Prognostic factors associating with depression score in male patients; Inflammation, oxidative stress and serum copper and zinc: A cross-sectional study

2020 ◽  
Author(s):  
Majid Ghayour-Mobarhan ◽  
Susan Darroudi ◽  
Batool Tayefi ◽  
Narjes Khalili ◽  
Haniyeh Darroudi ◽  
...  

Abstract BackgroundThe prevalence of depression increased about 18% during a 10-year period between 2005 and 2015. The aim of the present study was to investigate the association between serum zinc and copper, PAB, SOD and hsCRP in men with depression.MethodsIn this study, 3768 men, were recruited as part of MASHAD study. Demographic, anthropometric and metabolic data measured and recorded for all subjects. The Beck Depression Inventory (BDI) was used for assessing depression in all participants. Serum zinc and copper concentration, hs-CRP, PAB (Pro-oxidant- Antioxidant Balance), and SOD (Superoxide dismutase) were measured in all subjects.Results:The mean level of copper in males with depression is significantly lower than normal males (p < 0.05); despite the lower level of zinc in depressed subjects, this was not significant (p > 0.05). The median of hs-CRP and mean of PAB were significantly higher in depressed subjects (p < 0.001). Logistic regression analysis was performed to determine the odds ratio (OR) for an association of serum zinc, copper, hs-CRP, SOD and PAB with depression in males. The subjects with a serum copper < 80 µg/dl (Q1) had a 1.337 (1.13–1.582) higher chance of depression and the chance of depression increased 1.021(1.013–1.029) with elevating 1 mg/l of serum hs-CRP. 1.021(1.013–1.029). These data remained the same after adjustment for each other’s. Furthermore, our results strongly suggested that hs-CRP and copper were the independent risk factors for depression in male patients.Conclusion:Inflammation and copper status, not zinc concentration, are two factors that may play a role in depression in male patients.

Author(s):  
Bhagavathami Meenaksh ◽  
Chitraa R. Chandran ◽  
Aravindhan Thathchari Ranganathan ◽  
Kavindapadi Venkateswaran Rama ◽  
Valarmathy Srinivasan

Background: This study aims to determine and compare the levels of trace elements copper, zinc, selenium and chromium in GCF and serum of patients with periodontitis and healthy individuals. Methods: This cross sectional study includes 24 study subjects recruited from the patients reporting to the Department of Periodontics , Tagore Dental College Chennai. All the selected patients were subjected to a clinical examination done by a single examiner. The estimation of trace elements Copper, Zinc, Selenium and Chromium in GCF and serum is performed using Perkin Elmer optima 5300 Inductively Coupled Plasma Emission Spectrometer (ICPOES). Results: GCF and serum copper levels showed no significant difference in both periodontitis and healthy groups . Selenium levels tend to be the same in both groups. Serum zinc levels are more in periodontitis patients than healthy subjects (p less than 0.01). GCF chromium levels are found to be more in patients with periodontitis than healthy. Conclusions : More research is therefore needed to monitor the role of these trace elements C with an increased sample size to ascertain whether they are associated with a reduced risk of periodontitis.


2015 ◽  
Vol 32 (4) ◽  
pp. 301-305 ◽  
Author(s):  
Masatoshi Nakagawa ◽  
Kazuyuki Kojima ◽  
Mikito Inokuchi ◽  
Keiji Kato ◽  
Hirofumi Sugita ◽  
...  

