Search Results (261)

Unexplained infertility (UI) continues to pose a diagnostic challenge, affecting a considerable proportion of reproductive-aged women. Increasing evidence suggests that oxidative stress (OS) may contribute to impaired female reproductive function. Malondialdehyde (MDA) is a lipid peroxidation marker, while total antioxidant capacity (T-AOC) reflects overall antioxidant defense. Evaluating these biomarkers may help to better understand the role of OS in UI and the potential benefit of antioxidant therapy. A prospective observational study included 30 women diagnosed with primary unexplained infertility. Serum levels of MDA and T-AOC were measured at baseline and after a period of antioxidant supplementation lasting 1–7 months (duration mode: 3 months). All participants received standardized antioxidant therapy consisting of vitamin E (50 mg/day), zinc (15 mg/day), coenzyme Q10 (15 mg/day), and selenium (70 µg/day). Participants with known causes of infertility were excluded. Nonparametric statistical tests were used to evaluate changes in oxidative stress markers before and after supplementation and to compare subgroups with and without comorbidities. Median baseline MDA concentration was 228.2 ng/mL and decreased significantly after antioxidant supplementation to 173.9 ng/mL (p < 0.001), with a reduction observed in 90% of participants. Median T-AOC increased slightly from 23.9 U/mL to 26.2 U/mL, but the change was not statistically significant (p = 0.735). No significant differences in oxidative stress markers were found between women with and without comorbidities, although higher baseline MDA levels were observed in participants with endometriosis (stage I–II). A significant decrease in MDA after supplementation was seen both in women with endometriosis (p = 0.005) and without it (p < 0.001). Women with unexplained infertility demonstrate biochemical evidence of oxidative stress, reflected by elevated MDA levels. Antioxidant supplementation was associated with a significant reduction in lipid peroxidation, suggesting a potential therapeutic role of antioxidants in UI. Combined assessment of MDA and T-AOC may provide useful insight into oxidative imbalance in infertility, although larger controlled studies are needed. Full article

This study aimed to examine the nutrient intake in Polish middle-distance runners. The secondary objective was to examine the biochemical profile and antioxidant status in the blood serum of the runners, and then compare to the control group. The research was conducted among 44 volunteers. Information regarding participants’ diet was gathered for three days before the study took place. Also, blood serum of athletes and control subjects was examined to obtain information about their antioxidant status, biochemical parameters, and micro- and macronutrients. This study showed that runners consumed more protein, sodium, zinc, phosphorus, water, vitamin A and E than the control group. The daily intake of selected vitamins, micro- and macronutrients in a group of athletes is approximately two times higher than in the control group. The control group consumed more polyphenols compared to the runners group (p < 0.05). The consumption of phenols was almost two times lower among runners compared to non-runners. The higher uric acid concentration (p = 0.025) and lower chloride concentration (p = 0.011) were observed in the blood serum of runners compared to the control group. The diet of middle-distance runners is well-balanced but need some modifications, especially regarding the intake of vitamin E, folates and polyphenols. Full article

Zinc-α2-glycoprotein (ZAG) is a novel adipokine with a plethora of functions meaningful for the regulation of adipose tissue and insulin sensitivity. Despite research, the role of ZAG in the course of childhood obesity is not fully understood. The aim of this study is to investigate whether the levels of ZAG can be used as a predictive or monitoring biomarker of adolescent obesity. Secondly, to determine the cut-off value of ZAG in blood serum in adolescents with obesity. The study included a group of 77 adolescent patients, including 59 obese patients, and 18 without obesity as healthy control subjects. All study participants had their biochemical parameters assessed by a certified medical laboratory. The recommendations of the Polish Society of Hypertensions were used to assess the blood pressure measurements in each group. ELISA enzyme immunoassays (R&D Systems, Minneapolis, MN, USA) were used to detect serum levels of ZAG. Our study showed that obese children and adolescents have significantly higher body mass, cholesterol, LDL-cholesterol, triglycerides (TG), systolic blood pressure (SBP) and diastolic blood pressure (DBP), but lower serum ZAG levels compared to the healthy control subjects. Furthermore, in our study, we found that median ZAG values were comparable between females and males within the same obesity category (median female ZAG level: 2.84, median male ZAG level: 2.89) and healthy control participants (median female ZAG level: 5.20, median male ZAG level: 4.99). Serum ZAG concentrations were significantly lower in obese participants (2.86 ± 0.40 mg/L) than in the control group (5.10 ± 0.74 mg/L; p < 0.001). The multivariable Firth’s logistic regression model, incorporating the selected factors, revealed a significant association between obesity and ZAG. ROC curve analysis indicated strong discriminatory ability of ZAG for identifying obesity, with a proposed cut-off value of 3.62 mg/L. Circulating ZAG level is significantly reduced in children and adolescents with obesity. An important finding of our study is the detection of a cutoff value for serum ZAG levels. Furthermore, the use of the Least Absolute Shrinkage and Selection Operator (LASSO) model can be considered a valuable contribution to defining ZAG as an independent factor associated with obesity. Full article

