Effect of 6 weeks Pilates training along with dill supplementation on serum concentrations of nesfatin 1, lipocalin 2, and insulin resistance in females with overweight and obesity: A randomized controlled trial

Abstract

Background: This study aimed to investigate the effect of 6 weeks’ pilates training along with dill supplementation on serum concentrations of  esfatin?1, lipocaline?2, and insulin resistance in females with overweight and obesity. Materials and Methods: In this randomized controlled trial study, 45 overweight and obese females are randomly assigned to four groups: Pilates training + dill group (PDG) (n = 12), pilates training + placebo group (PPG) (n = 11), dill supplementation group (DG) (n = 11), and placebo group (PG) (n = 11). Participants of PDG and PPG performed pilates training for 6 weeks (60 min, 3 sessions per week). PDG and DG
received dill tablet (three times a day, 6 weeks). Anthropometric  easurements, glycemic markers, and blood samples were assessed before (pretest) and after (posttest) 6 weeks of intervention. Results: Results showed a significant increase in serum concentrations of  esfatin?1 in PDG compared to pretest (P = 0.001). Differences in the  erum concentrations of nesfatin?1 in PDG were greater than PPG, DG,  and PG (P = 0.01). Furthermore, results found in significant reduction in serum concentrations of lipocalin?2, body mass index (BMI), and waist?hip ratio (WHR) in PDG, PPG, and DG as compared to pretest (P > 0.05). Fasting glucose plasma (FGP) was significantly decreased in all three intervention groups PDG (P < 0.001), PPG (P < 0.001), and DG (P < 0.001) as compared to pretest. Differences in FGP were significantly higher in PDG than PPG, DG, and PG (P = 0.001). A significant reduction was found for insulin only in PDG after 6 weeks of intervention as  ompared to pretest (P = 0.03). Insulin resistance significantly decreased in PDG (P = 0.03) and PPG (P = 0.04) as compared to pretest. Body fat percent (BFP) was significantly decreased in PDG (P = 0.003), PPG (P = 0.006), and DG (P = 0.01). However, there were no significant inter?group differences in insulin resistance, insulin, serum concentrations of lipocalin?2, BMI, BFP, and WHR after 6 weeks of Pilates training along with dill supplementation (P > 0.05). Conclusion: We concluded that 6 weeks of Pilates training along with dill may be beneficial for improvements in serum concentrations of nesfatin?1 and FGP.