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The Effect of Combined Training and L-arginine Supplement on the Serum Levels of Adropin, VEGFR-2, and Nitric Oxide in Post-menopausal Hypertensive Women | ||
Women’s Health Bulletin | ||
مقاله 2، دوره 9، شماره 2 - شماره پیاپی 33، تیر 2022، صفحه 70-79 اصل مقاله (1.26 M) | ||
نوع مقاله: Research Article | ||
شناسه دیجیتال (DOI): 10.30476/whb.2022.94390.1164 | ||
نویسندگان | ||
Rozita Nourbakhsh* ؛ Aliasghar Ravasi؛ Rahman Soori | ||
Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran | ||
چکیده | ||
Background: Exercise training and L-arginine are believed to have a major role in managing the hypertension and also their combination may cause further improvement in blood pressure. Therefore, the present study aimed to determine the effect of combined training with or without L-arginine ingestion on the circulation of adropin, VEGFR-2, and nitric oxide (NO) in postmenopausal women with hypertension. Methods: The present study was a randomized double-blind placebo-L-arginine-controlled trial registered in Iranian Registry of Clinical Trials with the code of IRCT20210627051723N1. This work was conducted in the summer and autumn of 2021. We recruited 48 post-menopausal women with hypertension and assigned them randomly (choosing random numbers by participants) in four equal groups, namely training+Larginine (TL), training (T), L-arginine (L), placebo (P) groups. The study intervention (combined training, L-arginine, or both) continued for eight weeks. Before starting and after completing the intervention period, blood samples were collected and the levels of variables was measured via Elisa method. The SPSS version 24 and analysis of covariance test (ANCOVA), along with bonferroni post-hoc test were utilized for data analysis. Results: The obtained results represented a significant increase in the serum levels of adropin and VEGFR-2 in T and TL groups compared to those in P and L groups (p <0.001). Moreover, Nitric Oxide significantly increased in L (P=0.003), T (p <0.001), and TL (p <0.001) groups compared to P group. In addition, systolic blood pressure decreased significantly in T, L, and TL groups compared to that in P group (p <0.001), and in TL group compared to L (p <0.001) and T (P=0.048) groups. On the other hand, we observed a significant decrease in diastolic blood pressure in L (P=0.002), T (p <0.001), and TL (p <0.001) groups compared to that in P group; the same trend was seen in TL group compared to L group (P=0.003). Conclusion: Combined training with or without L-arginine ingestion has positive effects by decreasing blood pressure, which was partly exerted by upregulation of adropin and VEGFR-2. Moreover, L-arginine supplementation was found to be associated with an increase in combined training effect in decreasing blood pressure. | ||
کلیدواژهها | ||
Exercise؛ Hypertension؛ Arginine؛ Vascular endothelial growth factor receptor-2 (VEGFR-2) | ||
مراجع | ||
