Changes in lipid peroxidation system during standard therapy for exogenous constitutional obesity in adolescents of different sex

Objective. To reveal changes in lipid peroxidation parameters and antioxidant protection components against the background of standard non-pharmacological therapy for exogenous constitutional obesity in adolescents of different sex. Patients and methods. Forty-six adolescents aged 12–17 years with obesity were examined before and after non-pharmacological therapy. The control group included 36 healthy adolescents. We analyzed the composition of lipid peroxidation products – conjugated dienes (CD), ketodienes and conjugated trienes (KD and CT), TBA-active products and activity of antioxidant protection factors: total antioxidant activity (AOA), levels of α-tocopherol, retinol, reduced and oxidized glutathione (GSH, GSSG), their ratio (GSH/GSSG ratio), superoxide dismutase (SOD) activity. Spectrophotometric and fluorometric methods were used. Results. Male adolescents with obesity had lower values of primary lipid peroxidation products compared to the control group – CD (1.35-fold, p = 0,001) and antioxidant protection factors: total AOA (1.16-fold, p = 0,036) and SOD activity (1.49-fold, p < 0.0001), whereas secondary products – KD and CT were elevated (1.42-fold, p = 0,046). Standard therapy in male adolescents did not lead to normalization of the studied parameters. Significantly lower were the values of total AOA (1.4-fold, p = 0.0001), SOD activity (1.42-fold, p < 0.0001) and α-tocopherol (1.33-fold, p = 0.012) in female adolescents with exogenous constitutional obesity compared to the control group. After standard therapy, there was an increase in GSSG levels (1.14-fold, p = 0.029). Conclusion. The presence of negative changes in the pro- and antioxidant status in adolescents with obesity, which was not normalized after a course of standard therapy, was shown. Additional pharmacological correction by prescription of antioxidant drugs becomes relevant. Key words: antioxidant protection, standard therapy, oxidative stress, adolescents, exogenous constitutional obesity