Graduate Center for Nutritional Sciences, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Med Sci Sports Exerc. 2013 May;45(5):832-40. doi: 10.1249/MSS.0b013e31827de953.
Recent findings have shown that the intrauterine environment can negatively influence long-term insulin sensitivity in the offspring. Here we look at maternal voluntary exercise as an intervention to improve offspring insulin sensitivity and glucose homeostasis.
Female Sprague-Dawley rats were split into sedentary and exercise groups with the exercise cohort having voluntary access to a running wheel in the cage before and during mating, pregnancy, and nursing. Female offspring were weaned into sedentary cages. Glucose tolerance tests and hyperinsulinemic-euglycemic clamp were performed in adult offspring to evaluate glucose regulation and insulin sensitivity.
Adult female offspring born to exercised dams had enhanced glucose disposal during glucose tolerance testing (P < 0.05) as well as increased glucose infusion rates (P < 0.01) and whole body glucose turnover rates (P < 0.05) during hyperinsulinemic-euglycemic clamp testing compared with offspring from sedentary dams. Offspring from exercised dams also had decreased insulin levels (P < 0.01) and hepatic glucose production (P < 0.05) during the clamp procedure compared with offspring born to sedentary dams. Offspring from exercised dams had increased glucose uptake in skeletal muscle (P < 0.05) and decreased heart glucose uptake (P < 0.01) compared with offspring from sedentary dams in response to insulin infusion during the clamp procedure.
Exercise during pregnancy enhances offspring insulin sensitivity and improves offspring glucose homeostasis. This can decrease offspring susceptibility to insulin-resistant related diseases such as type 2 diabetes mellitus. Maternal exercise could be an easy, short-term, nonpharmacological method of preventing disease in future generations.
最近的研究结果表明,子宫内环境会对后代的长期胰岛素敏感性产生负面影响。在这里,我们研究了母体自愿运动作为改善后代胰岛素敏感性和葡萄糖稳态的干预措施。
将雌性 Sprague-Dawley 大鼠分为久坐组和运动组,运动组在交配、怀孕和哺乳前和期间有机会在笼子里使用跑步轮。雌性后代在成年后被断奶到久坐的笼子里。对成年后代进行葡萄糖耐量试验和高胰岛素正葡萄糖钳夹试验,以评估葡萄糖调节和胰岛素敏感性。
与久坐组后代相比,运动组母鼠所生的成年雌性后代在葡萄糖耐量试验中葡萄糖处置能力增强(P < 0.05),在高胰岛素正葡萄糖钳夹试验中葡萄糖输注率(P < 0.01)和全身葡萄糖周转率(P < 0.05)增加。与久坐组后代相比,运动组母鼠所生的后代在钳夹过程中胰岛素水平降低(P < 0.01),肝葡萄糖生成减少(P < 0.05)。与久坐组后代相比,运动组母鼠所生的后代在钳夹过程中对胰岛素输注的反应,骨骼肌葡萄糖摄取增加(P < 0.05),心脏葡萄糖摄取减少(P < 0.01)。
怀孕期间运动可增强后代的胰岛素敏感性,改善后代的葡萄糖稳态。这可以降低后代患 2 型糖尿病等与胰岛素抵抗相关疾病的易感性。母体运动可能是预防后代疾病的一种简单、短期、非药物的方法。