High intensity interval training (HIIT) VS moderate intensity training (MIT) for interleukin-6 (IL-6) in obesity
Main Article Content
DOI:
https://doi.org/10.17979/sportis.2025.11.4.12016Abstract
This study aims to determine the effect of High Intensity Interval Training (HIIT) and Moderate Intensity Training (MIT) exercises seen from the biomolecular parameters of Interleukin-6 (IL-6). Male Rattus Norvegicus mice used aged 2 - 3 months with obesity status were trained 4 times a week for 6 weeks. HIIT uses an intensity of 90 - 100% of the total maximum speed/baseline with an interval of 1: 1 (2 minutes active: 2 minutes rest) for 15 minutes/exercise. MIT uses an intensity of 50-60% of the total maximum speed/baseline for 30 minutes/exercise. IL-6 levels were tested using Elisa. There was a significant difference (P = 0.000) in the three groups at the end of the study. The results of body weight between the HIIT and control groups were (P = 0.000), while the MIT and control groups were (0.002). The results of IL-6 levels in the HIIT group and the control group were significantly different with a P value of 0.000, while in the HIIT group and the MIT group the significance value was P = 0.002. The conclusion of this study shows that IL-6 levels in the HIIT group were lower than those in the MIT group and the control group. Although HIIT is effective in losing weight, it still needs to be monitored and strictly controlled, considering that HIIT is a high-intensity activity to avoid injury.
Keywords:
Article Details
References
Cuevas, A. G., Chen, R., Thurber, K. A., Slopen, N., & Williams, D. R. (2019). Psychosocial Stress and Overweight and Obesity: Findings From the Chicago Community Adult Health Study. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 53(11), NP. https://doi.org/10.1093/abm/kaz008
Ellulu, M. S., Patimah, I., Khaza'ai, H., Rahmat, A., & Abed, Y. (2017). Obesity and inflammation: the linking mechanism and the complications. Archives of medical science : AMS, 13(4), 851–863. https://doi.org/10.5114/aoms.2016.58928
Fico, B. G., Maharaj, A., Pena, G. S., & Huang, C. J. (2023). The Effects of Obesity on the Inflammatory, Cardiovascular, and Neurobiological Responses to Exercise in Older Adults. Biology, 12(6), 865. https://doi.org/10.3390/biology12060865
Guerreiro, V. A., Carvalho, D., & Freitas, P. (2022). Obesity, Adipose Tissue, and Inflammation Answered in Questions. Journal of obesity, 2022, 2252516. https://doi.org/10.1155/2022/2252516
Guo, Y., Qian, H., Xin, X., & Liu, Q. (2024). Effects of different exercise modalities on inflammatory markers in the obese and overweight populations: unraveling the mystery of exercise and inflammation. Frontiers in physiology, 15, 1405094. https://doi.org/10.3389/fphys.2024.1405094
Hadiono, Andri Arif Kustiawan, Bimo Alexander, Ajeng Nur Khoirunnisa. (2023). Effect of HIIT and MIT on TNF-α levels and blood profile for obesity therapy. Fizjoterapia Polska, 23(2), 158-161. DOI: https://doi.org/10.56984/8ZG0DF1BA
Hayes, L. D., Herbert, P., Sculthorpe, N. F., & Grace, F. M. (2021). Short-Term and Lifelong Exercise Training Lowers Inflammatory Mediators in Older Men. Frontiers in physiology, 12, 702248. https://doi.org/10.3389/fphys.2021.702248
Hoover, S. E., Il'yasova, D., Fontaine, K. R., Spasojevic, I., Gower, B. A., & Goss, A. M. (2021). A Pilot Study of Associations Between Visceral Fat, IL-6, and Urinary F2-Isoprostanes in Older Adults Exposed to a Diet Intervention. Current developments in nutrition, 5(6), nzab082. https://doi.org/10.1093/cdn/nzab082
Krüger, K., Mooren, F. C., Eder, K., & Ringseis, R. (2014). Immune and Inflammatory Signaling Pathways in Exercise and Obesity. American journal of lifestyle medicine, 10(4), 268–279. https://doi.org/10.1177/1559827614552986
