Modelo do Estudo: estudo de prevalência. Introdução : Há relatos do aumento da prevalência de dislipidemias com o envelhecimento. Há poucos estudos associando a obesidade centrípeta com a dislipidemia e há, ainda, que se determinar a real influência da obesidade abdominal sobre os níveis plasmáticos de lípides em idosos. Objetivo : Avaliar a possível associação entre a medida da circunferência abdominal, marcadora de gordura visceral, e os níveis de lípides no sangue. Métodos: O estudo foi realizado em 98 pacientes com 60 a 79 anos de idade, moradores do Distrito Oeste da cidade de Ribeirão Preto, sendo que 58 eram mulheres. A idade média dos voluntários foi de 66,3 anos. Foram colhidos os seguintes dados: circunferência abdominal, circunferência do quadril, triglicérides, colesterol total e HDL colesterol. A circunferência abdominal foi o parâmetro para a obesidade centrípeta.Resultados: Não houve associação entre colesterol total e circunferência abdominal (p = 0,88). Quando separamos pelo gênero verificamos que também não houve associação (p=0,73 e p=0,60 para homens e mulheres, respectivamente). A associação entre triglicérides e circunferência abdominal foi significativa (p<0,0001), mas ao separar por gêneros, houve associação entre triglicérides e circunferência abdominal nas mulheres (p=0,002) enquanto que nos homens não houve associação (p=0,07). Houve associação negativa entre HDL e circunferência abdominal (p=0,018), porém quando os gêneros foram analisados separadamente a associação entre HDL e circunferência abdominal não foi significativa (p=0,40 e p=0,07 para homens e mulheres, respectivamente). Conclusão: Provavelmente, em idosos, o risco cardiovascular advindo da obesidade centrípeta não tem na sua etiologia, exclusivamente, o aumento de lípides do sangue.
Introduction: The classification of burn severity is based on the relationship between the burned body surface (SCQ) and the depth of the lesion. Factors influencing the progression of necrosis in the stasis zone surrounding the area of necrosis (coagulation) may be related to perfusion, inflammation and oxidative stress. In the present study, we evaluated the effect of glutamine, as it has been shown to play an important role in the prevention of ischemia and reperfusion injury, inflammation and oxidative stress. Objective: to evaluate the effect of glutamine as a free amino acid and dipeptide on the progression of necrosis in the interspace (stasis zone) of the burn. Materials and Methods: Thirty male Wistar rats were used. In all animals a third degree burn injury was done with a metal comb containing four teeth and three interspaces preheated in water at 98ºC. Group 1-Control (n = 10) received 7,4 ml of 0.9% saline solution, Group 2-Dipeptide received 7.4 ml of dipeptide solution L-alanyl-L-glutamine (1g/k Lglutamine and 0.6g/k L-Alanine) and Group 3-Free AA received 1g/k L-glutamine and 0,6g/kg L-alanine as free amino acid, by gavage, for 7 days after burn injury. The analyzes evaluated were by means of photograph (in the time 48 hours and 7 days) and histopathology (on the 7th day after the injury), to evaluate the extent of necrosis, ischemic changes in the interspaces (stasis zone), besides the alteration of Glutathione. Results: In the photographic evaluation, there was a significant reduction of necrosis specifically in the 3-AA-free group between 48 hours and 7 days (P = 0.04). Histologically, there was a reduction in inflammation in Groups 2-Dipeptide and 3-AA-free when compared to Group 1-Control (p <0.01). Even in the treated groups there was a tendency to reduce necrosis in the interspaces dermis (Group 1-Control = 0.95, Group 2-Dipeptide = 0.73 and Group 3-AA-free = 0.8), but these differences were not significant. The treated groups also showed an increase in the number of fibroblasts when compared to Group 1-Control (p <0.05). In the dosage of Glutathione, a greater amount was found in Group 2-Dipeptide (p <0.05) when compared to Group 1-Control. Conclusion: The reduction of histological lesions, reduction of inflammation, maintenance of greater extension of the interspaces, the greater amount of fibroblasts and the increase of glutathione, with the administration of glutamine observed in the present study, may have benefited the maintenance or reduction of the evolution of necrosis of burn in rats.
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