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Published in: Inflammation 3/2013

01-06-2013

Effects of Chronic Exercise Training on Inflammatory Markers in Australian Overweight and Obese Individuals in a Randomized Controlled Trial

Authors: Suleen S. Ho, Satvinder S. Dhaliwal, Andrew P. Hills, Sebely Pal

Published in: Inflammation | Issue 3/2013

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Abstract

Physical activity has been shown to lower levels of inflammatory markers. However, results are inconsistent, indicating different modes of exercise may have different effects on inflammatory cytokines. We aimed to investigate the effects of 12 weeks of moderate-intensity aerobic, resistance, or combination exercise on TNF-α and IL-6 compared to no exercise in overweight and obese individuals. TNF-α levels were significantly decreased at week 12 compared to baseline by 20.8 % in the Aerobic group (p = 0.011), 26.9 % in the Resistance group (p = 0.0001), and 32.6 % in the Combination group (p = 0.003). Levels of TNF-α were significantly lower in the Combination compared to the Control group after 12 weeks of exercise training (−22.6 %, p = 0.025) when adjusting for baseline levels. Twelve weeks of moderate-intensity aerobic, resistance, but mainly combination exercise training decreased TNF-α in overweight and obese individuals compared to no exercise. Therefore, combination exercise training may be physiologically relevant in decreasing the risk of developing chronic diseases.
Literature
1.
go back to reference Bruunsgaard, H. 2005. Physical activity and modulation of systemic low-level inflammation. Journal of Leukocyte Biology 78: 819–835.PubMedCrossRef Bruunsgaard, H. 2005. Physical activity and modulation of systemic low-level inflammation. Journal of Leukocyte Biology 78: 819–835.PubMedCrossRef
2.
go back to reference Haffner SM. 2007. Abdominal adiposity and cardiometabolic risk: do we have all the answers? The American Journal of Medicine 120(9A): S10–17. Haffner SM. 2007. Abdominal adiposity and cardiometabolic risk: do we have all the answers? The American Journal of Medicine 120(9A): S10–17.
3.
go back to reference Kern, P.A., S. Ranganathan, C. Li, L. Wood, and G. Ranganathan. 2001. Adipose tissue tumor necrosis factor and interleukin-6 expression in human obesity and insulin resistance. American Journal of Physiology, Endocrinology and Metabolism 280: 745–751. Kern, P.A., S. Ranganathan, C. Li, L. Wood, and G. Ranganathan. 2001. Adipose tissue tumor necrosis factor and interleukin-6 expression in human obesity and insulin resistance. American Journal of Physiology, Endocrinology and Metabolism 280: 745–751.
4.
go back to reference Nicklas, B.J., W. Ambrosius, S.P. Messier, G.D. Miller, B.W.J.H. Penninx, R.F. Loeser, S. Palla, E. Bleecker, and M. Pahor. 2004. Diet-induced weight loss, exercise, and chronic inflammation in older, obese adults: a randomized controlled clinical trial. American Journal of Clinical Nutrition 79: 544–551.PubMed Nicklas, B.J., W. Ambrosius, S.P. Messier, G.D. Miller, B.W.J.H. Penninx, R.F. Loeser, S. Palla, E. Bleecker, and M. Pahor. 2004. Diet-induced weight loss, exercise, and chronic inflammation in older, obese adults: a randomized controlled clinical trial. American Journal of Clinical Nutrition 79: 544–551.PubMed
5.
go back to reference Olson, T.P., D.R. Dengel, A.S. Leon, and K.H. Schmitz. 2007. Changes in inflammatory biomarkers following one-year of moderate resistance training in overweight women. International Journal of Obesity 31: 996–1003.PubMedCrossRef Olson, T.P., D.R. Dengel, A.S. Leon, and K.H. Schmitz. 2007. Changes in inflammatory biomarkers following one-year of moderate resistance training in overweight women. International Journal of Obesity 31: 996–1003.PubMedCrossRef
6.
go back to reference Niebauer, J. 2008. Effects of exercise training on inflammatory markers in patients with heart failure. Heart Failure Reviews 13(1): 39–49.PubMedCrossRef Niebauer, J. 2008. Effects of exercise training on inflammatory markers in patients with heart failure. Heart Failure Reviews 13(1): 39–49.PubMedCrossRef
7.
