Simulation of endothelium-dependent vasodilation in young male persons based on the parameters of body weight components

Authors

DOI:

https://doi.org/10.14739/2310-1210.2021.6.234155

Keywords:

endothelial dysfunction, body composition, vasodilation, young adult, obesity, correlation study, regression analysis

Abstract

The aim of the work. To analyze the results of endothelium-dependent vasodilation of the brachial artery in persons with different content of body weight components and to develop models for predicting the response of endothelium-dependent vasodilation based on the parameters of body weight components.

Materials and methods. In total, 31 young men were examined and divided into three groups depending on the total body fat value: 16 people (51.6 %) – group I, 11 people (35.5 %) – group II and 4 people (12.9 %) – group III. Determination of such parameters as body mass index (BMI, kg/m2), the percentage of total fat (TFP, %), the visceral fat content (VFC, units) and the content of free-fat mass (FFM,%) was performed using a bioimpedance analyzer TANITA BC-601.

Endothelial regulation was assessed on the basis of vasomotor dilation of the brachial artery activity before and after the occlusion test using a four-channel rheograph ReoCom (XAI-MEDICA).

Results. During the occlusion test, three types of endothelium-dependent vasodilation (EDVD) were identified in individuals exa­mined. 62.50 % of men in group I had a normoergic reaction of the brachial artery, 31.25 % had a hyperergic and 6.25 % had a hypoergic reaction. Among group II persons, a normoergic type of post-occlusive reaction was in 45.4 %, hyperergic – in 36.4 %, and hypoergic type – in 18.2 %. Regarding group III, 75 % of individuals had the hyperergic type of endothelium-dependent vasodilation, 25 % had the normoergic type, and no hypoergic type of reaction was observed at all. To determine the endothelial vasoregulatory function on the basis of correlation-regression analysis, models were constructed with coefficients of determination R2 of 0.277 (BMI), 0.126 (TFP), 0.189 (VFC) and 0.146 (FFM). The models themselves had the following form: between EDVD and BMI – y = -4.5297 + 0.865x; TFP – y = 10.7389 + 0.4x; VFC – y =13.8119 + 1.0041x; FFM – y = 52.7904 – 0.4464x. In addition, statistically significant correlations were found between them – from r = +0.335 to r = +0.526.

Conclusions. The data obtained allow us to note that the functional state of the endothelium and its activity depends on the content of body weight components in the organism.

Author Biographies

O. P. Kentesh, SHEI “Uzhhorod National University”, Ukraine

MD, PhD, Assistant of the Department of Physiology and Pathophysiology, Medical Faculty

M. I. Nemesh, SHEI “Uzhhorod National University”, Ukraine

MD, PhD, Assistant of the Department of Fundamental Medical Disciplines, Medical Faculty No. 2

O. S. Palamarchuk, SHEI “Uzhhorod National University”, Ukraine

MD, PhD, Assistant of the Department of Fundamental Medical Disciplines, Medical Faculty No.  2

Yu. M. Savka, SHEI “Uzhhorod National University”, Ukraine

MD, PhD, Associate Professor of the Department of Physiology and Pathophysiology, Medical Faculty

Ya. I. Slyvka, SHEI “Uzhhorod National University”, Ukraine

 MD, PhD, Associate Professor of the Department of Physiology and Pathophysiology

V. P. Feketa, SHEI “Uzhhorod National University”, Ukraine

PhD, DSc, Professor, Head of the Department of Fundamental Medical Disciplines, Medical Faculty No.  2

References

Tsentr hromadskoho zdorov’ia MOZ Ukrainy. (2021, January 4). Sertsevo-sudynni zakhvoriuvannia – holovna prychyna smerti ukraintsiv. Vysnovky z doslidzhennia Hlobalnoho tiaharia khvorob u 2019 rotsi [Cardiovascular disease is the leading cause of mortality in Ukrainians. Findings from the 2019 Global Burden of Disease Study]. https://phc.org.ua/news/sercevo-sudinni-zakhvoryuvannya-golovna-prichina-smerti-ukrainciv-visnovki-z-doslidzhennya [in Ukrainian].

Eckel, R. H., Jakicic, J. M., Ard, J. D., de Jesus, J. M., Houston Miller, N., Hubbard, V. S., Lee, I. M., Lichtenstein, A. H., Loria, C. M., Millen, B. E., Nonas, C. A., Sacks, F. M., Smith, S. C., Jr, Svetkey, L. P., Wadden, T. A., Yanovski, S. Z., Kendall, K. A., Morgan, L. C., Trisolini, M. G., Velasco, G., … American College of Cardiology/American Heart Association Task Force on Practice Guidelines. (2014). 2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, 129(25 Suppl. 2), S76-S99. https://doi.org/10.1161/01.cir.0000437740.48606.d1

Yermolenko, N. O., & Zarudna, O. I. (2016). Nadlyshkova masa tila ta osnovni faktory, shcho spychyniaiut yii rozvytok [Over weight and key factors contributing to its development]. Medsestrynstvo, (2), 38-40. [in Ukrainian].

