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The Relationship Between Sarcopenia And Proteinuria, What Do We Know? 肥胖症与蛋白尿之间的关系,我们知道些什么?
Q3 Medicine Pub Date : 2023-11-15 DOI: 10.2174/0118746098232969231106091204
O. Gungor, Sena Ulu, A. Inci, Kenan Topal, Kamyar Kalantar-Zadech
Sarcopenia is one of the most common geriatric syndromes in the elderly. It is defined as a decrease in muscle mass and function, and it can lead to physical disability, falls, poor quality of life, impaired immune system, and death. It is known that, the frequency of sarcopenia increases in the kidney patient population compared to healthy individuals. Although it is known that kidney disease can lead to sarcopenia; our knowledge of whether sarcopenia causes kidney disease is limited. Prior studies have suggested that protein energy wasting may be a risk of de novo CKD. Proteinuria is an important manifestation of kidney disease and there is a relationship between sarcopenia and proteinuria in diabetes, geriatric population, kidney transplant, and nephrotic syndrome. Does proteinuria cause sarcopenia or vice versa? Are they both the results of common mechanisms? This issue is not clearly known. In this review, we examined the relationship between sarcopenia and proteinuria in the light of other studies.
肌肉疏松症是老年人最常见的老年综合症之一。它被定义为肌肉质量和功能下降,可导致身体残疾、跌倒、生活质量低下、免疫系统受损和死亡。众所周知,与健康人相比,肾病患者发生肌肉疏松症的频率会增加。虽然我们知道肾脏疾病会导致肌肉疏松症,但我们对肌肉疏松症是否会导致肾脏疾病的了解却很有限。先前的研究表明,蛋白质能量消耗可能是新发慢性肾脏病的风险之一。蛋白尿是肾脏疾病的一个重要表现,而在糖尿病、老年人群、肾移植和肾病综合征中,肌肉疏松症与蛋白尿之间存在一定的关系。蛋白尿是否会导致肌肉疏松症?它们是否都是共同机制的结果?这个问题尚不清楚。在这篇综述中,我们结合其他研究,探讨了肌肉疏松症与蛋白尿之间的关系。
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引用次数: 0
Relationship of Self-Reported Physical Activity with Cognition in Middle-Aged Adults 中年人自我描述的体育活动与认知的关系
Q3 Medicine Pub Date : 2023-11-14 DOI: 10.2174/0118746098273724231107092608
Srinivasa Rao Pachava, S. Shenoy
The increasing prevalence of age-related cognitive decline highlights the importance of physical activity for cognitive health. Regular exercise has been associated with improved mental health and reduced risk of cognitive decline. This study investigated the connection between self-reported physical activity and cognitive function in middle-aged adults. This cross-sectional study included 56 Indian adults aged 30-55, selected based on a health screening questionnaire. Participants reported their physical activity using the International Physical Activity Questionnaire-Short Form (IPAQ-SF), which categorized them into low, moderate, and high activity levels. Cognitive functions, including visual memory, executive function, and attention, were assessed using the Cambridge Neuropsychological Automated Testing Battery (CANTAB). Results were statistically analyzed for relationships between cognitive domains and physical activity parameters using Pearson’s correlation and linear regression analysis. The study showed a significant positive correlation of attention with moderate and vigorous physical activity, while sedentary behavior negatively impacted attention. Linear regression showed that attention is affected by moderate-intensity activity whereas executive function and visual memory are affected by age. This study supports the view that moderate and vigorous intensity activities may positively affect attention in middle-aged adults highlighting the benefits of physical activity.