Background: Some recent reports have noted that copper deficiency can occur in obese patients who have undergone bariatric surgery, such as Roux-en-Y (RY) gastric bypass or biliopancreatic diversion, or in patients who receive enteral nutrition through a jejunostomy. No reports appear to have assessed the serum copper state of patients following gastrectomy with RY reconstruction for gastric cancer. Methods: A cross-sectional study was conducted from June 2013 to December 2014. Serum copper levels (SCLs) in 242 out-clinic patients who underwent curative gastrectomy were obtained. Patients were classified into an RY group (n = 208) and a non-RY group (n = 34). Results: Hypocupremia was identified in 3 patients in the RY group (1.4%), and 2 patients in the non-RY group (5.9%; p = 0.146), but none experienced any symptoms caused by hypocupremia. No significant difference in the mean SCL was seen between the RY group (105.8 ± 21.2 µg/dl) and non-RY group (107.9 ± 22.7 µg/dl; p = 0.499). In the RY group, the mean SCL was significantly lower in younger patients, patients with follow-up period <3 years, and male patients. Conclusion: Some patients developed hypocupremia after gastrectomy with RY reconstruction, but the number is acceptably low, and physical symptoms were unusual.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1474-1474
Author(s):  
Rebecca Pazos ◽  
Juan Liuzzi

Abstract Objectives The objective of this study is to determine if there is an association between serum zinc and the possible biomarkers of longevity: ApoB, triglycerides, insulin, fasting glucose, Hba1c, and HS- CRP. Methods This cross-sectional study used data from 643 adult participants in a 2015–2016 NHANES study. Serum zinc concentrations were associated with ApoB, triglycerides, insulin, fasting glucose, Hba1c, and HSCRP using a multiple linear regression, adjusting for ethnicity/race, gender, waist circumference, BMI and age. Results The study consisted of 52% men and 48% woman. The mean age was 50 and the demographics were 17% Mexican American, 16% Other Hispanic, 35% White, 17% Black,12% Asian, and 3% Other Race. Serum zinc concentrations were inversely associated with HS- CRP (β = −.188, 95% CI −.003, −.001, P = .000) and positively associated with ApoB (β = .113, 95% CI .000, −.001, P = .010) in both men and women .When adjusting for age, gender, race/ethnicity, BMI and waist circumference, the model remained significant (adjusted R2 = .059, P = .000). Conclusions HS- CRP is associated with lower concentrations of serum zinc while ApoB is associated with higher concentrations of serum zinc. Further research should be conducted to understand the interaction between zinc and longevity. Funding Sources The study was funded in part by internal funds of Florida International University.


2012 ◽  
Vol 7 (1) ◽  
pp. 18-22
Author(s):  
Arifa Alam Jelly ◽  
Shelina Begum ◽  
Sultana Ferdousi

Background: Rheumatoid Arthritis is a chronic multi-system autoimmune inflammatory disease,  characterized by inflammatory synovitis involving symmetrical peripheral joints. Serum copper, zinc  and calcium levels are altered in Rheumatoid Arthritis.Objective: To observe serum zinc, copper and  calcium levels in patients with Rheumatoid Arthritis (RA).Methods: This cross sectional study was  conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University  (BSMMU), Shahbag, Dhaka from January to December 2010. For this, 60 female patients with  Rheumatoid arthritis aged 30-50 years were included in the study group. The patients were selected  from outpatient Department of Rheumatology wing of medicine in Bangabandhu Sheik Mujib Medical  University (BSMMU). For comparison age and BMI matched 30 apparently healthy female were also  studied. Serum calcium level was measured by Colorimetric method. Serum zinc and copper was  measured by Spectrophotometric method. For statistical analysis, independent sample t test was  performed by using SPSS for windows version-12.Results: In this study, serum zinc and calcium  levels were significantly lower (p<0.001) and serum copper level was significantly higher (p<0.001) in  the RA patients than those of control.Conclusion: This study may conclude that hypozincemia and  hypocalcemia and hypercupremia occur in RA. Therefore early detection of these micronutrient  abnormalities may be helpful for the physicians to prevent various complications in RA patients. DOI: http://dx.doi.org/10.3329/jbsp.v7i1.11155 J Bangladesh Soc Physiol. 2012, June; 7(1): 18-22


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1160.2-1161
Author(s):  
I. Fairushina ◽  
D. Abdulganieva ◽  
E. Kirillova ◽  
R. Abdrakipov

