Kerry S. Courneya, Nathalie Sami, Leslie Bernstein, Darcy Spicer, Thomas A. Buchanan, Joanne E. Mortimer, Christina M. Dieli-Conwright
    JAMA Oncology.2019; 5(5): 710.     CrossRef
  • Semen Cuscutae Administration Improves Hepatic Lipid Metabolism and Adiposity in High Fat Diet-Induced Obese Mice
    Jiyoung Moon, Min Jin Ha, Min-Jeong Shin, Oh Yoen Kim, Eun Hye Yoo, Juhyun Song, Ji Hyung Chung
    Nutrients.2019; 11(12): 3035.     CrossRef
  • Anthraquinone-type inhibitor of α-glucosidase enhances glucose uptake by activating an insulin-like signaling pathway in C2C12 myotubes
    Md Badrul Alam, Vivek K. Bajpai, Jeong-Sic Ra, Ji-Young Lim, Hongyan An, Shruti Shukla, Khong Trong Quan, Imran Khan, Yun Suk Huh, Young-Kyu Han, MinKyun Na, Sang-Han Lee
    Food and Chemical Toxicology.2019; 129: 337.     CrossRef
  • AMPKα2 Deficiency Does Not Affect the Exercise-Induced Improvements in Glucose Tolerance and Metabolic Disorders in Mice Fed a High-Fat Diet
    Zhong-Guang SUN, Ge TIAN, Xiao-Ci ZHENG, Wen-Ying LIU, Xue-Ting LUO, Jing XIAO, Hui SONG, Xin XU
    Journal of Nutritional Science and Vitaminology.2019; 65(6): 491.     CrossRef
  • Electrical pulse stimulation induces differential responses in insulin action in myotubes from severely obese individuals
    Sanghee Park, Kristen D. Turner, Donghai Zheng, Jeffrey J. Brault, Kai Zou, Alec B. Chaves, Thomas S. Nielsen, Charles J. Tanner, Jonas T. Treebak, Joseph A. Houmard
    The Journal of Physiology.2019; 597(2): 449.     CrossRef
  • Mechanisms Involved in Glycemic Control Promoted by Exercise in Diabetics
    Eric Francelino Andrade, Víviam de Oliveira Silva, Débora Ribeiro Orlando, Luciano José Pereira
    Current Diabetes Reviews.2019; 15(2): 105.     CrossRef
  • Eicosapentaenoic Acid (EPA) Modulates Glucose Metabolism by Targeting AMP-Activated Protein Kinase (AMPK) Pathway
    Nami Kim, Mi Sun Kang, Miso Nam, Shin Ae Kim, Geum-Sook Hwang, Hyeon Soo Kim
    International Journal of Molecular Sciences.2019; 20(19): 4751.     CrossRef
  • Aerobic Exercise Training Decreases Hepatic Asprosin in Diabetic Rats
    Jeong Rim Ko, Dae Yun Seo, Tae Nyun Kim, Se Hwan Park, Hyo-Bum Kwak, Kyung Soo Ko, Byoung Doo Rhee, Jin Han
    Journal of Clinical Medicine.2019; 8(5): 666.     CrossRef
  • Metformin; an old antidiabetic drug with new potentials in bone disorders
    Saman Bahrambeigi, Bahman Yousefi, Mahdi Rahimi, Vahid Shafiei-Irannejad
    Biomedicine & Pharmacotherapy.2019; 109: 1593.     CrossRef
  • A comparative analysis of various flavonoids in the regulation of obesity and diabetes: An in vitro and in vivo study
    Ritu Varshney, Rutusmita Mishra, Neeladrisingha Das, Debabrata Sircar, Partha Roy
    Journal of Functional Foods.2019; 59: 194.     CrossRef
  • Akt activation: A potential strategy to ameliorate insulin resistance
    Zhengyi Zhang, Huadong Liu, Jiankang Liu
    Diabetes Research and Clinical Practice.2019; 156: 107092.     CrossRef
  • Chitosan encapsulated nanocurcumin induces GLUT-4 translocation and exhibits enhanced anti-hyperglycemic function
    Pratibha Chauhan, Akhilesh Kumar Tamrakar, Sunil Mahajan, G.B.K.S. Prasad
    Life Sciences.2018; 213: 226.     CrossRef
  • Occludin regulates glucose uptake and ATP production in pericytes by influencing AMP-activated protein kinase activity
    Victor Castro, Marta Skowronska, Jorge Lombardi, Jane He, Neil Seth, Martina Velichkovska, Michal Toborek
    Journal of Cerebral Blood Flow & Metabolism.2018; 38(2): 317.     CrossRef
  • Interactions between dietary carbohydrate and metformin: Implications on energy sensing, insulin signaling pathway, glycolipid metabolism and glucose tolerance in blunt snout bream Megalobrama amblycephala
    Chao Xu, Wen-Bin Liu, Ding-Dong Zhang, Xiu-Fei Cao, Hua-Juan Shi, Xiang-Fei Li
    Aquaculture.2018; 483: 183.     CrossRef
  • Gossypol from Cottonseeds Ameliorates Glucose Uptake by Mimicking Insulin Signaling and Improves Glucose Homeostasis in Mice with Streptozotocin‐Induced Diabetes
    Md Badrul Alam, Hongyan An, Jeong-Sic Ra, Ji-young Lim, Seung-Hyun Lee, Chi-Yeol Yoo, Sang-Han Lee, Mohamed M. Abdel-Daim
    Oxidative Medicine and Cellular Longevity.2018;[Epub]     CrossRef
  • PAN-AMPK activator O304 improves glucose homeostasis and microvascular perfusion in mice and type 2 diabetes patients
    Pär Steneberg, Emma Lindahl, Ulf Dahl, Emmelie Lidh, Jurate Straseviciene, Fredrik Backlund, Elisabet Kjellkvist, Eva Berggren, Ingela Lundberg, Ingela Bergqvist, Madelene Ericsson, Björn Eriksson, Kajsa Linde, Jacob Westman, Thomas Edlund, Helena Edlund
    JCI Insight.2018;[Epub]     CrossRef
  • Aerobic exercise training decreases cereblon and increases AMPK signaling in the skeletal muscle of STZ-induced diabetic rats
    Jeong Rim Ko, Dae Yun Seo, Se Hwan Park, Hyo Bum Kwak, Min Kim, Kyung Soo Ko, Byoung Doo Rhee, Jin Han
    Biochemical and Biophysical Research Communications.2018; 501(2): 448.     CrossRef
  • AMPK in skeletal muscle function and metabolism
    Rasmus Kjøbsted, Janne R. Hingst, Joachim Fentz, Marc Foretz, Maria‐Nieves Sanz, Christian Pehmøller, Michael Shum, André Marette, Remi Mounier, Jonas T. Treebak, Jørgen F. P. Wojtaszewski, Benoit Viollet, Louise Lantier
    The FASEB Journal.2018; 32(4): 1741.     CrossRef
  • Exercise improves glucose uptake in murine myotubes through the AMPKα2-mediated induction of Sestrins
    Tianyi Wang, Yanmei Niu, Sujuan Liu, Hairui Yuan, Xiaolei Liu, Li Fu
    Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease.2018; 1864(10): 3368.     CrossRef
  • Resveratrol ameliorates autophagic flux to promote functional recovery in rats after spinal cord injury
    Peng Wang, Lizhu Jiang, Nian Zhou, Hao Zhou, Huzhe Liu, Wenrui Zhao, Hanxiang Zhang, Xiang Zhang, Zhenming Hu
    Oncotarget.2018; 9(9): 8427.     CrossRef
  • Cocoa Flavanol Supplementation and Exercise: A Systematic Review
    Lieselot Decroix, Danusa Dias Soares, Romain Meeusen, Elsa Heyman, Cajsa Tonoli
    Sports Medicine.2018; 48(4): 867.     CrossRef
  • Exercise and Mitochondrial Remodeling in Skeletal Muscle in Type 2 Diabetes
    Hojun Lee, Wook Song
    Journal of Obesity & Metabolic Syndrome.2018; 27(3): 150.     CrossRef
  • Vernonia cinerea water extract improves insulin resistance in high-fat diet–induced obese mice
    Jarinyaporn Naowaboot, Supaporn Wannasiri, Patchareewan Pannangpetch
    Nutrition Research.2018; 56: 51.     CrossRef
  • Cell-Specific “Competition for Calories” Drives Asymmetric Nutrient-Energy Partitioning, Obesity, and Metabolic Diseases in Human and Non-human Animals
    Edward Archer, Gregory Pavela, Samantha McDonald, Carl J. Lavie, James O. Hill
    Frontiers in Physiology.2018;[Epub]     CrossRef
  • Hypothalamic AMPK as a Mediator of Hormonal Regulation of Energy Balance
    Baile Wang, Kenneth King-Yip Cheng
    International Journal of Molecular Sciences.2018; 19(11): 3552.     CrossRef
  • Discovery of MK-8722: A Systemic, Direct Pan-Activator of AMP-Activated Protein Kinase
    Danqing Feng, Tesfaye Biftu, F. Anthony Romero, Ahmet Kekec, James Dropinski, Andrew Kassick, Shiyao Xu, Marc M. Kurtz, Anantha Gollapudi, Qing Shao, Xiaodong Yang, Ku Lu, Gaochao Zhou, Daniel Kemp, Robert W. Myers, Hong-Ping Guan, Maria E. Trujillo, Cai
    ACS Medicinal Chemistry Letters.2018; 9(1): 39.     CrossRef
  • 2-Bromo-4′-methoxychalcone and 2-Iodo-4′-methoxychalcone Prevent Progression of Hyperglycemia and Obesity via 5′-Adenosine-Monophosphate-Activated Protein Kinase in Diet-Induced Obese Mice
    Chi-Ting Hsieh, Fang-Rong Chang, Yi-Hong Tsai, Yang-Chang Wu, Tusty-Jiuan Hsieh
    International Journal of Molecular Sciences.2018; 19(9): 2763.     CrossRef
  • Dynamic transcriptomic analysis in hircine longissimus dorsi muscle from fetal to neonatal development stages
    Siyuan Zhan, Wei Zhao, Tianzeng Song, Yao Dong, Jiazhong Guo, Jiaxue Cao, Tao Zhong, Linjie Wang, Li Li, Hongping Zhang
    Functional & Integrative Genomics.2018; 18(1): 43.     CrossRef
  • Oyster mushroom functions as an anti-hyperglycaemic through phosphorylation of AMPK and increased expression of GLUT4 in type 2 diabetic model rats
    Mohammad Asrafuzzaman, Mohammad M. Rahman, Manoj Mandal, Mohammad Marjuque, Amrita Bhowmik, Begum Rokeya, Zahid Hassan, Mohammad Omar Faruque
    Journal of Taibah University Medical Sciences.2018; 13(5): 465.     CrossRef
  • AMP-activated protein kinase α1 in Megalobrama amblycephala: Molecular characterization and the transcriptional modulation by nutrient restriction and glucose and insulin loadings
    Chao Xu, Xiang-Fei Li, Hua-Juan Shi, Jie Liu, Li Zhang, Wen-Bin Liu
    General and Comparative Endocrinology.2018; 267: 66.     CrossRef
  • Comprehensive Relevance of AMPK in Adaptive Responses of Physical Exercise, Skeletal Muscle and Neuromuscular Disorders
    Jun-Ho Lee
    Journal of The Korean Society of Physical Medicine.2018; 13(3): 141.     CrossRef
  • Interactive Roles for AMPK and Glycogen from Cellular Energy Sensing to Exercise Metabolism
    Natalie R. Janzen, Jamie Whitfield, Nolan J. Hoffman
    International Journal of Molecular Sciences.2018; 19(11): 3344.     CrossRef
  • Exercising with blocked muscle glycogenolysis: Adaptation in the McArdle mouse
    Tue L. Nielsen, Tomàs Pinós, Astrid Brull, John Vissing, Thomas O. Krag
    Molecular Genetics and Metabolism.2018; 123(1): 21.     CrossRef
  • Pharmacological Activities of Mogrosides
    Can Liu, Longhai Dai, Yueping Liu, Dequan Dou, Yuanxia Sun, Lanqing Ma
    Future Medicinal Chemistry.2018; 10(8): 845.     CrossRef
  • Structural Determinants for Small-Molecule Activation of Skeletal Muscle AMPK α2β2γ1 by the Glucose Importagog SC4
    Kevin R.W. Ngoei, Christopher G. Langendorf, Naomi X.Y. Ling, Ashfaqul Hoque, Swapna Varghese, Michelle A. Camerino, Scott R. Walker, Ylva E. Bozikis, Toby A. Dite, Ashley J. Ovens, William J. Smiles, Roxane Jacobs, He Huang, Michael W. Parker, John W. Sc
    Cell Chemical Biology.2018; 25(6): 728.     CrossRef
  • Fiber type-specific analysis of AMPK isoforms in human skeletal muscle: advancement in methods via capillary nanoimmunoassay
    Irene S. Tobias, Kara K. Lazauskas, Jose A. Arevalo, James R. Bagley, Lee E. Brown, Andrew J. Galpin
    Journal of Applied Physiology.2018; 124(4): 840.     CrossRef
  • Insulin Mimetic Activity of 3,4-Seco and Hexanordammarane Triterpenoids Isolated from Gynostemma longipes
    Ha Thanh Tung Pham, Thi Kim Quy Ha, Hyo Moon Cho, Ba Wool Lee, Jin Pyo An, Van On Tran, Won Keun Oh
    Journal of Natural Products.2018; 81(11): 2470.     CrossRef
  • Subcutaneous adipose tissue accumulation protects systemic glucose tolerance and muscle metabolism
    A.D. Booth, A.M. Magnuson, J. Fouts, Y. Wei, D. Wang, M.J. Pagliassotti, M.T. Foster
    Adipocyte.2018; 7(4): 261.     CrossRef
  • Host Adaptive Immune Status Regulates Expression of the Schistosome AMP-Activated Protein Kinase
    Kasandra S. Hunter, Stephen J. Davies
    Frontiers in Immunology.2018;[Epub]     CrossRef
  • Neurogenic obesity and systemic inflammation following spinal cord injury: A review
    Gary J. Farkas, David R. Gater
    The Journal of Spinal Cord Medicine.2018; 41(4): 378.     CrossRef
  • In Defense of Sugar: A Critique of Diet-Centrism
    Edward Archer
    Progress in Cardiovascular Diseases.2018; 61(1): 10.     CrossRef
  • Anti-inflammatory effects induced by pharmaceutical substances on inflammatory active brain astrocytes—promising treatment of neuroinflammation
    Elisabeth Hansson, Ulrika Björklund, Eva Skiöldebrand, Lars Rönnbäck
    Journal of Neuroinflammation.2018;[Epub]     CrossRef
  • Cucurbitane Triterpenoids from the Fruits of Momordica Charantia Improve Insulin Sensitivity and Glucose Homeostasis in Streptozotocin‐Induced Diabetic Mice
    Joo‐Hui Han, Nguyen Quoc Tuan, Min‐Ho Park, Khong Trong Quan, Joonseok Oh, Kyung‐Sun Heo, MinKyun Na, Chang‐Seon Myung
    Molecular Nutrition & Food Research.2018;[Epub]     CrossRef
  • Systemic pan-AMPK activator MK-8722 improves glucose homeostasis but induces cardiac hypertrophy
    Robert W. Myers, Hong-Ping Guan, Juliann Ehrhart, Aleksandr Petrov, Srinivasa Prahalada, Effie Tozzo, Xiaodong Yang, Marc M. Kurtz, Maria Trujillo, Dinko Gonzalez Trotter, Danqing Feng, Shiyao Xu, George Eiermann, Marie A. Holahan, Daniel Rubins, Stacey C
    Science.2017; 357(6350): 507.     CrossRef
  • Pioglitazone-induced bone loss in diabetic rats and its amelioration by berberine: A portrait of molecular crosstalk
    Mohammad Adil, Mohd Nizam Mansoori, Divya Singh, Amit Dattatraya Kandhare, Manju Sharma
    Biomedicine & Pharmacotherapy.2017; 94: 1010.     CrossRef
  • Rb2 inhibits α-glucosidase and regulates glucose metabolism by activating AMPK pathways in HepG2 cells
    Hui Teng, Lei Chen, Ting Fang, Benyao Yuan, Qiyang Lin
    Journal of Functional Foods.2017; 28: 306.     CrossRef
