Markers of Oxidative Stress in Metabolic Syndrome and Antioxidants as an Add-on Therapy in the Reversal of Changes | ||||
| International Journal of Medical Arts | ||||
| Article 15, Volume 4, Issue 2, February 2022, Page 2182-2187 PDF (2.07 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2022.106339.1398 | ||||
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| Authors | ||||
Suganeshwari Soundharapandiyan  1; Gowthami Rajaram1; Tiruvalavan SR2
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| 1Department of Pharmacology, Madras Medical College, Chennai, India | ||||
| 2Department of Pharmacology, Sri Venkateswaraa Medical College Hospital and Research Centre, Puducherry, India | ||||
| Abstract | ||||
| Background: Metabolic syndrome is a collection of dyslipidemia, central obesity, hypertension, and diabetes. Pathogenesis is influenced by psychological and oxidative stress. RBCs can also be damaged by oxidative stress. [Crenated cells with Heinz bodies]. The Aim of The Work: To analyze the red blood cell morphological changes as oxidative stress markers and to investigate the efficacy of vitamins C and E as supplements to standard metabolic syndrome treatment. Patients and Methods: For eight weeks, 60 patients with diabetes, hypertension, and dyslipidemia who had been on medication for 1-2 years were randomly assigned to one of two groups: standard treatment alone or vitamin C capsule 500mg once daily [OD] and vitamin E 400 mg OD in addition to standard treatment. Standard treatment includes Enalapril 5 mg twice daily [BD] and/or tablet Amlodipine 5 mg OD, Metformin 500 mg BD, and Atorvastatin 10 mg at bedtime [HS]. Both groups were monitored for four weeks after treatment. At 0, 4, and 8 weeks, parameters such as red blood cell [RBC] morphological changes, fasting blood sugar, blood pressure, and lipid profile were examined. Results: Both groups had similar baseline characteristics. When compared to the control group, the study group had a significant reduction in fasting blood sugar [p = 0.023], an increase in high density lipoprotein [HDL] [p = 0.03], low density lipoprotein [LDL] [p = 0.001], systolic blood pressure [p = 0.024], diastolic blood pressure [p = 0.005], percentage of crenated RBCs with Heinz bodies [p<0.001], and total cholesterol [p<0.001]. Conclusion: Vitamin C and E as add-on therapy to the standard treatment is effective in reducing insulin resistance, blood pressure, and improving the lipid profile. | ||||
| Keywords | ||||
| Oxidative Stress; Red Blood Cell; Metabolic Syndrome; Antioxidants | ||||
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