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Published on: August 7, 2017
Nutritional supplements and plasma antioxidants in childhood asthma
Elisabeth Fabian1, Peter Pölöskey, Lajos Kósa
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria. elisabeth.fabian@medunigraz.at
Insights
Nutritional supplements may improve antioxidant levels and reduce airway inflammation in children with atopic asthma. Supplement intake positively influenced vitamin E, selenium, and nitric oxide levels in asthmatic children.
Area of Science:
- Pediatric Pulmonology
- Nutritional Biochemistry
- Oxidative Stress Research
Background:
- Atopic asthma in children is associated with altered systemic oxidative stress and reduced plasma antioxidant levels.
- Understanding the role of antioxidants and the impact of nutritional supplements is crucial for managing pediatric asthma.
Purpose of the Study:
- To investigate the relationship between plasma antioxidants, airway inflammation, and systemic oxidative stress in children with atopic asthma.
- To evaluate the influence of nutritional supplement intake on these parameters.
Main Methods:
- Analyzed plasma levels of vitamins A and E, beta-carotene, coenzyme Q10, malondialdehyde (MDA), total antioxidant capacity (TAC), and selenium in 35 asthmatic children and 21 controls.
- Measured fractionated exhaled nitric oxide (FeNO) as an indicator of airway inflammation.
- Utilized high-performance liquid chromatography (HPLC), photometry, and atomic absorption spectroscopy (AAS) for analyses.
Main Results:
- Asthmatic children exhibited significantly lower plasma levels of vitamins A and E, selenium, coenzyme Q10, and TAC, along with higher MDA and FeNO levels compared to controls.
- Regular intake of nutritional supplements positively modulated vitamin E, selenium, TAC, MDA, and FeNO in asthmatic children.
- Significant negative associations were found between vitamin E and MDA, and vitamin E and FeNO in asthmatics.
Conclusions:
- Nutritional supplements appear to beneficially modulate plasma antioxidants in children with atopic asthma.
- These modulations may positively influence systemic redox balance and pulmonary inflammation.
- Findings suggest a potential therapeutic role for nutritional interventions in pediatric asthma management.
Objective:
This study investigated the relationship of plasma antioxidants to airway inflammation and systemic oxidative stress in children suffering from atopic asthma with consideration of the intake of nutritional supplements.
Subjects And Research Methods:
A total of 35 asthmatic children (AG) and 21 healthy controls (CG) participated in this study. Plasma levels of vitamins A and E, β-carotene, coenzyme Q10 and malondialdehyde (MDA) were analyzed with high-performance liquid chromatography (HPLC); the total antioxidant capacity (TAC) was measured photometrically, and selenium was determined by atomic absorption spectroscopy (AAS). The volume of fractionated exhaled nitric oxide (FeNO) was measured with the NIOX nitric oxide monitoring system.
Results:
The plasma antioxidants vitamins A and E, selenium, and coenzyme Q10 but not β-carotene were significantly (p < 0.05) lower in asthmatics than in controls. Further, asthmatic children had significantly reduced plasma concentrations of TAC (p < 0.01), significantly enhanced levels of MDA (p < 0.001), and exhaled a significantly (p < 0.001) higher mean volume of FENO than healthy children. Regular intake of supplements had a significant positive influence on plasma vitamin E (p < 0.01), selenium (p < 0.01), TAC (p < 0.05), MDA (p < 0.01), and FENO (p < 0.01) in asthmatics but not in controls. Additionally, significant negative associations of vitamin E and MDA (AG: p < 0.01; CG: p < 0.05), and vitamin E and FENO (AG: p < 0.05; CG: p > 0.05) were identified.
Conclusion:
These results indicate that nutritional supplements beneficially modulate plasma antioxidants and thus might have a positive influence on systemic redox balance and subsequently, pulmonary inflammation in asthmatic children.
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