go back to reference Straczkowski, M., I. Kowalska, S. Dzienis-Straczkowska, A. Stepien, E. Skibiriska, M. Szelachowska, and I. Kinalska. 2001. Changes in tumor necrosis factor-α system and insulin sensitivity during an exercise training program in obese women with normal and impaired glucose tolerance. European Journal of Endocrinology 145: 273–290.PubMedCrossRef Straczkowski, M., I. Kowalska, S. Dzienis-Straczkowska, A. Stepien, E. Skibiriska, M. Szelachowska, and I. Kinalska. 2001. Changes in tumor necrosis factor-α system and insulin sensitivity during an exercise training program in obese women with normal and impaired glucose tolerance. European Journal of Endocrinology 145: 273–290.PubMedCrossRef
8.
go back to reference Ziccardi, P., F. Nappo, G. Giugliano, K. Esposito, R. Marfella, M. Cioffi, F. D'Andrea, A.M. Molinari, and D. Giugliano. 2002. Reduction of inflammatory cytokine concentrations and improvement of endothelial functions in obese women after weight loss over one year. Circulation 105: 804–809.PubMedCrossRef Ziccardi, P., F. Nappo, G. Giugliano, K. Esposito, R. Marfella, M. Cioffi, F. D'Andrea, A.M. Molinari, and D. Giugliano. 2002. Reduction of inflammatory cytokine concentrations and improvement of endothelial functions in obese women after weight loss over one year. Circulation 105: 804–809.PubMedCrossRef
9.
go back to reference Benson, S., O.E. Janssen, S. Hahn, S. Tan, T. Dietz, K. Mann, K. Pleger, M. Schedlowski, P.C. Arck, and S. Elsenbruch. 2008. Obesity, depression, and chronic low-grade inflammation in women with polycystic ovary syndrome. Brain, Behavior, and Immunity 22: 177–184.PubMedCrossRef Benson, S., O.E. Janssen, S. Hahn, S. Tan, T. Dietz, K. Mann, K. Pleger, M. Schedlowski, P.C. Arck, and S. Elsenbruch. 2008. Obesity, depression, and chronic low-grade inflammation in women with polycystic ovary syndrome. Brain, Behavior, and Immunity 22: 177–184.PubMedCrossRef
10.
go back to reference Cartier, A., I. Lemieux, N. Alméras, A. Tremblay, J. Bergeron, and J.-P. Després. 2008. Visceral obesity and plasma glucose-insulin homeostasis: contributions of interleukin-6 and tumor necrosis factor-α in men. Journal of Clinical Endocrinology and Metabolism 93: 1931–1938.PubMedCrossRef Cartier, A., I. Lemieux, N. Alméras, A. Tremblay, J. Bergeron, and J.-P. Després. 2008. Visceral obesity and plasma glucose-insulin homeostasis: contributions of interleukin-6 and tumor necrosis factor-α in men. Journal of Clinical Endocrinology and Metabolism 93: 1931–1938.PubMedCrossRef
11.
go back to reference Peterson, A.M.W., and B.K. Pederson. 2006. The role of IL-6 in mediating the anti-inflammatory effects of exercise. Journal of Physiology and Pharmacology 57(Suppl 10): 43–51. Peterson, A.M.W., and B.K. Pederson. 2006. The role of IL-6 in mediating the anti-inflammatory effects of exercise. Journal of Physiology and Pharmacology 57(Suppl 10): 43–51.
