Hipovitaminosis D y obesidad. Relación con el grado de obesidad y el síndrome metabólico.

En 343 sujetos con sobrepeso u obesidad demostramos la existencia de una relación inversa entre los niveles (r -0,403, p & 0,001) y el estado de la vitamina D con el grado de obesidad, especialmente para IMC& 40 Kg/m2. Asimismo, los pacientes con síndrome metabólico tenían niveles de calcidiol inferiores (43,35 ± 29,01 nmol/L y 55,26 ± 29,6 nmol/L) y presentaban una mayor prevalencia de hipovitaminosis D, independientemente del grado de obesidad. Estos datos sugieren, que como ocurre para otras comorbilidades asociadas con la obesidad, la distribución de la adiposidad parece desarrollar un papel en el estado de la vitamina D.

Association between pre-diagnostic circulating vitamin D concentration and risk of colorectal cancer in European populations:a nested case-control study

Objective. To examine the association between pre-diagnostic circulating vitamin D concentration, dietary intake of vitamin D and calcium, and the risk of colorectal cancer in European populations. Design Nested case-control study. Setting. The study was conducted within the EPIC study, a cohort of more than 520 000 participants from 10 western European countries. Participants: 1248 cases of incident colorectal cancer, which developed after enrolment into the cohort, were matched to 1248 controls. Main outcome measures. Circulating vitamin D concentration (25-hydroxy-vitamin-D, 25-(OH)D) was measured by enzyme immunoassay. Dietary and lifestyle data were obtained from questionnaires. Incidence rate ratios and 95% confidence intervals for the risk of colorectal cancer by 25-(OH)D concentration and levels of dietary calcium and vitamin D intake were estimated from multivariate conditional logistic regression models, with adjustment for potential dietary and other confounders. Results. 25-(OH)D concentration showed a strong inverse linear dose-response association with risk of colorectal cancer (P for trend <0.001). Compared with a pre-defined mid-level concentration of 25-(OH)D (50.0-75.0 nmol/l), lower levels were associated with higher colorectal cancer risk (<25.0 nmol/l: incidence rate ratio 1.32 (95% confidence interval 0.87 to 2.01); 25.0-49.9 nmol/l: 1.28 (1.05 to 1.56), and higher concentrations associated with lower risk (75.0-99.9 nmol/l: 0.88 (0.68 to 1.13); ≥100.0 nmol/l: 0.77 (0.56 to 1.06)). In analyses by quintile of 25-(OH)D concentration, patients in the highest quintile had a 40% lower risk of colorectal cancer than did those in the lowest quintile (P<0.001). Subgroup analyses showed a strong association for colon but not rectal cancer (P for heterogeneity=0.048). Greater dietary intake of calcium was associated with a lower colorectal cancer risk. Dietary vitamin D was not associated with disease risk. Findings did not vary by sex and were not altered by corrections for season or month of blood donation. Conclusions The results of this large observational study indicate a strong inverse association between levels of pre-diagnostic 25-(OH)D concentration and risk of colorectal cancer in western European populations. Further randomised trials are needed to assess whether increases in circulating 25-(OH)D concentration can effectively decrease the risk of colorectal cancer.

Vitaminas B y homocisteína en la insuficiencia renal crónica

Metabolic, biochemical, and hormonal changes occur in chronic renal failure usually associated with hyponutrition states. In predialysis patients, knowing the nutritional state about water-soluble vitamins such as thiamine, riboflavin, pyridoxine, cianocobalamine, and folic acid is becoming more and more important since some of the manifestations of chronic renal failure may be due to the deficiency of some of these water-soluble vitamins. The metabolic pathways in which most of these vitamins participate are interrelated and it is difficult to understand how the individual deficits of each vitamin affect renal pathology. This work aims at reviewing not only this issue but also the status of these water-soluble vitamins that different authors have found in groups of predialysis patients. On the other hand, the issue on the high prevalence of hyperhomocysteinemia in chronic renal failure as the main mortality risk factor due to cardiovascular pathologies as well as the implication of these vitamins in the metabolism of homocysteine, and consequently in plasma levels of this metabolite in predialysis patients is reviewed.

Tetania secundaria a raquitismo carencial.