Objectives: This study aimed to identify factors influencing the magnitude of the difference between plasma glucose concentration (Glu(P)) and serum glucose concentration (Glu(S)). Methods: A total of 333 healthy Japanese adults aged 22–29 years (212 males and 121 females) were enrolled. Plasma samples were collected using glycolytic inhibitors, whereas serum samples were obtained without glycolytic inhibitors and kept at room temperature. Glu(P) and Glu(S) were measured and compared. Results: The median difference between Glu(P) and Glu(S), defined as Glu(P-S), was 4 mg/dL across all participants, with no gender-related differences. A strong positive correlation was observed between Glu(P) and Glu(S). Glu(P-S) was positively correlated with body mass index, Glu(P), triglyceride–glucose index, white blood cell count, serum sodium, magnesium, and zinc levels. In contrast, Glu(P-S) was negatively correlated with Glu(S), hemoglobin A1c (HbA1c), homeostasis model assessment of beta-cell function, and high-density lipoprotein cholesterol (HDL-C). Multiple regression analysis demonstrated that HDL-C and HbA1c were independent determinants of Glu(P-S) in the overall cohort. Among females, HDL-C, triglyceride, low-density lipoprotein cholesterol, ferritin, and C-reactive protein independently influenced Glu(P-S), whereas no independent determinants were identified in males. Conclusions: Plasma glucose concentrations measured with glycolytic inhibitors were significantly higher than serum glucose concentrations measured without inhibitors at room temperature. The magnitude of Glu(P-S) appears to be associated with markers of insulin resistance, particularly HDL-C levels. Full article

Monitoring uric acid (UA) concentration is crucial for human health, enabling early detection and prevention of metabolic disorders as well as assessing renal function and overall metabolic balance. Herein, we developed a field-effect transistor (FET)-based UA biosensor using hydrothermally synthesized vertical zinc oxide (ZnO) nanorods (NRs) and uricase. The fabricated FET biosensor was tested in phosphate-buffered saline (PBS) at increasing UA concentrations to evaluate its biosensing performance. The FET biosensor yields a sensitivity of 12.45 μA·mM⁻¹·cm⁻², covering a dynamic range of 0.05–2.75 mM. The calculated detection limit was ~0.0043 mM. The improved sensing performance results in a substantial enhancement of both detection sensitivity and limit of detection compared to the traditional lateral electrode setup. Additionally, selectivity, storage stability, fabrication reproducibility, and applicability for serum UA detection were evaluated. Overall, the vertical electrode configuration of the UA biosensor has the potential to be further extended for the sensitive detection of additional biomarkers. Full article

Background and Objectives: Viral meningitis presents significant diagnostic challenges. The aim of this study was to identify predictive factors for meningitis etiology and clinical outcomes. Methods: This prospective, single center, comparative study enrolled patients meeting clinical, biological, and microbiological criteria for bacterial (BM) or viral (VM) meningitis. Serum inflammatory markers, namely the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII), were quantified. In addition, the concentrations of oxidative stress biomarkers, glutathione peroxidase 3 (GPx3) and copper/zinc superoxide dismutase (Cu/Zn SOD), were also determined. Spearman correlation and logistic regression were used to evaluate associations between biomarkers and etiology, while receiver operating characteristic (ROC) curves assessed outcome correlations. Results: VM patients showed a significantly lower NLR (p = 0.007), PLR (p = 0.010), and SII (p = 0.016), with higher GPx3 (p < 0.0001) levels compared with BM patients. Cu/Zn SOD showed no significant difference (p = 0.442) between groups. Multivariate logistic regression identified the SII (OR = 1.015; 95% CI = 1.004–1.026) and GPx3 (OR = 0.847; 95% CI = 0.740–0.970) as etiology predictors. The SII was the strongest predictor of mortality in VM (AUC = 0.833). Conclusions: Serum markers of inflammation, including the systemic immune–inflammation index, along with antioxidant indicators such as GPx3, may serve as valuable additional tools for predicting meningitis etiology and forecasting patient outcomes. Full article