Background:Detection of subclinical enthesitis and synovitis in psoriatic arthritis (PsA) is prevalent and ultrasound (US) examination is informative tool for it diagnosing. Aging positively affects degenerative changes.Objectives:To study relationship between US articular and entheseal findings with age in patients with PsA.Methods:57 patients were enrolled to study with fulfilled PsA criteria (CASPAR, 2009). Data collection: demographical, clinical (current psoriasis, axial involvement, enthesitis, dactylitis), US (synovitis count (by Grey Scale), Power Doppler(PD)+ synovitis), thickening and hypoechogenicity at enthesis, PD+ enthesitis, entheses with structural components); biological (high sensitive C-reactive protein (hsCRP), Erythrocyte Sedimentation Rate (ESR).US examination included 798 joints and 3078 entheses (bilateral shoulders, acromioclavicular joints, elbows, wrists, hips, knees, ankles; entheses at the projection of these joints (total number - 54). US entheseal findings were fixed according to consensus-based US definition and scoring for enthesitis in spondyloarthritis and PsA (OMERACT US)1.Results:In all 57 patients: male - 25 (43.9%), mean age 43.4±10.3(SD) years (y), PsA duration was 7 (3;10) y, Ps duration 10 (8; 22) y; 53 (41.1%) had axial involvement, 42 (73.7%) dactylitis, 8 (14%) clinical enthesitis, and 56 (98.2 %) skin psoriasis, Psoriasis Activity and Severity Index score 6.4 (2;14.4), Disease Activity in PsA score 18.1 (10.2;26.1), hsCRP 10.1(2.4;21.4), ESR 20 (11.3;31.5).Synovitis count increased with age noticeably (r=0.508, p<0.01), and weak correlation of PD+ synovitis (r=0.262, p=0.049) and age was found. The entheseal thickening and hypoechogenicity and structural findings increased with age respectively (r=0.345, p=0.009; r=0.337, p=0.01). There was no correlation between PD+ enthesitis and age. The assosiation between PD+ enthesitis and blood biomarkers of inflammation (hs-CRP (r=0.364, p=0.008); ESR (p=0.358, p=0.008) was found.Conclusion:Our study found significant relationship between age and US synovitis. Association between age and US entheseal involvement was noted. Only PD+ enthesitis was not related with age in comparison with other US entheseal findings. The presence of PD US signal at enthesitis in association with increased inflammatory blood biomarkers can be evaluated as the sign of disease activity regardless of age and not as age-related lesion in PsA patients.References:[1]Balint PV, Terslev L, Aegerter P et al. Reliability of a consensus-based ultrasound definition and scoring for enthesitis in spondyloarthritis and psoriatic arthritis: an OMERACT US initiative. Ann Rheum Dis.;2018;77(12):1730-1735.Disclosure of Interests:None declared


Author(s):  
Mamoru Sakurai ◽  
Junko Sasaki ◽  
Hirotsugu Suwanai ◽  
Jumpei Shikuma ◽  
Rokuro Ito ◽  
...  

CNS Spectrums ◽  
2021 ◽  
pp. 1-5
Author(s):  
Leanna M. W. Lui ◽  
Yena Lee ◽  
Orly Lipsitz ◽  
Nelson B. Rodrigues ◽  
Hartej Gill ◽  
...  

Abstract Background Benzodiazepine (BZD) prescription rates have increased over the past decade in the United States. Available literature indicates that sociodemographic factors may influence diagnostic patterns and/or prescription behaviour. Herein, the aim of this study is to determine whether the gender of the prescriber and/or patient influences BZD prescription. Methods Cross-sectional study using data from the Florida Medicaid Managed Medical Assistance Program from January 1, 2018 to December 31, 2018. Eligible recipients ages 18 to 64, inclusive, enrolled in the Florida Medicaid plan for at least 1 day, and were dually eligible. Recipients either had a serious mental illness (SMI), or non-SMI and anxiety. Results Total 125 463 cases were identified (i.e., received BZD or non-BZD prescription). Main effect of patient and prescriber gender was significant F(1, 125 459) = 0.105, P = 0 .745, partial η2 < 0.001. Relative risk (RR) of male prescribers prescribing a BZD compared to female prescribers was 1.540, 95% confidence intervals (CI) [1.513, 1.567], whereas the RR of male patients being prescribed a BZD compared to female patients was 1.16, 95% CI [1.14, 1.18]. Main effects of patient and prescriber gender were statistically significant F(1, 125 459) = 188.232, P < 0.001, partial η2 = 0.001 and F(1, 125 459) = 349.704, P < 0.001, partial η2 = 0.013, respectively. Conclusions Male prescribers are more likely to prescribe BZDs, and male patients are more likely to receive BZDs. Further studies are required to characterize factors that influence this gender-by-gender interaction.


