Artículos de revistas
The effects of aerobic, resistance, and combined exercise on metabolic control, inflammatory markers, adipocytokines, and muscle insulin signaling in patients with type 2 diabetes mellitus
Registro en:
Metabolism-clinical And Experimental. W B Saunders Co-elsevier Inc, v. 60, n. 9, n. 1244, n. 1252, 2011.
0026-0495
WOS:000294192000007
10.1016/j.metabol.2011.01.006
Autor
Jorge, MLMP
de Oliveira, VN
Resende, NM
Paraiso, LF
Calixto, A
Diniz, ALD
Resende, ES
Ropelle, ER
Carvalheira, JB
Espindola, FS
Jorge, PT
Geloneze, B
Institución
Resumen
The purpose of this study was to compare the effects of 3 different modalities of exercise on metabolic control, insulin resistance, inflammatory markers, adipocytoldnes, and tissue expression of insulin receptor substrate (IRS)-1 after 12 weeks of training among patients with type 2 diabetes mellitus. Forty-eight patients with type 2 diabetes mellitus were randomly assigned to 4 groups of training (3 times a week, 60 minutes per session): aerobic group (n = 12), resistance group (n = 12), combined (aerobic and resistance) group (n = 12), and control group (n = 12). Fasting and postprandial blood glucose, glycated hemoglobin, lipid profile, insulin resistance index (homeostasis model assessment of insulin resistance), adipocytokines (adiponectin, visfatin, and resistin), tumor necrosis factor, interleukin, and high-sensitivity C-reactive protein (hs-CRP) were measured at baseline and at the end of the study. Patients also underwent a muscle microbiopsy before and after training to quantify IRS-1 expression. All 4 groups displayed decreases in blood pressure, fasting plasma glucose, postprandial plasma glucose, lipid profile, and hs-CRP (P < .05); and there was no difference across the groups. After training, the IRS-1 expression increased by 65% in the resistance group (P < .05) and by 90% in the combined group (P < .01). Exercise training favorably affects glycemic parameters, lipid profile, blood pressure, and hs-CRP. In addition, resistance and combined training can increase IRS-1 expression. (C) 2011 Elsevier Inc. All rights reserved. 60 9 1244 1252 Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG)