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氧化应激生物标志物作为肥胖患者的非传统危险因素。

A biomarker of oxidative stress as a nontraditional risk factor in obese subjects.

机构信息

Fondazione G Monasterio CNR Regione Toscana, Pisa, Italy.

出版信息

Biomark Med. 2013 Aug;7(4):633-9. doi: 10.2217/bmm.13.49.

DOI:10.2217/bmm.13.49
PMID:23905900
Abstract

BACKGROUND

Oxidative stress has been postulated as an additive factor linking obesity to cardiovascular disease.

MATERIALS & METHODS: Derivatives of reactive oxygen species metabolites (d-ROMs) were measured in 136 obese (42 males, 94 females; mean age: 47 ± 12 years; BMI: 36 ± 5 kg/m(2)) and in 306 over- and normal-weight subjects (112 males, 194 females; age: 47 ± 12 years; BMI: 24 ± 3 kg/m(2)).

RESULTS

d-ROMs levels were higher in obese than in over- and normal-weight subjects (395 ± 104 vs 362 ± 102 and 351 ± 84 arbitrary units (AU); p < 0.001), in women than males (390 ± 104 vs 327 ± 68 AU; p < 0.001), in subjects with than those without hypertension (390 ± 103 vs 360 ± 95 AU; p < 0.01) and in smokers than former and nonsmokers (380 ± 97 vs 358 ± 97 AU; p < 0.05). A positive correlation was found between d-ROMs and BMI (r = 0.25; p < 0.001) and age (r = 0.13; p < 0.01). Levels of d-ROM (>75th percentile: 420 AU) remained as an independent obesity predictor (odds ratio: 2.5; p < 0.001) in women. Continuous variables are reported as mean ± standard deviation.

CONCLUSION

d-ROMs are a powerful obesity predictor, and could represent a reliable tool in obesity and cardiovascular risk evaluation, especially in women.

摘要

背景

氧化应激被认为是将肥胖与心血管疾病联系起来的一个附加因素。

材料与方法

在 136 名肥胖者(42 名男性,94 名女性;平均年龄:47 ± 12 岁;BMI:36 ± 5 kg/m²)和 306 名超重和正常体重者(112 名男性,194 名女性;年龄:47 ± 12 岁;BMI:24 ± 3 kg/m²)中测量了活性氧代谢物(d-ROMs)的衍生物。

结果

与超重和正常体重者相比,肥胖者的 d-ROMs 水平更高(395 ± 104 比 362 ± 102 和 351 ± 84 任意单位(AU);p < 0.001),女性高于男性(390 ± 104 比 327 ± 68 AU;p < 0.001),高血压者高于无高血压者(390 ± 103 比 360 ± 95 AU;p < 0.01),吸烟者高于曾经吸烟者和非吸烟者(380 ± 97 比 358 ± 97 AU;p < 0.05)。d-ROMs 与 BMI(r = 0.25;p < 0.001)和年龄(r = 0.13;p < 0.01)呈正相关。d-ROMs 水平(>75 百分位数:420 AU)仍然是女性肥胖的独立预测因素(优势比:2.5;p < 0.001)。连续变量以平均值 ± 标准差表示。

结论

d-ROMs 是肥胖的有力预测指标,特别是在女性中,它可能是肥胖和心血管风险评估的可靠工具。

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