与年龄有关的认知能力衰退现象日益普遍,这凸显了体育锻炼对认知健康的重要性。经常锻炼与改善心理健康和降低认知功能衰退的风险有关。本研究调查了中年人自我报告的体育锻炼与认知功能之间的联系。 这项横断面研究包括 56 名年龄在 30-55 岁之间的印度成年人,他们是根据健康筛查问卷选出的。参与者使用国际体力活动问卷-简表(IPAQ-SF)报告了他们的体力活动情况,该问卷将他们分为低、中和高活动水平。认知功能包括视觉记忆、执行功能和注意力,采用剑桥神经心理自动测试电池(CANTAB)进行评估。研究结果通过皮尔逊相关分析和线性回归分析对认知领域和体育锻炼参数之间的关系进行了统计分析。 研究结果表明,注意力与适度和剧烈运动有明显的正相关,而久坐则对注意力有负面影响。线性回归显示,注意力受中等强度活动的影响,而执行功能和视觉记忆则受年龄的影响。 这项研究支持这样一种观点,即中等强度和剧烈强度的活动可能会对中年人的注意力产生积极影响,这凸显了体育锻炼的益处。
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引用次数: 0
Mesenchymal Stromal Cells Nanovesicles Carry microRNA with Nephroprotective Proprieties Regardless of Aging 间充质基质细胞纳米囊泡携带具有肾保护特性的 microRNA,与年龄无关
Q3 Medicine Pub Date : 2023-11-14 DOI: 10.2174/0118746098272926231107061047
M. Convento, Andreia Silva de Oliveira, M. Boim, Fernanda Teixeira Borges
Containing information molecules from their parent cells and inclining to fuse with targeted cells, bone marrow mesenchymal stromal cells-derived extracellular vesicles (MSCs-EV) are valuable in nanomedicine. The effects of aging on the paracrine mechanism and in the production and action of MSCs-EV and their cargos of miR-26a and siRNA-26a for the treatment of tubular renal cells under nephrotoxicity injury remain unelucidated. The purpose of this study was to evaluate MSCs-EV of different ages and their ability to deliver the cargos of miR-26a and siRNA-26ª to target renal tubular cells affected by nephrotoxicity injury. In a model of gentamicin-induced nephrotoxicity, renal tubular cells treated with MSCs-EV expressing or not expressing microRNA-26a were analyzed. Western blotting was utilized to evaluate cell cycle markers, and MTT assay was utilized to evaluate auto-renovation capacity. Tubular cells under nephrotoxicity injury showed decreased proliferative capacity, but the treatment in the tubular renal cells under nephrotoxicity injury with MSCs-EV expressing microRNA-26a showed nephroprotective effects, regardless of EV age. While the treatment with EV-mediated siRNA-26a failed to preserve the nephroprotective effects equally, regardless of age. Mesenchymal stromal cell nanovesicles carry microRNA with nephroprotective proprieties regardless of aging.
骨髓间充质基质细胞衍生的细胞外囊泡(MSCs-EV)含有来自母细胞的信息分子,并倾向于与目标细胞融合,在纳米医学中具有重要价值。 衰老对旁分泌机制的影响,以及对间叶干细胞-细胞外小泡及其载体 miR-26a 和 siRNA-26a 治疗肾毒性损伤下的肾小管细胞的产生和作用的影响仍未阐明。 本研究旨在评估不同年龄的间充质干细胞-EV及其将miR-26a和siRNA-26ª载体传递给受肾毒性损伤的肾小管细胞的能力。 在庆大霉素诱导的肾毒性模型中,分析了用表达或不表达microRNA-26a的间充质干细胞-EV处理的肾小管细胞。利用 Western 印迹法评估细胞周期标志物,并利用 MTT 法评估细胞的自动修复能力。 肾毒性损伤下的肾小管细胞增殖能力下降,但用表达microRNA-26a的间充质干细胞-EV处理肾毒性损伤下的肾小管细胞具有肾保护作用,与EV年龄无关。而用表达siRNA-26a的间充质干细胞-EV处理肾小管细胞时,无论其年龄多大,都不能保持同样的肾保护作用。 间充质基质细胞纳米囊泡携带的microRNA具有肾保护特性,与年龄无关。
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引用次数: 0
Acknowledgement to Reviewers 审稿人致谢
Q3 Medicine Pub Date : 2023-11-01 DOI: 10.2174/187460981603230711150633
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引用次数: 0
Meet the Section Editor 见栏目编辑
Q3 Medicine Pub Date : 2023-11-01 DOI: 10.2174/187460981603230711115039
Aurel Popa-Wagner
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引用次数: 0
How do "Young-old" Adults Project their Self? A Study of Self-defining Future Projections in Normal Ageing. “年轻的老年人”如何表现他们的自我?正常老龄化中自我定义未来预测的研究。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1874609816666230330092556
Alain Fritsch, Virginie Voltzenlogel, Christine Cuervo-Lombard

