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2.
Ann Nutr Metab ; 70(4): 259-267, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28595170

RESUMO

BACKGROUND: Clusters of cardiovascular risk (CVR) factors are associated with an increased risk of developing cardiovascular diseases (CVDs). This cross-sectional study assessed the associations between classic CVR factor clusters and inflammatory markers in Brazilian adolescents. METHODS: Measurements included anthropometric, clinical and biochemical parameters and selected inflammatory markers in 487 adolescents (236 boys/251 girls; 12.06 ± 1.41 years). RESULTS: After stratifying the population by gender and adjusting for potential confounding variables, principal component analysis was performed and it produced 5 independent components in both genders: adiposity, glucose metabolism, blood pressure, high-density lipoprotein (HDL)/triacylglycerols (TG), and cholesterol/low-density lipoprotein. Glucose metabolism was inversely associated with interleukin-1ß (IL-1ß) in both genders (r = -0.026; r = -0.021); blood pressure was inversely associated with tumor necrosis factor alpha (TNF-α) in girls (r = -0.046); HDL/TG was positively associated with interleukin-6 in girls (r = 0.012), with IL-1ß (r = 0.010) TNF-α (r = 0.045) in boys, and inversely associated with adiponectin in both genders (r = -0.015; r = -0.013). CONCLUSION: The results suggest that lipid metabolism alterations, as potential early events in the development of CVDs, have a strong link to the inflammatory process, in contrast to other clusters of risk factors.


Assuntos
Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/epidemiologia , Inflamação/sangue , Adiponectina/sangue , Adiposidade , Adolescente , Antropometria , Biomarcadores/sangue , Glicemia/metabolismo , Pressão Sanguínea , Brasil/epidemiologia , Criança , Colesterol/sangue , Estudos Transversais , Feminino , Humanos , Interleucina-1beta/sangue , Interleucina-6/sangue , Masculino , Fatores de Risco , Triglicerídeos/sangue , Fator de Necrose Tumoral alfa/sangue
3.
Nutr Hosp ; 33(3): 265, 2016 Jun 30.
Artigo em Espanhol | MEDLINE | ID: mdl-27513492

RESUMO

BACKGROUND: Vaspin is a newly-identifi ed adipocytokine associated with insulin resistance (IR). OBJECTIVE: The aim of this study was to investigate the correlation between plasma vaspin concentrations and IR and determine whether this association is affected by body composition, physical activity and pubertal stage in adolescents. METHODS: Were studied 484 Brazilian adolescents aged 10-14 years whose anthropometric, clinical, biochemical, and lifestyle measurements were analized. We evaluated the correlation between vaspin and risk factors for IR in adolescents with normal and high body fat percentage (%BF) and did a logistic regression to calculate the odds ratio for IR according to vaspin quartiles sex specifi c for the sample. RESULTS: Vaspin was positively correlated with IR in adolescents with high %BF (r = 0.23, p = 0.003). The logistic regression analysis adjusted for sex, age, BMI, and pubertal stage showed that adolescents in the 2nd (OR = 0.43, 95% CI = 0.23-0.80, p = 0.008) and 3rd (OR = 0.46, 95% CI = 0.25-0.85, p = 0.014) quartile of vaspin concentration had a lower risk for IR. When the model was adjusted for %BF and physical activity, the association remained statically signifi cant only for adolescents in the 2nd quartile. CONCLUSION: Vaspin was correlated positively with risk factors associated with insulin metabolism in adolescents with high %BF. Vaspin was associated with a reduced risk of IR independently of BMI and pubertal stage and the association was infl uenced by body fat and physical activity in these adolescents.


