دورية أكاديمية

The influence of oxidative stress on cardiac remodeling in obese adolescents.

التفاصيل البيبلوغرافية
العنوان: The influence of oxidative stress on cardiac remodeling in obese adolescents.
المؤلفون: Paripović, Dušan, Kotur-Stevuljević, Jelena, Vukašinović, Aleksandra, Ilisić, Tamara, Miloševski-Lomić, Gordana, Peco-Antić, Amira
المصدر: Scandinavian Journal of Clinical & Laboratory Investigation; Nov/Dec2018, Vol. 78 Issue 7/8, p595-600, 6p
مصطلحات موضوعية: OXIDATIVE stress, CARDIOVASCULAR diseases, AMBULATORY blood pressure monitoring, BLOOD serum analysis, ECHOCARDIOGRAPHY, OBESITY complications, BLOOD sugar, GENETIC disorders, HYPERTENSION, INSULIN, LIPIDS, LIPID metabolism disorders, VENTRICULAR remodeling, DISEASE complications
مستخلص: Oxidative stress seems to be an important link between obesity and cardiovascular disease. The aim of our study was to assess oxidative stress in obese patients stratified according to ambulatory blood pressure status and to determine independent predictors of abnormal left ventricular geometry.A cross-sectional study was conducted. A total of 113 obese participants referred for 24-h ambulatory blood pressure monitoring (ABPM) aged 9-19 years, and 29 healthy controls were enrolled. In addition to anthropometric and biochemical measurements, such as fasting serum levels of glucose, insulin, lipid profile, and oxidative biomarkers, ABPM and echocardiography were performed.According to ABPM results, obese subjects were split in two groups: 57 hypertensive and 56 normotensive. Both hypertensive and normotensive obese participants had higher levels of oxidative stress parameters (pro-oxidative/antioxidative balance and total oxidant status) compared with control group. Levels of superoxide anion (O2-) and sulfhydryl groups were higher in obese hypertensive participants as compared to obese normotensive and control groups. Abnormal left ventricular geometry among obese participants was independently associated with O2- (p = .006) and body mass index z score (p = .020), with no significant impact of gender, while age and systolic blood pressure exhibited interaction term for the outcome.The independent effect of oxidative mechanisms on left ventricular geometry appears to start in childhood. Oxidative stress occurs in obese adolescents prior to the development of sustained hypertension. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:00365513
DOI:10.1080/00365513.2018.1528504