Effects of Twenty-Four Weeks Training on Insulin Resistance Parameters and Metabolic Profiles in Adolescent Wrestlers

Year 2017, Volume: 1 Issue: 3, 133 - 139, 03.12.2017

Mustafa Gümüş Taner Bayraktaroğlu İbrahim E. Pişkin Tevfik C. Akalın Faruk Yamaner

Abstract

Aim: Obesity has become an increasing health concern in childhood and adolescence. We aimed to investigate the metabolic syndrome criteria in adolescent wrestlers and to investigate changes in insulin resistance and metabolic markers after 24 weeks of exercise program.

Material and Methods: Fifty wrestlers between the ages of 13 and 15 were enrolled to the study. Anthropometric and metabolic characteristics including age, body weight, height, body mass index (BMI), waist circumferences, systolic blood pressure, and diastolic blood pressure and metabolic syndrome criteria were obtained.

Results: After training program wrestlers’ body mass index, total cholesterol, triglycerides and LDL- cholesterol values were not found statistically significant. Nonetheless, there was a convincing statistical decline in glucose, insulin, HOMA-IR and HDL- cholesterol average value. While wrestlers’ body mass index, total cholesterol, triglycerides and LDL- cholesterol average was remained same after the training program, fasting glucose and HOMA-IR values in terms of insulin resistance have decreased significantly.

Conclusion: While completing the period of growth and development, the wrestling training program of adolescent wrestlers has positive effects on metabolism and insulin resistance. It is revealed that the training program have favorable effects on metabolism and insulin resistance.

Keywords

Adolescence, Wrestlers, Metabolic syndrome, Insulin resistance, HOMA-IR

Adolesan Güreşçilerde Yirmi Dört Haftalık Egzersizin İnsülin Direnci Parametreleri ve Metabolik Profiller Üzerine Etkileri

Abstract

Amaç: Obezite, çocukluk ve ergenlik döneminde artan bir sağlık sorunu haline geldi. Çalışmamızda, ergen güreşçilerinde metabolik sendrom kriterlerini belirleyerek 24 haftalık egzersiz programından sonra insülin direncini ve metabolik göstergelerin değişikliklerini araştırmayı amaçladık.

Gereç ve Yöntemler: Genç - yetişkin 13-15 yaş arası 50 güreşçi çalışmaya alındı. Yaş, vücut ağırlığı, boy, vücut kütle indeksi (BKİ), bel çevresi, sistolik kan basıncı, diastolik kan basıncı ve metabolik sendrom kriterleri dahil olmak üzere antropometrik ve metabolik özellikler elde edildi.

Bulgular: Egzersiz programından sonra güreşçilerin vücut kütle indeksi, total kolesterol, trigliserid ve LDL kolesterol değerlerindeki değişkenlik istatistiksel olarak anlamlı bulunmamıştır (p <0.05). Bununla birlikte, glikoz, insülin, HOMA-IR ve HDL-kolesterol ortalama değerinde istatistiksel anlamlılıkta düşüklük saptandı (p<0.05).

Sonuç: Büyüme ve gelişme dönemini tamamlarken adölesan güreşçiler yaptıkları güreş eğitim programının metabolizma ve insülin direnci üzerinde olumlu etkileri olduğu ortaya çıkmaktadır.

