Effect of caloric restriction with and without exercise training on oxidative stress and endothelial function in obese subjects with type 2 diabetes

Diabetes, Obesity and Metabolism - Tập 10 Số 11 - Trang 1062-1073 - 2008
Thomas P. Wycherley1,2, Grant D. Brinkworth1, M. Noakes1, Jonathan D. Buckley3, Peter Clifton1
1Commonwealth Scientific and Industrial Research Organisation – Human Nutrition, Adelaide, South Australia, Australia
2Department of Physiology, School of Molecular and Biomedical Science, University of Adelaide, Adelaide, South Australia, Australia
3ATN Centre for Metabolic Fitness and Nutritional Physiology Research Centre, University of South Australia, Adelaide, South Australia, Australia

Tóm tắt

Aim:  Effects of dietary weight loss on endothelial function, particularly when combined with exercise training, is largely unknown in type 2 diabetes. We sought to determine whether aerobic exercise training provided any additional improvements in endothelial function, oxidative stress or other established markers of cardiovascular risk when combined with an energy‐restricted diet in patients with type 2 diabetes.Methods:  In a parallel study design, 29 sedentary, overweight and obese patients with type 2 diabetes (age 52.4 ± 1.4 years and BMI 34.2 ± 0.9 kg/m2) were randomized to a 12‐week moderate energy‐restricted diet (∼5000 kJ/day and ∼30% energy deficit) with or without aerobic exercise training [diet only (D), n = 16 and diet plus exercise (DE), n = 13]. Body weight, cardiovascular risk markers, malondialdehyde (MDA, oxidative stress marker), 24‐h urinary nitrate/nitrite and flow‐mediated dilatation (FMD) of the brachial artery were measured pre‐ and postintervention.Results:  Both interventions reduced body weight (D 8.9%, DE 8.5%, time effect p < 0.001). Significant reductions in body fat, waist circumference, blood pressure, glycated haemoglobin, glucose, insulin resistance, lipids and MDA and increases in urinary nitrite/nitrate were observed in both groups (time effect p ≤ 0.05); however, these changes were not different between treatments. At baseline, FMD was similar in both groups (D 2.5 ± 0.9%, DE 4.2 ± 1.2%; p = 0.25) and did not change after the interventions (p = 0.59).Conclusions:  These results suggest that lifestyle interventions incorporating diet with or without exercise improve glycaemic control, reduce oxidative stress and improve other cardiovascular risk factors but do not improve FMD in obese subjects with type 2 diabetes.

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Thông tin xuất bản

Diabetes, Obesity and Metabolism

Tập 10 Số 11

1062-1073

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