ABSTRACT METABOLIC DISORDERS IN PATIENTS WITH ONCOLOGIC PATHOLOGY

R. Aringazina, N. Zholdassova, Zh. Nurgaliyeva, B. Kurmanalin, I. Kaibagarova
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Abstract

Relevance: Metabolic disorders often take on a systemic character. It affects carbohydrate, lipid, and hormonal metabolism. Moreover, these changes promote the development and aggravation of several pathologies. The prevalence of metabolic disorders, including obesity, is increasing world-wide and in Kazakhstan. The study focused on the clinical characteristics of metabolic syndrome (MS) components in pa-tients with cancer comorbidities. Methods: The materials included medical records of cancer patients with MS – 35 people (main group) and non-cancerous patients with MS – 35 people (control group). MS was diagnosed with a combination of three symptoms: abdominal obesity, high blood pressure, and increased high-density lipoprotein cholesterol (HDL-C) levels. The data were analyzed and processed using the STATIS-TICA 10 software package. The significance criterion was p<0.05. Results: All studied patients were diagnosed with abdominal obesity. Indicators analysis showed a significant difference in HDL-C concentration in the main and control groups: 3.8 mmol/l in cancer patients and 5.7 mmol/l in the controls. No significant difference in blood pressure was found. Conclusion: The age of patients with MS evidences a threatening tendency to develop metabolic disorders in young and middle ages. A significantly lower concentration of LDL-C in cancer patients compared with the controls allows using this parameter to predict cancer ]development in patients diagnosed with MS. Thus, HDL-C concentration could be used as a metabolic marker for pre-symptomatic diagnostics.
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摘要代谢紊乱在肿瘤病理患者中的应用
相关性:代谢紊乱通常具有全身性。它影响碳水化合物、脂质和激素的代谢。此外,这些变化促进了几种病理的发展和加重。包括肥胖在内的代谢性疾病的发病率在全世界和哈萨克斯坦都在增加。该研究的重点是癌症合并症患者代谢综合征(MS)成分的临床特征。方法:资料包括肿瘤MS - 35人(主要组)和非肿瘤MS - 35人(对照组)的病历资料。多发性硬化症被诊断为三种症状的结合:腹部肥胖、高血压和高密度脂蛋白胆固醇(HDL-C)水平升高。使用statistic - tica 10软件包对数据进行分析和处理。显著性标准为p<0.05。结果:所有被研究的患者均被诊断为腹部肥胖。指标分析显示,主组与对照组HDL-C浓度有显著差异:肿瘤患者为3.8 mmol/l,对照组为5.7 mmol/l。没有发现血压有显著差异。结论:MS患者的年龄表现为中青年代谢性疾病的危险趋势。与对照组相比,癌症患者的LDL-C浓度明显较低,因此可以使用该参数预测诊断为ms的患者的癌症发展。因此,HDL-C浓度可以用作症状前诊断的代谢标志物。
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