Background: Self-defining future projections (SDFP) are mental representations of plausible and highly significant future events that provide core information of one's understanding of self.

Objective: We explored SDFPs in a large sample of older adults and aimed to target the interrelations between the main dimensions of SDFPs. Moreover, correlations between these dimensions and clinical and cognitive variables were examined.

Methods: We recruited 87 young-old adults (60-75 years) with normal cognitive functioning who were asked to generate three SDFPs.

Results: We found integrative meaning as a salient dimension and older individuals preferentially generated projections containing leisure or relationship events. Anxiety and self-esteem were correlated with integrative meaning and high executive functioning was found to be protective towards the simulation of future events containing dependence and death or end-of-life events.

Conclusion: This study will contribute to the understanding of personal goals and identity in normal ageing.

背景:自我定义的未来预测(SDFP)是对可能的和高度重要的未来事件的心理表征,它提供了一个人对自我理解的核心信息。目的:我们在一个大样本的老年人中探索sdfp,旨在针对sdfp的主要维度之间的相互关系。此外,这些维度与临床和认知变量之间的相关性进行了检查。方法:我们招募了87名认知功能正常的年轻老年人(60-75岁),要求他们生成3个sdfp。结果:我们发现整合意义是一个显著维度,老年人倾向于产生包含休闲或关系事件的投射。焦虑和自尊与综合意义相关,高执行功能被发现对未来事件的模拟有保护作用,包括依赖性和死亡或生命结束事件。结论:本研究有助于理解正常衰老中的个人目标和身份。
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引用次数: 0
A Long-term Study of NeuroAid (MLC601, MLC901) in Patients with Alzheimer's Disease; An Extension 8-year Follow-up Study. NeuroAid (MLC601、MLC901)治疗阿尔茨海默病患者的长期研究延长8年随访研究。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1874609816666230224111759
Hossein Pakdaman, Ali Amini Harandi, Koroush Gharagozli, Fatemeh Siavoshi, Siavash Shirzadeh Barough, Ehsan Sharifipour, Akram Esfandani, Saba Ilkhani, Fatemeh Sadat Tabatabaei, Seyed Ali Sobhanian

Background: MLC601 and MLC901 showed neuroprotective and neuroregenerative properties and positive results in the treatment of dementia and cognitive impairment. This study aimed to investigate the long-term benefits of monotherapy with MLC601 and MLC901 in patients with Alzheimer's disease (AD).

Methods: In this study, patients with AD, diagnosed by DSM-IV criteria, were enrolled. Patients have received MLC601 for four years, and their regimen has changed to MLC901 for another four years. Recruited patients were followed to assess the efficacy and safety first of MLC601 and MLC901. Mini-Mental State Examination (MMSE) and Alzheimer's Disease Assessment Scale- Cognitive Subscale (ADAS-Cog) were used to assess cognitive function. Safety was evaluated by monitoring adverse events (AEs) and abnormal findings in physical examinations or lab tests.

Results: At the end of the trial, the changes in the mean (±SD) MMSE and ADAS-Cog scores were 5.1 (3.09) and 12.5 (10.89), respectively. Both scores showed a significant change in repeated measure analysis, with the ADAS-Cog score indicating a higher change than the MMSE score (P < 0.001).

Conclusion: For more than eight years, we studied monotherapy with NeuroAid (MLC601, MLC901) in patients with AD. The study contributes further to the long-term safety and efficacy data of MLC in patients with AD.

