Effect of exercise on ADMA level in type 2 diabetes mellitus

Amaç: Simetri (SDMA) ve asimetri dimetil argininde (ADMA)artış endotelyal disfonksiyona işaret eder. Bu projenini amacı tip 2 diabetes mellitusta egzersizden sonraki düzeylerini incelemektir. Hastalar ve Yöntemler: Tip 2 DM bulunan 36 kadın ve 44 sağlıklı kadın dahil edildi. Sırasıyla 14 ve 19'u 4 haftalık orta yoğunlukta egzersize alındı. Başlangıçta, ilk egzersiz seansından sonra ve bir ay sonra plazmada SDMA, ADMA ve L-arginin düzeyleri HPLC yöntemiyle ölçüldü. Bulgular: Her iki grupta da tüm ölçümler normal aralıktaydı ve ne egzersizden sonra ne de bir ayın sonunda belirgin olarak değişmedi. Egzersiz yapan sağlıklı grupta bir ayın sonunda L-arginin/ADMA ve L-arginin/SDMA oranları başlangıç değerlerine göre belirgin olarak yüksek bulundu (sırasıyla, p

Tip 2 diabetes mellitusta egzersizin Adma düzeyine etkisi

Objective: The increase in symmetric (SDMA) and asymmetric dimethyl arginine (ADMA) is associated with endothelial dysfunction. The aim of this study was to evaluate the effect of exercise on ADMA and SDMA levels and related ratios in type 2 DM. Material and Methods: Thirty-six women with type 2 DM and 44 healthy women were recruited to the study. Fourteen and 19 subjects, respectively, attended four-weeks of moderate intensity exercise. Plasma SDMA, ADMA, and L-arginine levels were measured by the HPLC method initially, after the first exercise session, and after one month. Results: All measurements were within the normal range in both groups and did not change significantly immediately after exercise and after the first month. In the healthy group, L-arginine/ADMA and L-arginine/SDMA ratios after one month were significantly higher than the initial values (p