1. Maas AHEM, Franke HR. Women’s health in menopause with a focus on hypertension. Neth Heart J. 2009;17(2):68-72. doi: 10.1007/BF03086220. PubMed PMID: 19247469; PubMed Central PMCID: PMC2644382. ## 2. Lin D, Yong J, Ni S, Ou W, Tan X. Negative association between serum adropin and hypertensive disorders complicating pregnancy. Hypertens Pregnancy. 2019;38(4):237-244. doi: 10.1080/10641955. 2019.1657887. PubMed PMID: 31438729. ## 3. Wong CM, Wang Y, Lee JTH, Huang Z, Wu D, Xu A, et al. Adropin is a brain membrane-bound protein regulating physical activity via the NB-3/Notch signaling pathway in mice. J Biol Chem. 2014;289(37):25976-86. doi: 10.1074/jbc.M114.576058. PubMed PMID: 25074942; PubMed Central PMCID: PMC4162195. ## 4. Oruc CU, Akpinar YE, Dervisoglu E, Amikishiyev S, Salmaslıoglu A, Gurdol F, et al. Low concentrations of adropin are associated with endothelial dysfunction as assessed by flow-mediated dilatation in patients with metabolic syndrome. Clin Chem Lab Med. 2017;55(1):139-144. doi: 10.1515/cclm-2016-0329. PubMed PMID: 27474839. ## 5. Altincik A, Sayin O. Evaluation of the relationship between serum adropin levels and blood pressure in obese children. J Pediatr Endocrinol Metab. 2015;28(9-10):1095-100. doi: 10.1515/jpem-2015-0051. PubMed PMID: 26030787. ## 6. Facemire CS, Nixon AB, Griffiths R, Hurwitz H, Coffman TM. Vascular endothelial growth factor receptor 2 controls blood pressure by regulating nitric oxide synthase expression. Hypertension. 2009;54(3):652-8. doi: 10.1161/HYPERTENSIONAHA.109.129973. PubMed PMID: 19652084; PubMed Central PMCID: PMC2746822. ## 7. Ghadieh AS, Saab B. Evidence for exercise training in the management of hypertension in adults. Can Fam Physician. 2015;61(3):233-9. PubMed PMID: 25927108; PubMed Central PMCID: PMC4369613. ## 8. Collier SR, Kanaley JA, Carhart Jr R, Frechette V, Tobin MM, Hall AK, et al. Effect of 4 weeks of aerobic or resistance exercise training on arterial stiffness, blood flow and blood pressure in pre-and stage-1 hypertensives. J Hum Hypertens. 2008;22(10):678-86. doi: 10.1038/jhh.2008.36. PubMed PMID: 18432253. ## 9. Shimojo GL, Silva Dias DD, Malfitano C, Sanches IC, Llesuy S, Ulloa L, et al. Combined aerobic and resistance exercise training improve hypertension associated with menopause. Front Physiol. 2018;9:1471. doi: 10.3389/fphys.2018.01471. PubMed PMID: 30420811; PubMed Central PMCID: PMC6215975. ## 10. Lekakis JP, Papathanassiou S, Papaioannou TG, Papamichael CM, Zakopoulos N, Kotsis V, et al. Oral L-arginine improves endothelial dysfunction in patients with essential hypertension. Int J Cardiol. 2002;86(2-3):317-23. doi: 10.1016/s0167-5273(02)00413-8. PubMed PMID: 12419572. ## 11. Wu G, Collins JK, Perkins-Veazie P, Siddiq M, Dolan KD, Kelly KA, et al. Dietary supplementation with watermelon pomace juice enhances arginine availability and ameliorates the metabolic syndrome in Zucker diabetic fatty rats. J Nutr. 2007;137(12):2680-5. doi: 10.1093/jn/137.12.2680. PubMed PMID: 18029483. ## 12. Siani A, Pagano E, Iacone R, Iacoviello L, Scopacasa F, Strazzullo P. Blood pressure and metabolic changes during dietary L-arginine supplementation in humans. Am J Hypertens. 2000;13(5 Pt 1):547–51. doi: 10.1016/s0895-7061(99)00233-2. PubMed PMID: 10826408. ## 13. Bordbarazari B, Gholami M, Ebrahim K, Abed Natanzi H, Ghazalian F. The effect of endurance training along with L-arginine supplementation on the levels of MMP-2 and MMP-9 in postmenopausal hypertensive women. JBRMS. 2019;6(4):20-8. ## 14. Fujie S, Hasegawa N, Kurihara T, Sanada K, Hamaoka T, Iemitsu M. Association between aerobic exercise training effects of serum adropin level, arterial stiffness, and adiposity in obese elderly adults. Appl Physiol Nutr Metab. 