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J Appl Physiol (November 2, 2006). doi:10.1152/japplphysiol.00521.2006
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Submitted on May 5, 2006
Accepted on October 25, 2006

Exercise training improves cardiac performance in diabetes: in vivo demonstration with quantitative cine-MRI analyses

Rajprasad Loganathan1, Mehmet Bilgen2, Baraa Al-Hafez2, Svyatoslav V Zhero1, Mohammed D Alenezy3, and Irina V Smirnova4*

1 Physical Therapy & Rehabilitation Science, University of Kansas Medical Center, Kansas City, Kansas, United States
2 Hoglund Brain Imaging Center, University of Kansas Medical Center, Kansas City, Kansas, United States
3 Physics and Astronomy, University of Kansas, Lawrence, Kansas, United States
4 Physical Therapy & Rehabilitation Science, University of Kansas Medical Center, Kansas City, United States

* To whom correspondence should be addressed. E-mail: ismirnova{at}kumc.edu.

Diabetic cardiomyopathy is a distinct myocardial complication of the catabolic state of untreated insulin-dependent diabetes mellitus in the streptozotocin-induced diabetic rat. Exercise training has long been utilized as an effective adjunct to pharmacotherapy in the management of the diabetic heart. However the in vivo functional benefit(s) of the training programs on cardiac cycle events in diabetes are poorly understood. In this study, we used three groups of Sprague-Dawley rats: sedentary control (SC), sedentary diabetic (SD), and exercised diabetic (ED), to assess the effects of endurance training on the left ventricular (LV) cardiac cycle events in diabetes. At the end of 9 weeks of exercise training, non-invasive cardiac functional evaluation was performed by using high resolution MRI (9.4 T). An EKG gated cine imaging protocol was used to capture the LV cardiac cycle events through 10 equally incremented phases. The cardiac cycle phase volumetric profiles showed favorable functional changes in ED group including a prevention of decreased end-diastolic volume and attenuation of increased end-systolic volume that accompanies sedentary diabetes. The defects in LV systolic flow velocity, acceleration, and jerk associated with sedentary diabetes were restored toward control levels in the trained diabetic animals. This MRI study confirms the prevailing evidence from earlier in vitro and in vivo invasive procedures that exercise training benefits cardiac function in this model of diabetic cardiomyopathy despite the extreme catabolic state of the animals.




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K. R. Bidasee, H. Zheng, C.-H. Shao, S. K. Parbhu, G. J. Rozanski, and K. P. Patel
Exercise training initiated after the onset of diabetes preserves myocardial function: effects on expression of {beta}-adrenoceptors
J Appl Physiol, September 1, 2008; 105(3): 907 - 914.
[Abstract] [Full Text] [PDF]




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