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Effect of stress on alteration of haematological parameters: A preliminary study on preclinical medical students in Malaysia

Yıl 2019, Cilt: 11 Sayı: 2, 852 - 860, 23.06.2019
https://doi.org/10.37212/jcnos.683403

Öz

The present study aimed to evaluate the effect of stress on haematological parameters among preclinical medical students. A cross-sectional study has been conducted on a total of 105 preclinical medical students at Faculty of Medicine, Universiti Sultan Zainal Abidin (UniSZA), Terengganu, Malaysia. The validated depression anxiety stress scales-21 (DASS-21) questionnaire was distributed and blood samples were collected from the subjects on the same day to perform full blood count (FBC) test. There was no significant association between levels of stress with red blood cells (RBCs) count and indices. However, a significant negative association was identified between stress level and white blood cells (WBCs) count (r= - 0.204, p ≤ 0.05). Furthermore, no significant association was found between levels of stress and platelets count and indices, except the mean platelets volume (MPV); a significant positive association between students measured MPV and their perceived stress (r= 0.195, p ≤ 0.05) has been noted. Mean WBCs count was decreased, while mean MPV was increased with increasing stress levels. Furthermore, the structural equation model predicted that some parameters were near to be significantly associated with stress, which needs further investigation. This study provided novel insights about the potential effects of stress on blood cells and platelets. The results will help the researchers to uncover the critical areas of increasing ROS and oxidative stress caused by chronic life stress.

