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1.
Health Educ Res ; 38(3): 204-219, 2023 05 22.
Artigo em Inglês | MEDLINE | ID: mdl-36848036

RESUMO

Peer support is effective in improving self-management behaviors and health outcomes among individuals with Type 2 diabetes. Volunteer peer support programs offer a cost-effective resource for diabetes self-management support; however, factors affecting the retention of volunteer peer leaders remain understudied. Herein, we examined factors associated with volunteer retention and satisfaction among 34 predominantly Mexican-origin peer leaders who assisted patients from a Federally Qualified Health Center located on the US/Mexico border with their diabetes management. Peer leaders completed surveys with open- and close-ended questions at baseline, 6 months and 12 months. Quantitative and qualitative data analyses were guided by the Volunteer Process Model. Using nonparametric Mann-Whitney U tests, self-efficacy as a peer leader at 6 months was most associated with interest to continue volunteering (P = 0.01), and satisfaction with support from the program at 12 months was most associated with interest to continue volunteering (P = 0.01). The qualitative data indicated that the relationship between the peer leaders and their patients was the primary factor for a satisfying volunteer experience. Future research should focus on increasing peer leaders' self-efficacy and satisfaction with program support and examine how organizations can support the development of the patient-peer relationship. Practitioners should consider appealing to volunteer peers' motivations to promote their retention.


Assuntos
Diabetes Mellitus Tipo 2 , Hispânico ou Latino , Humanos , Aconselhamento , Diabetes Mellitus Tipo 2/epidemiologia , Diabetes Mellitus Tipo 2/etnologia , Diabetes Mellitus Tipo 2/terapia , México/etnologia , Grupo Associado , Estados Unidos/epidemiologia , Liderança , Voluntários , Motivação
2.
Appl Microbiol Biotechnol ; 101(19): 7187-7200, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28785897

RESUMO

Processes catalyzed by enzymes offer numerous advantages over chemical methods although in many occasions the stability of the biocatalysts becomes a serious concern. Traditionally, synthesis of nucleosides using poorly water-soluble purine bases, such as guanine, xanthine, or hypoxanthine, requires alkaline pH and/or high temperatures in order to solubilize the substrate. In this work, we demonstrate that the 2'-deoxyribosyltransferase from Leishmania mexicana (LmPDT) exhibits an unusually high activity and stability under alkaline conditions (pH 8-10) across a broad range of temperatures (30-70 °C) and ionic strengths (0-500 mM NaCl). Conversely, analysis of the crystal structure of LmPDT together with comparisons with hexameric, bacterial homologues revealed the importance of the relationships between the oligomeric state and the active site architecture within this family of enzymes. Moreover, molecular dynamics and docking approaches provided structural insights into the substrate-binding mode. Biochemical characterization of LmPDT identifies the enzyme as a type I NDT (PDT), exhibiting excellent activity, with specific activity values 100- and 4000-fold higher than the ones reported for other PDTs. Interestingly, LmPDT remained stable during 36 h at different pH values at 40 °C. In order to explore the potential of LmPDT as an industrial biocatalyst, enzymatic production of several natural and non-natural therapeutic nucleosides, such as vidarabine (ara A), didanosine (ddI), ddG, or 2'-fluoro-2'-deoxyguanosine, was carried out using poorly water-soluble purines. Noteworthy, this is the first time that the enzymatic synthesis of 2'-fluoro-2'-deoxyguanosine, ara G, and ara H by a 2'-deoxyribosyltransferase is reported.


Assuntos
Leishmania mexicana/enzimologia , Nucleosídeos/biossíntese , Pentosiltransferases/metabolismo , Purinas/química , Sequência de Aminoácidos , Biocatálise , Clonagem Molecular , Biologia Computacional , Enzimas Imobilizadas , Concentração de Íons de Hidrogênio , Leishmania mexicana/genética , Pentosiltransferases/genética , Conformação Proteica , Alinhamento de Sequência , Especificidade por Substrato , Temperatura
3.
Eur Geriatr Med ; 11(1): 83-93, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32297245