  • The Emerging Role of Thioredoxin-Interacting Protein in Myocardial Ischemia/Reperfusion Injury
    Bing F. Wang, Jun Yoshioka
    Journal of Cardiovascular Pharmacology and Therapeutics.2017; 22(3): 219.     CrossRef
  • Efectos del ejercicio físico en los factores de riesgo cardiovascular que constituyen el síndrome metabólico: una alternativa para reducir su tendencia
    Adrián Hernández Alonso
    Revista Colombiana de Médicina Física y Rehabilitación.2017; 27(2): 140.     CrossRef
  • Piperine regulates UCP1 through the AMPK pathway by generating intracellular lactate production in muscle cells
    Nami Kim, Miso Nam, Mi Sun Kang, Jung Ok Lee, Yong Woo Lee, Geum-Sook Hwang, Hyeon Soo Kim
    Scientific Reports.2017;[Epub]     CrossRef
  • Vitamin D supplementation inhibits oxidative stress and upregulate SIRT1/AMPK/GLUT4 cascade in high glucose-treated 3T3L1 adipocytes and in adipose tissue of high fat diet-fed diabetic mice
    Prasenjit Manna, Arunkumar E. Achari, Sushil K. Jain
    Archives of Biochemistry and Biophysics.2017; 615: 22.     CrossRef
  • Care of the Athlete With Type 1 Diabetes Mellitus: A Clinical Review
    William B. Horton, Jose S. Subauste
    International Journal of Endocrinology and Metabolism.2016;[Epub]     CrossRef
  • Cheonggukjang, a soybean paste fermented with B. licheniformis-67 prevents weight gain and improves glycemic control in high fat diet induced obese mice
    Joo-Hee Choi, P.B.Tirupathi Pichiah, Min-Jung Kim, Youn-Soo Cha
    Journal of Clinical Biochemistry and Nutrition.2016; 59(1): 31.     CrossRef
  • Rg3 Improves Mitochondrial Function and the Expression of Key Genes Involved in Mitochondrial Biogenesis in C2C12 Myotubes
    Min Joo Kim, Young Do Koo, Min Kim, Soo Lim, Young Joo Park, Sung Soo Chung, Hak C. Jang, Kyong Soo Park
    Diabetes & Metabolism Journal.2016; 40(5): 406.     CrossRef
  • Phytochemicals in regulating fatty acid β-oxidation: Potential underlying mechanisms and their involvement in obesity and weight loss
    H.P. Vasantha Rupasinghe, Satvir Sekhon-Loodu, Theodora Mantso, Mihalis I. Panayiotidis
    Pharmacology & Therapeutics.2016; 165: 153.     CrossRef
  • Insulin Signaling and Glucose Uptake in the Soleus Muscle of 30-Month-Old Rats After Calorie Restriction With or Without Acute Exercise
    Haiyan Wang, Naveen Sharma, Edward B. Arias, Gregory D. Cartee
    The Journals of Gerontology Series A: Biological Sciences and Medical Sciences.2016; 71(3): 323.     CrossRef
  • Acute resistance exercise-induced IGF1 expression and subsequent GLUT4 translocation
    Kohei Kido, Satoru Ato, Takumi Yokokawa, Yuhei Makanae, Koji Sato, Satoshi Fujita
    Physiological Reports.2016; 4(16): e12907.     CrossRef
  • Regulation and function of AMPK in physiology and diseases
    Sang-Min Jeon
    Experimental & Molecular Medicine.2016; 48(7): e245.     CrossRef
  • Inhibiting stemness and invasive properties of glioblastoma tumorsphere by combined treatment with temozolomide and a newly designed biguanide (HL156A)
    Junjeong Choi, Ji-Hyun Lee, Ilkyoo Koh, Jin-Kyoung Shim, Junseong Park, Jeong Yong Jeon, Mijin Yun, Se Hoon Kim, Jong In Yook, Eui Hyun Kim, Jong Hee Chang, Sun Ho Kim, Yong Min Huh, Su Jae Lee, Michael Pollak, Pilnam Kim, Seok-Gu Kang, Jae-Ho Cheong
    Oncotarget.2016; 7(40): 65643.     CrossRef
  • [6]‐Gingerol Affects Glucose Metabolism by Dual Regulation via the AMPKα2‐Mediated AS160–Rab5 Pathway and AMPK‐Mediated Insulin Sensitizing Effects
    Jung Ok Lee, Nami Kim, Hye Jeong Lee, Ji Wook Moon, Soo Kyung Lee, Su Jin Kim, Joong Kwan Kim, Sun Hwa Park, Hyeon Soo Kim
    Journal of Cellular Biochemistry.2015; 116(7): 1401.     CrossRef
  • A glance at … exercise and glucose uptake
    Michael J. Glade, Kyl Smith
    Nutrition.2015; 31(6): 893.     CrossRef
  • Exercising insulin sensitivity: AMPK turns on autophagy!
    Yossi Dagon, Christos Mantzoros, Young-Bum Kim
    Metabolism.2015; 64(6): 655.     CrossRef
  • Leucine supplementation does not affect protein turnover and impairs the beneficial effects of endurance training on glucose homeostasis in healthy mice
    José M. Costa Júnior, Morgana R. Rosa, André O. Protzek, Flávia M. de Paula, Sandra M. Ferreira, Luiz F. Rezende, Emerielle C. Vanzela, Cláudio C. Zoppi, Leonardo R. Silveira, Isis C. Kettelhut, Antonio C. Boschero, Camila A. M. de Oliveira, Everardo M. C
    Amino Acids.2015; 47(4): 745.     CrossRef
  • Endoplasmic reticulum chaperone GRP78 is involved in autophagy activation induced by ischemic preconditioning in neural cells
    Xiang-Yang Zhang, Tong-Tong Zhang, Dan-Dan Song, Jun- Hao Zhou, Rong Han, Zheng-Hong Qin, Rui Sheng
    Molecular Brain.2015;[Epub]     CrossRef
  • Identification of adenine modulating AMPK activation in NIH/3T3 cells by proteomic approach
    Guang-Huar Young, Jiun-Tsai Lin, Yi-Fang Cheng, Chun-Fang Huang, Cheng-Yu Chao, Jing-Yi Nong, Po-Ku Chen, Han-Min Chen
    Journal of Proteomics.2015; 120: 204.     CrossRef
  • Mechanisms for independent and combined effects of calorie restriction and acute exercise on insulin-stimulated glucose uptake by skeletal muscle of old rats
    Naveen Sharma, Haiyan Wang, Edward B. Arias, Carlos M. Castorena, Gregory D. Cartee
    American Journal of Physiology-Endocrinology and Metabolism.2015; 308(7): E603.     CrossRef
  • Human muscle fibre type‐specific regulation of AMPK and downstream targets by exercise
    Dorte E. Kristensen, Peter H. Albers, Clara Prats, Otto Baba, Jesper B. Birk, Jørgen F. P. Wojtaszewski
    The Journal of Physiology.2015; 593(8): 2053.     CrossRef
  • Phenolic compounds ameliorate the glucose uptake in HepG2 cells' insulin resistance via activating AMPK
    Qun Huang, Lei Chen, Hui Teng, Hongbo Song, Xiaoqi Wu, Meiyu Xu
    Journal of Functional Foods.2015; 19: 487.     CrossRef
  • Celastrol Protects against Antimycin A-Induced Insulin Resistance in Human Skeletal Muscle Cells
    Mohamad Abu Bakar, Kian-Kai Cheng, Mohamad Sarmidi, Harisun Yaakob, Hasniza Huri
    Molecules.2015; 20(5): 8242.     CrossRef
  • Glucose uptake in human brown adipose tissue is impaired upon fasting-induced insulin resistance
    Mark J. W. Hanssen, Roel Wierts, Joris Hoeks, Anne Gemmink, Boudewijn Brans, Felix M. Mottaghy, Patrick Schrauwen, Wouter D. van Marken Lichtenbelt
    Diabetologia.2015; 58(3): 586.     CrossRef
  • Skeletal muscle ACC2 S212 phosphorylation is not required for the control of fatty acid oxidation during exercise
    Hayley M. O'Neill, James S. Lally, Sandra Galic, Thomas Pulinilkunnil, Rebecca J. Ford, Jason R. B. Dyck, Bryce J. van Denderen, Bruce E. Kemp, Gregory R. Steinberg
    Physiological Reports.2015; 3(7): e12444.     CrossRef
  • Adenosine Monophosphate–Activated Kinase and Its Key Role in Catabolism: Structure, Regulation, Biological Activity, and Pharmacological Activation
    Sukriti Krishan, Des R. Richardson, Sumit Sahni
    Molecular Pharmacology.2015; 87(3): 363.     CrossRef
  • Role of AMPK and PPARγ1 in exercise-induced lipoprotein lipase in skeletal muscle
    Takashi Sasaki, Rieko Nakata, Hiroyasu Inoue, Makoto Shimizu, Jun Inoue, Ryuichiro Sato
    American Journal of Physiology-Endocrinology and Metabolism.2014; 306(9): E1085.     CrossRef
  • A novel heterozygous mutation in the glucokinase gene conferring exercise-induced symptomatic hyperglycaemia responsive to sulfonylurea
    M.S.E. Ebrahim, M.L. Lawson, M.T. Geraghty
    Diabetes & Metabolism.2014; 40(4): 310.     CrossRef
  • Anti-obesity and anti-insulin resistance effects of tomato vinegar beverage in diet-induced obese mice
    Kwon-Il Seo, Jin Lee, Ra-Yeong Choi, Hae-In Lee, Ju-Hye Lee, Yong-Ki Jeong, Myung-Joo Kim, Mi-Kyung Lee
    Food & Function.2014; 5(7): 1579.     CrossRef
  • The AMPK-SIRT signaling network regulates glucose tolerance under calorie restriction conditions
    M.F.P. Silvestre, B. Viollet, P.W. Caton, J. Leclerc, I. Sakakibara, M. Foretz, M.C. Holness, M.C. Sugden
    Life Sciences.2014; 100(1): 55.     CrossRef
  • Calanquinone A induces anti-glioblastoma activity through glutathione-involved DNA damage and AMPK activation
    Fan-Lun Liu, Jui-Ling Hsu, Yean-Jang Lee, Yu-Shun Dong, Fan-Lu Kung, Ching-Shih Chen, Jih-Hwa Guh
    European Journal of Pharmacology.2014; 730: 90.     CrossRef
  • Fighting obesity: When muscle meets fat
    Xin Yang, Pengpeng Bi, Shihuan Kuang
    Adipocyte.2014; 3(4): 280.     CrossRef
  • Quercetin attenuates renal ischemia/reperfusion injury via an activation of AMP-activated protein kinase-regulated autophagy pathway
    Bo-Lin Chen, Li-Ting Wang, Kuo-How Huang, Ching-Chia Wang, Chih-Kang Chiang, Shing-Hwa Liu
    The Journal of Nutritional Biochemistry.2014; 25(11): 1226.     CrossRef
  • AMPK controls exercise endurance, mitochondrial oxidative capacity, and skeletal muscle integrity
    Louise Lantier, Joachim Fentz, Rémi Mounier, Jocelyne Leclerc, Jonas T. Treebak, Christian Pehmøller, Nieves Sanz, Iori Sakakibara, Emmanuelle Saint‐Amand, Stéphanie Rimbaud, Pascal Maire, André Marette, Renée Ventura‐Clapier, Arnaud Ferry, Jørgen F. P. W
    The FASEB Journal.2014; 28(7): 3211.     CrossRef
  • Activation of AMPKα2 Is Not Crucial for Mitochondrial Uncoupling-Induced Metabolic Effects but Required to Maintain Skeletal Muscle Integrity
    Mario Ost, Franziska Werner, Janine Dokas, Susanne Klaus, Anja Voigt, Juergen Eckel
    PLoS ONE.2014; 9(4): e94689.     CrossRef
  • Thioredoxin-interacting protein mediates hepatic lipogenesis and inflammation via PRMT1 and PGC-1α regulation in vitro and in vivo
    Min-Jung Park, Dong-Il Kim, Seul-Ki Lim, Joo-Hee Choi, Jong-Choon Kim, Kyung-Chul Yoon, Jee-Bum Lee, Jae-Hyuk Lee, Ho-Jae Han, In-Pyo Choi, Hyoung-Chin Kim, Soo-Hyun Park
    Journal of Hepatology.2014; 61(5): 1151.     CrossRef
  • Liraglutide enhances glucose transporter 4 translocation via regulation of AMP-activated protein kinase signaling pathways in mouse skeletal muscle cells
    Zhu Li, Chang-Lin Ni, Zhi Yao, Li-Ming Chen, Wen-Yan Niu
    Metabolism.2014; 63(8): 1022.     CrossRef
  • Effects of metformin on weight loss
    Steven K. Malin, Sangeeta R. Kashyap
    Current Opinion in Endocrinology, Diabetes & Obesity.2014; 21(5): 323.     CrossRef
  • Changes of Blood Glucose and Lactate Concentration in Body Wearing Firefighting Protective Equipments
    Chang-Hoon Bang
    Journal of Korean Society of Hazard Mitigation.2014; 14(1): 263.     CrossRef
  • Exercise, Energy Intake, Glucose Homeostasis, and the Brain
    Henriette van Praag, Monika Fleshner, Michael W. Schwartz, Mark P. Mattson
    The Journal of Neuroscience.2014; 34(46): 15139.     CrossRef
  • The Effects of Exercise Training on Obesity-Induced Dysregulated Expression of Adipokines in White Adipose Tissue
    Takuya Sakurai, Junetsu Ogasawara, Takako Kizaki, Shogo Sato, Yoshinaga Ishibashi, Motoko Takahashi, Osamu Kobayashi, Shuji Oh-ishi, Junichi Nagasawa, Kazuto Takahashi, Hitoshi Ishida, Tetsuya Izawa, Hideki Ohno
    International Journal of Endocrinology.2013; 2013: 1.     CrossRef
  • Flavonoids from Tetrastigma obtectum enhancing glucose consumption in insulin-resistance HepG2 cells via activating AMPK
    Mei-Na Jin, Guo-Ru Shi, Sheng-An Tang, Nan-Qin, Wei Qiao, Hong-Quan Duan
    Fitoterapia.2013; 90: 240.     CrossRef
  • AMPK, insulin resistance, and the metabolic syndrome
    Neil B. Ruderman, David Carling, Marc Prentki, José M. Cacicedo
    Journal of Clinical Investigation.2013; 123(7): 2764.     CrossRef
  • Resistance to Dasatinib in primary chronic lymphocytic leukemia lymphocytes involves AMPK-mediated energetic re-programming
    Veronica Martinez Marignac, Sarah Smith, Nader Toban, Miguel Bazile, Raquel Aloyz
    Oncotarget.2013; 4(12): 2550.     CrossRef
  • Improvement of vascular insulin sensitivity by downregulation of GRK2 mediates exercise-induced alleviation of hypertension in spontaneously hypertensive rats
    Wenjuan Xing, Youyou Li, Haifeng Zhang, Chunjuan Mi, Zuoxu Hou, Michael J. Quon, Feng Gao
    American Journal of Physiology-Heart and Circulatory Physiology.2013; 305(8): H1111.     CrossRef
  • AMP-activated protein kinase activation mediates CCL3-induced cell migration and matrix metalloproteinase-2 expression in human chondrosarcoma
    Chin-Jung Hsu, Min-Huan Wu, Chin-Yuan Chen, Chun-Hao Tsai, Horng-Chaung Hsu, Chih-Hsin Tang
    Cell Communication and Signaling.2013;[Epub]     CrossRef
Original Articles
Effects of Aerobic Exercise Intensity on Abdominal and Thigh Adipose Tissue and Skeletal Muscle Attenuation in Overweight Women with Type 2 Diabetes Mellitus
Ji Yeon Jung, Kyung Ah Han, Hee Jung Ahn, Hwi Ryun Kwon, Jae Hyuk Lee, Kang Seo Park, Kyung Wan Min
Diabetes Metab J. 2012;36(3):211-221.   Published online June 14, 2012
DOI: https://doi.org/10.4093/dmj.2012.36.3.211
  • 9,004 View
  • 53 Download
  • 26 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

