HIIT vs MICT on Male Reproductive Function in a Diabetic Model: A Review of the Benefit-to-Volume Ratio
DOI:
https://doi.org/10.35799/jbl.v15i3.65808Keywords:
high-intensity interval training, moderate-intensity continuous training, diabetes mellitus, male reproductive function, streptozotocinAbstract
Diabetes mellitus impairs male reproductive function through hyperglycemia-induced oxidative stress, hormonal disruption, and testicular damage. This structured literature review evaluated the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on reproductive outcomes in streptozotocin-induced diabetic rodents. Studies reporting sperm quality, testosterone, oxidative stress markers, and testicular morphology after exercise interventions were synthesized narratively. Across the included studies, HIIT was associated with rapid increases in testosterone and sperm motility, alongside reductions in lipid peroxidation and apoptosis, mainly through acute metabolic stimulation and enhanced Leydig cell responsiveness. In contrast, MICT produced slower but more stable improvements, characterized by better spermatogenesis and sustained enhancement of antioxidant capacity, consistent with exercise-induced hormesis and improved insulin sensitivity. These findings suggest that HIIT and MICT act through distinct yet complementary physiological pathways and can be tailored to therapeutic goals and disease severity. Nevertheless, conclusions should be interpreted cautiously due to heterogeneity in streptozotocin dose, training intensity, and intervention duration.
References
Abedpoor, N., Taghian, F., & Hajibabaie, F. (2024). Exploring the dynamics of exercise intensity on male fertility and reproductive health: advancements and implications for fertility research. Frontiers in Reproductive Health, July, 1–6. https://doi.org/10.3389/frph.2024.1423916
Azarrang, S., Parastesh, M., & Saremi, A. (2024). The effect of eight weeks of moderate-intensity endurance training on some oxidant and antioxidant indices in testicular tissues of diabetic rats with acute morphine withdrawal syndrome. Feyz Medical Sciences Journal, 28(2), 149–158. https://doi.org/10.48307/FMSJ.2024.28.2.149
Bagheri, R. B., Shadman, J., & Khaki, A. A. (2023). The Effect of Carvacrol Plus Treadmill Exercise on Testis Structure and Oxidative Stress in Streptozotocin-Induced Diabetic Rats. Crescent Journal of Medical and Biological Sciences, 10(3), 144–150. https://doi.org/10.34172/cjmb.2023.24
Basheer, A. (2022). The Art and Science of Writing Narrative Reviews. International Journal of Advanced Medical and Health Research, 9(2), 124–126. https://doi.org/10.4103/ijamr.ijamr_234_22
Dewangga, M. W., Nasihun, T., & Isradji, I. (2021). Dampak Olahraga Berlebihan Terhadap Kualitas Sperma. Jurnal Penelitian Kesehatan Suara Forikes, 12(11), 58–61.
Didani, H. Z. (2024). Effect of high intensity interval training with nanocurcumin on fertility and oxidative index in diabetic rats. Journal of Basic and Clinical Veterinary Medicine, 5(2), 89–99. https://doi.org/10.82561/jbcvm.2024.1183249
Ehsanifar, M., Tofighi, A., & Azar, J. T. (2025). The Effects of Moderate-Intensity Continuous Training ( MICT ) and Berberine Supplementation ( BB ) on Ketamine-Induction Ferroptosis in Testicular Tissue of Wistar Rats : Emphasis on the Xc / GSH / GPX Signaling Pathway. Journal of Sport and Exercise Physiology, 18(1), 17–33.
Fayyazian, F., Saghebjoo, M., Hedayati, M., & Sarir, H. (2025). Effect of High-Intensity Interval Training on Mitigating High-Fat Diet-Induced Damage in Rat Testicular Tissue. Prev. Nutr. Food Sci, 30(3), 230–241.
