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2017; 63(1):85-91
fied by comparing the area under the curve (AUC) on the
oxidation kinetics of BODIPY (4,4-difluoro-1,3,5,7,8-
pentamethyl-4-bora-3a, 4a-diaza-s-indacene), a fluorescent
lipophilic oxidizable compound, radical initiator opposite
2.20 azobis- (2-amidinopropane) dihydrochloride (AAPH)
in relation to the oxidation of phosphatidylcholine used
as a reference lipid matrix.
45
Another approach to assess the antioxidant capacity
is to measure antioxidants individually. However, as there
are many, this would require time and a variety of ana-
lytical techniques, instruments, and procedures. In addi-
tion, this approach lacks information about the possible
synergy and cooperation between the hydrophilic and
lipophilic antioxidants.
45
Protein and DNA molecules are also highly suscep-
tible to modification by changes in redox state.
46
The
protein oxidation occurs when proteins of amino acids
(proline, arginine, threonine, lysine, histidine and cysteine)
bind to glycoxidation and lipoxidation products, forming
carbonyl groups. This reaction called carbonylation may
be irreversible and lead to changes in their biological
function; the detection of these toxic products (carbonyl)
can be made by the mass spectrometer.
24
As for DNA damage, comet assay can be performed,
a cell microgel electrophoresis technique, very useful and
widely used to assess damage and DNA repair in indi-
vidual cells. Its basic principle is the lysis of cell membranes,
followed by induction of DNA released from the electro-
phoretic migration on agarose matrix. When viewed un-
der a microscope, the migrated cell takes the apparent
form of a comet, with a head, the nuclear region, and a
tail, which contains fragments or DNA strands that have
migrated towards the anode. The analysis of comets is
based on the degree of DNA fragmentation and migration
by microelectrophoresis.
47
Measures such as the total
length of the “tail” and the DNA density provide indirect
information about the state of the sample DNA. To detect
oxidative damage, endonuclease III (ENDOIII) and phos-
phatidylinositol-pyrimidine DNA glycosylase (FPG) are
used to repair enzyme thus detecting oxidation bases in
the pyrimidine and purine.
48
D
ietary
intake
,
physical
activity
,
oxidative
stress
,
and metabolic
syndrome
According to what has been previously described, it is
clear that when there is an imbalance within a large sup-
ply of nutrients and a low antioxidant intake, obesity
carries a picture of oxidative stress promoting metabolic
syndrome.
23
Corroborating this fact, the literature indi-
cates that individuals with metabolic syndrome and obe-
sity have a high consumption of fat and sugars derived
from processed foods with high sodium content,
49-51
as
well as low antioxidant intake.
Diets with high antioxidant content, such as the well-
-known Mediterranean diet, which consists of olive oil,
fruits and vegetables, cereals, nuts, and a small amount
of red meat and foods high in sugar, are also ways to
manage oxidative stress and inflammation.
52,53
Research-
ers suggest that individuals with MetS and obesity delayed
and attenuated complications, such as insulin resistance,
hypertension, and hyperlipidemia, when they had an
intervention and began to consume this type of diet. One
of the arrangements set out for this improvement was
the reduction of oxidative stress and inflammation.
53-57
Among these studies, Mitjavila et al.
58
observed a de-
crease of some markers of oxidative stress after one year
of dietary intervention. In this same study, subjects with
MetS who consumed the Mediterranean diet were com-
pared to a group that consumed a diet with only low
levels of fat. It showed that a diet richer in antioxidants
resulted in improvement in markers of oxidative stress
and decreased DNA damage. This shows the importance
of diet quality and the consistency and effectiveness of
antioxidants in its composition.
Another factor associated to MetS is reduced daily
physical activity in healthy young adults, which leads to
negative metabolic consequences such as decreased insu-
lin sensitivity and increased abdominal fat.
59
Therefore,
increased physical activity is likely to be the evolutionary
favored pathway to prevent the development of insulin
resistance during metabolic derangements. The impact
of exercise on insulin sensitivity is evident for 24 to 48
hours and disappears within 3 to 5 days, so continuous
practice is essential.
2
Besides, exercise increases the pro-
duction of oxidative stress. However, these increases seem
to be necessary in order to allow for an upregulation in
endogenous antioxidant defenses, thus providing benefi-
cial effects to the individual engaged in chronic exercise.
60
A combination of resistance and aerobic exercise is the
best, but any activity is better than none.
The association between good eating habits and exer-
cise practice is also important. A recent study showed that
food adequacy (intake of fruits and vegetables) associated
with physical exercise for 20 weeks resulted in higher car-
diorespiratory fitness in residents of the city of Botucatu,
SP. Moreover, reduction in visceral adiposity (waist circum-
ference) was observed, reducing the prevalence of MetS
and mainly increasing significantly glutathione concentra-
tion and total antioxidant protection (TAP) of the plasma.
38
Dietary caloric restriction as well as aerobic exercise, an-