Effect of physical training on insulin resistance in patients with chronic heart failure. 2006

Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
Division of Cardiology, Kurume University Medical Center, Kurume, Japan.

BACKGROUND The effect of physical training on insulin resistance (IR) in chronic heart failure (CHF) remains unclear. RESULTS Fourteen patients with CHF performed physical training using a bicycle ergometer; 9 patients (64%) were hyperinsulinemic and insulin resistant (HOMA IR > 1.97). Exercise tolerance increased (5.1 +/- 1.7 to 6.9 +/- 2.7 METs, p < 0.05) and heart rate at rest decreased (82 +/- 15 to 72 +/- 6, p < 0.05) in the IR group after physical training. Physical training also decreased the insulin level (15.1 +/- 5.6 to 9.8 +/- 2.6 microU/ml, p < 0.05) and HOMA IR (3.7 +/- 1.4 to 2.3 +/- 0.6, p < 0.05) in the IR group, but not in the 5 patients (36%) without IR or in 6 control patients. CONCLUSIONS Physical training can improve hyperinsulinemia and IR in patients with CHF.

UI MeSH Term Description Entries
D007328 Insulin A 51-amino acid pancreatic hormone that plays a major role in the regulation of glucose metabolism, directly by suppressing endogenous glucose production (GLYCOGENOLYSIS; GLUCONEOGENESIS) and indirectly by suppressing GLUCAGON secretion and LIPOLYSIS. Native insulin is a globular protein comprised of a zinc-coordinated hexamer. Each insulin monomer containing two chains, A (21 residues) and B (30 residues), linked by two disulfide bonds. Insulin is used as a drug to control insulin-dependent diabetes mellitus (DIABETES MELLITUS, TYPE 1). Iletin,Insulin A Chain,Insulin B Chain,Insulin, Regular,Novolin,Sodium Insulin,Soluble Insulin,Chain, Insulin B,Insulin, Sodium,Insulin, Soluble,Regular Insulin
D007333 Insulin Resistance Diminished effectiveness of INSULIN in lowering blood sugar levels: requiring the use of 200 units or more of insulin per day to prevent HYPERGLYCEMIA or KETOSIS. Insulin Sensitivity,Resistance, Insulin,Sensitivity, Insulin
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D005260 Female Females
D006333 Heart Failure A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION. Cardiac Failure,Heart Decompensation,Congestive Heart Failure,Heart Failure, Congestive,Heart Failure, Left-Sided,Heart Failure, Right-Sided,Left-Sided Heart Failure,Myocardial Failure,Right-Sided Heart Failure,Decompensation, Heart,Heart Failure, Left Sided,Heart Failure, Right Sided,Left Sided Heart Failure,Right Sided Heart Failure
D006339 Heart Rate The number of times the HEART VENTRICLES contract per unit of time, usually per minute. Cardiac Rate,Chronotropism, Cardiac,Heart Rate Control,Heartbeat,Pulse Rate,Cardiac Chronotropy,Cardiac Chronotropism,Cardiac Rates,Chronotropy, Cardiac,Control, Heart Rate,Heart Rates,Heartbeats,Pulse Rates,Rate Control, Heart,Rate, Cardiac,Rate, Heart,Rate, Pulse
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
August 2011, Medicine and science in sports and exercise,
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
May 2004, Clinical science (London, England : 1979),
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
March 2000, European journal of heart failure,
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
January 2006, European journal of heart failure,
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
November 2006, Laeknabladid,
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
October 1996, Chest,
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
July 2003, The Journal of physiology,
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
January 1996, Circulation,
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
December 1996, Circulation,
Yasuhiro Nishiyama, and Motooki Minohara, and Masatugu Ohe, and Yuji Hirai, and Atsushi Katoh, and Tetsuya Miyamoto, and Gensyo Iwami, and Masashi Nakata, and Yoshinori Koga
November 1994, European heart journal,
Copied contents to your clipboard!