Kaynakça

  • Al-Hatamleh MAI, Baig AA, Simbak NB, Nadeem MI, Khan SU, Ariff TM. 2017. Molecular Modulation of Stress Induced to Abnormal Haematological Indices in Medical Students, Malaysian Perspective. Pakistan Journal of Biological Sciences. 20:478-488. Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O. 2012. Oxidative stress and antioxidant defense. World Allergy Organization Journal. 5:9. Byrne BM. 2013. Structural equation modeling with AMOS: Basic concepts, applications, and programming. Routledge, London, UK. Chrousos G. 2009. Stress and disorders of the stress system. Nature Reviews Endocrinology. 5:374-381. Epel ES. 2009. Psychological and metabolic stress: a recipe for accelerated cellular aging? Hormones. 8:7-22. Ge MQ, Tompkins DG, Flayer CH, Larson ED, Killingbeck SS, Juarez M, Morrissey BM, Kenyon N, Haczku A. 2017. Chronic Psychosocial stress induced heightened lymphocyte activation in severe asthmatic patients. Presented at the American Thoracic Society 2017 International Conference. Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. 2006. Multivariate data analysis. Prentice Hall, New Jersey, US. Pages: 360. Halliwell B. 2012. Free radicals and antioxidants: updating a personal view. Nutrition Reviews. 70:257-265. Hamer M, Gibson EL, Vuononvirta R, Williams E, Steptoe A. 2006. Inflammatory and hemostatic responses to repeated mental stress: individual stability and habituation over time. Brain, Behavior and Immunity. 20:456-459. Hassan ZA, Chelebi NA, Bazzaz AA, Bazzaz SA. 2016. Correlation of psychological stress to severity of anemia in Al-Haweeja women. European Journal of Pharmaceutical and Medical Research. 3:248-251. Hewitt G, Jurk D, Marques FD, Correia-Melo C, Hardy T, Gackowska A, Anderson R, Taschuk M, Mann J, Passos JF. 2012. Telomeres are favoured targets of a persistent DNA damage response in ageing and stress-induced senescence. Nature Communications. 3:708. Lovibond PF, Lovibond SH. 1995. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy. 33:335-343. Maes M, Van Bockstaele DR, Van Gastel A, Song C, Schotte C, Neels H, DeMeester I, Scharpe S, Janca A. 1999. The effects of psychological stress on leukocyte subset distribution in humans: evidence of immune activation. Neuropsychobiology. 39:1-9. Martinon F, Mayor A, Tschopp J. 2009. The inflammasomes: guardians of the body. Annual Review of Immunology. 27:229-265. McEwen BS. 1998. Protective and damaging effects of stress mediators. New England Journal of Medicine. 338:171-179. Mohanty J, Nagababu E, Rifkind JM. 2014. Red blood cell oxidative stress impairs oxygen delivery and induces red blood cell aging. Frontiers in Physiology. 5:84. Nagababu E, Rifkind JM. 1998. Formation of fluorescent heme degradation products during the oxidation of hemoglobin by hydrogen peroxide. Biochemical and Biophysical Research Communications. 247:592-596. Nakanishi N, Suzuki K, Tatara K. 2003. Association between lifestyle and white blood cell count: a study of Japanese male office workers. Occupational Medicine. 53:135-137. Nishitani N, Sakakibara H. 2007. Subjective poor sleep and white blood cell count in male Japanese workers. Industrial Health. 45:296-300. Nishitani N, Sakakibara H. 2014. Association of psychological stress response of fatigue with white blood cell count in male daytime workers. Industrial Health. 52:531-534. Pignatelli P, Sanguigni V, Lenti L, Ferro D, Finocchi A, Rossi P, Violi F. 2004. gp91phox-dependent expression of platelet CD40 ligand. Circulation. 110:1326-1329. Rahal A, Kumar A, Singh V, Yadav B, Tiwari R, Chakraborty S, Dhama K. 2014. Oxidative stress, prooxidants, and antioxidants: the interplay. BioMed Research International. 2014. Rifkind JM, Ajmani RS, Heim J. 1997. Impaired hemorheology in the aged associated with oxidative stress. In: Harrison DK and Delpy DT, editors. Oxygen Transport to Tissue XIX, Adv Exp Med Biol, Springer: Boston, US. Pages: 7-13. Rima J, Li QX, Aouezova L. 2011. Generation of free radicals, analytical methods, bacterial disinfections, and oxidative destruction of organic chemicals using zero valent iron and other metals. Retrieved 30 march 2019, from US Patent and Trademark Office. US patent no. 8,048,317. Selye H. 2013. Stress in health and disease. Butterworth-Heinemann, Boston, US. Pages: 27. Shafiee M, Tayefi M, Hassanian SM, Ghaneifar Z, Parizadeh MR, Avan A, Rahmani F, Khorasanchi Z, Azarpajouh MR, Safarian H. 2017. Depression and anxiety symptoms are associated with white blood cell count and red cell distribution width: A sex-stratified analysis in a population-based study. Psychoneuroendocrinology. 84:101-108. Steptoe A, Magid K, Edwards S, Brydon L, Hong Y, Erusalimsky J. 2003. The influence of psychological stress and socioeconomic status on platelet activation in men. Atherosclerosis. 168:57-63. Thakur N, Rai N, Siddiqui A. 2016. Nutrition in anemia. In: Watson RM, editor. Handbook of Nutrition and Diet in Leukemia and Blood Disease Therapy, Wageningen Academic Publishers: Gelderland, The Netherland. Pages: 353-370. Viner R. 1999. Putting stress in life: Hans Selye and the making of stress theory. Social Studies of Science. 29:391-410. Pages: 353-370. Violi F, Pignatelli P. 2012. Platelet oxidative stress and thrombosis. Thrombosis Research. 129:378-381. Wei C, Zhou J, Huang X, Li M. 2008. Effects of psychological stress on serum iron and erythropoiesis. International journal of hematology. 88:52-56.
Yıl 2019, Cilt: 11 Sayı: 2, 852 - 860, 23.06.2019
https://doi.org/10.37212/jcnos.683403

