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Mahendran Kanumuru, Sridevi Nutakki ,
Volume 18, Issue 6 (11-2024)
Abstract

Background: Type 2 diabetes mellitus (T2DM) is a non-communicable disease, manifesting hyperinsulinemia, insulin resistance, hyperglycemia, and low-grade chronic inflammation associated with various micro and macrovascular complications. The present study aimed to estimate vitamin D (Vit D) levels, total antioxidant capacity, and malondialdehyde (MDA) levels in T2DM patients compared with healthy individuals. In addition, we assessed Vit D, total antioxidant capacity, and MDA levels in patients with T2DM and their association with HbA1c, insulin resistance and lipid profile parameters.
Methods: Seventy patients with T2DM aged 35 to 50 years were selected and 70 healthy age-matched subjects were selected as controls. Serum Vit D and insulin were estimated by the enzyme-linked immunosorbent assay (ELISA). Glycosylated hemoglobin (HbA1C) was assessed by high-performance liquid chromatography (HPLC) method and other routine lipid profile investigations were carried out using a Beckman Coulter fully automated analyzer.
Results: Vitamin D levels significantly decreased in T2DM patients. HbA1C and insulin resistance values are significantly increased in type 2 diabetic patients. Vitamin D levels negatively correlated with MDA, insulin resistance, and HbA1c, while positively correlated with total antioxidant capacity. Nevertheless, there is no significant correlation between lipid profile parameters.
Conclusion: Vitamin D deficiency may be one of the vital risk factors responsible for increased oxidative stress in patients with T2DM.  Regular monitoring and supplementation of Vit D are beneficial for the reduction of oxidative stress and vascular complications in these patients.

 

Sharabeh Hezarkhani , Khosro Ghojoghi , Sara Hosseinzadeh , Naser Behnampour , Farshid Fathabadi , Zahra Hesari , Hamid Reza Joshaghani ,
Volume 18, Issue 6 (11-2024)
Abstract

Background: Leptin and adiponectin, two members of the adipokine family, play roles in increasing lipid metabolism and inhibiting lipogenesis. Reduced levels of these cytokines are associated with obesity and insulin resistance. This study aimed to determine the serum levels of leptin and adiponectin in type-2 diabetic patients with and without metabolic syndrome compared to a control group.
Methods: Three groups of individuals participated in this study: 47 type-2 diabetic patients with metabolic syndrome (DM+MetS), 25 type-2 diabetic patients without metabolic syndrome (DM-MetS), and 40 individuals with no history of diabetes or metabolic syndrome (Control group). Fasting blood samples were collected, and serum levels of fasting blood sugar, cholesterol, triglycerides, HDL-cholesterol, and LDL-cholesterol were measured using the enzymatic method. Blood pressure, height, and weight were recorded using stadiometers, while leptin and adiponectin levels were determined via enzyme-linked immunosorbent assay.
Results: A significant difference was observed between the DM+MetS group and the DM-MetS group in serum leptin (p = 0.004) and adiponectin (p < 0.001) levels. In patients with type-2 diabetes and metabolic syndrome, serum leptin (p = 0.530) and adiponectin (p < 0.001) levels were lower compared to the control group.
Conclusion: A decrease in the serum levels of key adipokines, such as leptin and adiponectin, in type-2 diabetic patients may serve as a predictor of metabolic syndrome.

 

Roohollah I Mohammadi Mirzae, Hamid Malekshahi , Halimeh Vahdatpoor ,
Volume 19, Issue 2 (3-2025)
Abstract

