[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
Publication Ethics::
Peer Review Process::
Indexing Databases::
For Authors::
For Reviewers::
Subscription::
Contact us::
Site Facilities::
::
Google Scholar Metrics

Citation Indices from GS

AllSince 2021
Citations85203963
h-index3120
i10-index25192

..
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Registered in

AWT IMAGE

AWT IMAGE

..
:: Volume 34, Issue 4 (9-2026) ::
Journal of Ilam University of Medical Sciences 2026, 34(4): 43-62 Back to browse issues page
The Effect of Exercise Training on Serum Vaspin Levels and Glycemic Indices in Iranian Overweight and Obese Women: A Systematic Review and Meta-Analysis
Majid Mardaniyan Ghahfarrokhi1 , Abbas Saremi *2 , Obaid Hassan Mohammad Obaid1
1- Dept of Exercise Physiology and Pathology, Faculty of Sport Sciences, Arak University, Arak, Iran
2- Dept of Exercise Physiology and Pathology, Faculty of Sport Sciences, Arak University, Arak, Iran , a-saremi@araku.ac.ir
Abstract:   (282 Views)
Introduction:  Overweight and obesity are associated with metabolic disorders, including changes in adipokines such as vaspin. The effect of exercise training on vaspin is inconsistent. The aim of this systematic review and meta-analysis was to investigate the effect of exercise training on serum vaspin levels and glycemic indices in overweight and obese Iranian women.
Materials & Methods: PubMed, Web of Science, Scopus, Magiran, Irandoc, Noor Mags, and SID databases were systematically searched for articles published up to 11 March 2024. The standardized mean difference (SMD) and 95% confidence interval (CI) were calculated using a random model and CMA2 software to determine the effect. The (I2) test was used to determine heterogeneity, and the Funnel Plant test and Egger test were used to examine publication bias.
Results: A total of 14 studies on 376 overweight and obese female subjects were meta-analyzed. The results showed that exercise training significantly reduced insulin resistance [SMD = -0.706 (-1.128 to -0.283), P = 0.001] and had a non-significant reduction in vaspin [SMD = -0.312 (-0.628 to 0.004), P = 0.053], glucose [SMD = -0.566 (-1.161 to 0.029), P = 0.062], and insulin [SMD = -0.232 (-0.900 to -0.435), P = 0.495] compared to the control group.
Conclusion: The results of the present meta-analysis showed that exercise training significantly improved insulin resistance in obese and overweight Iranian women through changes in serum vaspin and glycemic indices.
 