2017;42(1):8-14. doi: 10.1139/apnm-2016-0310. PubMed PMID: 27897440. ## 15. Nyberg M, Jensen LG, Thaning P, Hellsten Y, Mortensen SP. Role of nitric oxide and prostanoids in the regulation of leg blood flow and blood pressure in humans with essential hypertension: effect of high‐intensity aerobic training. J Physiol. 2012;590(6):1481-94. doi: 10.1113/jphysiol.2011.225136. PubMed PMID: 22271868; PubMed Central PMCID: PMC3382335. ## 16. Roshdi bonab R, Ebrahim K, Ghazaliyan F, Afrasiyabirad A. The effect of eight weeks combined exercise training on the levels of adropin and VEGFR-2 in obese men with hypertension. RJMS. 2019;26(8):78-88. Persian. ## 17. Turky K, Elnahas N, Oruch R. Effects of exercise training on postmenopausal hypertension: implications on nitric oxide levels. Medical journal of Malaysia. 2013;68(6):459-464. ## 18. Zarei M, Foroozan P, Koushkie Jahromi M, Hemmatinafar M. Acute Effect of high-intensity interval and traditional resistance training on lipolysis factors in overweight young girls. Women Health Bull. 2021;8(2):83-90. doi: 10.30476/whb.2021.89561.1098. ## 19. Bordbarazari B. Gholami M, Ebrahim K, Ghazalian F, Aabed Natanzi H. The effect of 12-weeks endurance training and L-arginine supplement on the levels of asymmetrical dimethylarginine (ADMA) and nitric oxide in postmenopausal hypertensive women. Daneshvar Medicine. 2021;29(3):104-117. doi: 10.22070/DANESHMED.2021.14027.1047. Persian. ## 20. Gu X, Li H, Zhu X, Gu H, Chen J, Wang L, Harding P, Xu W. Inverse correlation between plasma adropin and ET-1 levels in essential hypertension: A cross-sectional study. Medicine. 2015;94(40):e1712. doi: 10.1097/MD.0000000000001712. PubMed PMID: 26448026; PubMed Central PMCID: PMC4616732. ## 21. Çelik HT, Akkaya N, Erdamar H, Gok S, Kazanci F, Demircelik B, et al. The Effects of Valsartan and Amlodipine on the Levels of Irisin, Adropin, and Perilipin. Clin Lab. 2015;61(12):1889-95. doi: 10.7754/clin.lab.2015.150420. PubMed PMID: 26882812. ## 22. Omidi Ghanbari R, Soori R, Hemmatfar A. The Effect of High Running on Serum Adropine and Insulin Resistance Index in Adolescent Obese Boys. RJMS. 2020;26(12):128-137. Persian. ## 23. Kermani S, Alizadeh R, Moradi L. The effect of eight weeks of resistance training on adropin plasma level and insulin resistance index in overweight men. Sport and Exercise Physiology. 2021;14(1):31-37. Persian. ## 24. Fujie S, Hasegawa N, Horii N, Uchida M, Sanada K, Hamaoka T, et al. Aerobic Exercise Restores Aging‐Associated Reductions in Arterial Adropin Levels and Improves Adropin‐Induced Nitric Oxide‐Dependent Vasorelaxation. J Am Heart Assoc. 2021;10(10):e020641. doi: 10.1161/JAHA.120.020641. PubMed PMID: 33938228; PubMed Central PMCID: PMC8200711. ## 25. Shiroyeh A, Emami F, Sanaee M, Tarighi R. The Effect of Aerobic Training on Preptin, Adropin and Insulin Resistance in Overweight Men. J Ardabil Univ Med Sci. 2021;20(4):551-561. Persian. ## 26. Sharabiani S, Rajabi H, Motamedi P, Dehkhoda MR, Kaviani M. The Effect of 8 Weeks of Combined Training on Serum Adropin and Nitric Oxide in Hypertensive Postmenopausal Women. Sport Physiology and Management Investigations. 2019;11(1):129-143. Persian. ## 27. Yosaee S, Khodadost M, Esteghamati A, Speakman JR, Shidfar F, Nazari MN, et al. Metabolic syndrome patients have lower levels of adropin when compared with healthy overweight/obese and lean subjects. Am J Mens Health. 