The Effect of Eight Weeks of Core Stability Training and Chitosan Supplementation on Cholecystokinin (CCK) and Peptide YY (PYY) Levels in Overweight Women: A Randomized Controlled Trial

Background and purpose: Obesity disrupts the secretion of appetite-regulating hormones, such as peptide YY (PYY) and cholecystokinin (CCK), which disrupts natural appetite control mechanisms and promotes excessive food intake and weight gain. Over time, these disturbances elevate the risk of metabol...

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Main Authors: Nasim Rahimi, Saeid Shamlou Kazemi, Ali Hemati Afif, Aida Baghbani
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2025-05-01
Series:Journal of Mazandaran University of Medical Sciences
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Online Access:http://jmums.mazums.ac.ir/article-1-21636-en.pdf
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author Nasim Rahimi
Saeid Shamlou Kazemi
Ali Hemati Afif
Aida Baghbani
author_facet Nasim Rahimi
Saeid Shamlou Kazemi
Ali Hemati Afif
Aida Baghbani
author_sort Nasim Rahimi
collection DOAJ
description Background and purpose: Obesity disrupts the secretion of appetite-regulating hormones, such as peptide YY (PYY) and cholecystokinin (CCK), which disrupts natural appetite control mechanisms and promotes excessive food intake and weight gain. Over time, these disturbances elevate the risk of metabolic disorders. This study aimed to investigate the effects of eight weeks of core stability training combined with chitosan supplementation on anthropometric indices, lipid profiles, and gastrointestinal hormones (CCK and PYY) in obese women. Materials and methods: This clinical trial was conducted on 60 obese women (BMI: 30.83±1.43), who were randomly assigned to three intervention groups and one control group. Participants in the exercise-only group performed core stability training three times per week for eight weeks. The supplement-only group consumed two 500 mg chitosan capsules daily for the same duration. The combined intervention group simultaneously engaged in both the exercise protocol and chitosan supplementation. Measurements of study variables were taken twice before and after the intervention. Data analysis was performed using two-way ANOVA in SPSS (version 27) with a significance level of α = 0.05. Results: The findings revealed significant differences in PYY and CCK levels among the intervention groups (exercise, supplement, and combined intervention) (P< 0.05), whereas no significant changes were observed in the control group (P> 0.05). Additionally, the intervention groups demonstrated significant improvements in anthropometric indices and lipid profiles (P< 0.05). Conclusion: Core stability training, chitosan supplementation, and their combined implementation positively influenced anthropometric measures, plasma lipid profiles, and gastrointestinal hormones (PYY and CCK). These findings suggest that combining exercise with supplementation may be an effective strategy for improving metabolic health and supporting weight management in obese women. (Clinical Trials Registry Number: IRCT20221120056548N6)
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spelling doaj-art-6f48a11a483c4edca1ec569bc4abbcd52025-08-20T03:09:47ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792025-05-01352447890The Effect of Eight Weeks of Core Stability Training and Chitosan Supplementation on Cholecystokinin (CCK) and Peptide YY (PYY) Levels in Overweight Women: A Randomized Controlled TrialNasim Rahimi0Saeid Shamlou Kazemi1Ali Hemati Afif2Aida Baghbani3 MSc in Exercise Physiology, Department of Physical Education and Sports Sciences, Faculty of Humanities, Danesh Alborz University, Qazvin, Iran PhD in Exercise Physiology, Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamadan, Iran Associate Professor, Department of Physical Education and Sports Sciences, Faculty of Social Sciences, Imam Khomeini International University, Qazvin, Iran MSc in Exercise Physiology, Department of Physical Education and Sports Sciences, Faculty of Humanities, Danesh Alborz University, Qazvin, Iran Background and purpose: Obesity disrupts the secretion of appetite-regulating hormones, such as peptide YY (PYY) and cholecystokinin (CCK), which disrupts natural appetite control mechanisms and promotes excessive food intake and weight gain. Over time, these disturbances elevate the risk of metabolic disorders. This study aimed to investigate the effects of eight weeks of core stability training combined with chitosan supplementation on anthropometric indices, lipid profiles, and gastrointestinal hormones (CCK and PYY) in obese women. Materials and methods: This clinical trial was conducted on 60 obese women (BMI: 30.83±1.43), who were randomly assigned to three intervention groups and one control group. Participants in the exercise-only group performed core stability training three times per week for eight weeks. The supplement-only group consumed two 500 mg chitosan capsules daily for the same duration. The combined intervention group simultaneously engaged in both the exercise protocol and chitosan supplementation. Measurements of study variables were taken twice before and after the intervention. Data analysis was performed using two-way ANOVA in SPSS (version 27) with a significance level of α = 0.05. Results: The findings revealed significant differences in PYY and CCK levels among the intervention groups (exercise, supplement, and combined intervention) (P< 0.05), whereas no significant changes were observed in the control group (P> 0.05). Additionally, the intervention groups demonstrated significant improvements in anthropometric indices and lipid profiles (P< 0.05). Conclusion: Core stability training, chitosan supplementation, and their combined implementation positively influenced anthropometric measures, plasma lipid profiles, and gastrointestinal hormones (PYY and CCK). These findings suggest that combining exercise with supplementation may be an effective strategy for improving metabolic health and supporting weight management in obese women. (Clinical Trials Registry Number: IRCT20221120056548N6)http://jmums.mazums.ac.ir/article-1-21636-en.pdfchitosan supplementcholecystokinincore stability trainingobese womenpeptide yy
spellingShingle Nasim Rahimi
Saeid Shamlou Kazemi
Ali Hemati Afif
Aida Baghbani
The Effect of Eight Weeks of Core Stability Training and Chitosan Supplementation on Cholecystokinin (CCK) and Peptide YY (PYY) Levels in Overweight Women: A Randomized Controlled Trial
Journal of Mazandaran University of Medical Sciences
chitosan supplement
cholecystokinin
core stability training
obese women
peptide yy
title The Effect of Eight Weeks of Core Stability Training and Chitosan Supplementation on Cholecystokinin (CCK) and Peptide YY (PYY) Levels in Overweight Women: A Randomized Controlled Trial
title_full The Effect of Eight Weeks of Core Stability Training and Chitosan Supplementation on Cholecystokinin (CCK) and Peptide YY (PYY) Levels in Overweight Women: A Randomized Controlled Trial
title_fullStr The Effect of Eight Weeks of Core Stability Training and Chitosan Supplementation on Cholecystokinin (CCK) and Peptide YY (PYY) Levels in Overweight Women: A Randomized Controlled Trial
title_full_unstemmed The Effect of Eight Weeks of Core Stability Training and Chitosan Supplementation on Cholecystokinin (CCK) and Peptide YY (PYY) Levels in Overweight Women: A Randomized Controlled Trial
title_short The Effect of Eight Weeks of Core Stability Training and Chitosan Supplementation on Cholecystokinin (CCK) and Peptide YY (PYY) Levels in Overweight Women: A Randomized Controlled Trial
title_sort effect of eight weeks of core stability training and chitosan supplementation on cholecystokinin cck and peptide yy pyy levels in overweight women a randomized controlled trial
topic chitosan supplement
cholecystokinin
core stability training
obese women
peptide yy
url http://jmums.mazums.ac.ir/article-1-21636-en.pdf
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