不同运动训练对超重男性β细胞功能、胰岛素抵抗和骨钙素水平的影响

Mehdi Rostamizadeh, A. Elmieh, Farhad Rahmani Nia
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背景与目的:许多研究结果表明骨钙素(OCN)与调节能量代谢之间存在潜在的关系。此外,有研究表明,体育活动可以增加OCN水平。因此,本研究旨在探讨不同运动训练对超重男性β细胞功能、胰岛素抵抗和OCN水平的影响。方法:将33例超重青年男性[体重指数(BMI): 29.32±0.75,年龄31.50±2.23]随机分为对照组(n=11)、有氧组(n=11)和阻力组(n=11)。运动组的参与者参加了为期8周的有监督的运动训练计划,每周三次。分析体重、体脂率和BMI,然后从8周运动前后的空腹血液样本中评估OCN、胰岛素和胰岛素抵抗的稳态模型评估(HOMA-IR)。最后采用t检验和协方差分析(ANCOVA)对数据进行分析。结果:运动后BMI、体重、胰岛素、血糖、HOMA-IR降低(P<0.05),而有氧运动组(P=0.001)和阻力运动组(P=0.000)血清OCN显著升高(P=0.000)。有氧运动组(P=0.512)和阻力运动组(P=0.16) β细胞功能无显著变化。Pearson相关分析显示,OCN水平与HOMA-IR (P=0.743)和胰岛素水平(P=0.143)无关。然而,OCN与b细胞功能(P=0.014)和葡萄糖(P=0.025)的稳态模型评估呈正相关。结论:本研究结果证实了有氧运动和阻力运动对体重和BMI以及OCN和HOMA-IR有一定的影响。尽管如此,OCN水平的变化并不能预测胰腺β细胞胰岛素分泌的变化。
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Effect of different exercise trainings on β-cell function, insulin resistance, and osteocalcin levels in overweight men
Background and aims: Many findings have shown the potential relation between osteocalcin (OCN) and regulating energy metabolism. In addition, it has been revealed that physical activity increases OCN levels. Therefore, the present study aimed to investigate the effects of different exercise trainings on β-cell function, insulin resistance, and OCN levels in overweight men. Methods: In this study, 33 overweight, young men [Body mass index (BMI): 29.32±0.75 and age range of 31.50±2.23] were randomly divided into control (n=11), aerobic exercise (n=11), and resistance exercise (n=11) groups. Participants of the exercise group were on the 8-week supervised exercise training program for three sessions per week. Weight, body fat percentage, and BMI were analyzed, and then OCN, insulin, and the homeostasis model assessment of insulin resistance (HOMA-IR) were assessed from fasting blood samples before and after the 8-week exercise program. Finally, data were analyzed by t test and analysis of covariance (ANCOVA). Results: Based on the results, BMI and body weight, insulin, glucose, and HOMA-IR reduced following the exercise (P<0.05) whereas serum OCN significantly increased in aerobic exercise (P=0.001) and resistance exercise (P=0.000) groups. There were no significant changes in β-cell function in aerobic exercise (P=0.512) and resistance exercise (P=0.16) groups. Pearson correlation analysis demonstrated that OCN levels were not correlated with HOMA-IR (P=0.743) and insulin levels (P=0.143). However, OCN was positively associated with the homeostasis model assessment of b-cell function (P=0.014) and glucose (P=0.025). Conclusion: The results of the present study confirmed that aerobic and resistance exercises cause some changes in body weight and BMI, as well as the OCN and HOMA-IR. Nonetheless, changes in OCN levels were not predictors of changes in insulin secretion from pancreatic beta cells.
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