The present systematic review and meta-analysis aims to establish whether the brain, cerebrospinal fluid (CSF), serum/plasma whole blood, urine, and hair levels of copper, ceruloplasmin, zinc, and manganese are related to the risk for Parkinson’s disease (PD). We reviewed the PubMed and Web of Science Core Collection databases from 1966 to 29 November 2025, and identified references of interest for this topic. We performed the meta-analysis of eligible studies that followed the PRISMA and MOOSE guidelines, with the R software package meta R 4.2.0 version. When compared to age- and sex-matched controls, PD patients showed decreased concentrations of copper in the substantia nigra and other brain areas, a trend towards increased CSF and decreased serum/plasma copper levels, decreased serum/plasma ceruloplasmin levels, decreased zinc levels in serum/plasma and increased zinc in whole blood and hair, and increased hair manganese levels. These results suggest an association between these transition metals and risk for PD. Full article

The objective of this study was to evaluate the effects of sodium butyrate and organic zinc supplementation, alone or combined, on performance, zinc metabolism, blood parameters, and gut health in Holstein calves highly challenged by heat and diarrhea during the pre-weaning and weaning periods. Forty-eight male calves were assigned to one of four treatments: control (CON), SB (3 g/kg of sodium butyrate in dry matter [DM]), OZn (262 mg/kg of organic zinc in DM), or SBOZn (3 g/kg of sodium butyrate and 262 mg/kg of organic zinc in DM). Calves were monitored from days 7 to 63 for feed intake, weight gain, body morphometry, fecal score, and blood parameters. Zinc balance was evaluated from days 45 to 49, and 24 calves were slaughtered on day 64 for jejunal sampling to assess tight junction gene expression. Diarrhea incidence was high (>90%) across groups. Fecal scores varied over time but did not differ between treatments. The OZn and SBOZn groups had higher Zn intake, with greater absorption and retention of the mineral compared to the CON and SB groups. Additionally, the OZn group tended to have higher serum Zn concentrations. SB and OZn, separately or combined, had limited effects and did not consistently improve the performance or health of calves highly challenged during pre-weaning and weaning. Full article

Background: Studies that examine magnesium (Mg), zinc (Zn), and copper (Cu) in relation to sleep in the Middle East and North Africa are limited. We aim to assess the associations between serum and dietary Mg, Zn, and Cu levels and sleep quality in Saudi adults. Methods: A cross-sectional study was conducted among 1041 adults. Sleep quality was assessed using the Arabic Pittsburgh Sleep Quality Index (PSQI). Serum mineral levels were quantified biochemically, and dietary intake information was obtained. We utilized logistic regression to estimate the odds ratios for poor sleep (PSQI-P) in relation to serum and dietary indices in a crude model and after adjustment for confounders. Results: Serum Mg deficiency (<1.8 mg/dL) increased the odds of PSQI-P by 30% in the crude and age-adjusted models, with attenuation after further adjustment, suggesting partial mediation by lifestyle and metabolic factors. Mg deficiency was associated with PSQI-P (1.8-fold higher odds) after full adjustment. Dietary Mg levels below the DRI were independently associated with poor sleep across models. Higher serum Zn tertiles were associated with 40% lower odds of PSQI-P, and Zn deficiency (<80 µg/dL) demonstrated a three-fold independent increase in risk. Neither serum nor dietary intake levels of Cu demonstrated an association with sleep quality. Conclusion: In Saudi adults, serum and dietary Mg levels were associated with poor sleep, particularly in males, while the serum Zn concentration exhibited a modest inverse association at higher levels. Further longitudinal studies are warranted. Full article