RESUMO

PURPOSE: This article aims to analyze the intersections between delirium, physical exercise and rehabilitation, to better understand their interrelation and to visualize future lines of research. METHODS: In this narrative review, after an overview of brain neurophysiology and function, as common substrates to understand the relationship between delirium and physical function, we explore the scientific evidence in: (1) physical dysfunction as a risk factor for delirium; (2) physical dysfunction as a symptom of delirium and (3) functional consequences related to delirium. Later, we analyze the physical therapy as one of the main strategies in multicomponent interventions to prevent delirium, by examining intervention studies including rehabilitation, which have shown to be effective in managing delirium. Finally, we analyze how frailty, delirium and physical exercise interact with each other. RESULTS: This review confirms the close relationship between delirium and physical dysfunction; therefore, it is not surprising that physical exercise is widely used in delirium preventive strategies. Although delirium is catalogued as a neurocognitive disorder, scientific evidence shows that it is also a motor disorder, which is to be expected, since a vast body of literature already supports an interaction between motor and cognitive function. CONCLUSION: The motor component of delirium should be taken into account when designing interventions or strategies to address delirium. These interventions may have a special importance in frail older adults.


Assuntos
Delírio , Fragilidade , Idoso , Cognição , Exercício Físico , Idoso Fragilizado , Humanos
4.
Crystals (Basel) ; 10(10)2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35686136

RESUMO

Nanolipoprotein particles (NLPs), also called "nanodiscs", are discoidal particles with a patch of lipid bilayer corralled by apolipoproteins. NLPs have long been of interest due to both their utility as membrane-model systems into which membrane proteins can be inserted and solubilized and their physiological role in lipid and cholesterol transport via HDL and LDL maturation, which are important for human health. Serial femtosecond crystallography (SFX) at X-ray free electron lasers (XFELs) is a powerful approach for structural biology of membrane proteins, which are traditionally difficult to crystallize as large single crystals capable of producing high-quality diffraction suitable for structure determination. To facilitate understanding of the specific role of two apolipoprotein/lipid complexes, ApoA1 and ApoE4, in lipid binding and HDL/LDL particle maturation dynamics and develop new SFX methods involving NLP membrane protein encapsulation, we have prepared and crystallized homogeneous populations of ApoA1 and ApoE4 NLPs. Crystallization of empty NLPs yields semi-ordered objects that appear crystalline and give highly anisotropic and diffuse X-ray diffraction, similar in characteristics to fiber diffraction. Several unit cell parameters were approximately determined for both NLPs from these measurements. Thus, low-background, sample conservative methods of delivery are critical. Here we implemented a fixed target sample delivery scheme utilizing the Roadrunner fast-scanning system and ultra-thin polymer/graphene support films, providing a low-volume, low-background approach to membrane protein SFX. This study represents initial steps in obtaining structural information for ApoA1 and ApoE4 NLPs and developing this system as a supporting scaffold for future structural studies of membrane proteins crystalized in a native lipid environment.

6.
Pediatr Obes ; 13(11): 697-704, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30257069

RESUMO

BACKGROUND: Obesity disproportionately affects Latino youth. Community clinics are an important resource, yet there is little evidence for the efficacy of clinic-based approaches in this population. OBJECTIVE: The purpose of this study was to test the efficacy of a clinic-based intervention to lower body mass index (BMI) and improve body composition among overweight Latino children. METHODS: A randomized trial (2 group × 3 repeated measures) was conducted among 297 randomly sampled, overweight paediatric patients (5-10 years old) and their parents. The 12-month family-based culturally tailored behavioural intervention (Luces de Cambio) was based on the 'traffic light' concepts to address behaviour change and was delivered by clinic health educators and mid-level providers. The primary study outcome was child BMI (kg m-2 ) assessed at baseline, 6-month (n = 191) and 12-month (n = 201) post-baseline. A subsample of the children was examined for overall and site-specific adiposity using dual-energy X-ray absorptiometry (n = 79). RESULTS: There were no significant intervention effects on child BMI (p > 0.05); however, intervention children showed significantly (p < 0.05) lower total and trunk per cent fat compared with the usual care condition. CONCLUSIONS: The Luces intervention did not reduce child BMI, yet small but significant reductions were observed for child per cent body fat. Further research is needed to identify and reduce barriers to recruitment and participation among Latino families.


