RESUMO
BACKGROUND: Elevated levels of reactive oxygen species may contribute to the gradual decline in muscle strength over time. Although caffeine and its metabolites have antioxidant properties that can mitigate oxidative stress, the association of caffeine and its metabolites with muscle strength remains unknown. AIM: To investigate whether caffeine metabolites in urine are associated with muscle strength in young and older adults. METHODS: A cross-sectional study was conducted with 1145 individuals aged over 20 years (n = 801 < 60 years and n = 344 ≥ 60 years) from the National Health and Nutrition Examination Survey (NHANES) 2011-2012. Muscle strength was assessed using a handgrip dynamometer, and combined grip strength was determined by summing the highest value from each hand. Caffeine and its metabolites in urine were quantified using ultra-high-performance liquid chromatography-electrospray ionization-tandem mass spectrometry (1-methyluric acid, 3-methyluric acid, 7-methyluric acid, 1,3-dimethyluric acid, 1,7-dimethyluric acid, 3,7-dimethyluric acid, 1,3,7-trimethyluric acid, 1-methylxanthine, 3-methylxanthine, 7-methylxanthine, 1,3-dimethylxanthine, 1,7-dimethylxanthine, 3,7-dimethylxanthine, 1,3,7-trimethylxanthine, 5-acetylamino-6-amino-3-methyluracil). Linear regression analyses were performed to determine the association of caffeine and its metabolites with muscle strength in young and older adults, adjusting for confounders. RESULTS: Positive associations between muscle strength and levels of 7-methyluric acid (ß = 0.029; p = 0.021), 1,3-dimethyluric acid (ß = 0.008; p = 0.004), 3,7-dimethyluric acid (ß = 0.645; p = 0.012), 3-methylxanthine (ß = 0.020; p = 0.002), 7-methylxanthine (ß = 0.020; p = 0.006), 1,3-dimethylxanthine (theophylline) (ß = 0.030; p = 0.004) and 3,7-dimethylxanthine (theobromine) (ß = 0.035; p = 0.029) were observed in older adults. In contrast, no such associations were noted in young adults. CONCLUSION: Our study indicates a positive association between certain caffeine metabolites in urine and muscle strength in older adults, but not in younger individuals. These findings indicate that specific caffeine metabolites may contribute to an antioxidant role especially in older adults.
Assuntos
Cafeína , Força da Mão , Inquéritos Nutricionais , Humanos , Cafeína/urina , Estudos Transversais , Masculino , Feminino , Pessoa de Meia-Idade , Adulto , Força da Mão/fisiologia , Idoso , Adulto Jovem , Força Muscular/fisiologia , Ácido Úrico/urinaRESUMO
Background: The reptile class could be considered one of the biggest vertebrate groups and are divided in orders andsuborders according to their characteristics. These animals maintenance in captivity, either at home, captive bred or atzoos, can generate risk to their health, if the required cares are not given for each respective species. The lack of individualcares could lead to bone and muscular diseases and to traumatic lesions in soft tissues, mainly in the coelomic cavity. Thereport that is being presented aims to describe the case of a green iguana (Iguana iguana) that presented an increase ofvolume in the coelomic cavity. The animal belongs to the squad of the Zoo Dr. Fábio de Sá Barreto.Case: A green iguana arrived at the Zoo in February 2019 coming from another establishment, with already an increaseof volume in the coelomic cavity. The animal was put in quarantine and later on, it was put in display at a terrarium in theZoo considered adequate to reptiles, with another seven green iguanas along with an argentine tegu (Salvator rufescens).Their feed was offered in the morning and was composed of fruits, vegetables and flowers like hibiscus. In the end of June2019, it was reported by the attendant that the animal was presented with anorexia and prostration, and these symptomsprogressed to neurologic signs, as it walked in circles. So, the animal was evaluated by the Zoo veterinarians and on examthey noticed lethargy, dehydration, absence of reflexes (pupillary, eyelid and painful), locomotion difficulty and when theiguana moves, it walks in circles. The increase in volume had the same size as reported in February and a soft consistency.After that, the animal was interned and treated according to the symptoms and the clinical evolution. Ten days after thehospitalization, the animal was still not eating, and locomotion stopped completely. It was performed in an...(AU)
Assuntos
Animais , Feminino , Iguanas/lesões , Bexiga Urinária , Músculos/lesões , Amônia/urina , Ácido Úrico/urina , Intoxicação/veterináriaRESUMO
