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Shorter Telomere Length is Associated with Food Insecurity in Older People: A Cross-Sectional Study. 端粒长度较短与老年人食物无保障有关:一项横断面研究
Q3 Medicine Pub Date : 2024-10-09 DOI: 10.2174/0118746098320942240924074044
Celi Macedo Polo, Tábatta Renata Pereira de Brito, Wanderson Roberto Silva, Daniela Braga Lima, Daniella Pires Nunes, Fábio Antonio Colombo, Ariene Angelini Dos Santos Orlandi, Ligiana Pires Corona

Background: Telomere length has been investigated as a biomarker of biological aging and is associated with several diseases, lifestyle, and socioeconomic factors.

Objective: This study aimed to verify whether food insecurity is associated with shorter telomere length in older people.

Methods: This is a cross-sectional study carried out in a municipality in the interior of Brazil, with a sample of 440 older people from the community. For telomere length analysis, a blood sample was obtained from each participant, followed by real-time qPCR, and sociodemographic and health information was collected through interviews. Food security/insecurity was measured using the reduced version of the Brazilian Food Insecurity Scale. Descriptive analysis and multiple logistic regression were performed to analyze the factors associated with shorter telomere length, adopting a significance level of 5%.

Results: We found that food insecurity was significantly associated with shorter telomere length, regardless of age group, skin color, tabagism, physical activity, milk and dairy consumption, living arrangement, and basic activities of daily life.

Conclusion: The findings show the importance of ensuring full access to adequate nutrition for the older population, who are physiologically and socially vulnerable.

背景:端粒长度已被研究为生物衰老的生物标志物,并与多种疾病、生活方式和社会经济因素相关:本研究旨在验证食物不安全是否与老年人端粒长度缩短有关:这是一项横断面研究,在巴西内陆的一个城市进行,样本来自社区的 440 名老年人。为了分析端粒长度,研究人员采集了每位受试者的血液样本,然后进行了实时 qPCR 分析,并通过访谈收集了社会人口学和健康信息。食物安全/不安全程度采用缩小版的巴西食物不安全量表进行测量。采用描述性分析和多元逻辑回归分析端粒长度缩短的相关因素,显著性水平为 5%:结果:我们发现,无论年龄组、肤色、禁忌症、体育锻炼、牛奶和乳制品消费、居住安排和日常生活基本活动如何,食物不安全都与端粒长度缩短显著相关:结论:研究结果表明,确保老年人口获得充足的营养非常重要,因为他们在生理和社会方面都很脆弱。
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引用次数: 0
Assessing Telemedicine Demand and Viability in Indonesian Geriatric Clinics: A Comprehensive HOT FIT and Sociotechnical Analysis 评估印度尼西亚老年病诊所的远程医疗需求和可行性:全面的 HOT FIT 和社会技术分析
Q3 Medicine Pub Date : 2024-06-12 DOI: 10.2174/0118746098302999240522092726
Dewi Shinta Kemala Sari, N. Lipoeto, Hafni Bachtiar, Indra Catri, Nina Kemala Sari, Rima Semiarty
The growing elderly population in Indonesia presents challenges for thehealthcare system, prompting the exploration of telemedicine as a solution. However, its effectiveimplementation in Indonesia faces obstacles.This research aimed to develop a comprehensive geriatric telemedicine framework in PadangCity by studying multiple stakeholders. We employed qualitative methods, including in--depth interviews, across two hospitals, a Health Office, and a Community Health Center, involving18 elderly participants.The study identified ten key dimensions for geriatric telemedicine services: technology,Human-Computer Interface (HCI), infrastructure, system workflow, clinical content, people (diverseroles), organization (ecosystem, service workflow, internal and external regulations), and financing(social security agency on health and independent). We used the Human-Organization-Technology Fit and Sociotechnical System approaches for analysis.The study suggests implications for future implementation and advocates for broaderparticipant involvement, information technology (IT) studies for system development, and longitudinalevaluations to assess the impact on elderly health outcomes.
