Sandal Gonca, Uras Nurdan, Gokmen Tulin, Oguz Serife Suna, Erdeve Omer, Dilmen Ugur
Neonatology Department, Zekai Tahir Burak Maternity Teaching Hospital, Altindag, Ankara, Turkey.
J Matern Fetal Neonatal Med. 2013 Mar;26(5):540-3. doi: 10.3109/14767058.2012.717998. Epub 2012 Dec 12.
In this study, it is aimed to investigate total oxidant and antioxidant status of newborns and their breast milks.
Totally, 184 infants who were born in our hospital were included in the study. Study group was divided into two main study groups, including term and preterm groups; main study groups were also divided into two sub-groups, AGA and SGA. TOS and TAC levels were measured in cord blood of all newborns and in mother milks. Groups were statistically compared with each other in terms of TOS, TAC and OSI levels.
The study included 92 preterm newborns (Group I) and 92 term newborns (Group II). TOS, TAC and OSI levels were found significantly higher in Group I than Group II (p < 0.0001, p = 0.17, p < 0.0001, respectively). When sub-groups of Group I and Group II, namely TAGA, TSGA and PAGA and PSGA, were compared with each other. TOS and OSI levels were significantly higher and TAC levels were significantly lower in TSGA group relative to TAGA group (p < 0.0001; p = 0.001; p < 0.0001, respectively). No statistically significant difference was found between Group I and Group II and between sub-groups of Group I and II with regards the TOC, TAC and OSI levels of mother milk.
In preterm newborns and term SGA infants, total oxidant stress is increased and antioxidant capacity is low. No significant difference was found between mother milks of preterm and term AGA and SGA infants.
本研究旨在调查新生儿及其母乳的总氧化剂和抗氧化剂状态。
本研究共纳入我院出生的184例婴儿。研究组分为两个主要研究组,包括足月儿组和早产儿组;主要研究组又分为两个亚组,适于胎龄儿(AGA)和小于胎龄儿(SGA)。检测所有新生儿脐血和母乳中的总氧化剂状态(TOS)和总抗氧化能力(TAC)水平。对各组的TOS、TAC和氧化应激指数(OSI)水平进行统计学比较。
本研究包括92例早产儿(I组)和92例足月儿(II组)。发现I组的TOS、TAC和OSI水平显著高于II组(分别为p < 0.0001、p = 0.17、p < 0.0001)。当比较I组和II组的亚组,即足月儿AGA(TAGA)、足月儿SGA(TSGA)、早产儿AGA(PAGA)和早产儿SGA(PSGA)时,TSGA组的TOS和OSI水平显著高于TAGA组,TAC水平显著低于TAGA组(分别为p < 0.0001;p = 0.001;p < 0.0001)。I组和II组之间以及I组和II组的亚组之间,母乳的总抗氧化能力(TOC)、总抗氧化能力(TAC)和氧化应激指数(OSI)水平未发现统计学显著差异。
在早产儿和足月儿SGA婴儿中,总氧化应激增加,抗氧化能力较低。早产儿和足月儿AGA及SGA婴儿的母乳之间未发现显著差异。