بررسی تاثیر یک دوره تمرینات ورزشی ترکیبی بر میزان سایتوکاین اینترلوکین-17 و عملکرد شناختی در زنان دیابتی

نویسندگان

1 دانشگاه تربیت مدرس

2 دانشگاه علوم پزشکی تهران

چکیده
مقدمه: دیابت یک بیماری متابولیک و پیشرونده است که باعث فعال شدن سیستم ایمنی و افزایش برخی از سایتوکاین های التهابی از جمله IL-17 می شود. یکی از عوارض مرتبط با دیابت، بر مغز و سیستم عصبی است که با اختلال عملکرد شناختی مشخص می شود. فعالیت های ورزشی در بهبود شرایط بیماران دیابتی موثر است. هدف از مطالعه، بررسی تاثیر یک دوره ورزش ترکیبی چند وجهی در منزل بر سطوح سرمی سایتوکاین اینترلوکین17و عملکرد شناختی در زنان مبتلا به دیابت نوع دو بود.

روش‌ها: 70 بیمار مبتلا به دیابت نوع دو به صورت تصادفی به دو گروه تمرین و کنترل تقسیم شدند.گروه تمرین در یک برنامه تمرینات ورزش ترکیبی چندوجهی به مدت 3 ماه در منزل شرکت کردند. قبل و بعد از مداخله شاخص های خونی، عملکرد شناختی و ترکیب بدن اندازه گیری شد. از نرم افزار آماری SPSS برای تحلیل نتایج استفاده شد، سطح معناداری 0.05>P در نظر گرفته شد.

یافته‌ها: مطالعه حاضر نشان داد، تمرینات ترکیبی باعث کاهش سایتوکاین التهابی IL-17 شد (P<0.05). بررسی عملکرد شناختی هر چند بهبود نسبی را نشان داده است اما نتایج معنادار نمی باشد (P>0.05). همزمان قند خون ناشتا در گروه تمرین کاهش یافته است (P<0.05) و برخی از شاخص های مرتبط با ترکیب بدن و به صورت ویژه درصد چربی بهبود یافت (P<0.05).

نتیجه گیری: تمرینات ورزشی ترکیبی در منزل با کاهش سایتوکاین التهابی IL-17 و بهبود نسبی عملکرد شناختی در بیماران دیابتی همراه بود. بهبود احتمالی در پاسخ های ایمنی به دنبال این تمرینات می تواند در کاهش IL-17 سرمی موثر باشد.

عنوان مقاله English

Investigating the effect of combined exercise training on the level of interleukin-17 cytokine and cognitive function in type 2 women

نویسندگان English

Samaneh Agha-Mohammadi 1
Mahdieh Molanouri Shamsi 1
Hosain Adibi 2
1 Tarbiat Modares University
2 Tehran University of Medical Sciences
چکیده English

Introduction: Diabetes is a progressive metabolic disease that activates the immune system and increases certain inflammatory cytokines, including IL-17. One of the complications associated with diabetes affects the brain and nervous system, leading to cognitive dysfunction. Physical activities are effective in improving the condition of diabetic patients. This study aimed to investigate the effect of a multi-task combined home exercise program on serum levels of the cytokine interleukin-17 and cognitive function in women with type 2 diabetes.

Methods: Seventy patients with type 2 diabetes were randomly divided into two groups: exercise and control. The exercise group participated in a multi-task combined home-based exercise program for three months. Blood markers, cognitive function, and body composition were measured before and after the intervention. The results were analyzed using SPSS software, with a significance level of P<0.05.

Results: The present study showed that the combined exercise program led to a reduction in the inflammatory cytokine IL-17 (P<0.05). Although cognitive function showed relative improvement, the results were not statistically significant (P>0.05). Concurrently, fasting blood glucose decreased in the exercise group (P<0.05), and some body composition indices, particularly body fat percentage, improved (P<0.05).

Conclusion: Home-based combined exercise programs were associated with a reduction in the inflammatory cytokine IL-17 and a relative improvement in cognitive function in diabetic patients. The potential improvement in immune responses following these exercises may contribute to the reduction of serum IL-17 levels.