We investigated the effects of exercise intensity on abdominal and mid-thigh adipose tissue, attenuation of skeletal muscle, and insulin sensitivity in overweight women with type 2 diabetes mellitus (T2DM).

Methods

Twenty-eight patients were randomly assigned to control (CG, n=12), moderate intensity exercise (MEG, n=8), or vigorous intensity exercise (VEG, n=8) group. Subjects in both exercise groups completed a 12-week exercise program (MEG, 3.6 to 5.2 METs; VEG, ≥5.2 METs) that was monitored by accelerometers. We assessed body mass index (BMI), total fat area (TFA), visceral fat area (VFA), subcutaneous fat area (SFA), mid-thigh intramuscular adipose tissue (TIMAT), total skeletal muscle (TTM), low density skeletal muscle (TLDM), and normal density skeletal muscle (TNDM) using computed tomography, and measured insulin sensitivity with an insulin tolerance test (KITT), before and after the intervention.

Results

At baseline, the mean age was 53.8±7.9 years, duration of diabetes was 3.8±2.3 years, and BMI was 26.6±2.6 kg/m2. After 12 weeks, the percent change (%C) in BMI, TIMAT, and TLDM were not different among three groups. However, %C in TFA and VFA were significantly reduced in MEG compared to CG (P=0.026 and P=0.008, respectively). %C SFA was significantly reduced in VEG compared to CG (P=0.038) and %C TTM, TNDM, and KITT were significantly increased in VEG compared to the CG (P=0.044, P=0.007, and P=0.016, respectively).

Conclusion

Although there was no difference in the change in BMI among groups, TFA and VFA were more reduced in MEG, and only VEG increased TTM, TNDM, and insulin sensitivity compared to CG.

Citations

Citations to this article as recorded by  
  • Effects of exercise with or without a hypocaloric diet on intermuscular and intramuscular fat: a systematic review
    Konstantinos Prokopidis, Alyssa N. Varanoske, Nicola Veronese, Ben Kirk, Konstantinos Katsikas Triantafyllidis, Christoforos D. Giannaki, Pinelopi S. Stavrinou, David D. Church, Gustavo Duque
    Aging Clinical and Experimental Research.2025;[Epub]     CrossRef
  • Comparative Efficacy of Exercise Type on Visceral Adipose Tissue in Patients With Prediabetes and Type 2 Diabetes Mellitus: A Systematic Review With Pairwise and Network Meta‐Analyses
    Mousa Khalafi, Saeid Fatolahi, Michael E. Symonds, Farnaz Dinizadeh, Sara K. Rosenkranz, Alexios Batrakoulis
    Obesity Reviews.2025;[Epub]     CrossRef
  • The Effects of Exercise Interventions on Ectopic and Subcutaneous Fat in Patients with Type 2 Diabetes Mellitus: A Systematic Review, Meta-Analysis, and Meta-Regression
    Fatemeh Kazeminasab, Ali Bahrami Kerchi, Nasim Behzadnejad, Saba Belyani, Sara K. Rosenkranz, Reza Bagheri, Fred Dutheil
    Journal of Clinical Medicine.2024; 13(17): 5005.     CrossRef
  • Aerobic Exercise and Weight Loss in Adults
    Ahmad Jayedi, Sepideh Soltani, Alireza Emadi, Mahdieh-Sadat Zargar, Ali Najafi
    JAMA Network Open.2024; 7(12): e2452185.     CrossRef
  • Intermuscular adipose tissue in metabolic disease
    Bret H. Goodpaster, Bryan C. Bergman, Andrea M. Brennan, Lauren M. Sparks
    Nature Reviews Endocrinology.2023; 19(5): 285.     CrossRef
  • Dose–response effects of exercise and caloric restriction on visceral adiposity in overweight and obese adults: a systematic review and meta-analysis of randomised controlled trials
    Francesco Recchia, Chit K. Leung, Angus P. Yu, Welton Leung, Danny J. Yu, Daniel Y. Fong, David Montero, Chi-Ho Lee, Stephen H.S. Wong, Parco M. Siu
    British Journal of Sports Medicine.2023; 57(16): 1035.     CrossRef
  • Muscle quality: the assessment, prognosis, and intervention
    翔 畑中, 洋祐 大須賀
    Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics.2023; 60(2): 103.     CrossRef
  • Associations of Muscle Density and Area With Coronary Artery Plaque and Physical Function
    Kristine M. Erlandson, Triin Umbleja, Michael T. Lu, Jana Taron, Heather J. Ribaudo, Edgar T. Overton, Rachel M. Presti, David W. Haas, Paul E. Sax, Michael T. Yin, Bingxue Kris Zhai, Rochelle Louis, Namrata Upadhyay, Parastou Eslami, Pamela S. Douglas, M
    JAIDS Journal of Acquired Immune Deficiency Syndromes.2023; 94(2): 174.     CrossRef
  • Aerobic training reduces pancreatic fat content and improves β‐cell function: A randomized controlled trial using IDEAL‐IQ magnetic resonance imaging
    Min Li, Qidong Zheng, Joshua D. Miller, Panpan Zuo, Xiaodan Yuan, Jitao Feng, Chao Liu, Shan Bao, Qingqing Lou
    Diabetes/Metabolism Research and Reviews.2022;[Epub]     CrossRef
  • Effect of aerobic exercise on waist circumference in adults with overweight or obesity: A systematic review and meta‐analysis
    Alex Armstrong, Klaus Jungbluth Rodriguez, Angelo Sabag, Yorgi Mavros, Helen M. Parker, Shelley E. Keating, Nathan A. Johnson
    Obesity Reviews.2022;[Epub]     CrossRef
  • Effect of exercise on myosteatosis in adults: a systematic review and meta-analysis
    Robinson Ramírez-Vélez, Yasmin Ezzatvar, Mikel Izquierdo, Antonio García-Hermoso
    Journal of Applied Physiology.2021; 130(1): 245.     CrossRef
  • Effect of exercise intervention dosage on reducing visceral adipose tissue: a systematic review and network meta-analysis of randomized controlled trials
    Yu-Hsuan Chang, Hui-Ying Yang, Shiow-Ching Shun
    International Journal of Obesity.2021; 45(5): 982.     CrossRef
  • Exercise Training to Decrease Ectopic Intermuscular Adipose Tissue in Individuals With Chronic Diseases: A Systematic Review and Meta-Analysis
    Mauro Tuñón-Suárez, Alvaro Reyes-Ponce, Rodrigo Godoy-Órdenes, Nicolás Quezada, Marcelo Flores-Opazo
    Physical Therapy.2021;[Epub]     CrossRef
  • Low-attenuation muscle is a predictor of diabetes mellitus: A population-based cohort study
    Muhei Tanaka, Hiroshi Okada, Yoshitaka Hashimoto, Muneaki Kumagai, Hiromi Nishimura, Michiaki Fukui
    Nutrition.2020; 74: 110752.     CrossRef
  • Drop-out ratio between moderate to high-intensity physical exercise treatment by patients with, or at risk of, type 2 diabetes mellitus: A systematic review and meta-analysis
    Guillem Jabardo-Camprubí, Rafel Donat-Roca, Mercè Sitjà-Rabert, Raimon Milà-Villarroel, Judit Bort-Roig
    Physiology & Behavior.2020; 215: 112786.     CrossRef
  • High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Middle-Aged and Older Patients with Type 2 Diabetes: A Randomized Controlled Crossover Trial of the Acute Effects of Treadmill Walking on Glycemic Control
    Romeu Mendes, Nelson Sousa, José Luís Themudo-Barata, Victor Machado Reis
    International Journal of Environmental Research and Public Health.2019; 16(21): 4163.     CrossRef
  • Trunk muscle quality assessed by computed tomography: Association with adiposity indices and glucose tolerance in men
    Alexandre Maltais, Natalie Alméras, Isabelle Lemieux, Angelo Tremblay, Jean Bergeron, Paul Poirier, Jean-Pierre Després
    Metabolism.2018; 85: 205.     CrossRef
  • Counting Footsteps with a Pedometer to Improve HMW Adiponectin and Metabolic Syndrome among Young Female Adults in the United Arab Emirates
    Hayder Hasan, Amita Attlee, Hamid Jan Bin Jan Mohamed, Norliyana Aris, Wan Abdul Manan Bin Wan Muda
    Journal of Obesity.2018; 2018: 1.     CrossRef
  • Exercise and ectopic fat in type 2 diabetes: A systematic review and meta-analysis
    A. Sabag, K.L. Way, S.E. Keating, R.N. Sultana, H.T. O’Connor, M.K. Baker, V.H. Chuter, J. George, N.A. Johnson
    Diabetes & Metabolism.2017; 43(3): 195.     CrossRef
  • Effect of aerobic exercise intensity on glycemic control in type 2 diabetes: a meta-analysis of head-to-head randomized trials
    Yilina Liubaoerjijin, Tasuku Terada, Kevin Fletcher, Normand G. Boulé
    Acta Diabetologica.2016; 53(5): 769.     CrossRef
  • A systematic review and meta‐analysis on the effects of exercise training versus hypocaloric diet: distinct effects on body weight and visceral adipose tissue
    R. J. H. M. Verheggen, M. F. H. Maessen, D. J. Green, A. R. M. M. Hermus, M. T. E. Hopman, D. H. T. Thijssen
    Obesity Reviews.2016; 17(8): 664.     CrossRef
  • Muscle wasting and aging: Experimental models, fatty infiltrations, and prevention
    Thomas Brioche, Allan F. Pagano, Guillaume Py, Angèle Chopard
    Molecular Aspects of Medicine.2016; 50: 56.     CrossRef
  • Arterial Stiffness by Aerobic Exercise Is Related with Aerobic Capacity, Physical Activity Energy Expenditure and Total Fat but not with Insulin Sensitivity in Obese Female Patients with Type 2 Diabetes
    Ji Yeon Jung, Kyung Wan Min, Hee Jung Ahn, Hwi Ryun Kwon, Jae Hyuk Lee, Kang Seo Park, Kyung Ah Han
    Diabetes & Metabolism Journal.2014; 38(6): 439.     CrossRef
  • Intermuscular Fat: A Review of the Consequences and Causes
    Odessa Addison, Robin L. Marcus, Paul C. LaStayo, Alice S. Ryan
    International Journal of Endocrinology.2014; 2014: 1.     CrossRef
  • Relative Skeletal Muscle Mass Is Associated with Development of Metabolic Syndrome
    Byung Sam Park, Ji Sung Yoon
    Diabetes & Metabolism Journal.2013; 37(6): 458.     CrossRef
  • Effect of exercise on abdominal fat loss in men and women with and without type 2 diabetes
    Devon A Dobrosielski, Bethany Barone Gibbs, Sameer Chaudhari, Pamela Ouyang, Harry A Silber, Kerry J Stewart
    BMJ Open.2013; 3(11): e003897.     CrossRef
Effects of Resistance Training and Aerobic Exercise on Insulin Sensitivity in Overweight Korean Adolescents: A Controlled Randomized Trial
Sunghwan Suh, In-Kyong Jeong, Mi Yeon Kim, Yeon Soo Kim, Sue Shin, Sun Sin Kim, Jae Hyeon Kim
Diabetes Metab J. 2011;35(4):418-426.   Published online August 31, 2011
DOI: https://doi.org/10.4093/dmj.2011.35.4.418
  • 29,217 View
  • 89 Download
  • 27 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

Data on the impact of resistance training on insulin resistance in overweight or obese children are inconclusive.

Methods

Thirty overweight South Korean adolescents (mean age of 13.10 years) were divided by sex, and then randomly assigned to one of three treatment groups, which were the diet only (DO), diet with aerobic exercise (AE), or diet with resistance training (RT) group. Physiologic and metabolic parameters were assessed at baseline and after 12 weeks of exercise training and diet modification.

Results

Both exercise groups (aerobic and resistance) showed significant improvements in their insulin area under the curve and insulin sensitivity index values when compared to their baseline values while the DO group showed no significant changes in these variables. Age-, sex-, and body mass index (BMI)-adjusted intergroup comparison analyses showed a marked reduction in BMI and a significant reduction in muscle mass in the AE group when compared to the RT group and the DO group, respectively.

Conclusion

A 12-week exercise training program of either resistance or aerobic activity improved insulin sensitivity in overweight adolescents, although it failed to show superiority over a DO program. Aerobic exercise decreased both body weight and BMI, and it was noted that this group also had a significant reduction in muscle mass when compared to the DO group.

