KMID : 1161420100130061490
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Journal of Medicinal Food 2010 Volume.13 No. 6 p.1490 ~ p.1493
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Hemodialysis Alters Lipid Profiles, Total Antioxidant Capacity, and Vitamins A, E, and C Concentrations in Humans
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Montazerifar Farzaneh
Hashemi Mohammad Karajibani Mansour Dikshit Madhurima
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Abstract
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Although hemodialysis (HD) is essential for end-stage renal disease patients, at the same time it causes oxidative stress and long-term pro-atherosclerotic effects. This study aimed to determine lipid profile as well as the total antioxidant capacity (TAC) and vitamins A, E, and C in HD patients. The study enrolled 31 patients (50.3?¡¾?14.9 years old) undergoing maintenance 4-hour HD three times per week with a polysulfone membrane dialyzer for a mean of 76.1 months (range, 7?120 months) and 31 healthy individuals (47.8?¡¾?13.9 years old). Lipid profiles were determined spectrophotometrically using commercially available kits. Total antioxidant capacity was determined by ferric reducing/antioxidant power assay, levels of vitamins A and E were assayed using high-pressure liquid chromatography, and the level of vitamin C was measured by a photometric method. Our results showed that before HD, the levels of TAC and vitamin A were significantly higher than in normal subjects, whereas the levels of high-density lipoprotein (HDL) and vitamin C were lower than in control subjects (P?.001). There was no significant difference between normal subjects and patients before dialysis regarding low-density lipoprotein (LDL) and vitamin E levels (P?>?.05). After HD, the levels of HDL-cholesterol, vitamins E and C, and TAC decreased significantly (P?.001), but the decreased level of vitamin A still remained higher than controls (P?.05), whereas the levels of LDL were significantly higher than controls (P?.001). In conclusion, alterations in the lipoprotein profiles and antioxidant markers following HD suggest an increased risk of atherosclerosis in these patients.
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KEYWORD
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hemodialysis, lipid profile, nonenzymatic antioxidants, total antioxidant capacity
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