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Assessment of oxidative stress and inflammation in prediabetes-A hospital based cross-sectional study
Ashish Agarwal1, Anupama Hegde1, Charu Yadav1
1Department of Biochemistry, Kasturba Medical College, Manipal University, ,Mangalore 575004, Karnataka, India.
Insights
Prediabetes increases cardiovascular disease risk through inflammation and oxidative stress. Elevated markers like interleukin-6 and myeloperoxidase correlate with central obesity in prediabetic individuals.
Area of Science:
- Endocrinology and Metabolism
- Cardiovascular Research
- Biochemistry
Background:
- Prediabetes is linked to metabolic dysfunction, including dysglycemia, obesity, inflammation, and endothelial dysfunction.
- These factors contribute to the pathogenesis of cardiovascular diseases (CVD), increasing vulnerability in prediabetic individuals.
Purpose of the Study:
- To investigate the association between prediabetes and cardiovascular disease (CVD) risk.
- To assess oxidative stress and inflammation markers: serum interleukin-6 (IL-6), myeloperoxidase (MPO), and urine microalbumin (MA).
- To explore correlations between these markers, fasting plasma glucose (FPG), and physical measurements.
Main Methods:
- Eighty subjects were categorized into prediabetes and healthy control groups based on FPG levels.
- Serum IL-6 and MPO levels were measured.
- Urine MA levels were assessed in random urine samples.
Main Results:
- The prediabetes group exhibited significantly higher mean anthropometric measurements, IL-6, MPO, and MA compared to healthy controls (p<0.05).
- MPO showed a significant correlation with FPG (r=0.388) in the prediabetes group.
- IL-6 and MPO positively correlated with body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR). MA did not correlate with FPG or anthropometric measurements.
Conclusions:
- Prediabetes is associated with central adiposity, inflammation, and oxidative stress.
- These findings suggest prediabetes predisposes individuals to an increased risk of cardiovascular disease (CVD).
Background And Aim:
Prediabetes is associated with dysglycemia, obesity, inflammation and endothelial dysfunction, contributing towards the pathogenesis of cardiovascular diseases rendering them vulnerable for the same. The current study intended to explore the risk of cardiovascular disease (CVD) related with prediabetes by assessing oxidative stress and inflammation using serum interleukin-6 (IL-6), myeloperoxidase (MPO) and urine microalbumin (MA) and their correlation with fasting plasma glucose (FPG) and physical measurements.
Materials And Methods:
Based on FPG values, 80 subjects were grouped into prediabetes and healthy controls. IL-6 and MPO were estimated in serum sample whereas MA was estimated in random urine sample.
Results:
Prediabetes group had significantly increased (p<0.05) mean anthropometric measurements and IL-6, MPO and MA as compared to healthy controls. MPO had significant correlation with FPG (r-0.388) in the prediabetes group. IL-6 and MPO showed a positive correlation with body mass index (BMI (r-0.339, r-0.327)), waist circumference (WC (r-484, r-0.493)) and waist-to-hip ratio (WHR (r-0.430, r-0.493)) while MA did not correlate with FPG and anthropometric measurements.
Conclusion:
This study suggests that prediabetes is associated with central adiposity, inflammation and oxidative stress predisposing them to an increased risk for CVD.
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