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Jornal de Pediatria
On-line version ISSN 1678-4782
AYCICEK, Ali and EREL, Ozcan. Total oxidant/antioxidant status in jaundiced newborns before and after phototherapy. J. Pediatr. (Rio J.) [online]. 2007, vol.83, n.4, pp. 319-322. ISSN 1678-4782. http://dx.doi.org/10.1590/S0021-75572007000500006.
OBJECTIVE: To assess the effect of phototherapy on serum oxidant and antioxidant status in hyperbilirubinemic full-term newborns. METHOD: Thirty-four full-term infants from 3 to 10 days of age exposed to phototherapy were studied. The serum antioxidant status was assessed by measuring the total antioxidant capacity (TAC) and individual antioxidant components: vitamin C, uric acid, albumin, thiol contents and total bilirubin. The oxidant status was assessed by determining the total oxidant status (TOS), oxidative stress index (OSI) and individual oxidant components: malondialdehyde (MDA), and lipid hydroperoxide levels. RESULTS: Vitamin C, uric acid, total bilirubin and MDA concentration were significantly lower, whereas serum TOS, lipid hydroperoxide and OSI levels were significantly higher after phototherapy (p < 0.05). There were significant positive correlations between serum total bilirubin and MDA (r = 0.434, p = 0.001). CONCLUSIONS: Although the MDA level was reduced after phototherapy, phototherapy has a negative impact on numerous parts of the oxidant/antioxidant defense system in jaundiced full-term newborns, exposing them to potential oxidative stress.
Keywords : Antioxidants; infant; malondialdehyde; oxidative stress; phototherapy.