Nutrition has been recognized as a major contributor to health and well-being. However, the association between nutritional status and cardiometabolic health across different stages of adulthood is not yet well understood. This cross-sectional study examined the association between health and micronutrient status among young and older Austrian adults. Specifically, the study investigated how blood micronutrients, blood lipid measures, and body composition are interrelated. A total of 488 adults who fulfilled the study criteria were categorized into young adults (n = 380; aged 20–49 years; 48% female) and older adults (n = 108; aged 50–64 years; 45% female). Blood analyses were performed to assess blood micronutrient levels and serum concentrations of a wide range of cardiometabolic health biomarkers, including blood lipids. Micronutrient deficiencies and excesses were determined using sex-based reference ranges. Significant differences were found between younger and older adults for 16 out of the 28 blood biomarkers of cardiometabolic health using group comparison tests (p < 0.05). There were significant age-based differences in the levels of magnesium, copper, zinc, molybdenum and vitamin D, but only copper and molybdenum deficiency/excess differed significantly between age groups (p < 0.05). Multivariate regression analysis showed that several micronutrients and demographic factors were associated with body weight, body mass index, and blood lipids (p < 0.05), with variation in associations observed between younger and older adults. These findings highlight that age-related differences in specific micronutrients, as well as their associations with blood lipids and body composition, should be considered when developing targeted nutritional and cardiometabolic health interventions for adults. Full article

Background/Objectives: Migraine affects approximately 10% of school-aged children, and frequently co-occurs with orthostatic intolerance (OI). However, although low serum zinc levels have been linked to migraine in adults, yet evidence in pediatric populations remains scarce. We aimed to investigate the association of serum zinc levels with comorbid OI in pediatric patients with migraine. Methods: We retrospectively analyzed medical records of 57 patients (26 male, 31 female; median age 13 years) newly diagnosed with migraine between December 2017 and March 2022. Diagnosis was made according to the International Classification of Headache Disorders, third edition criteria. Serum zinc, iron, copper, and ferritin concentrations were measured at initial presentation. Zinc deficiency was defined as serum concentration < 80 μg/dL. OI diagnosis required ≥2 characteristic symptoms based on modified Japanese diagnostic criteria. Results: The median serum zinc concentration was 80.7 μg/dL, with 40% of patients exhibiting zinc deficiency. Patients without comorbid OI (54%) demonstrated significantly lower serum zinc levels than those with OI (77.5 vs. 84.7 μg/dL, p < 0.001). Linear mixed model analysis identified comorbid OI as the only clinical factor significantly associated with serum zinc concentrations (p = 0.019). Conclusions: Pediatric patients with migraine without comorbid OI exhibit lower serum zinc levels than those with OI, suggesting differences in the underlying pathophysiology. Further large-scale, prospective studies including healthy control groups are warranted to validate these results. Full article

Background: Dromedary camel in Saudi Arabia thrive across diverse desert ecosystems where trace minerals are vital for key physiological functions, yet data on how regional and seasonal factors affect these minerals in dams and neonates are limited. Aim: This study investigated the effects of regional and seasonal variability on trace mineral status in dam serum (DS), dam milk (DM), and neonatal serum (NS) across major camel-rearing regions of Saudi Arabia. We hypothesized that environmental factors—particularly heat stress and local feed resources—drive regional and seasonal differences in mineral profiles and maternal–neonatal transfer. Methods: Samples of serum, milk, feed, water, and soil were collected from five major regions during three seasons. Concentrations of selenium (Se), zinc (Zn), copper (Cu), iron (Fe), manganese (Mn), and iodine (I) were quantified, and correlations among biological compartments were analyzed. Meteorological data were used to compute the temperature-humidity index (THI). Results: The THI ranged from thermoneutral levels in the Northern winter (17.4) to severe heat stress in Eastern summer (33.8). Milk minerals exhibited strong seasonal and regional effects, with selenium peaking in summer and zinc in spring. Western dams showed elevated iron and iodine, whereas northern dams had higher zinc. Serum minerals in dams varied moderately with season but differed regionally for zinc, selenium, and iron. Neonatal serum reflected maternal and regional influences, showing significant season-by-region interactions for selenium and iodine. Positive correlations indicated coordinated maternal–neonatal mineral transfer, particularly for selenium, iodine, and zinc. Feed represented the main environmental source of Cu and Se. In conclusion, camel trace mineral status is mainly driven by environmental factors but regulated through maternal transfer, with selenium and iodine emerging as key heat-stress markers supporting targeted, region- and season-specific supplementation to improve health and productivity in arid regions. Full article

