1. Melatonin intake before intradialytic exercise reverses oxidative stress and improves antioxidant status in hemodialysis patients
- Author
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Marzougui, Houssem, Turki, Mouna, Ben Dhia, Imen, Maaloul, Rami, Chaker, Hanen, Makhlouf, Rihab, Agrebi, Ikram, Kammoun, Khawla, Jamoussi, Kamel, Ayadi, Fatma, Ben Hmida, Mohamed, and Hammouda, Omar
- Abstract
Purpose: The present study aimed to investigate for the first time the effects of melatonin (MEL) intake on oxidative stress and cellular damage during intradialytic exercise (IEX).Methods: Thirteen hemodialysis (HD) patients volunteered to participate in the current randomized crossover trial. Participants performed four HD sessions in four different conditions: (Exercise (EX)-MEL), (EX-Placebo (PLA)), (Control (C)-MEL), and (C-PLA). 3 mg of MEL or PLA were taken 60 min before starting exercise, or at the equivalent time in the C conditions. Blood samples were taken before HD (T0), immediately after the end of IEX (T1), 60 min after IEX (T2), or at the corresponding times in the C conditions to measure free radicals damage, antioxidant biomarkers, as well as biomarkers of muscle and liver damage.Results: Malondialdehyde and Advanced Oxidation Protein Products decreased in (C-MEL) (p< 0.05, d= 2.19; p< 0.01, d= 0.99, respectively) at T2 compared to T0. Catalase and total thiol levels increased in (C-MEL) (p< 0.01, d= 1.51; p< 0.01, d= 1.56, respectively) and in (EX-MEL) (p= 0.01, d= 1.28; p< 0.01, d= 1.52, respectively) at T1 compared to T0. Total bilirubin levels increased in (EX-MEL) and (C-MEL) at T2 compared to T0 (p< 0.001, d= 2.77; p< 0.001, d= 1.36, respectively), but only at T2 compared to T1 in (EX-MEL) (p< 0.001, d= 1.67). In all conditions, uric acid levels decreased at T1 compared to T0 and at T2 compared to T1, while biomarkers of muscle and liver damage remained unchanged.Conclusion: This pilot study is the first to show that MEL ingestion, alone or combined with IEX, could improve oxidant-antioxidant balance during HD.
- Published
- 2023
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