PMID- 26969607 OWN - NLM STAT- MEDLINE DCOM- 20170330 LR - 20170330 IS - 1442-200X (Electronic) IS - 1328-8067 (Linking) VI - 58 IP - 11 DP - 2016 Nov TI - Increased oxidative stress in patients with severe disability: Association with nutrition. PG - 1183-1187 LID - 10.1111/ped.12977 [doi] AB - BACKGROUND: Previous studies have described a role of oxidative stress in the pathogenesis of various pediatric disorders, but investigation into oxidative stress status in patients with severe disability remains limited. The aim of the present study was therefore to clarify the oxidative stress status in patients with severe disability, focusing specifically on intake of three major nutrients and micronutrients with antioxidant activities. METHODS: Thirty-one patients with severe disability (mean age, 14.1 +/- 7.8 years) were enrolled. Three in vivo biomarkers, plasma biological antioxidant potential (BAP), plasma reactive oxygen metabolite-derived compounds (d-ROM), and urinary 8-hydroxydeoxyguanosine (8-OHdG), were determined for evaluating oxidative status. The dietary intake of three major nutrients and various micronutrients was estimated from dietary records over a 3 day period. RESULTS: In patients with severe disability, BAP was significantly lower and d-ROM and 8-OHdG significantly higher than in historical controls. Among these markers, a significant positive correlation was found in BAP versus d-ROM and d-ROM versus 8-OHdG. On multiple regression analysis, a significant inverse association between 8-OHdG and carotenoid intake was seen. CONCLUSION: The oxidative/antioxidative balance shifts towards oxidative status dominance in patients with severe disability. More research is needed on nutritional intake of antioxidative nutrients to determine whether they can be used to reduce oxidative stress. CI - (c) 2016 Japan Pediatric Society. FAU - Kawaguchi, Chiharu AU - Kawaguchi C AD - Department of Pediatrics, Todaiji Medical and Education Center, Nara, Japan. FAU - Morinaga, Marie AU - Morinaga M AD - Faculty of Human Life and Environment, Nara Women's University, Nara, Japan. FAU - Kubota, Masaru AU - Kubota M AD - Faculty of Human Life and Environment, Nara Women's University, Nara, Japan. AD - Faculty of Agriculture, Ryukoku University, Kyoto, Japan. FAU - Saito, Hiromi AU - Saito H AD - Faculty of Human Life and Environment, Nara Women's University, Nara, Japan. FAU - Tomiwa, Kiyotaka AU - Tomiwa K AD - Department of Pediatrics, Todaiji Medical and Education Center, Nara, Japan. FAU - Uchiike, Nobuo AU - Uchiike N AD - Health Management Center, Nara Medical University, Nara, Japan. LA - eng PT - Journal Article DEP - 20160710 PL - Australia TA - Pediatr Int JT - Pediatrics international : official journal of the Japan Pediatric Society JID - 100886002 RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - 0 (Reactive Oxygen Species) SB - IM MH - Adolescent MH - Antioxidants MH - Biomarkers/*blood MH - Child MH - Child, Preschool MH - *Disabled Persons MH - Female MH - Humans MH - Infant MH - Male MH - *Nutritional Status MH - *Oxidative Stress MH - Reactive Oxygen Species/blood OTO - NOTNLM OT - 8-hydroxydeoxyguanosine OT - biological antioxidant potential OT - disabled patient OT - micronutrient OT - oxidative stress EDAT- 2016/03/13 06:00 MHDA- 2017/03/31 06:00 CRDT- 2016/03/13 06:00 PHST- 2015/12/21 00:00 [received] PHST- 2016/02/25 00:00 [revised] PHST- 2016/03/04 00:00 [accepted] PHST- 2016/03/13 06:00 [pubmed] PHST- 2017/03/31 06:00 [medline] PHST- 2016/03/13 06:00 [entrez] AID - 10.1111/ped.12977 [doi] PST - ppublish SO - Pediatr Int. 2016 Nov;58(11):1183-1187. doi: 10.1111/ped.12977. Epub 2016 Jul 10.