2017;11(2):426-34. doi: 10.1177/1557988316664074. PubMed PMID: 27550773; PubMed Central PMCID: PMC5675274. ## 28. Zhang H, Jiang L, Yang YJ, Ge RK, Zhou M, Hu H, et al. Aerobic exercise improves endothelial function and serum adropin levels in obese adolescents independent of body weight loss. Sci Rep. 2017;7(1):17717. doi: 10.1038/s41598-017-18086-3. PubMed PMID: 29255252; PubMed Central PMCID: PMC5735148. ## 29. Mushala BA, Scott I. Adropin: a hepatokine modulator of vascular function and cardiac fuel metabolism. Am J Physiol Heart Circ Physiol. 2021;320(1):H238-44. doi: 10.1152/ajpheart.00449.2020. PubMed PMID: 33216612; PubMed Central PMCID: PMC7847067. ## 30. Lovren F, Pan Y, Quan A, Singh KK, Shukla PC, Gupta M, et al. Adropin is a novel regulator of endothelial function. Circulation. 2010;122(11):S185-92. doi: 10.1161/ CIRCULATIONAHA.109.931782. PubMed PMID: 20837912. ## 31. Hayman SR, Leung N, Grande JP, Garovic VD. VEGF inhibition, hypertension, and renal toxicity. Curr Oncol Rep. 2012;14(4):285-94. doi: 10.1007/s11912-012-0242-z. PubMed PMID: 22544560; PubMed Central PMCID: PMC3746763. ## 32. Rezaei R, Nourshahi M, Bigdeli Mr, Khodagholi F, Haghparast A. Effect of eight weeks continues and HIIT exercises on VEGF-A and VEGFR-2 levels in stratum, hippocampus and cortex of wistar rat brain. Physiology of Sport and Physical Activity. 2015;8(2):1213-1221. Persian. ## 33. Mirdar S, Hamidiyan GH, Yadegari M. Vascular endothelial growth factor receptor-2 and the pulmonary vascular volume Tracking, after 6 weeks of high-intensity interval training. Journal of Sport Biosciences. 2018;10(1):13-24. doi: 10.22059/JSB.2018.200362.1044. Persian. ## 34. Khosroshahi MZ, Asbaghi O, Moradi S, Rezaei Kelishadi M, Kaviani M, Mardani M, et al. The effects of supplementation with L-arginine on anthropometric indices and body composition in overweight or obese subjects: A systematic review and meta-analysis. Journal of Functional Foods. 2020;71:104022. doi: 10.1016/j.jff.2020.104022. ## 35. Nisoli E, Clementi E, Paolucci C, Cozzi V, Tonello C, Sciorati C, et al. Mitochondrial biogenesis in mammals: the role of endogenous nitric oxide. Science. 2003;299(5608):896-9. doi: 10.1126/science.1079368. PubMed PMID: 12574632. ## 36. Penfornis P, Marette A. Inducible nitric oxide synthase modulates lipolysis in adipocytes. J lipid Res. 2005;46(1):135-42. doi: 10.1194/jlr.M400344-JLR200. PubMed PMID: 15466365. ## 37. Fu WJ, Haynes TE, Kohli R, Hu J, Shi W, Spencer TE, et al. Dietary L-arginine supplementation reduces fat mass in Zucker diabetic fatty rats. J Nut. 2005;135(4):714-21. doi: 10.1093/jn/135.4.714. PubMed PMID: 15795423. ## 38. Khodabakhsh Nokola M, Gholami M, Abednatanzi H. The Effect of 12 Weeks Endurance Training with L-arginine Supplementation on the Levels of IL-6 and TNF-α in Menopausal Women with Hypertension. JNKUMS. 2021;13(2):61-9. doi:10.29252/nkjmd-13028. Persian. ## 39. Jahani M, Nabilpour M, Campillo RR. Effects of L-arginine Supplementation and Aerobic Training on Hemodynamic Indices of Obese Men. Int J Sport Stud Hlth. 2019;2(1):e88017. doi: 10.5812/intjssh.88017. ## 40. Lucotti P, Setola E, Monti LD, Galluccio E, Costa S, Sandoli EP, et al. Beneficial effects of a long-term oral L-arginine treatment added to a hypocaloric diet and exercise training program in obese, insulin-resistant type 2 diabetic patients. Am J Physiol Endocrinol Metab. 2006;291(5):906-12. doi: 10.1152/ajpendo.00002.2006. PubMed PMID: 16772327. ## | ||
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