Ghosh, A., & Choudhury, S. (2025). Understanding different types of review articles: A primer for early career researchers. Indian Journal of Psychiatry, 67(5), 535–541. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_373_25
Hamidi, H., Tofighi, A., Azar, J. T., Khaki, A. A., & Razi, M. (2023). Effect of Crocin and Treadmill Exercise on Spermatogenesis and Testis Structure in Streptozotocin-Induced Diabetic Rats : An Experimental Study. Crescent Journal of Medical and Biological Sciences, 10(2), 98–104. https://doi.org/10.34172/cjmb.2023.15
Khoramipour, K., Amin, M., Akbari, Z., & Arjmand, M. (2024). Heliyon The effect of high-intensity interval training on type 2 diabetic muscle : A metabolomics-based study. Heliyon, 10(15), 1–17. https://doi.org/10.1016/j.heliyon.2024.e34917
Mogaddami, Z., Sheikhzadeh, F., Hatami, H., Mahdi, S., Khojasteh, S. M. B., Khajehnasiri, N., Hemmati, A. R. A., & Dastranj, A. (2018). Effects of short- and long-term regular exercise on reproductive tissue in streptozotocin-induced diabetic male Wistar rats. ENDOCRINE REGULATIONS, 52(4), 167–175. https://doi.org/10.2478/enr-2018-0021
Nadi, Z., Bayat, M., Karami, H., Parastesh, M., & Bayat, P. D. (2021). Effect of exercise training on gene expression of adiponectin and its receptors in testicles and sex hormones in diabetic rats. Journal of Biological Research, 94(9287), 1–6. https://doi.org/10.4081/jbr.2021.9287
Nazanin, M., Tolouei-azar, J., & Razi, M. (2022). Running exercise training-induced impact on oxidative stress and mitochondria-related apoptosis in rat ’ s testicles. Andrologia, 54(e14520), 1–13. https://doi.org/10.1111/and.14520
Odetayo, A. F., Ajibare, A. J., Okesina, K. B., Akhigbe, T. M., Olugbogi, E. A., & Olayaki, L. A. (2024). Orange peel ethanolic extract and physical exercise prevent testicular toxicity in streptozotocin and high-fat diet-induced type 2 diabetes rats via Nrf2/NF-κB signaling: In silico and in vivo studies. Heliyon, 10, e39780. https://doi.org/10.1016/j.heliyon.2024.e39780
Olojede, S. O., Lawal, S. K., Faborode, O. S., Dare, A., Aladeyelu, O. S., Moodley, R., Rennie, C. O., Naidu, E. C., & Azu, O. O. (2022). Testicular ultrastructure and hormonal changes following administration of tenofovir disoproxil fumarate ‑ loaded silver nanoparticle in type ‑ 2 diabetic rats. Scientific Reports, 12(9633), 1–12. https://doi.org/10.1038/s41598-022-13321-y
Paramita, N., Puspasari, B. C., Arrody, R., Kartinah, N. T., Andraini, T., Mardatillah, J., Rusli, H., & Santoso, D. I. S. (2022). Protective Effect of High-Intensity Interval Training ( HIIT ) and Moderate-Intensity Continuous Training ( MICT ) against Vascular Dysfunction in Hyperglycemic Rats. Hindawi Journal of Nutrition and Metabolism, 1(9097), 1–17. https://doi.org/10.1155/2022/5631488
Parastesh, M., Saremi, A., Ahmadi, A., & Kaviani, M. (2019). The Effect of Aerobic Training on Serum Levels of Adiponectin, Hypothalamic- Pituitary-Gonadal Axis and Sperm Quality in Diabetic Rats. Urology Journal, 16(6), 1–19. https://doi.org/10.22037/uj.v0i0.4728.
Ringo, S. S. (2025). SYSTEMATIC LITERATURE REVIEW DENGAN METODE PRISMA: PEMBELAJARAN BERDIFERENSIASI PADA PENDIDIKAN DASAR. Jurnal Didaktika Pendidikan Dasar, 9(1), 209–226. https://doi.org/10.26811/didaktika.v9i1.1760
Samadian, Z., Tofighi, A., Razi, M., & Ghaderi, F. (2020). Effect of moderate-intensity exercise training on GDNF signaling pathway in testicles of rats after experimental diabetes type 1 induction. Diabetes Research and Clinical Practice, 167(108332), 1–11. https://doi.org/10.1016/j.diabres.2020.108332
Saremi, A., Yousefvand, Z., Parastesh, M., Bayat, M., & Gahreman, D. (2022). Aerobic training mitigates the negative impact of diabetes on fertility. Andrologia, 54(e14306), 1–9. https://doi.org/10.1111/and.14306
Seo, D. Y., Lee, S. R., Kwak, H. B., Park, H., Seo, K. W., Noh, Y. H., Song, K., Ryu, J., Ko, K. S., Rhee, B. D., & Han, J. (2018). Exercise training causes a partial improvement through increasing testosterone and eNOS for erectile function in middle-aged rats. Experimental Gerontology, 4(1), 1–28. https://doi.org/10.1016/j.exger.2018.04.003
Toprak, V., Akalın, S. A., Öcal, E., Çavuş, Y., & Özdemir, İ. (2023). Histopathological examination of the protective effect of intense exercise in apoptotic germ cell damage due to diabetes. ACTA CIRÚRGICA BRASILEIRA, 38(e381423), 1–12.
Xu, Z., Qin, Y., Lv, B., & Tian, Z. (2022). Effects of Moderate-Intensity Continuous Training and High-Intensity Interval Training on Testicular Oxidative Stress , Apoptosis and m6A Methylation in Obese Male Mice. Antioxidants, 11(1874), 1–12.
Yin, M., Li, H., Bai, M., Liu, H., Chen, Z., Deng, J., Deng, S., Meng, C., Vollaard, N. B. J., Little, J. P., & Li, Y. (2024). Is low-volume high-intensity interval training a time-efficient strategy to improve cardiometabolic health and body composition? A meta-analysis. Applied Physiology, Nutrition, and Metabolism, 49(3), 273–292. https://doi.org/10.1139/apnm-2023-0329
Zahmatkesh, M. E., & Rostamkhani, F. (2023). A potential protective mechanism of high-intensity interval training against tetracycline-induced hepatic steatosis and testicular apoptosis in male Wistar rat: A crosstalk between the liver and testis. Journal of Exercise & Organ Cross Talk, 3(4), 160–172. https://doi.org/10.22122/jeoct.2023.432373.1101
Zańko, A., Pawłowski, M., & Milewski, R. (2025). The impact of physical exercise on male fertility through its association with various processes and aspects of human biology. Journal of Clinical Medicine, 14(10), 3442. https://doi.org/10.3390/jcm14103442.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Natasha Novida Sipahutar

This work is licensed under a Creative Commons Attribution 4.0 International License.






