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The Effects of Regulatory Exercise on Adipokines and Inflammatory Reaction in Type 1 Diabetic and Obese Children

규칙적인 운동이 제1형 당뇨병 및 비만 환아의 아디포카인과 염증반응에 미치는 영향

  • Kang, Sung-Hwun (Department of Physical Education, Dong-A University) ;
  • Shin, Ki-Ok (Department of Physical Education, Dong-A University) ;
  • Park, So-Young (Department of Pharmacology, School of Medicine, Dong-A University) ;
  • Woo, Jin-Hee (Department of Physical Education, Dong-A University)
  • 강성훈 (동아대학교 체육학과) ;
  • 신기옥 (동아대학교 체육학과) ;
  • 박소영 (동아대학교 의과대학 약리학교실) ;
  • 우진희 (동아대학교 체육학과)
  • Received : 2010.03.31
  • Accepted : 2010.04.19
  • Published : 2010.07.30

Abstract

The purpose of this study was to investigate the effects of aerobic exercise on adipokines and inflammatory reaction in obesity and type 1 diabetes mellitus (T1DM) children. We studied obese (OG, n=9), type 1 diabetic (DG, n=9), and normal (NG, n=9) children groups. Measurement factors included body weight, % fat, body mass index (BMI), $VO_2max$, lipid profiles and adipokines. The results showed significant differences in body weight, % fat, BMI, and $VO_2max$ (ml/kg/min) among the OG, DG, and NG (p<0.05) groups. There were significant differences in LDL-C and HDL-C between the OG, DG, and NG groups (p<0.05). In addition, adiponectin and retinol binding protein (RBP)-4 were significantly changed in DG and NG after 12 weeks exercise training (p<0.05), and there were also significant differences among the OG, DG, and NG groups (p<0.05). Monocyte chemoattractant protein (MCP)-1 in the OG, DG, and NG groups was significantly increased after 12 weeks exercise training (p<0.05). In conclusion, regulatory aerobic exercise does not change body composition in obese children with T1DM, but exercise and decreased blood inflammatory factors in T1DM may protect obese children from metabolic syndrome.

본 연구의 목적은 유산소 운동이 비만과 제1형 당뇨병 어린이들에게 adipokines과 염증반응에 미치는 영향을 알아보고자 실시되었다. 피험자들은 비만군(OG, n=9), 제1형 당뇨병군(DG, n=9), 그리고 정상군(NG, n=9) 어린이로 연구하였다. 모든 인자는 체중, 체지방률, 체질량지수(BMI), 최대산소섭취량(ml/kg/min), 지질 인자와 adipokines를 분석하였다. 그 결과 체중, 체지방률, BMI, 최대산소섭취량에서 OG에 비해 DG와 NG는 유의한 차이가 나타났다(p<0.05). LDL-C와 HDL-C 역시 OG에 비해 DG와 NG에서 유의한 차이가 나타났다(p<0.05). 게다가 adiponectin과 retinol binding protein (RBP)-4는 12주 운동 후에 DG와 NG에서 유의한 변화가 나타났으며 (p<0.05), OG에 비해 DG와 NG에서 유의한 차이가 나타났다(p<0.05). Monocyte chemoattractant protein (MCP)-1에서 모든 그룹은 12주 운동후 유의하게 증가하였다(p<0.05). 결론적으로 규칙적인 운동은 비만과 제1형 당뇨병 어린이에게 신체조성의 변화는 가져오지 못했으나 제1형 당뇨병 어린이의 혈관 염증을 줄여줄 수 있으며, 비만어린이에서는 대사 증후군을 보호할 수 있을 것으로 사료된다.