Micronutrient deficiencies are not always present in individuals independently and may occur in association with other deficiency processes. Objective: Verify the association between the nutritional status of iodine and that of iron, selenium, and zinc in population studies. Methods: A bibliographic search was carried out in Medline, Web of Science, and CINAHL databases, without date and language restrictions, using English search terms and their synonyms. The search terms were joined by the Boolean operator AND while the respective synonyms were connected by OR following the PRISMA guidelines. Results: A total of 40 articles were included. The studies were published between 1993 and 2025, mostly involving both sexes and the main age groups were children and adolescents. Among the micronutrients analyzed, selenium stood out, being evaluated in 55.0% (n = 22) of the studies, followed by iron in 37.5% (n = 15) and zinc in 27.5% (n = 11). The most commonly used methods for assessing nutritional status were serum selenium, followed by urinary selenium. For iron, hemoglobin, ferritin, and serum iron were used in 73.3% (n = 11), 60.0% (n = 9), and 46.7% (n = 7) of the studies, respectively. For zinc, serum concentration was the most frequently used method; however, in one study, urinary zinc was evaluated. Overall, the nutritional status of iodine was associated with that of selenium, iron, and zinc, although this trend was not observed in some studies. Conclusions: The coexistence of deficiency processes in an individual still needs to be further elucidated. Combined strategies that effectively combat, prevent, and treat these micronutrient deficiencies must consider the possible interactions between them. Full article

Background: A cataract is a clouding of the normally clear lens that obscures the passage of light, effectively reducing clarity and sharpness of vision. Although this disease can affect both children and adults, the most common type is the age-related cataract (ARC). The literature describes many potential agents associated with cataract development. However, this study focuses on modifiable factors, especially nutritional ones and those that may induce oxidative stress. The objective of the present study was to assess serum selenium (Se), copper (Cu), and zinc (Zn) concentrations, as well as the copper/zinc molar ratio (Cu/Zn molar ratio), total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI), of patients with ARC in relation to their dietary habits. Methods: A total of 68 patients with ARC and 64 healthy volunteers, with ages ranging from 48 to 92 years, were included in this study. The experimental material collected from the participants consisted of blood samples, which were tested for Se, Cu, and Zn concentrations using atomic absorption spectrometry (AAS). Oxidative stress (OS) parameters, such as TAS and TOS, were estimated spectrophotometrically. In addition, a food frequency questionnaire (FFQ) was used to collect information on the dietary habits of ARC patients. Results: Statistical analysis of the data revealed that the concentrations of Se, Cu, and Zn in serum were significantly lower in ARC patients compared to the controls. In the ARC group, some elements of dietary behavior had a significant effect on the levels of the examined elements and OS parameters. Conclusions: Thus, eventual alterations to one’s diet appear to be worth considering in the context of maintaining homeostasis and adequate mineral levels in ARC patients. Full article

Two experiments evaluated the effects of copper (Cu) and zinc (Zn) injection on body weight (BW), body condition score (BCS), pregnancy rate, ovarian traits, and antioxidant and inflammatory responses of beef heifers. In Exp. 1, 29 heifers were assigned to having saline or CuZn (a solution containing 15 and 50 mg/mL of Cu and Zn) subcutaneously injected (5 mL/heifer) 9 days before artificial insemination. Exp. 2 was conducted to increase the statistical power to evaluate pregnancy rate, and 283 heifers were assigned to either the saline or CuZn group. In Exp. 1, CuZn heifers tended (p ≤ 0.10) to gain more BW and to have greater corpus luteum size and plasma concentration of glutathione peroxidase. No effects of treatment were detected (p ≥ 0.18) for BCS; estrus score; serum concentration of Cu, Zn, and cortisol; and plasma concentration of haptoglobin, ceruloplasmin, and superoxide dismutase. In Exp. 2, CuZn heifers had greater (p < 0.01) BW and serum Cu. The CuZn heifers with low BCS had greater (p ≤ 0.05) estrus scores and tended (p = 0.10) to have greater pregnancy rates. Thus, injecting CuZn may be an effective strategy to enhance growth, reproductive performance, and antioxidant responses in heifers, especially when their BCS is below 5. Full article