EFFICACY OF FOOD ANTIOXIDANTS AND THERAPEUTIC E XERCISE IN PATIENTS WITH T YPE 2 DIABETES MELLITUS WITH NONALCOHOLIC FATTY LIVER DISEASE

Authors

  • Dorosh E. G. SI «V. Danilevsky Institute for Endocrine Pathology Problems of the NAMS of Ukraine», Kharkiv, Ukraine;
  • Dunaeva I. P. Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
  • Kazakova E. V. SI «V. Danilevsky Institute for Endocrine Pathology Problems of the NAMS of Ukraine», Kharkiv, Ukraine
  • Gerasimenko L. V. SI «V. Danilevsky Institute for Endocrine Pathology Problems of the NAMS of Ukraine», Kharkiv, Ukraine
  • Chernyaeva A. A. Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
  • Ovsyannikova T. N. V. N. Karazin Kharkiv National University, Kharkiv, Ukraine
  • Chernyavskaya I. V. SI «V. Danilevsky Institute for Endocrine Pathology Problems of the NAMS of Ukraine», Kharkiv, Ukraine
  • Kravchun N. A. SI «V. Danilevsky Institute for Endocrine Pathology Problems of the NAMS of Ukraine», Kharkiv, Ukraine; Kharkiv National Medical University, Kharkiv, Ukraine

DOI:

https://doi.org/10.21856/j-PEP.2020.2.03

Keywords:

: type 2 diabetes mellitus, nonalcoholic fatty liver disease, nutrition, physical activity.

Abstract

In the work it is shown that at moderate physical exertion, adrenergic regulation is stimulated with the
corresponding expenditure of energy and the development of physiological hypoxia. The state of hypoxia associated with breathing of increased intensity at the time of transition to physical activity leads to the activation of
mitochondria in tissue cells. Thus, the activation of lipid peroxidation processes is a universal mechanism of the
body's response to stress, due to the impact of various types of physical activity. The changes in the intensity
of oxidative stress and lipid metabolism in patients with type 2 diabetes mellitus and nonalcoholic fatty liver
disease were studied against the background of the proposed schemes of nutrition and physical activity for the
first time introduced 3A regime. A significant decrease in the manifestations of oxidative stress in terms of
lipid peroxidation, improvement of lipid metabolism against the background of compliance with the proposed
dietary regimens and physical exercises for 3A regime were established. Against the background of compliance
with dietary regimens, a decrease in triglycerides and a statistically significant increase in the concentration
of high-density lipoprotein cholesterol have been found, which will contribute to slowing the progression of
pathological changes on the part of the liver from the stage of steatosis to the stage of fibrosis. The expediency of using complex measures in the treatment of patients with type 2 diabetes mellitus in combination with
nonalcoholic fatty liver disease is proved, namely, against the background of pathogenetic therapy to apply the
proposed dietary regimens in combination with moderate exercise, certain intensity and a fixed duration. Our
findings confirm that oxidative stress caused by moderate duration and intensity loads can increase the ability
of skeletal muscles to neutralize reactive oxygen species or generate them, thereby providing protection against
oxidative damage.

References

Hu F, Willett WC. JAMA 2002; 288: 2569-2578. doi:http://doi.org/10.1001/jama.288.20.2569.

Grundy SM. Lipids, nutrition and coronary heart disease. In: Fuster V, Ross R, Topol E. J, eds. Atherosclerosis and coronary artery disease. Philadelphia, 1996.

Mente A, de Koning L, Shannon HS, Anand SS. Arch Intern Med 2009; 169: 659-669. doi: http://doi.org/ 10.1001/archinternmed.2009.38.

Sobrecases H, Lê KA, Bortolotti M, et al. Diabetes Metab 2010; 36(3): 244-246. doi: 10.1016/j.diabet.2010.03.003.

Kechagias S, Ernersson A, Dahlqvist O, et al. Gut 2008; 57: 649-654. doi: http://doi.org/10.1136/gut.2007.131797.

Zelber-Sagi S, Salomone F, Mlynarsky L. Liver Int 2017; 37(7): 936-949. doi: http://doi.org/10.1111/liv.13435.