12.
go back to reference Fontana, L., J.C. Eagon, M.E. Trujillo, P. Scherer, and S. Klein. 2007. Visceral fat adipokine secretion is associated with systemic inflammation in obese humans. Diabetes 56: 1010–1013.PubMedCrossRef Fontana, L., J.C. Eagon, M.E. Trujillo, P. Scherer, and S. Klein. 2007. Visceral fat adipokine secretion is associated with systemic inflammation in obese humans. Diabetes 56: 1010–1013.PubMedCrossRef
13.
go back to reference Suzuki, K., J. Peake, K. Nosaka, M. Okutsu, C.R. Abbiss, R. Surriano, D. Bishop, M.J. Quod, H. Lee, D.T. Martin, et al. 2006. Changes in markers of muscle damage, inflammation and HSP70 after an Ironman Triathlon race. European Journal of Applied Physiology 8(6): 525–534.CrossRef Suzuki, K., J. Peake, K. Nosaka, M. Okutsu, C.R. Abbiss, R. Surriano, D. Bishop, M.J. Quod, H. Lee, D.T. Martin, et al. 2006. Changes in markers of muscle damage, inflammation and HSP70 after an Ironman Triathlon race. European Journal of Applied Physiology 8(6): 525–534.CrossRef
14.
go back to reference Panagiotakos, D.B., C. Pitsavos, C. Chrysohoou, S. Kavouras, and C. Stefanadis. 2005. The associations between leisure-time physical activity and inflammatory and coagulation markers related to cardiovascular disease: the ATTICA Study. Preventive Medicine 40: 432–437.PubMedCrossRef Panagiotakos, D.B., C. Pitsavos, C. Chrysohoou, S. Kavouras, and C. Stefanadis. 2005. The associations between leisure-time physical activity and inflammatory and coagulation markers related to cardiovascular disease: the ATTICA Study. Preventive Medicine 40: 432–437.PubMedCrossRef
15.
go back to reference Kondo, T., I. Kobayashi, and M. Murakami. 2006. Effect of exercise on circulating adipokine levels in obese young women. Endocrine Journal 53(2): 189–195.PubMedCrossRef Kondo, T., I. Kobayashi, and M. Murakami. 2006. Effect of exercise on circulating adipokine levels in obese young women. Endocrine Journal 53(2): 189–195.PubMedCrossRef
16.
go back to reference Dekker, M.J., S. Lee, R. Hudson, K. Kilpatrick, T.E. Graham, R. Ross, and L.E. Robinson. 2007. An exercise intervention without weight loss decreases circulating interleukin-6 in lean and obese men with and without type 2 diabetes mellitus. Metabolism 56: 332–338.PubMedCrossRef Dekker, M.J., S. Lee, R. Hudson, K. Kilpatrick, T.E. Graham, R. Ross, and L.E. Robinson. 2007. An exercise intervention without weight loss decreases circulating interleukin-6 in lean and obese men with and without type 2 diabetes mellitus. Metabolism 56: 332–338.PubMedCrossRef
17.
go back to reference Polak, J., E. Klimcakova, C. Moro, N. Viguerie, M. Berlan, J. Hejnova, B. Richterova, I. Kraus, D. Langin, and V. Stich. 2006. Effect of aerobic training on plasma levels and subcutaneous abdominal adipose tissue gene expression of adiponectin, leptin, interleukin 6, and tumor necrosis factor α in obese women. Metabolism 55: 1375–1381.PubMedCrossRef Polak, J., E. Klimcakova, C. Moro, N. Viguerie, M. Berlan, J. Hejnova, B. Richterova, I. Kraus, D. Langin, and V. Stich. 2006. Effect of aerobic training on plasma levels and subcutaneous abdominal adipose tissue gene expression of adiponectin, leptin, interleukin 6, and tumor necrosis factor α in obese women. Metabolism 55: 1375–1381.PubMedCrossRef
18.
go back to reference Marcell, T.J., K.A. McAuley, T. Traustadóttir, and P.D. Reaven. 2005. Exercise training is not associated with improved levels of C-reactive protein or adiponectin. Metabolism 54: 533–541.PubMedCrossRef Marcell, T.J., K.A. McAuley, T. Traustadóttir, and P.D. Reaven. 2005. Exercise training is not associated with improved levels of C-reactive protein or adiponectin. Metabolism 54: 533–541.PubMedCrossRef
19.
go back to reference Stensvold, D., S.A. Slørdahl, and U. Wisløff. 2012. Effect of exercise training on inflammation status among people with metabolic syndrome. Metabolic Syndrome and Related Disorders 10(4): 267–272.PubMedCrossRef Stensvold, D., S.A. Slørdahl, and U. Wisløff. 2012. Effect of exercise training on inflammation status among people with metabolic syndrome. Metabolic Syndrome and Related Disorders 10(4): 267–272.PubMedCrossRef
20.