Assuntos
Terapia Comportamental/métodos , Promoção da Saúde/métodos , Obesidade Infantil/prevenção & controle , Absorciometria de Fóton , Composição Corporal/fisiologia , Índice de Massa Corporal , Criança , Pré-Escolar , Feminino , Hispânico ou Latino/estatística & dados numéricos , Humanos , Masculino , Pais , Avaliação de Programas e Projetos de Saúde/métodos , Autorrelato
7.
Enferm Intensiva (Engl Ed) ; 29(1): 4-13, 2018.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-29326015

RESUMO

INTRODUCTION: Ecchymosis and/or haematoma are the most common adverse events after subcutaneous administration of low molecular weight heparin. There is no strong recommendation as to the puncture site. OBJECTIVE: To evaluate the adverse events, ecchymosis and/or haematoma after the administration of prophylactic subcutaneous enoxaparin in the abdomen vs the arm in the critically ill patient. METHODOLOGY: A randomised, two-arm clinical trial (injection in the abdomen vs the arm), performed between July 2014 and January 2017, in an 18-bed, polyvalent intensive care unit. Patients receiving prophylactic enoxaparin, admitted >72h, with no liver or haematological disorders, a body mass index (BMI) >18.5, not pregnant, of legal age and with no skin lesions which would impede assessment were included. We excluded patients who died or who were transferred to another hospital before completing the evaluation. We gathered demographic and clinical variables, and the onset of ecchymosis and/or haematomas at the injection site after 12, 24, 48 and 72hours. A descriptive analysis was undertaken, with group comparison and logistic regression. The study was approved by the ethics committee with the signed consent of patients/families. RESULTS: 301 cases (11 excluded): 149 were injected in the abdomen vs 141 in the arm. There were no significant differences in demographic and clinical variables, BMI, enoxaparin dose or antiplatelet administration [ecchymosis, abdomen vs arm, n(%): 66(44) vs 72(51), P=.25] [haematoma abdomen vs arm, n(%): 9(6) vs 14(10), P=.2]. Statistical significance was found in the size of the haematomas after 72h: [area of haematoma (mm2) abdomen vs arm, median (IQR): 2(1-5.25) vs 20(5.25-156), P=.027]. CONCLUSIONS: In our patient cohort, prophylactic subcutaneous enoxaparin administered in the abdomen causes fewer haematomas after 72hours, than when administered in the arm. The incidence rate of ecchymosis and haematoma was lower than the published incidence in critically ill patients, although patients receiving anti-platelet agents present a higher risk of injury. No relationship was observed in relation to BMI.


Assuntos
Equimose/induzido quimicamente , Enoxaparina/efeitos adversos , Fibrinolíticos/efeitos adversos , Hematoma/induzido quimicamente , Abdome , Idoso , Braço , Estado Terminal , Enoxaparina/administração & dosagem , Feminino , Fibrinolíticos/administração & dosagem , Humanos , Injeções Subcutâneas , Masculino , Estudos Prospectivos , Método Simples-Cego , Trombose/prevenção & controle
8.
Mol Cell Biol ; 20(1): 139-48, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10594016

RESUMO

Farnesyltransferase inhibitors (FTIs) represent a novel class of anticancer drugs that exhibit a remarkable ability to inhibit malignant transformation without toxicity to normal cells. However, the mechanism by which FTIs inhibit tumor growth is not well understood. Here, we demonstrate that FTI-277 inhibits phosphatidylinositol 3-OH kinase (PI 3-kinase)/AKT2-mediated growth factor- and adhesion-dependent survival pathways and induces apoptosis in human cancer cells that overexpress AKT2. Furthermore, overexpression of AKT2, but not oncogenic H-Ras, sensitizes NIH 3T3 cells to FTI-277, and a high serum level prevents FTI-277-induced apoptosis in H-Ras- but not AKT2-transformed NIH 3T3 cells. A constitutively active form of AKT2 rescues human cancer cells from FTI-277-induced apoptosis. FTI-277 inhibits insulin-like growth factor 1-induced PI 3-kinase and AKT2 activation and subsequent phosphorylation of the proapoptotic protein BAD. Integrin-dependent activation of AKT2 is also blocked by FTI-277. Thus, a mechanism for FTI inhibition of human tumor growth is by inducing apoptosis through inhibition of PI 3-kinase/AKT2-mediated cell survival and adhesion pathway.


