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男性高脂血症患者氧化应激水平叶酸干预评价

Effect of folic acid on oxidative stress in male patients with hyperlipidemia

  • 摘要: 目的 了解叶酸对高脂血症人群体内氧化应激水平的影响,为高脂血症患者预防心脑血管疾病的发生提供参考依据.方法 于2010年6-7月在云南省云县人民医院体检人群中招募80例高脂血症男性患者,随机分为干预组和对照组,每组各40例;干预组患者每人口服叶酸片2.5mg/d,对照组患者不服用任何药物,干预时间为3个月;分别在干预前、后对2组患者进行体格检查、问卷调查和实验室检测.结果 干预前、后比较,2组患者能量、蛋白质、脂肪、碳水化合物、膳食纤维、视黄醇当量、硫胺素、核黄素、叶酸、维生素C和维生素E等膳食营养素日平均摄入量差异均无统计学意义(P>0.05);2组患者总胆固醇(TC)、总甘油三酯(TG)、高密度脂蛋白-胆固醇(HDL-C)、低密度脂蛋白-胆固醇(LDL-C)、血糖(GLU)、总蛋白(TP)、白蛋白/球蛋白比值(A/G)、尿酸(UA)等生化指标水平差异均无统计学意义(P>0.05);干预前,2组患者血清8-异前列腺素(8-iso-PG)、丙二醛(MDA)、总抗氧化能力(T-AOC)、谷胱甘肽过氧化物酶(GSH-Px)、叶酸等指标水平差异均无统计学意义(P>0.05);干预后,干预组患者血清T-AOC和叶酸水平均高于对照组患者(P<0.05),血清MDA水平低于对照组患者(t=-5.995,P<0.001),血清8-iso-PG和GSH-Px水平2组间差异无统计学意义(P>0.05);相关分析结果表明,血清叶酸水平与MDA水平呈负相关关系(r=-0.536,P<0.001),与T-AOC水平呈正相关关系(r=0.239,P=0.033).结论 补充叶酸可改善男性高脂血症患者体内的氧化应激水平.

     

    Abstract: Objective To evaluate the anti-oxidative effect of folate on the levels of oxidative stress in male patients with hyperlipidemia.Methods Eighty male volunteers with hyperlipidemia were randomized into intervention and control group and the intervention group was treated with folate(2.5 mg/d)for 3 months.Physical examination,epidemiologic and dietary survey,the measurements of serum folate and oxidative stress markers were conducted before and at the end of folate administration.Results There was no difference in meal nutrimental levels between the two groups before and after the intervention(P>0.05).Compared with the control group,the most of the biochemical indicators in folate group were not siginificantly different(P>0.05);whereas the serum folate and total antioxidant capacity(T-AOC)increased significantly(P<0.05)and malondialdehyde(MDA)concentration decreased significantly(t=-5.995,P<0.001);serum 8-iso-prostaglandin(8-iso-PG)level and serum glutathione peroxidase(GSH-Px)activity showed no change(P>0.05).There were significant relationships between serum folate and MDA(r=-0.536,P<0.001)and T-AOC(r=0.239,P=0.033)levels.Conclusion Folate supplementation may improve the levels of oxidative stress in male patients with hyperlipidemia.

     

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