“…Therefore, decreased fat mass and TNF-α level, suppression of the Nuclear Factor-kappaB (NF-kB) signaling pathway, and reduced insulin resistance induced by exercise can be the possible causes of the effect of exercise on the adiponectin level in obese girls [12,16,24,27,28]. In addition, adiponectin inhibits the infiltration of mono- cytes/macrophages into adipose tissue and converts them into foam cells in the vascular wall and thereby, reduces the PAI-1 level and inhibition of fibrinolysis [7,29].…”