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جستجوی مقالات مرتبط با کلیدواژه « apolipoprotein e » در نشریات گروه « پزشکی »

  • Lida Saboktakin *, Mohammad Barzegar, Ahad Ghazavi
    Background
    Guillain-Barre syndrome (GBS) is an acute immune-mediated disease that affects both adults and children. Many infectious and non-infectious conditions may trigger this disease. Apolipoprotein E (APOE) is a glycosylated protein that has a variety of lipid and non-lipid related functions. The present study aimed to evaluate the serum levels of APOE in children with GBS compared to healthy control subjects to evaluate the diagnostic and pathologic effects of APOE in GBS.
    Methods
    In a cross-sectional design, 124 participants were divided into the GBS group (n=61) and the control group (n=63). Blood sampling and measurement of APOE were done according to the manual of the Human APOE ELISA kit. Demographic variables and further data about GBS patients were collected from patients' medical records. Weight and height were measured using SECA scales. The analyses were performed using SPSS Statistics 21.0 software and appropriate analytical tests. P-values of <0.05 were considered statistically significant.
    Results
    Mean ±SD of APOE serum levels was 8.43±3.59 micrograms/ml in the GBS group and 35.28±11.18 micrograms/ml in the comparison group. The difference between the two groups was strongly significant (P<0.001). The mean level of protein in Cerebrospinal Fluid (CSF) in GBS patients was 184.36±19.09 mg/dl. There was not any significant difference in the demographic findings between the two groups.
    Conclusion
    Our study demonstrated that the serum levels of APOE in children with GBS are lower compared to healthy subjects.
    Keywords: Guillain-Barre Syndrome, Apolipoprotein E, Pediatric, auto-immunity}
  • Golnaz Vaseghi, Zahra Malakoutikhah, Zahra Shafiee, Mojgan Gharipour, Laleh Shariati, Ladan Sadeghian, Elham Khosravi, Shaghayegh Haghjooy Javanmard, Ali Pourmoghaddas, Ismail Laher, Sonia Zarfeshani, Nizal Sarrafzadegan
    Background

    Familial hypercholesterolemia (FH) leads to elevated low‑density lipoprotein cholesterol (LDL‑C) levels in plasma. Mutations of its related gene; apolipoprotein B (APOB) is seen in about two percent of the patient with FH. Thyroid disease is usually part of the exclusion criteria for the detection of FH which alters the lipid profile. We evaluated mutations in the APOB gene in patients with high LDL‑C levels.

    Materials and Methods

    Patients aged between 2 and 80 years with at least one LDL‑C level of more than 190 mg/dl were selected (120 patients) from Isfahan Laboratories. Blood samples were obtained from all patients. Genomic DNA was extracted. Primer sequences were designed by Oligo 7.60 to amplify the desired 844 bp region of exon 26 of the APOB gene containing R3500Q and R3500W variants associated with FH.

    Results

    Overall, two patients showed a heterozygous form of a common pathogenic variant in exon 26 named c. 10579 C > T (R3500W, cDNA.10707), and one patient was hypothyroidism. We also recognized another nonpathognomonic variant c. 10913G > A (rs1801701, cDNA.11041) in 13 patients, two of them were hypothyroidism.

    Conclusion

    This study for the first time shows the coexistence of APOB mutation in hypothyroidism, which emphasis screening of patients with hypothyroid for FH detection.

    Keywords: Apolipoprotein B, hypercholesterolemia, hypothyroidism, Iranian}
  • سمیه بهارلو، نادر شاکری*، خسرو ابراهیم، فهیمه رمضانی تهرانی، زهرا علامه
    زمینه و هدف

    محدودیت در رژیم غذایی و فعالیت بدنی به عنوان یک اولویت برای درمان بیماران سندرم تخمودان پلی کیستیک از سوی متخصصین توصیه می شود. هدف از انجام تحقیق حاضر تبیین تاثیر 12 هفته تمرین تاباتا در آب بر مقاومت به انسولین، آپولیپوپروتیین A و آپولیپوپروتیین B در زنان چاق مبتلا به سندرم تخمدان پلی کیستیک بود.

    روش کار

    بدین منظور از بین زنان چاق مبتلا به سندرم تخمدان پلی کیستیک شهر اصفهان 30 نفر داوطلبانه انتخاب و بطور تصادفی به دو گروه 15 نفره (متفورمین+تمرین تاباتا) و گروه (متفورمین) تقسیم شدند. پس از 12 ساعت ناشتایی و 48 ساعت پس از آخرین جلسه تمرین خونگیری انجام شد. در ادامه گروه تجربی برنامه تمرینات تاباتا در آب را به مدت 12 هفته،  3 جلسه در هفته به مدت 40 دقیقه متشکل از دوره های 4 دقیقه ای (20 ثانیه فعالیت و 10 ثانیه استراحت) انجام دادند. جهت تجزیه و تحلیل استنباطی داده ها از آزمون های شپیرو ویلک، تحلیل واریانس دو طرفه و آزمون تعقیبی بن فرونی استفاده شد.

    یافته ها

    نتایج نشان داد تمرین باعث کاهش معنی دار مقاومت به انسولین در گروه تمرین (0001/0P=) شد. اما تمرین بر آپولیپوپروتیین A و آپولیپوپروتیین B در زنان چاق مبتلا به سندرم تخمدان پلی کیستیک تاثیر معنی داری نداشت.

    نتیجه گیری

    با توجه به تاثیر معنی دار تمرینات تاباتا در آب بر مقاومت به انسولین و عدم تاثیر معنی دار بر آپولیپوپروتیین A و آپولیپوپروتیین B، به نظر می رسد درک مزایای تمرینات منظم تاباتا در زنان چاق مبتلا به سندرم تخمدان پلی کیستیک نیاز به مطالعات بیشتری دارد.

