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Ahmad MS, Minaee N, Serrano-Contreras JI, Kaluarachchi M, Shen EYL, Boulange C, Ahmad S, Phetcharaburanin J, Holmes E, Wist J, Albaloshi AH, Alaama T, Damanhouri ZA, Lodge S. Exploring the Interactions between Obesity and Diabetes: Implications for Understanding Metabolic Dysregulation in a Saudi Arabian Adult Population. J Proteome Res 2024; 23:809-821. [PMID: 38230637 PMCID: PMC10846529 DOI: 10.1021/acs.jproteome.3c00717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 12/07/2023] [Accepted: 12/14/2023] [Indexed: 01/18/2024]
Abstract
The rising prevalence of obesity in Saudi Arabia is a major contributor to the nation's high levels of cardiometabolic diseases such as type 2 diabetes. To assess the impact of obesity on the diabetic metabolic phenotype presented in young Saudi Arabian adults, participants (n = 289, aged 18-40 years) were recruited and stratified into four groups: healthy weight (BMI 18.5-24.99 kg/m2) with (n = 57) and without diabetes (n = 58) or overweight/obese (BMI > 24.99 kg/m2) with (n = 102) and without diabetes (n = 72). Distinct plasma metabolic phenotypes associated with high BMI and diabetes were identified using nuclear magnetic resonance spectroscopy and ultraperformance liquid chromatography mass spectrometry. Increased plasma glucose and dysregulated lipoproteins were characteristics of obesity in individuals with and without diabetes, but the obesity-associated lipoprotein phenotype was partially masked in individuals with diabetes. Although there was little difference between diabetics and nondiabetics in the global plasma LDL cholesterol and phospholipid concentration, the distribution of lipoprotein particles was altered in diabetics with a shift toward denser and more atherogenic LDL5 and LDL6 particles, which was amplified in the presence of obesity. Further investigation is warranted in larger Middle Eastern populations to explore the dysregulation of metabolism driven by interactions between obesity and diabetes in young adults.
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Affiliation(s)
- Muhammad Saeed Ahmad
- Department
of Veterinary Medicine, University of Cambridge, Cambridge CB3 0ES, U.K.
- Drug
Metabolism Unit, King Fahad Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Novia Minaee
- Health
Futures Institute, Murdoch University, Perth, WA 6150, Australia
| | | | - Manuja Kaluarachchi
- Department
of Metabolism, Digestion and Reproduction, Imperial College, London SW7 2AZ, U.K.
| | - Eric Yi-Liang Shen
- Department
of Metabolism, Digestion and Reproduction, Imperial College, London SW7 2AZ, U.K.
- Department
of Radiation Oncology, Chang Gung Memorial
Hospital and Chang Gung University, Taoyuan 333, Taiwan
| | - Claire Boulange
- Department
of Metabolism, Digestion and Reproduction, Imperial College, London SW7 2AZ, U.K.
| | - Sultan Ahmad
- Drug
Metabolism Unit, King Fahad Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Jutarop Phetcharaburanin
- Department
of Systems Biosciences and Computational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Elaine Holmes
- Health
Futures Institute, Murdoch University, Perth, WA 6150, Australia
- Department
of Metabolism, Digestion and Reproduction, Imperial College, London SW7 2AZ, U.K.
| | - Julien Wist
- Health
Futures Institute, Murdoch University, Perth, WA 6150, Australia
- Department
of Metabolism, Digestion and Reproduction, Imperial College, London SW7 2AZ, U.K.
- Chemistry
Department, Universidad del Valle, Cali 76001, Colombia
| | - Ahmed Hakem Albaloshi
- King
Abdulaziz Hospital and Endocrine and Diabetic Center, Jeddah 23436, Saudi Arabia
| | - Tareef Alaama
- Department
of Medicine, Faculty of Medicine, King Abdulaziz
University, Jeddah 21589, Saudi Arabia
| | - Zoheir Abdullah Damanhouri
- Drug
Metabolism Unit, King Fahad Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia
- Department
of Pharmacology, Faculty of Medicine, King
Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Samantha Lodge
- Health
Futures Institute, Murdoch University, Perth, WA 6150, Australia
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Seddigh S, Bagheri S, Sharifi N, Moravej H, Hadian Shirazi Z. The effect of yoga therapy directed by virtual training on depression of adolescent girls with type 1 diabetes: a randomized controlled trial. J Diabetes Metab Disord 2023; 22:1273-1281. [PMID: 37975133 PMCID: PMC10638158 DOI: 10.1007/s40200-023-01245-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 06/03/2023] [Indexed: 11/19/2023]
Abstract
Background Recently, the depression-alleviating impact of yoga therapy was documented among patients with type 2 diabetes; nonetheless, whether this consequence is similar in individuals with type 1 diabetes (T1D) is still unclear. Therefore, this trial sought to investigate the potential impact of yoga therapy on the depression of adolescents with T1D. Methods This randomized controlled trial recruited 62 girls with T1D, aged 12-17 years, from January to June 2020. The participants were randomly allocated to equal experimental and control arms (31 per group) through a block randomization approach. The routine care was implemented in two study arms, while the experimental arm additionally received yoga therapy directed by virtual training for eight consecutive weeks (one session per week). Maria Kovacs Children's Depression Inventory was completed at baseline and the end of the 8-week intervention. Results The mean of the depression total score was significantly lower in the experimental arm in comparison with the control arm at the trial end (9.38 ± 8.44 vs. 12.77 ± 6.96, p = 0.014). Also, the reduction in mean change from the baseline to the trial end was significantly more in the experimental arm (- 5.25 ± 1.13 vs. - 0.80 ± 1.00, p = 0.013). Conclusions The administration of yoga therapy directed by virtual training seems to be potentially effective in reducing depression among adolescent girls with T1D. However, further long-term trials with a larger sample size are needed to shed light on the obtained findings and address the intervention's efficacy on glycemic outcomes. Supplementary Information The online version contains supplementary material available at 10.1007/s40200-023-01245-x.
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Affiliation(s)
- Seddigheh Seddigh
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Shahpar Bagheri
- Department of Nursing, School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nasrin Sharifi
- Department of Epidemiology, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hossein Moravej
- Department of Pediatric Endocrinology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Hadian Shirazi
- Department of Nursing, School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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