Home Medicine High-intensity combination exercise has the highest effect on increasing serum irisin and interleukin 6 levels in women with obesity
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High-intensity combination exercise has the highest effect on increasing serum irisin and interleukin 6 levels in women with obesity

  • Uswatun Hasanah ORCID logo , Purwo Sri Rejeki ORCID logo EMAIL logo , Citrawati Dyah Kencono Wungu ORCID logo , Adi Pranoto ORCID logo , Nabilah Izzatunnisa ORCID logo , Ilham Rahmanto ORCID logo and Shariff Halim ORCID logo
Published/Copyright: March 15, 2024

Abstract

Objectives

Lifestyle, overnutrition, socioeconomic status, environmental conditions, and genetics are factors that cause obesity. Lifestyle modification with a nonpharmacological approach based on physical exercise is the starting point in overcoming obesity. However, physical exercise with the appropriate and effective intensity for obese subjects is still debated. Therefore, this study aims to prove the effect of intensity differences with aerobic-resistance combination exercise on increasing irisin and IL-6 levels in obese women.

Methods

A total of 32 obese women were selected as subjects and administered the interventions of low-intensity combination exercise (Q2), moderate-intensity combination exercise (Q3), and high-intensity combination exercise (Q4). ELISA was used to measure irisin and IL-6 levels in all samples. Statistical analysis used one-way ANOVA and Turkey’s-Honest Significant Difference (HSD) post hoc test.

Results

The mean Δ IL-6 levels in the control groups (Q1), Q2, Q3, and Q4 were 0.27 ± 2.54, 2.07 ± 2.55, 5.99 ± 6.25, and 7.98 ± 2.82 pg/mL with (p=0.015). The mean Δ irisin levels were 0.06 ± 0.81 ng/mL in Q1, 0.59 ± 0.67 ng/mL in Q2, 1.99 ± 1.65 ng/mL in Q3, 4.63 ± 3.57 ng/mL in Q4 with (p=0.001).

Conclusions

This study proved that all three types of combined exercise intensity increased myokine levels, such as irisin and IL-6. However, high-intensity combination exercise provided the most optimal improvement in myokine levels in obese women. Future studies are needed to design long-term exercise programs specifically for obese adolescent women using the findings from this study.


Corresponding author: Purwo Sri Rejeki, Department of Medical Physiology and Biochemistry, Kampus A, UNAIR. Jl. Mayjen Prof. Dr. Moestopo No. 47, 60132, Surabaya, Jawa Timur, Indonesia, E-mail:

Funding source: Directorate of Technology Research and Community Service of the Ministry of Education, Culture, Research, and Technology

Award Identifier / Grant number: 834/UN3.15/PT/2022

Acknowledgments

The authors would like to acknowledge the Faculty of Medicine, Universitas Airlangga, for supporting this project. We would also like to express our gratitude to all the subjects who participated in this research.

  1. Research ethics: All procedures applied in this study have complied with the World Medical Association Declaration of Helsinki and were approved by the Health Research Ethics Commission, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia, with No. 12/EC/KEPK/FKUA/2023.

  2. Informed consent: Informed consent was obtained from all individuals included in this study, or their legal guardians or wards.

  3. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: Authors state no conflict of interest.

  5. Research funding: All the expenses of this research were supported by the Directorate of Technology Research and Community Service of the Ministry of Education, Culture, Research, and Technology with grant number: 834/UN3.15/PT/2022.

  6. Data availability: The raw data can be obtained on request from the corresponding author.

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Received: 2023-06-09
Accepted: 2024-02-28
Published Online: 2024-03-15

© 2024 Walter de Gruyter GmbH, Berlin/Boston

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