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Medical Hydrology and Balneology: Environmental Aspects

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Effects of drinking Spa Therapy on<br />

oxidative stress<br />

Costantino M (1-2) , Filippelli A (3) , Contaldi E (1) , Schiavone A (1) , Coiro V (2)<br />

(1) Association no profit F.I.R.S.Thermae (Interdisciplinary Training, Researches <strong>and</strong> SPA<br />

Therapies Sciences), Bacoli (Naples), Italy<br />

(2) Graduate School in <strong>Medical</strong> <strong>Hydrology</strong>, Department of Internal Medicine <strong>and</strong> Biomedical<br />

Sciences, University of Parma, Italy<br />

(3) Department of Medicine <strong>and</strong> Surgery, University of Naples, Italy<br />

mariacostantino@katamail.com<br />

Objectives<br />

The oxidative stress is produced in cells by oxygen-derived species resulting<br />

from cellular metabolism <strong>and</strong> from interaction with exogenous compounds. It<br />

results dangerous when an imbalance in antioxidant status arises. This is the case of<br />

chronic inflammation of gastrointestinal tract. For example data of literature have<br />

shown the correlation between oxidative stress <strong>and</strong> some diseases of gastrointestinal<br />

<strong>and</strong> metabolic relevance such as diabetes mellitus, gastric cancer, gastritis etc..<br />

Recent data demonstrated the correlation between oxidative stress <strong>and</strong> vascular<br />

alteration <strong>and</strong> pancreatic β cells damage in diabetics. The results of the published<br />

clinical, experimental in vitro <strong>and</strong> in vivo studies, suggests that SPA (Salus Per<br />

Aquam) Therapy or SPA Medicine provide anti-inflammatory, immunomodulatory<br />

<strong>and</strong> recently antioxidative effects. The aim of our research was to evaluate the<br />

effects of a drinking SPA treatment on the oxidative stress conditions in patients<br />

with type 2 diabetes mellitus, a chronic disease with a high social <strong>and</strong> economic<br />

impact.<br />

Materials <strong>and</strong> Methods<br />

Thirty-five subjects (74% men <strong>and</strong> 26% women) (Age range: 46-74 years; Mean<br />

+/- SE: 64+/-1.1 years) affected by type 2 diabetes mellitus under drug therapy<br />

participated in the study. Patients were informed of the purpose of the study <strong>and</strong><br />

gave their informed consent. After medical examination, subjects were r<strong>and</strong>omly<br />

divided into 2 groups: group A (21 subjects with Body Mass Index (BMI) 27.9+/-<br />

1.0), who continued hypoglycaemic drug therapy <strong>and</strong> group B (14 subjects with<br />

BMI 27.5+/-1.0), who continued hypoglycaemic drug therapy in association with a<br />

drinking treatment with sulphureous-bicarbonate-calcic-magnesian mineral water<br />

from Terme of Telese SpA (Benevento-Italy) for 14 days. After 2 weeks of treatment,<br />

the following parameters were measured: fasting blood glycaemia (mg/dL),<br />

capillary blood was taken <strong>and</strong> immediately tested with Glucocard G+meter; oxidative<br />

stress indices: 1. d-ROMs test (Diacron International srl-Grosseto, Italy). These<br />

Balnea<br />

2012, núm. 6, 208-209<br />

208<br />

ISBN: 978-84-669-1887-0<br />

978-84-669-3482-4

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