PMID- 22837190 OWN - NLM STAT- MEDLINE DCOM- 20121218 LR - 20220316 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 97 IP - 10 DP - 2012 Oct TI - Effects of exercise on sRAGE levels and cardiometabolic risk factors in patients with type 2 diabetes: a randomized controlled trial. PG - 3751-8 LID - 10.1210/jc.2012-1951 [doi] AB - 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 with T2DM 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 flow-mediated 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 exercise group showed significantly decreased body weight, 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 pulse-wave 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. FAU - Choi, Kyung Mook AU - Choi KM AD - Department of Internal Medicine, College of Medicine, Korea University, and Department of Internal Medicine, Diabetes Center, Eulji Hospital, Seoul, Korea. FAU - Han, Kyung Ah AU - Han KA FAU - Ahn, Hee Jung AU - Ahn HJ FAU - Hwang, Soon Young AU - Hwang SY FAU - Hong, Ho Cheol AU - Hong HC FAU - Choi, Hae Yoon AU - Choi HY FAU - Yang, Sae Jeong AU - Yang SJ FAU - Yoo, Hye Jin AU - Yoo HJ FAU - Baik, Sei Hyun AU - Baik SH FAU - Choi, Dong Seop AU - Choi DS FAU - Min, Kyung Wan AU - Min KW LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120726 PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) SB - IM MH - Atherosclerosis/*epidemiology/metabolism/therapy MH - Body Composition/physiology MH - Diabetes Mellitus, Type 2/*epidemiology/metabolism/*therapy MH - Energy Metabolism/physiology MH - Exercise/*physiology MH - Female MH - Humans MH - Inflammation/epidemiology/metabolism/therapy MH - Middle Aged MH - Prevalence MH - Program Evaluation MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/*blood MH - Risk Factors MH - Risk Reduction Behavior EDAT- 2012/07/28 06:00 MHDA- 2012/12/19 06:00 CRDT- 2012/07/28 06:00 PHST- 2012/07/28 06:00 [entrez] PHST- 2012/07/28 06:00 [pubmed] PHST- 2012/12/19 06:00 [medline] AID - jc.2012-1951 [pii] AID - 10.1210/jc.2012-1951 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2012 Oct;97(10):3751-8. doi: 10.1210/jc.2012-1951. Epub 2012 Jul 26.