Background: The reptile class could be considered one of the biggest vertebrate groups and are divided in orders andsuborders according to their characteristics. These animals maintenance in captivity, either at home, captive bred or atzoos, can generate risk to their health, if the required cares are not given for each respective species. The lack of individualcares could lead to bone and muscular diseases and to traumatic lesions in soft tissues, mainly in the coelomic cavity. Thereport that is being presented aims to describe the case of a green iguana (Iguana iguana) that presented an increase ofvolume in the coelomic cavity. The animal belongs to the squad of the Zoo Dr. Fábio de Sá Barreto.Case: A green iguana arrived at the Zoo in February 2019 coming from another establishment, with already an increaseof volume in the coelomic cavity. The animal was put in quarantine and later on, it was put in display at a terrarium in theZoo considered adequate to reptiles, with another seven green iguanas along with an argentine tegu (Salvator rufescens).Their feed was offered in the morning and was composed of fruits, vegetables and flowers like hibiscus. In the end of June2019, it was reported by the attendant that the animal was presented with anorexia and prostration, and these symptomsprogressed to neurologic signs, as it walked in circles. So, the animal was evaluated by the Zoo veterinarians and on examthey noticed lethargy, dehydration, absence of reflexes (pupillary, eyelid and painful), locomotion difficulty and when theiguana moves, it walks in circles. The increase in volume had the same size as reported in February and a soft consistency.After that, the animal was interned and treated according to the symptoms and the clinical evolution. Ten days after thehospitalization, the animal was still not eating, and locomotion stopped completely. It was performed in an...
Assuntos
Feminino , Animais , Bexiga Urinária , Iguanas/lesões , Músculos/lesões , Amônia/urina , Intoxicação/veterinária , Ácido Úrico/urinaRESUMO
OBJECTIVE: Our aim was to examine prospectively predictors of subclinical renal alterations among adults without chronic kidney disease. MATERIALS AND METHODS: We analyzed data from a cohort of Mexican adults (n=757). Kidney function (2010) was assessed with the estimated glomerular filtration rate (eGFR-Cr), serum creatinine and uric acid. Predictors of each kidney function marker (2004) were identified with linear and logistic regression models. RESULTS: 33% had an eGFR-Cr 40 years old and users of antihypertensive medication; and higher among those with a high protein intake. Serum creatinine predictors were similar to those observed for eGFR-Cr. Uric acid decreased in men, among those with obesity, hypertension and high cholesterol. CONCLUSIONS: Conventional kidney function biomarkers are useful to identify subclinical alterations. Some predictors of kidney function are potentially modifiable, therefore susceptible for intervention among high-risk groups.
OBJETIVO: Examinar prospectivamente los predictores de alteraciones subclínicas de la función renal en adultos sin diagnóstico previo de enfermedad renal crónica. MATERIAL Y MÉTODOS: Se analizaron datos de una cohorte de adultos mexicanos (n=757). La función renal (2010) se midió mediante la tasa de filtración glomerular estimada (TFGECr), creatinina y ácido úrico séricos. Los predictores (2004) se identificaron con modelos de regresión lineal y logística. RESULTADOS: Se clasificó 33% con TFGE-Cr disminuida.La TFGE-Cr fue menor en hombres, en >40 años y en usuarios de antihipertensivos; y fue mayor en aquellos con consumo proteico alto. Los predictores de la creatinina fueron similares a los de la TFGE-Cr. El ácido úrico disminuyó en participantes hombres, con obesidad, hipertensión e hipercolesterolemia. CONCLUSIONES: Los biomarcadores séricos convencionales son útiles para identificar alteraciones subclínicas de la función renal. Algunos predictores de la función renal son potencialmente modificables, por tanto susceptibles de intervención.
Assuntos
Rim/fisiologia , Adulto , Estudos de Coortes , Taxa de Filtração Glomerular , Humanos , Masculino , México , Ácido Úrico/urinaRESUMO
Resumen: Objetivo: Examinar prospectivamente los predictores de alteraciones subclínicas de la función renal en adultos sin diagnóstico previo de enfermedad renal crónica. Material y métodos: Se analizaron datos de una cohorte de adultos mexicanos (n=757). La función renal (2010) se midió mediante la tasa de filtración glomerular estimada (TFGE-Cr), creatinina y ácido úrico séricos. Los predictores (2004) se identificaron con modelos de regresión lineal y logística. Resultados: Se clasificó 33% con TFGE-Cr disminuida. La TFGE-Cr fue menor en hombres, en >40 años y en usuarios de antihipertensivos; y fue mayor en aquellos con consumo proteico alto. Los predictores de la creatinina fueron similares a los de la TFGE-Cr. El ácido úrico disminuyó en participantes hombres, con obesidad, hipertensión e hipercolesterolemia. Conclusión. Los biomarcadores séricos convencionales son útiles para identificar alteraciones subclínicas de la función renal. Algunos predictores de la función renal son potencialmente modificables, por tanto susceptibles de intervención.
