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[氧化应激;正常与病态肥胖人群的比较研究]

[Oxidative stress; a comparative study between normal and morbid obesity group population].

作者信息

De Tursi Ríspoli Leonardo, Vázquez Tarragón Antonio, Vázquez Prado Antonio, Sáez Tormo Guillermo, Mahmoud Ismail Ali, Gumbau Puchol Verónica

机构信息

Servicio de Cirugía General y Aparato Digestivo, Hospital General Universitario, Valencia, España.

出版信息

Nutr Hosp. 2013 May-Jun;28(3):671-5. doi: 10.3305/nh.2013.28.3.6355.

Abstract

OBJECTIVE

To determine the level of oxidative stress in morbid obese patients by comparing their results to those of a normal population.

MATERIAL AND METHODS

We have studied the metabolites most representative of OS, both in the blood (MDA, 8-oxo-dG, GSSG and the ratio GSSG/GSH) and in the urine (8-oxo-dG), as well as the GSH antioxidant. A descriptive analysis of the sample was performed. The Kolmogorv-Smirnov test was used to assess whether the distribution of the different metabolites was normal. In the case of normal distribution, the Student's t test was used to compare the means, the Mann-Whitney U test was used for non-parametric data, with a significance level of p < 0.05 for hypothesis contrast.

RESULTS

There were 28 patients in each group, without statistically significant differences regarding age and gender. The group of patients with morbid obesity presented an average BMI of 50.1 ± 4 and 23.9 ± 6 in the group with normal weight. 67.8% of the patients with morbid obesity had other comorbidities. There were no associated pathologies in the control group. All the values for the different OS metabolites were higher in the group of patients with morbid obesity than in the control group, whereas the activity of the antioxidant systems (GSH) was lower in the group with morbid obesity.

CONCLUSION

The figures of OS metabolites obtained in the group of patients with morbid obesity confirm the presence of OS in obesity at a pathological level given the differences obtained in the group of normal population.

摘要

目的

通过将病态肥胖患者的结果与正常人群的结果进行比较,确定其氧化应激水平。

材料与方法

我们研究了血液(丙二醛、8-氧代脱氧鸟苷、谷胱甘肽二硫化物以及谷胱甘肽二硫化物/还原型谷胱甘肽比值)和尿液(8-氧代脱氧鸟苷)中最具代表性的氧化应激代谢物,以及谷胱甘肽抗氧化剂。对样本进行了描述性分析。使用柯尔莫哥洛夫-斯米尔诺夫检验来评估不同代谢物的分布是否正常。对于正态分布的情况,使用学生t检验比较均值,对于非参数数据使用曼-惠特尼U检验,假设对比的显著性水平为p < 0.05。

结果

每组有28名患者,在年龄和性别方面无统计学显著差异。病态肥胖患者组的平均体重指数为50.1±4,正常体重组为23.9±6。67.8%的病态肥胖患者有其他合并症。对照组无相关疾病。病态肥胖患者组中所有不同氧化应激代谢物的值均高于对照组,而病态肥胖组中抗氧化系统(谷胱甘肽)的活性较低。

结论

鉴于在正常人群组中获得的差异,病态肥胖患者组中获得的氧化应激代谢物数据证实了肥胖在病理水平上存在氧化应激。

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