Lehrskov, L. L., Christensen, R. H., Wedell-Neergaard, A. S., Legaard, G. E., Dorph, E., Larsen, M. K., Henneberg, M., Launbo, N., Fagerlind, S. R., Seide, S. K., Nymand, S., Ball, M., Vinum, N., Dahl, C., Wewer Albrechtsen, N. J., Holst, J. J., Ried-Larsen, M., Rosenmeier, J. B., Krogh-Madsen, R., Karstoft, K., … Ellingsgaard, H. (2019). Effects of Exercise Training and IL-6 Receptor Blockade on Gastric Emptying and GLP-1 Secretion in Obese Humans: Secondary Analyses From a Double Blind Randomized Clinical Trial. Frontiers in physiology, 10, 1249. https://doi.org/10.3389/fphys.2019.01249
Li, L., Huang, C., Yin, H., Zhang, X., Wang, D., Ma, C., Li, J., Zhao, Y., & Li, X. (2021). Interleukin-6 mediated exercise-induced alleviation of adiposity and hepatic steatosis in mice. BMJ open diabetes research & care, 9(1), e001431. https://doi.org/10.1136/bmjdrc-2020-001431
Lin X and Li H. (2021). Obesity: Epidemiology, Pathophysiology, and Therapeutics. Front. Endocrinol, 12:706978. https://doi:10.3389/fendo.2021.706978
Linden, M. A., Pincu, Y., Martin, S. A., Woods, J. A., & Baynard, T. (2014). Moderate exercise training provides modest protection against adipose tissue inflammatory gene expression in response to high-fat feeding. Physiological reports, 2(7), e12071. https://doi.org/10.14814/phy2.12071
Liu, Y., Li, Y., Cheng, B., Feng, S., Zhu, X., Chen, W., & Zhang, H. (2022). Comparison of visceral fat lipolysis adaptation to high-intensity interval training in obesity-prone and obesity-resistant rats. Diabetology & metabolic syndrome, 14(1), 62. https://doi.org/10.1186/s13098-022-00834-9
Longo, M., Zatterale, F., Naderi, J., Parrillo, L., Formisano, P., Raciti, G. A., Beguinot, F., & Miele, C. (2019). Adipose Tissue Dysfunction as Determinant of Obesity-Associated Metabolic Complications. International journal of molecular sciences, 20(9), 2358. https://doi.org/10.3390/ijms20092358
Maillard, F., Pereira, B., & Boisseau, N. (2018). Effect of High-Intensity Interval Training on Total, Abdominal and Visceral Fat Mass: A Meta-Analysis. Sports medicine (Auckland, N.Z.), 48(2), 269–288. https://doi.org/10.1007/s40279-017-0807-y
Maillard, F., Vazeille, E., Sauvanet, P., Sirvent, P., Combaret, L., Sourdrille, A., Chavanelle, V., Bonnet, R., Otero, Y. F., Delcros, G., Barnich, N., & Boisseau, N. (2019). High intensity interval training promotes total and visceral fat mass loss in obese Zucker rats without modulating gut microbiota. PloS one, 14(4), e0214660. https://doi.org/10.1371/journal.pone.0214660
Masood, B., & Moorthy, M. (2023). Causes of obesity: a review. Clinical medicine (London, England), 23(4), 284–291. https://doi.org/10.7861/clinmed.2023-0168
Nam, S. Y., Choi, I. J., Ryu, K. H., Park, B. J., Kim, Y. W., Kim, H. B., & Kim, J. S. (2015). The effect of abdominal visceral fat, circulating inflammatory cytokines, and leptin levels on reflux esophagitis. Journal of neurogastroenterology and motility, 21(2), 247–254. https://doi.org/10.5056/jnm14114
NCD Risk Factor Collaboration (NCD-RisC). (2016). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants. Lancet, 2;387(10026),1377-1396. https://doi:10.1016/S0140-6736(16)30054
Nordby, P., Auerbach, P. L., Rosenkilde, M., Kristiansen, L., Thomasen, J. R., Rygaard, L., Groth, R., Brandt, N., Helge, J. W., Richter, E. A., Ploug, T., & Stallknecht, B. (2012). Endurance training per se increases metabolic health in young, moderately overweight men. Obesity (Silver Spring, Md.), 20(11), 2202–2212. https://doi.org/10.1038/oby.2012.70
Omer, T. (2020). The causes of obesity: an in-depth review. Advances in Obesity Weight Management & Control, 10(4), 90–94. https://doi.org/10.15406/aowmc.2020.10.00312
Pal, M., Febbraio, M. A., & Whitham, M. (2014). From cytokine to myokine: the emerging role of interleukin-6 in metabolic regulation. Immunology and cell biology, 92(4), 331–339. https://doi.org/10.1038/icb.2014.16
