Impact of exercise on renal function, oxidative stress, and systemic inflammation among patients with type 2 diabetic nephropathy

Background: Diabetic nephropathy (DN) is a prevalent microvascular diabetic complication all over the world. Objective: This study was designed to measure oxidative stress, systemic inflammation and kidney function response to exercise training in patients with type 2 diabetic (T2DM) nephropathy. Material and Methods: Eighty obese T2DM patients ( 50 males and 30 females), their body mass index (BMI) mean was 33.85 +/- 3.43 Kg/m2 and the mean of diabetes chronicity was 12.53 +/- 2.64 year participated in the present study and enrolled two groups; group I: received aerobic exercise training and group II: received no training intervention. Results: The mean values of creatinine, interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-alpha) and malondialdehyde (MDA) were significantly decreased, while the mean values of interleukin-10 (IL-10), glutathione peroxidase (GPx) and glutathione (GSH) were significantly increased in group (A) after the aerobic exercise training, however the results of the control group were not significant. In addition, there were significant differences between both groups at the end of the study (P<0.05). Conclusion: There is evidence that aerobic exercise training modulated oxidative stress and inflammatory cytokines and improved renal function among patients with diabetic nephropathy.