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Oxidant/antioxidant system markers and trace element levels in children with nutritional rickets
Murat Doğan1, Yaşar Cesur, Şekibe Zehra Doğan
1Division of Pediatric Endocrinology, Department of Pediatrics, YYU School of Medicine, Van, Turkey. doganmurat.md@gmail.com
Insights
Nutritional rickets in children is linked to increased oxidative stress and lower antioxidant defenses. Vitamin D treatment significantly reduces oxidative stress and improves the antioxidant system in these patients.
Area of Science:
- Biochemistry
- Pediatrics
- Nutritional Science
Background:
- Nutritional rickets, a condition linked to vitamin D deficiency, affects bone health in children.
- Oxidative stress and trace element imbalances are implicated in various pediatric diseases.
Purpose of the Study:
- To investigate in vivo oxidative stress and trace element levels in children with nutritional rickets.
- To assess the impact of vitamin D treatment on these parameters.
Main Methods:
- Studied 30 children with nutritional rickets and 30 healthy controls.
- Measured serum levels of calcium, phosphorus, alkaline phosphatase, parathormone, and 25-OH vitamin D.
- Assessed oxidant/antioxidant markers (vitamin C, beta-carotene, glutathione, superoxide dismutase, MDA) and trace elements (zinc) pre- and post-treatment.
Main Results:
- Patients with rickets showed significantly altered serum biochemistry and lower pretreatment zinc levels compared to controls.
- Pretreatment analysis revealed higher oxidative stress markers (MDA) and lower antioxidant markers (vitamin C, beta-carotene, glutathione, superoxide dismutase) in rickets patients.
- Vitamin D treatment led to reduced oxidative stress and improved antioxidant system markers.
Conclusions:
- Nutritional rickets is associated with heightened oxidative stress and a compromised antioxidant defense system.
- Vitamin D supplementation effectively mitigates oxidative stress and enhances antioxidant capacity in children with rickets.
Objective:
To determine the oxidative stress and trace element levels in vivo in patients with nutritional rachitism associated with vitamin D deficiency.
Materials And Method:
A total of 30 patients, 18 males and 12 females, were included in the study. Age, sex, medical history, vital, and physical examination findings of each patient documented at presentation were recorded. Serum calcium, phosphorus, alkaline phosphatase, parathormone, and 25-OH vitamin D levels, as well as oxidant and antioxidant system parameters and trace element levels were studied. After being diagnosed with rachitism, the patients were administered a single dose of 300,000 IU vitamin D by intramuscular injection. The same analyses were repeated post-treatment. Thirty children with normal anthropometric measurements were included as the control group. The analyses described above were performed only once for the control group.
Results:
Serum calcium, phosphorus, alkaline phosphatase, parathormone, and 25-OH vitamin D levels were different between the controls and children in the patient group (p<0.001). Analysis of trace element levels demonstrated markedly lower pretreatment zinc levels for the patient group compared to the controls, with a statistically significant difference (p=0.001). Comparison of pretreatment oxidant and antioxidant system markers between the patient and control groups demonstrated higher values for vitamin C, β-carotene, reduced glutathione, and superoxide dismutase in the control group, whereas MDA was higher in the patient group.
Conclusion:
The present study demonstrated increased oxidative stress, reduced antioxidant defence system in patients with nutritional rachitism, with reduced oxidative stress and a pronounced improvement in the antioxidant system with vitamin D treatment.
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