Citations

Citations to this article as recorded by  
  • Individual Variability in Insulin Sensitivity, Visceral Fat, and Cardiorespiratory Fitness in Response to Exercise in Adolescents with Obesity
    Parmis Mirzadeh, SoJung Lee, Silva Arslanian, Jennifer L. Kuk
    Nutrition, Metabolism and Cardiovascular Diseases.2026; : 104615.     CrossRef
  • Impact of exercise on anthropometric outcomes in children and adolescents with overweight or obesity: a systematic review and meta-analysis based on 113 randomized controlled trials worldwide
    Jie Men, Pengbo Wang, Qihui Gao, Yishan Li, Guoyu Zhu, Zhengyang Yu, Simin Wu, Yuxi Zhang, Weiqi An, Jingwen Wang, Yu Wu, Zhaowei Li, Jun Zhang
    BMC Public Health.2025;[Epub]     CrossRef
  • Role of Yoga in Distinctly Targeting Modifiable Risk Factors in Type 2 Diabetes to Improve Immuno-Metabolic Axis
    Harshit B Joshi, Aswathy S Nair, Ramya Bellave, Krishna Raghava Hebbar, Anupama Nayak, Nandi Krishnamurthy Manjunath, Shashikiran Umakanth, Basavaraj Hadapad, Manjunath B Joshi
    Journal of Evidence-Based Integrative Medicine.2025;[Epub]     CrossRef
  • Is aerobic combined with resistance training a more suitable exercise program for obese college students? Evidence-based on subjective reports and objective measurements
    Yan Li, Yanbin Hu
    Frontiers in Physiology.2025;[Epub]     CrossRef
  • Effect of high-intensity interval training and moderate-intensity continuous training on cardiovascular risk factors in adolescents: Systematic review and meta-analysis of randomized controlled trials
    Ya Wang, Shun Wang, Xiangwu Meng, Husheng Zhou
    Physiology & Behavior.2024; 275: 114459.     CrossRef
  • Exploring molecular mechanisms of exercise on metabolic syndrome: a bibliometric and visualization study using CiteSpace
    Kang Wan, Yue Jin, Ruobing Fan, Qizi Xu, Xiaoshi Li, Hongmei Yan, Ru Wang
    Frontiers in Endocrinology.2024;[Epub]     CrossRef
  • Exercise and Nutrition Strategies for Combating Sarcopenia and Type 2 Diabetes Mellitus in Older Adults
    Dionysia Argyropoulou, Nikolaos D. Geladas, Tzortzis Nomikos, Vassilis Paschalis
    Journal of Functional Morphology and Kinesiology.2022; 7(2): 48.     CrossRef
  • Effects and dose-response relationships of exercise intervention on weight loss in overweight and obese children: a meta-regression and system review
    Rui Xu, Qiao-Ting Huang, Yu-Ting Chen, Peng-Yin Wang
    Journal of Pediatric Endocrinology and Metabolism.2022; 35(9): 1117.     CrossRef
  • The Benefits of Resistance Training in Obese Adolescents: A Systematic Review and Meta-analysis
    Bruno Ribeiro, Pedro Forte, Raquel Vinhas, Daniel A. Marinho, Luís B. Faíl, Ana Pereira, Fernando Vieira, Henrique P. Neiva
    Sports Medicine - Open.2022;[Epub]     CrossRef
  • Effects of Eight Weeks of Combined Training with Antioxidant Vitamins E and C on Glutathione, Glutathione Peroxidase, and Superoxide Dismutase in the Heart Tissue of Streptozotocin-induced Diabetic Rats
    Elaheh Heydarnia, Farzaneh Taghian, Khosro Jalali Dehkodi, Mehrzad Moghadasi
    Gene, Cell and Tissue.2021;[Epub]     CrossRef
  • Effect of resistance training with and without caloric restriction on visceral fat: A systemic review and meta‐analysis
    Mousa Khalafi, Abbas Malandish, Sara K. Rosenkranz, Ali A. Ravasi
    Obesity Reviews.2021;[Epub]     CrossRef
  • IMPACT OF TREADMILL RUNNING ON BLOOD GLUCOSE LEVEL OF TYPE 2 DIABETES MELLITUS PATIENTS IN GHURKI TRUST AND TEACHING HOSPITAL
    Samiya Noreen, Muhammad Shafique, Tayyaba Mustafa Mian, Hafiz Abdul Rehman, Abdul Rehman, Muhammad Saad Shafiq, Ibraheem Zafar, Ramsha Masood
    Pakistan BioMedical Journal.2021;[Epub]     CrossRef
  • Role of exercise on insulin sensitivity and beta-cell function: is exercise sufficient for the prevention of youth-onset type 2 diabetes?
    Joon Young Kim, Justin Y. Jeon
    Annals of Pediatric Endocrinology & Metabolism.2020; 25(4): 208.     CrossRef
  • Effects of HIIT and MICT on cardiovascular risk factors in adults with overweight and/or obesity: A meta-analysis
    LiQiang Su, JinMei Fu, ShunLi Sun, GuangGao Zhao, Wei Cheng, ChuanChuan Dou, MingHui Quan, Belinda Parmenter
    PLOS ONE.2019; 14(1): e0210644.     CrossRef
  • What Is the Role of Resistance Exercise in Improving the Cardiometabolic Health of Adolescents with Obesity?
    SoJung Lee, YoonMyung Kim, Jennifer L. Kuk
    Journal of Obesity & Metabolic Syndrome.2019; 28(2): 76.     CrossRef
  • Does exercise training affect resting metabolic rate in adolescents with obesity?
    Angela S. Alberga, Denis Prud’homme, Ronald J. Sigal, Gary S. Goldfield, Stasia Hadjiyannakis, Réjeanne Gougeon, Penny Phillips, Janine Malcolm, George A. Wells, Steve Doucette, Jinhui Ma, Glen P. Kenny
    Applied Physiology, Nutrition, and Metabolism.2017; 42(1): 15.     CrossRef
  • Iniciación al entrenamiento de fuerza en edades tempranas: revisión
    G. Peña, J.R. Heredia, C. Lloret, M. Martín, M.E. Da Silva-Grigoletto
    Revista Andaluza de Medicina del Deporte.2016; 9(1): 41.     CrossRef
  • Effects of aerobic training, resistance training, or both on cardiorespiratory and musculoskeletal fitness in adolescents with obesity: the HEARTY trial
    Angela S. Alberga, Denis Prud’homme, Ronald J. Sigal, Gary S. Goldfield, Stasia Hadjiyannakis, Penny Phillips, Janine Malcolm, Jinhui Ma, Steve Doucette, Rejeanne Gougeon, George A. Wells, Glen P. Kenny
    Applied Physiology, Nutrition, and Metabolism.2016; 41(3): 255.     CrossRef
  • The response of circulating omentin-1 concentration to 16-week exercise training in male children with obesity
    Farzad Zehsaz, Negin Farhangi, Mehri Ghahramani
    The Physician and Sportsmedicine.2016; 44(4): 355.     CrossRef
  • Epidemiology of Childhood Obesity in Korea
    Kyoung Hwa Ha, Dae Jung Kim
    Endocrinology and Metabolism.2016; 31(4): 510.     CrossRef
  • Muscle strength in youth and cardiovascular risk in young adulthood (the European Youth Heart Study)
    Anders Grøntved, Mathias Ried-Larsen, Niels Christian Møller, Peter Lund Kristensen, Karsten Froberg, Søren Brage, Lars Bo Andersen
    British Journal of Sports Medicine.2015; 49(2): 90.     CrossRef
  • Position statement on youth resistance training: the 2014 International Consensus
    Rhodri S Lloyd, Avery D Faigenbaum, Michael H Stone, Jon L Oliver, Ian Jeffreys, Jeremy A Moody, Clive Brewer, Kyle C Pierce, Teri M McCambridge, Rick Howard, Lee Herrington, Brian Hainline, Lyle J Micheli, Rod Jaques, William J Kraemer, Michael G McBride
    British Journal of Sports Medicine.2014; 48(7): 498.     CrossRef
  • Abdominal obesity and low physical activity are associated with insulin resistance in overweight adolescents: a cross-sectional study
    Claudia-María Velásquez-Rodríguez, Marcela Velásquez-Villa, Leidy Gómez-Ocampo, Juliana Bermúdez-Cardona
    BMC Pediatrics.2014;[Epub]     CrossRef
  • Exercise and Insulin Resistance in Youth: A Meta-Analysis
    Michael V. Fedewa, Nicholas H. Gist, Ellen M. Evans, Rod K. Dishman
    Pediatrics.2014; 133(1): e163.     CrossRef
  • What is the Effect of Resistance Training on the Strength, Body Composition and Psychosocial Status of Overweight and Obese Children and Adolescents? A Systematic Review and Meta-Analysis
    Natasha Schranz, Grant Tomkinson, Tim Olds
    Sports Medicine.2013; 43(9): 893.     CrossRef
  • A Review of Randomized Controlled Trials of Aerobic Exercise Training on Fitness and Cardiometabolic Risk Factors in Obese Adolescents
    A. S. Alberga, A. Frappier, R. J. Sigal, D. Prud'homme, G. P. Kenny
    The Physician and Sportsmedicine.2013; 41(2): 44.     CrossRef
  • Effects of Aerobic Versus Resistance Exercise Without Caloric Restriction on Abdominal Fat, Intrahepatic Lipid, and Insulin Sensitivity in Obese Adolescent Boys
    SoJung Lee, Fida Bacha, Tamara Hannon, Jennifer L. Kuk, Chris Boesch, Silva Arslanian
    Diabetes.2012; 61(11): 2787.     CrossRef
Effects of Aerobic Exercise vs. Resistance Training on Endothelial Function in Women with Type 2 Diabetes Mellitus
Hwi Ryun Kwon, Kyung Wan Min, Hee Jung Ahn, Hee Geum Seok, Jae Hyuk Lee, Gang Seo Park, Kyung Ah Han
Diabetes Metab J. 2011;35(4):364-373.   Published online August 31, 2011
DOI: https://doi.org/10.4093/dmj.2011.35.4.364
  • 14,515 View
  • 134 Download
  • 79 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

There is controversy over whether aerobic or resistance exercise is more effective for improving endothelial function in type 2 diabetes mellitus (T2DM). This study was aimed to investigate the effects of an aerobic and resistance training program on endothelial function, and the influences of glycemic control, body weight changes, and aerobic capacity in T2DM.

Methods

Total 40 overweight women with T2DM were assigned into 3 groups: an aerobic exercise group (AEG, n=13), resistance exercise group (REG, n=12), and control group (CG, n=15), and followed either brisk walking for the AEG or resistance band training for the REG, 60 minutes per day, 5 days per week for 12 weeks with monitoring daily activity using accelerometers. We assessed endothelial function by flow-mediated dilation (FMD), and aerobic capacity by oxygen uptake at anaerobic threshold (AT_VO2) at baseline and following training program.

Results

The mean participants' age was 57.0±6.8 years, and body mass index (BMI) was 27.0±2.3 kg/m2. After intervention, FMD increased by 2.2±1.9% in AEG, which differed from REG and CG (P=0.002), despite of decreased body weight (BW) in both AG and RG (2.8±2.5%, P=0.002; 1.6±2.0%, P=0.017, respectively). A significant increased AT_VO2 and decreased HbA1c were found only in AEG. In all participants, FMD was changed with the significant relations to the AT_VO2 (r=0.348, P=0.035), but not to HbA1c levels or BW.

Conclusion

Aerobic exercise appears to be more beneficial than resistance exercise for improving endothelial function in T2DM. In addition, aerobic capacity could be a better predictor of changes in FMD than BW and glycemic control.