Hypocalcemia is an uncommon illness in children. In developed countries the incidence of rickets has decreased significantly, although last years this pathology is increasing at the expense of immigration. Its etiology is due to different factors such as low sun exposure, inadequate clothing and bad feeding and excessive contributions in phytates, exclusive breastfeeding and genetic factors. We report a case of a teenager 13 year old from Pakistan, who consulted for myoclonus, paresthesias, hand midwife and asymmetry walking. The laboratory emphasizes hypocalcemia deficit of 25 (OH) D and increased parathyroid hormone. Administration of calcium and vitamin D along with changes in his diet normalized clinical and laboratory parameters. Due to increased migration, the lack of sun exposure and inadequate supply this disease which was almost forgotten will appear another time.

Avaluació de vitamines i antioxidants en aliments vegetals mitjançant tècniques HPLC-DAD i UPLC-MS/MS

El programa experimental s’ha portat a terme dins el marc de les activitats del projecte TRUEFOOD, finançat per la UE per als anys 2007-2010. L’objectiu principal d’aquesta activitat ha estat l’avaluació dels continguts en àcid ascòrbic (vitamina C), polifenols totals, àcids fenòlics i flavonoides en mostres de tomàquet i enciam, produïts sota diferents condicions de camp (producció ecològica i convencional). Per aconseguir els resultats s’han utilitzat mètodes analítics basats en tècniques de cromatografia líquida d’alta eficàcia (HPLC) i d’ultra-alta eficàcia (UHPLC) acoblades a sistemes de detecció de diode array (DAD) i espectrometria de masses (MSn). Per a l’àcid ascòrbic, s’ha desenvolupat un mètode ràpid que ha permès la determinació d’aquest compost en diferents matrius vegetals amb el mínim pretractament de les mostres, utilitzant una fase estacionària HILIC (Fluorinated Stationary Phase). Els mètodes desenvolupats d’anàlisi de compostos fenòlics han permès realitzar les anàlisi de forma ràpida, a fi de processar el màxim nombre de mostres per a obtenir resultats representatius. S’ha realitzat una completa caracterització dels extractes de tomàquet i enciam, ampliant el coneixement descrit en la bibliografia sobre la seva composició fenòlica. En el cas de l’enciam, s’ha identificat quatre compostos fenòlics que mai abans han estat descrits i quantificats en aquesta hortalissa. La definició, amb precisió, dels continguts en vitamina C i compostos fenòlics en les mostres analitzades ha permès comparar els efectes de diferents tècniques de cultiu sobre les característiques nutricionals dels vegetals objecte de l’estudi. Els mètodes d’anàlisi desenvolupats i els resultats derivats del projecte seran publicats properament en revistes científiques de reconegut prestigi.

Bone turnover markers in HIV-infected patients before starting antiretroviral therapy.

Purpose: Bone turnover markers (BTM) - aminoterminal propeptide of type 1 collagen (P1NP) and C-terminal telopeptide of type 1 collagen (b-CTX) - are related to bone density and fracture risk. A high prevalence of osteopenia/osteoporosis and hypovitaminosis D has been reported in HIV patients, however there are few data about BTM in this population. Our aim was to analyse the prevalence of elevated serum levels of BTM in HIV patients before starting antiretroviral therapy (ART), and related factors. Methods: Cross-sectional study of a series of HIV-patients who started ART during June/11-June/12 in our hospital. Patients with presence of diseases or treatments known to affect bone metabolism were excluded. Epidemiological, clinical, and immunovirological data in addition to serum fasting levels of glucose, lipid profile, calcium, phosphate, alkaline phosphatase, 25-hydroxyvitamin D3 (25OHD), parathyroid hormone (PTH), P1NP, and β-CTX were collected. Definitions: hypovitaminosis D if 25OHD<30 ng/ml, vitamin D deficiency if 25OHD<20 ng/ml; elevated levels of BTM if β-CTX (ng/ml) >0.64 (men<70 years),>0.85 (men>70 years),>0.58 (pre-menopause women), >0.99 (post-menopause women), or P1NP (ng/mL)>69.4 (men<60 years), >71.1 (men>60 years), >55.7 (pre-menopause women), >61.2 (post-menopause women). Results: 47 patients were included, 91.5% men, median age 37.1 years (30.0-44.3), and 93.6% sexual transmission of HIV (34 HMX, 10 HTX). Median time since the diagnosis of HIV was 3.4 months (1.4- 31.7); there were 7 (14.9%) Aids cases, median CD4 count was 277/ mm3 (155-433), and HIV-VL 4.8 log10 (4.1-5.2). Median serum 25OHD was 29 mg/L (21.9-41.1), with a prevalence of hypovitaminosis of 52.2%, and deficiency of 17.4%. PTH was in range in all cases. Median serum P1NP was 33.3 ng/mL (24.5-52.5) and β-CTX 0.25 ng/mL (0.20-0.45); five (11.4%) patients presented high levels of BTM: 4 men, median age 37.1 years, median CD4 count 247/mm3, median HIV-VL 5.18 log10, and one with hypovitaminosis D. Elevated BTM were related with no clinical, analytical, immunovirological parameters nor with serum levels of 25OHD nor PTH. Conclusions: The prevalence of elevated BTM was high in this series of HIV-patients, mostly young men, with short time of HIV infection and with no immunovirologic control. BTM were related with no clinical nor analytical data.

