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影响儿童氧化还原状态的因素:一项探索性研究。

Factors that influence the redox state in children: An exploratory study.

作者信息

Low Sandra Trindade, Ferraz Ana Paula Costa Rodrigues, Maio Regiane, Francisqueti Fabiane Valentini, Pierine Damiana Tortolero, Borges Weidylla Natália Silva, Carvalho Ariel Dandara de, Lima Gedalva Pereira de, Ferreira Ana Lúcia A, Dos Santos Klinsmann Carolo, Corrêa Camila Renata

机构信息

Universidade de Pernambuco (UPE), Recife, PE, BR.

Universidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatu, SP, BR.

出版信息

Clinics (Sao Paulo). 2018 Oct 18;73:e335. doi: 10.6061/clinics/2018/e335.

Abstract

OBJECTIVE

The aim of the present study was to investigate the association of the redox state via malondialdehyde (MDA) as a lipid peroxidation biomarker and hydrophilic antioxidant capacity (HAC) with dietary, anthropometric, demographic, socio-economic and clinical variables as well as the serum concentrations of vitamins in children aged 20-36 months. This cross-sectional study was conducted from May 2013 to May 2014 and included a total of 100 children.

METHODS

The variables studied included anthropometric measurements, dietary intake by the Food Frequency Questionnaire (FFQ), socio-demographic features, clinical attributes, serum redox status, and serum vitamin concentrations.

RESULTS

Children with a family income above the minimum wage and adequate body mass index (BMI) presented higher HAC. The MDA concentration was higher in children older than 24 months. Breastfeeding for up to 120 days provided greater antioxidant capacity. Children classified in the 2nd tertile for "fruit and vegetables" and "milk and dairy products" consumption showed lower levels of MDA. There was a positive correlation of MDA with serum vitamin A levels. These results show that among children in the 20-36 months age group, family income, breastfeeding, BMI and intake of fruits and vegetables can have an influence on the imbalance of the redox state.

CONCLUSION

One strategy to prevent the imbalance between oxidants and antioxidants could be for health professionals to raise awareness among families, as such knowledge could repress/prevent the progression/initiation of several diseases in adult life.

摘要

目的

本研究旨在调查以丙二醛(MDA)作为脂质过氧化生物标志物的氧化还原状态和亲水性抗氧化能力(HAC)与20至36个月大儿童的饮食、人体测量、人口统计学、社会经济和临床变量以及血清维生素浓度之间的关联。这项横断面研究于2013年5月至2014年5月进行,共纳入100名儿童。

方法

所研究的变量包括人体测量、通过食物频率问卷(FFQ)得出的饮食摄入量、社会人口学特征、临床属性、血清氧化还原状态和血清维生素浓度。

结果

家庭收入高于最低工资且体重指数(BMI)正常的儿童具有较高的HAC。24个月以上儿童的MDA浓度较高。母乳喂养长达120天可提供更大的抗氧化能力。在“水果和蔬菜”以及“牛奶和奶制品”消费方面处于第二三分位数的儿童MDA水平较低。MDA与血清维生素A水平呈正相关。这些结果表明,在20至36个月龄组的儿童中,家庭收入、母乳喂养、BMI以及水果和蔬菜的摄入量会对氧化还原状态的失衡产生影响。

结论

预防氧化剂和抗氧化剂之间失衡的一种策略可能是让卫生专业人员提高家庭的认识,因为这样的知识可以抑制/预防成年后多种疾病的进展/发生。

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