1.Determination of Lactate Dehydrogenase Enzyme Activity in Combat Sports Athletes of the Mongolian National Team
Oyun-Erdene R ; Oyundari A ; Bulgan M ; Tulgaa S ; Munkhtsetseg J
Mongolian Journal of Health Sciences 2026;91(1):79-84
Background:
Elite athletes regularly participate in national and international sporting competitions while simultaneously engaging in high-intensity and intensified training programs. Therefore, assessing changes in blood biochemical parameters is of considerable importance for evaluating athletes’ physiological adaptation to training loads. In particular, determining the activity of lactate dehydrogenase enzyme in athletes’ blood plasma provides a scientific basis for improving individual performance, evaluating sports performance, and enhancing the effectiveness of future training programs.
Aim:
To examine plasma lactate dehydrogenase enzyme activity in athletes of the Mongolian National Team.
Materials and Methods:
A total of 51 athletes, including 26 men and 25 women from 6 types of sports of the Mongolian National Team included in the study. Anaerobic capacity was assessed using a Monark 894E Ergomedic Peak Bike, designed to apply exercise load. Blood serum lactate level and lactate dehydrogenase enzyme activity were determined using a Biobase BK-280 fully automated biochemical analyzer. Heart rate, peripheral blood oxygen levels, and oxygen saturation were measured using a pulse oximeter.
Result:
The average age of the participating was 24.04±4.15 years, with average height of 168±8.78 cm and average weight of 71.01±7.69 kg. The average BMI was 24.82±4.12 kg/m². Pre-exercise lactate dehydrogenase enzyme activity averaged 177.1±28.96 U/L, while post-exercise lactate dehydrogenase activity averaged 223.5±51.56 U/L. The average heart rate before exercise was 66.04±8.9 bpm, while post-exercise heart rate was 123.6±16.06 bpm. The average VO2 max was 95.18±2.48.
Conclusion
The activity of the enzyme lactate dehydrogenase before and after exercise showed significant differences in the age groups 20-29 (p<0.01). When comparing lactate dehydrogenase enzyme activity before and after exercise by sport, statistically significant increases were observed in freestyle wrestling and judo athletes (p<0.01).
2.Sex-specific differences in serum neurotrophic and neuromuscular biomarkers in older adults with Sarcopenia
Odgerel Ch ; Erdenesuvd B ; Altankhishig B ; Nomin-Erdene E ; Enguun E ; Saranzayaa S ; Bat-Erdene D ; Tulgaa S ; Munkh-Erdene U ; Nandin-Erdene M ; Oyun-Erdene R ; Tserenvandan Kh ; Ganbaatar B ; Munkhtsetseg J ; Buyankhuu T
Mongolian Journal of Health Sciences 2026;95(5):12-17
Background:
Sarcopenia is a multifactorial geriatric syndrome characterized by age-related loss of muscle mass, muscle strength, and physical performance. In recent years, neurotrophic and neuromuscular biomarkers have been investigated as potential diagnostic indicators of sarcopenia; however, evidence regarding their sex-specific differences remains limited.
Aim:
To evaluate the sex-specific associations of serum BDNF, GDNF, and CAF22 levels with sarcopenia and muscle-related parameters among older adults.
Materials and Methods:
This analytical cross-sectional study included adults aged 60 years and older. Sarcopenia was defined according to the Asian Working Group for Sarcopenia (AWGS 2019) criteria. Serum BDNF, GDNF, and CAF22 levels were measured using ELISA. Group differences were analyzed using independent t-tests, correlations were assessed using Pearson correlation analysis, and diagnostic performance for sarcopenia was evaluated using receiver operating characteristic (ROC) analysis. Multivariable logistic regression analysis was also performed.
Results:
No statistically significant differences were observed in serum BDNF, GDNF, and CAF22 levels between sarcopenic and non-sarcopenic participants in either the male or female groups (all p>0.05). ROC analysis demonstrated AUC values ranging from 0.540 to 0.542 in males and from 0.508 to 0.530 in females for BDNF, GDNF, and CAF22. Multivariable logistic regression analysis revealed that age (OR=1.12, 95% CI: 1.04–1.21, p=0.003) and lower fat-free mass index (OR=0.78, 95% CI: 0.66–0.91, p=0.001) were significantly associated with sarcopenia, whereas BDNF, GDNF, and CAF22 showed no independent association with sarcopenia.