Assuntos
Alquil e Aril Transferases/antagonistas & inibidores , Alquil e Aril Transferases/metabolismo , Apoptose , Fosfatidilinositol 3-Quinases/metabolismo , Proteínas Serina-Treonina Quinases , Proteínas Proto-Oncogênicas/metabolismo , Transdução de Sinais , Apoptose/efeitos dos fármacos , Linhagem Celular , Inibidores Enzimáticos/farmacologia , Farnesiltranstransferase , Feminino , Humanos , Metionina/análogos & derivados , Metionina/farmacologia , Proteínas Tirosina Quinases/metabolismo , Proteínas Proto-Oncogênicas c-akt , Transdução de Sinais/efeitos dos fármacos
9.
Rev Neurol ; 44(2): 75-80, 2007.
Artigo em Espanhol | MEDLINE | ID: mdl-17236145

RESUMO

AIM: To report on the oral comprehension of the non-literal meanings of indirect speech acts and idioms in everyday speech by children with attention deficit hyperactivity disorder (ADHD). SUBJECTS AND METHODS: The subjects in this study consisted of a sample of 29 Chilean schoolchildren aged between 6 and 13 with ADHD and a control group of children without ADHD sharing similar socio-demographic characteristics. A quantitative method was utilised: comprehension was measured individually by means of an interactive instrument. The children listened to a dialogue taken from a cartoon series that included indirect speech acts and idioms and they had to choose one of the three options they were given: literal, non-literal or distracter. RESULTS: The children without ADHD identified the non-literal meaning more often, especially in idioms. Likewise, it should be pointed out that whereas the children without ADHD increased their scores as their ages went up, those with ADHD remained at the same point. CONCLUSIONS: ADHD not only interferes in the inferential comprehension of non-literal meanings but also inhibits the development of this skill in subjects affected by it.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Transtornos da Percepção Auditiva/psicologia , Testes de Linguagem , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/complicações , Transtornos da Percepção Auditiva/etiologia , Criança , Feminino , Humanos , Masculino , Semântica
10.
Cell Death Differ ; 9(7): 702-9, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12058275

RESUMO

Recently, we have shown that the farnesyltransferase inhibitor FTI-2153 induces accumulation of two human lung cancer cell lines in mitosis by inhibiting bipolar spindle formation during prometaphase. Here we investigate whether this mitotic arrest depends on transformation, Ras and/or p53 mutation status. Using DAPI staining (DNA) and immunocytochemistry (microtubules), we demonstrate that in normal primary foreskin fibroblasts (HFF), as well as in several cancer cell lines of different origins including human ovarian (OVCAR3), lung (A-549 and Calu-1) and fibrosarcoma (HT1080), FTI-2153 inhibits bipolar spindle formation and induces a rosette morphology with a monopolar spindle surrounded by chromosomes. In both malignant cancer cell lines and normal primary fibroblasts, the percentage of prometaphase cells with bipolar spindles decreases from 67-92% in control cells to 2-28% in FTI-2153 treated cells. This inhibition of bipolar spindle formation correlates with an accumulation of cells in prometaphase. The ability of FTI-2153 to inhibit bipolar spindle formation is not dependent on p53 mutation status since both wild-type (HFF, HT1080 and A-549) and mutant (Calu-1 and OVCAR3) p53 cells were equally affected. Similarly, both wild-type (HFF and OVCAR3) and mutant (HT1080, Calu-1 and A-549) Ras cells accumulate monopolar spindles following treatment with FTI-2153. However, two cell lines, NIH3T3 (WT Ras and WT p53) and the human bladder cancer cell line, T-24 (mutant H-Ras and mutant p53) are highly resistant to FTI-2153 inhibition of bipolar spindle formation. Finally, the ability of FTI-2153 to inhibit tumor cell proliferation does not correlate with inhibition of bipolar spindle formation. Taken together these results demonstrate that the ability of FTI-2153 to inhibit bipolar spindle formation and accumulate cells in mitosis is not dependent on transformation, Ras or p53 mutation status. Furthermore, in some cell lines, FTIs inhibit growth by mechanisms other than interfering with the prophase/metaphase traverse.


