Effects of exercise on sRAGE levels and cardiometabolic risk factors in patients with type 2 diabetes: A randomized controlled trial

Kyung Mook Choi, Kyung Ah Han, Hee Jung Ahn, Soon Young Hwang, Ho Cheol Hong, Hae Yoon Choi, Sae Jeong Yang, Hye-Jin Yoo, Sei-Hyun Baik, D. S. Choi, Kyung Wan Min

Research output: Contribution to journalArticle

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Abstract

Context: Low levels of soluble receptor for advanced glycation end-products (sRAGE) have been linked to systemic inflammation and vascular complications in patients with type 2 diabetes mellitus (T2DM). Objective: We examined the effects of exercise on sRAGE and its association with diverse cardiometabolic risk factors and indicators of atherosclerosis in patients with T2DM. Design, Setting, and Participants: Seventy-five patients withT2DM were randomized into a control group and an aerobic exercise group (60 min at moderate intensity, five times/wk for 12 wk). Main Outcome Measures: We evaluated sRAGE, energy expenditure, dietary energy intake, cardiorespiratory fitness, inflammatory markers, visceral fat area, pulse-wave velocity, and flowmediated dilatation. Results: Baseline sRAGE concentrations were independently associated with age, glycated hemoglobin, glucose, triglyceride, and high-density lipoprotein cholesterol levels (R2 = 0.244). After 12 wk of exercise training, the exercisegroupshowedsignificantly decreasedbodyweight, waist circumference, blood pressure, glycated hemoglobin, apolipoprotein B, and free fatty acid levels. Concurrently, cardiorespiratory fitness assessed by oxygen uptake at anaerobic threshold was improved, and body fat percentage and visceral fat area were significantly decreased in the exercise group, although pulsewave velocity and flow-mediated dilatation were not changed. Furthermore, sRAGE levels were increased and high-sensitivity C-reactive protein levels were decreased in the exercise group but not in the control group. Percent change of sRAGE level was negatively correlated with that of high-sensitivity C-reactive protein during the study period (r =-0.27; P = 0.019). Conclusions: Aerobic exercise increases sRAGE levels along with improvement of various cardiometabolic risk factors in patients with T2DM.

Original languageEnglish
Pages (from-to)3751-3758
Number of pages8
JournalJournal of Clinical Endocrinology and Metabolism
Volume97
Issue number10
DOIs
Publication statusPublished - 2012 Oct 1

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Medical problems
Type 2 Diabetes Mellitus
Randomized Controlled Trials
Exercise
Intra-Abdominal Fat
Fats
Glycosylated Hemoglobin A
C-Reactive Protein
Dilatation
Anaerobic Threshold
Control Groups
Pulse Wave Analysis
Blood pressure
Apolipoproteins B
Waist Circumference
Advanced Glycosylation End Product-Specific Receptor
Energy Intake
Nonesterified Fatty Acids
HDL Cholesterol
Energy Metabolism

ASJC Scopus subject areas

  • Biochemistry
  • Clinical Biochemistry
  • Endocrinology
  • Biochemistry, medical
  • Endocrinology, Diabetes and Metabolism

Cite this

Effects of exercise on sRAGE levels and cardiometabolic risk factors in patients with type 2 diabetes : A randomized controlled trial. / Choi, Kyung Mook; Han, Kyung Ah; Ahn, Hee Jung; Hwang, Soon Young; Hong, Ho Cheol; Choi, Hae Yoon; Yang, Sae Jeong; Yoo, Hye-Jin; Baik, Sei-Hyun; Choi, D. S.; Min, Kyung Wan.

In: Journal of Clinical Endocrinology and Metabolism, Vol. 97, No. 10, 01.10.2012, p. 3751-3758.

Research output: Contribution to journalArticle

Choi, Kyung Mook ; Han, Kyung Ah ; Ahn, Hee Jung ; Hwang, Soon Young ; Hong, Ho Cheol ; Choi, Hae Yoon ; Yang, Sae Jeong ; Yoo, Hye-Jin ; Baik, Sei-Hyun ; Choi, D. S. ; Min, Kyung Wan. / Effects of exercise on sRAGE levels and cardiometabolic risk factors in patients with type 2 diabetes : A randomized controlled trial. In: Journal of Clinical Endocrinology and Metabolism. 2012 ; Vol. 97, No. 10. pp. 3751-3758.
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AU - Han, Kyung Ah

AU - Ahn, Hee Jung

AU - Hwang, Soon Young

AU - Hong, Ho Cheol

AU - Choi, Hae Yoon

AU - Yang, Sae Jeong

AU - Yoo, Hye-Jin

AU - Baik, Sei-Hyun

AU - Choi, D. S.

AU - Min, Kyung Wan

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N2 - Context: Low levels of soluble receptor for advanced glycation end-products (sRAGE) have been linked to systemic inflammation and vascular complications in patients with type 2 diabetes mellitus (T2DM). Objective: We examined the effects of exercise on sRAGE and its association with diverse cardiometabolic risk factors and indicators of atherosclerosis in patients with T2DM. Design, Setting, and Participants: Seventy-five patients withT2DM were randomized into a control group and an aerobic exercise group (60 min at moderate intensity, five times/wk for 12 wk). Main Outcome Measures: We evaluated sRAGE, energy expenditure, dietary energy intake, cardiorespiratory fitness, inflammatory markers, visceral fat area, pulse-wave velocity, and flowmediated dilatation. Results: Baseline sRAGE concentrations were independently associated with age, glycated hemoglobin, glucose, triglyceride, and high-density lipoprotein cholesterol levels (R2 = 0.244). After 12 wk of exercise training, the exercisegroupshowedsignificantly decreasedbodyweight, waist circumference, blood pressure, glycated hemoglobin, apolipoprotein B, and free fatty acid levels. Concurrently, cardiorespiratory fitness assessed by oxygen uptake at anaerobic threshold was improved, and body fat percentage and visceral fat area were significantly decreased in the exercise group, although pulsewave velocity and flow-mediated dilatation were not changed. Furthermore, sRAGE levels were increased and high-sensitivity C-reactive protein levels were decreased in the exercise group but not in the control group. Percent change of sRAGE level was negatively correlated with that of high-sensitivity C-reactive protein during the study period (r =-0.27; P = 0.019). Conclusions: Aerobic exercise increases sRAGE levels along with improvement of various cardiometabolic risk factors in patients with T2DM.

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