Peter Uciechowski, Wolfram C.M. Dempke. (2020). Interleukin-6: A Masterplayer in the Cytokine Network: Oncology, 98 (3), 131-137.https://doi.org/10.1159/000505099
Phillips, C. L., & Grayson, B. E. (2020). The immune remodel: Weight loss-mediated inflammatory changes to obesity. Experimental biology and medicine (Maywood, N.J.), 245(2), 109–121. https://doi.org/10.1177/1535370219900185
Radványi, Á., & Röszer, T. (2024). Interleukin-6: An Under-Appreciated Inducer of Thermogenic Adipocyte Differentiation. International Journal of Molecular Sciences, 25(5), 2810. https://doi.org/10.3390/ijms25052810
Reis, A. S. L. d. S., Furtado, G. E., Menuchi, M. R. T. P., & Borges, G. F. (2024). The Impact of Exercise on Interleukin-6 to Counteract Immunosenescence: Methodological Quality and Overview of Systematic Reviews. Healthcare, 12(10), 954. https://doi.org/10.3390/healthcare12100954
Rhibi, F., Zouhal, H., Lira, F. S., Ouerghi, N., Prioux, J., Besbes, S., Tijani, J. M., Hackney, A. C., & Ben Abderrahman, A. (2022). Inflammatory cytokines and metabolic responses to high-intensity intermittent training: effect of the exercise intensity. Biology of sport, 39(2), 263–272. https://doi.org/10.5114/biolsport.2022.104914
Shalgumbayeva, G., Sailauova, N., Sharapiyeva, A., Romanova, E., Akhmetova, K., Balashkevich, N., Pronin, E., Chalaya, E., Tyupa, P., & Aganov, S. (2023). Characteristics of physical activity in the adult population with different risk of overweight and obesity (illustrated by the Case of Kazakhstan). Journal of Physical Education and Sport, 23(11). https://doi.org/10.7752/jpes.2023.11341
Silva. C.M.S, R.C. Vieira-Junior, J.C.R. Trombeta, T.R. Lima, G.A. Fraga, M.S. Sena, E.T.P. Ávila, R.A. Tibana, J. Prestes, J.W. Navalta, F.A. Voltarelli. (2016). Effects of aerobic and resistance training of long duration on pro- and anti-inflammatory cytokines in rats. Revista Andaluza de Medicina del Deporte, 10(4), 170-175. https://doi.org/10.1016/j.ramd.2016.02.005
Soeria Santoso, D. I., & Boenyamin, H. A. (2019). The benefits and physiological changes of high intensity interval training. Universa Medicina, 38(3), 209–216. https://doi.org/10.18051/UnivMed.2019.v38.209-216
Steckling FM, Lima FD, Farinha JB, Dos Santos DL, Antunes Soares FA. (2015). Obesity, Inflammation and Aerobic Physical Exercise. Ann Sports Med Res, 2(2), 1017. https://doi.org/10.47739/2379-0571/1017
Stępień, M., Stępień, A., Wlazeł, R. N., Paradowski, M., Banach, M., & Rysz, J. (2014). Obesity indices and inflammatory markers in obese non-diabetic normo- and hypertensive patients: a comparative pilot study. Lipids in health and disease, 13, 29. https://doi.org/10.1186/1476-511X-13-29
Syamsudin, F., Wungu, Citra Wati Dyah Kencono, Qurnianingsih, E., Herawati, L. (2021). High-intensity interval training for improving maximum aerobic capacity in women with sedentary lifestyle: a systematic review and meta-analysis. Journal of Physical Education and Sport, Vol.21(4), Art 226, pp. 1788–1797. https://doi.org/10.7752/jpes.2021.04226
Wang, Y., Guo, Y., Xu, Y., Wang, W., Zhuang, S., Wang, R., & Xiao, W. (2022). HIIT Ameliorates Inflammation and Lipid Metabolism by Regulating Macrophage Polarization and Mitochondrial Dynamics in the Liver of Type 2 Diabetes Mellitus Mice. Metabolites, 13(1), 14. https://doi.org/10.3390/metabo13010014
Zhang, H., Tong, T. K., Kong, Z., Shi, Q., Liu, Y., & Nie, J. (2021). Exercise training-induced visceral fat loss in obese women: The role of training intensity and modality. Scandinavian journal of medicine & science in sports, 31(1), 30–43. https://doi.org/10.1111/sms.13803
Zimowska, M., Rolbiecka, M., Antoniak-Pietrynczak, K., Jaskulak, M., & Zorena, K. (2024). Dynamics of Serum Inflammatory Markers and Adipokines in Patients: Implications for Monitoring Abnormal Body Weight: Preliminary Research. Metabolites, 14(5), 260. https://doi.org/10.3390/metabo14050260
