Journal of Eexercise & Organ Cross Talk

Effects of six weeks of metabolic conditioning exercise on serum IGF-1 and GPX responses in active young adults: A randomized controlled trial

Document Type : Original Article

Authors

1 Department of Physical Education and Sport Sciences, SR.C, Islamic Azad University, Tehran, Iran.

2 Department of Exercise Physiology, VaP.C., Islamic Azad University, Varamin, Iran.

10.22122/jeoct.2026.599177.1224
Abstract
The present study aimed to investigate the effect of a six-week metabolic conditioning training program on serum levels of insulin-like growth factor-1 (IGF-1) and glutathione peroxidase (GPX) in physically active young adults. This randomized controlled trial employed a pre-test–post-test design with a control group. A total of 23 physical education students (aged 18–24 years) were purposively recruited and randomly assigned to an exercise group (n = 12) or a control group (n = 11). The exercise group participated in a six-week metabolic conditioning circuit training program (three sessions per week, 18 sessions total), with progressive overload in volume and intensity. The control group maintained their usual daily activities. Blood samples were collected before and after the intervention to measure IGF-1 and GPX concentrations using validated ELISA kits. The primary between-group analysis using ANCOVA, after adjusting for baseline values, revealed no statistically significant difference between the groups in post-test IGF-1 levels (F(1,20) = 1.339, p = 0.261, η² = 0.063) or in post-test GPX levels (F(1,20) = 0.682, p = 0.419, η² = 0.033). A secondary within-group analysis showed a significant decrease in IGF-1 within the exercise group (p = 0.047); however, this finding must be interpreted with caution given the negative primary between-group comparison. No significant within-group changes were observed for GPX (p > 0.05). Anthropometric measures (weight and BMI) remained stable in both groups throughout the study. Based on the primary between-group comparisons, these findings indicate that six weeks of metabolic conditioning does not produce statistically significant changes in serum IGF-1 or GPX levels compared to a control condition in physically active young adults.

What is already known on this subject?

Existing evidence indicates that exercise training can modulate circulating IGF-1, although the direction of this response is highly dependent on training modality, intensity, duration, and the baseline characteristics of the population. Furthermore, the endogenous antioxidant enzyme GPX is known to be responsive to physical activity; however, its upregulation appears to be exercise-mode specific, with traditional resistance training yielding more consistent effects than high-intensity or high-volume protocols. Despite the widespread popularity of metabolic conditioning as a training strategy designed to optimize energy system utilization, its specific effects on hormonal and antioxidant biomarkers remain poorly characterized in the scientific literature, representing a significant gap in knowledge.

 

What this study adds?

The present study provides the first controlled experimental evidence specifically examining the concurrent effects of a progressive six-week metabolic conditioning program on both IGF-1 and GPX in physically active young adults. Our findings underscore that, based on the primary between-group comparisons, six weeks of metabolic conditioning does not induce significant changes in these biomarkers relative to a control condition. We contribute a nuanced observation: although a secondary within-group reduction in IGF-1 was observed following the intervention, this effect was not statistically superior to the control group after adjusting for baseline values, suggesting that the within-group change may reflect baseline variability rather than a genuine training adaptation. Importantly, the absence of any significant change in serum GPX levels highlights that six weeks of metabolic conditioning, as prescribed in this protocol, may not constitute a sufficient stimulus to trigger measurable antioxidant enzyme adaptations. This underscores the necessity for longer intervention periods and more comprehensive biochemical assessments to fully elucidate the physiological impacts of this training modality.

Keywords

Subjects

Acknowledgements

None

Funding

None.

Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Compliance with ethical standards

Conflict of interest the authors declare that there is no conflict of interest in the present research.

Ethical approval All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments. The study was approved by the Ethical Committee of Islamic Azad University, Tehran, Iran (approval code: IR.IAU,SRB.REC.1404.365).

Informed consent Written informed consent was obtained from all individual participants included in the study after a full explanation of the study objectives, procedures, potential benefits, and possible risks. Participants were informed of their right to withdraw at any stage without consequences.

Author contributions

Conceptualization: N.S.,; Methodology: F.Gh.,; Software: H.A.,; Validation: M.Gh.,; Formal analysis: F.N.,; Investigation: N.S.; Resources: M.Gh.,; Data curation: F.Gh.,; Writing -original draft: N.S.,; Writing–review & editing: H.A.,; Visualization: F.N.,; Supervision: F.Gh.; Project administration: H.A.; Funding acquisition: N.S..