go back to reference Stewart, L.K., M.G. Flynn, W.W. Campbell, B.A. Craig, J. Robinson, K.L. Timmerman, B.K. McFarlin, P.M. Coen, and E. Talbert. 2007. The influence of exercise training on inflammatory cytokines and C-reactive protein. Medicine and Science in Sports and Exercise 39(10): 1714–1719.PubMedCrossRef Stewart, L.K., M.G. Flynn, W.W. Campbell, B.A. Craig, J. Robinson, K.L. Timmerman, B.K. McFarlin, P.M. Coen, and E. Talbert. 2007. The influence of exercise training on inflammatory cytokines and C-reactive protein. Medicine and Science in Sports and Exercise 39(10): 1714–1719.PubMedCrossRef
21.
go back to reference Oberbach, A., A. Tönjas, N. Klöting, M. Fasshauer, J. Kratzsch, M.W. Busse, R. Paschke, M. Stumvoll, and M. Blüher. 2006. Effect of a 4 week physical training program on plasma concentrations of inflammatory markers in patients with abnormal glucose tolerance. European Journal of Endocrinology 154: 577–585.PubMedCrossRef Oberbach, A., A. Tönjas, N. Klöting, M. Fasshauer, J. Kratzsch, M.W. Busse, R. Paschke, M. Stumvoll, and M. Blüher. 2006. Effect of a 4 week physical training program on plasma concentrations of inflammatory markers in patients with abnormal glucose tolerance. European Journal of Endocrinology 154: 577–585.PubMedCrossRef
22.
go back to reference Balducci, S., S. Zanuso, A. Nicolucci, F. Fernando, S. Cavallo, P. Cardelli, S. Fallucca, E. Alessi, C. Letizia, A. Jimenez, et al. 2010. Anti-inflammatory effect of exercise training in subjects with type 2 diabetes and the metabolic syndrome is dependent on exercise modalities and independent of weight loss. Nutrition, Metabolism, and Cardiovascular Diseases 20: 608–617.PubMedCrossRef Balducci, S., S. Zanuso, A. Nicolucci, F. Fernando, S. Cavallo, P. Cardelli, S. Fallucca, E. Alessi, C. Letizia, A. Jimenez, et al. 2010. Anti-inflammatory effect of exercise training in subjects with type 2 diabetes and the metabolic syndrome is dependent on exercise modalities and independent of weight loss. Nutrition, Metabolism, and Cardiovascular Diseases 20: 608–617.PubMedCrossRef
23.
go back to reference Ho, S.S., S.S. Dhaliwal, A.P. Hills, and S. Pal. 2012. The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial. BMC Public Health 12(1): 704. doi:10.1186/1471-2458-12-704.PubMedCrossRef Ho, S.S., S.S. Dhaliwal, A.P. Hills, and S. Pal. 2012. The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial. BMC Public Health 12(1): 704. doi:10.​1186/​1471-2458-12-704.PubMedCrossRef
24.
go back to reference Ho SS, Radavelli-Bagatini S, Dhaliwal SS, Hills AP, Pal S. 2012. Resistance, aerobic, and combination training on vascular function in overweight and obese adults. The Journal of Clinical Hypertension (Greenwich) 14(12): 848–854. doi:10.1111/j.1751-7176.2012.00700.x. Ho SS, Radavelli-Bagatini S, Dhaliwal SS, Hills AP, Pal S. 2012. Resistance, aerobic, and combination training on vascular function in overweight and obese adults. The Journal of Clinical Hypertension (Greenwich) 14(12): 848–854. doi:10.​1111/​j.​1751-7176.​2012.​00700.​x.
