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伊朗健康老年女性脂质过氧化和抗氧化状态与代谢综合征的关联

Association of lipid peroxidation and antioxidant status with metabolic syndrome in Iranian healthy elderly women.

作者信息

Bakhtiari Afsaneh, Hajian-Tilaki Karimolla, Omidvar Shabnam, Nasiri Amiri Fatemeh

机构信息

Department of Midwifery, Faculty of Medicine, Babol University of Medical Sciences, Babol 47176-47745, Iran.

Department of Biostatistics and Epidemiology, Faculty of Medicine, Babol University of Medical Sciences, Babol 47176-47745, Iran.

出版信息

Biomed Rep. 2017 Oct;7(4):331-336. doi: 10.3892/br.2017.964. Epub 2017 Aug 9.

Abstract

The interconnection between aging and metabolic syndrome (MetS) and their effect on oxidative stress (OxS) status lacks adequate information. Additionally, the age-related changes of antioxidant defenses and OxS in senior women with MetS in comparison to healthy senior women are not yet established. We analyzed the correlation between oxidative defense status and OxS with MetS components. Through further examination of MetS and aging, we aimed to determine their independent effects on OxS and oxidative defense status. This community-based cross-sectional study was conducted in the rural area of Babol, Iran. A total of 75 women of ≥60 years of age with MetS along with 89 women with similar conditions without the MetS, serving as the control group, were studied. Blood glucose, lipid profile, malondialdehyde (MDA) and total antioxidant capacity (TAC) were determined. Data were analyzed using multiple linear regression, ANOVA and independent t-tests. MDA and TAC levels independently showed a significant correlation with triglyceride (TG), waist circumference, fasting blood glucose and high-density lipoprotein cholesterol (HDL-C). As suggested by the standardized B (0.810, -0.783, P<0.001; -0.052, P<0.001, 0.047, P<0.01), TG followed by HDL-C were the most strongly correlated factors with MDA and TAC. Furthermore, MetS and age were independent risk factors for antioxidant activity reduction and OxS. However, MetS had a much higher predictive power than age (standardized B 0.573 for MetS and 0.376 for age, P<0.001). Aging and MetS, both lead to OxS, but the impact of MetS on this disorder was far greater than the effect of age. However, their cumulative effects can lead to a worsening of the situation. Therefore, early diagnosis and treatment of MetS, especially in the elderly can prevent any adverse impact of MetS.

摘要

衰老与代谢综合征(MetS)之间的相互联系及其对氧化应激(OxS)状态的影响缺乏充分的信息。此外,与健康老年女性相比,患有MetS的老年女性抗氧化防御和OxS的年龄相关变化尚未明确。我们分析了氧化防御状态和OxS与MetS各组分之间的相关性。通过对MetS和衰老的进一步研究,我们旨在确定它们对OxS和氧化防御状态的独立影响。这项基于社区的横断面研究在伊朗巴博勒的农村地区进行。共研究了75名年龄≥60岁的患有MetS的女性以及89名条件相似但未患MetS的女性作为对照组。测定了血糖、血脂、丙二醛(MDA)和总抗氧化能力(TAC)。使用多元线性回归、方差分析和独立t检验对数据进行分析。MDA和TAC水平分别与甘油三酯(TG)、腰围、空腹血糖和高密度脂蛋白胆固醇(HDL-C)独立显示出显著相关性。标准化B表明(0.810,-0.783,P<0.001;-0.052,P<0.001,0.047,P<0.01),TG其次是HDL-C是与MDA和TAC相关性最强的因素。此外,MetS和年龄是抗氧化活性降低和OxS的独立危险因素。然而,MetS的预测能力比年龄高得多(MetS的标准化B为0.573,年龄为0.376,P<0.001)。衰老和MetS都会导致OxS,但MetS对这种紊乱的影响远大于年龄的影响。然而,它们的累积效应会导致情况恶化。因此,早期诊断和治疗MetS,尤其是在老年人中,可以预防MetS的任何不良影响。

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