Piao Shan Ji, Kim So Hun, Suh Young Ju, Hong Seong Bin, Ahn Seong Hee, Seo Da Hae, Park In Sun, Nam Moonsuk
Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
Qingdao Endocrine and Diabetes Hospital, Qingdao, China.
Diabetes Metab J. 2017 Dec;41(6):474-485. doi: 10.4093/dmj.2017.41.6.474. Epub 2017 Nov 15.
Regular aerobic exercise is essential for the prevention and management of type 2 diabetes mellitus and may be particularly beneficial for those treated with thiazolidinediones, since it may prevent associated weight gain. This study aimed to evaluate the effect of combined exercise and rosiglitazone treatment on body composition and glucose metabolism in obese diabetes-prone animals.
We analyzed metabolic parameters, body composition, and islet profiles in Otsuka Long Evans Tokushima Fatty rats after 28 weeks of aerobic exercise, rosiglitazone treatment, and combined exercise and rosiglitazone treatment.
Combined exercise with rosiglitazone showed significantly less increase in weight and epididymal fat compared to rosiglitazone treatment. Aerobic exercise alone and combined rosiglitazone and exercise treatment led to similar retention of lean body mass. All experimental groups showed a decrease in fasting glucose. However, the combined exercise and rosiglitazone therapy group showed prominent improvement in glucose tolerance compared to the other groups. Rescue of islet destruction was observed in all experimental groups, but was most prominent in the combined therapy group.
Regular aerobic exercise combined with rosiglitazone treatment can compensate for the adverse effect of rosiglitazone treatment and has benefit for islet preservation.
规律的有氧运动对于2型糖尿病的预防和管理至关重要,对于接受噻唑烷二酮类药物治疗的患者可能尤其有益,因为它可以防止体重增加。本研究旨在评估运动与罗格列酮联合治疗对肥胖糖尿病易感动物身体成分和糖代谢的影响。
我们分析了大冢长-艾维-德岛肥胖大鼠在进行28周有氧运动、罗格列酮治疗以及运动与罗格列酮联合治疗后的代谢参数、身体成分和胰岛情况。
与罗格列酮治疗相比,运动与罗格列酮联合治疗组体重和附睾脂肪增加明显较少。单独的有氧运动以及罗格列酮与运动联合治疗导致瘦体重保留情况相似。所有实验组空腹血糖均降低。然而,运动与罗格列酮联合治疗组与其他组相比,葡萄糖耐量有显著改善。所有实验组均观察到胰岛破坏得到缓解,但联合治疗组最为显著。
规律的有氧运动联合罗格列酮治疗可以弥补罗格列酮治疗的不良影响,并对胰岛保存有益。