Abstract

Background: The role of minerals in preventing the generation of oxidative stress in obese individuals has been evaluated. Magnesium is an antioxidant nutrient and a cofactor of enzymes involved in the cell membrane stabilization, attenuating the effects of oxidative stress.

Objective: To evaluate the association between magnesium and concentrations of thiobarbituric acid reactive substances (TBARS) in patients with obesity and eutrophic women.

Methods: A cross-sectional study was conducted with 73 women, divided into two groups: case group (patients with obesity, n=27) and control group (eutrophic women, n=46). Measurements of body mass index and waist circumference were performed. Dietary magnesium intake was assessed by the three-day food record using the NutWin software. Urinary magnesium concentration was measured by atomic absorption spectrophotometry method. Plasma concentrations of thiobarbituric acid reactive substances (TBARS) were also determined.

Results: Mean values of dietary magnesium intake were 161.59 ± 60.04 and 158.73 ± 31.96 for patients with obesity and control group, respectively, with no significant difference between the groups studied (p >0.05). The value of urinary excretion of magnesium was lower than the reference values in both groups, with no significant difference between the groups studied (p >0.05). The plasma concentration of thiobarbituric acid reactive substances was significantly higher in patients with obesity compared to the control group (p <0.001). There was no correlation between levels of magnesium biomarkers and the concentration of TBARS (p >0.05).

Conclusion: Patients with obesity showed a reduced dietary magnesium intake which seems to induce hypomagnesuria as a compensatory mechanism. The marker of oxidative stress evaluated in this study was not influenced by magnesium.

Keywords: Biomarkers, magnesium, nutritional status, obesity, oxidative stress, women.