    کلید واژگان: تمرین تاباتا در آب, آپولیپوپروتئین A, آپولیپوپروتئین B, سندرم تخمدان پلی کیستیک}
    Somayeh Baharloo, Nader Shakeri*, Khosrov Ebrahim, Fahimeh Ramezani Tehrani, Zahra Allameh
    Background & Aims

    Polycystic ovary syndrome is the most common endocrine disorder of the reproductive system in women. It is associated with some diseases such as insulin resistance, type 2 diabetes, endometrial hyperplasia, increased risk of cardiovascular disease, depression and sometimes mental disorders (2). Insulin resistance is currently a common feature of polycystic ovary syndrome, which puts women at risk for type 2 diabetes, coronary artery disease, high blood pressure and obesity. According to research, 70% of women with this complication have insulin resistance (4). Insulin resistance leads to an increase in insulin levels, which stimulates androgen production in the ovarian stroma and impairs follicular development (5). In addition, research has shown that in people with polycystic ovary syndrome, some cardiovascular risk factors such as apolipoproteins (6) are also affected, which due to the mechanisms of this disease, this change in balance is formed. Research suggests that the most important way to prevent and treat infertility disorders in people with polycystic ovary syndrome is to control their diabetes and weight (16). Although the benefits of aerobic exercise have been proven in many studies, little research has been done on intense intermittent exercise. One type of intense intermittent exercise is the Tabata exercise (5). Numerous clinical studies have reported significant aerobic, metabolic, musculoskeletal, and psychological benefits for water sports programs and intermittent swimming exercises (22). Considering the above and the importance of treating polycystic ovary syndrome on the one hand and the importance of angiogenesis on the other hand, the researcher intends to investigate the effect of Tabata exercise in water and metformin on endostatin and in obese women with polycystic ovary syndrome.

    Methods

    The present research is a quantitative and applied study that was conducted with a two-group design (experimental and control) with pre-test and post-test. The statistical population of the present study consisted of all women with a body mass index of more than 29.9 in Isfahan with polycystic ovary syndrome. 30 people were selected as a sample from the community and provided they met the inclusion criteria, which were randomly assigned to the experimental group of Tabata + metformin exercise control. Subjects then completed a personal information questionnaire and blood samples were taken after 12 hours of night fasting to determine the level of research variables. In the continuation of the experimental group, the training program consisted of 12 weeks, 3 sessions per week and each session lasted 40 minutes of Tabata training in water with a special training song for 20 minutes and 10 minutes of stretching and cooling exercises. The dose of metformin prescribed in the experimental group was 500 mgr twice a day after breakfast and dinner. 48 hours after the last training session, blood samples were taken again from all subjects. Descriptive statistics and Shapiro-Wilk tests, one-way analysis of variance and Tukey's post hoc test were used to analyze the data using SPSS / 21 software at the significance level of 0.05.

    Results

    The results showed that exercise (F = 27.424, P = 0.001, µ = 0.329) and the interaction of exercise and time (F = 5.865, P = 0.019, µ = 0.095) had a significant effect on adiponectin in obese women with polycystic ovary syndrome. But time had no significant effect on adiponectin in obese women with polycystic ovary syndrome (F = 0.001, P = 0.972, µ = 0.001). It was also found that insulin resistance at the end of the period was significantly lower in the exercise group than the control group (P = 0.0001). In relation to apolipoprotein A, exercise (F = 0.099, P = 0.754, µ = 0.002), time (F = 1.645, P = 0.205, µ 0.029) and exercise-time interaction (F = 1.213, P = 0.275) were determined. µ = 0.021) had no significant effect on the amount of apolipoprotein A in obese women with polycystic ovary syndrome. Other findings showed exercise (F = 1.138, P = 0.291, µ = 0.020), time (F = 0.585, P = 0.448, µ = 0.010) and exercise-time interaction (F = 0.713, P = 0.402, µ = 0.013 ) Have no significant effect on the amount of apolipoprotein B in obese women with polycystic ovary syndrome.

    Conclusion

    The results of the present study showed that 12 weeks of Tabata exercise program in water led to a significant reduction in insulin resistance in obese women with polycystic ovary syndrome. This finding of the present study is consistent with the results of research by Harrison et al. (2012) and Esmailzadeh Tolouei et al. (2015) (20-21). Probably the reason for the decrease in insulin resistance in the present study is a decrease in factors such as weight, body mass index and fat percentage in these people after exercise. Regarding apolipoprotein A, it can be said that apolipoprotein A catalyzes low-density lipoprotein in the blood vessel wall of the body, especially the vascular wall of adipose tissue, by activating the enzyme lipoprotein lipase. In sports activities, low-density lipoprotein catabolism develops. Therefore, it is necessary to increase apolipoprotein A, but since the increase in low-density lipoprotein was not significant in this study, the lack of increase in lipopathological catabolism can be considered a reason for not increasing apolipo protein A. On the other hand, it has been suggested that the increase threshold of apolipo protein A is to exercise more than one hour per session and more than twelve weeks (26). However, the training protocol was followed in the study for 12 weeks, which could be one of the reasons why apolipo protein A did not change. Finally, the fact that apolipoprotein B levels do not decrease following Tabata exercises in the present study may be justified by the fact that LDL levels do not decrease. It seems that controlling the diet by consuming less foods with high or high glycemic index and instead consuming foods with low or medium glycemic index can have a positive effect on the amount of apolipoprotein B (29). Therefore, by controlling this nutritional factor, positive changes of apolipoprotein B can be achieved after exercise. However, in the present study, subjects did not follow a specific diet. A period of Tabata training did not cause a significant change in apolipoprotein B levels in obese women with polycystic ovary syndrome.

    Keywords: Water-based Tabata training, Apolipoprotein A, Apolipoprotein B, Polycystic ovary syndrome}
  • Nadia Zandi, Benyamin Pazoki, Nazanin Momeni Roudsari, Naser Aldin Lashgari, Vahid Jamshidi, Saeideh Momtaz, AmirHossein Abdolghaffari*, Shahin Akhondzadeh*

    Alzheimer’s disease (AD) is a progressive neurodegenerative disorder and the most common form of dementia in the old age population, making it a worldwide concern. Unfortunately, few drugs have been presented for treatment of mild and moderate AD. To meet this need, more effective anti-AD agents are emerging. Accumulating evidence supports the beneficial roles of natural-based products in brain function, neurotransmission, neurogenesis, synaptogenesis, and the prevention of amyloid fibrillation and neuronal injury. Several in vitro, preclinical, and clinical studies suggest that saffron (its bioactive compounds) is a potential nutraceutical with antioxidant, radical scavenging, anti-inflammatory, hypolipidemic, hypotensive, neuroendocrine, and neuroprotective effects. It has also been proposed that saffron may delay the onset of AD, prevent its progression or help to attenuate the symptoms of the disease. Therefore, we performed a comprehensive search on this plant and its derivatives for AD treatment. Saffron and its active constituents interfere with AD by improving learning behavior, spatial memory, and cognitive function; protecting against neuronal loss; inhibiting beta-amyloid aggregation and neurotoxicity; preventing senile plaques and neurofibrillary tangle (NFT) formation; suppressing the acetylcholinesterase (AChE) activity; and reducing neuroinflammation. Given conclusive scientific findings, saffron and its derivatives might counter neurodegenerative diseases through multiple pathways. Further clinical trials are expected to confirm the neuroprotective properties of this herb and also to translate such findings to improve patients’ outcomes.

