“…In fact, numerous previous studies have constantly reported that TC is significantly positively associated with IS in vivo [24,38,40,46,54], and both of them can be improved with MMIs, muscle mass indexes, were expressed as mean ± SD exercise [3,5,11,20,36,37,42,48]. The increased plasma TC in male rats during exercise is at least partially a result of lactate's effect on the secretion of testosterone [30,31], and testosterone may suppress the expression of proinflammatory cytokines such as tumor necrosis factor-alpha and interleukin-1 [8,32]. In experimental models, these proinflammatory cytokines disrupt normal insulin action in fat and muscle cells, and this may be the major factor in causing the whole body IR observed in patients with visceral adiposity [47].…”