Conclusions
1. No statistically significant sex-specific differences were observed in serum BDNF, GDNF, and CAF22 levels between sarcopenic and non-sarcopenic older adults (all p>0.05). 2. CAF22 levels were weakly negatively correlated with muscle mass and fat-free mass index in males (p<0.05), whereas BDNF levels showed weak positive correlations with handgrip strength and fat-free mass index in females (p<0.05). CAF22 levels also demonstrated a weak positive correlation with age (p<0.05). 3. ROC and multivariable logistic regression analyses indicated limited diagnostic utility of BDNF, GDNF, and CAF22 for sarcopenia (AUC=0.508–0.542), and none of these biomarkers showed an independent association with sarcopenia (all p>0.05). In contrast, older age (OR=1.12, p=0.003) and lower fat-free mass index (OR=0.78, p=0.001) were significantly associated with sarcopenia.
3.Calcium levels in 6-7-year-old children with electrocardiographic changes and their association with physical growth
Uurtsaikh M ; Khongorzul Ts ; Enkhtsolmon S ; Munkh-Erdene U ; Oyun-Erdene R ; Munkhtsetseg Sh ; Amraa G ; Odgerel Ch ; Munkhtsetseg J ; Tulgaa S
Mongolian Journal of Health Sciences 2026;97(7):60-65
Background:
A child’s physical growth is fundamentally dependent on hormonal regulation, metabolism, and oxygen supply, within which bone mineralization specifically calcium (Ca²⁺) levels acts as a primary factor determining bone mineral density (BMD), muscle function, and hormonal activity. In cardiovascular disease (CVD), multiple physiological processes are disrupted at various levels, including decreased blood circulation and oxygen supply, increased energy expenditure, and reduced absorption of nutrients and micronutrients. In this context, research linking calcium levels in 6–7-year-old children with electrocardiographic (ECG) changes to physical growth has been scarce, which provided the rationale for conducting this study.
Aim:
To investigate the association between calcium levels and physical growth among 6–7-year-old children with electrocardiographic (ECG) abnormalities detected through early screening.
Materials and Methods:
This study was conducted using a case-control design. The case group included 143 children aged 6–7 with ECG changes, and the control group included 153 children without ECG changes, totaling 296 voluntary participants. Serum total calcium and albumin levels in both groups were measured using a fully automated biochemical analyzer. Statistical analysis was performed using SPSSv27, applying independent samples t-tests, ANOVA, and correlation analysis to compare means between the two groups.
Results:
The control group’s serum total calcium was 2.65±0.15 mmol/L, corrected calcium was 2.58±0.13 mmol/L, and the case group’s serum total calcium was 2.64±0.18 mmol/L, corrected calcium was 2.59±0.17 mmol/L, with no statistically significant difference observed between the study groups (p>0.05). When comparing total calcium in case-group children with normal height (2.66±0.20) versus those with stunted growth (2.61±0.13), a statistically significant difference was found (p<0.05). Correlation analysis between total and corrected calcium levels and physical growth indicators across study groups showed no statistically significant association. When height measurements were divided into four quartiles (Q1–Q4) and compared against total and corrected serum calcium, no statistically significant differences were found between the groups.
Conclusions
Comparison of physical growth and development Z-scores between children with and without ECG abnormalities revealed no statistically significant differences. However, total calcium levels tended to be lower among children with normal growth compared with those with growth retardation in the case group (p < 0.05). No statistically significant differences were observed in serum total or albumin-corrected calcium levels between the study groups (p > 0.05). When height measurements in the study groups were categorized into quartiles, no statistically significant differences in total or albumin-corrected calcium levels were observed between the groups. This suggests that calcium levels alone may not be a decisive determinant of physical growth in children of the same age.
