Abstract

Oxidative Stress in Obesity and Metabolic Syndrome in Asian IndiansOxidative stress is associated with the individual components of metabolic syndrome and has been implicated in the development of complications of these metabolic disorders. In this study oxidative stress levels have been compared in obese Indians (a high-risk population for diabetes and cardiovascular disorders) with and without metabolic syndrome. 30 adult normotensive, normoglycemic obese subjects and 35 adults with metabolic syndrome of either sex with BMI >23 kg/m2were compared with 30 adult, healthy volunteers with BMI <23 kg/m2. Anthropometric parameters, blood pressure, biochemical parameters, hydroperoxides levels and total antioxidant capacity were estimated. The obese groups with and without metabolic syndrome had significantly increased anthropometric parameters like waist circumference and index of central obesity and aqueous phase hydroperoxides when compared with normal controls. The metabolic syndrome group also had significantly increased blood sugar levels, lipid profile and hydroperoxide levels when compared to obese or control groups. There was no alteration in the total antioxidant capacity in any of the groups. The Triglyceride/HDL-Cholesterol ratio (>3), a surrogate marker of insulin resistance, indicates insulin resistance in the metabolic syndrome group. The anthropometric profile, insulin resistance and oxidative stress seen in obesity are further elaborated in metabolic syndrome. Thus, the early identification of high-risk individuals based on anthropometric parameters, lipid profile, insulin resistance and indices of oxidative stress may help to prevent the development of complications of metabolic syndrome.

Highlights

  • Indians are a population with a greater predisposition towards diabetes and cardiovascular disorders (CVD) at a younger age, probably due to insulin resistance (IR) and its consequences [1]

  • The biochemical parameters – fasting blood glucose (FBS), lipid profile, hydroperoxide levels and total antioxidant capacity are presented in Tables II and III

  • There was a significant increase in FBS (P

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Summary

Introduction

Indians are a population with a greater predisposition towards diabetes and cardiovascular disorders (CVD) at a younger age, probably due to insulin resistance (IR) and its consequences [1]. 116 Veigas et al.: Oxidative Stress in Metabolic Syndrome cause of IR and endothelial dysfunction is not clear, several genetic and environmental factors have been implicated in their development [2]. A constellation of glucose intolerance, IR, dyslipidemia, hypertension together with visceral obesity as the central and/or causal component, is a marker of increased cardiovascular risk [2]. Furukawa et al [7] have observed a correlation between oxidative stress and fat accumulation and proposed the role of oxidative stress in the development of obesity-associated metabolic syndrome. Oxidative stress has been observed in all the individual components of metabolic syndrome (all independent risk factors for CVD) and with the onset of CV manifestations of metabolic syndrome [8]

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