Title Utjecaj vegetarijanske prehrane i polimorfizma C677T gena metilentetrahidrofolat-reduktaze na razinu vitamina B12, folata i homocisteina : doktorski rad
Title (english) Effects of vegetarian nutrition and methylenetetrahydrofolate reductase C677T gene
polymorphism on vitamin B12 levels, folates and homocysteine
Author Silvija Zec-Sambol https://orcid.org/0000-0001-6730-1017
Mentor Davor Štimac (mentor)
Committee member Davor Štimac (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of General Pathology and Pathological Anatomy) Rijeka
Defense date and country 2012-01-01, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nuclear Medicine
Universal decimal classification (UDC ) 615 - Pharmacology. Therapeutics. Toxicology
Abstract Cilj istraživanja: Istraţiti u kojoj mjeri vegetarijanska prehrana, vjeţbanje joge i polimorfizam
MTHFR C677/T utječu na promjene vrijednosti hematoloških, biokemijskih i fizikalnih parametra i
koncentracije homocisteina, folata i vitamina B12 u krvi.
Ispitanici i metode: Istraţivanjem je obuhvaćeno 100 ispitanika, od toga 47 vegetarijanaca i 53
nevegetarijanaca, među kojima 54 vjeţba jogu, a 46 ne vjeţba jogu. Uz anamnestiče podatke svim
ispitanicima su određeni antropometrijski, hematološki i biokemijski parametri, a koncentracija
homocisteina, folata i vitamina B12 određivana je na automatiziranom imunoanalizatoru Architect
(Abbott, USA). Metodom PCR-RFLP analiziran je genotip MTHFR C677T polimorfizma za svakog
ispitanika u istraţivanju. Za analizu kvalitete ţivota korišteni su upitnici – Skala percipiranog stresa
i Zdravstveni upitnik SF 36.
Rezultati: Utvrdilo se da ispitanici na vegetarijanskoj prehrani imaju statistički značajno niţu razinu
vitamina B12, niţe vrijednosti kolesterola, LDL-kolesterola i kreatinina te višu razinu homocisteina,
bolju kvalitetu ţivota, zadovoljniji su svojim tjelesnim, mentalnim te posljedično i ukupnim zdravljem
u odnosu na kontrolnu skupinu.
Ispitanici koji vjeţbaju jogu imaju statistički značajno niţe vrijednosti kreatinina i bolju kvalitetu
ţivota, zadovoljniji su svojim tjelesnim i ukupnim zdravljem u odnosu na kontrolnu skupinu. U razini
percipiranog stresa nisu dobivene statistički značajne razlike, iako ispitanici na vegetarijanskoj
prehrani i oni koji vjeţbaju jogu percipiraju manje stresa od kontrolne skupine.
Učestalost genotipa mutacije MTHFR C677T u ispitanika je slijedeća: ispitanici koji nisu nosioci
mutacije (44%), heterozigotni (43%) i homozigotni nosioci (13%).
Heterozigotni status vegetarijanaca utječe na razinu homocisteina, ali ne i na vrijednosti vitamina
B12 i folne kiseline, dok vegetarijanska prehrana statistički značajno utječe na razinu homocisteina
i vitamina B12.
Homozigotni status ne objašnjava razinu homocisteina zbog moguće malog broja ispitanika, a
statistički značajno objašnjava je spol i prehrana. Muški spol i vegetarijanska prehrana statistički su
značajni prediktori više razine homocisteina.
VI
Zaključci: U ovom istraţivanju utvrđeno je da na razinu homocisteina utječe vegetarijanska
prehrana i vegetarijanci heterozigoti za MTFHR 677C/T. Vegetarijanska prehrana pokazala se
značajnim čimbenikom fizičkih parametara zdravlja kao i samoprocijenjene kvalitete ţivota.
Rezultati istraţivanja doprinose objašnjenju čimbenika utjecaja na razinu homocisteina i upućuju
na potrebu za dodatnim istraţivanjem utjecaja polimorfizma C677T MTHFR na status vitamina
B12, folata i razine homocisteina.
Abstract (english) Objectives: The purpose is to research the way vegetarian nourishemnt, yoga excercise and the
MTHFR C 677/T polymorphism influence the value of hematological, biochemical and physical
parameters, and the concentration of homocysteines, folates and vitamin B12 present in the blood.
Patients and methods: The reasearch has covered 100 examinees: 47 vegetarians and 53 nonvegetarians; 54 of them have been practicing yoga, while 46 have not. Beside the anamnestic
data, the examinees have been determinated on anthropometric, hematological and biochemical
parameters, while the concentration of homocysteines, folates and vitamin B12 has been validated
with the Architect (Abbott, USA) automatized immuno analyzer.
Every examinee in the research has had the MTHFR C677T genotype polymorphism analyzed
with the PCR-RFLP method.
The method used for the analysis of quality-of-life have been queries: Perceived stress scale and
the SF 36 health questionnaire.
Results: The research has determined that vegetarian examinees have a significant lower vitamin
B12 level, a lower cholesterol, LDL-cholesteral and creatinine level, a higher level of
homocysteines, a better quality of life, are more content with their physical and mental health,
consequently, their total health in regards to the normative group.
The examinees who practice yoga have a significant lower value of creatinine and a better quality
of life, are more content with their physical and total health in regards to the normative group.
The perceived stress scale has not given any significant difference, although the vegetarian
examinees and the ones practicing yoga perceive less stress than the normative group.
The MTHFR C677T genotype mutation frequency: examinees that are not carriers od the mutation
(44%), (43%) and homozygous carriers (13%). The vegetarian heterozygous status affect the level
of homocysteine, but does not affect the level of vitamin B12 and folic acid, while vegetarian
VIII
nutrition statistically significantly lowers the level of homocysteine and vitamin B12. The
homozygous status does not explain the level of homocysteine, possible because of the small
number of examinees, but statistically significantly, sex and nutrition do. The male sex and
vegetarian nutrition are statistically significant predictors of a higher level of homocysteine.
Conclusions: This reaserch has showed that vegetarian diet and the vegetarian heterozygous
status MTHFR 677C/T infulences the level of homocysteine. The vegetarian nourishment has been
shown as a significant factor of physical parameters of health, as for the self-evaluation of the
quality-of-life. The results of the research are contributing to the explanation of the factors that
influence the level of homocysteine and are pointing out the need for an additional research on the
C677T MTHFR polymorphism and its influence on the vitamin B12, folate and homocysteine
status.
Keywords
Homocistein
Kvaliteta ţivota
Lipidi plazme
Metilentetrahidrofolat-reduktaza (MTHFR)
Nevegetarijanci
Skala percipiranog stresa
Vegetarijanci
Vitamin B12
Keywords (english)
Homocysteine
Quality-of-life
Plasma lipids
Methylenetetrahydrofolate reductase (MTHFR)
Non-vegetarians
Perceived stress scale
Vegetarians
Vitamin B12.
Language croatian
URN:NBN urn:nbn:hr:188:183985
Promotion 2012
Study programme Title: Biomedicine Postgraduate (doctoral) study programme Study programme type: university Study level: postgraduate Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
Catalog URL https://libraries.uniri.hr/cgi-bin/ucat/unilib.cgi?form=U1520919030
Type of resource Text
Extent 100 str; 30 cm
File origin Born digital
Access conditions Open access
Terms of use
Created on 2017-01-19 18:55:25