2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Yakobo Nyahoga ◽  
Zanda Bochkaeva

University campuses are potential reservoirs of infectious diseases, but they are not in the research focus. It is obvious that the use of malaria preventive tools is extremely necessary in campus conditions in endemic countries. This study is the first malaria survey, conducted in a student campus in Tanzania. This cross-sectional study uncovered a surprisingly high prevalence of malaria history among students: 89,4% of 246 random respondents assume that they had malaria in history, among whom 145 (58,9%) suffered from the disease during the last year. And although students are relatively confident about the vector, parasite, and prevention measures of the disease, only 44,7% of the students use bed nets and 4,5% use a body spray or ointment daily. The others seldom use spray or ointment or do not care about the problem at all. This situation was found to be associated with two factors, financial and educational. Current results show that students are relatively educated on malaria, but they do not follow the malaria prevention guidance. It has become clear that at least proper informational propaganda of bed net use is required in Tanzanian university campuses.


Author(s):  
Xiaolin Ni ◽  
Qi Zhang ◽  
Xiang Li ◽  
Qianqian Pang ◽  
Yiyi Gong ◽  
...  

Abstract Context Sclerostin is an inhibitor of Wnt-β-catenin signaling to regulate bone formation. Circulating sclerostin levels were reported to be elevated in patients with X-linked hypophosphatemia (XLH), and sclerostin antibody (Scl-Ab) has been shown to increase bone mass and normalize circulating phosphate levels in Hyp mice. However, circulating sclerostin level in acquired hypophosphatemic patients with tumor-induced osteomalacia (TIO) remains rare reported. Objectives This study was designed to evaluate serum sclerostin levels in TIO patients comparing them with age-, sex- matched healthy controls and XLH patients, and analyze correlation of circulating sclerostin with BMD and laboratory parameters. Design, Setting and Participants 190 individuals including 83 adult TIO patients, 83 adult healthy controls and 24 adult XLH patients were enrolled in this cross-sectional study. Main outcome measures Serum sclerostin levels were determined in TIO patients, healthy controls and XLH patients. Results TIO patients (43 male and 40 female) aged 44.3 ± 8.7 (mean ± SD) years had lower levels of circulating sclerostin than healthy controls (94.2 ± 45.8 vs 108.4 ± 42.3 pg/mL, p = 0.01) with adjustment for age, gender, BMI and diabetes rate. Sclerostin levels were positively associated with age (r = 0.238, p = 0.030). Male patients had higher sclerostin level than female patients (104.7 ± 47.3 vs 83.0 ± 41.8 pg/mL, p = 0.014) and postmenopausal patients had higher tendency of sclerostin level than premenopausal patients (98.4 ± 48.8 vs 71.6 ± 32.3 ng/ml, p = 0.05). Sclerostin levels were positively associated with BMD of L1-4 (r = 0.255, p = 0.028), femoral neck (r = 0.242, p = 0.039) and serum calcium (r = 0.231, p = 0.043). TIO subgroup patients (n=24, 35.9 ± 7.3 years old) comparing with age-, sex-matched adult XLH patients and healthy controls revealed significant difference of sclerostin levels (XLH, TIO and healthy control were 132.0 ± 68.8, 68.4 ± 31.3 and 98.6 ± 41.1 pg/mL, respectively, p &lt; 0.001). Conclusions Circulating sclerostin levels were decreased in TIO patients but increased in XLH patients, which might be result of histological abnormality and bone mass.


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