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The Effect of Moderate Aerobic Exercise on Adiponectin, Retinol Binding Protein-4, and Vascular Inflammation Factors in Obese Children

중등도 유산소 운동이 비만아동의 adiponectin, RBP-4(retinol binding protein-4) 및 혈관 염증인자에 미치는 영향

  • Lee, Sung-Soo (Department of Coaching, Collage of Sports Sciences, Dong-A University) ;
  • So, Yong-Seok (Department of Coaching, Collage of Sports Sciences, Dong-A University)
  • 이성수 (동아대학교 스포츠과학대학 스포츠지도학과) ;
  • 소용석 (동아대학교 스포츠과학대학 스포츠지도학과)
  • Received : 2012.02.24
  • Accepted : 2012.05.31
  • Published : 2012.06.30

Abstract

The aim of the present study is to investigate the effects of 12 weeks-moderate aerobic exercise training on body composition, adiponectin, retinol-binding protein-4 (RBP-4), and vascular inflammation factors in obese children. The subjects were classified into two groups, one of which was an exercise group (n=15) practicing moderate aerobic exercise training for 12 weeks, and the other group, the control group (n=13), was not in that program. The exercise group participants performed on the treadmill running at heart rate reserve (HRR) 50% of exercise intensity for 300 kcal of the consumed time. The results of all the studies and inspections are as follows: Weight, body mass index, body fat, and systolic and diastolic blood pressure were significantly lower, while $VO_2$ max was higher in the exercise group than in the control group (p<0.05, respectively). Fasting glucose, insulin, and HOMA-IR levels in the exercise group were significantly decreased (p<0.05), whereas adiponectin levels in the exercise group were significantly increased after 12 weeks' exercise training (p<0.05). In addition, our results showed that RBP4, C-reactive protein (CRP), and interleukin-6 (IL-6) concentrations in the exercise group were significantly lower than those of the control group (p<0.05). This investigation has shown that a 12 weeks-regular aerobic exercise program offers useful effects such as an amelioration of inflammation and body indices in obese children.

본 연구는 비만아동을 대상으로 12주간 중강도 유산소 운동을 통해 신체조성, 아디포넥틴, RBP-4, 혈관염증인자에 미치는 영향을 규명하는데 목적이 있다. 대상자들은 두 집단으로, 운동군(n=15)은 12주간 중강도 유산소 운동을 실시하였고, 대조군(n=13)은 운동 프로그램에 참여하지 않았다. 운동군은 여유심박수 50%의 운동강도로 300 kcal에 도달할 때까지 트레드밀에서 런닝을 하였다. 연구결과는 다음과 같다 : 운동군이 통제군보다 체중, 체질량지수, 체지방률, 수축기 혈압과 이완기 혈압이 각각 유의하게 감소하는 것으로 나타났고(p<0.05), 최대산소섭취량은 운동군에서 높게 나타났다(p<0.05). 공복시 혈당, 인슐린과 인슐린저항성은 운동군에서 유의하게 감소하였고(p<0.05), 아디포넥틴은 12주 운동 후 운동군에서 유의하게 증가하였다(p<0.05). 또한, 혈중 RBP-4, CRP, IL-6 농도는 대조군보다 운동군에서 유의하게 감소하는 것으로 나타났다(p<0.05). 본 연구에서 12주간 규칙적인 유산소 운동 프로그램은 비만 아동들의 염증과 신체지수 개선에 긍정적인 역할을 하는 것으로 나타났다.