Association of 25-hydroxyvitamin D with metabolic syndrome in patients with psoriasis: a case-control study.

Vitamin D deficiency is associated with higher cardiovascular risk and metabolic syndrome (MeS) criteria. The main objective of this study was to analyse the association of 25-hydroxyvitamin D (25-OHD) serum levels with MeS (National Cholesterol Education Program-Adult Treatment Panel-III criteria) in 46 Spanish patients with psoriasis, but without arthritis and systemic treatment, and 46 control subjects, matched by sex and age. The patients with psoriasis showed significantly lower level of 25-OHD than controls (30.5 vs. 38.3 ng/ml; p = 0.0001). Patients with MeS had significantly lower serum levels of 25-OHD than those without MeS (24.1 ± 7.5 vs. 32.8 ± 8.9, p = 0.007), and a negative correlation was found between 25-OHD and waist circumference, diastolic blood pressure, fasting glucose, and triglyceridaemia. In the control group no significant correlation between 25-OHD and MeS was found. Al-though the sample was small, our results suggest a potential protective role for 25-OHD in the metabolic profile of patients with psoriasis without arthritis.

Use of palm-oil by-products in chicken and rabbit feeds: effect on the fatty acid and tocol composition of meat, liver and plasma

This study was undertaken in the framework of a larger European project dealing with the characterization of fat co- and by-products from the food chain, available for feed uses. In this study, we compare the effects, on the fatty acid (FA) and tocol composition of chicken and rabbit tissues, of the addition to feeds of a palm fatty acid distillate, very low in trans fatty acids (TFA), and two levels of the corresponding hydrogenated by-product, containing intermediate and high levels of TFA. Thus, the experimental design included three treatments, formulated for each species, containing the three levels of TFA defined above. Obviously, due to the use of hydrogenated fats, the levels of saturated fatty acids (SFA) show clear differences between the three dietary treatments. The results show that diets high in TFA (76 g/kg fat) compared with those low in TFA (4.4 g/kg fat) led to a lower content of tocopherols and tocotrienols in tissues, although these differences were not always statistically significant, and show a different pattern for rabbit and chicken. The TFA content in meat, liver and plasma increased from low-to-high TFA feeds in both chicken and rabbit. However, the transfer ratios from feed were not proportional to the TFA levels in feeds, reflecting certain differences according to the animal species. Moreover, feeds containing fats higher in TFA induced significant changes in tissue SFA, monounsaturated fatty acids and polyunsaturated fatty acids composition, but different patterns can be described for chicken and rabbit and for each type of tissue.