25.
go back to reference Karvonen, M.J., E. Kentale, and O. Mustala. 1957. The effects of training on heart rate: a longitudinal study. Annales Medicinae Experimentalis et Biologiae Fenniae 35(3): 307–315.PubMed Karvonen, M.J., E. Kentale, and O. Mustala. 1957. The effects of training on heart rate: a longitudinal study. Annales Medicinae Experimentalis et Biologiae Fenniae 35(3): 307–315.PubMed
26.
go back to reference Ho, S.S., S.S. Dhaliwal, A. Hills, and S. Pal. 2011. Acute exercise improves postprandial cardiovascular risk factors in overweight and obese individuals. Atherosclerosis 214(1): 178–184.PubMedCrossRef Ho, S.S., S.S. Dhaliwal, A. Hills, and S. Pal. 2011. Acute exercise improves postprandial cardiovascular risk factors in overweight and obese individuals. Atherosclerosis 214(1): 178–184.PubMedCrossRef
27.
go back to reference Pal, S., A. Khossousi, C. Binns, S. Dhaliwal, and V. Ellis. 2011. The effect of a fibre supplement compared to a healthy diet on body composition, lipids, glucose, insulin and other metabolic syndrome risk factors in overweight and obese individuals. British Journal of Nutrition 105: 90–100.PubMedCrossRef Pal, S., A. Khossousi, C. Binns, S. Dhaliwal, and V. Ellis. 2011. The effect of a fibre supplement compared to a healthy diet on body composition, lipids, glucose, insulin and other metabolic syndrome risk factors in overweight and obese individuals. British Journal of Nutrition 105: 90–100.PubMedCrossRef
28.
go back to reference O'Leary, V.B., C.M. Marchetti, R.K. Krishnan, B.P. Stetzer, F. Gonzalez, and J.P. Kirwan. 2006. Exercise-induced reversal of insulin resistance in obese elderly is associated with reduced visceral fat. Journal of Applied Physiology 100: 1584–1589.PubMedCrossRef O'Leary, V.B., C.M. Marchetti, R.K. Krishnan, B.P. Stetzer, F. Gonzalez, and J.P. Kirwan. 2006. Exercise-induced reversal of insulin resistance in obese elderly is associated with reduced visceral fat. Journal of Applied Physiology 100: 1584–1589.PubMedCrossRef
29.
go back to reference Pedersen, B.K., H. Bruunsgaard, M. Klokker, N. Kappel, D.A. MacLean, H.B. Nielsen, T. Rohde, H. Ullum, and M. Zacho. 1997. Exercise-induced immunomodulation—possible roles of neuroendocrine and metabolic factors. International Journal of Sports Medicine 18(Suppl 1): S2–7.PubMedCrossRef Pedersen, B.K., H. Bruunsgaard, M. Klokker, N. Kappel, D.A. MacLean, H.B. Nielsen, T. Rohde, H. Ullum, and M. Zacho. 1997. Exercise-induced immunomodulation—possible roles of neuroendocrine and metabolic factors. International Journal of Sports Medicine 18(Suppl 1): S2–7.PubMedCrossRef
30.
go back to reference Monzillo, L.U., O. Handy, E.S. Horton, S. Ledbury, C. Mullooly, C. Jarema, S. Porter, K. Ovalle, A. Moussa, and C.S. Mantzpros. 2003. Effect of lifestyle modification on adipokine levels in obese subjects with insulin resistance. Obesity Research 11: 1048–1054.PubMedCrossRef Monzillo, L.U., O. Handy, E.S. Horton, S. Ledbury, C. Mullooly, C. Jarema, S. Porter, K. Ovalle, A. Moussa, and C.S. Mantzpros. 2003. Effect of lifestyle modification on adipokine levels in obese subjects with insulin resistance. Obesity Research 11: 1048–1054.PubMedCrossRef
31.
go back to reference Fisher, G., T.C. Hyatt, G.R. Hunter, R.A. Oster, R.A. Desmond, and B.A. Gower. 2011. Effect of diet with and without exercise training on markers of inflammation and fat distribution in overweight women. Obesity 19(6): 1131–1136.PubMedCrossRef Fisher, G., T.C. Hyatt, G.R. Hunter, R.A. Oster, R.A. Desmond, and B.A. Gower. 2011. Effect of diet with and without exercise training on markers of inflammation and fat distribution in overweight women. Obesity 19(6): 1131–1136.PubMedCrossRef
32.
