Jundishapur Journal of Medical Sciences

Jundishapur Journal of Medical Sciences

The Effect of Two Types of Continuous and Interval Aerobic Exercise on Improving the Lipid Profile and Liver Enzyme Markers in Insulin-Resistant Prediabetic Rats

Document Type : Original Article

Authors
1 PhD in Exercise Physiology, Department of Exercise Physiology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
2 Assistant Professor of Exercise Physiology, Department of Exercise Physiology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
3 Professor of Exercise Physiology, Department of Exercise Physiology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
Abstract
Background:
Prediabetes accompanied by insulin resistance is associated with metabolic disorders, including dyslipidemia and liver damage. The aim of this study was to compare the effects of two aerobic exercise protocols—continuous aerobic training and high-intensity interval training—on the lipid profile and liver enzymes in a fructose-induced prediabetic animal model.
Methods:
Thirty-two female Wistar rats were randomly divided into four groups: healthy control (C), diabetic control (D), diabetic + continuous exercise (D+CONT), and diabetic + interval exercise (D+INT). After inducing prediabetes with fructose, the exercise protocols were performed for 8 weeks, 5 sessions per week. At the end, serum levels of glucose, lipids (triglycerides, total cholesterol, LDL, HDL), liver enzymes (ALT, AST, ALP), HOMA-IR, and oxidative stress index were measured.
Results:
Induction of prediabetes led to a significant increase in glucose, severe dyslipidemia, and elevated liver enzymes and MDA (p < 0.001). Both exercise protocols resulted in a significant reduction in serum glucose (to levels similar to the control group), improvement in the lipid profile (decrease in triglycerides, cholesterol, and LDL; increase in HDL), and reduction in liver enzymes and MDA. However, no statistically significant differences were observed between the two exercise groups in any of the examined indicators (p > 0.05).
Conclusions:
Both continuous and interval exercise methods were equally effective in improving metabolic, lipid, and liver indices in the prediabetic animal model. This finding suggests that the choice between these two methods can be based on individual preferences, as their metabolic efficacy is equivalent.
Keywords
Subjects

1. Han TS, Lean ME. Metabolic syndrome. Med. 2015;43(2):80-7. [10.1016/j.mpmed.2014.11.006]
2. Samson SL, Garber AJ. Metabolic syndrome. Endocrinol Metab Clin. 2014;43(1):1-23. [10.1016/j.ecl.2013.09.009] [PMID]
3. Ference BA, Ginsberg HN, Graham I, Ray KK, Packard CJ, Bruckert E, et al. Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel. Eur Heart J. 2017;38(32):2459-72. [10.1093/eurheartj/ehx144] [PMID]
4. Younossi Z, Anstee QM, Marietti M, Hardy T, Henry L, Eslam M, et al. Global burden of NAFLD and NASH: trends, predictions, risk factors and prevention. Nat Rev Gastroenterol Hepatol. 2018;15(1):11-20. [10.1038/ nrgastro.2017.109] [PMID]
5. Cusi K. Role of obesity and lipotoxicity in the development of nonalcoholic steatohepatitis: pathophysiology and clinical implications. Gastroenterology. 2012;142(4):711-25. e6. [10.1053/ j.gastro.2012.02.003] [PMID]
6. Hwang C-L, Lim J, Yoo J-K, Kim H-K, Hwang M-H, Handberg EM, et al. Effect of all-extremity high-intensity interval training vs. moderate-intensity continuous training on aerobic fitness in middle-aged and older adults with type 2 diabetes: A randomized controlled trial. Exp Gerontol. 2019;116:46-53. [10.1016/j.exger.2018.12.013] [PMID]
7. Haram PM, Kemi OJ, Lee SJ, Bendheim MØ, Al-Share QY, Waldum HL, et al. Aerobic interval training vs. continuous moderate exercise in the metabolic syndrome of rats artificially selected for low aerobic capacity. Cardiovasc Res. 2009;81(4):723-32. [10.1093/cvr/ cvn 332] [PMID]
8. Keating SE, Machan EA, O′ Connor HT, Gerofi JA, Sainsbury A, Caterson ID, et al. Continuous exercise but not high intensity interval training improves fat distribution in overweight adults. J Obes. 2014;2014(1):834865. [10.1155/2014/834865] [PMID]
9. Gibala MJ, Little JP, MacDonald MJ, Hawley JA. Physiological adaptations to low‐volume, high‐intensity interval training in health and disease. J Physiol. 2012;590(5):1077-84. [10.1113/jphysiol.2011.224725] [PMID]
10.Boutcher SH. High‐intensity intermittent exercise and fat loss. J Obes. 2011;2011(1):868305. [10.1155/2011/ 868305] [PMID]
11.Bayles MP. ACSM's exercise testing and prescription: Lippincott williams & wilkins; 2023.
12.Kregel KC, Allen DL, Booth FW, Fleshner MR, Henriksen EJ, Musch T, et al. Resource book for the design of animal exercise protocols. Am Physiol Soci. 2006;152. [10.2460/ajvr.68.6.583]
13.Sari-Sarraf V, Aliasgarzadeh A, Naderali M-M, Esmaeili H, Naderali EK. A combined continuous and interval aerobic training improves metabolic syndrome risk factors in men. Int J Gen Med. 2015:203-10. [10.2147/ijgm.s81938] [PMID]
14.Mohammad P, Esfandiar KZ, Abbas S, Ahoora R. Effects of moderate-intensity continuous training and high-intensity interval training on serum levels of resistin, chemerin and liver enzymes in streptozotocin-nicotinamide induced type-2 diabetic rats. J Diabetes Metab Disord. 2019;18(2):379-87. [10.1007/s40200-019-00422-1] [PMID]
15.Sari-Sarraf V, Parnian-khajehdizaj N, Amirsasan R. High-intensity interval training and continuous training with intermittent calorie restriction in overweight women: effect on the inflammation and lipid profile. Spor Bilimleri Araştırmaları Dergisi. 2020;5(2):230-46.
16.Ghalandari K, Shabani M, Khajehlandi A, Mohammadi A. Effect of aerobic training with silymarin consumption on glycemic indices and liver enzymes in men with type 2 diabetes. Arch Physiol Biochem. 2023;129(1):76-81. [10.1080/13813455.2020.1797104] [PMID]
17.Yang M, Li Y, Zhang R. Effect of intermittent versus continuous exercise on obesity and fatty liver in rats fed with high-fat diet. Nan Fang Yi Ke Da Xue Xue Bao.. 2013;33(1):61-5. [PMID]
Magalhães AJB, Castoldi RC, Camargo RCT, Ozaki GAT, Costalonga RR, Moreira RJ, et al. Can the intermittent training generate alterations on the liver tissue of rats submitted to a hyperlipidic diet? International Journal of Morphology. 2016;34(1):90
Volume 25, Issue 3 - Serial Number 162
September and October 2026
Pages 199-207

  • Receive Date 10 December 2025
  • Revise Date 27 May 2026
  • Accept Date 31 May 2026