Use of recovered frying oils in chicken and rabbit feeds: effect on the fatty acid and tocol composition and on the oxidation levels of meat, liver and plasma

The addition of some fat co- and by-products to feeds is usual nowadays; however, the regulations of their use are not always clear and vary between countries. For instance, the use of recycled cooking oils is not allowed in the European Union, but they are used in other countries. However, oils recovered from industrial frying processes could show satisfactory quality for this purpose. Here we studied the effects of including oils recovered from the frying industry in rabbit and chicken feeds (at 30 and 60 g/kg, respectively) on the fatty acid (FA) and tocol (tocopherol + tocotrienol) compositon of meat, liver and plasma, and on their oxidative stability. Three dietary treatments (replicated eight times) were compared: fresh non-used oil (LOX); oil discarded from the frying industry, having a high content of secondary oxidation compounds (HOX); and an intermediate level (MOX) obtained by mixing 50 : 50 of LOX and HOX. The FA composition of oil diets and tissues was assessed by GC, their tocol content by HPLC, the thiobarbituric acid value was used to assess tissue oxidation status, and the ferrous oxidation-xylenol orange method was used to assess the susceptibility of tissues to oxidation. Our results indicate that FA composition of rabbit and chicken meat, liver and plasma was scarcely altered by the addition of recovered frying oils to feed. Differences were encountered in the FA composition between species, which might be attributed mainly to differences in the FA digestion, absorption and metabolism between species, and to some physiological dietary factors (i.e. coprophagy in rabbits that involves fermentation with FA structure modification). The α-tocopherol (αT) content of tissues was reduced in response to the lower αT content in the recovered frying oil. Differences in the content of other tocols were encountered between chickens and rabbits, which might be attributable to the different tocol composition of their feeds, as well as to species differences in the digestion and metabolism of tocols. Tissue oxidation and susceptibility to oxidation were in general low and were not greatly affected by the degree of oxidation of the oil added to the feeds. The relative content of polyunsaturated fatty acids/αT in these types of samples would explain the differences observed between species in the susceptibility of each tissue to oxidation. According to our results, oils recovered from the frying industry could be useful for feed uses.

Germinação de sementes e crescimento de plântulas de brassica chinensis L. var. parachinensis (bailey) sinskaja (couve-da-malásia)

Brassica chinensis var. parachinensis, introduzida no Brasil em 1992, apresenta alto teor de vitamina A e ciclo curto. As sementes foram submetidas a 24 tratamentos em laboratório e 12 em campo, com o objetivo de avaliar o padrão de germinação e o crescimento das plântulas. Em laboratório, as sementes foram indiferentes à luz e mostraram baixa sensibilidade à ação escarificante do hipoclorito de sódio. Ácido giberélico, KNO3, escarificação e estratificação não modificaram sua germinabilidade (96-100%) nem o tempo médio de germinação (1-1,28 dias) em relação ao controle. Em condições de campo os maiores valores de emergência (89,2-96,4%) e os maiores índices de velocidade de emergência (14,2-17,4) ocorreram em solo com adubação mineral, entre 0,5 e 1,5 cm de profundidade. Os menores tempos médios de emergência foram registrados entre 0,5 e 1,5 cm de profundidade (2,90-3,97 dias), com os três adubos testados (mineral, esterco de gado e de galinha). As plântulas se mostraram sensíveis ao hipoclorito de sódio, com redução significativa do hipocótilo e da raiz primária. A estratificação das sementes por 24 horas estimulou o crescimento da raiz primária, o que beneficia o estabelecimento da plântula no solo.

Requisitos nutricionais para o fungo Alternaria alternata

Uma linhagem de Alternaria alternata (ALT A) foi cultivada em meio sintético com diferentes fontes de C, N e vitaminas. O crescimento micelial foi avaliado durante sete dias após a semeadura e a esporulação no décimo dia de incubação. O meio sintético básico suplementado com biotina, NH4Cl e os carboidratos maltose e glicose suportaram um bom crescimento micelial (em média 0,75 cm/dia). Galactose e arabinose induziram significativamente a produção de esporos (mL-1), da ordem de 5,0 x10³ e 4,1 x 10³, respectivamente. Nas diferentes fontes de vitamina e N não houve diferenças significativas quanto ao crescimento micelial e à esporulação.

