Physical activity is associated with improved glycemic control but not with IL-6–glycemic interactions in type 2 diabetes: a cross-sectional study - Summary - MDSpire

Physical activity is associated with improved glycemic control but not with IL-6–glycemic interactions in type 2 diabetes: a cross-sectional study

  • By

  • Marwan Ismail

  • Mutaz Ibrahim Hassan

  • Amged Gaffer Mostafa

  • Ashgan A. Ahmed

  • Sara Mohammed Ali

  • Ellen Safadi

  • Ramprasad Muthukrishnan

  • Praveen Kumar Kandakurti

  • Asim Ahmed Elnour

  • Husham O. Elzein

  • Elryah I. Ali

  • Velilyaeva Alie Sabrievna

  • Ayman H. Alfeel

  • June 5, 2026

  • 0 min

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Objective:

To examine the associations of physical activity and circulating IL-6 with glycemic and metabolic markers in individuals with T2DM, and to test for interaction effects.

Key Findings:
  • Circulating IL-6 levels did not differ significantly between active and sedentary participants.
  • Physical activity was associated with significantly lower HbA1c, fasting glucose, HOMA-IR, and fructosamine levels.
  • IL-6 showed inverse correlations with glycemic markers in active individuals but not in sedentary participants.
  • In multivariable models, IL-6 was not independently associated with glycemic outcomes.
  • No significant IL-6 × activity interaction effects were observed.
Interpretation:

Physical activity is associated with improved glycemic control in T2DM, while circulating IL-6 is not independently associated with metabolic outcomes.

Limitations:
  • Findings are observational and hypothesis-generating.
  • Differences in unadjusted correlations should be interpreted cautiously.
  • Small subgroup sizes limit inference.
Conclusion:

These findings highlight the importance of accounting for confounding and interaction testing when evaluating cytokine–metabolic relationships.

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