Keywords

References

  1. Arslanian, S. 2002. Type 2 diabetes in children: Clinical aspects and risk factors. Horm. Res. 57, 19-28.
  2. Brunn J. M., J. W. Helge, B. Richelsen, and B. Stallknecht 2006. Diet and exercise reduce low-grade inflammation and macrophage infiltration in adipose tissue but not skeletal muscle in severely obese subjects. Am. J. Physiol. Endocrinol. Metab. 290, E961-E967. https://doi.org/10.1152/ajpendo.00506.2005
  3. Calle, E. E., M. J. Thun, J. M. Petrelli, C. Rodriguez, and C. W. Jr. Heath. 1999. Body-mass index and mortality in a prospective cohort of U. S. adults. N. Engl. J. Med. 341, 1097-1105. https://doi.org/10.1056/NEJM199910073411501
  4. Caprio, S. 2002. Insulin resistance in childhood obesity. J. Pediatr. Endocrinol. Metab. 15, 487-492.
  5. Christiansen, T., B. Richelsen, and J. M. Bruun. 2005. Monocyte chemoattractant protein-1 is produced in isolated adipocytes, associated with adiposity and reduced after weight loss in morbid obese subjects. Int. J. Obes. Relat. Metab. Disord. 29, 146-150. https://doi.org/10.1038/sj.ijo.0802839
  6. Dube, M. C., P. Valois, D. Prud'homme, S. J. Weisnagel, and C. Lavoie. 2006. Physical activity barriers in diabetes: development and validation of a new scale. Diabetes. Res. Clin. Pract. 72, 20-27. https://doi.org/10.1016/j.diabres.2005.08.008
  7. Goldhammer, E., A. Tanchilevitch, I. Maor, Y. Beniamini, U. Rosenschein, and M. Sagiv. 2005. Exercise trianing modulates cytokines activity in coronary heart disease patients. Int. J. Cardiol. 100, 93-99. https://doi.org/10.1016/j.ijcard.2004.08.073
  8. Goran, M. I. and B. A. Gower. 1998. Abdominal obesity and cardiovascular risk in children. Coron. Artery. Dis. 9, 483-487. https://doi.org/10.1097/00019501-199809080-00003
  9. Graham, T. E., Q. Yang, M. Bluher, A. Hammarstedt, T. P. Ciaraldi, R. R. Henry, C. J. Wason, A. Oberbach, P. A. Jansson, U. Smith, and B. B. Kahn. 2006. Retinol-binding protein 4 and insulin resistance in lean, obese, and diabetic subjects. N. Engl. J. Med. 354, 2552-2563. https://doi.org/10.1056/NEJMoa054862
  10. Hammett, C. J., H. Prapavessis, J. C. Baldi, N. Varo, U. Schoenbeck, R. Ameratunga, J. K. French, H. D. White, and R. A. Stewart. 2006. Effects of exercise training on 5 inflammatory markers associated with cardiovascular risk. Am. Heart. J. 151, 367.
  11. Haslam, D. W., and W. P. James. 2005. Obesity. Lancet 366, 1197-1209. https://doi.org/10.1016/S0140-6736(05)67483-1
  12. Jenkins, A. B., D. J. Chisholm, D. E. James, K. Y. Ho, and E. W. Kraegen. 1985. Exercise-induced hepatic glucose output is precisely sensitive to the rate of systemic glucose supply. Metabolism 34, 431-436. https://doi.org/10.1016/0026-0495(85)90208-2
  13. Jonsdottir, I. H., P. Schjerling, K. Ostrowski, S. Asp, E. A. Richter, and B. K. Pedersen. 2000. Muscle contractions induce interleukin-6 mRNA production in rat skeletal muscles. J. Physiol. 528, 157-163. https://doi.org/10.1111/j.1469-7793.2000.00157.x
  14. Kasapis, C. and P. D. Thompson. 2005. The effects of physical activity on serum C-reactive protein and inflammatory markers: a systematic review. J. Am. Coll. Cardiol. 45, 1563-1569. https://doi.org/10.1016/j.jacc.2004.12.077
  15. Katja, B., T. Laatikainen, V. Salomaa, and P. Jousilahti. 2006. Associations of leisure time physical activity, self-rated physical fitness, and estimated aerobic fitness with serum C-reactive protein among 3,803 adults. Atherosclerosis 185, 381-387. https://doi.org/10.1016/j.atherosclerosis.2005.06.015
  16. Kelly, A. S., J. Steinberger, T. P. Olson, and D. R. Dengel. 2007. In the absence of weight loss, exercise training does not improve adipokines or oxidative stress in overweight children. Metabolism 56, 1005-1009. https://doi.org/10.1016/j.metabol.2007.03.009
  17. Lakka, T. A., H. M. Lakka, T. Rankinen, A. S. Leon, D. C. Rao, J. S. Skinner, J. H. Wilmore, and C. Bouchard. 2005. Effect of exercise training on plasma levels of C-reactive protein in healthy adults: the HERITAGE Family Study. Eur. Heart J. 26, 2018-2025. https://doi.org/10.1093/eurheartj/ehi394
