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Exercise training-induced changes in exerkine concentrations may be relevant to the metabolic control of type 2 diabetes mellitus patients: A systematic review and meta-analysis of randomized controlled trials

期刊

JOURNAL OF SPORT AND HEALTH SCIENCE
卷 12, 期 2, 页码 147-157

出版社

SHANGHAI UNIV SPORT
DOI: 10.1016/j.jshs.2022.11.003

关键词

Adipokines; Exercise training; Hepatokines; Myokines

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This study investigates the effects of exercise training on exerkines in patients with type 2 diabetes mellitus and determines the optimal exercise prescription. The results show that exercise training can induce changes in exerkine levels, with positive effects on glycated hemoglobin, fasting glucose, waist circumference, and body mass. Therefore, exercise training is an important therapeutic approach for patients with type 2 diabetes mellitus.
Background: This study investigates the effects of exercise training on exerkines in patients with type 2 diabetes mellitus to determine the opti-mal exercise prescription.Methods: A systematic search for relevant studies was performed in 3 databases. Randomized controlled trials investigating the effects of exer-cise training on at least one of the following exerkines were included: adiponectin, apelin, brain-derived neurotrophic factor, fetuin-A, fibroblast growth factor-21, follistatin, ghrelin, interleukin (IL)-6, IL-8, IL-10, IL-15, IL-18, leptin, myostatin, omentin, resistin, retinol-binding protein 4, tumor necrosis factor-a, and visfatin.Results: Forty randomized controlled trials were selected for data extraction (n = 2160). Exercise training induces changes in adiponectin, fetuin-A, fibroblast growth factor-21, IL-6, IL-10, leptin, resistin, and tumor necrosis factor-a levels but has no significant effects on apelin, IL-18, and ghrelin compared to controls. Physical exercise training favored large and positive changes in pooled exerkines (i.e., an overall effect size calculated from several exerkines) (Hedge's g = 1.02, 95% confidence interval (95%CI): 0.76-1.28), which in turn were related to changes in glycated hemoglobin (mean difference (MD) = -0.81%, 95%CI: -0.95% to-0.67%), fasting glucose (MD = -23.43 mg/dL, 95%CI: -30.07 mg/dL to -16.80 mg/dL), waist circumference (MD = -3.04 cm, 95%CI: -4.02 cm to -2.07 cm), and body mass (MD = -1.93 kg, 95%CI: -2.00 kg to -1.86 kg). Slightly stronger effects were observed with aerobic, resistance, or high-intensity interval protocols at moderate-to vigorous-intensity and with programs longer than 24 weeks that comprise at least 3 sessions per week and more than 60 min per session.Conclusion: Exercise training represents an anti-inflammatory therapy and metabolism-improving strategy with minimal side effects for patients with type 2 diabetes mellitus.

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