    Keywords: Acetylcholinesterase inhibitors, Amyloid beta, Apolipoprotein E, Neurofibrillary tangles, Saffron, Alzheimer’s disease}
  • Keyvan Hejazi*, Teimour Darzabi
    Purpose

    Several studies have been done on the effects of fasting on human health indicating the beneficial effects of fasting on weight control, lipid metabolism, and lowering blood pressure in healthy people. The present study aimed at investigating the effects of Ramadan fasting on apolipoproteins A and B (Apo A and Apo B) and the atherogenic index of the fasting and non-fasting students.

    Methods

    This quasi-experimental study was conducted on 29 men aged 20-25 years. The samples were divided into the fasting (n=15) and non-fasting (n=14) groups. Serum levels of apolipoproteins A and B, biochemical-hematological factors, and atherogenic index were measured three days before the fasting month and after Ramadan. The inter-group and intra-group comparison was performed using student’s t-test, and one-way Analysis of Variance (ANOVA) was used to assess the differences between the groups. 

    Results

    In the fasting group, a significant reduction was observed in Apo B, triglyceride, total cholesterol, low-density lipoprotein, low-density lipoprotein to high-density, and triglycerides to high-density lipoprotein cholesterol ratio. However, the Apo A (P=0.001) and high-density lipoprotein (P=0.004) significantly increased after the intervention. The Atherogenic index, white blood cells, red blood cells, hemoglobin, hematocrit, and platelet count significantly decreased in the fasting group (P≤0.05).

    Conclusion

    According to the results, fasting during Ramadan could improve the biochemical and hematological factors. Therefore, it is recommended to use some biochemical and hematological indices to compare the effects of fasting to improve in of students these parameters.

    Keywords: Ramadan fasting, Apolipoprotein A, Atherogenic index}
  • Tufan Çınar*, Veysel Ozan Tanık, Kadir Gürkan
    Introduction

    Studies found that the inflammation plays a key role in the pathogenesis of paroxysmal atrial fibrillation (PAF). It is well-known that apolipoprotein-A1 (Apo-A1) demonstrates antiinflammatory and anti-oxidant properties in a healthy physiological system. In the present study, we aimed to determine whether there is any difference of Apo-A1 levels in patients with PAF and healthy subjects.

    Methods

    In this prospective cohort study, we enrolled a total of 35 PAF patients and 34 comparable healthy participants. Apo-A1 levels were measured from each subject using an immunophelometric method. All enrolled subjects were followed-up for one year during the study period.

    Results

    Serum high-sensitivity C-reactive protein (hs-CRP) levels were statistically higher in PAF patients compared to healthy subjects (1.54±1.99 vs. 1.06±2.01, P= 0.016, respectively). Of note, patients with PAF had lower Apo-A1 levels (1.84±0.74 vs. 2.55±0.44, P= 0.001, respectively). There was no statistical difference between the groups in terms of apolipoprotein-B levels (1.08±0.36 vs. 0.99±0.38, P= 0.339, respectively). We did not find any correlation between Apo-A1 levels and PAF attacks in the study.

    Conclusion

    The main finding of this study was that Apo-A1 levels were significantly lower in PAF patients compared to healthy participants. Based on our results, we considered that Apo-A1 may have a key role in the pathogenesis of PAF.

    Keywords: Paroxysmal Atrial Fibrillation, Apolipoprotein-A1, Inflammation}
  • Farzaneh Alirezaei, Abbass Ghanbari, Niaki*, Hamidreza Joshaghani, Mehran Naghizadeh Ghomi
     
    Background and Objectives
    Apolipoprotein M (APOM) is a novel high-density lipoprotein (HDL)-associated protein involved in the production of pre-beta HDL and cholesterol efflux to HDL. The present study examined effect of 12 weeks of aerobic interval training on HDL-associated APOM levels.              
    Methods
    Study population included 20 healthy men aged 20 to 24 years. The subjects were randomly and equally divided into a training group and a control group. Each training session included 10 minutes of warm-up, 35 minutes of aerobic training (5 combined cycles each including four minutes of running at intensity of 85-95% and an active resting period of treadmill running at 65-75% of maximum heart rate for 3 minutes) and 10 minutes of cool-down. Blood samples (10 mL) were taken every four weeks. Two-way ANOVA and Bonferroni's post hoc test were used to compare the groups. A P-value of less than 0.05 was considered statistically significant.             
    Results
    At the end of the 12th week, HDL-associated APOM levels increased in the training group and decreased in the control group. However, these changes were not statistically significant (P>0.05).              
    Conclusion
    This study demonstrated that the 12-week aerobic interval training does not significantly affect HDL-associated APOM levels. However, it is recommended to monitor subjects’ diet throughout the study period to reach a more comprehensive conclusion.       
    Keywords: Aerobic interval training, Apolipoprotein M, Young men}
  • Farida Fazel, Artmis Naghibzadeh, Reza Mohammad Ramezanpour, Reza Bagheri, Azar Hamidi, Amir Rashidlamir*
     