کلیدواژه‌ها English

type 2 diabetes
Interleukin 17
cognitive function
Combined Exercises
1. Hazari A, Maiya GA. Clinical biomechanics and its implications on diabetic foot. Springer; 2020.
2. International AsD. World Alzheimer report 2014. London.; 2014.
3. Cheng G HC, Deng H, Wang H. Diabetes as a risk factor for dementia and mild cognitive impairment: a meta-analysis of longitudinal studies. Intern Med J. 2012;42(5):484-891.
4. Nooyens AC BC, Spijkerman AM, Verschuren WM. Type 2 diabetes and cognitive decline in middle-aged men and women: the Doetinchem cohort study. Diabetes Care 2010;33(9):1964-9.
5. Palta P SA, Biessels GJ, Touradji P, Hill-Briggs F. Magnitude of cognitive dysfunction in adults with type 2 diabetes: a meta-analysis of six cognitive domains and the most frequently reported neuropsychologica tests within domains. J Int Neuropsychol Soc. 2014;20(3):278-91.
6. J.E. Shaw RAS, P.Z. Zimmet. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Research and Clinical Practice. 2010;87(1): 4-14.
7. Juliana C. N. Chan M, MD, Vasanti Malik M, Weiping Jia M, PhD, al. e. Diabetes in Asia،Epidemiology, Risk Factors, and Pathophysiology. JAMA. 2009;301(20):2129-40.
8. SE. S. Inflammation and insulin resistance. J Clin Invest. 2006;116:1793-801.
9. Aruna D. Pradhan M, MPH, JoAnn E. Manson M, DrPH, Nader Rifai P, al. e. C-Reactive Protein, Interleukin 6, and Risk of Developing Type 2 Diabetes Mellitus. JAMA. 2001;286(3):327-34.
10. Barbara Thorand P, MPH, Hannelore Löwel M, Schneider A, al. e. C-Reactive Protein as a Predictor for Incident Diabetes Mellitus Among Middle-aged Men.Results From the MONICA Augsburg Cohort Study, 1984-1998. Arch Intern Med. 2003;163(1):93-9.
11. Alexios S. Antonopoulos DT. The molecular mechanisms of obesity paradox. Cardiovascular Research. 2017;113(9):1074–86.
12. Vasso Apostolopoulos MPJdC, Lily Stojanovska, Gregory L. Blatch, Kathy Tangalakis, Barbora de Courten. The complex immunological and inflammatory network of adipose tissue in obesity. Mol Nutr. 2015;60(1):43-57.
13. Henrike Sell CHJE. Adaptive immunity in obesity and insulin resistance. nature reviews endocrinology. 2012;8:709–16
14. Zhong. CXXRnJ. Role of T Lymphocytes in Type 2 Diabetes and Diabetes-Associated Inflammation. Journal of Diabetes Research. 2017.
15. Yousefimanesh H, Robati M, Najafi N, Ghadiri A. The Relationship between Salivary Interleukin 17 with Periodontitis and Diabetes: A Case-control Study. IJEM. 2022;24(4):241.
16. Chen X, Sun X, Wang C, He H. Effects of Exercise on Inflammatory Cytokines in Patients with Type 2 Diabetes: A Meta-analysis of Randomized Controlled Trials. Oxidative medicine and cellular longevity. 2020;2020:6660557.
17. W.L. Xu M, PhD, A.R. Atti, MD, PhD, M. Gatz, PhD, N.L. Pedersen, PhD, B. Johansson, PhD, and L. Fratiglioni, MD, PhD. Midlife overweight and obesity increase late-life dementia risk. Neurology. 2011;76(18):1568-74.
18. Rachel A Whitmer ge, Erica P Gunderson, obesity epidemiologist, Elizabeth Barrett-Connor, professor, Charles P Quesenberry Jr, senior biostatistician, Kristine Yaffe, associate professor. Obesity in middle age and future risk of dementia: a 27 year longitudinal population based study. BMJ. 2005.
19. Association AD. 2. Classification and Diagnosis of Diabetes. Diabetes Care. 2017;40:S11–S24.
20. B. K. Pedersen BS. Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25(S3):1-72.
21. J. A. Hawley SJL. Exercise training-induced improvements in insulin action. Acta Physiol (Oxf). 2007;192(1):127-35.