Assuntos
Alquil e Aril Transferases/antagonistas & inibidores , Mitose/efeitos dos fármacos , Fuso Acromático/efeitos dos fármacos , Proteína Supressora de Tumor p53/metabolismo , Proteínas ras/metabolismo , Células 3T3 , Animais , Divisão Celular/efeitos dos fármacos , Farnesiltranstransferase , Humanos , Metáfase , Camundongos , Mitose/fisiologia , Mutagênese , Fuso Acromático/fisiologia , Transformação Genética , Células Tumorais Cultivadas , Proteína Supressora de Tumor p53/genética , Proteínas ras/genética
11.
Leukemia ; 6(6): 606-7, 1992 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-1534859

RESUMO

A case of hairy cell leukemia (HCL) presenting as autoimmune hemolytic anemia (AHA) is described. A 40-year-old woman presented with severe hemolytic anemia. The morphological and immunological studies of bone marrow and spleen revealed a hairy cell leukemia. Although autoimmune diseases are a well known complication of HCL this is the first description of AHA as a complication of HCL.


Assuntos
Anemia Hemolítica Autoimune/etiologia , Leucemia de Células Pilosas/complicações , Adulto , Feminino , Humanos , Leucemia de Células Pilosas/sangue , Contagem de Leucócitos , Leucopenia/etiologia , Linfócitos T Citotóxicos , Linfócitos T Reguladores , Trombocitopenia/etiologia
12.
Sci Total Environ ; 512-513: 562-571, 2015 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-25647371

RESUMO

Marine bacteria isolated from natural seawater were used to test their capacity to promote barite precipitation under laboratory conditions. Seawater samples were collected in the western and eastern Mediterranean at 250 m and 200 m depths, respectively, since marine barite formation is thought to occur in the upper water column. The results indicate that Pseudoalteromonas sp., Idiomarina sp. and Alteromonas sp. actually precipitate barite under experimental conditions. Barite precipitates show typical characteristics of microbial precipitation in terms of size, morphology and composition. Initially, a P-rich phase precipitates and subsequently evolves to barite crystals with low P contents. Under laboratory conditions barite formation correlates with extracellular polymeric substances (EPS) production. Barite precipitates are particularly abundant in cultures where EPS production is similarly abundant. Our results further support the idea that bacteria may provide appropriate microenvironments for mineral precipitation in the water column. Therefore, bacterial production in the past ocean should be considered when using Ba proxies for paleoproductivity reconstructions.


Assuntos
Bactérias/metabolismo , Sulfato de Bário/metabolismo , Água do Mar/microbiologia , Poluentes Químicos da Água/metabolismo , Sulfato de Bário/análise , Clima , Mar Mediterrâneo , Filogenia , RNA Ribossômico 16S , Água do Mar/química , Poluentes Químicos da Água/análise
13.
Leuk Res ; 20(6): 517-21, 1996 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8709624

RESUMO

We report a 47-year-old man with oligoblastic leukaemia (8;21) translocation, phenomenon of cannibalism by granulocytic cells and haemophagocytic syndrome. The patient responded to intensive chemotherapy with disappearance of haemophagocytosis, granulocytic and histiocytic. We conclude that: (1) granulocytic cannibalism and haemophagocytic syndrome can be unusual myelodysplastic features; (2) the oligoblastic leukaemia with presence of cytogenetic abnormalities related to AML in young patients are probably more close to acute leukaemia than to myelodysplastic syndrome.


Assuntos
Cromossomos Humanos Par 21 , Cromossomos Humanos Par 8 , Granulócitos/patologia , Histiocitose de Células não Langerhans/genética , Leucemia Mieloide Aguda/genética , Translocação Genética , Histiocitose de Células não Langerhans/complicações , Histiocitose de Células não Langerhans/patologia , Humanos , Leucemia Mieloide Aguda/complicações , Leucemia Mieloide Aguda/patologia , Masculino , Pessoa de Meia-Idade
14.
Leuk Res ; 21(1): 67-73, 1997 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9029188