Citations

Citations to this article as recorded by  
  • Circular RNA-Directed Therapeutic Strategy for Cold–Induced Diabetic Macrovascular Disease
    Nan Jia, Kangling Xie, Cui Li, Yangjie Li, Yujiao Zong, Jiahao Li, Fan Hu, Ying Cai
    Antioxidants & Redox Signaling.2026;[Epub]     CrossRef
  • Effects of moderate-intensity aerobic exercise on coronary artery structure and function in type 2 diabetic rats
    Dan Wang, Yaodong Guo, Lianhua Yin, Zhiwei Yan, Chenxi Li, Xiao Liu, Yiping Liu
    Scientific Reports.2026;[Epub]     CrossRef
  • Influence of different exercise types on vascular endothelial function in middle-aged and older adults – A systematic review and network meta-analysis
    Qin Chen, Xin Gao, Chen Wang, Peizhen Zhang
    Archives of Gerontology and Geriatrics.2025; 128: 105624.     CrossRef
  • Optimal strategies for exercise intervention in older people diabetic patients: The impacts of intensity, form, and frequency on glycemic control
    Xueru Yan, Yujuan Lu, Haoda Zhang, Chen Zhu, Lan Tian, Jishuai Chen, Enpeng He, Yingying Li
    Archives of Gerontology and Geriatrics.2025; 128: 105621.     CrossRef
  • Effects of home- and gym-based resistance training on glycemic control in patients with type 2 diabetes mellitus—a systematic review and meta-analysis
    Magnus Bärg, Veronica Idiart-Borda Polotto, Stefanie Geiger, Steffen Held, Christian Brinkmann
    Diabetology & Metabolic Syndrome.2025;[Epub]     CrossRef
  • Arteries and Hearts in Motion: Sex Differences in Exercise-Mediated Protection Against Atherosclerotic Cardiovascular Disease Risk
    Zachary S. Clayton, Mackenzie N. Kehmeier, Ryan Rosenberry, Emily A. Larson, Amélie Debray, Susan Cheng, Kerrie L. Moreau
    Current Atherosclerosis Reports.2025;[Epub]     CrossRef
  • Intervention effect of combined resistance and aerobic exercise on type 2 diabetes: A meta-analysis
    Jiang-Chen Ma, Song Shu, Tian-Xiao Chen, Hui-Jing Bai, Ya Yang, Xiao-Wei Ding
    World Journal of Diabetes.2025;[Epub]     CrossRef
  • Comparative effectiveness of various combined interventions for type 2 diabetes and obesity: a systematic review and network meta-analysis
    Li Cui, Donglei Lu, Sijie Tan, Liquan Cao
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • Effects of different exercise types on vascular endothelial function in individuals with abnormal glycaemic control: a systematic review and network meta-analysis
    Zongxiang Li, Shengyao Luo, Xuebing Bai, Lu Huang, Hongyan Guo, Song Chen, Dan Wang
    PeerJ.2025; 13: e19839.     CrossRef
  • The effects of resistance training on glycemic control, cardiometabolic health, and body composition in middle-aged and older women with type 2 diabetes and overweight or obesity: A systematic review and meta-analysis
    Ruojiang Liu, Xiaofeng Shi, Xiang Zhang
    Maturitas.2025; 201: 108691.     CrossRef
  • Resistance training enhances metabolic and muscular health and reduces systemic inflammation in middle-aged and older adults with type 2 diabetes: a meta-analysis
    Jingwen Wang, Shiqian Fan, Jianshe Wang
    Diabetes Research and Clinical Practice.2025; 229: 112941.     CrossRef
  • Comparing Aerobic Interval Training with Other Forms of Physical Exercise for Brachial Artery Endothelial Function Improvement: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials
    Armin H. Paravlic, Simon Iskra, Ensar Abazovic, Nicola Lamberti, Fabio Manfredini, Kristina Drole
    Sports Medicine - Open.2025;[Epub]     CrossRef
  • The effect of exercise on flow-mediated dilation in people with type 2 diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials
    Bopeng Qiu, Yilun Zhou, Xifeng Tao, Xiao Hou, Liwen Du, Yuanyuan Lv, Laikang Yu
    Frontiers in Endocrinology.2024;[Epub]     CrossRef
  • The Impact of Resistance Exercise Training on Glycemic Control Among Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Yuwen Wan, Zhanguo Su
    Biological Research For Nursing.2024; 26(4): 597.     CrossRef
  • The effects of resistance training on cardiovascular factors and anti-inflammation in diabetic rats
    Jin Yoo, Jinsu Hwang, Jiyun Choi, Mahesh Ramalingam, Haewon Jeong, Sujeong Jang, Han-Seong Jeong, Daeyeol Kim
    Heliyon.2024; 10(17): e37081.     CrossRef
  • Protocol for a randomized controlled trial of moderate intensity interval training in individuals with chronic obstructive pulmonary disease and obstructive sleep apnea overlap syndrome who have excessive daytime sleepiness
    Madalina Macrea, Richard Casaburi, Richard ZuWallack, Atul Malhotra, Kris Ann Oursler
    Contemporary Clinical Trials.2024; 145: 107663.     CrossRef
  • A systematic review and meta‐analysis on effect of different exercise training on grip strength and upper extremity muscle strength in patients with type 2 diabetes mellitus
    Mamta Boora, Manoj Malik, Jaspreet Kaur
    Physiotherapy Research International.2024;[Epub]     CrossRef
  • The Impact of Various Types of Exercise on Lipid Metabolism in Patients with Type 2 Diabetes and Concurrent Overweight/Obesity: A Narrative Review
    Sameer Badri Al-mhanna, Wan Syaheedah Wan Ghazali, Alexios Batrakoulis, Nouf H. Alkhamees, Clemens Drenowatz, Mahaneem Mohamed, Mehmet Gülü, Hafeez Abiola Afolabi, Georgian Badicu
    Annals of Applied Sport Science.2024;[Epub]     CrossRef
  • Effects of resistance training on cardiovascular risk factors in patients with type 2 diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials
    Yan Sun, Mingwei Sun, Xia Zeng, Liojuan Xiang Je, Zhannguo Su Guo
    Acta Diabetologica.2024; 62(1): 11.     CrossRef
  • Low-Intensity Resistance Training Improves Flow-Mediated Dilation in Young Hispanic Adults
    José M. Briceño-Torres, Elizabeth Carpio-Rivera, Andrea Solera-Herrera, Jeffrey Forsse, Peter W. Grandjean, José Moncada-Jiménez
    Journal of Strength & Conditioning Research.2023; 37(2): 298.     CrossRef
  • Intensity Differences of Resistance Training for Type 2 Diabetic Patients: A Systematic Review and Meta-Analysis
    Tenglong Fan, Man-Hsu Lin, Kijin Kim
    Healthcare.2023; 11(3): 440.     CrossRef
  • Effect of continuous aerobic exercise on endothelial function: A systematic review and meta-analysis of randomized controlled trials
    Xifeng Tao, Yiyan Chen, Kai Zhen, Shiqi Ren, Yuanyuan Lv, Laikang Yu
    Frontiers in Physiology.2023;[Epub]     CrossRef
  • Original article – Effect of different resistance training intensities on endothelial function in people with type 2 diabetes mellitus: A systematic review
    Thiago Borges Madureira Sabino, Denise Maria Martins Vancea, Manoel da Cunha Costa, Raphael José Perrier de Melo, Iago Vilela Dantas, Jonathan Nicolas dos Santos Ribeiro
    Diabetes Research and Clinical Practice.2023; 200: 110676.     CrossRef
  • 장기간의 저항성 트레이닝이 전문 보디빌더의 중심 동맥 혈압 및 경직도에 미치는 영향
    동현 이, 원일 박, 재성 이, 형진 백, 광석 홍
    The Korean Journal of Physical Education.2023; 62(4): 1.     CrossRef
  • Dose-response relationships of resistance training in Type 2 diabetes mellitus: a meta-analysis of randomized controlled trials
    Wanying Su, Meiyi Tao, Lin Ma, Ke Tang, Fang Xiong, Xuan Dai, Yuelan Qin
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
  • Insight into type 2 diabetes impaired exercising mitochondrial oxidative flux: is it blood flow, mitochondria, or neither?
    Noah A. John, Liam T. O'Brien
    The Journal of Physiology.2022; 600(4): 707.     CrossRef
  • Does exercise training improve the function of vascular smooth muscle? A systematic review and meta-analysis
    Yujia Liu, Zhenjia Sun, Tong Chen, Chen Yang
    Research in Sports Medicine.2022; 30(6): 577.     CrossRef
  • Effect of resistance training on HbA1c in adults with type 2 diabetes mellitus and the moderating effect of changes in muscular strength: a systematic review and meta-analysis
    Anna K Jansson, Li X Chan, David R Lubans, Mitch J Duncan, Ronald C Plotnikoff
    BMJ Open Diabetes Research & Care.2022; 10(2): e002595.     CrossRef
  • Does Aerobic plus Machine-Assisted Resistance Training Improve Vascular Function in Type 2 Diabetes? A Systematic Review and Meta-Analysis of Randomized Controlled Trials with Trial Sequential Analysis
    Xianshan Guo, Shizhe Guo, Hongmei Zhang, Zhen Li
    Journal of Clinical Medicine.2022; 11(15): 4257.     CrossRef
  • Endurance Training Depletes Antioxidant System but Does Not Affect Endothelial Functions in Women with Abdominal Obesity: A Randomized Trial with a Comparison to Endurance-Strength Training
    Małgorzata Jamka, Paweł Bogdański, Patrycja Krzyżanowska-Jankowska, Anna Miśkiewicz-Chotnicka, Joanna Karolkiewicz, Monika Duś-Żuchowska, Radosław Mądry, Aleksandra Lisowska, Anna Gotz-Więckowska, Saule Iskakova, Jarosław Walkowiak, Edyta Mądry
    Journal of Clinical Medicine.2021; 10(8): 1639.     CrossRef
  • The Role of Physical Therapy in the Combined Treatment of Patients with Lower Extremities Diabetic Angiopathies
    Denis V. Frolov
    Bulletin of Rehabilitation Medicine.2021; 20(2): 80.     CrossRef
  • Low-to-Moderate-Intensity Resistance Exercise Is More Effective than High-Intensity at Improving Endothelial Function in Adults: A Systematic Review and Meta-Analysis
    Yong Zhang, Ya-Jun Zhang, Hong-Wei Zhang, Wei-Bing Ye, Mallikarjuna Korivi
    International Journal of Environmental Research and Public Health.2021; 18(13): 6723.     CrossRef
  • Effects of resistance training on endothelial function: A systematic review and meta-analysis
    Jessika Karla T.N.F. Silva, Annelise L. Menêses, Belinda J. Parmenter, Raphael M. Ritti-Dias, Breno Q. Farah
    Atherosclerosis.2021; 333: 91.     CrossRef
  • Vascular Ageing and Aerobic Exercise
    Michaela Kozakova, Carlo Palombo
    International Journal of Environmental Research and Public Health.2021; 18(20): 10666.     CrossRef
  • High-Intensity Endurance and Strength Training in Water Polo Olympic Team Players: Impact on Arterial Wall Properties
    Evangelos Oikonomou, Gerasimos Siasos, Georgios Marinos, Marina Zaromitidou, Dimitris Athanasiou, Petros Fountoulakis, Sotiris Tsalamandris, Georgios Charalambous, Georgios Lazaros, Charalambos Vlachopoulos, Dimitris Tousoulis
    Cardiology.2021; 146(1): 119.     CrossRef
  • Beyond general resistance training. Hypertrophy versus muscular endurance training as therapeutic interventions in adults with type 2 diabetes mellitus: A systematic review and meta‐analysis
    Pedro Acosta‐Manzano, María Rodriguez‐Ayllon, Francisco M. Acosta, David Niederseer, Josef Niebauer
    Obesity Reviews.2020;[Epub]     CrossRef
  • Aerobic Exercise Increases Tear Secretion and Decreases Inflammatory Cytokines in Healthy Subjects
    Hao Li, Fei Li, Rouxi Zhou, Kai Gao, Lingyi Liang, Xiulan Zhang
    Asia-Pacific Journal of Ophthalmology.2020; 9(5): 404.     CrossRef
  • The Role of Aerobic Training Variables Progression on Glycemic Control of Patients with Type 2 Diabetes: a Systematic Review with Meta-analysis
    Rodrigo Sudatti Delevatti, Cláudia Gomes Bracht, Salime Donida Chedid Lisboa, Rochelle Rocha Costa, Elisa Corrêa Marson, Nathalie Netto, Luiz Fernando Martins Kruel
    Sports Medicine - Open.2019;[Epub]     CrossRef
  • Effect of Exercise on Risk Factors of Diabetic Foot Ulcers
    Fuyuan Liao, Ruopeng An, Fang Pu, Stephanie Burns, Sa Shen, Yih-Kuen Jan
    American Journal of Physical Medicine & Rehabilitation.2019; 98(2): 103.     CrossRef
  • Therapeutic Options Targeting Oxidative Stress, Mitochondrial Dysfunction and Inflammation to Hinder the Progression of Vascular Complications of Diabetes
    João S. Teodoro, Sara Nunes, Anabela P. Rolo, Flávio Reis, Carlos M. Palmeira
    Frontiers in Physiology.2019;[Epub]     CrossRef
  • Effects of short-term resistance training on endothelial function and inflammation markers in elderly patients with type 2 diabetes: A randomized controlled trial
    Anderson Rech, Cíntia Ehlers Botton, Pedro Lopez, André Quincozes-Santos, Daniel Umpierre, Ronei Silveira Pinto
    Experimental Gerontology.2019; 118: 19.     CrossRef
  • Resistance Exercise Intensity is Correlated with Attenuation of HbA1c and Insulin in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis
    Yubo Liu, Weibing Ye, Qian Chen, Yong Zhang, Chia-Hua Kuo, Mallikarjuna Korivi
    International Journal of Environmental Research and Public Health.2019; 16(1): 140.     CrossRef
  • Effects of Resistance Exercise on Glycated Hemoglobin and Functional Performance in Older Patients with Comorbid Diabetes Mellitus and Knee Osteoarthritis: A Randomized Trial
    Shu-Mei Chen, Feng-Chih Shen, Jung-Fu Chen, Wen-Dien Chang, Nai-Jen Chang
    International Journal of Environmental Research and Public Health.2019; 17(1): 224.     CrossRef
  • Endothelial function following interval exercise plus low‐calorie diet treatment in obese females
    Nicole M. Gilbertson, Stephanie L. Miller, Natalie Z.M. Eichner, Steven K. Malin
    Physiological Reports.2019;[Epub]     CrossRef
  • The effects of exercise on vascular endothelial function in type 2 diabetes: a systematic review and meta-analysis
    Jung-Hoon Lee, Ruda Lee, Moon-Hyon Hwang, Marc T. Hamilton, Yoonjung Park
    Diabetology & Metabolic Syndrome.2018;[Epub]     CrossRef
  • Exercise training and endothelial function in patients with type 2 diabetes: a meta-analysis
    Shanhu Qiu, Xue Cai, Han Yin, Zilin Sun, Martina Zügel, Jürgen Michael Steinacker, Uwe Schumann
    Cardiovascular Diabetology.2018;[Epub]     CrossRef
  • Responses of healthy young males to fine-particle exposure are modified by exercise habits: a panel study
    Xi Chen, Wu Chen, Yanwen Wang, Yiqun Han, Tong Zhu
    Environmental Health.2018;[Epub]     CrossRef
  • Aerobic exercise regulates blood lipid and insulin resistance via the toll‑like receptor 4‑mediated extracellular signal‑regulated kinases/AMP‑activated protein kinases signaling pathway
    Mei Wang, Sen Li, Fubaihui Wang, Jinhui Zou, Yanfeng Zhang
    Molecular Medicine Reports.2018;[Epub]     CrossRef
  • Efectos del ejercicio físico en los factores de riesgo cardiovascular que constituyen el síndrome metabólico: una alternativa para reducir su tendencia
    Adrián Hernández Alonso
    Revista Colombiana de Médicina Física y Rehabilitación.2017; 27(2): 140.     CrossRef
  • Anti-inflammatory effects of active commuting and leisure time exercise in overweight and obese women and men: A randomized controlled trial
    Anne Sofie Gram, Else-Marie Bladbjerg, Jonas Salling Quist, Martin Bæk Petersen, Mads Rosenkilde, Bente Stallknecht
    Atherosclerosis.2017; 265: 318.     CrossRef
  • The Effects of Exercise Training on Brachial Artery Flow-Mediated Dilation
    Kate S. Early, Abigail Stewart, Neil Johannsen, Carl J. Lavie, Jerry R. Thomas, Michael Welsch
    Journal of Cardiopulmonary Rehabilitation and Prevention.2017; 37(2): 77.     CrossRef
  • Effects of Self-directed Exercise Programmes on Individuals with Type 2 Diabetes Mellitus: A Systematic Review Evaluating Their Effect on HbA1c and Other Metabolic Outcomes, Physical Characteristics, Cardiorespiratory Fitness and Functional Outcomes
    Hugh Byrne, Brian Caulfield, Giuseppe De Vito
    Sports Medicine.2017; 47(4): 717.     CrossRef
  • Effects of Combination of Baduanjin and Elastic Band on Physical Fitness and Glycemic Control in Patients with Type 2 Diabetes Mellitus
    强 庄
    Advances in Physical Sciences.2017; 05(01): 5.     CrossRef
  • Effects of progressive resistance training and weight loss versus weight loss alone on inflammatory and endothelial biomarkers in older adults with type 2 diabetes
    Eliza G. Miller, Parneet Sethi, Caryl A. Nowson, David W. Dunstan, Robin M. Daly
    European Journal of Applied Physiology.2017; 117(8): 1669.     CrossRef
  • Endurance exercise per se reduces the cardiovascular risk marker t-PA antigen in healthy, younger, overweight men
    Else-Marie Bladbjerg, Jane Skov, Pernille Nordby, Bente Stallknecht
    Thrombosis Research.2017; 152: 69.     CrossRef
  • Effect of Exercise Intervention on Flow-Mediated Dilation in Overweight and Obese Adults: Meta-Analysis
    Younsun Son, Kyungun Kim, Soeun Jeon, Minsoo Kang, Sukho Lee, Yoonjung Park
    International Journal of Vascular Medicine.2017; 2017: 1.     CrossRef
  • Effects of Elastic Band Resistance Training on Glucose Control, Body Composition, and Physical Function in Women With Short- vs. Long-Duration Type-2 Diabetes
    Bong-Sup Park, Andy V. Khamoui, Lee E. Brown, Do-Youn Kim, Kyung-Ah Han, Kyung-Wan Min, Geun-Hee An
    Journal of Strength and Conditioning Research.2016; 30(6): 1688.     CrossRef
  • Glycemic reductions following water- and land-based exercise in patients with type 2 diabetes mellitus
    Rodrigo Sudatti Delevatti, Carolina Dertzbocher Feil Pinho, Ana Carolina Kanitz, Cristine Lima Alberton, Elisa Corrêa Marson, Luciana Peruchena Bregagnol, Salime Chedid Lisboa, Beatriz D. Schaan, Luiz Fernando Martins Kruel
    Complementary Therapies in Clinical Practice.2016; 24: 73.     CrossRef
  • Short-term exercise training improves flow-mediated dilation and circulating angiogenic cell number in older sedentary adults
    Rian Q. Landers-Ramos, Kelsey J. Corrigan, Lisa M. Guth, Christine N. Altom, Espen E. Spangenburg, Steven J. Prior, James M. Hagberg
    Applied Physiology, Nutrition, and Metabolism.2016; 41(8): 832.     CrossRef
  • Glucose control can be similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes: A randomized clinical trial
    Rodrigo S. Delevatti, Ana Carolina Kanitz, Cristine L. Alberton, Elisa Corrêa Marson, Salime Chedid Lisboa, Carolina Dertzbocher Feil Pinho, Gisele A. Lovatel, Arthiese Korb, Karine Bertoldi, Rodrigo C.O. Macedo, Ionara R. Siqueira, Beatriz D. Schaan, Lui
    Journal of Science and Medicine in Sport.2016; 19(8): 688.     CrossRef
  • Assessment of endothelial function by flow-mediated dilation in diabetic patients: Effects of physical exercise
    Aline P Jarrete, Angelina Zanesco, Maria Andréia Delbin
    Motriz: Revista de Educação Física.2016; 22(1): 3.     CrossRef
  • Psychosocial Variables Related to Why Women are Less Active than Men and Related Health Implications
    Elizabeth Skidmore Edwards, Sarah Carson Sackett
    Clinical Medicine Insights: Women's Health.2016; 9s1: CMWH.S34668.     CrossRef
  • In Search of the Ideal Resistance Training Program to Improve Glycemic Control and its Indication for Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis
    Hajime Ishiguro, Satoru Kodama, Chika Horikawa, Kazuya Fujihara, Ayumi Sugawara Hirose, Reiko Hirasawa, Yoko Yachi, Nobumasa Ohara, Hitoshi Shimano, Osamu Hanyu, Hirohito Sone
    Sports Medicine.2016; 46(1): 67.     CrossRef
  • Effects of exercise training using resistance bands on glycaemic control and strength in type 2 diabetes mellitus: a meta-analysis of randomised controlled trials
    Samantha K. McGinley, Marni J. Armstrong, Normand G. Boulé, Ronald J. Sigal
    Acta Diabetologica.2015; 52(2): 221.     CrossRef
  • Impact of combined exercise training on cardiovascular autonomic control and mortality in diabetic ovariectomized rats
    Iris C. Sanches, Filipe F. Conti, Nathalia Bernardes, Janaina de O Brito, Elia G. Galdini, Cláudia R. Cavaglieri, Maria-Cláudia Irigoyen, Kátia De Angelis
    Journal of Applied Physiology.2015; 119(6): 656.     CrossRef
  • Three months of strictly controlled daily endurance exercise reduces thrombin generation and fibrinolytic risk markers in younger moderately overweight men
    Anne Sofie Gram, Else-Marie Bladbjerg, Jane Skov, Thorkil Ploug, Anders Sjödin, Mads Rosenkilde, Daniel Elenius Madsen, Bente Merete Stallknecht
    European Journal of Applied Physiology.2015; 115(6): 1331.     CrossRef
  • Exercise Modalities and Endothelial Function: A Systematic Review and Dose–Response Meta-Analysis of Randomized Controlled Trials
    Ammar W. Ashor, Jose Lara, Mario Siervo, Carlos Celis-Morales, Clio Oggioni, Djordje G. Jakovljevic, John C. Mathers
    Sports Medicine.2015; 45(2): 279.     CrossRef
  • The Impact of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training on Vascular Function: a Systematic Review and Meta-Analysis
    Joyce S. Ramos, Lance C. Dalleck, Arnt Erik Tjonna, Kassia S. Beetham, Jeff S. Coombes
    Sports Medicine.2015; 45(5): 679.     CrossRef
  • Safety of Aerobic Exercise in People With Diabetic Peripheral Neuropathy: Single-Group Clinical Trial
    Patricia M. Kluding, Mamatha Pasnoor, Rupali Singh, Linda J. D'Silva, Min Yoo, Sandra A. Billinger, Joseph W. LeMaster, Mazen M. Dimachkie, Laura Herbelin, Douglas E. Wright
    Physical Therapy.2015; 95(2): 223.     CrossRef
  • Sleep and exercise: A reciprocal issue?
    Mounir Chennaoui, Pierrick J. Arnal, Fabien Sauvet, Damien Léger
    Sleep Medicine Reviews.2015; 20: 59.     CrossRef
  • Blood glucose response to aerobic exercise training program among patients with type 2 diabetes mellitus at the University of Nigeria Teaching Hospital, Enugu South-East, Nigeria
    C. I. Ezema, S. Lamina, Amarachi A. Onwunali, U. A. Ezugwu, A. A. Amaeze, M. J. Nwankwo
    International Journal of Diabetes in Developing Countries.2015; 35(S2): 88.     CrossRef
  • Endothelial Function Increases after a 16-Week Diet and Exercise Intervention in Overweight and Obese Young Women
    Lisa M. Cotie, Andrea R. Josse, Stuart M. Phillips, Maureen J. MacDonald
    BioMed Research International.2014; 2014: 1.     CrossRef
  • Impact of different training modalities on glycaemic control and blood lipids in patients with type 2 diabetes: a systematic review and network meta-analysis
    Lukas Schwingshackl, Benjamin Missbach, Sofia Dias, Jürgen König, Georg Hoffmann
    Diabetologia.2014; 57(9): 1789.     CrossRef
  • Exercise as a Therapeutic Strategy for Primary Mitochondrial Cytopathies
    Mark A. Tarnopolsky
    Journal of Child Neurology.2014; 29(9): 1225.     CrossRef
  • Effects of weight management by exercise modes on markers of subclinical atherosclerosis and cardiometabolic profile among women with abdominal obesity: a randomized controlled trial
    Jina Choo, Juneyoung Lee, Jeong-Hyun Cho, Lora E Burke, Akira Sekikawa, Sae Young Jae
    BMC Cardiovascular Disorders.2014;[Epub]     CrossRef
  • Walking disability in patients with peripheral artery disease is associated with arterial endothelial function
    S. Marlene Grenon, Karen Chong, Hugh Alley, Emily Nosova, Warren Gasper, Jade Hiramoto, W. John Boscardin, Christopher D. Owens
    Journal of Vascular Surgery.2014; 59(4): 1025.     CrossRef
  • Cardiovascular Function and Predictors of Exercise Capacity in Patients With Colorectal Cancer
    Larissa Cramer, Bert Hildebrandt, Thomas Kung, Kristin Wichmann, Jochen Springer, Wolfram Doehner, Anja Sandek, Miroslava Valentova, Tatjana Stojakovic, Hubert Scharnagl, Hanno Riess, Stefan D. Anker, Stephan von Haehling
    Journal of the American College of Cardiology.2014; 64(13): 1310.     CrossRef
  • Effects of Exercise Training on Arterial Function in Type 2 Diabetes Mellitus
    David Montero, Guillaume Walther, Eric Benamo, Antonia Perez-Martin, Agnès Vinet
    Sports Medicine.2013; 43(11): 1191.     CrossRef
  • A randomized trial of exercise for blood pressure reduction in type 2 diabetes: Effect on flow-mediated dilation and circulating biomarkers of endothelial function
    Bethany Barone Gibbs, Devon A. Dobrosielski, Susanne Bonekamp, Kerry J. Stewart, Jeanne M. Clark
    Atherosclerosis.2012; 224(2): 446.     CrossRef
Exercise Treadmill Test in Detecting Asymptomatic Coronary Artery Disease in Type 2 Diabetes Mellitus
Mee Kyoung Kim, Ki Hyun Baek, Ki Ho Song, Hyuk Sang Kwon, Jung Min Lee, Moo Il Kang, Kun Ho Yoon, Bong Yun Cha, Ho Young Son, Kwang Woo Lee
Diabetes Metab J. 2011;35(1):34-40.   Published online February 28, 2011
DOI: https://doi.org/10.4093/dmj.2011.35.1.34
  • 28,500 View
  • 62 Download
  • 16 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

