Combined training and hormones/enzymes with insulinotropic actions in individuals with overweight and type 2 diabetes mellitus: A randomized controlled trial

The incretins (glucose‐dependent insulinotropic polypeptide [GIP] and glucagon‐like peptide‐1 [GLP‐1]), along with amylin/islet amyloid polypeptide (IAPP) and insulin‐degrading enzyme (IDE), are hormones/enzymes that have been pharmacological targets, such as dipeptidyl peptidase‐4 (DPP‐4) inhibitor...

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Veröffentlicht in:European journal of sport science 2024-01, Vol.24 (1), p.97-106
Hauptverfasser: Bonfante, Ivan Luiz Padilha, Duft, Renata Garbellini, Mateus, Keryma Chaves da Silva, Trombeta, Joice Cristina dos Santos, Chacon‐Mikahil, Mara Patricia Traina, Velloso, Licio Augusto, Cavaglieri, Cláudia Regina
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container_title European journal of sport science
container_volume 24
creator Bonfante, Ivan Luiz Padilha
Duft, Renata Garbellini
Mateus, Keryma Chaves da Silva
Trombeta, Joice Cristina dos Santos
Chacon‐Mikahil, Mara Patricia Traina
Velloso, Licio Augusto
Cavaglieri, Cláudia Regina
description The incretins (glucose‐dependent insulinotropic polypeptide [GIP] and glucagon‐like peptide‐1 [GLP‐1]), along with amylin/islet amyloid polypeptide (IAPP) and insulin‐degrading enzyme (IDE), are hormones/enzymes that have been pharmacological targets, such as dipeptidyl peptidase‐4 (DPP‐4) inhibitors, due to their insulinotropic actions. Physical training is recommended as a treatment for type 2 diabetes mellitus (T2DM); however, its effects on the concentrations of these hormones/enzymes are not well known. Thus, the present study aimed to evaluate the effects of combined training (CT) on the concentrations of hormones/enzymes with insulinotropic actions in individuals with T2DM and overweight. Individuals of both sexes with T2DM (age 51.73 ± 4.19 years; body mass index [BMI] 29.46 ± 3.39 kg/m2) were randomly distributed in the control group (CG, n = 17) and the combined training group (CTG, n = 17). The CT consisted of strength followed by erobic training, 3 times/week, for 16 weeks. Functional variables, body composition, and serum biochemical analyses (clinical markers, GLP‐1, GIP, DPP‐4, amylin/IAPP, and IDE) were evaluated. The CTG showed a decrease in GLP‐1 (pre: 32.8 ± 12.1, post: 28.4 ± 13.5, and p = 0.04) in the group/time analysis. In the evaluation of the Δ% of variation, CTG presented a decrease for GLP‐1 (−9.3%; p = 0.03) and amylin/IAPP (−13.4%; p 
doi_str_mv 10.1002/ejsc.12057
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Physical training is recommended as a treatment for type 2 diabetes mellitus (T2DM); however, its effects on the concentrations of these hormones/enzymes are not well known. Thus, the present study aimed to evaluate the effects of combined training (CT) on the concentrations of hormones/enzymes with insulinotropic actions in individuals with T2DM and overweight. Individuals of both sexes with T2DM (age 51.73 ± 4.19 years; body mass index [BMI] 29.46 ± 3.39 kg/m2) were randomly distributed in the control group (CG, n = 17) and the combined training group (CTG, n = 17). The CT consisted of strength followed by erobic training, 3 times/week, for 16 weeks. Functional variables, body composition, and serum biochemical analyses (clinical markers, GLP‐1, GIP, DPP‐4, amylin/IAPP, and IDE) were evaluated. The CTG showed a decrease in GLP‐1 (pre: 32.8 ± 12.1, post: 28.4 ± 13.5, and p = 0.04) in the group/time analysis. In the evaluation of the Δ% of variation, CTG presented a decrease for GLP‐1 (−9.3%; p = 0.03) and amylin/IAPP (−13.4%; p &lt; 0.01), in addition to an increase for DPP‐4 (6.2%; p = 0.04) enzyme. CT decreases the baseline levels of important hormones with insulinotropic actions in individuals with T2DM and overweight. The improvement in overall metabolism provided by CT must be the main reason for these effects. These results broaden the understanding of the effects and relationships between CT and glucose metabolism. Highlights In addition to the well‐known effects of exercise training on glycemic control, trained type 2 diabetes patients can obtain positive effects on other hormones and enzymes with insulinotropic actions. Global metabolic benefits provided by combined training induce different effects on GLP1 and DPP4 those induced by the widely used drugs that act on these hormone/enzymes. 