@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2016;22(4):307-312
ISSN: 2252-0805 The Horizon of Medical Sciences 2016;22(4):307-312
Effect of Physical Activity on Serum Homocysteine Levels in Obese and Overweight Women
ARTICLE INFO
Article Type
Original ResearchAuthors
Soori R. (*)Choopani S. (1)
Falahian N. (2)
Ramezankhani A. (1)
(*) Exercise Physiology Department, Education & Sport Sciences Faculty, Tehran University, Tehran, Iran
(1) Exercise Physiology Department, Education & Sport Sciences Faculty, Tehran University, Tehran, Iran
(2) Exercise Physiology Department, Education & Sport Sciences Faculty, Alzahra University, Tehran, Iran
Correspondence
Address: Faculty of Physical Education and Sport Sciences, North Kargar Street, Tehran, IranPhone: +98 (21) 88351741
Fax: +98 (21) 88351741
soorirahman@yahoo.com
Article History
Received: April 21, 2016Accepted: July 2, 2016
ePublished: October 1, 2016
BRIEF TEXT
One of the main causes of death are cardiovascular diseases that their prevalence is increasing [1].
… [2-6]. Many studies support aerobic activities in order to evaluate the effect of physical activity on cardiovascular risk factors. The results of these studies have shown that regular aerobic exercise, reduce the blood homocysteine levels. Therefore, they are useful to prevent and treat cardiovascular diseases [7-9-11-13] … [8, 14-17].
The study was done to investigate the effects of physical activities on the serum homocysteine levels, as well as other cardiovascular risk factors in either obese or overweight women.
This study is the controlled pretest-posttest semi-experimental.
This study has done among women referred to the Alzahra sport complexes in districts 3 and 4 of Tehran in 2015.
18 people were selected and were studied via random sampling method. Inclusion criteria included: age between 30-50, lack of regular physical activity and obesity or being overweight (BMI greater than 25 kg per square meter). Exclusion criteria were: Physical well-known diseases such as cardiovascular diseases, thyroid, respiratory, diabetes, musculoskeletal, hyperlipidemia, pregnancy and Bilateral removal of the ovaries and appendixes, professional sport and smoking. The subjects were selected via random sampling method and randomly divided into two groups; physical activity and control groups that the intervention program was conducted in the former, while the latter received no intervention.
Anthropometric parameters, were measured before and after intervention. Height of the subjects was recorded with accuracy of 0.1 cm by Stadiometer (seca; China) and a scale (model beurer; Germany) with an accuracy of 0.1 kg was used to measure the weight of subjects. Participants` subcutaneous fat was measured by using calipers in three points: triceps, abdomen and above pelvis, on the right side of the body and after inserting in the general equation of Jackson and Pollock to determine the body fat percentage in women. The exercise protocol was based on Choi et al. studies consisted of 5 sessions a week exercising ,each session including 5 minutes warm-ups, stretching exercises for 20 minutes, then 45 minutes of aerobic activity by 60% to 75% of maximum heart rate and at last 5 minutes cooling [18]. In the fasting state, the rate of 5 mL blood was taken from the antecubital vein of case studies. After that, the samples were immediately frozen and transferred to the laboratory for measurement of plasma homocysteine. Homocysteine assay kit (Axis-shield diagonist; Germany) was used for measuring the homocysteine levels by ELISA method. In addition, triglyceride and cholesterol were measured by enzymatic method using kits and auto analyzer (RA 1000 Technician; USA). For measuring HDL-C (high density lipoprotein) deposition technique by bivalent anions and cations was used and LDL-C value was obtained from the Friedmann equation. After completing the 10-week training period and after 48 hours of the last day of training, Again, blood sampling was performed with the same initial conditions to determine the biochemical variables. Data analysis was performed using SPSS 16 software. To determine the normal distribution of data Kolmogorov – Smirnov statistical test was used. The disagreements within the group were analyzed using paired T-test (dependent) and out-group differences were analyzed using independent T-test.
Subjects had a mean age of 39.33±7.70 years, mean weigh of 76.57± 5.19 kg and mean height of 157.92±0.05 cm. The mean values of variables in the pre-test were not significantly different between the two groups of physical activity and control groups (p>0.05). After the exercises, the mean serum homocysteine level in physical activity group significantly decreased compared to the control group (p=0.001). Between the two groups of Physical activity and control group there was a significant difference in serum homocysteine levels (P=0.001). Nevertheless, the difference between the mean levels of cholesterol, triglycerides, LDL-C, HDL-C, body mass index and fat percentage of physical activity and control groups was not significant (p>0.05; Table 1 ).