印度尼西亚不断增长的老年人口给医疗保健系统带来了挑战,促使人们探索远程医疗作为一种解决方案。本研究旨在通过研究多个利益相关者,在巴东市建立一个全面的老年远程医疗框架。研究确定了老年远程医疗服务的十个关键维度:技术、人机交互界面(HCI)、基础设施、系统工作流程、临床内容、人员(多元化角色)、组织(生态系统、服务工作流程、内部和外部法规)以及融资(健康和独立社会保障机构)。我们采用了 "人-组织-技术契合 "和 "社会技术系统 "的方法进行分析。该研究为未来的实施提出了建议,并倡导更广泛的参与者参与、系统开发的信息技术(IT)研究和纵向评估,以评估对老年人健康结果的影响。
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引用次数: 0
Aging-associated Aberrant Mitochondrial Redox Signaling, PhysicalActivity, and Sarcopenia 与衰老相关的线粒体氧化还原信号异常、体力活动和肌肉疏松症
Q3 Medicine Pub Date : 2024-06-12 DOI: 10.2174/0118746098315667240606052523
M. Atayik, Erdem Atasever, Şeydanur Turgut, U. Çakatay
Aging-related alteration of mitochondrial morphology, impairment in metabolic capacity,bioenergetics, and biogenesis are closely associated with loss of muscle mass and function. MitochondrialReactive Oxygen Species (ROS) stimulate muscular redox signaling mechanisms.Bioenergetic integrity of mitochondria and redox signaling dynamics deteriorates in aged skeletalmuscle. Mitochondrial bioenergetic impairment leads to excessive ROS levels and induces the generationof defective mitochondria. Higher ROS levels may induce senescence or apoptosis. It isnot a resolved issue that mitochondrial dysfunction is either the sole reason or a consequence ofmuscle loss (or both). However, Increasing evidence emphasizes that dysregulated mitochondrialredox signaling has a central role in age-related muscle loss. Nuclear factor erythroid 2-related factor2 (Nrf2) regulates redox signaling pathways with the expression of antioxidant genes. As theaberrant redox signaling mechanisms in aging skeletal muscle become clearer, new natural andsynthetic Nrf2-modulating substances and integrated daily physical activity alternatives are cominginto view for preventing muscle loss in the elderly. A comprehensive understanding of the relationshipbetween redox signaling pathways and age-related sarcopenia can help us to prevent sarcopeniaand its frailty effects with an optimized exercise program as an innovative non-pharmacologicaltherapeutic approach. A further aspect is necessary to consider both individualized physicaltraining options and alternative Nrf2 signaling modulators. Ameliorating the redox signalingwith physical activity and pharmacological interventions may help to prevent sarcopenia and itsfrailty effects.
与衰老有关的线粒体形态改变、代谢能力、生物能和生物生成的损害与肌肉质量和功能的丧失密切相关。线粒体活性氧(ROS)会刺激肌肉氧化还原信号机制。线粒体生物能受损会导致 ROS 水平过高,并诱发缺陷线粒体的产生。较高的 ROS 水平可能会诱发衰老或细胞凋亡。线粒体功能障碍是肌肉损失的唯一原因或后果(或两者兼而有之),这个问题尚未解决。然而,越来越多的证据强调,线粒体氧化还原信号失调在与年龄相关的肌肉衰减中起着核心作用。核因子红细胞 2 相关因子 2(Nrf2)通过抗氧化基因的表达来调节氧化还原信号通路。随着衰老骨骼肌中异常氧化还原信号机制的日益清晰,新的天然和合成 Nrf2 调节物质以及综合日常体育锻炼替代品正逐渐被用于预防老年人肌肉流失。全面了解氧化还原信号通路与老年性肌肉疏松症之间的关系,有助于我们通过优化运动计划这种创新的非药物治疗方法来预防肌肉疏松症及其对身体虚弱的影响。此外,还需要考虑个性化的体育训练方案和替代性的 Nrf2 信号调节剂。通过体育锻炼和药物干预来改善氧化还原信号,可能有助于预防肌肉疏松症及其衰弱效应。
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引用次数: 0
An Insight into Acute Disseminated Encephalomyelitis 透视急性播散性脑脊髓炎
Q3 Medicine Pub Date : 2024-06-06 DOI: 10.2174/0118746098294208240429091631
Nooreen, Fariha Summayya, Prany Wal, A. Wal, A. Rai, Sudeep Tandon