RESUMO

The B-cell chronic lymphocytic leukemia (B-CLL) is a heterogeneous disease, its clinical and biological behavior possibly being influenced by surface molecules expressed in B-lymphocytes. These molecules mediate cell adhesion, mobility and homing. Expression of surface adhesion molecules of the integrin family (CD11a/CD18 or LFA-1, CD11c/CD18), of the immunoglobulin-related family (CD54), of the selectin family (CD62L or LAM-1) and the lymphocyte homing receptor (CD44) were analyzed in peripheral cells from 113 B-CLL patients. The association with three prognosis-related parameters (Rai stage, bone marrow pattern and doubling time) was determined. The study included only patients with B-CLL lymphocytes of typical morphology, which always expressed CD5 and CD23. Low expression of integrins, particularly CD18, was associated with advanced disease (Rai stages III-IV) and diffuse bone marrow pattern, even after adjusting for other prognosis-related variables. Expression of CD54 was associated independently with rapid doubling time (less than 12 months). The association persisted after adjusting for stage and bone marrow pattern; CD44 was expressed in all patients. No correlations were found between expression of CD62L and the prognostic variables analyzed. In conclusion, CD54 expression and low CD18 expression are both significantly associated with poor prognostic features.


Assuntos
Moléculas de Adesão Celular/metabolismo , Leucemia Linfocítica Crônica de Células B/metabolismo , Adulto , Idoso , Antígenos CD11/metabolismo , Antígenos CD18/metabolismo , Feminino , Humanos , Integrinas/metabolismo , Masculino , Pessoa de Meia-Idade , Prognóstico
15.
Leuk Lymphoma ; 23(5-6): 609-12, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9031093

RESUMO

We have analyzed 1,198 patients with untreated myelodysplastic syndromes (MDS) with two main objectives: (1) to determine the prevalence of lymphoid malignancies (LM) in MDS patients; and (2) to ascertain whether there is some relationship between the MDS subtype and the LM type. In fourteen of 1,198 primary MDS patients (1%) (4 with refractory anemia, 3 with refractory anemia with ring sideroblasts, 2 with refractory anemia with excess of blasts and 5 with chronic myelomonocytic leukemia) a LM was detected. In all cases, the LM was of the B-cell type: 6 cases of chronic lymphocytic leukemia, 5 cases of lymphoplasmacytoid lymphoma, and 3 cases of multiple myeloma. B-cell malignancy did not prevail in any MDS subtype and no correlation was observed between the different varieties of both diseases. In conclusion, in this large series, 1% of the untreated patients with MDS had B-cell malignancy, an association that in most cases is likely to be merely coincidental.


Assuntos
Leucemia Linfocítica Crônica de Células B/complicações , Leucemia Linfocítica Crônica de Células B/epidemiologia , Mieloma Múltiplo/complicações , Mieloma Múltiplo/epidemiologia , Síndromes Mielodisplásicas/complicações , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
16.
Int J Clin Pharmacol Res ; 19(4): 117-27, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10939029

RESUMO

This randomized, double-blind study was undertaken to compare the efficacy and tolerability of policosanol (10 mg/day) and lovastatin (20 mg/day) in patients with hypercholesterolemia and noninsulin dependent diabetes mellitus. After 6 weeks on a lipid lowering diet, 53 patients were randomized to receive either policosanol or lovastatin tablets that were taken o.i.d. for 12 weeks under double-blind conditions. Both groups were similar at randomization. Policosanol significantly (p < 0.001) lowered low-density lipoprotein (LDL)-cholesterol (20.4%), total cholesterol (14.2%) and the ratio of LDL-cholesterol to high-density lipoprotein (HDL)-cholesterol (23.7%). Lovastatin significantly (p < 0.01) lowered LDL-cholesterol (16.8%), total cholesterol (14.0%) and the ratio (p < 0.05) of LDL-cholesterol to HDL-cholesterol (14.9%). Triglyceride levels did not significantly change after therapy. Policosanol, but not lovastatin, significantly increased (p < 0.01) levels of HDL-cholesterol (7.5%). Comparison between groups showed that changes in HDL-cholesterol induced by policosanol were significantly greater (p < 0.01) than those induced by lovastatin. Both treatments were safe and well tolerated. Lovastatin moderately but significantly (p < 0.05) increased levels of aspartate aminotransferase, creatine phosphokinase and alkaline phosphatase. Adverse reactions were more frequent in the lovastatin group (p < 0.01) than in the policosanol group. In conclusion, policosanol administered at 10 mg/day produces more advantageous changes in HDL-cholesterol and has a better safety and tolerability profile than lovastatin 20 mg/day.


