TİP II DİYABET VE/VEYA COVID-19 TANILI HASTALARDAKİ HEMOGLOBİN A1c, LİPİT PROFİLLERİ, HOMOSİSTEİN, OKSİDATİF STRES VE FİZİKSEL AKTİVİTE DÜZEYLERİNİN BELİRLENMESİ

Öz

Amaç: Koronavirüs 2019 (Covid-19) pandemisi, yüksek morbidite ve mortalite oranlarına neden olmaktadır. Bu çalışma, diyabetik Covid-19 hastaları (grup I), diyabetik olmayan Covid-19 hastaları (grup II) ve sağlıklı kontroller (Grup III) arasındaki hemoglobin A1c (HbA1c), lipid profilleri, homosistein, oksidatif stres ve fiziksel aktivite düzeylerini karşılaştırmayı amaçlamaktadır. Yöntem: Katılımcıların venöz kan örneklerinden HbA1c, lipid profilleri, homosistein, oksidatif stres, oksidan ve antioksidan seviyesi analiz edildi ve Uluslararası Fiziksel Aktivite Anketi ile fiziksel aktivite seviyeleri ölçüldü. Tüm parametreler gruplar arasında karşılaştırıldı (her grup için n=16). Bulgular: Grup I'de HbA1c ve açlık kan şekeri düzeyleri grup II ve III'e göre yüksekti (p<0.001). Gruplar arasında serum total kolesterol, trigliserit, yüksek yoğunluklu lipoprotein kolesterol ve düşük yoğunluklu lipoprotein kolesterol düzeyleri arasında anlamlı fark vardı (p<0.001). Grup III ile karşılaştırıldığında grup I ve grup II'de daha düşük süperoksit dismutaz (p<0.001) ve toplam antioksidan seviyesi (TAS) (p<0.001), daha yüksek malondialdehit, total oksidan seviyesi (TOS) (p<0.001), oksidatif stres indeksi (p<0.001), C-reaktif protein seviyesi (p=0.001) ve nötrofil/lenfosit oranı (p<0.001) vardı. Grup I ve II'deki hastaların fiziksel aktivite düzeyleri grup III'e göre daha düşük olmasına rağmen, yalnızca grup II'deki hastaların fiziksel aktivite düzeyleri grup III'e göre anlamlı olarak daha düşüktü (p=0.006). Sonuç: Çalışmamızdaki diyabetik Covid-19 hastalarının kan şekeri belirteçleri, diyabetik olmayan Covid-19 hastalarına ve sağlıklı kontrollere göre daha yüksekti. Diyabetik ve diyabetik olmayan Covid-19 hastaları sağlıklı kontrollere göre daha yüksek oksidan, daha düşük antioksidan ve daha yüksek oksidatif stres düzeyine sahipti. Ayrıca diyabetik olmayan Covid-19 hastalarının fiziksel aktivite düzeyleri diyabetik Covid-19 hastalarına ve sağlıklı kontrollere göre daha düşüktü.

Anahtar Kelimeler

• Covid-19
• Lipit Profilleri
• Homosistein
• Oksidatif Stres Seviyesi
• Fiziksel Aktivite

DETERMINATION OF HEMOGLOBIN A1c, LIPID PROFILES, HOMOCYSTEINE, OXIDATIVE STRESS AND PHYSICAL ACTIVITY LEVELS IN DIABETIC AND/OR NON-DIABETIC COVID-19 PATIENTS

Öz

Objective: The coronavirus disease 2019 (Covid-19) pandemic results in higher morbidity and mortality rates. This study aims to compare hemoglobin A1c (HbA1c), lipid profiles, homocysteine, oxidative stress, and physical activity levels between diabetic Covid-19 patients (group I), non-diabetic Covid-19 patients (group II), and healthy controls (group III). Method: HbA1c, lipid profiles, homocysteine, oxidative stress, oxidant, and antioxidant status were analyzed from the venous blood samples and physical activity levels were measured with International Physical Activity Questionnaire. All the parameters were compared between the groups (n=16 for each group). Results: HbA1c and fasting blood glucose levels in group I were higher than group II and III (p<0.001). There were significant differences in serum levels of total cholesterol, triglyceride, high density lipoprotein cholesterol and low-density lipoprotein cholesterol between the groups (p<0.001). There was lower superoxide dismutase (p<0.001) and total antioxidant status (TAS) (p<0.001), and higher malondialdehyde (p<0.001), total oxidant status (TOS) (p<0.001), oxidative stress index (p<0.001), C-reactive protein level (p=0.001), and neutrophil/lymphocyte ratio (p<0.001) in group I and II compared with group III. Although the patients in group I and II had lower physical activity levels than group III, only the patients in group II had significantly lower physical activity levels than group III (p=0.006). Conclusion: Diabetic Covid-19 patients had higher blood glucose markers than non-diabetic Covid-19 patients and healthy controls in our study. Diabetic and non-diabetic patients had higher oxidant, lower antioxidant, and higher oxidative stress levels than healthy controls. In addition, the physical activity levels of non-diabetic Covid-19 patients were lower than diabetic Covid-19 patients and healthy controls.

Anahtar Kelimeler

• Covid-19
• Lipid Markers
• Homocysteine
• Oxidative Stress Level
• Physical Activity

Kaynakça

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