go back to reference Adamopoulos, S., J. Parissis, C. Kroupis, M. Georgiadis, D. Karatzas, G. Karavolias, K. Koniavitou, A.J.S. Coats, and D.T. Kremastinos. 2001. Physical training reduces peripheral markers of inflammation in patients with chronic heart failure. European Heart Journal 22: 791–797.PubMedCrossRef Adamopoulos, S., J. Parissis, C. Kroupis, M. Georgiadis, D. Karatzas, G. Karavolias, K. Koniavitou, A.J.S. Coats, and D.T. Kremastinos. 2001. Physical training reduces peripheral markers of inflammation in patients with chronic heart failure. European Heart Journal 22: 791–797.PubMedCrossRef
33.
go back to reference Larsen, A.I., P. Aukrust, T. Aarsland, and K. Dickstein. 2001. Effect of aerobic exercise training on plasma levels of tumor necrosis factor alpha in patients with heart failure. The American Journal of Cardiology 88: 805–808.PubMedCrossRef Larsen, A.I., P. Aukrust, T. Aarsland, and K. Dickstein. 2001. Effect of aerobic exercise training on plasma levels of tumor necrosis factor alpha in patients with heart failure. The American Journal of Cardiology 88: 805–808.PubMedCrossRef
34.
go back to reference Conraads, V.M., P. Beckers, J. Bosmans, L.S. De Clerck, W.J. Stevens, C.J. Vrints, and D.L. Brutsaert. 2002. Combined endurance/resistance training reduces plasma TNF-α receptor levels in patients with chronic heart failure and coronary artery disease. European Heart Journal 23: 1854–1860.PubMedCrossRef Conraads, V.M., P. Beckers, J. Bosmans, L.S. De Clerck, W.J. Stevens, C.J. Vrints, and D.L. Brutsaert. 2002. Combined endurance/resistance training reduces plasma TNF-α receptor levels in patients with chronic heart failure and coronary artery disease. European Heart Journal 23: 1854–1860.PubMedCrossRef
35.
go back to reference Goldhammer, E., A. Tanchilevitch, I. Maor, Y. Beniamini, U. Rosenschein, and M. Sagiv. 2005. Exercise training modulates cytokines activity in coronary heart disease patients. International Journal of Cardiology 100: 93–99.PubMedCrossRef Goldhammer, E., A. Tanchilevitch, I. Maor, Y. Beniamini, U. Rosenschein, and M. Sagiv. 2005. Exercise training modulates cytokines activity in coronary heart disease patients. International Journal of Cardiology 100: 93–99.PubMedCrossRef
36.
go back to reference Nindl, B.C., D.E. Scofield, C.A. Strohbach, A.J. Centi, R.K. Evans, R. Yanovich, and D.S. Moran. 2012. IGF-I, IGFBPs, and inflammatory cytokine responses during gender-integrated Israeli army basic combat training. Journal of Strength and Conditioning Research 26(7): S73–S81.PubMedCrossRef Nindl, B.C., D.E. Scofield, C.A. Strohbach, A.J. Centi, R.K. Evans, R. Yanovich, and D.S. Moran. 2012. IGF-I, IGFBPs, and inflammatory cytokine responses during gender-integrated Israeli army basic combat training. Journal of Strength and Conditioning Research 26(7): S73–S81.PubMedCrossRef
37.
go back to reference Carey, A.L., and M.A. Febbraio. 2004. Interleukin-6 and insulin sensitivity: friend or foe? Diabetologia 47: 1135–1142.PubMed Carey, A.L., and M.A. Febbraio. 2004. Interleukin-6 and insulin sensitivity: friend or foe? Diabetologia 47: 1135–1142.PubMed
Metadata
Title
Effects of Chronic Exercise Training on Inflammatory Markers in Australian Overweight and Obese Individuals in a Randomized Controlled Trial
Authors
Suleen S. Ho
Satvinder S. Dhaliwal
Andrew P. Hills
Sebely Pal
Publication date
01-06-2013
Publisher
Springer US
Published in
Inflammation / Issue 3/2013
Print ISSN: 0360-3997
Electronic ISSN: 1573-2576
DOI
https://doi.org/10.1007/s10753-012-9584-9

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