Keywords

References

  1. Aaron, D., Jekal, Y. and LaPorte, R. 2005. Epidemiology of Physical Activity from Adolescence to Young Adulthood. World Rev. Nutr. Diet. 94, 36-41.
  2. Abel, E. D., Peroni, O., Kim, J. K., Kim, Y. B., Boss, O., Hadro, E., Minnemann, T., Shulman, G. i. and Kahn, B. B. 2001. Adipose-selective targeting of the GLUT4 gene impairs insulin action in muscle and liver. Nature 409, 729-733. https://doi.org/10.1038/35055575
  3. Ahn, N. Y. and Kim, K. J. 2009. Difference of body composition, physical fitness, and metabolic syndrome's risk factors after 12 week combined exercise program between obese and non-obese middle school students. Korean J. Physical Edu. 48, 553-566.
  4. ACSM. 2005. ACSM's Guidelines for exercise testing and prescription. Seven Edition. Baltimore: Lippincott Williams & Wilkins.
  5. Blomhoff, R., Green, M. H., Berg, T. and Norum, K. R. 1990. Transport and storage of vitamin A. Science 250, 399-404. https://doi.org/10.1126/science.2218545
  6. Cho, Y. M., Youn, B. S., Lee, H., Lee, N., Min, S. S., Kwak, S. H., Lee, H. K. and Park, K. S. 2006. Plasma retinol-binding protein 4 concentrations are elevated in human subjects with impaired glucose tolerance and type 2 diabetes. Diabetes Care 29, 2457-2461. https://doi.org/10.2337/dc06-0360
  7. Cnop, M., Havel, P. J., Utzchneider, K. M., Carr, D. B., Shiha, M. K., Boyko, E. J., Retxlaff, B. M., Knopp, R. H., Brnzell, J. D. and Kahn, S. E. 2003. Relationship of adiponectin to body fat distribution, insulin sensitivity and plasma lipoprotein; evidence for independent roles of age and sex. Diabetologia 46, 459-469.
  8. Eisenmann, J. C., Baetee, R. T., Smith, D. T., Welk, G. J. and Fu, Q. 2008. Combined influence of physical activity and television viewing on the risk of overweight in US youth. Int. J. Obes. 32, 613-618. https://doi.org/10.1038/sj.ijo.0803800
  9. Engeland, A, Bforge, T., Tverdal, A. and Sogaard, A. J. 2004. Obesity in adolesce and adulthood and the risk of adult mortality. Epidemiology 15, 79-85. https://doi.org/10.1097/01.ede.0000100148.40711.59
  10. Festa, A., D'Agostino, R., Howard, G., Mykkanen, L., Tracy, R. P. and Haffner, S. M. 2000. Chronic subclinical inflammation as part of the insulin resistance syndrome: The insulin resistance atherosclerosis study (IRAS). Circulation 102, 42-47. https://doi.org/10.1161/01.CIR.102.1.42
  11. Graham, T. E., Yang, Q., Bluher, M., Hammarstedt, A., Ciaraldi, T. P., Hentry, R. R., Wason, C. J., Oberbach, A., Jansson, P. A., Smith, U. and Kahn, B. B. 2006. Retinol-binding protein 4 and insulin resistance in lean, obese, and diabetic subjects. N. Engl. J. Med. 15, 2552-2563.
  12. Gualillo, O., Gonzalez-Juanatey, J. R. and Lago, F. 2007. The Emerging Role of Adipokines as Mediators of Cardiovascular Function. Trends Cardiovasc. Med. 17, 275-283. https://doi.org/10.1016/j.tcm.2007.09.005
  13. Hotta, K., Funahashi, T., Arita., Y., Takahashi, M, Matsuda, M., Okamoto, Y., Iwahashi, H., Kuriyama, H., Ouchi, N., Maeda, K., Nishida, M., Kihara, S., Sakai, N., Nakajima, T., Hasegawa, K., Muraguchi, M., Ohmoto, Y., Nakamura, T., Yamashita, S., Hanafusa, T. and Matsuzawa, Y. 2000. Plasma concentrations of a novel, adipose-specific protein, adiponectin, in type 2 deabetic patients. Arterioscler. Thromb. Vasc. Biol. 20, 1595-1599. https://doi.org/10.1161/01.ATV.20.6.1595
  14. Jang, J. H. and Hur, S. 2007. Effects of step exercise on metabolic syndrome markers, insulin resistance and plasma metabolism- related hormones in obese middle-aged women. Korean J. Physical Edu. 46, 337-346
  15. Jee, S. H., Sull, J. W., Park, J., Lee S. Y., Ohrr, H. and Guallar, E. 2006. Body-mass index and mortality in Korean men and women. N. Engl. J. Med. 355, 779-787. https://doi.org/10.1056/NEJMoa054017