Assuntos
Anticolesterolemiantes/uso terapêutico , Diabetes Mellitus Tipo 2/complicações , Álcoois Graxos/uso terapêutico , Hipercolesterolemia/tratamento farmacológico , Lovastatina/uso terapêutico , Anticolesterolemiantes/efeitos adversos , Anticolesterolemiantes/farmacologia , Pressão Sanguínea/efeitos dos fármacos , Método Duplo-Cego , Álcoois Graxos/efeitos adversos , Álcoois Graxos/farmacologia , Feminino , Cefaleia/etiologia , Humanos , Hipercolesterolemia/complicações , Hipercolesterolemia/metabolismo , Hipercolesterolemia/fisiopatologia , Lovastatina/efeitos adversos , Lovastatina/farmacologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Resultado do Tratamento
17.
Poult Sci ; 80(1): 71-8, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11214339

RESUMO

An experiment was conducted to study the effect of different dietary fatty acid profiles on abdominal fat deposition in broilers. Diets with four types of fats (tallow, olive oil, sunflower oil, and linseed oil), at two levels of fat inclusion (either 6 or 10%), were administered to males from 21 to 42 d and to females from 21 to 49 d of age. The sexes were studied separately. Performance parameters, abdominal fat, muscle fat and cholesterol, and fatty acid profile of thigh, breast, and abdominal fat were determined. Broilers fed sunflower and linseed oils presented better values of feed efficiency. Abdominal fat and cholesterol content of thigh muscle were significantly lower in animals fed sunflower and linseed oils than in those fed tallow or olive oil (P < 0.001). In females, abdominal fat increased with level of fat inclusion only in birds fed tallow or olive oil, whereas it remained constant in birds fed sunflower or linseed oil. Muscle fat content was lower for birds fed tallow or olive oil but not significantly. The fatty acid profile of the different tissues reflected dietary fatty acid profile. Monounsaturated fatty acids were higher in abdominal fat, whereas polyunsaturated fatty acids were higher in muscle fat. These results suggest that polyunsaturated fatty acids produce lower abdominal fat deposition than saturated or monounsaturated fatty acids.


Assuntos
Tecido Adiposo/química , Ração Animal , Galinhas/fisiologia , Gorduras na Dieta , Ácidos Graxos/administração & dosagem , Abdome , Criação de Animais Domésticos , Animais , Peso Corporal , Feminino , Masculino
18.
Poult Sci ; 82(7): 1134-9, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12872970

RESUMO

An experiment was conducted to study the effect of different dietary fatty acid profiles on plasma levels of insulin, very low density lipoproteins (VLDL), cholesterol, and glucose. Diets with four types of fat (tallow, olive, sunflower, and linseed oils) at an inclusion level of 10% and a basal diet without additional fat were administered to female broiler chickens. Serum insulin, cholesterol, and plasma VLDL were affected by the different treatments; however, glucose concentrations were similar among treatments. In the fasted state, broilers fed diets with sunflower or linseed oil presented lower levels of insulin and cholesterol with respect to those fed tallow or olive oil (P < 0.05). VLDL in the fasted state was reduced in broilers fed sunflower and linseed oils (P < 0.05) with respect to those fed tallow, olive oil, or the basal diet. Plasma levels of VLDL were only significantly correlated with abdominal fat in birds fed the basal diet, in the fed and in the fasted state, and in those fed linseed oil in the fed state (P < 0.05). Results of this experiment suggest that higher insulin levels in broilers fed diets rich in saturated fatty acids could be related to higher fat deposition. Fat deposition in birds fed high fat diets was not correlated with circulating VLDL, which suggested direct dietary fat deposition, except for birds fed linseed oil diets. Although birds fed linseed oil diets presented lower levels of VLDL than those fed tallow, olive oil, or the basal diet, the higher correlation with abdominal fat suggests that in these birds, fat deposition is more dependent on hepatic VLDL secretion, despite the high dietary fat level.