Keywords: Exercise training, Vaspin, Insulin resistance, Meta-analysis
Full-Text [PDF 994 kb]   (102 Downloads)    
Editorial Note: Research | Subject: Physical Education
Received: 2026/01/28 | Accepted: 2026/06/23 | Published: 2026/09/27
References
1. Furman D, Campisi J, Verdin E, Carrera-Bastos P, Targ S, Franceschi C, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25:1822-32 doi: 10.1038/s41591-019-0675-0.
2. Rezaeimanesh D. Responses of plasma levels of irisin, follistatin and insulin resistance index to two types of high intensity interval training in overweight men. J Sport Exerc Physiol. 2024;16:31-40. doi:10.48308/joeppa.2023.232503.1182.
3. Avazpour S, Kalkhoran J, Mohseni F. Effect of 12 Weeks of Resistance Training on Serum, Vaspin and Chemerin in Obese Middle-Aged Women. Asian J Sports Med. 2020; 11:e97363. doi: 10.5812/asjsm.97363.
4. Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA. 2012;307:491-7. doi:10.1001/jama.2012.39.
5. Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9· 1 million participants. Lancet. 2011;377:557-67. doi: 10.1016/S0140-6736(10)62037-5.
6. Jafari-Adli S, Jouyandeh Z, Qorbani M, Soroush A, Larijani B, Hasani-Ranjbar S. Prevalence of obesity and overweight in adults and children in Iran; a systematic review. J Diabetes Metab Disord. 2014;13:121. doi:10.1186/s40200-014-0121-2.
7. Khabiri P. Effect of aerobic exercise on fetoin A: elucidating the relationship between obesity and related metabolic problems. Res Exerc Nut. 2023;2:60-47. 10.22034/REN.2024.140325.1047.
8. Abedi B AR, Saremi A. Plasma Irisin increases after acute endurance exercise in obese and normal weight women. CMJA. 2017;7:1887-96.
9. Feijóo-Bandín S, Rodríguez-Penas D, García-Rúa V, Ana, Mosquera Leal A, González-Juanatey J, et al. Adipokines at the Cardiovascular System: Role in Health and Disease. SM J Endocrinol Metab. 2016;2:1009.
10. Wozniak SE, Gee LL, Wachtel MS, Frezza EE. Adipose tissue: the new endocrine organ? A review article. Dig Dis Sci. 2009;54:1847-56. doi:10.1007/s10620-008-0585-3.
11. Lee MK, Jekal Y, Im JA, Kim E, Lee SH, Park JH, et al. Reduced serum vaspin concentrations in obese children following short-term intensive lifestyle modification. Clin Chim Acta. 2010;411:381-5. doi: 10.1016/j.cca.2009.12.003.
12. Phalitakul S, Okada M, Hara Y, Yamawaki H. A novel adipocytokine, vaspin inhibits platelet-derived growth factor-BB-induced migration of vascular smooth muscle cells. Biochem Biophys Res Commun. 2012;423:844-9. doi: 10.1016/j.bbrc.2012.06.052.
13. Yang HW, Huang YG, Gai CL, Chai GR, Lee S. Serum vaspin levels are positively associated with diabetic retinopathy in patients with type 2 diabetes mellitus. J Diabetes Investig. 2021; 12:566-73. doi: 10.1111/jdi.13385.
14. Aust G, Richter O, Rohm S, Kerner C, Hauss J, Klöting N, et al. Vaspin serum concentrations in patients with carotid stenosis. Atherosclerosis. 2009;204:262-6. doi: 10.1016/j.atherosclerosis.2008.08.028.
15. Nasiri R, Meshkati Z, Nasiri S. Regular aerobic/resistance exercises and garlic extract supplementation effects in pregnancy outcome of Balb/C mice. JAHSSP. 2017;4:89-96. doi: 10.22049/jassp.2019.26477.1192.
16. Larsen S, Danielsen JH, Søndergård SD, Søgaard D, Vigelsoe A, Dybboe R, et al. The effect of high-intensity training on mitochondrial fat oxidation in skeletal muscle and subcutaneous adipose tissue. Scand J Med Sci Sports. 2015;25:e59-69. doi: 10.1111/sms.12252.
17. Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32:541–56. doi: 10.1097/HCO.0000000000000437.
18. Almasi J. The effect of TRX training on the serum level of vaspin in overweight women. Phys Act Health. 2022:57-70. doi: 10.30495/pah.2022.698103.
19. Hejazi M, Nezamdoost Z, Saghebjoo M. Effect of Twelve Weeks of Aerobic Training on Serum Levels of Leptin, Vaspin and Some Indicators of Oxidative Stress in Obese Middle-Aged Women. Iran J Endocrinol Metab. 2014;16:111.
20. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1. doi: 10.1186/2046-4053-4-1.
21. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al, editor(s). Cochrane Handbook for Systematic Reviews of Interventions. 2nd Edition. Chichester (UK): John Wiley & Sons, 2019.
