PMID- 14984925 OWN - NLM STAT- MEDLINE DCOM- 20040601 LR - 20220316 IS - 0195-668X (Print) IS - 0195-668X (Linking) VI - 25 IP - 4 DP - 2004 Feb TI - Exercise reduces plasma levels of the chemokines MCP-1 and IL-8 in subjects with the metabolic syndrome. PG - 349-55 AB - AIMS: Inflammation plays an essential role in the atherosclerotic process, and chemokines such as monocyte chemoattractant protein-1 (MCP-1) and interleukin-8 (IL-8) seem to play a pivotal role in the pathogenesis of atherosclerosis. A possible common inflammatory basis for the pathogenesis of type 2 diabetes, metabolic syndrome and atherosclerosis has been suggested. In this study we investigated the effect of physical exercise and the HMG-CoA reductase inhibitor pravastatin on peripheral markers of inflammation in subjects with the metabolic syndrome. METHODS: The study was an unmasked randomized 2x2 factorial trial of 12 weeks duration. RESULTS: In the combined exercise groups there was a significant reduction in MCP-1 and IL-8 of 48 pg/ml (P=0.04) and 1.0 pg/ml (P=0.007), respectively, as compared to the combined non-exercise groups. There was also a significant reduction vs baseline of 50 pg/ml (33%) (P=0.002) and 0.35 pg/ml (13%) (P=0.03) for MCP-1 and IL-8, respectively. Changes in MCP-1 were significantly correlated to changes in visceral fat (r=0.41, P=0.02). CONCLUSION: The protective effect of exercise might in part be due to suppression of the inflammatory process. FAU - Troseid, Marius AU - Troseid M AD - Department of Medicine, Nordland Hospital, Bodo, Norway. FAU - Lappegard, Knut T AU - Lappegard KT FAU - Claudi, Tor AU - Claudi T FAU - Damas, Jan K AU - Damas JK FAU - Morkrid, Lars AU - Morkrid L FAU - Brendberg, Randi AU - Brendberg R FAU - Mollnes, Tom E AU - Mollnes TE LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Eur Heart J JT - European heart journal JID - 8006263 RN - 0 (Blood Glucose) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-8) RN - 0 (Lipids) SB - IM MH - Adult MH - Blood Glucose/metabolism MH - Chemokine CCL2/*blood MH - *Exercise Therapy MH - Humans MH - Inflammation MH - Interleukin-8/*blood MH - Lipids/blood MH - Metabolic Syndrome/blood/*rehabilitation MH - Middle Aged EDAT- 2004/02/27 05:00 MHDA- 2004/06/02 05:00 CRDT- 2004/02/27 05:00 PHST- 2003/04/16 00:00 [received] PHST- 2003/11/13 00:00 [revised] PHST- 2003/12/04 00:00 [accepted] PHST- 2004/02/27 05:00 [pubmed] PHST- 2004/06/02 05:00 [medline] PHST- 2004/02/27 05:00 [entrez] AID - S0195668X03008042 [pii] AID - 10.1016/j.ehj.2003.12.006 [doi] PST - ppublish SO - Eur Heart J. 2004 Feb;25(4):349-55. doi: 10.1016/j.ehj.2003.12.006.