ICJIM

The Intercontinental Journal of Internal Medicine aims to publish issues related to all fields of internal medicine of the highest scientific and clinical value at an international level and accepts articles on these topics. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Original Article
Evaluation of the effect of obesity on oxidative stress with thiol/disulphide balance
Aims: As the body mass index (BMI) increases, the percentage of body fat increases and oxidative stress increases accordingly. This change can be determined by looking at the thiol/disulphide balance which is a biochemical test. We aim to emphasize the importance of oxidative stress due to obesity. Thus, by protecting obese individuals from oxidative stress (with antioxidant support treatments, etc.), studies to minimize the impact of obesity can be opened the front.
Methods: The study group of our study was selected from 18-55-year-old female obese or overweight female patients who applied to Kırıkkale University Medical Faculty Internal Medicine and Endocrinology (Obesity) Polyclinics for slimming. Acontrol group consisting of healthy and normal weighted women who were in the same age range and applied to our hospital for general control were included in the study. According to BMI; groups consisting of 45 women, normal weight (18,5-24,9 kg/m²), overweight (25-29,9 kg/m²), stage 1 (mild obese; 30-34,9 kg/m²), stage 2 (moderately obese; 35-39,9 kg/m²) and stage 3 (morbid obese; 40-49,9 kg/m²), were formed. Participants were premenopausal women with no additional disease. Demographic data and routine investigations were obtained from the hospital system. Blood samples were studied with thiol/disulphide balance measurement tests.
Results: We analyzed the five groups that were graded as normal weight, overweight, obese (mild, moderate, morbid) and the positive correlation between BMI and BC and BFP was significant in all groups (r =0.936, p<0.001; r =0.857, p<0.001, respectively). In all groups, the levels of native thiol and total thiol were decreased as BMI increased. There is a relatively lower difference between the normal thiol and total thiol levels of the normal weight and overweight group; there was a significant decrease in these values when passing from overweight to any stage of obesity. Negative correlation between all groups with native thiol (r =-0.473, p<0.001), total thiol (r =-0.472, p<0.001) and SH/total SH values (r =-0.296, p<0.001) were significant. The positive correlation between SS/SH (r = 0.296, p<0.001) and SS/total SH (r =0.296, p<0.001) was significant in all groups. The positive correlation between disulphide and all groups (r =0.103, p=0.25) was not significant.
Conclusion: Increased fat tissue inflammation in obesity is associated with oxidative stress. Thiol-containing organic compounds are antioxidants for defense against oxidative stress. Measures should be taken in the early period to reduce oxidative stress in the management of obesity.


1. World Health Organization. Obesity: preventing and managing theglobal epidemic. 2000: World Health Organization.
2. Serter R. Obezite Atlası. Ankara, Karakter Color Basımevi, 2004.
3. Kılı&ccedil; T. Obezite ile iliskili oksidatif stresin altında yatan mekanizmalar:leptin ve adiponektinin rol&uuml;/Mechanisms underlying obesity associatedoxidative stress: the role of leptin and adiponectin. Anadolu KardiyolojiDergisi: AKD. 2010;10(5):397.
4. Mercan U. Toksikolojide serbest radikallerin &ouml;nemi. Y&uuml;z&uuml;nc&uuml; Yıl&Uuml;niversitesi Veteriner Fak&uuml;ltesi Dergisi. 2004;15(1):91-96.
5. Sezer K, Keskin M. Serbest oksijen radikallerinin hastalıklarınpatogenezisindeki rol&uuml;. F&Uuml; Sağ Bil Vet Derg. 2014;28(1):49-56.
6. Cremers CM, Jakob U. Oxidant sensing by reversible disulfid bondformation. J Biol Chem. 2013:jbc. R113.462929.
7. Jones DP, Liang Y. Measuring the poise of thiol/disulfide couples invivo. Free Radical Biol Med. 2009;47(10):1329-1338.
8. Biswas S, Chida AS, Rahman I. Redox modifications of protein-thiols:emerging roles in cell signaling. Biochem Pharmacol. 2006;71(5):551-564.
9. Erel O, Neselioglu S. A novel and automated assay for thiol/disulphidehomeostasis. Clin Biochem. 2014;47(18):326-332.
10. Salmi JA. Body composition assessment with segmental multifrequencybioimpedance method. J Sports Sci Med. 2003;2(a00101s1):1-29.
11. Elmas B, Karacan M, Dervişoğlu P, K&ouml;secik M, İşg&uuml;ve ŞP, Bal C.Dynamic thiol/disulphide homeostasis as a novel indicator of oxidativestress in obese children and its relationship with inflammatory-cardiovascular markers. Anatolian J Cardiol. 2017;18(5):361.
12. Du N, Peng H, Chao X, Zhang Q, Tian H, Li H. Interaction of obesityand central obesity on elevated urinary albumin-to-creatinine ratio.PloS One. 2014;9(6):e98926.
13. Jankovic A, Korac A, Srdic-Galic B, et al. Differences in theredox status of human visceral and subcutaneous adipose tissues-relationships to obesity and metabolic risk. Metabolism. 2014; 63(5):661-671.
14. Brown LA, Kerr CJ, Whiting P, et al. Oxidant stress in healthy normal-weight, overweight, and obese individuals. Obesity. 2009;17(3):460-466.
15. Wong S, Kirkland JL, Schwanz KA, et al. Effects of thiol antioxidant&szlig;-mercaptoethanol on diet induced obese mice. Life Sci. 2014;107(1-2):32-41.
16. Şimşek &Ouml;, &Ccedil;arlıoğlu A, Alışık M, Edem E, Koca Bi&ccedil;er C. Thiol/disulfidebalance in patients with familial hypercholesterolemia. Cardiol ResPract. 2018. 2018.
17. &Ouml;zler S, Oztas E, Erel O, et al. Impact of gestational diabetesmellitus and maternal obesity on cord blood dynamic thiol/disulfidehomeostasis. Fetal Pediatr Pathol. 2017;36(1):8-15.
18. De Koning L, Merchant AT, Pogue J, Anand SS. Waist circumferenceand waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies. Eur Heart J. 2007;28(7):850-856.
19. Mozumdar A, Liguori G. Persistent increase of prevalence of metabolicsyndrome among US adults: NHANES III to NHANES 1999-2006.Diabetes Care. 2011;34(1):216-219
Volume 1, Issue 1, 2023
Page : 8-14
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