Sex Hormones and Their Relationship with Leptin and Cardiovascular Risk Factors in Pre and Post- Menopausal Nigerian Women with Metabolic Syndrome.

Metabolic Syndrome (MS), which affects 33.1% of Nigerians, predisposing them to cardiovascular disease (CVD) risk, has been associated with the female gender. The cardioprotective effect of oestradiol against CVD is now controversial and was investigated in premenopausal with MS (PRMMS) and postmenopausal women with MS (POMMS). A total of 191 women (44 PRMMS, 126 POMMS and 21 premenopausal women without MS (PRM) (controls) with mean (s.d) age of 40.0 (6.9), 57.0 (8.8), 29.0 (6.8) years were participants of this study. Demography, blood pressure (BP), anthropometry, hormones, fasting plasma glucose (FPG) and lipids were obtained by standard methods. Data were significant at (P<.05). Age, parity, all anthropometric measures, FPG, leptin, ET ratio and FSH were significantly higher while HDLC, testosterone and prolactin were significantly lower in PRMMS compared with controls (P<.03). In comparison of POMMS with PRMMS, age, parity, WHR, systolic BP, TG, FSH and LH were significantly higher while body weight, HC, and leptin were lower in POMMS compared with PRMMS (P<.05). DBP positively predicted oestradiol in PRM only (P=.044) while oestradiol positively predicted testosterone in PRMMS only (P<.001). In POMMS only, DBP positively predicted testosterone; testosterone, ET ratio and FSH positively predicted oestradiol while LDLC and oestradiol positively predicted the ET ratio (P<.03). Metabolic syndrome may predispose both pre and postmenopausal women to the risk cardiovascular disease and type 2 diabetes mellitus. Oestradiol may protect against cardiovascular diseases in women without metabolic syndrome only.

Prevalent Components of Metabolic Syndrome and Their Correlates in Apparently Healthy Individuals in Sub-saharan Africa.

Aim: To assess the prevalent components of metabolic syndrome (MSC) and their related determinants of lipid metabolism in the Nigerian for early diagnosis, prevention and management of the metabolic syndrome (MS) and its associated diseases. Study Design: Cohort study. Place and Duration of Study: Department of Chemical Pathology, College of Medicine, University of Ibadan, Ibadan between March and August 2010. Methodology: 534 apparently healthy Nigerian traders aged 18–105 years were participants of a cohort study. The IDF (2005) criteria was used for MS diagnosis. Anthropometric indices and blood pressure (BP) were obtained by standard methods. Fasting plasma glucose, total cholesterol (TC), triglycerides (TG) and high density lipoprotein cholesterol (HDLC) were determined by enzymatic methods while low density lipoprotein cholesterol (LDLC) was calculated. Data analysed were statistically significant at P<0.05. Results: 60.1% of traders had 2 and 3MSC. 0.6%, 1.1% and 9.6% of traders had all 5MSC, ≥3MSC without elevated waist circumference (WC) and zero MSC respectively. Elevated WC, reduced HDLC and high BP were more frequent MSC representing 70.2%, 63.1% and 47.9% while FPG and TG were less frequent representing 11.2% and 2.2% of traders respectively. This pattern was similar in MS and non-MS groups. 25.3% of males and only 2.2% of females had no MSC. Reduced HDLC and elevated WC were the most frequent MSC in males and females respectively. All metabolic risk factors (MRF) except TC were significantly different in comparison between MS and non-MS groups as well as among traders with 0-5 MSC. WHR was the only parameter that correlated significantly with all MRF. Conclusion: Elevated waist circumference, reduced high density lipoprotein cholesterol, and high blood pressure may be prevalent metabolic syndrome components and important in managing metabolic syndrome in Nigeria. Regional specific cut-offs for these components for the African population is needed.

Effect of exposure of foetal red cells to hydrogen peroxide.

Foetal and adult red cells were exposed to H2O2 vapours using two different modes of exposure. There was a two-fold increase in adult (P < 0.05) and three-fold increase in foetal (P < 0.05) cells after 8 h of exposure to H2O2 using the Cohen and Hochstein technique. When the H2O2 was generated in situ by the glucose-glucose oxidase technique, there was also an increase in formation of methaemoglobin in both cell types (P < 0.05). In the presence of sodium azide in both cell types, methaemoglobin was generated and there was a progressive increase in the formation of methaemoglobin with time of exposure in both cell types (P < 0.05) using either the Cohen and Hochstein procedure or the glucose-glucose oxidase procedure. There was significant difference in the methaemoglobin formation between the adult and foetal red cells throughout the period of exposure (P < 0.05). The ability of both cell types to reduce methaemoglobin the presence of added substrates (glucose, inosine, adenosine, lactate and sorbitol) showed an enhanced reduction of methaemoglobin in adult red cells for lall the substrates added and a slower rate of reduction of methaemoglobin to functional haemoglobin in foetal cells. There was significant difference in the percentage drop in the methaemoglobin formation between the adult and foetal red cells with all added substrates (P < 0.05). Our results showed that the foetal cells were more susceptible to oxidative stress than adult red cells.

Effects of Tea Consumption on Plasma Lipids and Lipoproteins in Apparently Healthy Individuals

Possible alterations in total plasma cholesterol; triglyceride; HDL-cholesterol and LDL-cholesterol concentrations were studied in forty healthy human subjects (twenty-two males and eighteen adult females) after twenty eight days of tea consumption. A commercial brand of tea preparation was drunk by each of the subjects and they were made to take two standard cups (4.0g) of tea infusion per day. The result showed a significant decrease in mean HDL-cholesterol and increase in LDL-cholesterol concentrations compared with the mean control values. The mean total cholesterol was statistically unchanged. When the subjects were grouped into males and females; the mean LDL-C concentration was significantly elevated in both male and female groups while the mean HDL-C and triglyceride levels only in female subjects when compared with the corresponding control group. The difference observed in the value of the mean total cholesterol was not statistically significant in individual male and female groups.Findings from this study suggest that tea consumption could affect the metabolism of atherogenic lipid fractions and may thus be important in the aetiology of coronary heart disease