Abstract: Objectives: Our aim was to examine prospectively predictors of subclinical renal alterations among adults without chronic kidney disease. Materials and methods: We analyzed data from a cohort of Mexican adults (n=757). Kidney function (2010) was assessed with the estimated glomerular filtration rate (eGFR-Cr), serum creatinine and uric acid. Predictors of each kidney function marker (2004) were identified with linear and logistic regression models. Results: 33% had an eGFR-Cr <90 ml/min/1.73 m2. eGFR-Cr was lower among men, those >40 years old and users of antihypertensive medication; and higher among those with a high protein intake. Serum creatinine predictors were similar to those observed for eGFR-Cr. Uric acid decreased in men, among those with obesity, hypertension and high cholesterol. Conclusion: Conventional kidney function biomarkers are useful to identify subclinical alterations. Some predictors of kidney function are potentially modifiable, therefore susceptible for intervention among high-risk groups.
Assuntos
Adulto , Humanos , Masculino , Rim/fisiologia , Ácido Úrico/urina , Estudos de Coortes , Taxa de Filtração Glomerular , MéxicoRESUMO
A new disposable microfluidic electrochemical paper-based device (ePAD) consisting of two spot sensors in the same working electrode for the simultaneous determination of uric acid and creatinine was developed. The spot 1 surface was modified with graphene quantum dots for direct uric acid oxidation and spot 2 surface modified with graphene quantum dots, creatininase and a ruthenium electrochemical mediator for creatinine oxidation. The ePAD was employed to construct an electrochemical sensor (based on square wave voltammetry analysis) for the simultaneous determination of uric acid and creatinine in the 0.010-3.0⯵molâ¯L-1 range. The device showed excellent analytical performance with a very low simultaneous detection limit of 8.4 nmol L-1 to uric acid and 3.7 nmol L-1 to creatinine and high selectivity. The ePAD was applied to the rapid and successful determination of those clinical biomarkers in human urine samples.
Assuntos
Creatinina/urina , Técnicas Eletroquímicas/instrumentação , Dispositivos Lab-On-A-Chip , Ácido Úrico/urina , Biomarcadores/química , Biomarcadores/urina , Creatinina/química , Eletrodos , Grafite/química , Humanos , Oxirredução , Papel , Pontos Quânticos/química , Rutênio/química , Ureo-Hidrolases/química , Ácido Úrico/químicaRESUMO
ABSTRACT Phyllanthus niruri (P.niruri) or stone breaker is a plant commonly used to reduce stone risk, however, clinical studies on this issue are lacking. Objective: To prospectively evaluate the effect of P. niruri on the urinary metabolic parameters of patients with urinary lithiasis. Materials and Methods: We studied 56 patients with kidney stones <10mm. Clinical, metabolic, and ultrasonography assessment was conducted before (baseline) the use of P. niruri infusion for 12-weeks (P. niruri) and after a 12-week (wash out) Statistical analysis included ANOVA for repeated measures and Tukey's/McNemar's test for categorical variables. Significance was set at 5%. Results: Mean age was 44±9.2 and BMI was 27.2±4.4kg/m2. Thirty-six patients (64%) were women. There were no significant changes in all periods for anthropometric and several serum measurements, including total blood count, creatinine, uric acid, sodium, potassium, calcium, urine volume and pH; a significant increase in urinary potassium from 50.5±20.4 to 56.2±21.8 mg/24-hour (p=0.017); magnesium/creatinine ratio 58±22.5 to 69.1±28.6mg/gCr24-hour (p=0.013) and potassium/creatinine ratio 39.3±15.1 to 51.3±34.7mg/gCr24-hour (p=0.008) from baseline to wash out. The kidney stones decreased from 3.2±2 to 2.0±2per patient (p<0.001). In hyperoxaluria patients, urinary oxalate reduced from 59.0±11.7 to 28.8±16.0mg/24-hour (p=0.0002), and in hyperuricosuria there was a decrease in urinary uric acid from 0.77±0.22 to 0.54±0.07mg/24-hour (p=0.0057). Conclusions: P.niruri intake is safe and does not cause significant adverse effects on serum metabolic parameters. It increases urinary excretion of magnesium and potassium caused a significant decrease in urinary oxalate and uric acid in patients with hyperoxaluria and hyperuricosuria. The consumption of P.niruri contributed to the elimination of urinary calculi.