Donnelly KL, Smith CI, Schwarzenberg SJ, et al. J Clin Invest 2005; 115: 1343-1351. doi: http://doi.org/10.1172/JCI23621.

Feldstein AE, Werneburg NW, Canbay A, et al. Hepatology 2004; 40: 185-194. doi: http://doi.org/10.1002/hep.20283.

Yamaguchi K, Yang L, McCall S, et al. Hepatology 2007; 45:1366-1374. doi: http://doi.org/10.1002/hep.21655.

Lilic JL, Djindjic BD, Kostic TK, Jovanovic AJ, Stanojevic DS. Ros Kardiol Zhurn 2016: 148-152. doi: http://doi.org/10.15829/1560-4071-2016-4-eng-148-152.

Lamprecht M. Antioxidants in Sport Nutrition. CRC Press/Taylor & Francis, 2015: 299 р.

Sen CK, Packer L, Hanninen O. Handbook of Oxidants and Antioxidants in Exercise, Amsterdam, 2000: 1207 p.

Jashin JaI, Vedenin AN, Jashin AJa. Sportivnaja Medicina 2016; 6(1): 35-38.

Chanchaeva EA, Ajzman RI, Gerasev AD. Jekologija Cheloveka 2013: 50-58.

Wexler R, Pleister A, Raman SV, Borchers JR. Phys Sportsmed 2012; 40(1): 109-115. doi: http://doi.org/10.3810/psm.2012. 02.1957.

Badzhinjan SA. Medicinskaja nauka Armenii NAN RA 2016; LVI(2): 12-20.

Velichko TI. Vestn volzhskogo un-ta im. V. N. Tatishheva 2015; 4(19): 286-293.

Kalinkin LA, Stacenko EA, Ponomareva AG, et al. Mediko-biologicheskie problemy sporta 2014: 31-35.

Aliev SA, Gasanova AK, Alibekova SS, Agaeva SJe. Nauchnyj al’manah (Biologicheskie nauki) 2017; 5-3(31): 255-261.

Dunajeva IP. Adyponektynemija ta asocijovani faktory kardiovaskuljarnogo ryzyku u hvoryh na cukrovyj diabet 2 typu z nealkogol’noju zhyrovoju hvoroboju pechinky ta i’h nutrijentna korekcija, Harkiv, 2017: 26 p.

Brownlee M. Nature 2001; 414: 813-820. doi: http://doi.org/10.1038/414813a.

Bohlender JM, Franke S, Stein G, Wolf G. Am J Physiol Renal 2005; 289: F645-F659. doi: 10.1152/ajprenal.00398.2004.

Ulrich P, Cerami A. Recent Prog Horm Res 2001; 56:1-21. doi: 10.1210/rp.56.1.1.

Uribarri J, Cai W, Peppa M, et al. J Gerontol A Biol Sci Med Sci 2007; 62: 427-433.

Vlassara H, Uribarri J. Rev Endocrin Metab Disord 2004; 5: 181-188. doi: 10.1023/B:REMD.0000032406.84813.f6.

Uribarri J, Woodruff S, Goodman S, et al. J Am Diet Assoc 2010; 110(6): 1-27. doi: http://doi.org/10.1016/j.jada.2010.03.018.

Klimov AN, Nikulicheva NG. Obmen lipidov i lipoproteidov i ego narushenija: rukovodstvo dlja vrachej, Sankt-Peterburg, 1999: 512 p.

Mattar M, Obeid O. Nutr Health 2009; 20: 41-49. doi: http://doi.org/ 10.1177/026010600902000105.

Downloads

Published

2021-06-30

How to Cite

Dorosh, E. G., Dunaeva, I., Kazakova, E., Gerasimenko, L., Chernyaeva, A., Ovsyannikova, T., Chernyavskaya, I. V., & Kravchun, N. (2021). EFFICACY OF FOOD ANTIOXIDANTS AND THERAPEUTIC E XERCISE IN PATIENTS WITH T YPE 2 DIABETES MELLITUS WITH NONALCOHOLIC FATTY LIVER DISEASE. Problems of Endocrine Pathology, 72(2), 25-33. https://doi.org/10.21856/j-PEP.2020.2.03

Issue

Section

CLINICAL ENDOCRINOLOGY

Most read articles by the same author(s)