In the field of physical activity effects on reducing serum homocysteine levels, the results of this study was consistent with previous results of Bizheh et al. [1], Meyer et al. [12],Dehghan et al. [19], Kelly and Kelly [20], Mohammadi et al. [21] and Okara et al. [22]. However, results of this study are inconsistent with the results of Antunes et al. [23] and Rousseau et al. [24]. … [25-27].
It is suggested that in future studies, the subjects diet be controlled; Sex differences are being examined, and other training protocols be compared with the present exercise protocol study.
The present study faced some limitations such as the small number of subjects, Lack of controlling subjects’ activity out of the study time, and lack of precise diet control during the study.
Reducing the serum homocysteine concentration, 10-week physical activity might also reduce the risk factors of cardiovascular diseases in either obese or overweight women.
Thanks to venerable subjects without whose cooperation this research was impossible.
Non-declared
Candidates completed consent form and announced its readiness to participate in the study.
This study was conducted without financial support.
TABLES and CHARTS
Show attach fileCITIATION LINKS
[1]Bizheh N, Ebrahimi Atri A, Jaafari M. The effects of three months aerobic exercise on novel atherosclerosis risk factors in untrained middle aged men. J Sci Eng Technol. 2011;5(5): 158-70.
[2]Clarke R, Halsey J, Bennett D, Lewington S. Homocysteine and vascular disease: Review of published results of the homocysteine-lowering trials. J Inherit Metab Dis. 2011;34(1):83-91.
[3]Kuo HK, Sorond FA, Chen JH, Hashmi A, Milberg WP, Lipsitz LA. The role of homocysteine in multisystem age-related problems: A systematic review. J Gerontol a Biol Sci Med Sci. 2005;60(9):1190-201.
[4]Mei W, Rong Y, Jinming L, Yongjun L, Hui Z. Effect of homocysteine interventions on the risk of cardiocerebrovascular events: a meta-analysis of randomised controlled trials. Int J Clin Pract. 2010;64(2):208 –15.
[5]Naess H, Nyland H, Idicula T, Waje-Andreassen U. C-reactive protein and homocysteine predict long-term mortality in young ischemic stroke patients. J Stroke Cerebrovasc Dis. 2013;22(8):e435-40.
[6]Seo DY, Lee SR, Kim HK, Baek YH, Kwak YS, Ko TH, et al. Independent beneficial effects of aged garlic extract intake with regular exercise on cardiovascular risk in postmenopausal women. Nutr Res Pract. 2012;6(3):226-31.
[7]Bastien M, Poirier P, Lemieeux I, Després JP. Overview of epidemiology and contribution of obesity to cardiovascular disease. Prog Cardiovasc Dis. 2014;56(4):369-81.
[8]Pattyn N, Cornelissen VA, Eshghi SR, Vanhees L. The effect of exercise on the cardiovascular risk factors constituting the metabolic syndrome. Sports Med. 2013;43(2):121-33.
[9]Look AHEAD Research Group, Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: Four-year results of the Look AHEAD trial. Arch Intern Med. 2010;170(17):1566-75.
[10]Naghii MR, Aref MA, Almadadi M, Hedayati M. Effect of regular physical activity on non-lipid (novel) cardiovascular risk factors. Int J Occup Med Environ Health. 2011;24(4):380-90.
[11]Gelecek N, Teoman N, Ozdirenc M, Pinar L, Akan P, Bediz C, et al. Influences of acute and chronic aerobic exercise on the plasma homocysteine level. Ann Nutr Metab. 2007;51(1):53-8.
[12]Mir E, Fathei M, Sayeedi M. The effect of eight weeks combined training (aerobic-resistance) on homocysteine, C - reactive protein and lipid profile in inactive elderly men. Med J Tabriz Univ Med Sci. 2015;36(6):80-6. [Persian]
[13]Neuman JC, Albright KA, Schalinske KL. Exercise prevents hyperhomocysteinemia in a dietary folate-restricted mouse model. Nutr Res. 2013;33(6):487-93.
[14]Boreham CA, Kennedy RA, Murphy MH, Tully M, Wallace WF, Young I. Training effects of short bouts of stair climbing on cardiorespiratory fitness, blood lipids, and homocysteine in sedentary young women. Br J Sports Med. 2005;39(9):590-3.
[15] Tartibian B, Godrat-Garebagh Z, Gaeini A, Tolouei-Azar J. Influence of 9-weeks aerobic exercise and multivitamin supplement on inflammation biomarkers as cardiovascular risk factor in non-athletic obese women. Zahedan J Res Med Sci. 2013;15(3):30-5. [Persian]
[16]Thomas NE, Williams RD. Inflammatory factors, physical activity, and physical fitness in young people. Scand J Med Sci Sports. 2008;18(5):543-56.