Assuntos
Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Cálculos Renais/metabolismo , Cálculos Renais/prevenção & controle , Phyllanthus/química , Chás de Ervas , Oxalatos/urina , Potássio/urina , Potássio/sangue , Valores de Referência , Sódio/urina , Sódio/sangue , Ureia/urina , Ureia/sangue , Ácido Úrico/urina , Ácido Úrico/sangue , Cálculos Renais/diagnóstico por imagem , Cálcio/urina , Cálcio/sangue , Estudos Prospectivos , Reprodutibilidade dos Testes , Análise de Variância , Resultado do Tratamento , Creatinina/urina , Creatinina/sangue , Magnésio/urina , Pessoa de Meia-IdadeRESUMO
INTRODUCTION: Obesity and Metabolic Syndrome (MS) are associated with low urinary pH and represent risk factors for nephrolithiasis, especially composed by uric acid. Acidogenic diets may also contribute to a reduction of urinary pH. Propensity for calcium oxalate precipitation has been shown to be higher with increasing features of the MS. OBJECTIVE: A retrospective evaluation of anthropometric and body composition parameters, MS criteria and the dietary patterns of overweight and obese calcium stone formers and their impact upon urinary pH and other lithogenic parameters was performed. METHODS: Data regarding anthropometry, body composition, serum and urinary parameters and 3-days dietary records were obtained from medical records of 102(34M/68F) calcium stone formers. RESULTS: A negative correlation was found between urinary pH, waist circumference and serum uric acid levels (males). The endogenous production of organic acids (OA) was positively correlated with triglycerides levels and number of features of MS (males), and with glucose, uric acid and triglycerides serum levels, and number of features of MS (females). No significant correlations were detected between Net Acid Excretion (NAE) or Potential Renal Acid Load of the diet with any of the assessed parameters. A multivariate analysis showed a negative association between OA and urinary pH. CONCLUSION: The endogenous production of OA and not an acidogenic diet were found to be independently predictive factors for lower urinary pH levels in calcium stone formers. Hypercalciuric and/or hyperuricosuric patients presented higher OA levels and lower levels of urinary pH.
Assuntos
Cálcio/metabolismo , Dieta , Cálculos Renais/metabolismo , Estado Nutricional , Sobrepeso/metabolismo , Ácido Úrico/urina , Cálcio/análise , Feminino , Humanos , Cálculos Renais/química , Cálculos Renais/complicações , Cálculos Renais/urina , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Obesidade/metabolismo , Obesidade/urina , Sobrepeso/complicações , Sobrepeso/urina , Estudos RetrospectivosRESUMO
Phyllanthus niruri (P.niruri) or stone breaker is a plant commonly used to reduce stone risk, however, clinical studies on this issue are lacking. OBJECTIVE: To prospectively evaluate the effect of P. niruri on the urinary metabolic parameters of patients with urinary lithiasis. MATERIALS AND METHODS: We studied 56 patients with kidney stones <10mm. Clinical, metabolic, and ultrasonography assessment was conducted before (baseline) the use of P. niruri infusion for 12-weeks (P. niruri) and after a 12-week (wash out) Statistical analysis included ANOVA for repeated measures and Tukey's/McNemar´s test for categorical variables. Significance was set at 5%. RESULTS: Mean age was 44±9.2 and BMI was 27.2±4.4kg/m2. Thirty-six patients (64%) were women. There were no significant changes in all periods for anthropometric and several serum measurements, including total blood count, creatinine, uric acid, sodium, potassium, calcium, urine volume and pH; a significant increase in urinary potassium from 50.5±20.4 to 56.2±21.8 mg/24-hour (p=0.017); magnesium/creatinine ratio 58±22.5 to 69.1±28.6mg/ gCr24-hour (p=0.013) and potassium/creatinine ratio 39.3±15.1 to 51.3±34.7mg/gCr24- hour (p=0.008) from baseline to wash out. The kidney stones decreased from 3.2±2 to 2.0±2per patient (p<0.001). In hyperoxaluria patients, urinary oxalate reduced from 59.0±11.7 to 28.8±16.0mg/24-hour (p=0.0002), and in hyperuricosuria there was a decrease in urinary uric acid from 0.77±0.22 to 0.54±0.07mg/24-hour (p=0.0057). CONCLUSIONS: P.niruri intake is safe and does not cause significant adverse effects on serum metabolic parameters. It increases urinary excretion of magnesium and potassium caused a significant decrease in urinary oxalate and uric acid in patients with hyperoxaluria and hyperuricosuria. The consumption of P.niruri contributed to the elimination of urinary calculi.
