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Biomedical subjects

R Bayés García

Publications and source records attributed to R Bayés García.

9 recordsLinked to original sources

[Materno-fetal nutritional status related to vitamin E].

There are few papers about the placental transfer of vitamin E in human beings. It is known that umbilical cord vitamin E levels are significantly lower than in mother's plasma. The aim of this study was to analyze the relationship between the vitamin E nutritional state between newborn infants and their mothers. The plasma levels of vitamin E and lipids at birth have been measured by using spectrophotometric methods. The statistical analysis (Student's "t" test for paired data) shows that the plasma levels of vitamin E in the newborn infants are significantly lower than that their mother's, but the nutritional indices (vitamin E/phospholipids and vitamin E/total lipids) show no statistical differences. There is a close correlation between umbilical cord vitamin E concentration and vitamin E levels in the mother's plasma. We have demonstrated that the vitamin E nutritional state of term newborn infants is equivalent to that of their mothers. On the other hand, nutritional indices such as vitamin E/phospholipids and vitamin E/total lipids, are better than the single vitamin E levels to evaluate the nutritional state of tocopherol.

Female↗

[Estimation of the degree of metabolism-energy maturity in the premature newborn infant: plasma lipid profile and lipid transport systems].

The newborn preterm infant loses the opportunity to store energy as triacylglycerides form in the adipose tissue during the last quarter of gestation, so they have a real threat to maintain with exogenous supports only the high energy request, and they have been exposed to an elevated risk for central nervous system damage. Small reserves of substrates and poor metabolic adaptation may make the premature infant more vulnerable to the normal stresses of birth and the early postnatal period. We have studied the changes in plasma lipids profile and plasma lipoprotein cholesterol distribution in cord blood from 109 term newborn infants and 16 newborn infants have got higher plasma lipid concentrations than term newborn infants (total cholesterol: 76.81 +/- 4.67 mg/dl (mean +/- SEM) vs 66.72 +/- 1.54 mg/dl, p less than 0.02; Phospholipids: 136.00 +/- 5.24 mg/dl vs 113.94 +/- 2.86 mg/dl, p less than 0.005) and a different cholesterol lipoprotein distribution compared to normal full-term infants, standing out in premature babies, that cholesterol is essentially joint with low density lipoproteins (LDLc: 42.40 +/- 3.62 mg/dl vs 28.76 +/- 1.16 mg/dl, p less than 0.01). These results could be the expression of a metabolic-enzymatic fetal mechanism to keep up a good cholesterol and phospholipids biodisponibility to supply the structural tissues needs in this fetal stages of rapid growth and development.

Biological Transport↗

[Effects of intra-partum stress on lipid metabolism. Adaptation of plasma lipid transport systems in neonates].

UNLABELLED: Intrapartum asphyxia modifies lipoprotein cholesterol distribution with possible repercussions related to membrane structures and its metabolic functions. We have studied plasma lipid profile and plasma lipoproteins cholesterol distribution in cord blood from 115 newborn infants and 72 pregnant women at delivery. RESULTS AND DISCUSSION: newborn infants with perinatal asphyxia (n, 48; pHua less than 7.20) have a higher cord blood triglyceridemia and lower plasma HDL-cholesterol, associated to high significant concentrations of atherogenic ratios (CT/HDLc, LDLc/HDLc) than normal newborn infants (n, 67; pHua = 7.20) [TG, 54.81 +/- 2.96 mg/dl vs 45.74 +/- 2.10 mg/dl (p less than 0.005); CT/HDLc, 24.00 +/- 1.30 mg/dl vs 29.62 +/- 1.12 mg/dl (p less than 0.05); LDLc/HDLc, 1.38 +/- 0.10 vs 1.07 +/- 0.06 (p less than 0.01)]. The highest triglycemia and atherogenic ratios in the acidotic newborn infants reveal deep changes in "esterified cholesterol/binding proteins" system, whereon "Apo A1-LCAT-Apo D" molecular complex binding HDL participate. More studies must be done to understand well this phenomenology. Furthermore, at delivery, pregnant women, that their newborn infants suffer an intrapartum hypoxia, had lower lipidemia than those who had newborn infants with intrapartum physiological stress.

Adaptation, Physiological↗

[Interrelation of bilirubin and free fatty acids in newborn infants with pathologic conditions].