4.Impact of storage conditions on the antioxidant capacity of food plants
Munkhzul T ; Oyun-Erdene R ; Tulgaa S ; Nandin-Erdene M ; Buyankhuu T ; Munkhtsetseg J ; Odgerel Ch
Diagnosis 2025;114(3):112-118
Background:
Due to Mongolia’s harsh climate and seasonal limitations in fresh food supply, fruits, vegetables, and medicinal plants are often consumed in preserved forms. However, the preservation methods and storage conditions may significantly alter their antioxidant activity, which is crucial for mitigating oxidative stress and preventing chronic diseases.
Objective:
This study aimed to evaluate the antioxidant activity of 19 commonly consumed vegetables, berries, and dried medicinal plants under different storage conditions including fresh, cold storage (cellar), and frozen (-20°C).
Methods:
Samples were extracted in 80% methanol and tested using the DPPH radical scavenging assay. Absorbance was measured at 517 nm using a UV-Vis spectrophotometer. IC⁻⁻ values were calculated to compare antioxidant potency. Statistical differences were assessed using paired and unpaired t-tests with SPSS v27 (p<0.05)
Results:
Cold storage significantly reduced antioxidant activity in root vegetables, with IC⁻⁻ values increasing by 2.4 to 13.5 times (p<0.01), indicating diminished radical scavenging potencial. In contrast, frozen samples showed minimal change (p>0.05). Dried medicinal plants such as Rosa canina and Thymus serpyllum maintained strong activity, with IC⁻⁻<50 μg/mL.
Conclusion
Cellar storage leads to a notable decline in antioxidant capacity of common vegetables, while freezing is a more effective method for preservation. Dried medicinal herbs remain potent sources of antioxidants and may be recommended for year-round use in Mongolian diets.
5.To synthesise dual-action nanoparticles (nps) by integrating zno with the extract of urtica dioica l. And to characterise
Odmaa T ; Buyankhuu T ; Oyun-Erdene R ; Odgerel Ch ; Tulgaa S ; Otgonjargal Ch ; Munkhtsetseg J ; Nandin-Erdene M
Diagnosis 2025;113(2):45-52
Background:
The synthesis of multifunctional nanoparticles by integrating the bioactive properties of the ethanol extract of Urtica dioica L. a medicinal plant widely distributed in Mongolia, with zinc oxide nanoparticles (ZnO-NP) serves as the foundation of the present study. The aim is to produce nanoparticles with synergistic antioxidant, anti-inflammatory, antibacterial, and anticancer activities.
Objective:
To synthesise dual-action nanoparticles (NPs) by integrating ZnO with the extract of Urtica dioica L. and to characterise their properties.
Materials and Methods:
The Control group, as ZnO-NPs, and the study group, as medicinal plant ethanol extraction loaded nanoparticles (UD-ZnO-NPs), were synthesised using green synthesis techniques. The morphology and particle size were characterised by Scanning Electron Microscopy (SEM), chemical bonding was analysed using Fourier Transform Infrared Spectroscopy (FTIR), and crystalline structure was examined by X-ray Diffraction (XRD). Hemolytic activity assays were conducted to assess cytotoxicity.
Results:
The Control and study group’s morphology and size distribution were uniform and spherical. The average particle size of the study group (UD-ZnO NPs) was 63 nm, while the control group (ZnO-NPs) was 77 nm. FTIR analysis showed that the basic chemical bonds in both types of nanoparticles were similar; however, additional peaks corresponding to the bioactive compounds from the Urtica dioica extract were detected in the UD ZnO-NPs. XRD analysis revealed that both types of ZnO-NPs investigated the same crystalline structure, consistent with the standard reference data (JCPDS No. 36 1451). Hemolysis assays showed that at concentrations ranging from 0.5 to 2.5 mg/ mL, the hemolytic activity was below 5%, indicating low cytotoxicity.
Conclusion
ZnO-NPs with and without Urtica dioica extract were successfully synthesized via a green method, yielding spherical, uniformly dispersed particles ranging from 63 to 77 nm in size. While the structural and crystalline characteristics of the NPs remained consistent, the presence of bioactive compounds was confirmed in the UD-ZnO-NPs. Hemolytic assays indicated dose-dependent cytotoxicity, highlighting the importance of concentration in biomedical applications.