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In the evaluation of the Δ% of variation, CTG presented a decrease for GLP‐1 (−9.3%; p = 0.03) and amylin/IAPP (−13.4%; p &lt; 0.01), in addition to an increase for DPP‐4 (6.2%; p = 0.04) enzyme. CT decreases the baseline levels of important hormones with insulinotropic actions in individuals with T2DM and overweight. The improvement in overall metabolism provided by CT must be the main reason for these effects. These results broaden the understanding of the effects and relationships between CT and glucose metabolism. Highlights In addition to the well‐known effects of exercise training on glycemic control, trained type 2 diabetes patients can obtain positive effects on other hormones and enzymes with insulinotropic actions. Global metabolic benefits provided by combined training induce different effects on GLP1 and DPP4 those induced by the widely used drugs that act on these hormone/enzymes. 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metabolism</subject><subject>glucagon‐like peptide‐1 (GLP‐1)</subject><subject>Glucose</subject><subject>glucose‐dependent insulinotropic polypeptide (GIP)</subject><subject>Heart rate</subject><subject>Hormones</subject><subject>Humans</subject><subject>Incretins - blood</subject><subject>Insulin resistance</subject><subject>insulin‐degrading enzyme (IDE)</subject><subject>Islet Amyloid Polypeptide - blood</subject><subject>Lipoproteins</subject><subject>Male</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Overweight</subject><subject>Overweight - metabolism</subject><subject>Overweight - therapy</subject><subject>Physical fitness</subject><subject>Physiology</subject><subject>Polypeptides</subject><subject>Resistance Training</subject><issn>1746-1391</issn><issn>1536-7290</issn><issn>1536-7290</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kctqGzEUhkVpaS7tpg9QBN2EwiS6jGSru2DStCWQRdu10IzOxMfMSK40E-O8S981iu12kUVAIHH49PFzfkI-cHbOGRMXsMrtORdMzV6RY66krmbCsNflPat1xaXhR-Qk5xVjZSDmb8mRNFqXr-aY_F3EocEAno7JYcBwR13wdBnTEAPkCwgP2wEy3eC4pBjy1GOIY4prbKlrR4whl3E5Hu_RT64_oPEe0gbwbjnufON2DVRQj66BsegG6Hscp_yFXtJUgDjgQ8nQxlDcfb-Lg65_R950RQnvD_cp-f316tfiW3Vze_19cXlTtVKJWeWMd51TvAHViNaBU6r2neONkp3sVIFYWUjDfK1r13UOjAYhtPdizqQWXJ6Ss713neKfCfJoB8xtyegCxClbyWuthdHGFPTTM3QVpxRKOiuZYWrOjdGF-ryn2hRzTtDZdcLBpa3lzD6VZp9Ks7vSCvzxoJyaAfx_9F9LBeB7YIM9bF9Q2asfPxd76SOJiKXg</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Bonfante, Ivan Luiz Padilha</creator><creator>Duft, Renata Garbellini</creator><creator>Mateus, Keryma Chaves da Silva</creator><creator>Trombeta, Joice Cristina dos Santos</creator><creator>Chacon‐Mikahil, Mara Patricia Traina</creator><creator>Velloso, Licio Augusto</creator><creator>Cavaglieri, Cláudia Regina</creator><general>John Wiley &amp; Sons, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6278-4611</orcidid></search><sort><creationdate>202401</creationdate><title>Combined training and hormones/enzymes with insulinotropic actions in individuals with overweight and type 2 diabetes mellitus: A randomized controlled trial</title><author>Bonfante, Ivan Luiz Padilha ; Duft, Renata Garbellini ; Mateus, Keryma Chaves da Silva ; Trombeta, Joice Cristina dos Santos ; Chacon‐Mikahil, Mara Patricia Traina ; Velloso, Licio Augusto ; Cavaglieri, Cláudia Regina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3527-a9dafa51be5b2caea554dfa1b53f3f5c350290b0d464affae96e226dd28036213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abstinence</topic><topic>amylin/islet amyloid polypeptide (IAPP)</topic><topic>Blood Glucose - metabolism</topic><topic>Blood pressure</topic><topic>Body composition</topic><topic>Body Mass Index</topic><topic>Cardiovascular disease</topic><topic>Clinical