Parâmetros genéticos em progênies de polinização livre de acerola

A acerola (Malpighia emarginata D.C.) é uma cultura que vem despertando grande interesse por parte de consumidores, produtores, industriais e exportadores, dado o seu alto teor de vitamina C. No Brasil, não existem variedades recomendadas para o plantio comercial; por esta razão, os dados de produção são muito variáveis. O presente trabalho visa estimar e interpretar geneticamente a porção de variabilidade existente quanto a alguns caracteres, em uma população de plântulas de aceroleira obtidas de sementes, originalmente selecionadas em plantio comercial no Estado do Ceará. O experimento foi instalado no local definitivo em abril/96, na Estação Experimental da Embrapa-Centro Nacional de Pesquisa de Agroindústria Tropical (CNPAT), no município de Pacajus, CE, sob arranjo experimental de blocos casualizados, com 62 tratamentos, três repetições e quatro plantas por parcelas, no espaçamento de 4 m entre linhas e 3 m entre plantas. Os tratamentos são constituídos por progênies de polinização livre. No primeiro ano de idade das plantas, a maioria das progênies já tinha frutificado, sendo que a proporção de florescimento era menor do que a frutificação no período de avaliação. Pelas estimativas dos coeficientes de herdabilidade dos caracteres, pode-se afirmar que a seleção de progênies resultará em ganhos superiores em relação à seleção de plantas. Os índices b1 e b2, que quantificam a relação da variação genética em face da variação ambiental entre e dentro de progênies, respectivamente, revelam uma condição favorável à seleção dentro de progênies.

Seleção de genótipos parentais de acerola com base na divergência genética multivariada

Este trabalho teve por objetivo identificar e selecionar genótipos parentais de acerola (Malpighia emarginata L.) adequadas a programas de melhoramento genético. Nove caracteres quantitativos de maior importância agronômica foram usados para determinação da distância genética e formação de grupos similares de acessos. O agrupamento pelo método de Tocher, a partir das distâncias generalizadas de Mahalanobis, possibilitou a divisão de 14 genótipos em três grupos. Com base na divergência genética e no caráter agronômico-chave (teor de vitamina C), destacaram-se como mais promissores os cruzamentos dos genótipos: AM Mole pertencente ao grupo III, com os genótipos PR AM, N° 18, PR 17, PR 16, Eclipse, AM 22 e Dominga, todos pertencentes ao grupo I.

Variabilidade fenotípica em genótipos de acerola

As medidas de variabilidade fenotípica, correlações, efeitos diretos e indiretos na aceroleira (Malpighia emarginata DC.) da região de Itápolis, SP, objetivaram direcionar o processo seletivo de genótipos. Os parâmetros comprimento e largura média de folhas, altura de planta, diâmetro de copa, peso médio de fruto, peso médio de polpa/fruto, peso médio de 20 frutos e peso médio de polpa por 20 frutos mostraram diferenças quanto a genótipos e épocas. Em acidez, tamanho e largura média de fruto, as diferenças são exclusivas em relação a épocas, sugerindo ações de condições climáticas. A altura é um bom parâmetro tipificador na diferenciação e seleção de genótipos. As condições meteorológicas podem influenciar marcadamente em caracteres tecnológicos (acidez) e em medidas dos frutos. Destacaram-se as associações positivas entre comprimento de folhas com tamanho e peso de frutos e as correlações negativas destes com vitamina C; seguida de correlações positivas e significativas de tamanho com largura de frutos. Dos efeitos diretos sobre vitamina C, relacionam-se os efeitos de Brix e diâmetro de copa como positivos. Contudo, nas condições estudadas, as medidas das folhas estão associadas positivamente com tamanho e peso dos frutos e negativamente com vitamina C. Além disso, observa-se que as medidas dos frutos associam-se positivamente com os caracteres de peso e rendimento, que estão negativamente associados com vitamina C. A seleção sobreBrix pode direcionar ganhos em polpa e em vitamina C.

Características de frutos de genótipos de aceroleira cultivados sob elevada altitude

O objetivo deste trabalho foi avaliar as características físicas, físico-químicas e químicas de frutos de nove genótipos de acerola (Malpighia sp.) cultivados no Município de Anápolis, GO, localizado a 1.000 m de altitude. Os resultados mostraram que nessa região se consegue produção de frutos com elevados teores de vitamina C (acima de 1.000 mg/100 mL de suco). Há, entretanto, uma considerável variabilidade entre os genótipos estudados. Os genótiposde número2, 6, 3, 1 e 7 destacaram-se, atendendo àsprincipais exigências da indústria de suco.