The present study was designed to develop criteria for screening patients with type 2 diabetes mellitus (T2DM) for asymptomatic coronary artery disease (CAD).

Methods

A total of 213 patients with T2DM without typical angina or chest pain were studied between 2002 and 2007. We also evaluated 53 patients with T2DM who had reported chest discomfort using an exercise treadmill test (ETT).

Results

Thirty-one of the 213 asymptomatic patients had positive ETT results. We performed coronary angiography on 23 of the 31 patients with a positive ETT and found that 11 of them had significant coronary stenosis. The main differences between the patients with significant stenosis and those with a negative ETT were age (63.1±9.4 vs. 53.7±10.1 years, P=0.008) and duration of diabetes (16.0±7.5 vs. 5.5±5.7 years, P<0.001). The positive predictive value (PPV) of the ETT was calculated to be 47.8%. The PPV of the ETT increased to 87.5% in elderly patients (≥60 years) with a long duration of diabetes (≥10 years). The latter value is similar to that of patients with T2DM who presented with chest discomfort or exertional dyspnea. The PPV of the ETT in symptomatic patients was 76.9%.

Conclusion

In the interest of cost-effectiveness, screening for asymptomatic CAD could be limited to elderly patients with a duration of diabetes ≥10 years.

Citations

Citations to this article as recorded by  
  • Duke Treadmill Score Predicts Coronary Artery Disease Severity in Diabetics and Non-Diabetics
    Muhammad Khalil, Muhammad Shafique Arshad, Asma Zafar Khawaja, Iffat Aqeel, . Hidayatullah, Mahboob Ur Rehman, Sumeet Kumar, Shoaib Ahmed
    Pakistan Journal of Health Sciences.2023; : 126.     CrossRef
  • Prevalence of Coronary Artery Disease in Asymptomatic type 2 Diabetes Mellitus Patients with Invasive Correlation in North India
    V Kumar, B Yadav, A Nachankar
    Indian Journal of Endocrinology and Metabolism.2023; 27(2): 133.     CrossRef
  • Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury
    Marc Dauty, Vincent Crenn, Bastien Louguet, Jérôme Grondin, Pierre Menu, Alban Fouasson-Chailloux
    Journal of Clinical Medicine.2022; 11(5): 1402.     CrossRef
  • Prevalence of Asymptomatic Silent Myocardial Ischemia among Type 2 Diabetes Mellitus Patients in Bangalore - A Hospital-Based Cross-Sectional Study
    Nagappa H Handargal, Shristi J Shetty
    Journal of the Practice of Cardiovascular Sciences.2021; 7(3): 207.     CrossRef
  • Influence of sex on the incidence of potential coronary artery disease and long-term outcomes in asymptomatic patients with diabetes mellitus
    Chisato Sato, Kohei Wakabayashi, Naoko Ikeda, Yuki Honda, Ken Sato, Toshiaki Suzuki, Keita Shibata, Kaoru Tanno
    IJC Heart & Vasculature.2020; 27: 100504.     CrossRef
  • Gauging the Positive Predictive Value of Exercise Tolerance Test Using Angiographic Evaluation: A Cross-Sectional Analysis From a Developing Country
    Ismail Khan, Maria Hasan, Javeria Hasan, Ali Imran Dhillon, Moosa Khan, Mehwish Kaneez
    Cureus.2020;[Epub]     CrossRef
  • EVALUATION OF SILENT MYOCARDIAL ISCHEMIA IN ASYMPTOMATIC TYPE 2 DIABETES MELLITUS PATIENTS BY TREAD MILL TEST IN TERTIARY CARE CENTER IN SOUTH INDIA
    Malepati Sai Sarath Reddy, Uma Mylandlahalli Anandkumar, Srinivasa Rao
    Journal of Evolution of Medical and Dental Sciences.2019; 8(10): 740.     CrossRef
  • Breathlessness and Restrictive Lung Disease: An Important Diabetes-Related Feature in Patients with Type 2 Diabetes
    Stefan Kopf, Jan B. Groener, Zoltan Kender, Thomas Fleming, Maik Brune, Christin Riedinger, Nadine Volk, Esther Herpel, Dominik Pesta, Julia Szendrödi, Mark O. Wielpütz, Hans-Ulrich Kauczor, Hugo A. Katus, Michael Kreuter, Peter P. Nawroth
    Respiration.2018; 96(1): 29.     CrossRef
  • Comparison of the presence of fragmented QRS complexes in the inferior versus the anterior leads for predicting coronary artery disease severity
    Mehmet Eyuboglu, Ugur Kucuk, Omer Senarslan, Bahri Akdeniz
    Revista Portuguesa de Cardiologia.2017; 36(2): 89.     CrossRef
  • Comparison of the presence of fragmented QRS complexes in the inferior versus the anterior leads for predicting coronary artery disease severity
    Mehmet Eyuboglu, Ugur Kucuk, Omer Senarslan, Bahri Akdeniz
    Revista Portuguesa de Cardiologia (English Edition).2017; 36(2): 89.     CrossRef
  • High Serum Ykl-40 Level Positively Correlates With Coronary Artery Disease
    Yan Jin, Jia-Ning Cao, Chun-Xia Wang, Qiu-Ting Feng, Xin-He Ye, Xin Xu, Cheng-Jian Yang
    Biomarkers in Medicine.2017; 11(2): 133.     CrossRef
  • Fragmented QRS Is Associated with Improved Predictive Value of Exercise Treadmill Testing in Patients with Intermediate Pretest Likelihood of Significant Coronary Artery Disease
    Eyyup Tusun, Abdulselam Ilter, Feyzullah Besli, Emre Erkus, Ibrahim Halil Altiparmak, Mehmet Bozbay
    Annals of Noninvasive Electrocardiology.2016; 21(2): 196.     CrossRef
  • Use of imaging and clinical data to screen for cardiovascular disease in asymptomatic diabetics
    Carlos Henrique Reis Esselin Rassi, Timothy W. Churchill, Carlos A. Fernandes Tavares, Mateus Guimaraes Fahel, Fabricia P. O. Rassi, Augusto H. Uchida, Bernardo L. Wajchenberg, Antonio C. Lerario, Edward Hulten, Khurram Nasir, Márcio S. Bittencourt, Carlo
    Cardiovascular Diabetology.2016;[Epub]     CrossRef
  • Obese sedentary patients with dyspnoea on exertion who are at low risk for coronary artery disease by clinical criteria have a very low prevalence of coronary artery disease
    J. T. Bruckel, G. Larsen, M. R. Benson
    Clinical Obesity.2014; 4(3): 143.     CrossRef
  • Potential association between coronary artery disease and the inflammatory biomarker YKL-40 in asymptomatic patients with type 2 diabetes mellitus
    Hyun Min Kim, Byung-Wan Lee, Young-Mi Song, Won Jin Kim, Hyuk-Jae Chang, Dong-Hoon Choi, Hee Tae Yu, EunSeok Kang, Bong Soo Cha, Hyun Chul Lee
    Cardiovascular Diabetology.2012;[Epub]     CrossRef
  • Exercise Treadmill Test for Evaluation of Cardiovascular Disease in Diabetic Patients
    Ju Youn Kim, Mee Kyoung Kim, Woo-Baek Chung
    The Journal of Korean Diabetes.2012; 13(4): 182.     CrossRef
Effects of Aerobic Exercise on Abdominal Fat, Thigh Muscle Mass and Muscle Strength in Type 2 Diabetic Subject
Hwi Ryun Kwon, Kyung Wan Min, Hee Jung Ahn, Hee Geum Seok, Bo Kyung Koo, Ho Chul Kim, Kyung Ah Han
Korean Diabetes J. 2010;34(1):23-31.   Published online February 28, 2010
DOI: https://doi.org/10.4093/kdj.2010.34.1.23
  • 8,470 View
  • 59 Download
  • 20 Crossref
AbstractAbstract PDFPubReader   ePub   
Background

Aerobic exercise can effectively reduce visceral fat. However, few studies have examined the effect of daily physical activity on obesity and cardiopulmonary function in the subjects with diabetes. We examined the effect of moderate intensity of walking in obese diabetes patients by monitoring of daily activity and measuring the change in abdominal fat area, muscle are and maximal muscle strength.

Methods

We randomly assigned 27 obese women with type 2 diabetes to an aerobic exercise group (AG, n = 13) and control group (CG, n = 14). The AG performed moderate intensity walking for 60 minutes per exercise, 5 times per week, and for 12 weeks. The activity energy expenditure was monitored by a multi-record accelerometer. The CG maintained routine daily activities. At the time of the initiation of the study and after 12 weeks of exercise, the aerobic exercise capacity was assessed using oxygen consumption rate at anaerobic threshold (VO2-AT). The abdominal fat area and the quadriceps muscle area were measured by computed tomography, and the maximum muscle strength of the upper and lower limbs was measured by a chest press and a leg press, respectively.

