Journal of Eexercise & Organ Cross Talk

The effects of an elastic-band resistance training on hepatic steatosis and osteosarcopenic adiposity

Document Type : Original Article

Authors

1 University of Coimbra, Faculty of Sport Sciences and Physical Education, Coimbra, Portugal.

2 University of Coimbra, Research Centre in Sport and Physical Activity, Coimbra, Portugal.

3 Department of Sport Physiology, Faculty of Sport Sciences, Arak University, Arak, Iran.

4 Research Institute of Applied Studies in Sports Sciences, Arak University, Arak, Iran.

Abstract
Osteosarcopenic adiposity (OSA) syndrome significantly impacts hepatic disorders more than each of the tissues alone. The purpose of this study is to evaluate the effects of elastic resistance training modality on hepatic health markers, including fatty liver index (FLI), lipid accumulation product (LAP), hepatic steatosis index (HSI), and Framingham steatosis index (FSI)), in the elderly with OSA. Sixty-three eligible patients aged 60-80 years meet the inclusion criteria, including a) body fat percentage (BFP) ≥32%; b) body mass index (BMI) ≥30 kg/m²; c) T-score of L1-L4, and/or total femur or femoral neck -2.5≤T-score ≤-1.0; d) gait speed (10-meter walk test (10MWT) ≤1 (m/s²); and e) skeletal muscle index (SMI) ≤28% or ≤7.76 kg/m². The participants were randomly assigned to experimental (n=32) or control (n=31) groups. The experimental group completed a 12-week elastic-band resistance training program [3x/week; 60 min/session]. The results showed a statistically significant benefit from the elastic-band resistance training on LAP (P=0.033), FLI (P=0.001), HSI (P=0.008), and FSI (P=0.001). Our findings show that an elastic-band resistance exercise training program can improve hepatic function. This relatively low-cost, highly accessible form of exercise can be easily implemented to enhance the health of this population across a wide range of settings.

What is already known on this subject?

Osteosarcopenic adiposity (OSA) syndrome significantly impacts hepatic disorders more than each of the tissues alone.

 

What this study adds?

Our findings highlight the importance of elastic resistance-type training modality in improving hepatic function in older female patients with OSA.

Keywords

Subjects


Acknowledgements

We are grateful to all the participants in this study.

Funding

None.

Compliance with ethical standards

Conflict of interest The authors declare that they have no conflict of interest.

Ethical approval The study was conducted in accordance with the Declaration of Helsinki and approved by Iranian Registry of Clinical Trials, trial registration no.: IRCT20180627040260N1; https://www.irct.ir/trial/32463) and was approved by Iranian Ethics Committee of Sport Sciences Research Center (IR.SSRC.REC.1398.040). Informed consent was obtained from all subjects involved in the study.

Informed consent Animal study

Author contributions

Conceptualization, S.T, M.MG..; methodology, M.MG.; formal analysis, M.MG.,S.T and L.CB.; resources, S.T; data curation, M.MG.,L.CB.; writing—original draft preparation, S.T, M.MG.,L.CB.; writing-review and editing, M.MG. L.CB. funding acquisition L.CB authors have read and agreed to the published version of the manuscript.