Acute disseminated encephalomyelitis (ADEM) is a neural and immune-related disorder that occurs when the cerebrospinal system is damaged by extensive swelling. Although manifestation is possible regardless of age, adolescents have a greater probability.The purpose of the present manuscript is to provide recent advancements and enhanceknowledge of the disease.The literature search on etiology, pathophysiology, diagnosis and treatment was carriedout using the online databases of SciFinder, Medline, Pubmed, GoogleScholar, Scopus, etc.Although the cause of ADEM remains unclear, it is believed to be caused by inflammation in those with a genetic sensitivity to environmental stimulation. When people have alteredlevels of awareness or multifocal neurological abnormalities, ADEM is a possibility as a diagnosis. The diagnosis of ADEM is dependent on a combination of clinical and radiologic symptoms,whereas the exclusion of illnesses mimics ADEM; there is no one test that can establish the diagnosis. The inflammation in a child's brain and spinal cord is treated with medication. Prednisone is occasionally given to youngsters for a brief amount of time.Most children with ADEM improve with high doses of methylprednisolone. Cyclophosphamide is needed by individuals with hypothermia. Most investigations show that 50%-75% of individuals completely recover between the first and sixth month of their condition.
急性播散性脑脊髓炎(ADEM)是一种神经和免疫相关疾病,当脑脊髓系统因广泛肿胀而受损时就会发病。本手稿旨在提供最新进展并增进对该疾病的了解。我们使用 SciFinder、Medline、Pubmed、GoogleScholar、Scopus 等在线数据库对病因学、病理生理学、诊断和治疗进行了文献检索。虽然 ADEM 的病因尚不清楚,但认为它是由那些对环境刺激具有遗传敏感性的人的炎症引起的。虽然 ADEM 的病因尚不清楚,但一般认为是由对环境刺激具有遗传敏感性的人体内的炎症引起的。当人的意识水平发生改变或出现多灶性神经系统异常时,ADEM 就有可能被诊断出来。ADEM 的诊断取决于临床症状和放射学症状的结合,而排除与 ADEM 相似的疾病;没有一种检查可以确定诊断。儿童大脑和脊髓的炎症可通过药物治疗。大多数 ADEM 患儿在服用大剂量甲基强的松龙后病情会有所好转。体温过低的患者需要使用环磷酰胺。大多数调查显示,50%-75%的患者在病情的第一至第六个月期间完全康复。
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引用次数: 0
Self-Esteem and Body Image in Older Women Practicing Taekwondo withLow Bone Density: A Randomized Clinical Trial 骨密度低的老年妇女练习跆拳道时的自尊和身体形象:随机临床试验
Q3 Medicine Pub Date : 2024-06-06 DOI: 10.2174/0118746098308597240527114223
D. Linhares, Giullio César Pereira Salustiano Mallen da Silva Silva, Alex Santos Meireles, B. G. Linhares, Luciano Lima dos Santos, Lilliany de Souza Cordeiro, Claudio Joaquim Borba-Pinheiro, R. G. de Souza Vale
Physical exercise can take on a multivariate form, including combatsports, specifically Taekwondo, a Korean sport characterized by strikes involving the hands andfeet. This sport has been gaining popularity worldwide in recent years and is being practiced by diverse populations, including the older women.This study aimed to investigate the effects of Taekwondo training on self-esteem andbody image in older women with low bone mineral density (BMD).This is an experimental research with a two-group design, where assessments were conducted pre- and post during a 12-week intervention period. The sample consisted of 27 inexperienced older women in taekwondo practice, aged between 60 and 70 years, randomly distributed into the experimental group (n=14) and Control Group (n=13). BMD, self-esteem, and body imagewere assessed. For the evaluation of self-esteem, the Rosenberg Self-Esteem Scale (RSES) was utilized. For the evaluation of body images, the body image questionnaire was administered.The results showed that the practice of taekwondo improved (p<0.001) body image inthe variables, including physical condition, body skills, and health, while the variable appearanceshowed no difference (p=0.581).The results of this experimental study indicate an improvement in the self-esteemand body image of older individuals practicing Taekwondo.
