Effect of RYGB on Oxidative Stress in Adults: a 6-Year Follow-up Study.

BACKGROUND: Roux-en-Y gastric bypass (RYGB) is effective for weight loss but may have long-term effects on markers of oxidative stress (OS). The objective of this study is to evaluate the effect of bariatric surgery with RYGB on OS blood markers in a 72-month period after surgery. METHODS: A prospective cohort study was conducted with 20 patients before and after RYGB (months M0, M6, M12, M24, and M72) compared with a control group of 35 adults assessed only once. RESULTS: The body mass index (BMI) (45.71 ± 6.97 kg/m2) decreased by 38% from M0 to M24 (17.51 ± 5.50 kg/m2, p < 0.001), followed by a 12% increase from M24 to M72 (p < 0.001). Serum concentrations of vitamin E (adjusted for total cholesterol and triglycerides) and vitamin C increased throughout the study (p < 0.001). ß-carotene levels decreased progressively through to M72 (p = 0.008). Reduced glutathione (GSH) content and catalase (CAT) activity decreased at M6, M12, and M24, but no differences were found at M72 compared with M0. Concentrations of thiobarbituric acid reactive substances (TBARS) were lower M12 and M24 in comparison with baseline values (p < 0.001 and p = 0.004, respectively) but were similar to baseline values at 72 months (p = 0.114). CONCLUSIONS: GSH content, TBARS concentrations, and CAT activity returned to baseline values 72 months after RYGB, indicating the persistence of systemic OS, possibly attributable to weight regain and/or changes in the antioxidant defenses, such as the reduction in ß-carotene levels.

Oxidative stress markers in adults 2 years after Roux-en-Y gastric bypass.

INTRODUCTION: Obesity is a chronic disease associated with oxidative stress. Bariatric surgery for the treatment of obesity may affect biomarkers of oxidative stress. OBJECTIVES: The aim of the present study was to evaluate the effect of Roux-en-Y gastric bypass (RYGB) on blood markers of oxidative stress, such as vitamins C and E, ß-carotene, reduced glutathione (GSH), catalase (CAT), ferric reducing antioxidant potential (FRAP), and thiobarbituric acid-reactive substances (TBARS). METHODS: A prospective controlled clinical trial was carried out. The participants were distributed into two groups: a control group (n=35), which was evaluated once, and a bariatric group (n=35), which was evaluated at baseline as well as 6, 12, and 24 months after surgery. RESULTS: After surgery, the BMI decreased from 47.05±1.46 to 30.53±1.14 kg/m (P<0.001), but 25.7% of the participants regained weight after 24 months. In relation to the baseline, postsurgery reductions were found in vitamin C (31.9±4.6%, P<0.001), ß-carotene (360.7±368.3%, P<0.001), vitamin E (22.8±4.1%, P<0.001), GSH (6.6±5.2%, P=0.090), CAT (12.7±5.6%, P=0.029), and FRAP (1.2±3.8%, P=0.085) 2 years after RYGB. TBARS levels decreased after 12 months (71.6±2.9%, P<0.001) in relation to the baseline but increased by 195.0±28.2% between the 12th and the 24th month (P<0.001). CONCLUSION: The present findings show that oxidative stress returned 2 years after RYGB. Concentrations of vitamin C, ß-carotene, GSH, CAT, and FRAP were decreased, whereas the concentration of TBARS decreased in the first year but increased in the following year, which may be partly explained by the imbalance between antioxidants and pro-oxidants.

Public intervention in food and nutrition in Brazil

In the last twenty years, the Brazilian government has created a number of income transfer programs for the poorest portion of the population to promote food and nutrition security and eradicate extreme poverty, hunger and malnutrition. These programs have achieved satisfactory results, which cannot, however, be attributed solely to the transference of income, as they involve other governmental public policies in health, education and basic sanitation. Combined, the aim of such public policies is to break patterns of the poverty across generations, thereby contributing to human development in the country.

En las últimas dos décadas, el gobierno brasileño creó varios programas de transferencia de ingresos para los más pobres con el objetivo de promover la seguridad alimentaria y nutricional, así como para erradicar la pobreza extrema y el hambre. Estos programas proporcionaron algunos resultados satisfactorios, lo que no se puede atribuir exclusivamente a la transferencia de ingresos, sino también a otros sectores gubernamentales y a diversas políticas públicas en las áreas de educación, salud y saneamiento básico. En conjunto, estas políticas están destinadas a romper el patrón de pobreza intergeneracional, contribuyendo con el desarrollo humano del país.

