Brain-derived neurotrophic factor (BDNF) variation to aerobic exercise and aloe vera intake in women with type 2 diabetes

Document Type : Original Article

Authors

1 Assistant Professor of Exercise Physiology, Department of Physical Education and Sport Sciences, East Tehran Branch, Islamic Azad University, Tehran, Iran

2 Master of Exercise Physiology, Department of Physical Education and Sport Sciences, East Tehran Branch, Islamic Azad University, Tehran, Iran

3 Assistant Professor of Motor Behavior, Department of Physical Education and Sport Sciences, East Tehran Branch, Islamic Azad University, Tehran, Iran

Abstract

This study aimed to investigate the interactive effect of aloe vera intake and eight weeks’ aerobic exercise on serum BDNF, glucose, and insulin levels in women with type 2 diabetes. In this experimental study, 32 women with type 2 diabetes were selected and randomly divided into four groups of control, supplement, exercise, exercise + supplement. The exercise program was performed 3 sessions per week for 8 weeks (40 min of exercise with 50-60% of heart rate reserve in the first four weeks and 60 min of exercise with 60-80% of heart rate reserve in the second four weeks). The supplement taking groups received 400 mg/kg of oral aloe Vera 3 days per week for 8 weeks. The data were analyzed using analysis of covariance (ANCOVA). A significant increase was observed in BDNF levels, insulin sensitivity of patients in the supplement, exercise, and exercise + supplement groups (p=0.001). The glucose and insulin levels, insulin resistance, BMI, and body fat percentage significantly decreased in the supplement, exercise, and exercise + supplement groups (p=0.001). It seems aloe Vera intake and aerobic exercise to have protective effects against development of type 2 diabetes complications in women.

What is already known on this subject?

Although the amount of BDNF (Key factor in brain-muscle cross talk) measures has increased with exercise training, to date, it remains an open question that BDNF change with aerobic exercise and aloe vera intake in women with type 2 diabetes.

 

What this study adds?

BDNF is produced and secreted by human skeletal muscles and other organs. BDNF has antidiabetic effect and associate with circulating anti-inflammatory cytokines in T2DM. This study show increase BDNF with aerobic exercise and aloe Vera intake in T2DM.

