Evaluation of Oxidative Stress and Thiol-Disulfide Parameters According to the Body Mass Index in Adult Individuals
1İstanbul Bilim University, Vocational Faculty of Health Services, İstanbul, Turkey
2Department of Clinical Biochemistry, Yıldırım Beyazıt University, Faculty of Medicine, Ankara, Turkey
3Clinic of Internal Medicine, Eyüp State Hospital, İstanbul, Turkey
4Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden
J Clin Pract Res 2018; 40(3): 155-161 DOI: 10.5152/etd.2018.0059
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Abstract

Objective[|]In this study, the parameters of oxidative stress markers and thiol–disulfide homeostasis as a novel biomarker were evaluated in experimental groups of adult individuals, which were formed according to the body mass index (BMI).[¤]Materials and Methods[|]A total of 165 adult patients were grouped as normal weight (BMI 18.5–24.9, n=39), preobese or overweight (BMI 25–29.9, n=47), obese (BMI 30–34.9; n=44), and severely obese (BMI >35, n=35). In addition to thiol–disulfide homeostasis parameters, the total oxidant status (TOS), total antioxidant status (TAS), oxidative stress index (OSI), ischemia-modified albumin (IMA), albumin, and ceruloplasmin levels were determined.[¤]Results[|]Native thiol, total thiol, and native thiol/total thiol % levels were significantly decreased in the overweight, obese, and severely obese groups compared to the normal weight group (p<0.001). Disulfide levels were elevated in the overweight group compared to the normal weight group (p<0.01). While the TOS and OSI levels of the normal weight group were elevated compared to the overweight (p<0.001) and obese/severely obese groups (p<0.05), albumin levels of the normal weight group were reduced compared to other groups (p<0.001). The IMA levels of the overweight group were elevated compared to the normal weight and severely obese groups (p<0.05 and p<0.001, respectively). Ceruloplasmin levels of the severely obese group were increased compared to the normal weight and overweight groups (p<0.001 and p<0.01, respectively).[¤]Conclusion[|]In our study, oxidative stress was increased in groups with a BMI greater than normal (≥25). In addition to this, the oxidative stress and thiol–disulfide homeostasis markers are observed to be further increased in the overweight group than the obese (≥30) group due to body’s reaction to first inconsistency.[¤]