22. Akito Yoshiko AT, Ryosuke Ando, Madoka Ogawa, Shohei Kondo, Akira Saito, Noriko I. Tanaka, Teruhiko Koike, Yoshiharu Oshida & Hiroshi Akima. Effects of 10-week walking and walking with home-based resistance training on muscle quality, muscle size, and physical functional tests in healthy older individuals European Review of Aging and Physical Activity 2018;15(13).
23. Williams JEMPH, Ph.D., Helsel BMS, CSCS, EIM1, Nelson BMD, Ph.D., Eke RMD, M.P.H., Ph.D. EXERCISE CONSIDERATIONS FOR TYPE 1 AND TYPE 2 DIABETES. American College of Sports Medicine. 2018;22(1):10-6.
24. Harpreet Kour VAKSG. Effect of two months of structured exercises on executive functions in patients with type 2 diabetes mellitus: Randomized controlled trial. International Journal of Clinical and Experimental Physiology. 2015;2(2):123-19.
25. Shu Nishiguchi MY, Takanori Tanigawa et al. A 12-Week Physical and Cognitive Exercise Program Can Improve Cognitive Function and Neural Efficiency in Community-Dwelling Older Adults: A Randomized Controlled Trial. The American Geriatrics Society. 2015;63:1355–63.
26. Effects of Physical Activity Intervention on Physical and Cognitive Function in Sedentary Adults With and Without Diabetes. Medical Sciences. 2016:1-6.
27. Ashirbad Parhi SD, Srikrushna Mahapatra, Nikhilesh Pradhan, Manoranjan Behera, Bijan Patnaik, Roma Rattan. The Level and Role of Interleukin-17 in Patients of Type 2 Diabetes Mellitus with and without Complications. Journal of Diabetes Mellitus. 2019;9(4):176-85.
28. AliKhazaei H, Jalili A, Gilani SRM, Alidadi A, MohammadSafdari, Moulaei N, et al. The Effect of 8 Weeks Aerobic Training on Serum Levels of Pro-inflammatory Cytokines (IL-17) and Immunoglobulins (IgA, IgM, IgG and IgE) Levels in Patients with Type 2 Diabetes. Annals of Medical and Health Sciences Research. 2018;8.
29. Mehdi Hamzeh Shalamzari MMS, Maryam, Aboulhasani2 MM, Mojgan Rezvani. The effect of long-term home-based exercise training on
interleukin-6 and interleukin-17 cytokines and disease
status in people with Multiple Sclerosis. Daneshvar Medicine. 2023;31(3):81-94.
30. 6 HA-AMaSMMSASAKMP. The Effect of 6 Weeks Endurance Training on theLevels of some Cytokines in Tumor Microenvironment in Breast Cancer Bearing Mice. Journal of sport biosciences. 2015;6(4):483-96.
31. Gholami. PNJBF. Effect of Endurance Training and High-Fat Diet on Serum Interleukin-6 and 17 Levels in Male Wistar Rats. 2022;26(1).
32. Noura. MKMNM. The Effects of Eight Weeks Swimming Training on Interleukin- 17, Interleukin- 18 and Tumor Necrosis Factor-α in Streptozotocin Induced Diabetic Rats. 2016;2(4).
33. Hawley JA, Lessard SJ. Exercise training-induced improvements in insulin action. Acta physiologica (Oxford, England). 2008;192(1):127-35.
34. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes care. 2016;39(11):2065-79.
35. H AAMS. DIABETES AND OBESITY: THE COMMONEST METABOLIC DISORDER IN THE WORLDا. Journal of Shahid Sadoughi University of Medical Sciences 2003;10(4).
36. Andrew Maiorana GOD, Carmel Goodman , Roger Taylor , Daniel Green. Combined aerobic and resistance exercise improves glycemic control and fitness in type 2 diabetes. Diabetes Research and Clinical Practice. 2002;56(2): 115-23.
37. al. NJNVOB-Te. Dual-Task Exercise to Improve Cognition and Functional Capacity of Healthy Older Adults. Front Aging Neurosci. 2021;13.
38. al. RLKSPBABe. Exercise Improves Cognitive Function—A Randomized Trial on the Effects of Physical Activity on Cognition in Type 2Diabetes Patients. J Pers Med. 2021.