Ahmadizad, S., Haghighi, A. H., & Hamedinia, M. R. (2007). Effects of resistance versus endurance training on serum adiponectin and insulin resistance index. European journal of Endocrinology, 157(5), 625-631. https://doi.org/10.1530/EJE-07-0223
Azzu, V., Vacca, M., Virtue, S., Allison, M., & Vidal-Puig, A. (2020). Adipose tissue-liver cross talk in the control of whole-body metabolism: implications in nonalcoholic fatty liver disease. Gastroenterology, 158(7), 1899-1912. https://doi.org/10.1053/j.gastro.2019.12.054
Balducci, S., Cardelli, P., Pugliese, L., D’Errico, V., Haxhi, J., Alessi, E., . . . Conti, F. G. (2015). Volume-dependent effect of supervised exercise training on fatty liver and visceral adiposity index in subjects with type 2 diabetes The Italian Diabetes Exercise Study (IDES). Diabetes research and clinical practice, 109(2), 355-363. http://dx.doi.org/doi:10.1016/j.diabres.2015.05.033
Banitalebi, E., Faramarzi, M., Ghahfarokhi, M. M., SavariNikoo, F., Soltani, N., & Bahramzadeh, A. (2020). Osteosarcopenic obesity markers following elastic band resistance training: a randomized controlled trial. Experimental gerontology, 135, 110884. https://doi.org/10.1016/j.exger.2020.110884
Banitalebi, E., Faramarzi, M., Nasiri, S., Mardaniyan, M., & Rabiee, V. (2019). Effects of different exercise modalities on novel hepatic steatosis indices in overweight women with type 2 diabetes. Clinical and molecular hepatology, 25(3), 294. https://doi.org/10.3350/cmh.2018.0086
Banitalebi, E., Ghahfarrokhi, M. M., & Dehghan, M. (2021). Effect of 12-weeks elastic band resistance training on MyomiRs and osteoporosis markers in elderly women with Osteosarcopenic obesity: a randomized controlled trial. BMC geriatrics, 21(1), 1-11. https://doi.org/10.1186/s12877-021-02374-9
Barsalani, R., Riesco, E., Lavoie, J., & Dionne, I. (2012). Effect of exercise training and isoflavones on hepatic steatosis in overweight postmenopausal women. Climacteric, 16(1), 88-95. https://doi.org/10.3109/13697137.2012.662251
Batacan, R. B., Duncan, M. J., Dalbo, V. J., Tucker, P. S., & Fenning, A. S. (2017). Effects of high-intensity interval training on cardiometabolic health: a systematic review and meta-analysis of intervention studies. Br J Sports Med, 51(6), 494-503. https://doi.org/10.1136/bjsports-2015-095841
Bayol, S., Bruce, C., & Wadley, G. (2014). Growing healthy muscles to optimise metabolic health into adult life. Journal of developmental origins of health and disease, 5(6), 420-434. https://doi.org/10.1017/S2040174414000452
Biolo, G., Cederholm, T., & Muscaritoli, M. (2014). Muscle contractile and metabolic dysfunction is a common feature of sarcopenia of aging and chronic diseases: from sarcopenic obesity to cachexia. Clinical nutrition, 33(5), 737-748. https://doi.org/10.1016/j.clnu.2014.03.007
Boutron, I., Altman, D. G., Moher, D., Schulz, K. F., Ravaud, P., & Group*, C. N. (2017). CONSORT statement for randomized trials of nonpharmacologic treatments: a 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Annals of internal medicine, 167(1), 40-47. https://doi.org/10.7326/M17-0046
Briganti, S., Ermetici, F., Malavazos, A. E., Dozio, E., Giubbilini, P., Rigolini, R., . . . Romanelli, M. M. C. (2015). Effect of an isocaloric diet containing fiber-enriched flour on anthropometric and biochemical parameters in healthy non-obese non-diabetic subjects. Journal of clinical biochemistry and nutrition, 57(3), 217-222. https://doi.org/10.3164/jcbn.14-133
Chakravarthy, M. V., Siddiqui, M. S., Forsgren, M. F., & Sanyal, A. J. (2020). Harnessing Muscle–Liver Crosstalk to Treat Nonalcoholic Steatohepatitis. Frontiers in Endocrinology, 11. https://doi.org/10.3389/fendo.2020.592373
Colado, J. C., & Triplett, N. T. (2008). Effects of a short-term resistance program using elastic bands versus weight machines for sedentary middle-aged women. The Journal of Strength & Conditioning Research, 22(5), 1441-1448. DOI: https://doi.org/10.1519/JSC.0b013e31817ae67a
Cunha, P. M., Ribeiro, A. S., Tomeleri, C. M., Schoenfeld, B. J., Silva, A. M., Souza, M. F., . . . Cyrino, E. S. (2018). The effects of resistance training volume on osteosarcopenic obesity in older women. Journal of Sports Sciences, 36(14), 1564-1571. https://doi.org/10.1080/02640414.2017.1403413
Dai, H., Wang, W., Chen, R., Chen, Z., Lu, Y., & Yuan, H. (2017). Lipid accumulation product is a powerful tool to predict non-alcoholic fatty liver disease in Chinese adults. Nutrition & metabolism, 14(1), 1-9. https://doi.org/10.1186/s12986-017-0206-2