Results

The mean age of the study subjects was 56.6 ± 8.0 years, the mean duration of diabetes was 6.3 ± 6.0 years, and the body weight index (BMI) was 27.3 ± 2.7 kg/m2. The BMI of the AG was significantly decreased (P = 0.003). In the AG, the visceral fat area and subcutaneous fat area were also significantly decreased (P = 0.018 and P < 0.001, respectively) but not in CG. VO2-AT of the AG was significantly improved, while that of the CG did not change (P = 0.009 and P = 0.115, respectively). The quadriceps muscle mass and the maximal muscle strength of the AG did not change, however, the CG showed a significant decrease. Duration of moderate intensity exercise was correlated with the decrease in total abdominal fat area (r = -0.484; P = 0.011) and that of high intensity exercise was correlated with improvement of cardiopulmonary function (r = 0.414; P = 0.032).

Conclusion

Daily moderate intensity aerobic exercise is effective at reducing abdominal fat mass, while high intensity exercise improves cardiopulmonary function.

Citations

Citations to this article as recorded by  
  • Are strategies to increase muscle mass and strength as effective in people with type 2 diabetes?
    Amina A. Al-Awadi, Stuart R. Gray, Ebaa Al-Ozairi
    Reviews in Endocrine and Metabolic Disorders.2025; 26(5): 857.     CrossRef
  • Relationship Between Visceral Fat Tissue and Exercise
    Ebru Ceviz
    Türk Spor Bilimleri Dergisi.2024; 7(1): 10.     CrossRef
  • The Effects of Exercise Interventions on Ectopic and Subcutaneous Fat in Patients with Type 2 Diabetes Mellitus: A Systematic Review, Meta-Analysis, and Meta-Regression
    Fatemeh Kazeminasab, Ali Bahrami Kerchi, Nasim Behzadnejad, Saba Belyani, Sara K. Rosenkranz, Reza Bagheri, Fred Dutheil
    Journal of Clinical Medicine.2024; 13(17): 5005.     CrossRef
  • Walking for subjects with type 2 diabetes: a systematic review and joint AMD/SID/SISMES evidence-based practical guideline
    P. Moghetti, S. Balducci, L. Guidetti, P. Mazzuca, E. Rossi, F. Schena, P. Moghetti, S. Balducci, L. Guidetti, F. Schena, P. Mazzuca, E. Rossi
    Sport Sciences for Health.2021; 17(1): 1.     CrossRef
  • Effect of exercise intervention dosage on reducing visceral adipose tissue: a systematic review and network meta-analysis of randomized controlled trials
    Yu-Hsuan Chang, Hui-Ying Yang, Shiow-Ching Shun
    International Journal of Obesity.2021; 45(5): 982.     CrossRef
  • Comparison between different types of exercise training in patients with type 2 diabetes mellitus: A systematic review and network metanalysis of randomized controlled trials
    Edoardo Mannucci, Allegra Bonifazi, Matteo Monami
    Nutrition, Metabolism and Cardiovascular Diseases.2021; 31(7): 1985.     CrossRef
  • The Therapeutic Effects of Mild to Moderate Intensity Aerobic Exercise on Glycemic Control in Patients with Type 2 Diabetes Mellitus: A Meta-Analysis of Randomized Trials
    Siyao Gao, Jialing Tang, Guozhong Yi, Zhong Li, Zhenyin Chen, Ling Yu, Feng Zheng, Yajing Hu, Zhangui Tang
    Diabetes Therapy.2021; 12(10): 2767.     CrossRef
  • Walking for subjects with type 2 diabetes: A systematic review and joint AMD/SID/SISMES evidence-based practical guideline
    P. Moghetti, S. Balducci, L. Guidetti, P. Mazzuca, E. Rossi, F. Schena
    Nutrition, Metabolism and Cardiovascular Diseases.2020; 30(11): 1882.     CrossRef
  • Effect of Coordinative Locomotor Training Program on Body Fat and Muscle mass of Male University students
    Hyung chun Nam, Nam jeong Cho, Jae yong Choi
    Archives of Orthopedic and Sports Physical Therapy.2019; 15(2): 109.     CrossRef
  • Exercise training modalities in patients with type 2 diabetes mellitus: a systematic review and network meta-analysis
    Bei Pan, Long Ge, Yang-qin Xun, Ya-jing Chen, Cai-yun Gao, Xue Han, Li-qian Zuo, Hou-qian Shan, Ke-hu Yang, Guo-wu Ding, Jin-hui Tian
    International Journal of Behavioral Nutrition and Physical Activity.2018;[Epub]     CrossRef
  • Exercise and ectopic fat in type 2 diabetes: A systematic review and meta-analysis
    A. Sabag, K.L. Way, S.E. Keating, R.N. Sultana, H.T. O’Connor, M.K. Baker, V.H. Chuter, J. George, N.A. Johnson
    Diabetes & Metabolism.2017; 43(3): 195.     CrossRef
  • A systematic review and meta‐analysis on the effects of exercise training versus hypocaloric diet: distinct effects on body weight and visceral adipose tissue
    R. J. H. M. Verheggen, M. F. H. Maessen, D. J. Green, A. R. M. M. Hermus, M. T. E. Hopman, D. H. T. Thijssen
    Obesity Reviews.2016; 17(8): 664.     CrossRef
  • Effects of Aerobic Exercise Associated with Abdominal Microcurrent: A Preliminary Study
    Andreia Noites, Rita Nunes, Ana Isabel Gouveia, Alexandra Mota, Cristina Melo, Ágata Viera, Nuno Adubeiro, José Mesquita Bastos
    The Journal of Alternative and Complementary Medicine.2015; 21(4): 229.     CrossRef
  • Brain-derived neurotrophic factor correlated with muscle strength in subjects undergoing stationary bicycle exercise training
    Sen-Wei Tsai, Yin-Ching Chan, Francois Liang, Chiann-Yi Hsu, I-Te Lee
    Journal of Diabetes and its Complications.2015; 29(3): 367.     CrossRef
  • Impact of Walking on Glycemic Control and Other Cardiovascular Risk Factors in Type 2 Diabetes: A Meta-Analysis
    Shanhu Qiu, Xue Cai, Uwe Schumann, Martina Velders, Zilin Sun, Jürgen Michael Steinacker, Lamberto Manzoli
    PLoS ONE.2014; 9(10): e109767.     CrossRef
  • A systematic review and meta‐analysis of the effect of aerobic vs. resistance exercise training on visceral fat
    I. Ismail, S. E. Keating, M. K. Baker, N. A. Johnson
    Obesity Reviews.2012; 13(1): 68.     CrossRef
  • The Effects of Regular Pilates Exercise on Blood pressure and Pulmonary Variables
    Gyu-Chang Lee, Dong-Yeop Lee, Jae-Ho Yu
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(7): 3088.     CrossRef
  • The Effects of Aerobic/Resistance Exercise on Body Fat Mass, Muscle Strength and Endothelial Function in Korean Type 2 Diabetes mellitus Patients
    Kyung Wan Min
    Journal of Korean Diabetes.2011; 12(1): 6.     CrossRef
  • The Evaluation of Workplace Obesity Intervention Program using Six Sigma Methodology
    Ji Yeon Kang, Ill Keun Park, Yun Kyun Chang, Sook Hee Sung, Yoo Kyoung Park, Sang Woon Cho, Yun Mi Paek, Tae In Choi
    The Korean Journal of Obesity.2011; 20(4): 193.     CrossRef
  • How Can We Measure the Effects of Exercise in Daily Life?
    Sang Yong Kim
    Korean Diabetes Journal.2010; 34(1): 21.     CrossRef
Relationship of Maximal Muscle Strength with Body Mass Index and Aerobics Capacity in Type 2 Diabetic Patients.
Hwi Ryun Kwon, Kyung Ah Han, Yun Hyi Ku, Hee Jung Ahn, Bo Kyung Koo, Kyung Wan Min
Korean Diabetes J. 2009;33(6):511-517.   Published online December 1, 2009
DOI: https://doi.org/10.4093/kdj.2009.33.6.511
  • 3,556 View
  • 50 Download
  • 4 Crossref
AbstractAbstract PDF
BACKGROUND
Combination fitness regimens (including aerobic and resistance exercises) are effective for improving cardio-respiratory fitness, reducing visceral fat and increasing insulin sensitivity in diabetic patients. The combination exercise intensity that a patient is capable of is limited by his or her aerobic capacity and one repetition maximum (1RM). We investigated the relationships between 1RM, aerobic exercise capacity and body mass index in patients with type 2 diabetes. METHODS: A total of 177 (men: 85, women: 92) diabetic subjects with HbA1c < or = 10% were enrolled. Muscle strength and 1RM were assessed bychest press (upper body) and leg press (lower body). We assessed aerobic capacity by VO2max and muscle mass by bioimpedance analysis. RESULTS: There was no correlation between 1RM and VO2max in type 2 diabetic patients (upper: P = 0.122, lower: P = 0.138 for men, and upper: P = 0.952, lower: P = 0.570 for women). However, 1RM was significantly correlated with muscle mass both in men and women (upper: r = 0.493, P < 0.001, r = 0.315, P = 0.002 lower: r = 0.437 P < 0.001, r = 0.307, P =0.003, respectively). There was also a significant correlation between 1RM and BMI. In obese male subjects with BMI > or = 25 kg/m2, we observed a significant correlation between muscle mass and BMI (r = 0.374, P = 0.032), but this correlation was not observed in women. CONCLUSION: Clinicians treating Korean type 2 diabetic subjects should recommend resistance exercise to their patients. In particular, obese women with diabetes may receive greater benefits by increasing muscle mass through resistance exercises.

Citations

Citations to this article as recorded by  
  • Evaluation of Muscle Strength and Endurance in Postmenopausal Women: A Cross-sectional Study
    Arati V Mahishale, Manali P Kulkarni
    Journal of South Asian Federation of Obstetrics and Gynaecology.2021; 13(3): 163.     CrossRef
  • The Correlations between Extremity Circumferences with Total and Regional Amounts of Skeletal Muscle and Muscle Strength in Obese Women with Type 2 Diabetes
    Hwi Ryun Kwon, Kyung Ah Han, Hee Jung Ahn, Jae Hyuk Lee, Gang Seo Park, Kyung Wan Min
    Diabetes & Metabolism Journal.2011; 35(4): 374.     CrossRef
  • The Effects of Aerobic/Resistance Exercise on Body Fat Mass, Muscle Strength and Endothelial Function in Korean Type 2 Diabetes mellitus Patients
    Kyung Wan Min
    Journal of Korean Diabetes.2011; 12(1): 6.     CrossRef
  • The Effects of Resistance Training on Muscle and Body Fat Mass and Muscle Strength in Type 2 Diabetic Women
    Hwi Ryun Kwon, Kyung Ah Han, Yun Hyi Ku, Hee Jung Ahn, Bo-Kyung Koo, Ho Chul Kim, Kyung Wan Min
    Korean Diabetes Journal.2010; 34(2): 101.     CrossRef
Randomized Controlled Trial
Effects of Aerobic Exercise Intensity on Insulin Resistance in Patients with Type 2 Diabetes Mellitus.
Yun Hyi Ku, Bo Kyung Koo, Hee Jung Ahn, Ji Yun Jeong, Hee Geum Seok, Ho Chul Kim, Kyung Ah Han, Kyung Wan Min
Korean Diabetes J. 2009;33(5):401-411.   Published online October 1, 2009
DOI: https://doi.org/10.4093/kdj.2009.33.5.401
  • 4,872 View
  • 81 Download
  • 8 Crossref
AbstractAbstract PDF
BACKGROUND
Exercise offers protection against atherosclerosis and insulin resistance. We evaluated the benefits of exercise at different levels of intensity for ameliorating inflammation, endothelial dysfunction, and insulin resistance in a sample of type 2 diabetic subjects. METHODS: Fifty-nine overweight women with type 2 diabetes were randomly assigned to control (CG, N = 18), moderate-intensity exercise (MEG, N = 17), and vigorous-intensity exercise (VEG, N = 14) groups. Patients in the two experimental groups completed a 12-week exercise program, with their exercise activities monitored by accelerometers. We assessed the patients' body weights, total abdominal fat (TF), subcutaneous fat (SF) and visceral fat (VF) via computed tomography, measurements of plasma levels of hs-C-reactive protein (hs-CRP) and interleukin-6 (IL-6), assessment of endothelial function by brachial artery flow-mediated dilation (FMD), and evaluation of insulin sensitivity by insulin tolerance tests, at baseline, at the end of the 12-week interventions, and one year after initiation of the study. RESULTS: At baseline, the average age of all subjects was 54 +/- 7 years, and average body mass index (BMI) was 26.9 +/- 2.5 kg/m2. During the intervention, patients in the MEG and VEG groups expended comparable amounts of activity-related calories (488.6 +/- 111.9 kcal/day, 518.8 +/- 104.1 kcal/day, respectively). Although BMI, TF, and SF decreased similarly in the MEG and VEG groups (deltaBMI: -1.1 +/- 0.7, -0.8 +/- 0.5, deltaTF: -4,647 +/- 3,613 mm2, -2,577 +/- 2,872 mm2, deltaSF: -2,057 +/- 2,021 mm2, -1,141 +/- 1,825 mm2, respectively), compared to control (P<0.01), hs-CRP, IL-6, and FMD remained constant in both exercise groups even after completion of the 12-week exercise intervention. Insulin sensitivity improved only in patients subjected to vigorous exercise (VEG). Visceral fat loss was observed only in patients subjected to moderate exercise (MEG). At one-year follow up, these values had all returned to baseline. CONCLUSION: Exercise vigorous enough to result in significant weight and fat reduction did not ameliorate inflammation and endothelial dysfunction as measured at the end of a 12-week exercise intervention, nor did it result in sustained improvements in insulin sensitivity in type 2 diabetic subjects.