Graphical Abstract

[1]
Serra D, Mera P, Malandrino MI, Mir JF, Herrero L. Mitochondrial fatty acid oxidation in obesity. Antioxid Redox Signal 2013; 19(3): 269-84.
[http://dx.doi.org/10.1089/ars.2012.4875] [PMID: 22900819]
[2]
Oliveira ARS, Cruz KJC, Severo JS, et al. Hypomagnesemia and its relation with chronic low-grade inflammation in obesity. Rev Assoc Med Bras (1992) 2017; 63(2): 156-63.
[http://dx.doi.org/10.1590/1806-9282.63.02.156] [PMID: 28355377]
[3]
Horn RC, Gelatti GT, Mori NC, et al. Obesity, bariatric surgery and oxidative stress. Rev Assoc Med Bras (1992) 2017; 63(3): 229-35.
[http://dx.doi.org/10.1590/1806-9282.63.03.229] [PMID: 28489128]
[4]
Chielle EO, Casarin JN. Evaluation of salivary oxidative parameters in overweight and obese young adults. Arch Endocrinol Metab 2017; 61(2): 152-9.
[http://dx.doi.org/10.1590/2359-3997000000227] [PMID: 27901184]
[5]
Gobato RC, Seixas Chaves DF, Chaim EA. Micronutrient and physiologic parameters before and 6 months after RYGB. Surg Obes Relat Dis 2014; 10(5): 944-51.
[http://dx.doi.org/10.1016/j.soard.2014.05.011] [PMID: 25264334]
[6]
de Baaij JH, Hoenderop JG, Bindels RJ. Magnesium in man: implications for health and disease. Physiol Rev 2015; 95(1): 1-46.
[http://dx.doi.org/10.1152/physrev.00012.2014] [PMID: 25540137]
[7]
Morais JBS, Severo JS, Santos LRD, et al. Role of magnesium in oxidative stress in individuals with obesity. Biol Trace Elem Res 2017; 176(1): 20-6.
[http://dx.doi.org/10.1007/s12011-016-0793-1] [PMID: 27444303]
[8]
Morais JBS, Severo JS, de Oliveira ARS, et al. Magnesium status and its association with oxidative stress in obese women. Biol Trace Elem Res 2017; 175(2): 306-11.
[http://dx.doi.org/10.1007/s12011-016-0797-x] [PMID: 27406212]
[9]
Patel MDP, Kishore K, Patel DJ. Evaluation of oxidative stress and serum magnesium levels in south Indian obese males. IJSR 2014; 3: 229-30.
[http://dx.doi.org/10.15373/22778179/MARCH2014/77]
[10]
BRASIL. Ministério da Saúde Resolução nº466/12 Conselho Nacional de Pesquisa com Seres Humanos. Brasília: Diário Oficial da União 2012.
[11]
World Health Organization. Obesity: preventing and managing the global epidemic, technical report series. Geneva 2000.
[12]
World Health Organization. Waist circumference and waist-hip ratio: report of a WHO expert consultation. Geneva 2008.
[13]
Anção MS, Cuppari L, Draine AS, Singulem D. Programa de apoio à nutrição Nutwin: versão 15, São Paulo: Departamento de Informática em Saúde, SPDM, Unifesp/EPM 2002.
[14]
Institute of Medicine. Dietary reference intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride. Washington, DC: National Academy Press 1997; p. 190.
[15]
Institute of Medicine. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington, DC: National Academy Press 2005.
[16]
Fisberg RM, Marchioni DML, Slater B, Martini LA. Inquéritos alimentares: Métodos e Bases Científicas. São Paulo: Manole 2005.
[17]
Jaime PC, Latorre MRDO, Fornés NS, Zerbini CAF. Comparative study among two methods for energy adjustment for nutrient intake. Nutrire 2003; 26: 11-8.
[18]
Willett W, Stampfer MJ. Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 1986; 124(1): 17-27.
[http://dx.doi.org/10.1093/oxfordjournals.aje.a114366]
[19]
Elin RJ. Assessment of magnesium status. Clin Chem 1987; 33(11): 1965-70.
[PMID: 3315301]
[20]
Nicoll GW, Struthers AD, Fraser CG. Biological variation of urinary magnesium. Clin Chem 1991; 37(10 Pt 1): 1794-5.
[PMID: 1914186]
[21]
Ryan MF, Barbour H. Magnesium measurement in routine clinical practice. Ann Clin Biochem 1998; 35(Pt 4): 449-59.
[http://dx.doi.org/10.1177/000456329803500401] [PMID: 9681049]
[22]
Tietz NW. Clinical guide to laboratory tests. 3rd ed. Philadelphia: W.B. Saunders Company 1995.
[23]
Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 1979; 95(2): 351-8.
[http://dx.doi.org/10.1016/0003-2697(79)90738-3] [PMID: 36810]
[24]
de Oliveira AR, Cruz KJ, Morais JB, et al. Magnesium status and its relationship with C-reactive protein in obese women. Biol Trace Elem Res 2015; 168(2): 296-302.
[http://dx.doi.org/10.1007/s12011-015-0358-8] [PMID: 25982004]
[25]
Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica Diretrizes brasileiras de obesidade São Paulo: ABESO 2016.
[26]
Cruz KJ, de Oliveira AR, Pinto DP, et al. Influence of magnesium on insulin resistance in obese women. Biol Trace Elem Res 2014; 160(3): 305-10.
[http://dx.doi.org/10.1007/s12011-014-0044-2] [PMID: 24984789]
[27]
Schmatz R, Bitencourt MR, Patias LD, et al. Evaluation of the biochemical, inflammatory and oxidative profile of obese patients given clinical treatment and bariatric surgery. Clin Chim Acta 2017; 465: 72-9.
[http://dx.doi.org/10.1016/j.cca.2016.12.012] [PMID: 27986549]
[28]
Vieira-Potter VJ. Inflammation and macrophage modulation in adipose tissues. Cell Microbiol 2014; 16(10): 1484-92.
[http://dx.doi.org/10.1111/cmi.12336] [PMID: 25073615]
[29]
Zhang Y, Fischer KE, Soto V, et al. Obesity-induced oxidative stress, accelerated functional decline with age and increased mortality in mice. Arch Biochem Biophys 2015; 576: 39-48.
[http://dx.doi.org/10.1016/j.abb.2014.12.018] [PMID: 25558793]