Assuntos
Adiposidade/fisiologia , Exercício Físico , Resistência à Insulina/fisiologia , Serpinas/sangue , Adolescente , Brasil/epidemiologia , Criança , Estudos Transversais , Feminino , Humanos , Masculino
4.
Nutr. hosp ; 33(3): 588-594, mayo-jun. 2016. tab
Artigo em Inglês | IBECS | ID: ibc-154475

RESUMO

Background: Vaspin is a newly-identified adipocytokine associated with insulin resistance (IR). Objective: The aim of this study was to investigate the correlation between plasma vaspin concentrations and IR and determine whether this association is affected by body composition, physical activity and pubertal stage in adolescents. Methods: Were studied 484 Brazilian adolescents aged 10-14 years whose anthropometric, clinical, biochemical, and lifestyle measurements were analized. We evaluated the correlation between vaspin and risk factors for IR in adolescents with normal and high body fat percentage (%BF) and did a logistic regression to calculate the odds ratio for IR according to vaspin quartiles sex specific for the sample. Results: Vaspin was positively correlated with IR in adolescents with high %BF (r = 0.23, p = 0.003). The logistic regression analysis adjusted for sex, age, BMI, and pubertal stage showed that adolescents in the 2nd (OR = 0.43, 95% CI = 0.23-0.80, p = 0.008) and 3rd (OR = 0.46, 95% CI = 0.25-0.85, p = 0.014) quartile of vaspin concentration had a lower risk for IR. When the model was adjusted for %BF and physical activity, the association remained statically significant only for adolescents in the 2nd quartile. Conclusion: Vaspin was correlated positively with risk factors associated with insulin metabolism in adolescents with high %BF. Vaspin was associated with a reduced risk of IR independently of BMI and pubertal stage and the association was influenced by body fat and physical activity in these adolescents (AU)


Introducción: la vaspina es una adipocitoquina recientemente identificada que confiere resistencia a la insulina (IR). Objetivo: el objetivo de este estudio fue investigar la correlación entre las concentraciones plasmáticas de vaspina y la IR para determinar si esta asociación se ve afectada por la composición corporal, la actividad física y la etapa de la pubertad en los adolescentes. Métodos: fueron analizados las medidas antropométricas, clínicas, bioquímicas y el estilo de vida de 484 adolescentes brasileños de entre 10 y 14 años. Se evaluó la correlación entre los factores de riesgo para vaspina e IR en los adolescentes con porcentaje de grasa corporal normal y alto (%CG) e hicimos una regresión logística para calcular el cociente de probabilidad del IR de acuerdo con los cuartiles de vaspina para la muestra, con respecto al sexo. Resultados: la vaspina se correlacionó positivamente con IR en adolescentes con alto %CG (r = 0,23; p = 0,003). El análisis de regresión logística ajustada por sexo, edad, índice de masa corporal y etapa puberal mostró que los adolescentes en el segundo (OR = 0,43; IC del 95% = desde 0,23 hasta 0,80, p = 0,008) y tercer (OR = 0,46; IC del 95% = 0,25-0,85, p = 0,014) cuartil de concentración de vaspina tenían un menor riesgo de IR. Cuando el modelo se ajustó para %GC y actividad física, la asociación siguió siendo estadísticamente significativa solo para los adolescentes en el segundo cuartil. Conclusión: la vaspina se correlacionó positivamente con los factores de riesgo asociados con el metabolismo de la insulina en los adolescentes con alto %GC. Asimismo, se asoció con un menor riesgo de IR independientemente del índice de masa corporal y de etapa de la pubertad, y la asociación estuvo influenciada por la grasa corporal y la actividad física en estos adolescentes (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Obesidade/fisiopatologia , Síndrome Metabólica/fisiopatologia , Adipocinas/análise , Insulina/metabolismo , Estudos Transversais , Tecido Adiposo/metabolismo , Biomarcadores/análise , Atividade Motora/fisiologia , Fatores de Risco
5.
Nutr Hosp ; 32(2): 931-45, 2015 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-26268131