    Background and Objectives
    Coronary heart disease has a direct correlation with plasma levels of Apolipoprotein B (ApoB) and low-density lipoprotein (LDL) and an inverse relationship with high-density lipoprotein (HDL) level. This study aimed at comparing effect of eight weeks of aerobic training with and without green coffee supplementation on serum ApoB level and atherogenic indices of overweight men.              
    Methods
    Thirty overweight men were randomly divided into two groups: training + green coffee supplementation (T+G; n=15) and training + placebo (T+P; n=15). Participants in both groups performed aerobic training, three sessions per week for eight weeks. Initial exercise intensity was set at 50% of maximum heart rate but gradually increased to 75% of maximum heart rate in the last two weeks. In a single-blind design, the subjects in the T+G group received a 400 mg capsule of green coffee bean extract one hour before each exercise session. The T+P group received placebo at the same time. Paired sample t-test and independent t-test were used to compare intra-group and inter-group variations, respectively. All statistical analyses were performed using SPSS (version 22) at significance level of 0.05.              
    Results
    ApoB, LDL/HDL and total cholesterol/HDL decreased significantly in both groups. However, the changes were more notable in the T+G group compared to the T+P group.              
    Conclusion
    The eight-week training program along with green coffee supplementation has positive effects on serum ApoB and atherogenic indices of overweight, inactive men. Therefore, it can be suggested as a non-pharmacological method of preventing cardiovascular disease.         
    Keywords: Aerobic exercise, green coffee, Overweight, Apolipoprotein b}
  • Wei, wei Wang, Xiao, lei Liu, Ye Ruan, Lin Wang, Tianhao Bao*
    Objective(s)
    Previous studies have reached different conclusions regarding an association between apolipoprotein E (APOE) polymorphisms and depression. This meta-analysis was designed to clarify these controversies.
    Materials and Methods
    Literatures were identified reviewing the national and international databases. The eligible articles for meta-analysis were determined by quality assessment and implementation of inclusion/exclusion criteria. This meta-analysis was performed using Review Manager 5.2 software. The odds ratios (ORs) with corresponding 95% confidence interval (CIs) were calculated using a fixed effects model. Funnel plots and Egger’s regression tests were used to assess the publication bias.
    Results
    A total of nine studies that met the inclusion criteria were identified by performing a comprehensive search on the association between APOE polymorphisms and depression. APOE ε4 allele was significantly associated with depression (allele: OR=1.36, 95%CI=1.11-1.66, P=0.003; dominant: OR=1.34, 95%CI=1.06-1.68, P=0.001; recessive: OR= 1.11, 95%CI =0.45-2.76, P=0.82). HAMD scores were higher in depression patients with-APOE ε4 genotype than who without-APOE ε4 genotype (OR=0.96, 95%CI=0.16-1.76, P=0.02).
    Conclusion
    APOE ε4 allele increased the depression risk; depressive patients carrying APOE ε4 allele had more severe depressive symptoms.
    Keywords: Apolipoprotein E, Depression, Meta-analysis, Polymorphism, ?4 allele}
  • Rostam Yazdani, Hamid Marefati, Armita Shahesmaeili, Samira Nakhaei, Alireza Bagheri, Maryam Dastoorpoor
    Background
    Cardiovascular disease is one of the most common disorders associated with chronic obstructive pulmonary disease (COPD). There are few studies on the effects of physical exercises, especially aerobic exercises, on serum levels of apolipoprotein A1 and apolipoprotein B in patients with COPD. The current study aimed at determining the effect of aerobic exercises on serum levels of apolipoprotein A1 and B and apo-A1/apo-B ratio.
    Materials and Methods
    In the current randomized, controlled, clinical trial, with a pretest posttest control group design, 22 males with COPD were randomly assigned to the aerobic exercise and control groups. The aerobic exercise program was performed within two months based on three 30-40-minute sessions per week. Serum levels were measured and evaluated before and after aerobic exercises. Data were analyzed using the paired samples t test.
    Results
    In the aerobic exercise group, the mean of Apo A1 and Apo B after the intervention (169.36±5.42 and 93.63±5.24 mg/dL, respectively) was significantly higher than that of before the intervention (146±6.09 and 83.27±4.44 mg/dL, respectively) (P-value=0.001). However, apoA1/Apo B ratio did not significantly change after the intervention compared with that of before the intervention (1.85±0.10 vs. 1.80±0.13) (P >0.05). There was no significant change in the mean Apo A1 and Apo B levels and Apo A1/Apo B ratio after the intervention in the control group.
    Conclusion
    Regular aerobic physical exercises are effective in increasing the serum level of Apo A1 in patients with COPD. Due to the proven protective role of Apo A1 in patients with COPD, this biomarker can improve respiratory efficacy in such patients
    Keywords: Aerobic Exercises, Apolipoprotein A1, Apolipoprotein B, Chronic Obstructive}
  • مهرآسا محمدصادقی، نیاز محمدزاده هنرور، مصطفی قربانی، آناهیتا منصوری، فریبا کوهدانی*
    زمینه و هدف

    اختلال لیپوپروتئین ها به عنوان یک جزء جدایی ناپذیر دیابت نوع 2 است. بنابراین تشخیص و درمان زودهنگام اختلال لیپید می تواند در پیشگیری و درمان برخی عوارض دیابت نوع 2 موثر باشد. این مطالعه با هدف تعیین اثر مصرف مکمل دوکوزاهگزانوئیک اسید (DHA) بر سطوح سرمی آپولیپوپروتئین (ApoA1) A1 و آپولیپوپروتئینA2 (ApoA2) ، آپولیپوپروتئین B48 (ApoB48) و آپولیپوپروتئین C3 (ApoC3) در بیماران دیابتی نوع 2 طراحی شد.

    روش کار

    در این کارآزمایی بالینی دو سو کور کنترل شده با دارونما، 22 نفر به طور تصادفی در گروه دریافت کننده DHA به مقدار 4/2 گرم و 22 نفر در گروه دریافت کننده پارافین به عنوان دارونما به مدت 8 هفته قرار گرفتند. غلظت سرمی آپولیپوپروتئین ها در بیماران دیابتی نوع 2 اندازه گیری شد.

    نتایج

    پس از مکمل یاری با DHA، میانگین سطوح سرمی ApoA1 افراد دریافت کننده مکمل، افزایش معنی داری داشت (014/0p=) ، همچنین میانگین سطوح ApoC3 در بین دو گروه کاهش آماری معنی داری داشت (031/0p=) اما میانگین تغییرات غلظت سرمی ApoA1، ApoA2، ApoB48 وApoC3 بین دو گروه تفاوت آماری معنی داری نداشت.

    نتیجه گیری

    مصرف DHA در بیماران دیابتی نوع 2، تاثیر معنی داری بر سطوح آپولیپوپروتئین ها ندارد.

    کلید واژگان: دوکوزاهگزانوئیک اسید, آپولیپوپروتئین A1, آپولیپوپروتئین A2, آپولیپوپروتئین B48, آپولیپوپروتئین C3, دیابت نوع}
    Mehrasa Mohammadsadeghi, Niaz Mohammadzadeh Honarvar, Mostafa Qorbani, Anahita Mansouri, Fariba Kouhdani *
    Background and Aim

    Lipoprotein disorders are an integral component of type-2 diabetes mellitus (T2DM). Therefore, early diagnosis and treatment of lipid disorders can be beneficial in prevention and treatment of many complications associated with T2DM.The aim of this study wasto determine the effect of docosahexaenoic acid (DHA) supplementation on the serum levels of apolipoproteins (Apos) A1, A2, B48 and C3 in patients withT2DM.

