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Circulating myokines IL-6, IL-15 and FGF21 response to training is altered by exercise type but not by menopause in women with obesity
Perez-Lopez A, Gonzalo-Encabo P, Perez-Kohler B, Garcia-Honduvilla N, Valades D
European Journal of Sport Science 2022 Sep;22(9):1426-1435
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

To examine the effects of a time-matched endurance versus concurrent training on circulating IL-6, IL-13, IL-15, IL-15Ra, FGF21 levels in postmenopausal women with obesity, and to determine these myokines response to endurance training pre- and postmenopause. Thirty-five sedentary postmenopausal women with obesity were randomly divided into endurance training (EN1, N = 10), concurrent training (CON, N = 13) or no training group (CT, N = 12). Additionally, twelve sedentary premenopausal women with obesity were added to an endurance training group (EN2, N = 12). Participants took part in a 12-week supervised intervention, performing 3 sessions/week of 60 min/session. Before and after the interventions, body composition and fitness were assessed, and blood samples obtained to measure serum myokines levels. Total fat mass decreased in all exercised groups (CON,-5.2%; EN1, -5.3%; EN2, -5.6%). In postmenopausal women, serum IL-6, IL-15 and IL-15Ra decreased after training (p < 0.01), finding a pronounced reduction in IL-6 (-42% versus -16%) and IL-15 (-50% versus -31%) when comparing EN1 to CON (p < 0.05). Serum FGF21 was only reduced in the EN1 (-27%; p = 0.012). While EN1 and EN2 comparison, reported differences for IL-15Ralpha concentration (-28% versus -40%; p = 0.023). Finally, in EN2, the delta change of fat mass and IL-6, IL-15 and IL-15Ralpha were associated (r = 0.605; r = 0.546; r = 0.515; p < 0.05). IL-13 showed undetected concentrations. Circulating IL-6, IL-15 and FGF21 response to training is altered by exercise type but not by menopause in women with obesity. Endurance training promotes a higher reduction of these myokines, potentially activating their intricate immune and fat mass regulation roles in postmenopausal women with obesity.

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