Keywords

Main Subjects


Abdi A, Aohajer iravani O. (2018). The effect of Punica granatum L. along with aerobic training on resistin, serum adiponectin and insulin resistance in women with type 2 diabetes. Feyz.;22(1): 39-47. http://feyz.kaums.ac.ir/article-1-3369-en.html
Alinejad-Mofrad, S., Foadoddini, M., Saadatjoo, S. A., & Shayesteh, M. (2015). Improvement of glucose and lipid profile status with Aloe vera in pre-diabetic subjects: a randomized controlled-trial. Journal of Diabetes & Metabolic Disorders, 14(1), 1-7. Doi: https://doi.org/10.1186/s40200-015-0137-2
Ansari S, Djalali M, Mohammadzadeh Honarvar N, Mazaherioun M, Zarei M, Gholampour Z. (2016). Assessing the effect of omega-3 fatty acids supplementation on serum BDNF (brain derived neurotrophic factor) in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled study. IRJABS; 10(4): 380-3.
Asgari Hazaveh D, Riyahi Malayeri S, Babaei S. (2018). Effect of Eight Weeks High Intensity Interval Training and Medium Intensity Interval Training and Aloe vera Intake on Serum Vaspin and Insulin Resistance in Diabetic Male Rats. J Arak Uni Med Sci.; 20 (11) :67-75
Ayoubi A, Omidi A, Valizade R, Mousaei A. (2013). Effect of hydroalcoholic extract of Aloe vera and Teucrium on serum glucose and lipid profile in streptozotocin diabetic male rats. J Birjand Univ Med Sci.; 20 (2) :144-152. http://journal.bums.ac.ir/article-1-1335-en.html
Babaei P, Azali Alamdari K, Soltani Tehrani B, Damirchi A. (2013). Effect of six weeks of endurance exercise and following detraining on serum brain derived neurotrophic factor and memory performance in middle aged males with metabolic syndrome. J Sports Med Phys Fitness. Aug;53(4):437-43.
Brinkmann C, Schäfer L, Masoud M, Latsch J, Lay D, Bloch W, Brixius K. (2017). Effects of Cycling and Exergaming on Neurotrophic Factors in Elderly Type 2 Diabetic Men - A Preliminary Investigation. Exp Clin Endocrinol Diabetes. 2017 Jul;125(7):436-440. Doi: 10.1055/s-0043-103967.
Da Silva RC, Miranda WL, Chacra AR, Dib SA. (2007). Insulin resistance, beta-cell function, and glucose tolerance in Brazilian adolescents with obesity or risk factors for type 2 diabetes mellitus. J Diabetes Complications. Mar-Apr;21(2):84-92. http://repositorio.unifesp.br/handle/11600/29552
Eslami R, Sorkhkamanzadeh G, Kazemi A, Gharakhanlou R, Banaifar A. (2015). Effect of 6-Week Endurance Training on BDNF Expression in Motor Root of Spinal Cord in Rats with Diabetic Neuropathy. J Mazandaran Univ Med Sci; 25(124): 94-106. http://jmums.mazums.ac.ir/article-1-5544-en.html
Fallah Mohammadi Z, Nazari H. (2016). The effect of 4 weeks plyometric training on serum concentration of brain derived neurotrophic factor of active mal. Physiology of exercise and physical activity.; 20(5): 29-38. https://www.sid.ir/en/journal/ViewPaper.aspx?id=604307
Farah N, Benghuzzi H, Tucci M, Cason Z. (2005). The effects of isolated antioxidants from black seed on the cellular metabolism of A549 cells. Biomed Sci Instrum;41:211-6. PubMed PMID: 15850107.
Feldman, E. L., Callaghan, B. C., Pop-Busui, R., Zochodne, D. W., Wright, D. E., Bennett, D. L., Bril, V., Russell, J. W., & Viswanathan, V. (2019). Diabetic neuropathy. Nature reviews. Disease primers, 5(1), 42. Doi: https://doi.org/10.1038/s41572-019-0092-1
Feldman, E. L., Nave, K. A., Jensen, T. S., & Bennett, D. (2017). New Horizons in Diabetic Neuropathy: Mechanisms, Bioenergetics, and Pain. Neuron, 93(6), 1296–1313. Doi: https://doi.org/10.1016/j.neuron.2017.02.005
Hęś, M., Dziedzic, K., Górecka, D., Jędrusek-Golińska, A., & Gujska, E. (2019). Aloe vera (L.) Webb.: Natural Sources of Antioxidants - A Review. Plant foods for human nutrition (Dordrecht, Netherlands), 74(3), 255–265. Doi: https://doi.org/10.1007/s11130-019-00747-5
Heshmati, M., Jalali Nadoushan, M., Fakhrieh, S. (2015). Effect of aqueous extract of Aloe vera L. on the expression of 75NTR and BDNF after spinal cord compression in adult rats. Iranian Journal of Medicinal and Aromatic Plants Research, 30(6): 965-976. Doi: 10.22092/IJMAPR.2015.11931
Hosseini M, Bagheri Afsariehee M R.)2018(. The effect of high intensity interval training and Aloe Vera consumption on resistin and insulin resistance index in diabetic rat. Feyz.; 22 (4) :370-378. http://feyz.kaums.ac.ir/article-1-3557-en.html
 Jackson AS, Pollock ML, Ward A. (1980). Generalized equations for predicting body density of women. Med Sci Sports Exerc.;12(3):175-81. PMID: 7402053
Kadoglou NP, Fotiadis G, Kapelouzou A, Kostakis A, Liapis CD, Vrabas IS. )2013. (The differential anti-inflammatory effects of exercise modalities and their association with early carotid atherosclerosis progression in patients with type 2 diabetes. Diabet Med. Feb;30(2): 41-50. Doi: https://doi.org/10.1111/dme.12055
Lakka TA, Laaksonen DE. (2007). Physical activity in prevention and treatment of the metabolic syndrome. Appl Physiol Nutr Metab. Feb;32(1):76-88.  Doi: https://doi.org/10.1139/h06-113
Lee, K. H., Cha, M., & Lee, B. H. (2020). Neuroprotective Effect of Antioxidants in the Brain. International journal of molecular sciences, 21(19), 7152. Doi: https://doi.org/10.3390/ijms21197152
Mackay CP, Kuys SS, Brauer SG. The Effect of Aerobic Exercise on Brain-Derived Neurotrophic Factor in People with Neurological Disorders: A Systematic Review and Meta-Analysis. Neural Plast. 2017; 2017:4716197. doi: https://doi.org/10.1155/2017/4716197
Mendes R, Sousa N, Almeida A, Subtil P, Guedes-Marques F, Reis VM, Themudo-Barata JL. (2015). Exercise prescription for patients with type 2 diabetes-a synthesis of international recommendations: narrative review. Br J Sports Med.2016 Nov;50(22):1379-1381. Doi: http://dx.doi.org/10.1136/bjsports-2015-094895
Robertson RP. (2010). Antioxidant drugs for treating beta-cell oxidative stress in type 2 diabetes: glucose-centric versus insulin-centric therapy. Discov Med. Feb;9(45):132-7.
Salehi, O. R., & Hoseini, A. (2017). The effects of endurance trainings on serum bdnf and insulin levels in streptozotocin-induced diabetic rats. Shefaye Khatam, 5(2), 52-61. file:///C:/Users/1019/Downloads/3006813960207.pdf
Shahidi F, Hossein-Abadi F, Delfani Z. (2015). Comparing the effects of treadmill and ground walking on maximum oxygen consumption, body mass index and body fat percentage among inactive overweight women. Feyz.; 19 (5) :414-423. http://feyz.kaums.ac.ir/article-1-2864-en.html
Swift DL, Johannsen NM, Myers VH, Earnest CP, Smits JJ, Blair SN, et al. (2012). The effect of exercise training modality on serum brain derived neurotrophic factor levels in individuals with type 2 diabetes. PLoS One; 7(8): 1-7. Doi: https://doi.org/10.1371/journal.pone.0042785
Tonoli C, Heyman E, Roelands B, Buyse L, Piacentini F, Berthoin S, Bailey S, Pattyn N, Meeusen R. (2015). BDNF, IGF-I, Glucose and Insulin during Continuous and Interval Exercise in Type 1 Diabetes. Int J Sports Med. 2015 Nov;36(12): 955-9. Doi: http://dx.doi.org/10.1055/s-0035-1548886
Yamamoto, S., Matsushita, Y., Nakagawa, T., Hayashi, T., Noda, M., & Mizoue, T. (2014). Circulating adiponectin levels and risk of type 2 diabetes in the Japanese. Nutrition & diabetes, 4(8), e130-e130.  Doi: https://doi.org/10.1038/nutd.2014.27