    Materials and Methods

    In this 8-week randomized, double-blind, placebo-controlled clinical trial, 44 T2DMpatients were randomly assigned to either an experimental group (n=22, receiving daily 2.4 g DHA) or a placebo group (n = 22, receiving paraffin). The serum levels of AposA1, A2, B48 and C3 were measured in all the patients at the beginning and at the end of the period.

    Results

    There was a statistically significant increase in the mean serum level of ApoA1 in the DHA group (p = 0.014). In addition, a significant difference was observed in the serum level of ApoC3 after intervention between the DHA and placebo group (p=0.031). There were no significant differences between the two groups as regards the mean changes in serum levels of ApoA1, ApoA2, ApoB48 and ApoC3.

    Conclusions

    Dietary supplementation with docosahexaenoic acidhasno effects on the serum levels of apolipoproteins in patients with type-2 diabetes

    Keywords: Docosahexaenoic Acid, Apolipoprotein A1, Apolipoprotein A2, Apolipoprotein B48, Apolipoprotein C3, Type-2 Diabetes}
  • محسن جعفری *، امیر رشیدلمیر، مصطفی داستانی، مهرداد فتحی، سید عماد علوی نیا
    سابقه و هدف
    نوتوانی قلبی شاخه ای از طب نوتوانی است که با هدف بهبود عملکرد جسمانی در بیماران مبتلا به آتروسکلروز پس از عمل جراحی انجام می شود. هدف از انجام این تحقیق، بررسی تاثیر یک دوره نوتوانی قلبی بر سطوح سرمی ApoA1 و ApoB در مردان میانسال مبتلا به سکته قلبی بود.
    روش بررسی
    آزمودنی ها از بین مردان میانسالی (50 تا 60 ساله) انتخاب شدند که تحت عمل جراحی CABG قرار گرفته بودند و به دو گروه 10نفره کنترل و تجربی تقسیم شدند. در گروه تجربی، تمرینات هوازی (تردمیل، دوچرخه کارسنج و کارسنج دستی) به مدت هشت هفته (سه جلسه در هفته) با شدت 11 تا 13 براساس مقیاس بورگ تحت کنترل پزشک انجام شدند. قبل و بعد از تمرینات سطوح سرمی ApoA1 و ApoB با روش الایزا اندازه گیری شد.
    یافته ها
    تحلیل یافته ها با استفاده از آزمون تی وابسته نشان داد که در گروه کنترل هیچ تغییر معنی داری در وزن و BMI و نیز سطوح ApoA1 و ApoB و نسبت ApoB به ApoA1 رخ نداد (05/0P). براساس نتایج آزمون تی مستقل، تفاوت تغییرات وزن، BMI و ApoA1 بین دو گروه معنی دار بود (05/0>P).
    نتیجه گیری
    هشت هفته نوتوانی قلبی، از طریق افزایش ApoA1 و کاهش ApoB، می تواند در پیشگیری از خطر سکته مجدد قلبی در مردان میانسال پس از CABG موثر باشد.
    کلید واژگان: نوتوانی, آپولیپوپروتئین A1, آپولیپوپروتئین B, بایپس عروق کرونری}
    Mohsen Jafari *, Amir Rashidlamir, Mostafa Dastani, Mehrdad Fathi, Seyed Emad Alavinya
    Background
    Cardiac rehabilitation is a branch of rehabilitation medicine dealing with optimizing physical function in patients with atherosclerosis after coronary artery bypass graft (CABG). The aim of this study was to investigate the effects of a period of cardiac rehabilitation on serum levels of apo-A1 and apo-B in middle aged men with myocardial infarction after CABG.
    Materials And Methods
    Subjects were selected among middle aged men (50 to 60 years old) with CABG and assigned into two groups of control (n=10) and experimental (n=10). In experimental group, aerobic exercises (treadmill, cycle and hand ergometer) with the intensity of 11 to 13 on the (basis of burg scale) were performed during eight weeks under control of physician. Before and after the trainings, serum levels of ApoA1 and ApoB were measured by ELISA method.
    Results
    Analysis of data using paired samples T test showed no changes in weight, BMI, levels of apo-A1 and apo-B and apo-B to apo-A1 ratio in control group (P>0.05), but in experimental group weight, BMI, apo-B and apo-B to apo-A1 ratio significantly decreased and apo-A1 increased (P
    Conclusion
    Eight weeks cardiac rehabilitation, through reduction of apo-A1 and apo-B, can be effective in prevention of recurrent myocardial infarction and morbidity and mortality in middle aged men after CABG.
    Keywords: Rehabilitation, Apolipoprotein A1, Apolipoprotein B, Coronary artery bypass}
  • Abbas Pakdel, MohammadReza Akbari Eidgahi, Ahmad R. Bandegi *
    Background

     One of the most important metabolic disorders is hyperlipidemia. ApoAI protein plays an important role in lipoprotein metabolism. In this study, the association between MspI polymorphisms in the promoter (G-75A) and first intron (C83T) of the apoAI gene and hyperlipidemia was investigated in Semnan, Iran.

    Methods

     A total of 151 unrelated subjects were divided into two groups: the hyperlipidemic (N = 75) and control (N = 76) groups. Genotyping was carried out by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP).

    Results

     In the hyperlipidemic group, the frequency of the (+−) variant of the MspI (C83T) locus was higher than that in the control group (P < 0.05). Significant differences were found in serum HDL-C and apoAI levels between different genotypes of MspI (C83T) (P < 0.001 and P = 0.02, respectively). In the hyperlipidemic group, the odds ratios for the (+−) and (−−) genotypes of the MspI (C83T) locus in comparison to that for the (++) genotype were 0.26 (P= 0.023) and 3.62 (P = 0.254), respectively. The allelic frequency at the (G-75A) locus was not significantly different in the hyperlipidemic and control groups (P = 0.36). The serum levels of lipid and lipoprotein were not significantly different for all genotypes of MspI (G-75A). The AA/++ and GG/−− haplotypes had the lowest and highest apoB/apoAI ratios, respectively (0.73 ± 0.03 vs. 1.9).

    Conclusions

     The presence of (+) and A alleles in the apoAI (C83T) and (G-75A) haplotypes in the Semnan population may be protective against cardiovascular disease.