Authors analyzed total and free bilirubin concentrations (TB and FB) and free fatty acid levels (FFA) (by enzymatic methods) in the serum (S) and cerebrospinal fluid (CSF) of 26 sick newborn infants. Relationship between these three biochemical parameters in both S and CSF and also between these latter 15 studies FFA serum concentration of neonates (n: 9) with TB less than 2 mg/dl - 70.15 (15.63) (+/- SEM) mg/l - was not statistically different from those calculated in CSF - 67.45 (13.80) mg/l - (p: NS): while newborn infants (n: 17) with TB greater than 2 mg/dl had FFA serum levels - 152.75 (22.84) less than 0.002). There was a positive correlation between TB and FFA in S (n: 26, r: 0.52, p less than 0.01). There was no correlation of the FFA levels between S and CSF (n: 26, r: -0.02, p: NS). In CSF, FFA concentrations were correlated with albumin levels (n: 26, r: 0.67, p less than 0.005) and white cell recound (n: 26, r: 0.53, p less than 0.01). Authors discuss results and conclude that: a) bilirubin interferes with FFA metabolism, probably as the result of a toxic effect on extraneuronal tissue; b) an increase of FFA serum concentrations does not cause them to rise in the CSF by transport across blood cerebrospinal fluid barrier; and c) although, the source of the FFA in CSF is varied (from serum or loss of myelin, for instance, as a consequence of an asphyxial insult, or devitalized white cells) their increased concentrations are correlated with enhanced albumin levels and white cell recounts.

Bilirubin↗

[Effect of perinatal hypoxia on blood triglycerides and total cholesterol including high density lipoproteins].

Cholesterol, low/high density lipoprotein cholesterol (LDLc, HDLc), triglycerides and phospholipids plasma concentrations were measured in arterial (UA) and venous (UV) cord blood samples collected at birth in 22 healthy newborn infants (G-I) in 24 intrapartum stressed newborn infants (G-II) and in plasma of their 46 mothers at delivery. Chol was measured by ALLAIN'S, HDLcUA by LOPES-VIRELLA'S (and LDLc by FRIEDEWALD'S formula), TG by HOPPE'S and Ph by TAKAYAMA'S enzymatic methods. TGUA concentrations were higher (p less than 0.01) and HDLc ones lower (p less than 0.005) in G-II than in G-I group. These phenomena were found to be a sign of fetal stress, since there was a significant correlation between TGUA and pHUA (r, -0.42; p less than 0.005) and HDLc and pHUA (r, 0.41; p less than 0.0025). Furthermore, there was a correlation between TGUA HDLUA (r, 0.46; p less than 0.0025). Intrapartum hypoxia has a profound effect on lipid stores of the fetus during delivery. Data suggest that high levels of triglycerides in plasma might fall lecitin cholesterol acid transferase activity and this way to explain lower HDLc concentrations of newborn infants with intrapartum acidosis.

Asphyxia Neonatorum↗

[Serum vitamin E in well-nourished and malnourished infants].

Vitamin E (tocopherol) concentrations in blood plasma were determined in 48 infants and correlated with their nutritional status. Infants were divided into two groups as following: group I (n : 12) estimated well-nourished, and group II (n : 36) appreciated undernourished. Clinical nutritional status was evaluated according to their weight, height and skinfold thickness of triceps percentiles. Plasma vitamin E levels were analysed by a modification of the spectrophotometric micro-technique of Fabiank et al. (using 0.2 ml of plasma). There was difference in serum tocopherol levels between two groups: 1.21 (0.21) mg/dl: mean (+/- SEM) in group I in front of 1.84 (0.18) mg/dl in group II (0.10 greater than p greater than 0.05). On the other hand, vitamin E concentrations were correlated with the skinfold thickness of triceps percentiles by a logarithm curve: y = 2.25-0.31 1n X (r: 0.35, p less than 0.02). Probably, serum vitamin E levels do not reflect the tissue store status in undernourished infants without malabsorption.

Female↗

[Branched-chain amino acids: indicators of fetal nutritional status].

Both nutritive state for Rohrer's ratio (Rr) and serum aminoacids (aa) (Chromatospek J-180) of the umbilical cord have been analyzed and correlated in two groups of the newborns: G-I (n: 12) preterm infants with an adequated weight for their gestational age (Re greater than 10 percentile) and G-II (n: 8) small for-date term infants (Rr less than 10 p). Ratios of the serum aa (total aa, no essential aa, NE/E, Ala/Thr, Whitehead's ratio (Wr), Ala/Leu, Ala/BCA, Gly/Val, Ser + Gly + Ala/BCA) were more elevated in G-II than those one of the G-I. We have shown a single correlation between Wr and Rr (r. much greater than 0.48, p less than 0.025) in G-I and between BCA Rr (r. much greater than 0.88, p less than 0.0025) in G-II; furthermore, we have proved a good correlation between the week of gestation and sum of BCA (r. much greater than 0.53, p less than 0.05) in the former that have not been observed among the latter which had BCA more increased than G-I (p less than 0.050). Some speculations about the role that could play the BCA in the energetic metabolism of the small-for-date infants are made; on the other hand, the BCA can give help to distinguish between premature or pseudopremature among infants weighing 2.500 g or less a birth.

Amino Acids, Branched-Chain↗

[Tryptophan metabolism in children with epilepsy].

Authors measured urinary excretion of tryptophan derivatives (kynurenine way) in 13 healthy and 15 epileptic children, modifying the technique qualitatively and quantitatively. In both groups, they measure tryptophan metabolites before and after L-tryptophan overload, the dosage being 100/mg/kg of body weight. They found higher tryptophan derivative values in the group suffering a epilepsy.

Adolescent↗