The Effects of Aerobic Exercises and 25(OH) D Supplementation on GLP1 and DPP4 Level in Type II Diabetic Patients

Abstract

Background: The purpose of this study was to investigate the effects of an 8‑week aerobic exercise and supplementation of 25(OH)D3 on GLP1 and DDP4 levels in men with type II diabetes.

Methods: In this semiexperimental research, among 40–60‑year‑old men with type II diabetes who were referred to the diabetic center of Isabn‑E Maryam hospital in Isfahan; of whom, 48 patients were voluntarily accepted and then were randomly divided into 4 groups: aerobic exercise group, aerobic exercise with 25(OH) D supplement group, 25(OH) D supplement group, and the control group. An aerobic exercise program was conducted for 8 weeks (3 sessions/week, each session 60 to75 min with 60–80% HRmax). The supplement user group received 50,000 units of oral Vitamin D once weekly for 8 weeks. The GLP1, DPP4, and 25(OH) D levels were measured before and after the intervention. At last, the data were statistically analyzed using the ANCOVA and post hoc test of least signifcant difference.

Results: The results of ANCOVA showed a signifcant difference between the GLP1 and DPP4 levels in aerobic exercise with control group while these changes were not statistically signifcant between the 25(OH) D supplement group with control group (P < 0.05).

Conclusions: Aerobic exercises have resulted an increase in GLP1 level and a decrease in DPP4 level. However, consumption of Vitamin D supplement alone did not cause any changes in GLP1and DPP4 levels but led to an increase in 25‑hydroxy Vitamin D level.

Keywords: Aerobic exercises, insulin resistance, mellitus diabetes, Vitamin D