    Keywords: Apolipoproteins B, Restriction Fragment Length Polymorphism, Apolipoprotein AI, Hyperlipidemi}
  • زیبا شوریده، ناهید بیژه *، ناهید خوشرفتار یزدی
    مقدمه
    دوران یائسگی به دلیل کاهش سطوح استروژن با افزایش درصد چربی و به ویژه چربی احشایی همراه است و این امر با خطر ابتلاء به بیماری های قلبی - عروقی ارتباط مستقیم دارد؛ لذا مطالعه حاضر با هدف بررسی تاثیر 8 هفته تمرین هوازی در آب بر نیمرخ لیپیدی، گلوکز، مقاومت به انسولین و آپولیپوپروتئین A و B در زنان یائسه انجام شد.
    روش کار
    این مطالعه کارآزمایی بالینی تصادفی شده در سال 1393 بر روی 26 زن یائسه در دانشگاه فردوسی مشهد انجام شد. آزمودنی ها به طور تصادفی در دو گروه کنترل و تمرین قرار گرفتند. گروه تجربی به مدت 8 هفته در تمرینات ورزشی هوازی در ‏آب شرکت کردند. از روش سه نقطه ای و دستگاه سنجش ترکیب بدن و معادله هما به ترتیب، جهت تعیین درصد چربی، شاخص توده بدنی و مقاومت به انسولین استفاده شد؛ همچنین از کیت های مربوطه جهت ارزیابی مقادیر کلسترول، لیپوپروتئین کم چگال و پرچگال، تری گلیسرید، آپولیپوپروتئین A و B استفاده شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 16) و آزمون های کولموگروف اسمیرنوف، تی وابسته و تی مستقل انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
    یافته ها
    تمرین هوازی منظم در آب، باعث کاهش معنی دار سطوح آپولیپوپروتئین A (001/0=p)، آپولیپوپروتئین B (019/0=p)، LDL (06/0=p)، کلسترول تام (03/0=p)، گلوکز (038/0=p) و مقاومت به انسولین (003/0=p) و افزایش معنی دار HDL (015/0=p) گردید؛ همچنین در این گروه TG (72/0=p) نیز کاهش یافت که از نظر آماری معنی دار نبود. در گروه کنترل نیز سطوح آپولیپوپروتئین A (029/0=p) و B (026/0=p) به طور معنی داری کاهش یافت؛ افزایش معنی دار سطوح TG (027/0=p) و افزایش غیر معنی دار کلسترول تام (30/0=p) و گلوکز (80/0=p) در گروه کنترل مشاهده شد. مقاومت به انسولین (61/0=p) در این گروه کاهش یافت که معنی دار نبود.
    نتیجه گیری
    هشت هفته تمرین هوازی در آب، منجر به بهبود برخی عوامل خطرساز قلبی - عروقی در زنان یائسه دارای اضافه وزن می شود و این گونه تمرینات جهت پیشگیری از ابتلاء به بیماری تصلب شرایین و بیماری های قلبی عروقی توصیه می گردد.
    کلید واژگان: آپولیپوپروتئین B و A, تمرین هوازی در آب, زنان یائسه, گلوکز, مقاومت به انسولین, نیمرخ چربی}
    Ziba Shoorideh, Nahid Bijeh *, Nahid Khoshraftar Yazdi
    Introduction
    Menopausedue to low estrogen levels is associated with an increased fat percentage and particularly visceral fat and it is directly related to the risk of coronary heart diseases; So, the aim of this study was to investigate the effect of eight weeks of aquatic aerobic training on lipid profile, Glucose, Insulin resistance and Apoprotein A and B in overweight postmenopausal women.
    Materials And Methods
    This randomized clinical trial was performed on 26 postmenopausal women at Ferdowsi University of Mashhad in 2014. The subjects were randomly divided into two groups of Control and Exercise. The experimental group participated in Aquatic aerobic training for eight weeks. The three-point method and body composition device, as well as the Homa equation were used to determine the fat percentage, body mass index and insulin resistance, respectively. The related kits were also utilized for evaluation of cholesterol, low and high density lipoprotein, triglycerides, apolipoprotein A and B values. Analyze of data was done by SPSS software (version 16) and Kolmogorov-Smirnov test, dependent t-test and independent t-test. The value of p was considered significant as less than 0.05.
    Results
    Regular aquatic aerobic training caused a significant decrease in levels of apolipoprotein A (p=0.001) and apolipoprotein B (p=0.019), LDL (p=0.06), total cholesterol (p=0.03), glucose (p=0.038) and insulin resistance (p=0.003) and a significant increase in HDL (p=0.015); in this group, TG also decreased which was not significant (p=0.72). In Control group, levels of apolipoprotein A (p=0.029) and B (p=0.026), declined significantly; in this group, it was observed an significant increase in TG levels (p=0.027) and insignificant increase in total cholesterol (p=0.30) and glucose (p=0.80); insulin resistance decreased which was not significant (p=0.61).
    Conclusion
    The results indicate that eight weeks of aquatic aerobic training caused an improvement in some cardiovascular risk factors in overweight postmenopausal women and this kind of training is recommended to prevent the risk of atherosclerosis and cardiovascular diseases.
    Keywords: Aquatic aerobic training, Lipid profile, Glucose, Insulin resistance, Apolipoprotein A, B, Postmenopausal women}
  • لیلا حمیدی، سعید خاتم ساز *، محمد جواد مختاری، محمد علی بابایی بیگی
    زمینه و هدف
    بیماری سرخرگ های کرونر(CAD) یک بیماری چند عاملی است که سال ها بدون علامت باقی می ماند. زمینه ژنتیکی و عوامل محیطی در ابتلا به CAD سرنوشت ساز هستند. در طول چند سال گذشته، نقش تعدادی ازآپولیپوپروتئین ها و پلی مورفیسم های آن ها در بروز این بیماری مشخص شده است. هدف از این مطالعه، بررسی ارتباط پلی مورفیسم های ژن آپولیپوپروتئین A1با بیماری های دیابت، فشار خون بالا و استعمال سیگار در مبتلایان به CAD در استان فارس می باشد.
    مواد و روش ها
    این مطالعه به بررسی پلی مورفیسم های ناحیه پروموتر تا اینترون 2ژن APOA1 در 75 مورد مبتلا به CAD و 75 مورد شاهد می پردازد. روش مورد استفاده برای تعیین این پلی مورفیسم هاsequencing-PCR بود. این مطالعه مورد- شاهدی به وسیله نسبت شانس OR)) با فاصله اطمینان 95/0 برای آشکار ساختن ارتباط این پلی مورفیسم ها با ابتلا به فشار خون بالا، دیابت و استعمال سیگار در مبتلایان بهCAD صورت گرفت.
    یافته ها
    تعداد چهار پلی مورفیسم در ناحیه مورد نظر شناسایی شد که ژنوتیپ هایAA در 12718466 GA، rs در 670rs ،TC در 5070rs وCC در 5069 rs دارای بیشترین فراوانی در تمام گروه های بیمار و شاهد بودند. 12718466 rs در مبتلایان به دیابت ارتباط معنی داری را با گروه شاهد نشان داد 033/p=0
    نتیجه گیری
    با توجه به این مطالعه، مشخص شد که بیماری ها ی دیابت، فشار خون بالاو نیز استعمال سیگار از طریق این ژن تاثیری در شروع و تشدید CAD ندارند.
    کلید واژگان: بیماری سرخرگ های کرونر, آپولیپوپروتئین A1, دیابت, فشار خون بالا, سیگار}
    Leila Hamidi, Saeed Khatamsaz *, Mohammad Javad Mokhtari, Mohammad Ali Babaei Beigi
    Background
    Coronary artery disease (CAD) is a multifactorial disorder, which remains asymptomatic for many years. Genetic and environmental factors are involved to this disease. In the past years , the role of apolipoproteins and their polymorphisms has been identified in the diseases.The aim of this study was to evaluate the correlation between gene polymorphisms of apolipoprotein A1 with diabetes, hypertension and cigarette smoking in CAD sufferers in Fars province.
    Materials And Methods
    This study evaluates the promoterregion polymorphisms up to intron 2 of APOA1 genes in 75 CAD cases and 75 controls. The method used to determine these polymorphisms was PCR sequencing. This case-control study was performed by odds ratio (OR, with a confidence interval of 0.95) to reveal the association of these polymorphisms with hypertension, diabetes and smoking in CAD patients.
    Results
    Four polymorphisms were identified in this area. The genotypes of AA in 12718466, GA in rs 670, TC in rs5070 and CC in rs 5069 had the highest frequency in all patient groups and controls. There was a significant association in Rs12718466 between control group with diabetic group (p=0.033).
    Conclusion
    The results of this study indicated that diabetes, hypertension and cigarette smoking had no effects in initiation and aggravation of CAD.
    Keywords: Apolipoprotein A1, Coronary artery disease, Diabetes, Hypertension, Smoking}
  • Samaneh Salehi, Modjtaba Emadi Baygi, Majdaddin Rezaei, Roya Kelishadi, Parvaneh Nikpour
    Background