6.Cystatin C levels in left ventricular hypertrophy and chronic kidney disease secondary to arterial hypertension
Khongorzul Ts ; Otgonjargal Ch ; Munkh-Erdene U ; Odgerel Ch ; Oyun-Erdene R ; Nandin-Erdene M ; Buyankhuu T ; Munkhtsetseg J ; Tulgaa S
Diagnosis 2025;113(2):63-68
Background:
Identifying reliable biomarkers for early detection, risk stratification, and prognosis of CVD in the context of CKD is, therefore, of critical importance. Cystatin C has emerged as a potential biomarker capable of reflecting both cardiac injury and renal impairment, particularly in patients with arterial hypertension. This study aimed to evaluate the association between serum cystatin C levels, left ventricular hypertrophy, and chronic kidney disease in individuals with hypertension.
Objective:
To assess serum cystatin C concentrations in patients with left ventricular hypertrophy and chronic kidney disease secondary to arterial hypertension.
Materials and Methods:
A case-control analytical study was conducted, enrolling 44 patients aged 45 years or older with both left ventricular hypertrophy and chronic kidney disease due to arterial hypertension alongside a control group of apparently healthy individuals. Serum cystatin C levels were measured using immunoturbidimetric assay. Statistical analysis was performed using SPSS version 25.0. Group comparisons were made using independent-sample t-tests, while multivariate regression and receiver operating characteristic (ROC) analyses were employed to explore associations and the predictive value of cystatin C.
Results:
The mean serum cystatin C concentration in the case group was 1.6±0.1 mg/L, significantly higher than in the control group (0.88±0.03 mg/L, p<0.05). Similarly, the estimated glomerular filtration rate (eGFR) was markedly reduced in the case group (44.88±6.8 mL/min/1.73 m²) compared to the controls (92.88±3.4 mL/ min/1.73 m², p<0.05). In the case group, a statistically significant inverse correlation was observed between serum cystatin C levels and glomerular filtration rate (GFR), with a regression coefficient of β=−0.028 (p<0.006).
Conclusion
The elevated serum cystatin C levels (1.6±0.1 mg/L) and decreased eGFR (38.99±12.7 mL/min/1.73 m²) observed in the case group suggest that cystatin C may serve as a potential biomarker for the early diagnosis of left ventricular hypertrophy due to arterial hypertension and chronic kidney disease, as well as for predicting related complications.
7.Result of assessment of lactate levels in high-end athletes
Oyundari A ; Bulgan M ; Ser-Od L ; Otgon-Erdene G ; Otgonjargal Ch ; Odgerel Ch ; Tulgaa S ; Nandin-Erdene M ; Buyankhuu T ; Munkhtsetseg J ; Oyun-Erdene R
Diagnosis 2025;113(2):81-88
Background:
Regularly participate international High-level in sports athletes national and competitions and engage in intense training, developing endurance and resilience. Measuring blood lactate levels is crucial for improving an athlete’s performance, assessing sports performance, and enhancing the effectiveness of future training.
Aim:
To study the relationship between lactate levels in the blood plasma and lactate dehydrogenase enzyme activity in Mongolian National Team athletes.
Materials and Methods:
The study involved 51 athletes from the Mongolian National Team. Anaerobic capacity was assessed using a Monark 894E Ergomedic Peak Bike, designed to apply exercise load. Blood serum lactate level and lactate dehydrogenase enzyme activity were determined using a Biobase BK-280 fully automated biochemical analyzer. Heart rate, peripheral blood oxygen levels, and oxygen saturation were measured using a pulse oximeter.
Results:
The average age of the participants was 24.04 ± 4.15 years, with an average height of 168 ± 8.78 cm and an average weight of 71.01 ± 7.69 kg. The average BMI was 24.82 ± 4.12 kg/m². Pre exercise lactate levels averaged 3.84 ± 0.75 mmol/L, while post-exercise lactate levels averaged 9.67±3.52 mmol/L. The average heart rate before exercise was 66.04±8.9 bpm, while post-exercise heart rate was 123.6±16.06 bpm. The average VO₂ max was 95.18±2.48.