体育锻炼可以采取多种形式,包括搏击运动,特别是跆拳道,这是一项韩国运动,其特点是用手和脚进行击打。本研究旨在调查跆拳道训练对骨矿物质密度(BMD)较低的老年妇女的自尊和身体形象的影响。这是一项采用两组设计的实验研究,在为期 12 周的干预期间进行前后评估。样本包括 27 名没有跆拳道练习经验的老年妇女,年龄在 60 至 70 岁之间,随机分为实验组(14 人)和对照组(13 人)。对 BMD、自尊和身体形象进行了评估。自尊评估采用罗森伯格自尊量表(RSES)。结果显示,练习跆拳道改善了身体状况、身体技能和健康等变量的身体形象(P<0.001),而外表变量则没有差异(P=0.581)。
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引用次数: 0
Loneliness, Psychological Well-being, Depression, and Social Participation in the Older Persons: Rural and Urban Differences. 老年人的孤独感、心理健康、抑郁和社会参与:农村与城市的差异
Q3 Medicine Pub Date : 2024-04-17 DOI: 10.2174/0118746098297063240409070531
Zeynep Gümüş Demir, Mahmut Yılmaz
INTRODUCTIONThe purpose of this study is to compare the loneliness, psychological well- being, depression, and social participation of elderly people living in Turkish society between rural and urban areas. The sample group of the study, in which a correlational survey model was used, consisted of 610 elderly adults.METHODThe study population consists of two groups: the first group consists of individuals over 65 years of age living in the city (Istanbul) (n= 291), and the second group consists of individuals over 65 years of age living in rural areas (rural areas of Ordu) (n= 319). Socio-demographic Information Form, Loneliness in the Elderly Scale, Geriatric Depression Scale, Psychological Well-Being in the Elderly Scale, and Social Inclusion Scale were applied online. Statistical analyses of the study were conducted using SPSS 27.00, and the Independent Samples t-test and ANOVA test were used.RESULTSAccording to the findings of this study, statistically significant results were found in psychological well-being, social inclusion, social relations, loneliness and depression, and place of residence. It was observed that the social isolation and social acceptance levels of those living in urban areas were higher than those living in rural areas. Social, loneliness, and depression scores of those living in the village/town were found to be higher than those living in the city centre. Furthermore, the social relationship scores of those living in the village/town were found to be higher than those living in the city centre.CONCLUSIONThe increasing elderly population worldwide has become an issue that requires global measures. Place of residence is one of the factors thought to affect older people's health and well- being. It is thought that the study data will contribute to new policies that will ensure the protection and promotion of elderly health and those working in this field. In addition, the study, which provides information about Turkish culture, will also enable intercultural comparisons.