    Metabolic syndrome (MetS) is a common disorder which is a constellation of clinical features including abdominal obesity, increased level of serum triglycerides (TGs) and decrease of serum high‑density lipoprotein‑cholesterol (HDL‑C), elevated blood pressure, and glucose intolerance. The apolipoprotein A5 (APOA5) is involved in lipid metabolism, influencing the level of plasma TG and HDL‑C. In the present study, we aimed to investigate the associations between four INDEL variants of APOA5 gene and the MetS risk.

    Materials and Methods

    In this case–control study, we genotyped 116 Iranian children and adolescents with/without MetS by using Sanger sequencing method for these INDELs. Then, we explored the association of INDELs with MetS risk and their clinical components by logistic regression and one‑way analysis of variance analyses.

    Results

    We identified a novel insertion polymorphism, c. *282–283 insAG/c. *282–283 insG variant, which appears among case and control groups. rs72525532 showed a significant difference for TG levels between various genotype groups. In addition, there were significant associations between newly identified single‑nucleotide polymorphism (SNP) and rs72525532 with MetS risk.

    Conclusions

    These results show that rs72525532 and the newly identified SNP may influence the susceptibility of the individuals to MetS.

    Keywords: Apolipoprotein A5, INDELs, metabolic syndrome}
  • Mohammad, Sadegh Fallah, Bahareh Sedaghatikhayat, Kamran Guity, Fereshteh Akbari, Fereidoun Azizi, *Maryam S. Daneshpour
    Introduction
    Metabolic syndrome (MetS) is a multi-factorial disorder with five important components. A high triglyceride level combined with low HDL cholesterol has been reported to be associated with Apolipoprotein A5 (APOA5) gene variations. In this study, we aimed to determine the association of single nucleotide polymorphisms including: rs662799, rs3135506 and rs2075291 in the apolipoprotein A-V (APOA5) gene in relation to MetS component like triglyceride and HDL-C level in Tehran Lipid and Glucose Study (TLGS).
    Materials And Methods
    Metabolic syndrome was defined according to ATPIII and phenotypes were defined by the National Cholesterol Education Program (NCEP) criteria for MetS. Demographic, biochemical parameters and anthropometric variables were measured. Selected APOA5 gene polymorphisms were genotyped using PCR-RFLP method.
    Results
    From TLGS population, 947 adults, aged 19 – 70 years, were randomly selected and recruited into the study. Mean age, triglyceride and WC were higher and mean HDL was lower in MetS vs. non-MetS group. C allele in rs2075291 showed a significant association with MetS (OR: 2.38, 95% CI; 1.11 – 5.08, P = 1.5 ×10-2). The association was shown between higher serum triglyceride and the presence of T allele (P = 4.5 × 10-4) and also lower serum HDL-C and the presence of T allele (P = 1.6 × 10-3) in rs2075291. Also this association showed between raised waist circumference and C allele in rs3135506 (P = 3.5 × 10-2) and raised systolic and diastolic blood pressure level and C allele of rs662799 (P = 4.5 10-2).
    Conclusion
    According to the results, there is a relationship between lipid profile and studied polymorphism in the presence of metabolic syndrome. It seems that APOA5 rs2075291 could play an important role in triglyceride and HDL-C level in metabolic syndrome affected, while the association of APOA5 rs662799 polymorphism is still under debate.
    Keywords: Apolipoprotein V, metabolic syndrome, SNP, Tehran}
  • Fatemeh Bandarian, Maryam Sadat Daneshpour, Mehdi Hedayati, Mohsen Naseri, Fereidoun Azizi *
    Background
    Apolipoprotein A2 (APOA2) is the second major apolipoprotein of the high-density lipoprotein cholesterol (HDL-C). The study aim was to identify APOA2 gene variation in individuals within two extreme tails of HDL-C levels and its relationship with HDL-C level.
    Methods
    This cross-sectional survey was conducted on participants from Tehran Glucose and Lipid Study (TLGS) at Research Institute for Endocrine Sciences, Tehran, Iran from April 2012 to February 2013. In total, 79 individuals with extreme low HDL-C levels (&le5th percentile for age and gender) and 63 individuals with extreme high HDL-C levels (&ge95th percentile for age and gender) were selected. Variants were identified using DNA amplification and direct sequencing.
    Results
    Screen of all exons and the core promoter region of APOA2 gene identified nine single nucleotide substitutions and one microsatellite five of which were known and four were new variants. Of these nine variants, two were common tag single nucleotide polymorphisms (SNPs) and seven were rare SNPs. Both exonic substitutions were missense mutations and caused an amino acid change. There was a significant association between the new missense mutation (variant Chr.1:16119226, Ala98Pro) and HDL-C level.
    Conclusion