22. Zafarmand O, Moghadasi M, Mogharnasi M. The Effect of Aerobic Training on Plasma Levels of Leptin and Adiponectin in Overweight and Obese Children and Adolescents: A Systematic Review and Meta-analysis. Iran J Endocrinol Metab. 2023;25:351-63. doi: 10.22049/jahssp.2024.29841.1667.
23. Zafarmand O, Mogharnasi M, Moghadasi M. The effect of exercise training on serum levels of adipokines related to energy homeostasis (adropin, asprosin) and insulin resistance in patients with type 2 diabetes or obesity: A Systematic review and meta-Analysis. JAHSSP. 2024; 11: 23-43. doi: 10.22049/jahssp.2024.29339.1620.
24. Kazemi Nesab F, Zafarmand O. Comparison of the effects of high-intensity intermittent training and moderate-intensity continuous training on cardiometabolic factors in type 2 diabetic patients: a systematic review and meta-analysis. Feyz Med Sci J. 2024;28:96-109. doi: 10.48307/FMSJ.2024.28.1.98.
25. Mogharnasi M, Kazeminasab F, Zafarmand O, Hassanpour N. The effect of aerobic and resistance training on Omentin-1 and Nesfatin-1 levels in adults: A systematic review and meta -Analysis. J Birjand Univ Med Sci. 2024;30:295-315. doi:10.32592/.
26. Khalafi M, Malandish A, Rosenkranz SK, Ravasi AA. Effect of resistance training with and without caloric restriction on visceral fat: A systemic review and meta-analysis. Obes Rev. 2021;22:e13275. doi: 10.1111/obr.13275.
27. Kazeminasab F, Sharafifard F, Miraghajani M, Behzadnejad N, Rosenkranz SK. The effects of exercise training on insulin resistance in children and adolescents with overweight or obesity: a systematic review and meta-analysis. Front Endocrinol. 2023;14:1178376. doi: 10.3389/fendo.2023.1178376.
28. Khalafi M, Alamdari KA, Symonds ME, Nobari H, Carlos-Vivas J. Impact of acute exercise on immediate and following early post-exercise FGF-21 concentration in adults: systematic review and meta-analysis. Hormones (Athens). 2021;20:23-33. doi:10.1007/s42000-020-00245-3.
29. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629-34. doi: 10.1136/bmj.315.7109.629.
30. Ahmad Shahdadi KM. The Effect of 8 Weeks Rhythmic Aerobic Exercise on Vaspin Levels and Lipid Profile in Overweight and Obese Women. Mediterr J Soc Sci. 2016;7:163-8. doi: 10.5901/mjss.2016.v7n4S2p163.
31. Khademosharie M, Amiri Parsa T, Hamedinia M R, Azarnive M A, Hosseini-Kakhk S A R. Effects of two aerobic training protocols on Vaspin, Chemerin and lipid profile in women with type 2 diabetes. Iran South Med J. 2014; 17 :571-581
32. Shahraki Z , Eftekhari E. Impact of Aerobic Exercise on Serum Vaspin Level in Female Patients With Type 2 Diabetes Mellitus. Crescent J Med Biol Sci. 2018;5:203-8.
33. Jalali-Kahnooj B, Batavani MR, Ghofrani M. Effects of 8 Weeks of Combined Training (Resistance and Endurance) on the Serum Vaspin Level in Obese Girls. NAEP. 2021;3:99-110. doi: 10.22054/nass.2019.9860.
34. Mirzazadeh Bakhteyari M, shakerian s, ghanbarzadeh m. Effect of Six Weeks of Aerobic Interval training on Serum Vaspin and Blood Glucose Levels in Obese Inactive Girls. mljgoums. 2021; 15:21-26. doi: 10.29252/mlj.15.3.26.
35. Kazemi A, Mahalati S. Effects of 10-Week Concurrent Training on Insulin Resistance and the Serum Levels of Vaspin and Visfatin in Overweight Females. Intern Med Today. 2019;25:146-57.doi: 10.32598/hms.25.3.146.
36. Mogharnasi M, TaheriChadorneshin H, Abbasi-Deloei N. Effect of exercise training type on plasma levels of vaspin, nesfatin-1, and high-sensitivity C-reactive protein in overweight and obese women. Obes Med. 2019;13:34-8. doi: 10.1016/j.obmed.2018.12.006.
37. Abbasi Delui N, Mogharnasi M. The Effect of 8-Week Circular Resistance Training on Plasma Levels of Vaspin, High Sensitivity C-Reactive Protein in Overweight and Obese Young Wom. Qom Univ Med Sci J. 2016;10:38-46.
38. Nezamdoust Z, Saghebjoo M, Barzgar A. EFFECT OF TWELVE WEEKS OF AEROBIC TRAINING ON SERUM LEVELS OF VASPIN, FASTING BLOOD SUGAR, AND INSULIN RESISTANCE INDEX IN WOMEN PATIENTS WITH TYPE 2 DIABETES . Iran J Diabetes Metab. 2015; 14 :99-104.
39. Faramarzi M, Banitalebi E, Nori S, Farzin S, Taghavian Z. Effects of rhythmic aerobic exercise plus core stability training on serum omentin, chemerin and vaspin levels and insulin resistance of overweight women. J Sports Med Phys Fitness. 2016;56:476-82.