Citations

Citations to this article as recorded by  
  • Effects of different exercise types on vascular endothelial function in individuals with abnormal glycaemic control: a systematic review and network meta-analysis
    Zongxiang Li, Shengyao Luo, Xuebing Bai, Lu Huang, Hongyan Guo, Song Chen, Dan Wang
    PeerJ.2025; 13: e19839.     CrossRef
  • Different intensities of aerobic training for patients with type 2 diabetes mellitus and knee osteoarthritis: a randomized controlled trial
    Chi Su, Lihua Huang, Shaochen Tu, Shengdi Lu
    Frontiers in Endocrinology.2024;[Epub]     CrossRef
  • The anti-inflammatory effects of aerobic exercise training in patients with type 2 diabetes: A systematic review and meta-analysis
    Georgia Papagianni, Chrystalla Panayiotou, Michail Vardas, Nikolaos Balaskas, Constantinos Antonopoulos, Dimitrios Tachmatzidis, Triantafyllos Didangelos, Vaia Lambadiari, Nikolaos P.E. Kadoglou
    Cytokine.2023; 164: 156157.     CrossRef
  • Effects of Exercise on Inflammatory Cytokines in Patients with Type 2 Diabetes: A Meta-analysis of Randomized Controlled Trials
    Xiaoke Chen, Xinzheng Sun, Chenghao Wang, Hui He, Jos L. Quiles
    Oxidative Medicine and Cellular Longevity.2020; 2020: 1.     CrossRef
  • Effect of Diabetic Dietary Education Program on Diabetes Knowledge and Dietary Behaviors of Elderly Diabetic Patients
    Ji Young Ye, Sung Hee Min, Min June Lee
    Korean Journal of Food & Cookery Science.2017; 33(5): 601.     CrossRef
  • Effect of aerobic exercise intensity on glycemic control in type 2 diabetes: a meta-analysis of head-to-head randomized trials
    Yilina Liubaoerjijin, Tasuku Terada, Kevin Fletcher, Normand G. Boulé
    Acta Diabetologica.2016; 53(5): 769.     CrossRef
  • Letter: Effects of Aerobic Exercise Intensity on Insulin Resistance in Patients with Type 2 Diabetes Mellitus (Korean Diabetes J 33(5):401-411, 2009)
    Dong-Lim Kim
    Korean Diabetes Journal.2009; 33(6): 547.     CrossRef
  • Response: Effects of Aerobic Exercise Intensity on Insulin Resistance in Patients with Type 2 Diabetes Mellitus (Korean Diabetes J 33:(5)401-411, 2009)
    Yun Hyi Ku, Bo-Kyung Koo, Kyung-Wan Min
    Korean Diabetes Journal.2009; 33(6): 549.     CrossRef
Original Article
Pedometer-Determined Physical Activity in Type 2 Diabetes in Korea.
Sang Ah Chang, Jung Min Lee, Tae Seo Sohn, Hyun Shik Son, Sung Woo Park, Sei Hyun Baik, Jae Myung Yu, Yeon Ah Sung, Chul Woo Ahn, Kyung Wan Min, Kyung Ah Han
Korean Diabetes J. 2007;31(1):83-88.   Published online January 1, 2007
DOI: https://doi.org/10.4093/jkda.2007.31.1.83
  • 2,544 View
  • 25 Download
AbstractAbstract PDF
BACKGROUND
Walking is a popular, convenient and relatively safe form of exercise. However, there is few objective data for walking exercise. The aim of this study was to evaluate pedometer-determined physical activity defined as steps/day in type 2 diabetes mellitus. Therefore, it could be the basic data for programming walking exercise in diabetes mellitus. METHODS: Participants with type 2 diabetes who visited in 6 university hospitals on February, 2006 in Seoul and Kyung-gi area were recruited. The participants were asked their ambulatory activity with the given pedometer and calorimeter for 1 week. Total 240 (Male 122, Female 118) subjects who walked above 1000 steps/day were analyzed. We also collected their biochemical data from the medical records. RESULTS: Participants took 8532 +/- 4130 steps for day (step/day) and energy expenditure were 320 +/- 161 Cal/day. Steps/day was not significantly different between male and female, but energy expenditure was higher in male than female ( P < 0.05). Steps/day was significantly lower in obese patients than non-obese patients (P < 0.001). BMI (r = -0.325, P < 0.001), waist circumference (r = -0.287, P < 0.001), triglyceride (r = 0.164, P < 0.018) showed significant inverse correlation with steps/day, but BUN (r = 0.165, P = 0.019) and HDL-cholesterol (r = 0.164, P = 0.018) were positive correlated with steps/day significantly. BMI (r = -0.14, P < 0.032) and cholesterol (r = -0.139, P < 0.041) showed significantly inverse correlation with energy expenditure and BUN (r = 0.187, P = 0.008) and HDL cholesterol (r = 0.145, P < 0.037) positively correlated with energy expenditure. Pedometer-determined steps/day was positively associated with energy expenditure (r2 = 0.824, P < 0.001). CONCLUSION: This study showed the objective quantification of physical activity measured by simple and inexpensive pedometers. It could be used to recommend walking exercise since the practitioners can estimate steps/day for required energy expenditure.
Randomized Controlled Trial
The Effects of Aerobic Training Versus Resistance Training in Non-obese Type 2 Diabetics.
Keun Hee An, Kyung Wan Min, Kyung Ah Han
Korean Diabetes J. 2005;29(5):486-494.   Published online September 1, 2005
  • 2,164 View
  • 90 Download
AbstractAbstract PDF
BACKGOUND: The purpose of this study was to explore the influence of the low intensity resistance exercise training and aerobic exercise training on body composition, physical fitness, and metabolic profiles in non-obese type 2 diabetic patients. METHODS: Participants(N:26) had been randomly assigned to resistance exercise(resistance, N:10), aerobic exercise(aerobic, N:9) and control group(control, N:7). Resistance exercise was carried out at 15~20RM(1RM 60%) and aerobic exercise was carried out at anaerobic threshold(AT). Each exercise group was scheduled to implement the training for twelve weeks, two times per day and five days per week. RESULTS: Body mass index, waist to hip ratio, %fat, FBS, PP2, HbA1c and low-density lipoprotein cholesterol(LDL-C) were significantly decreased after the training period in resistance and aerobic exercise group. Strength endurance, agility and flexibility were significantly improved after the training period in resistance and aerobic exercise groups. There were significant differences in BMI, percent fat, FBS, PP2, METs and HR at anaerobic threshold after the training period in aerobic and control groups. Total cholesterol was significantly decreased after the training period in aerobic exercise groups. Load, heart rate and METs at AT significantly increased after the training period in aerobic group. High-density lipoprotein cholesterol(HDL-C) and balance significantly increased after the training period in resistance group. There were significant differences in strength endurance and agility between two exercise groups and control group. CONCLUSION: This study suggested circuit type resistance exercise might have nearly comparable effects on weight control, body composition, blood glucose control and improvement of insulin resistance in non-obese type 2diabetic patients.
Original Articles
The Long-term Effect of a Structured Diabetes Education Program for Uncontrolled Type 2 Diabetes Mellitus Patients-a 4-Year Follow-up.
Min Sun Song, Ki Ho Song, Seung Hyun Ko, Yu Bai Ahn, Joon Sung Kim, Jin Hee Shin, Yang Kyung Cho, Kun Ho Yoon, Bong Youn Cha, Ho Young Son, Dong Han Lee
Korean Diabetes J. 2005;29(2):140-150.   Published online March 1, 2005
  • 2,106 View
  • 75 Download
AbstractAbstract PDF
BACKGROUND
Diabetes mellitus is a chronic illness with many metabolic complications. The prevalence of diabetes mellitus has markedly increased. Until now, however, little data have been presented for the long-term evaluation of a structured diabetes education program (SDEP) for patients with type 2 diabetes mellitus. The aim of this study was to examine the effects of the SDEP on glycemic control, lipid profiles, and self-care behavior over a four-year follow-up period. METHODS: A total of 248 diabetic patients completed the SDEP from December 1999 to September 2000. Ninety-eight patients were followed-up for more than four years and 75 of them were selected for the study, after those subjects having a baseline glycated hemoglobin(HbA1c) levels below 7.9% were excluded. The laboratory data included the glycemic control status(fasting blood sugar and HbA1c), serum creatinine, and lipid profiles. Compliance with their diet, self monitoring of blood glucose, and their exercise frequency were monitored with a questionnaire that was completed by the patients when they visited the hospital. The data were analyzed by using repeated ANOVA measures and chi2 testing for detecting trends. RESULTS: There were no significant decreases in the fasting blood glucose, creatinine, total cholesterol, triglycerides or low density lipoprotein cholesterol for the SDEP group compared with the control group. The self-care behavior of the SDEP group was much better than that of the control group and it was well maintained. Although the self-care behavior tended to deteriorate with time in the SDEP group, the exercise frequency did not change. The HbA1c level was much improved in the SDEP group(HbA1c: SDEP, 7.9+/-1.2% vs. 8.9+/-1.6% for the control; P =0.009). High density lipoprotein(HDL) cholesterol was also relatively improved in the SDEP group(HDL cholesterol: SDEP, 1.1+/-0.2 mmol/L vs. 1.0+/-0.3mmol/L for the control; P=0.006). CONCLUSIONS: The glycemic control status of diabetic patients who undertook the SDEP was satisfactory for one year after the program, although all the habitual compliance measures decreased gradually with time over the total four years. These results demonstrate that the SDEP for patients with diabetes is useful in improving their long-term glycemic control and self-care behavior. Regular and sustained reinforcement with encouragement will be required for the diabetic patients to maintain their self-care
Maximal Oxygen Uptake (VO2max) and Metabolic Syndrome.
Mira Kang, Ji Dong Sung, Byung Chul Yoo, Yoon Ho Choi, Sae Young Jae, Jae Hoon Chung, Yong Ki Min, Myung Shik Lee, Kwang Won Kim, Moon Kyu Lee
Korean Diabetes J. 2005;29(1):65-71.   Published online January 1, 2005
  • 2,334 View
  • 50 Download
AbstractAbstract PDF
BACKGROUND
A number of studies have demonstrated an inverse relationship between cardiorespiratory fitness and metabolic syndrome. However, whether the maximal oxygen uptake (VO2max) is dependent on the number of metabolic components or on particular metabolic component remains to be assessed. METHODS: A total of 1,432 Korean subjects were studied. Each individual was assessed for the presence of metabolic syndrome using the modified NCEP-ATP III criteria. All subjects underwent a graded symptom-limited maximal exercise test to determine their VO2max, using a treadmill according to the Bruce protocol. RESULTS: The age-adjusted prevalence of metabolic syndrome in all subjects was 20.4%. The odds ratios for metabolic syndrome were higher in men, the elderly, the obese and those with a lower VO2max. The difference in the VO2max was dependent only on the presence of metabolic syndrome, not on the number of components. CONCLUSION: There were no significant differences in the VO2max according to the presence of particular metabolic components. These results suggest that the VO2max reflects the metabolic syndrome state, rather than the metabolic components, and might be a factor in determining metabolic syndrome
Exercise and Fenofibrate Reduces Body Adiposity Synergistically in OLETF Rats.
Young Jun An, Hre Jeong Lee, Mi Kyoung Park, Kyung Il Lee, In Young Koh, Dong Sik Jung, Ah Young Kang, Duk Kyu Kim
Korean Diabetes J. 2004;28(2):131-138.   Published online April 1, 2004
  • 1,541 View
  • 19 Download
AbstractAbstract PDF
BACKGROUND
The PPAR alpha activator, Fenofibrate, is a pharmacological ligand, which induces beta-oxidation of long chain fatty acids in the mitochondria of hepatocytes. The beta-oxidation induced by exogenous PPAR alpha activators may be operated maximally when the sustained production of energy substrate in the liver is required by working muscles due to continued exercise. The aim of this study was to determine whether the combination therapy of exercise and Fenofibrate could synergistically reduce body adiposity in OLETF rats. METHODS: Twenty-eight male OLETF rats(13 wk old) were divided into four groups. The diet(n=7) and exercise groups(n=7) were fed with chow for 12 weeks. The Fenofibrate(n=7) and combined treatment(exercise and Fenofibrate) groups (n=7) were fed with Fenofibrate(32mg/kg/day) mixed chow for 12 weeks. The animals in the exercise and combined treatment groups were exercised by running on a treadmill for 12 weeks. At 24 weeks of age, all the rats were sacrificed, and examined by biochemical tests and had their adipose tissue weight measured. RESULTS: There were no significant changes in the retroperitoneal and subcutaneous fats between the diet and Fenofibrate groups, but there were between the diet and combined treatment groups(P<0.05). CONCLUSION: Exercise combined with Fenofibrate synergistically reduces body adiposity in OLETF rats
Clinical Characteristics of Diabetic Patients Controlled by Diet and Exercise.
Kil Sang Wang, Sung Bae Lee, Hyun Suk Lee, Jae Suk Jeon, Kyung Wan Min, Kyung Ah Han, Eung Jin Kim
Korean Diabetes J. 1999;23(1):98-107.   Published online January 1, 2001
  • 1,395 View
  • 20 Download
AbstractAbstract PDF
BACKGROUND
In order to rnaintain blood glucose in ao acceptable range, some patients with type 2 diabetes mellitus may be able to their level manage with diet and exercise alone, but others require oral agents or insulin. To assess which factors gave important influences on therapeutic methocls, we investigated clinical characteristics and life-style in the type 2 diabetic patients who could be managed with diet and exercise alone. METHODS: We recruited patients with type 2 diabetes mellitus from Eulji Medical College Diabetes Center, who had dieted and exercised for over 3 years (99; group 1) and compared them with patients who were managed with oral agents (130; group 2) or insulin (47; group 3). We conducted the retrospective evaluation of age, sex, duration of DM, initial and recent BM1 (body mass index), serial HbA 1c, skipped period ratio of hospital follow-up, self monitoring of blood glucose (SMBG) or urine sugar, diet and exercise and educational chance for diabetes with dependency of folk remedies. RESULTS: The duration of the DM was significantly shorter in group 1 than in group 2 or 3 (p<0,05). Initial BMI and HbA. were not different among these three groups, but HMI reduction was more decreased in group 1 (p<0.05). The mean HbA, during follow-up was lower in group 1 (p<0.05). The skipped period ratio of hospital follow-up was lower in group 1 (p<0.05). SMBG was less frequent, the meal-time was more regular, extra-snacks were less frequent and folk remedies were rarely tried in group 1. CONCLUSION: This study suggests that the duration of DM, BMI reduction and mean HbA 1c, were associated with the therapeutic method in patients with type 2 diabetes mellitus. We would like to a]so emphasize the importance of SMBG, meal-time regularity, extra-snacks and folk remedies in the education of patients with type 2 diabetes mellitus.
Effect of Exercise Training on Insulin Sensitivity and Intracellular Glucose Metabolism in Skeletal Muscle of High Fat-fed Rats.
Chul Hee Kim, Joong Yeol Park, Sung Kwan Hong, Kyong Soo Park, Hong Kyu Lee, Ki Up Lee
Korean Diabetes J. 1998;22(2):231-242.   Published online January 1, 2001
  • 1,769 View
  • 18 Download
AbstractAbstract PDF
BACKGROUND
Insulin resistance is a major characteristic of non-insulin-dependent diabetes mellitus and obesity. Many studies have indicated that increased intake of fat are associated with obesity and insulin resistance. On the other hand, chronic exercise is known to improve insulin sensitivity. However, the mechanisms by which high fat diet induces insulin resistance and exercise trainmg improves insulin sensitivity are not established. This study was undertaken to examine the mechanisms by which high fat diet and exercise training affect the insulin sensitivity in the whole body and in skeletal muscles. METHODS: Male Sprague-Dawley rats were divided into three groups: high fat sedentary group, high fat exercise group, and control(low fat sedentary) group. High fat diet consists of 66.5% fat and 12.5% carbohydrate, and control(low fat) diet consists of 12 5% fat and 66.5% carbohydrate. Exercise training was performed by swimming three hours per day. After 3 weeks, animals underwent hyperinsulinemic euglycemic clamp study to measure whole body glucose metabolic fluxes. Glycogen synthase activity and glucose-6-phosphate (G-6-P) levels were measured in skeletal muscle at the end of the clamp study. RESULTS: In the high fat diet group, whole body glycolysis and glycogen synthesis were decreased. Exercise training reversed the insulin resistance induced by high fat diet by increasing both glycolysis and glycogen synthesis. Glycogen synthase activity in skeletal muscle was reduced in high fat diet group, and it was partially reversed by exercise training. G-6-P level in skeletal muscle was increased in high fat diet group, and it was further increased by exercise training. CONCLUSION: These results suggested that the insulin resistance in high fat diet-fed rats is due to the impairment in glucose metabolism at sites distal to G-6-P, i.e. glycolysis and glycogen synthesis. In contrast, the improvement in insulin sensitivity by exercise training in high fat-fed rats is primarily due to the increased glucose metabolic flux proximal to G-6-P, i.e. glucose transport and phosphorylation.

Diabetes Metab J : Diabetes & Metabolism Journal
Close layer
TOP