Öz

Kaynakça

  • Al-Hatamleh MAI, Baig AA, Simbak NB, Nadeem MI, Khan SU, Ariff TM. 2017. Molecular Modulation of Stress Induced to Abnormal Haematological Indices in Medical Students, Malaysian Perspective. Pakistan Journal of Biological Sciences. 20:478-488. Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O. 2012. Oxidative stress and antioxidant defense. World Allergy Organization Journal. 5:9. Byrne BM. 2013. Structural equation modeling with AMOS: Basic concepts, applications, and programming. Routledge, London, UK. Chrousos G. 2009. Stress and disorders of the stress system. Nature Reviews Endocrinology. 5:374-381. Epel ES. 2009. Psychological and metabolic stress: a recipe for accelerated cellular aging? Hormones. 8:7-22. Ge MQ, Tompkins DG, Flayer CH, Larson ED, Killingbeck SS, Juarez M, Morrissey BM, Kenyon N, Haczku A. 2017. Chronic Psychosocial stress induced heightened lymphocyte activation in severe asthmatic patients. Presented at the American Thoracic Society 2017 International Conference. Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. 2006. Multivariate data analysis. Prentice Hall, New Jersey, US. Pages: 360. Halliwell B. 2012. Free radicals and antioxidants: updating a personal view. Nutrition Reviews. 70:257-265. Hamer M, Gibson EL, Vuononvirta R, Williams E, Steptoe A. 2006. Inflammatory and hemostatic responses to repeated mental stress: individual stability and habituation over time. Brain, Behavior and Immunity. 20:456-459. Hassan ZA, Chelebi NA, Bazzaz AA, Bazzaz SA. 2016. Correlation of psychological stress to severity of anemia in Al-Haweeja women. European Journal of Pharmaceutical and Medical Research. 3:248-251. Hewitt G, Jurk D, Marques FD, Correia-Melo C, Hardy T, Gackowska A, Anderson R, Taschuk M, Mann J, Passos JF. 2012. Telomeres are favoured targets of a persistent DNA damage response in ageing and stress-induced senescence. Nature Communications. 3:708. Lovibond PF, Lovibond SH. 1995. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy. 33:335-343. Maes M, Van Bockstaele DR, Van Gastel A, Song C, Schotte C, Neels H, DeMeester I, Scharpe S, Janca A. 1999. The effects of psychological stress on leukocyte subset distribution in humans: evidence of immune activation. Neuropsychobiology. 39:1-9. Martinon F, Mayor A, Tschopp J. 2009. The inflammasomes: guardians of the body. Annual Review of Immunology. 27:229-265. McEwen BS. 1998. Protective and damaging effects of stress mediators. New England Journal of Medicine. 338:171-179. Mohanty J, Nagababu E, Rifkind JM. 2014. Red blood cell oxidative stress impairs oxygen delivery and induces red blood cell aging. Frontiers in Physiology. 5:84. Nagababu E, Rifkind JM. 1998. Formation of fluorescent heme degradation products during the oxidation of hemoglobin by hydrogen peroxide. Biochemical and Biophysical Research Communications. 247:592-596. Nakanishi N, Suzuki K, Tatara K. 2003. Association between lifestyle and white blood cell count: a study of Japanese male office workers. Occupational Medicine. 53:135-137. Nishitani N, Sakakibara H. 2007. Subjective poor sleep and white blood cell count in male Japanese workers. Industrial Health. 45:296-300. Nishitani N, Sakakibara H. 2014. Association of psychological stress response of fatigue with white blood cell count in male daytime workers. Industrial Health. 52:531-534. Pignatelli P, Sanguigni V, Lenti L, Ferro D, Finocchi A, Rossi P, Violi F. 2004. gp91phox-dependent expression of platelet CD40 ligand. Circulation. 110:1326-1329. Rahal A, Kumar A, Singh V, Yadav B, Tiwari R, Chakraborty S, Dhama K. 2014. Oxidative stress, prooxidants, and antioxidants: the interplay. BioMed Research International. 2014. Rifkind JM, Ajmani RS, Heim J. 1997. Impaired hemorheology in the aged associated with oxidative stress. In: Harrison DK and Delpy DT, editors. Oxygen Transport to Tissue XIX, Adv Exp Med Biol, Springer: Boston, US. Pages: 7-13. Rima J, Li QX, Aouezova L. 2011. Generation of free radicals, analytical methods, bacterial disinfections, and oxidative destruction of organic chemicals using zero valent iron and other metals. Retrieved 30 march 2019, from US Patent and Trademark Office. US patent no. 8,048,317. Selye H. 2013. Stress in health and disease. Butterworth-Heinemann, Boston, US. Pages: 27. Shafiee M, Tayefi M, Hassanian SM, Ghaneifar Z, Parizadeh MR, Avan A, Rahmani F, Khorasanchi Z, Azarpajouh MR, Safarian H. 2017. Depression and anxiety symptoms are associated with white blood cell count and red cell distribution width: A sex-stratified analysis in a population-based study. Psychoneuroendocrinology. 84:101-108. Steptoe A, Magid K, Edwards S, Brydon L, Hong Y, Erusalimsky J. 2003. The influence of psychological stress and socioeconomic status on platelet activation in men. Atherosclerosis. 168:57-63. Thakur N, Rai N, Siddiqui A. 2016. Nutrition in anemia. In: Watson RM, editor. Handbook of Nutrition and Diet in Leukemia and Blood Disease Therapy, Wageningen Academic Publishers: Gelderland, The Netherland. Pages: 353-370. Viner R. 1999. Putting stress in life: Hans Selye and the making of stress theory. Social Studies of Science. 29:391-410. Pages: 353-370. Violi F, Pignatelli P. 2012. Platelet oxidative stress and thrombosis. Thrombosis Research. 129:378-381. Wei C, Zhou J, Huang X, Li M. 2008. Effects of psychological stress on serum iron and erythropoiesis. International journal of hematology. 88:52-56.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sinirbilim
Bölüm Original Articles
Yazarlar