Keywords

Adölesan, Güreşçi, Metabolic Sendrom, İnsülin Direnci, HOMA-IR

References

• 1. Population-Based Approaches to Childhood Obesity Prevention. Word Health Organization Press, Geneva, Switzerland. 2012. http://www.who.int/dietphysicalactivity/ c h i l d h o o d / W H O _ n e w _ c h i l d h o o d o b e s i t y _ PREVENTION_27nov_HR_PRINT_OK.pdf. Accessed date 25.10.2017.
• 2. Liang Y, Hou D, Zhao X, Wang L, Hu Y, Liu J, Cheng H, Yang P, Shan X, Yan Y, Cruickshank JK, Mi J,. Childhood obesity affects adult metabolic syndrome and diabetes. Endocrine 2015;60:87–92.
• 3. Zhang, H., Zhang, T., Li, S., Li, Y., Hussain, A., Fernandez, C., et al.. long-termimpact of childhood adiposity on adult metabolic syndrome is modified by insulin resistance: the bogalusa heart study. Sci Rep 2015;5:17885.
• 4. Ten, S.,Mclaren, N..Insulin resistance syndrome in children. J Clin Endocrinol Metab 2004;89 (6):2526–2539.
• 5. American Diabetes Association. Standards of medical care in diabetes. Diabetes Care 2017;40(Sup.1), S1–S135.
• 6. Rennie, K., Johnson, L., Jebb, S.. Behavioural determinants of obesity. Best Pract Res Clin Endocrinol Metab 2005;19 (3):343–358.
• 7. Marson EC1, Delevatti RS2, Prado AK3, Netto N4, Kruel LF. Effects of aerobic, resistance, and combined exercise training on insulin resistance markers in overweight or obese children and adolescents: A systematic review and meta-analysis. Prev Med. 2016;93:211-218.
• 8. McMurray, RG., Hackney, AC. Endocrine responses to exercise and training. Exercise and sports science. Edited by William E Garrett, Jr., And Donald T Kirkendall. Lippincott Williams & Wilkins, Philadelphia 142-143, 2000.
• 9. Roemmich, JN. Growth, Maturation and Hormonal Changes During Puberty: Influence of Sport Training, in The Endocrine System in Sports and Exercise (eds W. J. Kraemer and A. D. Rogol). Blackwell Publishing Ltd, Oxford, UK. doi: 10.1002/9780470757826.ch34, 2008.
• 10. Georgopoulos, NA., Roupas, ND., Theodoropoulou, A., Tsekouras, A., Vagenakis, AG., Markou, KB. (). The influence of intensive physical training on growth and pubertal development in athletes. Ann. N.Y. Acad. Sci, 2010;1205:39- 44.
• 11. Daly, RM., Rich, PA., Klein, R., and Bass, SL. Short stature in competitive prepubertal and early pubertal male gymnasts: the result of selection bias or intense training? J Pediatr, 2000;137:510-516.
• 12. Hackney AC, Sinning WE, Bruot BC. Reproductive hormonal profiles of endurance-trained and untrained males. Med Sci Sports Exerc, 1988;20(1): 60-65.
• 13. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation 2002; 106: 3143–3421.
• 14. Alberti KG, Zimmet P and Shaw J. Metabolic syndrome – a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med 2006; 23: 469– 480.
• 15. Lurbe E, Cifkova R, Cruickshank JK, Dillon MJ, Ferreira I, Invitti C, Kuznetsova T, Laurent S, Mancia G, Morales- Olivas F, Rascher W, Redon J, Schaefer F, Seeman T, Stergiou G, Wühl E, Zanchetti A; European Society of Hypertension. Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. J Hypertens 2009; 27:1719-1742.
• 16. Türk Kardiyoloji Derneği Ulusal Hipertansiyon Tedavi ve Takip Kılavuzu. 5. Özel Hasta Grupları. Çocukluk ve Adolesan Çağı Hipertansiyonu. 1999. https://www.tkd.org.tr/kilavuz/ k03.htm, https://www.tkd.org.tr/kilavuz/k03/5_11453. htm?wbnum=1109. Erişim 22.10.2017.
• 17. U.S. Department of Health and Human Services National Institutes of Health National Heart, Lung, and Blood Institute. The Fourth Report On the Diagnosis, Evaluation, And Treatment of High Blood Pressure in Children and Adolescents NIH Publication No. 05-5267 Originally printed September 1996 (96-3790) Revised May 2005. https://www.nhlbi.nih. gov/files/docs/resources/heart/hbp_ped.pdf Accessed date 22.10.2017.
• 18. Olcay N, Hülya G, Andrzej F. ve ark. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2008; 51: 1-14.
• 19. Yoldemir ŞA, Yoldemir B. Adolesan Kan Basıncı Yüksekliğine Yaklaşım. Türkiye Aile Hekimlği Dergisi 2015; 6(3):96-107.