[17]Beavers KM, Beavers DP, Bowden RG, Wilson RL, Gentile M. Omega-3 fatty acid supplementation and total homocysteine levels in end-stage renal disease patients. Nephrol. 2008;13(4):284-8.
[18]Choi KM, Kim TN, Yoo HJ, Lee KW, Cho GJ, Hwang TG, et al. Effect of exercise training on A-FABP, lipocalin-2 and RBP4 levels in obese women. Clin Endocrinol. 2009;70(4):569-74.
[19]Dehghan SH, Sharifi GH, Faramarzi M. The effect of eight week low impact rhythmic aerobic training on total plasma homocysteine concentration in older non-athlete women. J Mzandaran Univ Med Sci. 2009;19(72):54-9. [Persian]
[20]Kelley G, Kelley K. Effects of exercise and physical activity on homocysteine in adults: A meta-analysis of randomized controlled trials. J Exerc Physiol. 2008;11(5):12-23.
[21]Mohammadi HR, Khoshnam E, Jahromi MK, Khoshnam MS, Karampour E. The effect of 12-week of aerobic training on homocysteine, lipoprotein a and lipid profile levels in sedentary middle-aged men. Int J Prev Med. 2014;5(8):1060-6.
[22]Okura T, Rankinen T, Gagnon J, Lussier-Cacan S, Davignon J, Leon AS, et al. Effects of regular Exercise on homocysteine concentrations: the heritage family study. Eur J Appl Physiol. 2006;98(4):394-401.
[23]Antunes HK, DeMello MT, deAquino L, Santos-Galduróz RF, Galduróz JCF, Aquino Lemos V, et al. Aerobic physical exercise improved the cognitive function of elderly males but did not modify their blood homocysteine levels. Dement Geriatr Cogn Disord Extra. 2015;5(1):13-24.
[24]Rousseau AS, Robin S, Roussel AM, Ducros V, Margaritis I. Plasma homocysteine is related to folate intake but not training status. Nutr Metab Cardiovasc Dis. 2005;15(2):125-33.
[25]Nikbakht HA, AmirTash AM, Gharoni H, Zafari A. Correlation of physical activity with serum fibrinogen and homocysteine concentration in active, sedentary and with cad males. Olympics. 2007;15(2):71-80. [Persian]
[26]Bahram ME, Najjarian M, Sayyah M, Mojtahedi H. The effect of an eight-week aerobic exercise program on the homocysteine level and VO2max in young non-athlete men. Fayz. 2013;17(2):149-56. [Persian]
[27]Subaşı SS, Gelecek N, Aksakoğlu G, Omret M. Effects of two different exercise trainings on plasma homocysteine levels and other cardiovascular disease risks. Türk J Biochem. 2012;37(3):303-14.
[2]Clarke R, Halsey J, Bennett D, Lewington S. Homocysteine and vascular disease: Review of published results of the homocysteine-lowering trials. J Inherit Metab Dis. 2011;34(1):83-91.
[3]Kuo HK, Sorond FA, Chen JH, Hashmi A, Milberg WP, Lipsitz LA. The role of homocysteine in multisystem age-related problems: A systematic review. J Gerontol a Biol Sci Med Sci. 2005;60(9):1190-201.
[4]Mei W, Rong Y, Jinming L, Yongjun L, Hui Z. Effect of homocysteine interventions on the risk of cardiocerebrovascular events: a meta-analysis of randomised controlled trials. Int J Clin Pract. 2010;64(2):208 –15.
[5]Naess H, Nyland H, Idicula T, Waje-Andreassen U. C-reactive protein and homocysteine predict long-term mortality in young ischemic stroke patients. J Stroke Cerebrovasc Dis. 2013;22(8):e435-40.
[6]Seo DY, Lee SR, Kim HK, Baek YH, Kwak YS, Ko TH, et al. Independent beneficial effects of aged garlic extract intake with regular exercise on cardiovascular risk in postmenopausal women. Nutr Res Pract. 2012;6(3):226-31.
[7]Bastien M, Poirier P, Lemieeux I, Després JP. Overview of epidemiology and contribution of obesity to cardiovascular disease. Prog Cardiovasc Dis. 2014;56(4):369-81.
[8]Pattyn N, Cornelissen VA, Eshghi SR, Vanhees L. The effect of exercise on the cardiovascular risk factors constituting the metabolic syndrome. Sports Med. 2013;43(2):121-33.