Public intervention in food and nutrition in Brazil.

In the last twenty years, the Brazilian government has created a number of income transfer programs for the poorest portion of the population to promote food and nutrition security and eradicate extreme poverty, hunger and malnutrition. These programs have achieved satisfactory results, which cannot, however, be attributed solely to the transference of income, as they involve other governmental public policies in health, education and basic sanitation, Combined, the aim of such public policies is to break patterns of the poverty across generations, thereby contributing to human development in the country.

Impact of 6-month caloric restriction on autonomic nervous system activity in healthy, overweight, individuals.

Caloric restriction (CR) increases maximum lifespan but the mechanisms are unclear. Dominance of the sympathetic nervous system (SNS) over the parasympathetic nervous system (PNS) has been shown to be a strong risk factor for cardiovascular disease. Obesity and aging are associated with increased SNS activity, and weight loss and/or exercise seem to have positive effects on this balance. We therefore evaluated the effect of different approaches of CR on autonomic function in 28 overweight individuals participating in the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE) trial. Participants were randomized to either control, CR: 25% decrease in energy intake, CREX: 12.5% CR + 12.5% increase in energy expenditure, or LCD: low-calorie diet until 15% weight reduction followed by weight maintenance. Autonomic function was assessed by spectral analysis of heart-rate variability (HRV) while fasting and after a meal. Measurements were performed at baseline and 6 months. HR and SNS index decreased and PNS index increased in all intervention groups but reached significance only in CREX. HR and SNS index increased and PNS index decreased in response to the meal in all intervention groups. The results therefore suggest that weight loss improved SNS/PNS balance especially when CR is combined with exercise.

Effects of diet energy level and tomato powder consumption on antioxidant status in rats.

BACKGROUND AND AIMS: Evaluate the influence of tomato powder in diets differing in energy level on antioxidant status in blood and liver of rats. METHODS: Twenty-four adult male Wistar rats weighing 150-180 g were placed four groups (n=6). For 28 days, animals were fed a diet that was either hyper energetic or hypo energetic. Some diets were supplemented with tomato powder. Liver and blood were collected for analysis of antioxidant enzymes, non-enzymatic antioxidants, thiobarbituric acid reactive species, ubiquinol 9, alpha-tocopherol, lycopene and beta-carotene. Data were analysed by two-way ANOVA. RESULTS: Food intake and thiobarbituric acid-reactive substances contents in liver and plasma were significantly decreased by tomato powder at both energy levels. After tomato powder supplementation, the hepatic levels of ubiquinol 9, alpha-tocopherol, lycopene and beta-carotene were significantly enhanced. In plasma, only the contents of lycopene and beta-carotene were enhanced. The erythrocytic and hepatic activities of catalase were lower, while those of glutathione peroxidase were higher after the ingestion of tomato powder. Total and reduced glutathione contents in liver showed lower levels in cafeteria-fed rats compared to the hypo energetic diet. CONCLUSIONS: The data suggest that the lycopene and beta-carotene component in the tomato power supplement might be beneficial for the prevention of oxidative damage in rats fed both types of energetic diets.

Pilot study with a glutamine-supplemented enteral formula in critically ill infants

Lactentes criticamente enfermos frequentemente apresentam desnutricao calorico-proteica em decorrencia de demandas aumentadas por sepse e falencia respiratoria. A glutamina e atualmente classificada como um aminoacido condicionalmente essencial, de interesse especial para pacientes graves. A imunomodulacao, a protecao intestinal, e a prevencao da deplecao proteica estao entre os argumentos citados a favor de sua utilizacao. Tendo como proposito averiguar a tolerancia e o impacto clinico da glutamina em lactentes graves, efetuou-se um estudo piloto prospectivo e randomizado com nove casos...

Papel dos nutrientes na peroxidaçäo lipídica e no sistema de defesa antioxidante / Role of nutrients on lipid peroxidation and antioxidant defense system

Espécies reativas de oxigênio säo formadas durante o metabolismo aeróbico e podem danificar lipídios, proteínas, carboidratos e o DNA. Essa reaçöes, potencialmente deletérias, säo controladas por um sistema de antioxidantes enzimáticos e näo enzimáticos, que eliminam os pró-oxidantes e "varrem" os radicais livres. Esta revisäo mostra o papel de alguns nutrientes na peroxidaçäo lipídica e no sistema de defesa antioxidante. Enfatizam-se os mecanismos que levam ao dano oxidativo e sua proteçäo, assim como as implicaçöes na saúde humana.