40. Safarzade A, Abbaspour-Seyedii A, Talebi-Garakani E, Fathi R, Saghebjoo M. Aerobic or resistance training improves anthropometric and metabolic parameters in overweight/obese women without any significant alteration in plasma vaspin levels. Sport Sci Health. 2013;9.: 121-126. doi:10.1007/s11332-013-0157-6.
41. Hida K, Wada J, Eguchi J, Zhang H, Baba M, Seida A, et al. Visceral adipose tissue-derived serine protease inhibitor: a unique insulin-sensitizing adipocytokine in obesity. Proc Natl Acad Sci U S A. 2005;102:10610–5. doi: 10.1073/pnas.0504703102.
42. Salimi Avansar M. [The effects of eight weeks anaerobic interval training on serum levels of Resistin and Vaspin and Insulin Resistance in Obese Men with type-2 diabetes.]. Med J Tabriz Uni Med Sciences Health Services. 2019;41:36-46. doi: 10.34172/mj.2019.005.
43. Handisurya A, Riedl M, Vila G, Maier C, Clodi M, Prikoszovich T, et al. Serum vaspin concentrations in relation to insulin sensitivity following RYGB-induced weight loss. Obes Surg. 2010;20:198-203. doi:10.1007/s11695-009-9882-y.
44. Aktas B, Yilmaz Y, Eren F, Yonal O, Kurt R, Alahdab YO, et al. Serum levels of vaspin, obestatin, and apelin-36 in patients with nonalcoholic fatty liver disease. Metabolism. 2011; 60:544-9. doi: 10.1016/j.metabol.2010.05.008.
45. Koopman R, Manders RJ, Zorenc AH, Hul GB, Kuipers H, Keizer HA, et al. A single session of resistance exercise enhances insulin sensitivity for at least 24 h in healthy men. Eur J Appl Physiol. 2005;94:180–7. doi:10.1007/s00421-004-1307-y.
46. Keikhosravi F, Hosseini S, Hassanpour G, Noura M. The Effect of Eight Weeks Aerobic Training on C-Reactive Protein, Vaspin and Visfatin in Non- Athletic Men . armaghanj 2019; 24:474-83. doi: 10.52547/armaghanj.24.3. 1.474
47. Suh SH, Paik IY, Jacobs K. Regulation of blood glucose homeostasis during prolonged exercise. Mol Cells. 2007;23:272-9. doi: 10.1016/S1016-8478(23)10717-5.
48. O'Gorman DJ, Karlsson HK, McQuaid S, Yousif O, Rahman Y, Gasparro D, et al. Exercise training increases insulin-stimulated glucose disposal and GLUT4 (SLC2A4) protein content in patients with type 2 diabetes. Diabetologia. 2006;49:2983–92. doi:10.1007/s00125-006-0457-3.
49. Jafari-Adli S, Jouyandeh Z, Qorbani M, Soroush A, Larijani B, Hasani-Ranjbar S. Prevalence of obesity and overweight in adults and children in Iran; a systematic review. J Diabetes Metab Disord. 2014;13:121. doi: 10.1186/s40200-014-0121-2.
50. Ivy JL. Role of exercise training in the prevention and treatment of insulin resistance and non-insulin-dependent diabetes mellitus. Sports Med. 1997;24:321-36. doi:10.2165/00007256-199724050-00004.
51. Bonen A, Dohm GL, van Loon LJ. Lipid metabolism, exercise and insulin action. Essays Biochem. 2006;42:47-59. doi: 10.1042/bse0420047.
52. Pedersen BK. Muscles and their myokines. J Exp Biol. 2011;214:337-46. doi: 10.1242/jeb.048074.
53. Gibala MJ. Using exercise training to understand control of skeletal muscle metabolism. Appl Physiol Nutr Metab. 2017;42:108-10. doi: 10.1139/apnm-2016-0356.
54. Pesta DH, Goncalves RLS, Madiraju AK, Strasser B, Sparks LM. Resistance training to improve type 2 diabetes: working toward a prescription for the future. Nutr Metab (Lond). 2017;14:24. doi:10.1186/s12986-017-0173-7.
55. McKinsey TA, Zhang CL, Lu J, Olson EN. Signal-dependent nuclear export of a histone deacetylase regulates muscle differentiation. Nature. 2000;408:106-11. doi:10.1038/35040593.
56. Hortobágyi T, Dempsey L, Fraser D, Zheng D, Hamilton G, Lambert J, et al. Changes in muscle strength, muscle fibre size and myofibrillar gene expression after immobilization and retraining in humans. J Physiol. 2000;524 Pt 1(Pt 1):293-304. doi: 10.1111/j.1469-7793.2000.00293.x.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA

Ethics code: CRD4220251238190


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mardaniyan Ghahfarrokhi M, Saremi A, Hassan Mohammad Obaid O. The Effect of Exercise Training on Serum Vaspin Levels and Glycemic Indices in Iranian Overweight and Obese Women: A Systematic Review and Meta-Analysis. J. Ilam Uni. Med. Sci. 2026; 34 (4) :43-62
URL: http://sjimu.medilam.ac.ir/article-1-8890-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 34, Issue 4 (9-2026) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
Persian site map - English site map - Created in 0.17 seconds with 41 queries by YEKTAWEB 4773