The Effect of 12 Weeks of Combined Training with Nettle Supplementation on IL-18 and IL-10 Levels in Women with Type 2 Diabetes

Document Type : Research Paper

Author

Assistant Professor of Exercise Physiology, Faculty of Sport Sciences, Maragheh University, Maragheh, Iran.

Abstract

Introduction: Inflammatory factors are recognized as playing a significant role in the development of cardiovascular diseases and type 2 diabetes. Regular exercise with anti-inflammatory effects has been shown to reduce mild systemic inflammation in type 2 diabetes. Therefore, the purpose of this study was to investigate the effects of combined exercise and nettle supplementation on IL-18 and IL-10 levels, as well as glucose and insulin resistance, in women with type 2 diabetes. Methods: Sixty women with type 2 diabetes voluntarily participated in the study and were divided into four groups: 1) Combined training (Com), 2) Nettle supplementation (NS), 3) Combined training + Nettle supplementation (Com+NS), and 4) Control group. The participants in the training group performed resistance training (40-70% 1 repetition maximum) and aerobic interval training (60-75% maximum heart rate) three sessions per week for 12 weeks. Serum levels of fasting blood glucose, insulin, HbA1c, IL-18, IL-10, and the insulin resistance index were measured. Data were analyzed using analysis of variance (ANOVA). Results: There was a significant reduction in insulin, fasting blood glucose, insulin resistance, and IL-18 levels in the Com, NS, and Com+NS groups compared to the control group (p < 0.05). Additionally, IL-10 levels were significantly increased in the Com, NS, and Com+NS groups compared to the control group (p < 0.05). Conclusion: These findings suggest that both combined training and nettle supplementation are effective for blood glucose control and reducing inflammation. Furthermore, the combination of both methods is more effective for glycemic control in patients with diabetes.

