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Published on: October 12, 2017
Paraoxonase, total antioxidant activity and peroxide levels in marasmic children: relationships with leptin
Aydin Ece1, Fuat Gürkan, Fatma Celik
1Department of Pediatrics, Dicle University, Medical School, Diyarbakir, Turkey. aydece@dicle.edu.tr
Insights
Children with marasmic malnutrition exhibit heightened oxidative stress and reduced antioxidant defenses. Nutritional rehabilitation may benefit from antioxidant supplementation to combat these imbalances.
Area of Science:
- Biochemistry
- Pediatric Nutrition
- Oxidative Stress Research
Background:
- Marasmic malnutrition is a severe form of undernutrition in children.
- Oxidative stress, an imbalance between oxidants and antioxidants, is implicated in various health conditions.
- Understanding the biochemical profile of malnourished children is crucial for effective treatment.
Purpose of the Study:
- To investigate the oxidant/antioxidant status in children with marasmic malnutrition.
- To assess paraoxonase (PON) activity and leptin levels in this population.
- To explore correlations between these markers and malnutrition severity.
Main Methods:
- A case-control study involving 30 marasmic children and 28 healthy controls.
- Measurement of plasma paraoxonase (PON) activity.
- Quantification of total antioxidant activity (TAO), total peroxide (TPX), and leptin levels.
Main Results:
- Marasmic children showed significantly lower leptin, PON activity, and TAO compared to controls.
- Elevated total peroxide (TPX) levels were observed in malnourished children.
- Negative correlation between PON activity and TPX; positive correlation between TAO and BMI in patients.
Conclusions:
- Marasmic malnutrition is associated with increased oxidative stress and decreased antioxidant capacity.
- The severity of oxidative stress correlates with the extent of malnutrition.
- Antioxidant supplementation is suggested as a potential therapeutic strategy during nutritional rehabilitation.
Objectives:
The aim of this study was to investigate the oxidant/antioxidant status, paraoxonase (PON) activity and leptin levels in children with marasmic malnutrition.
Design And Methods:
Thirty marasmic children (age 14.4+/-10.3 months) and 28 control subjects were included. Plasma PON activity, total antioxidant activity (TAO), total peroxide (TPX) and leptin levels were measured.
Results:
Malnourished children had significantly lower leptin (3.6+/-1.1 vs. 11.8+/-4.5 ng/mL, P<0.001), PON activity (66.4+/-28.6 vs. 221.3+/-31.6 IU/L, P<0.001) and TAO (1.44+/-0.12 vs. 2.45+/-0.61 mmol Trolox equiv/L, P<0.001); and higher TPX (15.6+/-6.4 vs. 5.9+/-1.9 micromol/L, P<0.001) values than in controls. Significant negative correlation was found between PON and TPX (P=0.040) and positive correlation between TAO and BMI (P=0.034) in patients. No significant correlation was found between leptin and oxidant/antioxidant parameters (P>0.05).
Conclusions:
Children with marasmic malnutrition had increased pro-oxidant and decreased antioxidant status. Extent of oxidative stress increases with malnutrition severity. Antioxidants could be given during nutritional rehabilitation.
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