Efird, J. (2010). Blocked randomization with randomly selected block sizes. International journal of environmental research and public health, 8(1), 15-20. https://doi.org/10.3390/ijerph8010015
Fan, R., Wang, J., & Du, J. (2018). Association between body mass index and fatty liver risk: a dose-response analysis. Scientific Reports, 8(1), 1-7. https://doi.org/10.1038/s41598-018-33419-6
 Hashida, R., Kawaguchi, T., Bekki, M., Omoto, M., Matsuse, H., Nago, T., . . . George, J. (2017). Aerobic vs. resistance exercise in non-alcoholic fatty liver disease: A systematic review. Journal of hepatology, 66(1), 142-152. https://doi.org/10.1016/j.jhep.2016.08.023
Hita-Contreras, F., Martínez-Amat, A., Cruz-Díaz, D., & Pérez-López, F. R. (2015). Osteosarcopenic obesity and fall prevention strategies. Maturitas, 80(2), 126-132. https://doi.org/10.1016/j.maturitas.2014.11.009
Ilich, J. Z. (2020). Nutritional and behavioral approaches to body composition and low-grade chronic inflammation management for older adults in the ordinary and COVID-19 times. Nutrients, 12(12), 3898. https://doi.org/10.3390/nu12123898 
Ilich, J. Z., Gilman, J. C., Cvijetic, S., & Boschiero, D. (2020). Chronic stress contributes to osteosarcopenic adiposity via inflammation and immune modulation: the case for more precise nutritional investigation. Nutrients, 12(4), 989. https://doi.org/10.3390/nu12040989
Ilich, J. Z., Kelly, O. J., & Inglis, J. E. (2016). Osteosarcopenic obesity syndrome: what is it and how can it be identified and diagnosed? Current gerontology and geriatrics research, 2016. https://doi.org/10.1155/2016/7325973
Ilich, J. Z., Pokimica, B., Ristić-Medić, D., Petrović, S., Arsić, A., Vasiljević, N., . . . Kelly, O. J. (2024). Osteosarcopenic adiposity (OSA) phenotype and its connection with cardiometabolic disorders: Is there a cause-and-effect? Ageing Research Reviews, 102326. https://doi.org/10.1016/j.arr.2024.102326
JafariNasabian, P., Inglis, J. E., Kelly, O. J., & Ilich, J. Z. (2017). Osteosarcopenic obesity in women: impact, prevalence, and management challenges. International journal of women's health, 9, 33. https://doi.org/10.2147/IJWH.S106107
Kashiwagi, K., Takayama, M., Ichikawa, H., Takaishi, H., Iwao, Y., & Kanai, T. (2021). A significant association of non-obese non-alcoholic fatty liver disease with osteosarcopenic obesity in females 50 years and older. Clinical Nutrition ESPEN, 42, 166-172. https://doi.org/10.1016/j.clnesp.2021.01.045
Kelardeh, B. M., Rahmati-Ahmadabad, S., Farzanegi, P., Helalizadeh, M., & Azarbayjani, M.-A. (2020). Effects of non-linear resistance training and curcumin supplementation on the liver biochemical markers levels and structure in older women with non-alcoholic fatty liver disease. Journal of Bodywork and Movement Therapies, 24(3), 154-160. https://doi.org/10.1016/j.jbmt.2020.02.021
Kessler, H. S., Sisson, S. B., & Short, K. R. (2012). The potential for high-intensity interval training to reduce cardiometabolic disease risk. Sports medicine, 42(6), 489-509. https://doi.org/10.2165/11630910-000000000-00000
Lagally, K. M., & Robertson, R. J. (2006). Construct validity of the OMNI resistance exercise scale. The Journal of Strength & Conditioning Research, 20(2), 252-256. DOI: https://doi.org/10.1519/00124278-200605000-00003
Lee, J.-H., Kim, D., Kim, H. J., Lee, C.-H., Yang, J. I., Kim, W., . . . Sung, M.-W. (2010). Hepatic steatosis index: a simple screening tool reflecting nonalcoholic fatty liver disease. Digestive and Liver Disease, 42(7), 503-508. https://doi.org/10.1016/j.dld.2009.08.002
Lee, Y.-H., Lee, P.-H., Lin, L.-F., Liao, C.-D., Liou, T.-H., & Huang, S.-W. (2021). Effects of progressive elastic band resistance exercise for aged osteosarcopenic adiposity women. Experimental gerontology, 147, 111272. https://doi.org/10.1016/j.exger.2021.111272
Leutner, M., Göbl, C., Schlager, O., Charwat-Resl, S., Wielandner, A., Howorka, E., . . . Geyik, H. (2017). The Fatty Liver Index (FLI) Relates to Diabetes-Specific Parameters and an Adverse Lipid Profile in a Cohort of Nondiabetic, Dyslipidemic Patients. Journal of the American College of Nutrition, 1-8. https://doi.org/10.1080/07315724.2016.1262802
