Positive effect of combined exercise on adipokines levels and pubertal signs in overweight and obese girls with central precocious puberty

Lipids in Health and Disease

Ali Heidarianpour¹  Elnaz Shokri¹  Zahra Razavi² 

[1]Bu Ali Sina University, Faculty of Sport Sciences, Hamedan, Iran

[2]Pediatric Endocrinology and Metabolism, Hamedan University of Medical Sciences, Hamedan, Iran

关键词: Precocious puberty;    Combined exercise;    Detraining;    Adiponectin;    Resistin;    TNF-α;   

DOI  :  10.1186/s12944-021-01588-5

来源: Springer

【 摘 要 】

BackgroundThe prevalence of precocious puberty is increasing. Obesity has been demonstrated to be associated with changes in the adipokine profile and incidence of early puberty in girls. This study assessed the pubertal signs, the levels of adiponectin, resistin, and tumor necrosis factor-alpha (TNF-α) after 12 weeks of combined exercise and 4 weeks of detraining in overweight and obese girls with precocious puberty.MethodsThirty overweight and obese girls (aged 7–9) with precocious puberty, who had received Triptorelin, were randomly divided into two groups (15 exercise and 15 control). Initially, serum levels of adiponectin, resistin, TNF-α, luteinising hormone (LH), and follicle-stimulating hormone (FSH) and the signs of puberty progression (bone age, uterine length, and ovarian volume) were measured. The exercise group performed 60 min of combined (aerobic and resistance) exercise three times/week for 12 weeks. The control group did not receive any exercise. 48 h after the last training session and after 4 weeks of detraining, all research variables were measured (also in the control group). The statistical method used for data analysis was repeated measures ANOVA.ResultsIn the exercise group, adiponectin significantly increased and resistin significantly decreased after 12 weeks. After 4 weeks of detraining, adiponectin significantly decreased, but resistin significantly increased. TNF-α levels did not change significantly during the study. There was no significant difference in all of the factors in the control group. Throughout the 16-week study period, the rate of puberty and LH significantly decreased in both exercise and control groups, but FSH, LH/FSH and ovarian volume significantly decreased in the exercise group alone (P<0.05).ConclusionsCombined exercise increased adiponectin and decreased resistin and the rate of puberty. However, after 4 weeks of detraining, these effects diminished but did not disappear.Trial registrationIRCT, IRCT56471. Registered 25 may 2021 - Retrospectively registered, https://fa.irct.ir/user/profile

【 授权许可】

CC BY