Background: Diabetes is a metabolic and vascular disorder characterized by endothelial dysfunction. Physical activity, particularly intermittent exercise, may offer therapeutic benefits. This study examined the effects of six weeks of intermittent exercise on serum nitric oxide (NO), insulin resistance, and lipid profiles in male diabetic rats.
Methods: Sixty Wistar rats (8 weeks old, 200 ± 20 g) were divided into six groups (n=10): healthy control, sham, interval training, interval training + saline, diabetic control, and diabetic + interval training. Diabetes was induced via nicotinamide-streptozotocin injection. The exercise groups underwent treadmill training (5 sessions/week for 6 weeks). Post-intervention, glucose, insulin, NO, LDL, HDL, triglycerides, and cholesterol were measured.
Results: Diabetes induction significantly increased glucose and insulin resistance while reducing insulin and NO levels compared to controls (P < 0.001). After six weeks, the diabetic + exercise group showed significant reductions in glucose and insulin resistance (P < 0.001) and increased NO levels (P < 0.001) versus the diabetic group. Insulin levels did not differ significantly among the groups (P = 0.11). Lipid profiles (LDL, HDL, triglycerides, cholesterol) remained unchanged (P > 0.05).
Conclusion: Six weeks of intermittent exercise improved glucose metabolism and vascular function in the diabetic rats by reducing insulin resistance and increasing NO levels, suggesting its potential as a non-pharmacological therapy for diabetes-related endothelial dysfunction.

 

Behrooz Mohammadnezhad, Seyed Abdollah Hashemvarzi ,
Volume 19, Issue 3 (7-2025)
Abstract

Background: Inflammation plays a major role in the development and progression of diabetes. Vitamin D deficiency and physical inactivity can also increase the risk of developing type 2 diabetes. Combined therapeutic strategies are promising approaches for the treatment and prevention of diabetes. This study aimed to investigate the effects of resistance training, vitamin D3 supplementation, and adipose-derived mesenchymal stem cell (MSC) transplantation on tumor necrosis factor-beta levels in the cerebral cortex of diabetic rats.
Methods: Eighty male Wistar rats (Weighing 290±19 g) were randomly divided into 10 groups: healthy control, sham, diabetes, training, vitamin D, MSC, training+vitamin D, MSC+training, MSC+vitamin D, and training+MSC+vitamin D. Training groups were subjected to a resistance training program on a ladder. MSC groups received 1.5 × 106 MSCs, and vitamin D supplementation groups received 1 microgram/kilogram of vitamin D3 eight times. Cortical TNF-β levels and fasting serum glucose levels were measured.
Results: After six weeks, the combination of resistance training with vitamin D3 supplementation and MSC transplantation (P=0.018), as well as the combination of resistance training with MSCs (P=0.024), significantly reduced the diabetes-induced elevation of TNF-β levels.
Conclusion: Resistance training with appropriate intensity, duration, and recovery between exercise sessions, combined with MSC transplantation and vitamin D3 supplementation, has profound anti-inflammatory effects on the cerebral cortex tissue of diabetic rats. This type of intervention, especially the transplantation of MSCs, may be a promising protective strategy against some complications of diabetes.

 

Maryam Enshaei Mojarad, Hajar Abbaszadeh, Parvin Farzanegi,
Volume 19, Issue 3 (7-2025)
Abstract

Background and objectives: The purpose of this study was to investigate the effect of a period of intense functional training on some markers of m2 macrophages (IL-10, Dectin-1, IL-1Ra) in prediabetic obese women so that the effect of this type of exercise training on some markers of m2 macrophages in women check pre-diabetic obesity.
Methods: 30 eligible female volunteers aged 35-40 years were selected. Based on individual characteristics, the subjects were homogeneously divided into two groups: 1) the control (15 people) and 2) the training group (15 people). In this research, for High-Intensity Functional Training (HIFT) based on CrossFit training protocols, squat, deadlift, press, barbell, dumbbell, medicine ball exercise, fixed bar, rotating kettlebell, and aerobic exercises (such as running, rope pulling) Weight-bearing exercises (such as horizontal pull-ups, squats) and weight-lifting exercises (such as front squats, kettlebell swings) were used on a WOD (workout of the day) basis.
Results: The results showed that High-Intensity Functional Training causes a significant decrease in Dectin-1 and a significant increase in IL-10, and IL-1Ra in prediabetic obese women.
Conclusion: It seems that in the present study, 16 weeks of high-intensity functional training improved the secretion and function of m2 macrophage markers (IL-10, Dectin-1, IL-1Ra) in prediabetic obese women.
 

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