  16. Jekal, Y. S. Kim, E. E., Im, J. A., Park, J. H., Lee, M. K. and Lee, S., H. 2009. Interaction between fatness and fitness on CVD risk factors in Asian youth. Int. J. Sports Med. 30, 733-740. https://doi.org/10.1055/s-0029-1224173
  17. Kim, E. S., Im, J., Kim, K. C. Park, J. H., Suh, S. H. and Kang, E. S. 2007. Improved body composition, insulin sensitivity and adiponectin level after 6 week of exercise training in obese Korean adolescent. Obesity 15, 3023-3030. https://doi.org/10.1038/oby.2007.360
  18. Laurson, K., Eisenmann, J. C. and Moore, S. 2008. Lack of association between television viewing, soft drink, physical activity and body mass index in children. Acta. Paediatr. 97, 795-800. https://doi.org/10.1111/j.1651-2227.2008.00713.x
  19. Matthews, D. R., Hosker, J. P., Rudenski, A. S., Naylor, B. A., Treacher, D. F. and Turner, R. C. 1985. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetol. 28, 412-419. https://doi.org/10.1007/BF00280883
  20. Ministry of Health & Welfare. 2009. A Comprehensive Survey of Child and Adolescent in Korea.
  21. Nemet, D., Wang, P., Funahashi, T., Matsuzawa, Y., Tanaka, S., Engelman, L. and Cooper, D. M. 2003. Adipocytokines, body composition, and fitness in children. Pediatr. Res. 53, 148-152. https://doi.org/10.1203/00006450-200301000-00025
  22. Nonogaki, K, Fuller, G. M., Fuentes, N. L., Moser, A. H., Staprans, I. Grunfeld, C. and Feingold, K. R. 1995. Interleukin-6 stimulates hepatic triglyceride secretion in rats. Endocrinology 136, 2143-2149. https://doi.org/10.1210/en.136.5.2143
  23. Ouchi, N., Kihara, S., Arita, Y., Maeda, K., Kuriyama, H., Okamoto, Y., Hotta, K., Nishida, M., Takahashi, M., NaKamura, T., Yamashita, S., Funahashi, T. and Matsuzawa, Y. 1999. Novel modulator for endothelial adhesion molecules: adipocytedrived plasma protein adiponectin. Circulation 100, 2473-2476. https://doi.org/10.1161/01.CIR.100.25.2473
  24. Paul, T., Chen, B. and Wood, I. S. 2006. Adipose tissue and adipokines energy regulation from the human perspective. J. Nutr. 136, 1935-1939
  25. Roberts, C. K. and Barnard, R. J. 2005. Effects of exercise and diet on chronic disease. J. Appl. Physiol. 98, 3-30.
  26. Tamori, Y., Sakaue, H. and Kasuga, M. 2006. RBP4, an unexpected adipokine. Nat. Med. 12, 30-31. https://doi.org/10.1038/nm0106-30
  27. Trujillo, M. E. and Scherer, P. E. 2006. Adipose tissue-derived factors: impact on health and disease. Endocr. Rev. 27, 762-778. https://doi.org/10.1210/er.2006-0033
  28. Weiss, R., Dufuour, S., Groszmann, A., Petersen, K., Dziura, J., Takasali, S.E., Shulman, G. and Caprio, S. 2003. Low adiponectin levels in adolescent obesity: a marker of increased intramyocellular lipid accumulation. J. Clin. Endocricnol. Metab. 88, 2014-2018. https://doi.org/10.1210/jc.2002-021711
  29. Weyer, C., Funahashi, T., Tanaka, S., Hotta, K., Matsuzawa, Y., Pratley, R. E. and Tataranni, P. A. 2001. Hypoadiponectinemia in obesity and type 2 diabetes: close association with insulin resistance and hyperinsulinemia. J. Clin. Endocrenol. Metab. 86, 1930-1935. https://doi.org/10.1210/jc.86.5.1930
  30. Whitaker, R. C., Wright, J. A., Pepe, M. S., Seidel, K. D. and Dietz, W. H. 1997. Predicting obesity in young adulthood from childhood and parental obesity. N. Engl. J. Med. 337, 869-873. https://doi.org/10.1056/NEJM199709253371301
  31. Yang, Q., Graham, T. E., Mody, N., Preitner, F., Peroni, O. D., Zabolotny, J. M., Kotani, K., Quadro, L. and Kahn, B. B. 2005. Serum retinal binding protein 4 contributes to insulin resistance in obesity and type 2 deabetes. Nature 436, 356-362. https://doi.org/10.1038/nature03711
  32. Yang, W. S., L, W. J., Funahashi, T., Tanaka, S., Matsuzawa, Y., Chao, C. L., Chen, C. L., Tai, T. Y. and Chuang, L. M. 2001. Weight reduction increases plasma levels of an adipose- derived anti-inflammatory protein, adiponectin. J. Clin. Endocrinol. Metab. 86, 3815-3819. https://doi.org/10.1210/jc.86.8.3815

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