RESUMO

INTRODUCTION: obesity, characterized by adiposity excess, is associated with endothelial dysfunction and possible inflammatory state with release of cytokines that determine endothelial function and can trigger chronic diseases. The dietary pattern are associated with the synthesis these cytokines. Fruits as the acai, which is rich in flavonoids, have a direct and beneficial effect on the control of this inflammatory process through the exercised antioxidant capacity. OBJECTIVE: to evaluate the effect of acai pulp consumption on the inflammatory markers, anthropometric measurements, body composition, biochemical and dietary parameters in healthy women. METHODS: forty women, were divided in 25 eutrophic and 15 with overweight. They intaked 200 g of acai pulp during 4 weeks. Anthropometric measurements, body composition, inflammatory markers, biochemical data, dietary intake and dietary antioxidants capacity were evaluated before and after the intervention. RESULTS AND DISCUSSION: after the intervention, there was significant increase of EGF (p = 0.021) and PAI- 1(p = 0.011) in overweight women. Moreover, there was increase in body weight (p = 0.031), body mass index (p = 0.028), percentage of truncal fat (p = 0.003) and triceps skinfold thickness (p = 0.046) in eutrophic women. However, the skinfold thickness (p = 0.018) and total body fat (p = 0.016) decreased in overweight women. There was reduction of total protein (p = 0.049) due to the globulin reduction (p = 0.005), but the nutritional status was maintained in eutrophic group. CONCLUSION: the intake of 200g acai pulp, modulated the EGF and PAI-1 expression, possibly by modulation of acai on the parameters of body composition, dietary, clinical, biochemical and inflammatory, led to a redistribution and resizing of body fat of the trunk area, and presumably increased visceral fat.


Introducción: la obesidad, que se caracteriza por el exceso de adiposidad, se asocia con disfunción endotelial y posible estado inflamatorio con liberación de citoquinas que determinan la función endotelial y pueden desencadenar enfermedades crónicas. El patrón de dieta está asociado con la síntesis de estas citoquinas. Los frutos de el acai, que es rico en flavonoides, tienen un efecto directo y positivo en el control de este proceso inflamatorio a través de los ejercicios de la capacidad antioxidante. Objetivo: evaluar el efecto del consumo de pulpa de acai en los marcadores inflamatorios, las medidas antropométricas, la composición corporal y los parámetros bioquímicos y dietéticos en mujeres sanas. Métodos: cuarenta mujeres fueron divididas en 25 eutróficas y 15 con sobrepeso. Se las adeministró 200 g de pulpa de acai durante 4 semanas. Antes y después de la intervención se evaluaron: medidas antropométricas, composición corporal, marcadores inflamatorios, datos bioquímicos, ingesta dietética y antioxidantes en la dieta. Resultados y discusión: después de la intervención, hubo un aumento significativo de EGF (p = 0,021) y PAI-1 (p = 0,011) en las mujeres con sobrepeso. Por otra parte, en las mujeres eutróficas hubo aumento del peso corporal (p = 0,031), el índice de masa corporal (p = 0,028), el porcentaje de grasa del tronco (p = 0,003) y el espesor del pliegue cutáneo del tríceps (p = 0,046). Sin embargo, el espesor del pliegue cutáneo (p = 0,018) y la grasa corporal total (p = 0,016) se redujeron en las mujeres con sobrepeso. Hubo una reducción de la proteína total (p = 0,049) debida a la disminución de globulina (p = 0,005), pero el estado nutricional se mantuvo en el grupo eutrófico. Conclusión: la ingesta de 200 g de pulpa de acai modula el EGF y PAI-1 de expresión, posiblemente por la modulación del acai en los parámetros de la composición corporal, la dieta, clínicos, bioquímicos e inflamatorios, lo que dio lugar a una redistribución y modificación del tamaño de la grasa corporal de la zona del tronco, y, presumiblemente, un aumento de la grasa visceral.