___

  • 1. American Diabetes Association. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care 2007;30 Suppl 1:S48-65. [CrossRef]
  • 2. Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 2001;286:1218-27. [CrossRef]
  • 3. Bode-Böger SM, Scalera F, Ignarro LJ. The L-arginine paradox: Importance of the L-arginine/asymmetrical dimethylarginine ratio. Pharmacol Ther 2007;114:295-306. [CrossRef]
  • 4. Kawata T, Daimon M, Hasegawa R, Teramoto K, Toyoda T, Sekine T, et al. Effect of angiotensin-converting enzyme inhibitor on serum asymmetric dimethylarginine and coronary circulation in patients with type 2 diabetes mellitus. Int J Cardiol 2009;132:286-8. [CrossRef]
  • 5. Vallance P, Leone A, Calver A, Collier J, Moncada S. Accumulation of an endogenous inhibitor of nitric oxide synthesis in chronic renal failure. Lancet 1992;339:572-5. [CrossRef]
  • 6. Bode-Böger SM, Scalera F, Kielstein JT, Martens-Lobenhoffer J, Breithardt G, Fobker M, et al. Symmetrical dimethylarginine: a new combined parameter for renal function and extent of coronary artery disease. J Am Soc Nephrol 2006;17:1128-34. [CrossRef]
  • 7. Blardi P, de Lalla A, Pieragalli D, de Franco V, Meini S, Ceccatelli L, et al. Effect of iloprost on plasma asymmetric dimethylarginine and plasma and platelet serotonin in patients with peripheral arterial occlusive disease. Prostaglandins Other Lipid Mediat 2006;80:175-82. [CrossRef]
  • 8. Böger RH. Asymmetric dimethylarginine (ADMA) and cardiovascular disease: insights from prospective clinical trials. Vasc Med 2005;10 Suppl 1:S19-25. [CrossRef]
  • 9. Oguz A, Uzunlulu M, Yorulmaz E, Yalçin Y, Hekim N, Fici F. Effect of nebivolol and metoprolol treatments on serum asymmetric dimethylarginine levels in hypertensive patients with type 2 diabetes mellitus. Anadolu Kardiyol Derg 2007;7:383-7.
  • 10. Abbasi F, Asagmi T, Cooke JP, Lamendola C, McLaughlin T, Reaven GM, et al. Plasma concentrations of asymmetric dimethylarginine are increased in patients with type 2 diabetes mellitus. Am J Cardiol 2001;88:1201-3. [CrossRef]
  • 11. Sugai M, Ohta A, Ogata Y, Nakanishi M, Ueno S, Kawata T, et al. Asymmetric dimethylarginine (ADMA) in the aqeous humor of diabetic patients. Endocr J 2007;54:303-9. [CrossRef]
  • 12. Malecki MT, Undas A, Cyganek K, Mirkiewicz-Sieradzka B, Wolkow P, Osmenda G, et al. Plasma asymmetric dimethylarginine (ADMA) is associated with retinopathy in type 2 diabetes mellitus. Diabetes Care 2007;30:2899-901. [CrossRef]
  • 13. Fleck C, Schweitzer F, Karge E, Busch M, Stein G. Serum concentrations of asymmetric (ADMA) and symmetric (SDMA) dimethylarginine in patients with chronic kidney diseases. Clin Chim Acta 2003;336:1-12. [CrossRef]
  • 14. Mittermayer F, Pleiner J, Krzyzanowska K, Wiesinger GF, Francesconi M, Wolzt M. Regular physical exercise normalizes elevated asymmetrical dimethylarginine concentrations in patients with type 1 diabetes mellitus. Wien Klin Wochenschr 2005;117: 816-20. [CrossRef]
  • 15. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2008;31 Suppl 1:S55-60. [CrossRef]
  • 16. World Health Organization. Physical status: the use and interpretation of anthropometry: report of a WHO expert committee. World Health Organ Tech Rep Ser 1995;854:1-452.
  • 17. Matthews DR, Hosker JR, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985;28:412-9. [CrossRef]
  • 18. Teräslinna P, Ismail AH, MacLeod DF. Nomogram by Astrand and Ryhming as a predictor of maximum oxygen intake. J Appl Physiol 1966;21:513-5.
  • 19. Teerlink T, Nijveldt RJ, de Jong S, van Leeuwen PA. Determination of arginine, asymmetric dimethylarginine, and symmetric dimethyllarginine in human plasma and other biological samples by high-performance liquid chromatography. Anal Biochem 2002;303:131-7. [CrossRef]
  • 20. Päivä H, Lehtimäki T, Laakso J, Ruokonen I, Rantalaiho V, Wirta O, et al. Plasma concentrations of asymmetric-dimethyl-arginine in type 2 diabetes associate with glycemic control and glomerular filtration rate but not with risk factors of vasculopathy. Metabolism 2003;52:303-7. [CrossRef]
  • 21. Yamagishi S, Ueda S, Nakamura K, Matsui T, Okuda S. Role of asymmetric dimethylarginine (ADMA) in diabetic vascular complications. Curr Pharm Des 2008;14:2613-8. [CrossRef]
  • 22. Surdacki A, Stochmal E, Szurkowska M, Bode-Böger SM, Martens- Lobenhoffer J, Stochmal A, et al. Nontraditional atherosclerotic risk factors and extent of coronary atherosclerosis in patients with combined impaired fasting glucose and impaired glucose tolerance. Metabolism 2007;56:77-86. [CrossRef]
  • 23. Yamagishi S, Ueda S, Okuda S. A possible involvement of crosstalk between advanced glycation end products (AGEs) and asymmetric dimethylarginine (ADMA), an endogenous nitric oxide synthase inhibitor in accelerated atherosclerosis in diabetes. Med Hypotheses 2007;69:922-4. [CrossRef]
  • 24. Krzyzanowska K, Mittermayer F, Shnawa N, Hofer M, Schnabler J, Etmüller Y, et al. Asymmetrical dimethylarginine is related to renal function, chronic inflammation and macroangiopathy in patients with Type 2 diabetes and albuminuria. Diabet Med 2007;24:81-6. [CrossRef]
  • 25. Makino H, Doi K, Hiuge A, Nagumo A, Okada S, Miyamoto Y, et al. Impaired flow-mediated vasodilatation and insulin resistance in type 2 diabetic patients with albuminuria. Diabetes Res Clin Pract 2008;79:177-82. [CrossRef]
  • 26. Yasuda S, Miyazaki S, Kanda M, Goto Y, Suzuki M, Harano Y, et al. Intensive treatment of risk factors in patients with type-2 diabetes mellitus is associated with improvement of endothelial function coupled with a reduction in the levels of plasma asymmetric dimethylarginine and endogenous inhibitor of nitric oxide synthase. Eur Heart J 2006;27:1159-65. [CrossRef]
  • 27. Gomes VA, Casella-Filho A, Chagas ACP, Tanus-Santos JE. Enhanced concentrations of relevant markers of nitric oxide formation after exercise training in patients with metabolic syndrome. Nitric Oxide 2008;19:345-50. [CrossRef]
  • 28. Niebauer J, Clark AL, Webb-Peploe KM, Böger R, Coats AJS. Home-based exercise training modulates pro-oxidant substrates in patients with chronic heart failure. Eur J Heart Fail 2005;7:183-8. [CrossRef]
  • 29. Boulé NG, Kenny GP, Haddad E, Wells GA, Sigal RJ. Metaanalysis of the effect of structured exercise training on cardiorespiratory fitness in type 2 diabetes mellitus. Diabetologia 2003;46:1071-81. [CrossRef]
Balkan Medical Journal-Cover
  • ISSN: 2146-3123
  • Başlangıç: 2015
  • Yayıncı: Erkan Mor
Sayıdaki Diğer Makaleler