Alsamir Tibana, R., Manuel Frade de Sousa, N., Prestes, J., da Cunha Nascimento, D., Ernesto, C., Falk Neto, J. H., . . . Azevedo Voltarelli, F. (2019). Is perceived exertion a useful indicator of the metabolic and cardiovascular responses to a metabolic conditioning session of functional fitness? Sports, 7(7), 161. doi: https://doi.org/10.3390/sports7070161  
Arai, Y., Hirose, N., Yamamura, K., Shimizu, K.-i., Takayama, M., Ebihara, Y., & Osono, Y. (2001). Serum insulin-like growth factor-1 in centenarians: implications of IGF-1 as a rapid turnover protein. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(2), M79-M82. doi: https://doi.org/10.1093/gerona/56.2.M79  
Chu, R., Li, M., Xie, Y., Du, Y., & Ni, T. (2025). Exercise interventions and serum IGF-1 levels in older adults with frailty and/or sarcopenia: a systematic review and meta analysis. Frontiers in public health, 13, 1660694. doi: https://doi.org/10.3389/fpubh.2025.1660694  
Jett, M., & Swank, A. M. (2013). Metabolic resistance training: a strategy to add “play” to our clinical programs. ACSM's Health & Fitness Journal, 17(2), 31-33. doi: https://doi.org/10.1249/FIT.0b013e318282afe9  
Jomova, K., Alomar, S. Y., Alwasel, S. H., Nepovimova, E., Kuca, K., & Valko, M. (2024). Several lines of antioxidant defense against oxidative stress: antioxidant enzymes, nanomaterials with multiple enzyme-mimicking activities, and low-molecular-weight antioxidants. Archives of Toxicology, 98(5), 1323-1367. doi: https://doi.org/10.1007/s00204-024-03696-4  
Khani, M. (2021). The Effect of Eight Weeks of Polarized Training on GH/IGF-1 Axis Hormones Response in Active Young Male. Journal of Ardabil University of Medical Sciences. doi: https://doi.org/10.52547/jarums.21.1.113    
Kwon, Y. R., Kim, Y., & Kim, Y. (2025). Exercise-induced modulation of IGF-1 in healthy, obese, and cancer populations: a systematic review and meta-analysis. Annals of medicine, 57(1), 2586331. doi: https://doi.org/10.1080/07853890.2025.2586331  
Leeuwenburgh, C., Hollander, J., Leichtweis, S., Griffiths, M., Gore, M., & Ji, L. L. (1997). Adaptations of glutathione antioxidant system to endurance training are tissue and muscle fiber specific. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 272(1), R363-R369. doi: https://doi.org/10.1152/ajpregu.1997.272.1.R36 
Meyer, N. M., Kabisch, S., Dambeck, U., Honsek, C., Kemper, M., Gerbracht, C., . . . Machann, J. (2024). IGF-1 and IGFBP-1 as possible predictors of response to lifestyle intervention—results from randomized controlled trials. International journal of molecular sciences, 25(12), 6400. doi: https://doi.org/10.3390/ijms25126400  
Mikeska, J. D. (2014). A 12-week metabolic conditioning program for a mixed martial artist. Strength & Conditioning Journal, 36(5), 61-67. doi: https://doi.org/10.1519/SSC.0000000000000068  
Rashidlamir, A., Ghanbariniaki, A., & Babolsar, I. (2011). Effect of a 6-week wrestling and wrestling–technique based circuit exercise on plasma lipoprotein profiles and hormone levels in well-trained wrestlers. International Journal of Wrestling Science, 1(1), 55-61. 
Son, W.-M., Kwak, Y.-S., Kim, G.-D., Ha, M.-S., Park, S.-Y., & Sung, G.-D. (2017). Effect of Circuit Training on Aging-related Hormones in Obese Middle-aged Women., 27(9), 1047-1051. 
Wibawa, J. C., Febrianto, N., Fudin, M. S., Ockta, Y., & Festiawan, R. (2025). The mechanism of physical exercise increases glutathione peroxidase as an endogenous antioxidant: a systematic review. Retos, 63, 610-619. doi: https://doi.org/10.47197/retos.v63.108856  
Wright, M. D., & Laas, M.-M. (2016). Strength training and metabolic conditioning for female youth and adolescent soccer players. Strength & Conditioning Journal, 38(2), 96-104. doi: https://doi.org/10.1519/SSC.0000000000000212  
Xie, Y., Gu, Y., Li, Z., Zhang, L., & Hei, Y. (2025). Effects of exercise on different antioxidant enzymes and related indicators: a systematic review and meta-analysis of randomized controlled trials. Scientific reports, 15(1), 12518. doi: https://doi.org/10.1038/s41598-025-97101-4  
 
 

Articles in Press, Accepted Manuscript
Available Online from 06 December 2026

  • Receive Date 25 June 2026
  • Revise Date 04 September 2026
  • Accept Date 06 September 2026