Conclusion
The lactate levels before and after exercise among the athletes participating in the study showed significant differences in the age groups 20-29 (p<0.0001). When comparing lactate levels before and after exercise by sport, statistically significant increases were observed in freestyle wrestling and judo athletes (p<0.0001)
8.Result of a study on some effects of (Allium polyrhizum Turcz. ex Regel) preparation on a type 2 diabetic model
Oyun-Erdene R ; Gerelt Borjikhan ; Munkhtsetseg J
Mongolian Journal of Health Sciences 2025;85(1):130-135
Background:
Diabetes mellitus (DM) is a complex metabolic disorder involving many organs and can devastate the
lives of affected individuals. It is characterized by chronic high blood glucose that could lead to morbidity and mortality.
The number of people suffering from diabetes worldwide is increasing at an alarming rate. It is predicted that about 366
million people are likely to be diabetic by the year 2030. Since all of the previous studies have focused on the therapeutic
role of (Allium polyrhizum Turcz. ex Regel) preparations in diabetes mellitus, we investigated the preventive effect of oral
administration of (Allium polyrhizum Turcz. ex Regel) extract on the changes of biochemical factors and histopathology
alterations in hepatic tissue caused by diabetes. Therefore, this study aimed to investigate the effect of water extract (Allium polyrhizum Turcz. ex Regel) on the metabolism of rats with diabetes induced by a high-fat diet and streptozotocin.
Aim:
To investigate the antidiabetic properties of aqueous extract of (Allium polyrhizum Turcz. ex Regel) and its beneficial
effect on hematological parameters in streptozotocin-induced diabetic rats.
Materials and Methods:
Experimental was performed at the Institute of Mongolian Medicine and Chemistry, Inner
Mongolia University. Male Wistar rats weighing (180 g) were obtained from The Animal Experimental Unit of Mongolia
Medicine and Chemistry Research Center, Inner Mongolia University.
The rats were housed in well-aerated individual cages in an animal room and maintained in a temperature-controlled
room (24±25°C) with a 12 h light/12 h dark cycle, 50-60 % humidity. They were fed with normal commercial chow and
water ad libitum. Throughout the experiments, animals were processed according to the suggested international ethical
guidelines for the care of laboratory animals, and all experimental procedures were approved by the Animal Care and Use
Committee of Inner Mongolia University.
After 4 weeks, the rats were fasted for 8 h before blood sampling, water was not restricted. Blood samples were collected
from the orbital venous plexus.
Results:
The blood glucose level was significantly increased in model group 24.14±2.28 mmol/L, to Control group
5.31±0.49 mmol/L. Oral administration of Allium polyrhizum Turcz.ex Regel treated group 10.5±4.05 mmol/L, Metformin treated group 9.05±2.71 mmol/L resulted in significantly decreased blood glucose levels less model group.
Conclusion
The results of this study indicate that Allium polyrhizum Turcz.ex Regel possesses hypoglycemic, hypolipidemic, and antioxidant effects in STZ-induced diabetic rats and therapy of diabetes and its complications especially when
used for a longer period.
9.Comparative study results of serum vitamin D status in trained athletes in Mongolia
Oyu-Erdene Kh ; Bulgan M ; Oyun-Erdene R
Mongolian Medical Sciences 2024;207(1):8-14
Introduction:
The last decade has seen a dramatic increase in general interest in and research into vitamin D, with
many athletes now taking vitamin D supplements as part of their everyday dietary regimen. The most
recognized role of vitamin D is its regulation of calcium homeostasis; there is a strong relationship
between vitamin D and bone health in non-athletic individuals. Vitamin D is responsible for regulation
of calcium and phosphate metabolism and maintaining a healthy mineralized skeleton. It is also known
as an immunomodulatory hormone. Experimental studies have shown that 1,25-dihydroxyvitamin D,
the active form of vitamin D, exerts immunologic activities on multiple components of the innate and
adaptive immune system as well as endothelial membrane stability. Studying the level of vitamin D in
athletes in relation to age group, body mass index, and type of sport is important for reducing the risk of
injury and infection in athletes and improving performance and success in sports.
Goal:
To determine the 25-hydroxyvitamin D [25(OH)D] levels in the plasma of the trained athletes and their
vitamin D status to compare of their sports type.
Materials and Methods:
Sample size
Using a cross-sectional design, a total of 71 athletes aged 20-43 from the sports medicine research
center and the national team was selected by sampling.
