INTRODUCTION: Copper is an essential trace element, and its homeostasis is important, mainly among the elderly, since their metabolism is associated with neurodegenerative diseases and erythropoiesis disorders, among others. OBJECTIVE: This study evaluated the association among cupremia, hematological parameters and oxidative stress. MATERIAL AND METHODS: Blood samples from 39 elderly women (study group) and 20 health individuals (control group) were collected. The concentrations of serum copper were quantified by ICP-MS. The activity and enzyme ALA-D reactivation index were determined by spectrophotometry and blood parameters were analyzed in the automated system. The results were expressed as mean ± standard deviation. RESULTS: Concentrations of copper, hematological parameters and ALA-D reactivation were within the reference values in both groups. However, ALA-D activity (11.47 ± 2.81 UL-1) was significantly lower in the study group compared to the control group. Spearman correlations (observed only in elderly women) between copper concentration versus hemoglobin, hematocrit and ALA-D activity were -0.384, -0.408 and -0.395, respectively (p < 0.05). Nonetheless, ALA reactivation index was not related to cupremia. DISCUSSION AND CONCLUSION: The results showed that copper, although it is within accepted reference values, may be involved in ALA-D inhibition, which may affect hematological parameters such as hemoglobin synthesis. Thus, the reference levels for copper in the elderly should be reviewed.
Elderly; Copper; Hematological parameters; ICP-MS; Oxidative stress; ALA-D activity