Urbanovich, A. M. (2013). Hormony zhyrovoi tkanyny ta yikh klinichne znachennia [Hormones of adipose tissue and their clinical significance]. Endokrynolohiia, 18(1), 69-72. [in Ukrainian].

Cao, H. (2014). Adipocytokines in obesity and metabolic disease. Journal of Endocrinology, 220(2), T47-T59. https://doi.org/10.1530/JOE-13-0339

Abdulkadirova, F. R., Ametov, A. S., Doskina, E. V., & Pokrovskaya, R. A. (2014). Rol' lipotoksichnosti v patogeneze sakharnogo diabeta 2 tipa i ozhirenii [The role of the lipotoxicity in the pathogenesis of type 2 diabetes mellitus and obesity]. Ozhirenie i metabolizm, 11(2), 8-12. [in Russian].

Kovalenko, O. M., & Rodionova, V. V. (2016). Korektsiia endotelialnoi dysfunktsii v terapevtychnii stratehii sertsevo-sudynnoi patolohii [Correction of endothelial dysfunction in therapeutic strategy for cardiovascular pathology]. Kardiologiya: ot nauki k praktike, (2), 31-38. [in Russian].

Zhdan, V. M., & Katerenchuk, I. P. (2014). Optymizatsiia korektsii endotelialnoi dysfunktsii u patsiientiv z metabolichnym syndromom u praktytsi simeinoho likaria [Optimization of endothelial function correction in patients with metabolic syndrome in family doctors practice]. Zdobutky klinichnoi i eksperymentalnoi medytsyny, (1), 39-43. [in Ukrainian].

Ivanchikova, S. (2016). Bioimpedansnyi analiz komponentnoho skladu tila studentiv universytetiv u protsesi zaniat fitnesom [Bioimpedance analysis component of body composition of university students in the process of fitness]. Naukovyi chasopys Natsionalnoho pedahohichnoho universytetu imeni M. P. Drahomanova. Seriia № 15. Naukovo-pedahohichni problemy fizychnoi kultury (fizychna kultura i sport), 3К(1), 13-16. [in Ukrainian].

Bartels, E. M., Sørensen, E. R., & Harrison, A. P. (2015). Multi-frequency bioimpedance in human muscle assessment. Physiological Reports, 3(4), Article e12354. https://doi.org/10.14814/phy2.12354

World Medical Association. (2018, July 9). WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/

Aksenov, E. V. (2019). Endotelialna dysfunktsiia ta shliakhy yii profilaktyky pry provedenni renthenendovaskuliarnykh protsedur po rekanalizatsii koronarnykh arterii [Endothelial Dysfunction and Ways of its Prevention during Percutaneous Coronary Interventions by Recanalization of Coronary Arteries]. Ukrainskyi zhurnal medytsyny, biolohii ta sportu, 4(5), 102-108. https://doi.org/10.26693/jmbs04.05.102 [in Ukrainian].

Kvashnina, L. V., & Ignatova, T. B. (2016). Profilaktyka porushen endotelialnoi funktsii u ditei u period perekhodu vid zdorovia do syndromu vehetatyvnoi dysfunktsii [Prophylaxis of disturbances of endothelial function within the children during transition from health to a syndrome of vegetative dysfunction]. Sovremennaya pediatriya, (5), 16-24. https://doi.org/10.15574/SP.2016.77.16 [in Ukrainian].

Fedoniuk, L. Ya. (2019). Rol dysfunktsii endoteliiu u formuvanni vad klapaniv sertsia [The role of the endothelial dysfunction in the formation of the heart valves defects]. Zdobutky klinichnoi i eksperymentalnoi medytsyny, (3), 40-47. https://doi.org/10.11603/1811-2471.2019.v.i3.10507 [in Ukrainian].

Dolzhenko, M. M., Bazylevych, A. Ya., Lymar, Yu. V., Konoplianyk, L. I., & Volosheniuk, I. O. (2011). Nealkoholna zhyrova khvoroba pechinky yak novyi faktor ryzyku ishemichnoi khvoroby sertsia [Non-alcoholic fatty liver disease as a new risk factor for coronary heart disease]. Liky Ukrainy, (8), 73-77. [in Ukrainian].

Zharinova, V. Yu (2015). Endotelial'naya disfunktsiya kak mul'tidistsiplinarnaya problema [Endothelial dysfunction as a multidisciplinary problem]. Krovoobih ta hemostaz, (1-2), 9-15. [in Russian].

Van der Heiden, K., Gijsen, F. J., Narracott, A., Hsiao, S., Halliday, I., Gunn, J., Wentzel, J. J., & Evans, P. C. (2013). The effects of stenting on shear stress: relevance to endothelial injury and repair. Cardiovascular Research, 99(2), 269-275. https://doi.org/10.1093/cvr/cvt090

Published

2021-10-29

How to Cite

1.
Kentesh OP, Nemesh MI, Palamarchuk OS, Savka YM, Slyvka YI, Feketa VP. Simulation of endothelium-dependent vasodilation in young male persons based on the parameters of body weight components. Zaporozhye Medical Journal [Internet]. 2021Oct.29 [cited 2024May8];23(6):784-90. Available from: http://zmj.zsmu.edu.ua/article/view/234155

Issue

Section

Original research