Crohn's disease associated pyoderma gangrenosum treated with adalimumab

Micheal PITIAKOUDIS, Despoina KAKAGIA, Eleni EFREMIDOU, Nikolaos LYRATZOPOULOS, Alexandros MITRAKAS, George KOUKLAKIS

Yatarak tedavi gören hastalarda bilişsel profil

Mehmet YAMAN, Serdar ORUÇ, Hayri DEMİRBAŞ, Taner COŞKUNER, Derya ARSLAN

Polymorphisms in the melanocortin-1 receptor (Mc1R) gene in vitiligo

Gökay BOZKURT, Adnan GÖRGÜLÜ, Eylem ACAR

Hypokalemic rhabdomyolysis induced acute renal failure as a presentation of coeliac disease

Hasan CAN, Ahmet KORKMAZ, Metin SARIKAYA, Ramazan ÇETİNKAYA, Funda SARI, Ayşe GÜNEŞ, Nur TUKEL, Mustafa EREN

Comparison of nerve stimulator and ultrasonography application for brachial plexus anesthesia

Hafize ÖKSÜZ, Beyazıt ZENCİRCİ

Frontal anterior laryngectomy with epiglottic reconstruction (Tucker's operation): Oncologic and functional results

Abdullah TAŞ, Ahmet Rıfat KARASALİHOĞLU, Elif ÇİFTÇİ, Mustafa Kemal ADALI, Cem UZUN, Muhsin KOTEN, Recep YAĞIZ

Evaluation of discordance in differentiated thyroid cancer patients with negative radioiodine scans and positive thyroglobulin values at the ablation outcome control

Halim İŞSEVER, Zeynep Gözde ÖZKAN, Cüneyt TÜRKMEN, Yeşim ERBİL, Işık ADALET, Harika BOZTEPE, Neşe ÇOLAK, Ferihan ARA

Psikiyatri kliniklerinde yapılan latent tüberküloz enfeksiyonu

Erhan KURT, Sinan GÜLÖKSÜZ, Esat Timuçin ORAL, Turan ÇETİN, Esin ÇETİN AKTAŞ, Kaya KÖKSALAN, Günnur DENİZ, Faruk ÇİFTÇİ, Oğün SEZER, Hatice KAYA

Protective effect of quercetin against renal toxicity induced by cadmium in rats

Yeşim Hülya UZ, Mehmet KANTER, Tevfik AKTOZ, Mustafa ERBOĞA, İrfam Hüseyin ATAKAN, Cevat AKTAŞ

Impact of education and process surveillance on device-associated health care-associated infection rates in a Turkish ICU: Findings of the international nosocomial infection control consortium (INICC)

Şaban ESEN, Ahmet DİLEK, Fatma ÜLGER, Victor D. ROSENTHAL, Murat ACAR, Hakan LEBLEBİCİOĞLU