Exercise intensity, redox homeostasis and inflammation in type 2 diabetes mellitus

J Sci Med Sport. 2017 Oct;20(10):893-898. doi: 10.1016/j.jsams.2017.03.014. Epub 2017 Mar 21.

Abstract

Objectives: To compare 12 weeks of exercise training at two intensities on oxidative stress, antioxidants and inflammatory biomarkers in patients with type 2 diabetes (T2D).

Design: Randomized trial.

Methods: Thirty-six participants with T2D were randomized to complete either 12 weeks of treadmill based high-intensity interval training (HIIT) or moderate-intensity continuous training (MICT), followed by 40 weeks of home-based training at the same intensities. Plasma inflammation, oxidative stress and antioxidant biomarkers (total F2-isoprostanes, protein carbonyls, total antioxidant capacity, glutathione peroxidase activity, interleukin-10, interleukin-6, interleukin-8 and TNF-α) were measured at baseline, 12-weeks and 1-year.

Results: There were no significant changes (p>0.05) in oxidative stress and inflammation biomarkers from baseline to 12-weeks in either intervention. A decrease in total antioxidant capacity in the MICT group from baseline to 1-year by 0.05mmol/L (p=0.05) was observed. There was a significant difference (p<0.05) when groups were separated by sex with females in the MICT group having a 22.1% (p<0.05) decrease in protein carbonyls from baseline to 1-year.

Conclusions: HIIT and MICT had no acute effect on oxidative stress and inflammatory biomarkers in patients with T2D.

Keywords: F(2)-isoprostanes; High-intensity interval training; Interleukin-6; Moderate-intensity exercise; Protein carbonyls; TNF-α.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Antioxidants / metabolism*
  • Biomarkers / blood
  • Diabetes Mellitus, Type 2 / metabolism
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetes Mellitus, Type 2 / therapy*
  • Exercise Test / methods*
  • Female
  • Glutathione Peroxidase / blood
  • High-Intensity Interval Training / methods*
  • Homeostasis / physiology
  • Humans
  • Interleukin-10 / blood
  • Interleukin-6 / blood
  • Interleukin-8 / blood
  • Male
  • Middle Aged
  • Oxidative Stress / physiology*
  • Tumor Necrosis Factor-alpha / blood

Substances

  • Antioxidants
  • Biomarkers
  • Interleukin-6
  • Interleukin-8
  • Tumor Necrosis Factor-alpha
  • Interleukin-10
  • Glutathione Peroxidase