Liao, C.-D., Tsauo, J.-Y., Lin, L.-F., Huang, S.-W., Ku, J.-W., Chou, L.-C., & Liou, T.-H. (2017). Effects of elastic resistance exercise on body composition and physical capacity in older women with sarcopenic obesity: A CONSORT-compliant prospective randomized controlled trial. Medicine, 96(23). DOI: https://doi.org/10.1097/MD.0000000000007115
Mardaniyan Ghahfarrokhi, M., Banitalebi, E., Faramarzi, M., Ghorbanpoor Dashtaki, M., & Earnest, C. P. (2020). 2019 Novel Coronavirus: Emphasis on Maintaining Optimal Levels of Physical Activity Under Self-quarantine Conditions. Epidemiology and Health System Journal, 7(2), 49-51. doi: https://doi.org/10.34172/ijer.2020.09
Mazidi, M., Kengne, A.-P., Katsiki, N., Mikhailidis, D. P., & Banach, M. (2017). Lipid Accumulation Product and Triglycerides/Glucose Index are Useful predictors of Insulin Resistance. Journal of Diabetes and its Complications. https://doi.org/10.1016/j.jdiacomp.2017.10.007
Mirmiran, P., Bahadoran, Z., & Azizi, F. (2014). Lipid accumulation product is associated with insulin resistance, lipid peroxidation, and systemic inflammation in type 2 diabetic patients. Endocrinology and Metabolism, 29(4), 443-449. https://doi.org/10.3803/EnM.2014.29.4.443
Moon, J. S., Yoon, J. S., Won, K. C., & Lee, H. W. (2013). The role of skeletal muscle in development of nonalcoholic Fatty liver disease. Diabetes & metabolism journal, 37(4), 278-285. https://doi.org/10.4093/dmj.2013.37.4.278
Musso, G., Paschetta, E., Gambino, R., zassader, M., & Molinaro, F. (2013). Interactions among bone, liver, and adipose tissue predisposing to diabesity and fatty liver. Trends in molecular medicine, 19(9), 522-535.
Pasco, J. A., Sui, S. X., West, E. C., Anderson, K. B., Rufus-Membere, P., Tembo, M. C., . . . Kotowicz, M. A. (2022). Fatty Liver Index and Skeletal Muscle Density. Calcified Tissue International, 110(6), 649-657. https://doi.org/10.1007/s00223-021-00939-9
Pineda, H., Castro, J., Lares, M., Huérfano, T., Brito, S., & Velasco, M. (2017). Lipid Accumulation Product (LAP) and Visceral Adiposity Index (VAI) a Simple and Clinically Useful Surrogate Marker for Metabolic Syndrome and Cardiovascular Disease Predictor in Non-diabetic Venezuelan Adults. J. Pharm Pharm Scien, 2(1), 1-8.
Poggiogalle, E., Parrinello, E., Barazzoni, R., Busetto, L., & Donini, L. M. (2021). Therapeutic strategies for sarcopenic obesity: a systematic review. Current Opinion in Clinical Nutrition & Metabolic Care, 24(1), 33-41. DOI: https://doi.org/10.1097/MCO.0000000000000714
Priest, C., & Tontonoz, P. (2019). Inter-organ cross-talk in metabolic syndrome. Nature Metabolism, 1(12), 1177-1188. https://doi.org/10.1038/s42255-019-0145-5
Schranz, N., Tomkinson, G., & Olds, T. (2013). What is the effect of resistance training on the strength, body composition and psychosocial status of overweight and obese children and adolescents? A systematic review and meta-analysis. Sports medicine, 43(9), 893-907. https://doi.org/10.1007/s40279-013-0062-9
 Shabkhiz, F., Khalafi, M., Rosenkranz, S., Karimi, P., & Moghadami, K. (2021). Resistance training attenuates circulating FGF-21 and myostatin and improves insulin resistance in elderly men with and without type 2 diabetes mellitus: a randomised controlled clinical trial. European Journal of Sport Science, 21(4), 636-645. https://doi.org/10.1080/17461391.2020.1762755
Shen, Y.-N., Yu, M.-X., Gao, Q., Li, Y.-Y., Huang, J.-J., Sun, C.-M., . . . Lu, Q. (2017). External validation of non-invasive prediction models for identifying ultrasonography-diagnosed fatty liver disease in a Chinese population. Medicine, 96(30). DOI: https://doi.org/10.1097/MD.0000000000007610
Souza, D., Barbalho, M., Vieira, C. A., Martins, W. R., Cadore, E. L., & Gentil, P. (2019). Minimal dose resistance training with elastic tubes promotes functional and cardiovascular benefits to older women. Exp Gerontol, 115, 132-138. https://doi.org/10.1016/j.exger.2018.12.001
Yilmaz, Y. (2012). non‐alcoholic fatty liver disease and osteoporosis–clinical and molecular crosstalk. Alimentary pharmacology & therapeutics, 36(4), 345-352. https://doi.org/10.1111/j.1365-2036.2012.05196.x
Zhu, J., He, M., Zhang, Y., Li, T., Liu, Y., Xu, Z., & Chen, W. (2018). Validation of simple indexes for nonalcoholic fatty liver disease in western China: a retrospective cross-sectional study. Endocrine journal, 65(3), 373-381. https://doi.org/10.1507/endocrj.EJ17-0466
 
 
 
Volume 4, Issue 4
Autumn 2024
Pages 263-273

  • Receive Date 17 October 2024
  • Revise Date 25 December 2024
  • Accept Date 27 December 2024