背景:MLC601和MLC901在治疗痴呆和认知障碍方面表现出神经保护和神经再生的特性和积极的结果。本研究旨在探讨MLC601和MLC901单药治疗阿尔茨海默病(AD)患者的长期获益。方法:本研究纳入符合DSM-IV诊断标准的AD患者。患者接受MLC601治疗4年,他们的治疗方案改为MLC901治疗4年。对招募的患者进行随访,首先评估MLC601和MLC901的有效性和安全性。采用简易精神状态检查(MMSE)和阿尔茨海默病评估量表-认知亚量表(ADAS-Cog)评估认知功能。通过监测不良事件(ae)和体检或实验室检查的异常结果来评估安全性。结果:试验结束时,MMSE和ADAS-Cog评分的平均值(±SD)变化分别为5.1(3.09)和12.5(10.89)。在重复测量分析中,两种评分都显示出显著变化,ADAS-Cog评分的变化高于MMSE评分(P < 0.001)。结论:八年多来,我们研究了NeuroAid (MLC601, MLC901)对AD患者的单药治疗。本研究进一步提供了MLC治疗AD患者的长期安全性和有效性数据。
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引用次数: 0
Moderate Physical Activity Reduces the Odds of Sarcopenia in Community- dwelling Older Women: A Cross-sectional Study. 适度的体育活动减少社区老年妇女肌肉减少症的几率:一项横断面研究。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1874609816666230330171930
José Augusto Gonçalves Marini, Pedro Pugliesi Abdalla, Lucimere Bohn, Jorge Mota, Michael Duncan, André Pereira Dos Santos, Dalmo Roberto Lopes Machado

Introduction: The time spent in different physical activity (PA) intensities is associated with sarcopenia risk for community-dwelling older women.

Aim: To evaluate the role of sitting time and physical activity (PA) level as predictors of sarcopenia odds.

Methods: In a cross-sectional study, physically independent older women (n = 67) performed the six-minute walk test to identify functional limitation (≤ 400 m). Sedentary time (as sitting time) and PA (light, moderate and vigorous) were obtained with the International Physical Activity Questionnaire (IPAQ). Sarcopenia was diagnosed as recommended by the Society of Sarcopenia, Cachexia and Wasting Disorders (SCWD). Sarcopenia odds (low muscle mass and functional limitation) was predicted by binary logistic regression, considering the weekly sitting time and PA as independent variables.

Results: Sarcopenia prevalence was 7.5% (n = 5), with functional limitation present in 38.8% (n = 26), and low muscle mass in 22.4% (n = 15). The predictive model (p = 0.014) involved moderate PA as the only significant predictor (OR = 0.999; p = 0.005; 95% CI: 0.998-1.000) of functional limitation. Moderate PA prevents sarcopenia odds. Each weekly hour of moderate PA decreased sarcopenia odds by 6%.

Conclusion: Time spent in moderate PA can prevent sarcopenia.

在社区居住的老年妇女中,不同体力活动强度的时间与肌肉减少症风险相关。目的:评价久坐时间和体力活动(PA)水平作为预测肌少症发生几率的作用。方法:在一项横断面研究中,身体独立的老年妇女(n = 67)进行了6分钟步行测试,以确定功能限制(≤400米),并通过国际身体活动问卷(IPAQ)获得久坐时间(如坐着时间)和PA(轻、中、剧烈)。肌少症的诊断是由肌少症、恶病质和消耗障碍协会(SCWD)推荐的。考虑每周坐着时间和PA为自变量,通过二元逻辑回归预测肌肉减少症的几率(低肌肉质量和功能限制)。结果:肌肉减少症患病率为7.5% (n = 5),功能受限发生率为38.8% (n = 26),肌肉质量低发生率为22.4% (n = 15)。预测模型(p = 0.014)以中度PA为唯一显著预测因子(OR = 0.999;P = 0.005;95% CI: 0.998-1.000)。适度PA可预防肌肉减少症。每周一小时的适度PA可使肌肉减少症发生率降低6%。结论:适度PA可预防肌少症。
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引用次数: 0
Population Ageing in Lower and Middle-income Countries: Policy Landscape of Southeast Asian Countries. 中低收入国家的人口老龄化:东南亚国家的政策格局。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1874609816666230516150701
Paolo Miguel Manalang Vicerra

Populations are ageing at varying rates of development. Countries with developed economies have experienced such changes to their population structures. Examinations have been conducted with regard to how respective societies can accommodate the said changes in their health and social systems, but this research mostly focuses on more developed regions rather than lowerincome countries. This paper discussed the experience of ageing populations in developing economies, which comprise the majority of the global older population. They display a vastly different experience from high-income countries, especially when viewed within the level of world regions. The cases presented here were from Southeast Asian countries in order to have a wide range of examples in terms of differences in country-income categories. In lower and middle-income countries, there are older adults who: continue working as their primary income source, are nonmembers of pension systems, and provide intergenerational support rather than only receiving it. The COVID-19 pandemic situation was also included here, as policies were reformed to address current needs that highlighted the challenging situation of older adults. The populations of countries that have yet to age substantially, especially those in the least-developed regions, can utilise this paper's recommendations in order to prepare for changes in the age structures of their societies.

