Objective — to analyze levels of chronic stress hormones in patients with non‑alcoholic fatty liver disease (NAFLD), who were exposed to psychogenic factors of wartime. Materials and methods. Examinations involved 88 patients with NAFLD, form them 38 subject were examined in the pre‑war period (comparison group), 50 patients were under the influence of stress during hostilities (main group). Control group consisted of 20 practically healthy subjects. Patients’ groups matched by age. The main group consisted of 28 men and 22 women, the comparison included 17 men and 21 women. The mean age in the main group was (51.6±7.7) years and in the comparison group (51.8±8.1) року. The trophological status of patients was monitored with the use of Body Composition Monitor.Omron BF511; hormones of chronic stress were assessed with solid‑phase enzyme immunoassay. Results. The assessment of levels of the chronic stress biochemical markers in NAFLD patients during the war demonstrated pronounced hyperprolactinemia in comparison with both control group and NAFLD patients examined in the pre‑war period. The dependence of stress hormone levels on the trophic status of patients and gender was revealed. A direct correlation between the prolactin level and the index of insulin resistance (IR), the percentage of visceral adipose tissue (VAT), and the level of triglycerides (TG) was revealed. A weak positive correlation was also observed between the level of brain‑derived neurotrophic factor (BDNF) and IR, VAT, TG, and C‑reactive protein (CRP). The activity of the inflammatory process depended on the level of dihydroepiandrosterone (DHEA), which confirms the direct correlation between the level of this hormone and ALT and CRP. Conclusions. The dependence of stress hormones levels on the trophic status of patients and gender was revealed. The level of DHEA in NAFLD patients with obesity and overweight significantly exceeded the corresponding indicators in the group with normal body mass index (BMI). In the group of overweight women who experienced negative consequences of military actions, the DHEA level significantly exceeded the corresponding indicators in comparison with the pre‑war period. Under the influence of military actions in patients of the main group, the reaction to stress was accompanied by an increase in prolactin levels in men with normal and overweight weight compared to the pre‑war period. In obese women from the main group, the hyperprolactinemia level significantly exceeded the corresponding values in the groups with normal and excessive BMI. The revealed correlation dependence between the stress hormones levels and metabolic factors indicates the influence of chronic stress on the main pathogenetic mechanisms of the development and progression of NAFLD in the conditions of war.
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