Assuntos
Cálculos Renais/metabolismo , Cálculos Renais/prevenção & controle , Phyllanthus/química , Chás de Ervas , Adulto , Análise de Variância , Cálcio/sangue , Cálcio/urina , Creatinina/sangue , Creatinina/urina , Feminino , Humanos , Cálculos Renais/diagnóstico por imagem , Magnésio/urina , Masculino , Pessoa de Meia-Idade , Oxalatos/urina , Potássio/sangue , Potássio/urina , Estudos Prospectivos , Valores de Referência , Reprodutibilidade dos Testes , Sódio/sangue , Sódio/urina , Resultado do Tratamento , Ureia/sangue , Ureia/urina , Ácido Úrico/sangue , Ácido Úrico/urina , Adulto JovemRESUMO
ABSTRACT Introduction: Obesity and Metabolic Syndrome (MS) are associated with low urinary pH and represent risk factors for nephrolithiasis, especially composed by uric acid. Acidogenic diets may also contribute to a reduction of urinary pH. Propensity for calcium oxalate precipitation has been shown to be higher with increasing features of the MS. Objective: A retrospective evaluation of anthropometric and body composition parameters, MS criteria and the dietary patterns of overweight and obese calcium stone formers and their impact upon urinary pH and other lithogenic parameters was performed. Methods: Data regarding anthropometry, body composition, serum and urinary parameters and 3-days dietary records were obtained from medical records of 102(34M/68F) calcium stone formers. Results: A negative correlation was found between urinary pH, waist circumference and serum uric acid levels (males). The endogenous production of organic acids (OA) was positively correlated with triglycerides levels and number of features of MS (males), and with glucose, uric acid and triglycerides serum levels, and number of features of MS (females). No significant correlations were detected between Net Acid Excretion (NAE) or Potential Renal Acid Load of the diet with any of the assessed parameters. A multivariate analysis showed a negative association between OA and urinary pH. Conclusion: The endogenous production of OA and not an acidogenic diet were found to be independently predictive factors for lower urinary pH levels in calcium stone formers. Hypercalciuric and/or hyperuricosuric patients presented higher OA levels and lower levels of urinary pH.
RESUMO Introdução: A obesidade e a Síndrome Metabólica (SM) se associam a pH urinário ácido e representam fatores de risco para litíase renal, especialmente a úrica. Dietas acidogênicas também podem contribuir para a redução do pH urinário. Já foi demonstrado maior risco de precipitação de oxalato de cálcio em proporção aos critérios de SM. Objetivo: Avaliar retrospectivamente o impacto de parâmetros antropométricos, composição corporal, critérios de SM e padrão alimentar sobre o pH urinário e outros parâmetros litogênicos em pacientes com sobrepeso e obesos com litíase cálcica. Métodos: Foram coletados dados de antropometria, composição corporal, exames séricos e urinários, e registros alimentares (3 dias) de 102 (34M/68F) pacientes com litíase cálcica. Resultados: O pH urinário se correlacionou negativamente com a circunferência da cintura e ácido úrico sérico (homens). A produção endógena de ácidos orgânicos (AO) se correlacionou positivamente com os triglicérides séricos e o número de critérios de SM (homens), e com glicemia, ácido úrico, triglicérides e número de critérios para SM (mulheres). Não se observaram correlações significantes entre a excreção renal líquida de ácidos (NAE) e o potencial de carga ácida renal (PRAL) da dieta com nenhum dos parâmetros avaliados. Na análise de regressão multivariada, os AO apresentaram associação negativa significante com o pH urinário. Conclusão: A produção endógena de AO, e não um padrão de dieta acidogênica, foi o fator determinante independente para menores níveis de pH urinário em pacientes com litíase cálcica. Pacientes com hipercalciúria e/ou hiperuricosúria apresentaram maiores valores de AO e menores de pH urinário.