Mohammad Ahmed İssa Al-hatamleh

İmilia Ismail Bu kişi benim 0000-0002-3701-4006

Omar Mahmoud Al-shajrawı Bu kişi benim

Tengku Mohammad Arıff Bu kişi benim

Yayımlanma Tarihi 23 Haziran 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 11 Sayı: 2

Kaynak Göster

APA Al-hatamleh, M. A. İ., Ismail, İ., Al-shajrawı, O. M., Arıff, T. M. (2019). Effect of stress on alteration of haematological parameters: A preliminary study on preclinical medical students in Malaysia. Journal of Cellular Neuroscience and Oxidative Stress, 11(2), 852-860. https://doi.org/10.37212/jcnos.683403
AMA Al-hatamleh MAİ, Ismail İ, Al-shajrawı OM, Arıff TM. Effect of stress on alteration of haematological parameters: A preliminary study on preclinical medical students in Malaysia. J Cell Neurosci Oxid Stress. Haziran 2019;11(2):852-860. doi:10.37212/jcnos.683403
Chicago Al-hatamleh, Mohammad Ahmed İssa, İmilia Ismail, Omar Mahmoud Al-shajrawı, ve Tengku Mohammad Arıff. “Effect of Stress on Alteration of Haematological Parameters: A Preliminary Study on Preclinical Medical Students in Malaysia”. Journal of Cellular Neuroscience and Oxidative Stress 11, sy. 2 (Haziran 2019): 852-60. https://doi.org/10.37212/jcnos.683403.
EndNote Al-hatamleh MAİ, Ismail İ, Al-shajrawı OM, Arıff TM (01 Haziran 2019) Effect of stress on alteration of haematological parameters: A preliminary study on preclinical medical students in Malaysia. Journal of Cellular Neuroscience and Oxidative Stress 11 2 852–860.
IEEE M. A. İ. Al-hatamleh, İ. Ismail, O. M. Al-shajrawı, ve T. M. Arıff, “Effect of stress on alteration of haematological parameters: A preliminary study on preclinical medical students in Malaysia”, J Cell Neurosci Oxid Stress, c. 11, sy. 2, ss. 852–860, 2019, doi: 10.37212/jcnos.683403.
ISNAD Al-hatamleh, Mohammad Ahmed İssa vd. “Effect of Stress on Alteration of Haematological Parameters: A Preliminary Study on Preclinical Medical Students in Malaysia”. Journal of Cellular Neuroscience and Oxidative Stress 11/2 (Haziran 2019), 852-860. https://doi.org/10.37212/jcnos.683403.
JAMA Al-hatamleh MAİ, Ismail İ, Al-shajrawı OM, Arıff TM. Effect of stress on alteration of haematological parameters: A preliminary study on preclinical medical students in Malaysia. J Cell Neurosci Oxid Stress. 2019;11:852–860.
MLA Al-hatamleh, Mohammad Ahmed İssa vd. “Effect of Stress on Alteration of Haematological Parameters: A Preliminary Study on Preclinical Medical Students in Malaysia”. Journal of Cellular Neuroscience and Oxidative Stress, c. 11, sy. 2, 2019, ss. 852-60, doi:10.37212/jcnos.683403.
Vancouver Al-hatamleh MAİ, Ismail İ, Al-shajrawı OM, Arıff TM. Effect of stress on alteration of haematological parameters: A preliminary study on preclinical medical students in Malaysia. J Cell Neurosci Oxid Stress. 2019;11(2):852-60.