Method of the Laboratory analyses
The body mass index and blood plasma level of 25 hydroxy vitamin D of the athletes participating in the
study were compared by sports type and analyzed using descriptive statistics. Comparison of survey
data was performed using Pearson’s correlation method.
Results:
In the study, 71 athletes of the Mongolian national team participated in 5 types of sports. Descriptive
analysis was performed on the general parameters of the athletes, body mass index, type of sport, level
of vitamin D in the blood, etc.
An avarege level of vitamin D of the athletes who participated in our study were 22.27±12.9 ng/ml, in the age group of 20-29 years, and compared to the body mass index, it was the highest level in the athletes of normal weight.
Conclusions
1. The level of vitamin D of the athletes who participated in our study was the highest in the age group
of 20-29 years, 22.27±12.9 ng/ml, and compared to the body mass index, it was the highest level
in the athletes of normal weight.
When studying the level of vitamin D of the participants in comparison with the type of sport, the
freestyle wrestlers had a higher level of 34.75±15.13 ng/ml, while the judo wrestlers had a lower
level of 12.69±5.17 ng/ml.
10.Results of the study on pathogens in vaginal smear tests
Mungunshagai A ; Oyun-Erdene R ; Munkhzul N
Mongolian Medical Sciences 2024;208(2):3-7
Introduction:
Although bacterial vaginosis prevalence varies across countries and populations, recent systematic
reviews and meta-analyses indicate that 23–29% of women of reproductive age are infected. Each
year, 21.2 million (22.9%) women between the ages of 14 and 49 in the United States develop bacterial
vaginosis. Microenvironments are interconnected with the endocrine, immune, and other organ
systems and dependent upon external and internal environmental influences. In women between the
ages of 15 and 44, bacterial vaginosis is the most common vaginal disorder, according to the Centers
for Disease Control and Prevention.
In our nation, 93.4% of women who are of reproductive age have vaginalis; the percentage of cases
with Gardnerella vaginalis alone is 22.6%, and 53.1% have it in combination with other anaerobic
bacteria, which is a significant percentage. Our research is based on the lack of information about the
vaginal environment of Mongolian women and factors influencing changes in the microenvironment.
Our research is based on the lack of information about the vaginal environment of Mongolian women
and factors influencing changes in the microenvironment.
Goal:
The objective is to study how age relates to the development of bacterial and fungal vaginitis through
the analysis of vaginal swabs.
Materials and Methods:
For our study, we selected 100 women aged 20-59 through targeted sampling from clients who
underwent vaginal smear tests at “Yu Bi Lab” laboratory and “Tsetsuu” diagnostic center in Ulaanbaatar
in 2023. Vaginal smear analysis was conducted using Nugent’s criteria and Gram staining. Statistical
analysis was performed by comparing pathogens among the participants based on age using
Pearson’s correlation method. We obtained permission to conduct research.
Through the Etugen University Biomedical Ethics Comittee convention held on march 11,2024
Results:
The study divided 100 women into four age groups to examine the vaginal environment with their age
and the factors influencing it. The research aimed to understand how bacterial vaginitis and fungal
vaginitis evolve during reproductive age and menopause. Among the age groups, women aged 20-29
had an average of 5.59±3.35 epithelial cells (n=32), those aged 30-39 had 6.10±3.29 (n=37), women
aged 40-49 had 6.70±3.90 (n=17), and women aged 50-59 had the highest number of epithelial cells
at 9.42±8.19 (n=14), representing 34% of the group.
Conclusion
1. Women of reproductive and menopausal age experience changes in the vaginal environment due to
various factors. This includes a decrease in the ratio of normal microorganisms and lactobacilli, an increase in the number of conditional pathogens, and the development of an alkaline environment
in the vagina.
2. Bacterial vaginitis predominantly affects younger women, with symptoms often being subtle. In
contrast, fungal vaginitis is more common among menopausal women. Lower estrogen levels in
women in this age group cause lactobacilli to break down glycogen less efficiently into lactic acid,
even though the number of lactobacilli is still normal. This research implies that suppositories and
estrogen pills may help treat these problems for women between the ages of 40 and 59.
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