人口老龄化的发展速度各不相同。经济发达国家的人口结构也经历了这种变化。已经就各自社会如何适应其卫生和社会制度的上述变化进行了检查,但这项研究主要侧重于较发达地区,而不是低收入国家。本文讨论了发展中经济体人口老龄化的经验,这些经济体占全球老年人口的大多数。他们的经历与高收入国家截然不同,尤其是在世界地区层面上。这里介绍的案例来自东南亚国家,以便在国家收入类别的差异方面有广泛的例子。在低收入和中等收入国家,有些老年人继续以工作作为主要收入来源,他们不是养老金制度的成员,他们提供代际支持,而不仅仅是接受支持。2019冠状病毒病大流行的情况也包括在内,因为改革了政策,以满足当前的需求,突出了老年人的挑战处境。那些尚未步入老龄化的国家的人口,特别是那些最不发达地区的人口,可以利用本文的建议,为其社会年龄结构的变化做好准备。
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引用次数: 0
Inter-organ Crosstalk and the Effect on the Aging Process in Obesity. 肥胖症中器官间的相互作用及其对衰老过程的影响。
Q3 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1874609816666230223110458
Ferah Armutcu, Oguz Aslan Ozen

Aging is characterized by progressive regression in tissue and organ functions and an increased risk of disease and death. Aging is also accompanied by chronic low-grade inflammation. Both obesity and aging are associated with the development of metabolic diseases, leading to an increase in the senescent cell burden in multiple organs. Chronic low-grade inflammation of adipose tissue is one of the mechanisms implicated in the progression of these diseases. As a real endocrine organ, adipose tissue secretes many mediators and hormones (adipokines) to maintain metabolic homeostasis, and their dysfunction has been causally linked to a wide range of metabolic diseases. Dysfunctional adipose tissue participates in interorgan communication both by producing new signaling mediators and by transforming or disrupting signal mediators, reaching from other organs. In addition to obesity and similar metabolic diseases, this situation causes dysfunction in more organs in the aging process, and the complexity of the problem causes challenges in the diagnosis and treatment processes. This review aims to highlight recent developments and current information supporting the relationship between obesity and adipose tissue dysfunction with aging and the role of homeostatic and physio-pathological processes that mediate interorgan communication in aging progress. More understanding clearly of interorgan communication in the process of obesity and aging will facilitate the early diagnosis as well as the management of treatment practices in short- and long-term organ dysfunction.

衰老的特征是组织和器官功能的逐渐退化以及疾病和死亡风险的增加。衰老还伴随着慢性低度炎症。肥胖和衰老都与代谢性疾病的发生有关,导致多个器官中衰老细胞负担的增加。脂肪组织的慢性低度炎症是涉及这些疾病进展的机制之一。脂肪组织作为一种真正的内分泌器官,分泌许多介质和激素(脂肪因子)来维持代谢稳态,其功能障碍与多种代谢疾病有因果关系。功能失调的脂肪组织通过产生新的信号介质和转化或破坏来自其他器官的信号介质参与器官间通讯。除了肥胖和类似的代谢性疾病外,这种情况还会导致衰老过程中更多器官出现功能障碍,问题的复杂性给诊断和治疗过程带来挑战。本文综述了肥胖和脂肪组织功能障碍与衰老之间关系的最新进展和现有信息,以及在衰老过程中调节器官间通讯的稳态和生理病理过程的作用。更清楚地了解肥胖和衰老过程中器官间的交流将有助于早期诊断和管理短期和长期器官功能障碍的治疗实践。
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引用次数: 1
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Current aging science
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