A094: The Impact of Aerobic Exercise Combined with Intermittent Fastingon Alleviating Chronic Inflammation in Obesity

<bold>Research Aim:</bold> This study utilized aerobic exercise and intermittent fasting as intervention strategies to investigate their effects on the polarization of visceral fat macrophages and the amelioration of chronic fat inflammation in rats with obesity. <bold>Research Methods:</bold> Sixty male Sprague Dawley (SD) rats, aged 3 weeks, were randomly assigned to either a normal diet group (ND) or a high-fat diet group (HFD). Following a 12-week intervention period, the groups were further subdivided into the normal diet control group (ND), high-fat diet sedentary group (HC), high-fat diet intermittent fasting group (IF), high-fat diet aerobic exercise group (HE), and aerobic exercise combined intermittent fasting group (HIE). The aerobic exercise group underwent 10 weeks of medium-intensity training at 65% of their VO₂max. The fasting group adhered to a 5:2 pattern, involving a 24-hour fasting period every Wednesday and Saturday commencing at 6 pm. During post-intervention, epididymal fat samples were collected, and wet weights were recorded. HE staining facilitated the observation of fat histopathology, while immunofluorescence staining was employed to identify the expression and localization of macrophage polarization-related proteins CD86 and CD206. Protein expression levels of IL-6, IL-10, TNF-Α, iNOS, and Arg-1 in adipose tissue were determined through Western blot analysis. <bold>Research Results:</bold> 1) In comparison to the NC group, the HC group exhibited a significant increase in epididymal adipose tissue weight and adipocyte surface area. 2) Following a 10-week intervention, the epididymal adipose tissue weight and adipocyte surface area in the HE, IF, and HIF groups showed a significant decrease when compared to the HC group. Notably, the HIF group demonstrated a more pronounced reduction. 3) Furthermore, in comparison to the HC group, the HIF group displayed a notable decrease in inflammation cells with a corona-like structure infiltrating the stroma of adipocytes. The protein levels of IL-6 and TNF-Α significantly decreased, while the IL-10 protein level exhibited a significant increase. Moreover, the expression of CD86 and iNOS showed a significant decrease, whereas CD206 and Arg-1 expression exhibited a significant increase. <bold>Conclusion:</bold> High-fat diet induces an increase in M1 polarization and a decrease in M2 polarization in rat adipose tissue, triggering the onset of chronic inflammation. Following a ten-week intervention, moderate-intensity aerobic exercise combined with intermittent fasting proves was more effective in ameliorating chronic inflammation in the adipose tissue of rats with obesity.