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  1. Cannata F, Vadalà G, Russo F, Papalia R, Napoli N, Pozzilli P. Beneficial effects of physical activity in diabetic patients. Journal of Functional Morphology and Kinesiology. 2020;5(3):70.
  2. Akash MSH, Rehman K, Chen S. Role of inflammatory mechanisms in pathogenesis of type 2 diabetes mellitus. Journal of Cellular Biochemistry. 2013;114(3):525-31.
  3. Osborn O, Olefsky JM. The cellular and signaling networks linking the immune system and metabolism in disease. Nature Medicine. 2012;18(3):363-74.
  4. Peiró C, Lorenzo Ó, Carraro R, Sánchez-Ferrer CF. IL-1β inhibition in cardiovascular complications associated to diabetes mellitus. Frontiers in Pharmacology. 2017;8:363.
  5. Sun Y. -Analysis of the Effects of Group Progressive Resistance Training on Interleukin-8 (IL-8), Interleukin-18 (IL-18), Interleukin-6 (IL-6), Interleukin-12 (IL-12) and VO2max, VEmax, O2pulsemax, HRmax, and mMRC in Elderly Patients with Chronic Obstructive Pulm. Journal of Medical Biochemistry. 2025;44(1):112-8.
  6. Froozandeh E, Tofighi A, Tolouei Azar J. The effect of 8 weeks of resistance and aerobic interval training on levels of GLP-1, NRG-1 and IL-33 in type 2 diabetic women. Sport Physiology. 2020;12(46):117-38.
  7. Miller AM, Liew FY. The IL-33/ST2 pathway—a new therapeutic target in cardiovascular disease. Pharmacology & therapeutics. 2011;131(2):179-86.
  8. Wang S, Zhou H, Zhao C, He H. Effect of exercise training on body composition and inflammatory cytokine levels in overweight and obese individuals: a systematic review and network meta-analysis. Frontiers in Immunology. 2022;13:921085.
  9. Wijono W, Fajar MK, Jatmiko T, Purnomo M, Wiriawan O, Pramono BA, et al. Strength training versus high-intensity aerobic exercise: which is more effective in increasing il-10 production as an anti-inflammatory?. Pedagogy of Physical Culture and Sports. 2025;29(1):4-11.
  10. Khademi Z, Imani E, Heidary Km, Poordad Ka, Sarneyzadeh M, Nikparvar M. A Study On The Variation Of Medicinal Plants Used For Controlling Blood Sugar And Causes Of Self-Medication By Patients Referred To Diabetic Center. 2013: 12-20.
  11. Fatollahian Z, Monazzami A, Tadibi V, Mostafaei A. Modulation of interleukin-1Β (IL-1Β), Tumor Necrosis Factor–Α (TNF-Α) and interleukin-10 (IL-10) genes expression following concurrent training in women with type 2 diabetes. Iranian Journal of Diabetes and Metabolism. 2020;19(3):160-9.
  12. Darabi S, Hasanvand A, Nourollahi A. Assessment of the effects of anti-inflammatory of garlic; nettle leaves and olives extracts in STZ-induced diabetic rat. 2016.
  13. Genc Z, Yarat A, Tunali-Akbay T, Sener G, Cetinel S, Pisiriciler R, et al. The effect of stinging nettle (Urtica dioica) seed oil on experimental colitis in rats. Journal of Medicinal Food. 2011;14(12):1554-61.
  14. Tarighat Esfanjani A, Namazi N, Bahrami A, Ehteshami M. Effect of hydroalcoholic extract of Nettle (Urtica dioica) on glycemic index and insulin resistance index in type 2 diabetic patients. . Iranian journal of endocrinology and metabolism. 2012;13: 20123263469.
  15. Dabagh S, Nikbakht M. Glycemic control by exercise and Urtica dioica Supplements in men with type 2 diabetes. Jundishapur J. Chronic Dis. Care. 2016;5(1):e31745.
  16. Dar SA, Yousuf A, Ganai FA, Sharma P, Kumar N, Singh R. Bioassay guided isolation and identification of anti-inflammatory and anti-microbial compounds from Urtica dioica L.(Urticaceae) leaves. African Journal of Biotechnology. 2012;11(65):12910-20.
  17. Nawrocka A, Mynarski W. Objective assessment of adherence to global recommendations on physical activity for health in relation to spirometric values in nonsmoker women aged 60–75 years. Journal of Aging and Physical Activity. 2017;25(1):123-7.
  18. Sharifi E, Askari R, Haghighi AH. Comparision the effects of high and average intensity combined training on levels of serum heat shock proteins 70 and glycemic control in obese women with type 2 diabetes. Jundishapur Scientific Medical Journal. 2017;16(2):255-65.
  19. Yavari A, Najafipoor F, Aliasgarzadeh A, Niafar M, Mobasseri M. Effect of aerobic exercise, resistance training or combined training on glycaemic control and cardiovascular risk factors in patients with type 2 diabetes. Biology of Sport. 2012;29(2):135.
  20. Ziaei R, Foshati S, Hadi A, Kermani MAH, Ghavami A, Clark CC, et al. The effect of nettle (Urtica dioica) supplementation on the glycemic control of patients with type 2 diabetes mellitus: A systematic review and meta‐analysis. Phytotherapy Research. 2020;34(2):282-94.
  21. Hajiforoosh M, Abedi B, Fatolahi H. Effect of supplementation of Mulberry leaf extract and combined exercises on serum levels of TNF-α and interleukin 18 in elderly patients with type 2 diabetes. Journal of Sports and Biomotor Sciences. 2023;15(29):77-88.
  22. Chen H-F, Chuang H-C, Tan T-H. Regulation of dual-specificity phosphatase (DUSP) ubiquitination and protein stability. International Journal of Molecular Sciences. 2019;20(11):2668.
  23. Connolly PH, Caiozzo VJ, Zaldivar F, Nemet D, Larson J, Hung S-p, et al. Effects of exercise on gene expression in human peripheral blood mononuclear cells. Journal of Applied Physiology. 2004;97(4):1461-9.
  24. Miller AM, Asquith DL, Hueber AJ, Anderson LA, Holmes WM, McKenzie AN, Xu D, Sattar N, McInnes IB, Liew FY. Interleukin-33 induces protective effects in adipose tissue inflammation during obesity in mice. Circulation Research. 2010;107(5):650-8.
  25. Dadvar N, Ghalavand A, Zakerkish M, Hojat S, Alijani E, Mahmoodkhanikooshkaki R. The effect of aerobic training and Urtica Dioica on lipid profile and fasting blood glucose in middle age female with type II diabetes. Jundishapur Scientific Medical Journal. 2017;15(6):507-16.
  26. Hosseinpour Delavar S, Boyerahmadi A, Soleymani A, Ghalavand A. Effect of eight weeks of aerobic interval training and urtica dioica supplement on some inflammatory indicators and glycemic control in men with type 2 diabetes. Jundishapur Scientific Medical Journal. 2020;19(2):123-35.