RT Journal Article T1 Impaired Antioxidant Defence Status Is Associated With Metabolic-Inflammatory Risk Factors in Preterm Children With Extrauterine Growth Restriction: The BIORICA Cohort Study A1 Ordonez-Diaz, Maria Dolores A1 Gil-Campos, Mercedes A1 Flores-Rojas, Katherine A1 Munoz-Villanueva, Maria Carmen A1 Mesa, Maria Dolores A1 de la Torre-aguilar, Maria Jose A1 Gil, Angel A1 Perez-Navero, Juan Luis K1 prematurity K1 extrauterine growth restriction (EUGR) K1 antioxidants K1 catalase (CAT) K1 glutathione peroxidase (GPx) K1 glutathione reductase (GR) K1 superoxide dismutase (SOD) K1 children K1 For-gestational-age K1 Oxidative stress markers K1 Superoxide dismutase K1 Parenteral-nutrition K1 Born small K1 System K1 Term K1 Newborns K1 Obesity K1 Birth AB Introduction: An impaired antioxidant status has been described during foetal growth restriction (FGR). Similarly, the antioxidant defence system can be compromised in preterm children with extrauterine growth restriction (EUGR). The aim of this prospective study was to evaluate the antioxidant status in prepubertal children with a history of prematurity without FGR, with and without EUGR, compared to a healthy group.Methods: In total, 211 children were recruited and classified into three groups: 38 with a history of prematurity and EUGR; 50 with a history of prematurity and adequate extrauterine growth (AEUG); and 123 control children born at term. Catalase (CAT), superoxide dismutase (SOD), glutathione peroxidase (GPx) and glutathione reductase (GR) activities were assessed in lysed erythrocytes with spectrophotometric methods. Plasma levels of the antioxidants alpha-tocopherol, retinol and beta-carotene were determined through solvent extraction and ultra-high-pressure liquid chromatography coupled to mass spectrometry.Results: Children with the antecedent of EUGR and prematurity had lower CAT activity than the other two groups and lower GPx activity than the control children. Lower SOD, GPx and GR activities were observed in the AEUG group compared to the controls. However, higher concentrations of alpha-tocopherol and beta-carotene were found in the EUGR group compared to the other groups; retinol levels were also higher in EUGR than in AEUG children. In EUGR and AEUG children, enzymatic antioxidant activities and plasma antioxidants were associated with metabolic syndrome components and pro-inflammatory biomarkers.Conclusions: This study reveals, for the first time, that the EUGR condition and prematurity appear to be linked to an impairment of the antioxidant defence status, which might condition an increased risk of adverse metabolic outcomes later in life. PB Frontiers media sa SN 2296-861X YR 2021 FD 2021-12-21 LK https://hdl.handle.net/10668/25670 UL https://hdl.handle.net/10668/25670 LA en DS RISalud RD Apr 10, 2025