[9]Look AHEAD Research Group, Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: Four-year results of the Look AHEAD trial. Arch Intern Med. 2010;170(17):1566-75.
[10]Naghii MR, Aref MA, Almadadi M, Hedayati M. Effect of regular physical activity on non-lipid (novel) cardiovascular risk factors. Int J Occup Med Environ Health. 2011;24(4):380-90.
[11]Gelecek N, Teoman N, Ozdirenc M, Pinar L, Akan P, Bediz C, et al. Influences of acute and chronic aerobic exercise on the plasma homocysteine level. Ann Nutr Metab. 2007;51(1):53-8.
[12]Mir E, Fathei M, Sayeedi M. The effect of eight weeks combined training (aerobic-resistance) on homocysteine, C - reactive protein and lipid profile in inactive elderly men. Med J Tabriz Univ Med Sci. 2015;36(6):80-6. [Persian]
[13]Neuman JC, Albright KA, Schalinske KL. Exercise prevents hyperhomocysteinemia in a dietary folate-restricted mouse model. Nutr Res. 2013;33(6):487-93.
[14]Boreham CA, Kennedy RA, Murphy MH, Tully M, Wallace WF, Young I. Training effects of short bouts of stair climbing on cardiorespiratory fitness, blood lipids, and homocysteine in sedentary young women. Br J Sports Med. 2005;39(9):590-3.
[15] Tartibian B, Godrat-Garebagh Z, Gaeini A, Tolouei-Azar J. Influence of 9-weeks aerobic exercise and multivitamin supplement on inflammation biomarkers as cardiovascular risk factor in non-athletic obese women. Zahedan J Res Med Sci. 2013;15(3):30-5. [Persian]
[16]Thomas NE, Williams RD. Inflammatory factors, physical activity, and physical fitness in young people. Scand J Med Sci Sports. 2008;18(5):543-56.
[17]Beavers KM, Beavers DP, Bowden RG, Wilson RL, Gentile M. Omega-3 fatty acid supplementation and total homocysteine levels in end-stage renal disease patients. Nephrol. 2008;13(4):284-8.
[18]Choi KM, Kim TN, Yoo HJ, Lee KW, Cho GJ, Hwang TG, et al. Effect of exercise training on A-FABP, lipocalin-2 and RBP4 levels in obese women. Clin Endocrinol. 2009;70(4):569-74.
[19]Dehghan SH, Sharifi GH, Faramarzi M. The effect of eight week low impact rhythmic aerobic training on total plasma homocysteine concentration in older non-athlete women. J Mzandaran Univ Med Sci. 2009;19(72):54-9. [Persian]
[20]Kelley G, Kelley K. Effects of exercise and physical activity on homocysteine in adults: A meta-analysis of randomized controlled trials. J Exerc Physiol. 2008;11(5):12-23.
[21]Mohammadi HR, Khoshnam E, Jahromi MK, Khoshnam MS, Karampour E. The effect of 12-week of aerobic training on homocysteine, lipoprotein a and lipid profile levels in sedentary middle-aged men. Int J Prev Med. 2014;5(8):1060-6.
[22]Okura T, Rankinen T, Gagnon J, Lussier-Cacan S, Davignon J, Leon AS, et al. Effects of regular Exercise on homocysteine concentrations: the heritage family study. Eur J Appl Physiol. 2006;98(4):394-401.
[23]Antunes HK, DeMello MT, deAquino L, Santos-Galduróz RF, Galduróz JCF, Aquino Lemos V, et al. Aerobic physical exercise improved the cognitive function of elderly males but did not modify their blood homocysteine levels. Dement Geriatr Cogn Disord Extra. 2015;5(1):13-24.
[24]Rousseau AS, Robin S, Roussel AM, Ducros V, Margaritis I. Plasma homocysteine is related to folate intake but not training status. Nutr Metab Cardiovasc Dis. 2005;15(2):125-33.
[25]Nikbakht HA, AmirTash AM, Gharoni H, Zafari A. Correlation of physical activity with serum fibrinogen and homocysteine concentration in active, sedentary and with cad males. Olympics. 2007;15(2):71-80. [Persian]
[26]Bahram ME, Najjarian M, Sayyah M, Mojtahedi H. The effect of an eight-week aerobic exercise program on the homocysteine level and VO2max in young non-athlete men. Fayz. 2013;17(2):149-56. [Persian]
[27]Subaşı SS, Gelecek N, Aksakoğlu G, Omret M. Effects of two different exercise trainings on plasma homocysteine levels and other cardiovascular disease risks. Türk J Biochem. 2012;37(3):303-14.