High-intensity combination exercise has the highest effect on increasing serum irisin and interleukin 6 levels in women with obesity.

Objectives: Lifestyle, overnutrition, socioeconomic status, environmental conditions, and genetics are factors that cause obesity. Lifestyle modification with a nonpharmacological approach based on physical exercise is the starting point in overcoming obesity. However, physical exercise with the appropriate and effective intensity for obese subjects is still debated. Therefore, this study aims to prove the effect of intensity differences with aerobic-resistance combination exercise on increasing irisin and IL-6 levels in obese women.

Methods: A total of 32 obese women were selected as subjects and administered the interventions of low-intensity combination exercise (Q₂), moderate-intensity combination exercise (Q₃), and high-intensity combination exercise (Q₄). ELISA was used to measure irisin and IL-6 levels in all samples. Statistical analysis used one-way ANOVA and Turkey's-Honest Significant Difference (HSD) post hoc test.

Results: The mean Δ IL-6 levels in the control groups (Q₁), Q₂, Q₃, and Q₄ were 0.27 ± 2.54, 2.07 ± 2.55, 5.99 ± 6.25, and 7.98 ± 2.82 pg/mL with (p=0.015). The mean Δ irisin levels were 0.06 ± 0.81 ng/mL in Q₁, 0.59 ± 0.67 ng/mL in Q₂, 1.99 ± 1.65 ng/mL in Q₃, 4.63 ± 3.57 ng/mL in Q₄ with (p=0.001).

Conclusions: This study proved that all three types of combined exercise intensity increased myokine levels, such as irisin and IL-6. However, high-intensity combination exercise provided the most optimal improvement in myokine levels in obese women. Future studies are needed to design long-term exercise programs specifically for obese adolescent women using the findings from this study.