  18. Marcell, T. J., K. A. McAuley, T. Traustadottir, and P. D. Reaven. 2005. Exercise training is not associated with improved levels of C-reactive protein or adiponectin. Metabolism 54, 533-541. https://doi.org/10.1016/j.metabol.2004.11.008
  19. Nassis, G. P., K. Papantakou, K. Skenderi, M. Triandafillopoulou, S. A. Kavouras, M. Yannakoulia, G. P. Chrousos, and L. S. Sidossis. 2005. Aerobic exercise training improves insulin sensitivity without changes in body weight, body fat, adiponectin, and inflammatory markers in overweight and obese girls. Metabolism 54, 1472-1479. https://doi.org/10.1016/j.metabol.2005.05.013
  20. Nemet, D., Y. Oh, H. S. Kim, M. Hill, and D. M. Cooper. 2002. Effect of intense exercise on inflammatory cytokines and growth mediators in adolescent boys. Pediatrics 110, 681-689. https://doi.org/10.1542/peds.110.4.681
  21. Nicklas, B. J., W. Ambrosius, S. P. Messier, G. D. Miller, B. W. Penninx, R. F. Loeser, S. Palla E. Bleecker, and M. Pahor. 2004. Diet-induced weight loss, exercise, and chronic inflammation in older, obese adults: a randomized controlled clinical trial. Am. J. Clin. Nutr. 79, 544-551.
  22. Panagiotakos, D. B., C. Pitsavos, C. Chrysohoou, S. Kavouras, C. Stefanadis, and ATTICA Study. 2005. The associations between leisure-time physical activity and inflammatory and coagulation markers related to cardiovascular disease: the ATTICA Study. Prev. Med. 40, 432-437. https://doi.org/10.1016/j.ypmed.2004.07.010
  23. Petersen, A. M. W. and B. K. Pedersen. 2005. The anti-inflammatory effect of exercise. J. Appl. Physiol. 98, 1154-1162. https://doi.org/10.1152/japplphysiol.00164.2004
  24. Roberts, C. K., D. Won, S. Pruthi, S. Kurtovic, R. K. Sindhu, N. D. Vaziri, and R. J. Barnard. 2006. Effects of a short-term diet and exercise intervention on oxidative stress, inflammation, MMP-9, and monocyte chemotactic activity in men with metabolic syndrome factors. J. Appl. Physiol. 100, 1657-1665. https://doi.org/10.1152/japplphysiol.01292.2005
  25. Steinberger, J. and S. R. Daniels. 2003. Obesity, insulin resistance, diabetes, and cardiovascular risk in children: an American Heart Association scientific statement form the Atherosclerosis, Hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation 107, 1448-1453. https://doi.org/10.1161/01.CIR.0000060923.07573.F2
  26. Tansey, M. J., E. Tsalikian, R. W. Beck, N. Mauras, B. A. Buckingham, S. A. Weinzimer, K. F. Janz, C. Kollman, D. Xing, K. J. Ruedy, M. W. Steffes, T. M. Borland, R. J. Singh, W. V. Tamborlane, and Diabetes Research in Children Network (DirecNet) Study Group. 2006. The effects of aerobic exercise on glucose and counterregulatory hormone concentration in children with type 1 diabetes. Diabetes Care 29, 20-25. https://doi.org/10.2337/diacare.29.01.06.dc05-1192
  27. Targher, G., L. Zenari, L. Bertolini, M. Muggeo, and G. Zoppini, 2001. Elevated levels of interleukin-6 in young adults with type 1 diabetes without clinical evidence of microvascular and macrovascular complications. Diabetes Care 24, 956-957. https://doi.org/10.2337/diacare.24.5.956
  28. Trayhurn, P. and I. S. Wood. 2004. Adipokines: inflammation and the pleiotropic role of white adipose tissue. Br. J. Nutr. 92, 347-355. https://doi.org/10.1079/BJN20041213
  29. Weiss, R., J. Dziura, T. S. Burgert, W. V. Tamborlane, S. E. Taksali, C. W. Yeckel, K. Allen, M. Lopes, M. Savoye, J. Morrison, R. S. Sherwin, and S. Caprio. 2004. Obesity and the metabolic syndrome in children and adolescents. N. Engl. J. Med. 350, 2362-2374. https://doi.org/10.1056/NEJMoa031049
  30. Woo, J. and S. Kang. 2008. The effects of individual calory consumption training on oxidation - Antioxidation system in obese childre. Korean Journal of Sport Science. 19, 75-81.

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