Assuntos
Fator de Crescimento Epidérmico/sangue , Euterpe , Comportamento Alimentar , Frutas , Inibidor 1 de Ativador de Plasminogênio/sangue , Adolescente , Adulto , Antropometria , Biomarcadores , Composição Corporal , Dieta , Feminino , Voluntários Saudáveis , Humanos , Mediadores da Inflamação , Obesidade/sangue , Obesidade/metabolismo , Sobrepeso/sangue , Sobrepeso/metabolismo , Adulto Jovem
6.
Nutr Hosp ; 30(2): 223-36, 2014 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-25208773

RESUMO

INTRODUCTION: Among the inflammatory mediators involved in the pathogenesis of obesity, the cell adhesion molecules P-selectin, E-selectin, VCAM-1, ICAM-1 and the chemokine MCP-1 stand out. They play a crucial role in adherence of cells to endothelial surfaces, in the integrity of the vascular wall and can be modulated by body composition and dietary pattern. OBJETIVES: To describe and discuss the relation of these cell adhesion molecules and chemokines to anthropometric, body composition, dietary and biochemical markers. METHODS: Papers were located using scientific databases by topic searches with no restriction on year of publication. RESULTS: All molecules were associated positively with anthropometric markers, but controversial results were found for ICAM-1 and VCAM-1. Not only obesity, but visceral fat is more strongly correlated with E-selectin and MCP-1 levels. Weight loss influences the reduction in the levels of these molecules, except VCAM-1. The distribution of macronutrients, excessive consumption of saturated and trans fat and a Western dietary pattern are associated with increased levels. The opposite could be observed with supplementation of w-3 fatty acid, healthy dietary pattern, high calcium diet and high dairy intake. Regarding the biochemical parameters, they have inverse relation to HDLC and positive relation to total cholesterol, triglycerides, blood glucose, fasting insulin and insulin resistance. CONCLUSION: Normal anthropometric indicators, body composition, biochemical parameters and eating pattern positively modulate the subclinical inflammation that results from obesity by reducing the cell adhesion molecules and chemokines.


INTRODUCCIÓN: Entre los mediadores inflamatorios involucrados en la fisiopatogenia de la obesidad, se destacan las moléculas de adhesión P-selectina, E-selectina, VCAM-1, ICAM-1 y la quimiocina MCP-1. Estas desempeñan un papel crucial en la adherencia de células en las superficies endoteliales y en la integridad de la pared vascular y pueden ser moduladas por la composición corporal y patrón alimentario. OBJETIVOS: Describir y discutir la relación de esas moléculas de adhesión y quimiocina con marcadores antropométricos, composición corporal, bioquímicas y dietéticas. MÉTODOS: Se utilizaron bases científicas electrónicas para selección de artículos, sin límite de año de publicación. RESULTADOS: Todas las moléculas se asociaron de forma positiva con marcadores antropométricos; sin embargo, se encontraron resultados controvertidos para ICAM-1 y VCAM-1. No solamente la obesidad per si, sino también la grasa visceral está más fuertemente relacionadas con las concentraciones de E-selectina y MCP-1. La pérdida de peso influencia en la reducción de las concentraciones de esas moléculas, con excepción de la VCAM-1. La distribución de macronutrientes, el consumo excesivo de grasa saturada y trans y un patrón alimentario occidental están asociados con aumento de sus concentraciones. El inverso se pudo observar con la suplementación de ácido graso w-3 en la dieta, el patrón alimentario sano y dieta rica en calcio y productos lácteos. Ya en cuanto a los parámetros bioquímicos, las mismas poseen relación inversa con HDL-c y positiva con colesterol total, triacilgliceroles, glicemia e insulinemia de ayuno y resistencia a insulina. CONCLUSIÓN:: Conclusión: Marcadores antropométricos, composición corporal, parámetros bioquímicos y patrón alimentario adecuados modulan positivamente la inflamación subclínica derivada de la obesidad por medio de la reducción de las moléculas de adhesión y quimiocinas.


Assuntos
Antropometria , Composição Corporal , Moléculas de Adesão Celular/fisiologia , Quimiocinas/fisiologia , Comportamento Alimentar , Humanos , Inflamação/etiologia , Inflamação/metabolismo , Obesidade/etiologia , Obesidade/metabolismo
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