    None of two common tag SNPs of rs6413453 and rs5082 contributes to the HDL-C trait in Iranian population, but a new missense mutation in APOA2 in our population has a significant association with HDL-C.
    Keywords: Apolipoprotein A, II, Hyperlipidemia, Polymorphism, Mutation, Genes}
  • Fatemehsadat Amjadi, Mehdi Mehdizadeh, Shaghayegh Haghjoo Javanmard, Bita Seifi, Mahnaz Ashrafi, Reza Aflatoonian
    Background
    Women with polycystic ovary syndrome have lower pregnancy rates, possibly due to the decreased uterine receptivity.Successful implantation depends on protein networks that are essential for cross-talk between the embryo and endometrium.Apolipoprotein A1 has been proposed as a putative anti-implantation factor. In this study, we evaluated apolipoprotein A1 expression in human endometrial tissues.
    Materials And Methods
    Endometrial apolipoprotein A1 messenger RNA (mRNA) and protein expression were investigated using quantitative real-time polymerase chain reaction (PCR) and Western blot. The distribution of apolipoprotein A1 was also detected by immunostaining. Samples were obtained from 10 patients with polycystic ovary syndrome and 15 healthy fertile women in the proliferative (on day 2 or day 3 before ovulation, n = 7) and secretory (on days 3-5 after ovulation,n = 8) phases.
    Results
    Endometrial apolipoprotein A1 expression was upregulated in patients with polycystic ovary syndrome compared to normal subjects. However, apolipoprotein A1 expression in the proliferative phase was signifi cantly higher than in the luteal phase (P value < 0.05).
    Conclusion
    It seems that diff erentially expressed apolipoprotein A1 negatively aff ects endometrial receptivity in patients with polycystic ovary syndrome. The results showed that apolipoprotein A1 level signifi cantly changes in the human endometrium during the menstrual cycle with minimum expression in the secretory phase, coincident with the receptive phase (window of implantation). Further studies are required to clarify the clinical application of this protein.
    Keywords: Apolipoprotein A1, endometrium, polycystic ovary syndrome, proliferative phase, secretory phase}
  • الهام شریفی ذهابی، محمدحسن انتظاری *، محمدرضا مراثی، مجید یاران
    زمینه
    برخی مطالعات نشان می دهد که مصرف محصولات برپایه سویا ممکن است اثرات مطلوبی بر شاخص های تن سنجی و فشارخون داشته باشد. احتمال دارد این اثرات با حضور پلی مرفیسم خاص در ژن ApoE مرتبط باشد. هدف مطالعه حاضر بررسی اثر مصرف نان غنی شده با آرد سویا بر شاخص های تن سنجی و فشارخون و ارتباط آن با ژنوتیپ های ApoE در زنان مبتلا به اضافه وزن و چاقی است.
    روش ها
    در این کارآزمایی بالینی متقاطع، 30 زن مبتلا به اضافه وزن و چاقی پس از دریافت یک رژیم کاهش وزن خفیف به طور تصادفی به دو گروه رژیم معمولی و نان سویا تقسیم شدند. هر دو گروه به مدت 6 هفته رژیم مورد نظر را دریافت کردند. بین دو دوره 20 روز wash-out (پاکسازی) قرار داشت. از افراد در گروه نان سویا خواسته شد که هر روز مقدار 120 گرم ازنان غنی شده با آرد سویا را به جای همین مقدار نان معمول مصرفی نمایند.
    یافته ها
    مصرف نان سویا اثر معناداری بر شاخص های آنتروپومتریک و فشارخون سیستولیک در مقایسه با رژیم معمولی نداشت (0/05
    نتیجه گیری
    مصرف نان سویا ممکن است اثرات مطلوبی بر فشارخون در زنان چاق و دچار اضافه وزن با آلل ε2 داشته باشد.
    کلید واژگان: لوبیای سویا, چاقی, تن سنجی, فشارخون, آپولیپوپروتئین E}
    Elham Sharifi Zahabi, Mohammad Hasan Entezari, Mohammad Hasan Entezari, Mohammad Reza Maracy, Mohammad Reza Maracy, Majid Yaran, Majid Yaran
    Background
    Recent publications indicate that consumption of soy products may have favorable effects on body composition and blood pressure. These effects might be associated with presence of specific polymorphism in Apo E gene. This study was conducted to examine the effects of consumption of soy flour enriched bread on anthropometric indices and blood pressure and its association with ApoE genotype in overweight and obese women.
    Methods
    In this randomized cross-over clinical، 30 overweight and obese women were randomly assigned to regular diet and soy bread diet groups and received a mild weight loss diet for 6 weeks and a washout period for 20-d. Subjects in the soy bread diet were asked to consume 120 gr of enriched soy bread instead of the same amount of their usual bread intake.
    Results
    No significant effects of soy bread on systolic blood pressure (SBP) and anthropometric indices were observed compared to the regular diet (P> 0. 05). For diastolic blood pressure (DBP)، comparison of mean differences of variables between two groups showed a marginally significant effect of soy bread (P=0. 06). Compared to the regular diet، soy bread had a significant effect on DBP in the group with ApoE2 allele (P=0. 028).
    Conclusion
    Soy bread consumption might have favorable effects on the blood pressure of overweight and obese women with E2 allele.
    Keywords: Soy bean, obesity, anthropometry, blood pressure, apolipoprotein E}
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