Assuntos
Galinhas/sangue , Gorduras na Dieta/administração & dosagem , Ácidos Graxos Insaturados/administração & dosagem , Insulina/sangue , Lipoproteínas VLDL/sangue , Fenômenos Fisiológicos da Nutrição Animal , Animais , Glicemia/análise , Colesterol/sangue , Jejum , Gorduras , Feminino , Óleo de Semente do Linho/administração & dosagem , Azeite de Oliva , Óleos de Plantas/administração & dosagem , Óleo de Girassol
19.
Poult Sci ; 81(4): 512-8, 2002 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11989751

RESUMO

Two experiments were conducted in order to determine the effect of dietary fatty acid profile on deposition of body fat, carcass fat, and separable fat depots. Diets with four types of fat (tallow, olive, sunflower, and linseed oils) at an inclusion level of 10% were administered to female broiler chickens. In Experiment 1, total body fat, carcass fat (total body fat minus abdominal fat), and abdominal fat (AF) were determined. In Experiment 2, several separable fat depots (abdominal, neck, sartorial, and mesenteric fat) were removed and weighed. In general, the analyzed separable fat depots were reduced in broilers fed sunflower or linseed oils with respect to those fed tallow or olive oil (P < 0.05). Percentages of body and carcass fat were also slightly reduced in birds fed sunflower or linseed oil, with respect to those fed tallow; however, the differences were not statistically significant. Regression analysis showed that body fat, carcass fat, and fat depots variability were closely correlated with AF (R2 = 0.69, 0.56, and 0.81, respectively), except for birds fed tallow, in which abdominal and mesenteric fat showed a different growth pattern with respect to the other treatments and to the other fat depots. These results suggest that polyunsaturated fatty acids reduce fat deposition in separable fat depots with respect to monounsaturated and saturated fats but not in the rest of the body fat depots. The growth pattern of fat depots can be modified by dietary fatty acid profile. Broilers fed saturated fat tend to deposit more fat in abdominal and mesenteric depots.


Assuntos
Tecido Adiposo/anatomia & histologia , Composição Corporal/fisiologia , Galinhas/metabolismo , Gorduras na Dieta/metabolismo , Ácidos Graxos Insaturados/metabolismo , Abdome , Tecido Adiposo/metabolismo , Ração Animal , Animais , Composição Corporal/efeitos dos fármacos , Galinhas/crescimento & desenvolvimento , Gorduras na Dieta/administração & dosagem , Gorduras Insaturadas na Dieta/administração & dosagem , Gorduras Insaturadas na Dieta/metabolismo , Ácidos Graxos Insaturados/administração & dosagem , Feminino
20.
Poult Sci ; 81(10): 1555-62, 2002 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12412923

RESUMO

Previous experiments have shown lower abdominal and body fat deposition in broilers fed polyunsaturated fatty acids (PUFA) compared with those fed saturated fatty acids (SFA) or monounsaturated fatty acids (MUFA). These changes in fat deposition may be related to different rates of lipid synthesis or lipid oxidation. In Experiment 1, in vivo lipogenesis of broilers fed different dietary fatty acid profiles (tallow, sunflower oil, or linseed oil) was investigated. In Experiment 2, liver fatty acid deposition of broilers fed a basal diet (without additional fat) or diets with added tallow, olive oil, sunflower oil, or linseed oil was studied. Results from Experiment 1 showed higher rates of de novo fatty acid synthesis in broilers fed the diet with added linseed oil (P < 0.05), compared with those fed tallow or sunflower oil. In Experiment 2, values of liver-to-dietary-fatty-acid ratios of fatty acids from endogenous synthesis (SFA, n-7 and n-9 fatty acids) were higher in broilers fed linseed oil and the basal diet. Results obtained in both experiments suggest that lower abdominal and body fat deposition of broilers fed PUFA compared with those fed SFA or monounsaturated fatty acids is mainly due to differences in lipid oxidation rates and that the higher in vivo lipogenesis found in broilers fed linseed oil would be another mechanism to dissipate energy, contributing to the lower fat deposition in these birds.


Assuntos
Abdome , Tecido Adiposo/metabolismo , Galinhas/fisiologia , Gorduras Insaturadas na Dieta/administração & dosagem , Ácidos Graxos/biossíntese , Óleo de Semente do Linho/administração & dosagem , Animais , Composição Corporal , Dieta , Gorduras , Ácidos Graxos/análise , Feminino , Peroxidação de Lipídeos , Lipídeos/análise , Lipídeos/biossíntese , Fígado/anatomia & histologia , Fígado/química , Azeite de Oliva , Tamanho do Órgão , Óleos de Plantas/administração & dosagem , Óleo de Girassol
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