• 20. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28(7):412-19.
• 21. Wallace TM, Levy JC, Matthews DR. Use and abuse of HOMA modeling. Diabetes Care. 2004;27(6):1487-95.
• 22. Rey-López JP, Vicente-Rodríguez G, Biosca M, Moreno LA. Sedentary behaviour and obesity development in children and adolescents. Nutr Metab Cardiovasc Dis 2008;18 (3):242–251.
• 23. Kelley G, Kelley K. Aerobic exercise and lipids and lipoproteins in children and adolescents:a meta-analysis of randomized controlled trials Atherosclerosis. 2007; 191(2): 447–453.
• 24. Karacabey, K. The effect of exercise on leptin, insulin, cortisol and lipid profiles in obese children. J. Int. Med. Res. 2009;37 (5):1472–8.
• 25. Garcia-hermos A. Saavendr, J.M., Escalante, I., Effects of exercise on resting blood pressure in obese children: ametaanalysis of randomized controlled trials. Obes Rev 2013;14 (11): 919–928.
• 26. Garcia-Hermoso A, Saavendra JM, Escalante I, Sanchez- Lopez M, Martinez-Viscaino V. Aerobic exercise reduces insulin resistance markers in obese youth: a meta-analysis of randomized controlled trials. Eur J Endocrinol 2014;171 (4):R163–R171.
• 27. Faigenbaum, AD., Myer GD. Resistance training among young athletes: safety, efficacy and injury prevention effects. Br J Sports Med 2010;44 (1):56–63.
• 28. Artero EE, Lee DC, Lavie CJ, España-Romero V, Sui X, Church TS, Blair SN. Effects of muscular strength on cardiovascular risk factors and prognosis. J. Cardiopulm. Rehabil. Prev. 2012;32 (6):351–358.
• 29. Lurbe E, Agabiti-Rosei E, Cruickshank JK, Dominiczak A, Erdine S, Hirth A, Invitti C, Litwin M, Mancia G, Pall D, Rascher W, Redon J, Schaefer F, Seeman T, Sinha M, Stabouli S, Webb NJ, Wühl E, Zanchetti A. 2016 European Society of Hypertension guidelines for themanagement of high blood pressure in children andadolescents.. J. Hypertens. 2016; 34(10): 1887-920.
• 30. Hansen ML, Gunn PW, Kaelber DC. Underdiagnosis of hypertension in children and adolescents. JAMA. 2007; 298(8):874-9.
• 31. McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and prehypertension among adolescents.J Pediatr. 2007; 150(6):640-4.
• 32. Falkner B. Hypertension in children and adolescents: epidemiology and natural history. Pediatr Nephrol. 2010 Jul; 25(7): 1219–1224.
• 33. Mohammad T1, Farzad N, Tagie GM, Ranjbar K.The impact of rapid weight loss on the leptin, adiponectin levels, and insulin resistance among adult free style wrestlers. J Sports Med Phys Fitness. 2015;55(7-8):805-12.
• 34. Talaei M1, Nazem F2, Ranjbar K3. The impact of rapid weight loss (4%) on leptin, adiponectin, and insulin resistance in elite adult free style wrestlers. J Sports Med Phys Fitness. 2017;57(4):434-440.
• 35. Criqui Mh. Epidemiology of atherosclerosis: an update overview. Am. J. Cardiol, 1986:57:18-23.
• 36. Berg A, John J, Baumstalk M. Change on HDL-C subfractions after a single extended episode of physical exercise. Atherosclerosis. 1983;47:231-40.
• 37. Cullinane E. Lararus B, Thompson PD. Acute effect of a single exercise session on serum lipids in untrained men. Clin. Chim. Arta. 1981;109:241-4.
• 38. Enger CS, Herbjrnsen J, Fretland A. HDL-C and physical activity: The influence of physical exercise age and smoking on HDL-C and HDL-C/ total kolestrol ratio. Scand J. Clin. Lab. Invest. 1997;37:251-255,.
• 39. Yalaz G, Kayatekin BM, Güvel H, Derman S, Gönerçi S, Açıkgöz 0, Semin I, Kandemir F. Erkekte düzenli egzersizin lipid -lipoprotein profiline etkisi, Spor Hekimliği Dergisi, 1996;31: 107-114.
• 40. Hubinger LM, Mackinnon LT. The acute effects of 30min. of moderate exercise on high density lipoprott1 cholesterol in untrained men. Eur.J. Appl. Physlol, 1992;65(6) 555-60.
• 41. Özhan E, Hizmetli S, Özhan F, Bakır B. Erkek Sporcularda Egzersizin Kan Lipoproteinlerine Etkisi. C. Ü. Tıp Fakültesi Dergisi 2000;22 (2): 88 – 92.
• 42. Tamer,K ; Farklı aerobik antrenman programlarının seks hormonları, kan lipidleri ve vücut yağ yüzdesi üzerine etkisi. Bed. Eğt. Spor Bil. Der. 1996;1(1) :1-11.