trials</topic><topic>combined training</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - metabolism</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>dipeptidyl peptidase‐4 (DPP‐4)</topic><topic>Enzymes</topic><topic>Exercise</topic><topic>Female</topic><topic>Gastric Inhibitory Polypeptide - blood</topic><topic>Glucagon</topic><topic>Glucagon-Like Peptide 1 - blood</topic><topic>Glucagon-Like Peptide 1 - metabolism</topic><topic>glucagon‐like peptide‐1 (GLP‐1)</topic><topic>Glucose</topic><topic>glucose‐dependent insulinotropic polypeptide (GIP)</topic><topic>Heart rate</topic><topic>Hormones</topic><topic>Humans</topic><topic>Incretins - blood</topic><topic>Insulin resistance</topic><topic>insulin‐degrading enzyme (IDE)</topic><topic>Islet Amyloid Polypeptide - 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Physical training is recommended as a treatment for type 2 diabetes mellitus (T2DM); however, its effects on the concentrations of these hormones/enzymes are not well known. Thus, the present study aimed to evaluate the effects of combined training (CT) on the concentrations of hormones/enzymes with insulinotropic actions in individuals with T2DM and overweight. Individuals of both sexes with T2DM (age 51.73 ± 4.19 years; body mass index [BMI] 29.46 ± 3.39 kg/m2) were randomly distributed in the control group (CG, n = 17) and the combined training group (CTG, n = 17). The CT consisted of strength followed by erobic training, 3 times/week, for 16 weeks. Functional variables, body composition, and serum biochemical analyses (clinical markers, GLP‐1, GIP, DPP‐4, amylin/IAPP, and IDE) were evaluated. The CTG showed a decrease in GLP‐1 (pre: 32.8 ± 12.1, post: 28.4 ± 13.5, and p = 0.04) in the group/time analysis. In the evaluation of the Δ% of variation, CTG presented a decrease for GLP‐1 (−9.3%; p = 0.03) and amylin/IAPP (−13.4%; p &lt; 0.01), in addition to an increase for DPP‐4 (6.2%; p = 0.04) enzyme. CT decreases the baseline levels of important hormones with insulinotropic actions in individuals with T2DM and overweight. The improvement in overall metabolism provided by CT must be the main reason for these effects. These results broaden the understanding of the effects and relationships between CT and glucose metabolism. Highlights In addition to the well‐known effects of exercise training on glycemic control, trained type 2 diabetes patients can obtain positive effects on other hormones and enzymes with insulinotropic actions. Global metabolic benefits provided by combined training induce different effects on GLP1 and DPP4 those induced by the widely used drugs that act on these hormone/enzymes. The combined training model applied proves to be an important tool for the treatment of type 2 diabetes even with a relatively low weekly frequency (3 times a week).</abstract><cop>Germany</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>39661009</pmid><doi>10.1002/ejsc.12057</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-6278-4611</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abstinence
amylin/islet amyloid polypeptide (IAPP)
Blood Glucose - metabolism
Blood pressure
Body composition
Body Mass Index
Cardiovascular disease
Clinical trials
combined training
Diabetes
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - therapy
dipeptidyl peptidase‐4 (DPP‐4)
Enzymes
Exercise
Female
Gastric Inhibitory Polypeptide - blood
Glucagon
Glucagon-Like Peptide 1 - blood
Glucagon-Like Peptide 1 - metabolism
glucagon‐like peptide‐1 (GLP‐1)
Glucose
glucose‐dependent insulinotropic polypeptide (GIP)
Heart rate
Hormones
Humans
Incretins - blood
Insulin resistance
insulin‐degrading enzyme (IDE)
Islet Amyloid Polypeptide - blood
Lipoproteins
Male
Metabolism
Middle Aged
Overweight
Overweight - metabolism
Overweight - therapy
Physical fitness
Physiology
Polypeptides
Resistance Training
title Combined training and hormones/enzymes with insulinotropic actions in individuals with overweight and type 2 diabetes mellitus: A randomized controlled trial
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