引言 本研究旨在比较生活在土耳其社会中的农村和城市老年人的孤独感、心理健康、抑郁和社会参与情况。研究采用相关调查模式,样本组包括 610 名成年老人。研究方法研究对象包括两组:第一组是居住在城市(伊斯坦布尔)的 65 岁以上老人(n= 291),第二组是居住在农村地区(奥尔杜农村地区)的 65 岁以上老人(n= 319)。社会人口信息表、老年人孤独感量表、老年抑郁量表、老年人心理健康量表和社会融入量表均在线使用。结果根据本研究的结果,在心理健康、社会包容、社会关系、孤独和抑郁以及居住地等方面均有显著的统计学结果。据观察,居住在城市地区的人的社会隔离和社会接纳水平高于居住在农村地区的人。居住在村镇的人的社交、孤独和抑郁得分高于居住在市中心的人。此外,居住在村镇的老年人的社会关系得分也高于居住在市中心的老年人。居住地被认为是影响老年人健康和福祉的因素之一。我们认为,研究数据将有助于制定新的政策,以确保保护和促进老年人的健康和这一领域的工作人员。此外,这项研究提供了有关土耳其文化的信息,也有助于进行跨文化比较。
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引用次数: 0
Effects of Dietary Restriction on PGC-1α Regulation in the Development of Age-associated Diseases. 饮食限制对 PGC-1α 在老年相关疾病发展过程中的调节作用
Q3 Medicine Pub Date : 2024-04-09 DOI: 10.2174/0118746098301226240402051508
Shefilyn Widjaja, R. Antarianto, N. Hardiany
Ageing is the most significant risk factor for a number of non-communicable diseases, manifesting as cognitive, metabolic, and cardiovascular diseases. Although multifactorial, mitochondrial dysfunction and oxidative stress have been proposed to be the driving forces of ageing. Peroxisome proliferator-activated receptor γ coactivator α (PGC-1α) is a transcriptional coactivator central to various metabolic functions, of which mitochondrial biogenesis is the most prominent function. Inducible by various stimuli, including nutrient limitations, PGC-1α is a molecule of interest in the maintenance of mitochondrial function and, therefore, the prevention of degenerative diseases. This review involves a literature search for articles retrieved from PubMed using PGC-1α, ageing, and dietary restriction as keywords. Dietary restriction has been shown to promote tissue-specific PGC-1α expression. Both dietary restriction and PGC-1α upregulation have been shown to prolong the lifespans of both lower and higher-level organisms; the incidence of non-communicable diseases also decreased in fasting mammals. In conclusion, dietary interventions may delay ageing by regulating healthy mitochondria in various organs, presenting the possibility of a new primary prevention for many age-related diseases.
老龄化是多种非传染性疾病的最主要风险因素,表现为认知、代谢和心血管疾病。线粒体功能障碍和氧化应激虽然是多因素的,但已被认为是老龄化的驱动力。过氧化物酶体增殖激活受体γ辅激活因子α(PGC-1α)是一种转录辅激活因子,对各种代谢功能起着核心作用,其中线粒体的生物生成功能最为突出。PGC-1α 可被包括营养限制在内的各种刺激诱导,是维持线粒体功能的重要分子,因此也是预防退行性疾病的重要分子。本综述以 PGC-1α、老龄化和饮食限制为关键词,对从 PubMed 上检索到的文章进行文献检索。研究表明,饮食限制可促进组织特异性 PGC-1α 的表达。研究表明,饮食限制和PGC-1α上调都能延长低等生物和高等生物的寿命;禁食哺乳动物的非传染性疾病发病率也有所下降。总之,饮食干预可通过调节各器官中健康的线粒体来延缓衰老,为许多与年龄有关的疾病提供了一种新的初级预防方法。
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引用次数: 0
RNA-based Therapies for Aging and Cancer, What Known so Far? 基于 RNA 的衰老和癌症疗法,目前已知的情况如何?
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.2174/187460981701240229094013
S. Pathak, Antara Banerjee
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引用次数: 0
Meet the Editor in Chief 与主编见面
Q3 Medicine Pub Date : 2024-03-01 DOI: 10.2174/187460981701240229093409
S. L. Schmidt
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引用次数: 0
Molecular Mechanisms of Polyphenols in Management of Skin Aging 多酚在皮肤老化管理中的分子机制
Q3 Medicine Pub Date : 2024-02-22 DOI: 10.2174/0118746098287130240212085507
Deepti Dwevedi, Ankur Srivastava
The natural process of skin aging is influenced by a variety of factors, including oxidativestress, inflammation, collagen degradation, and UV radiation exposure. The potential of polyphenolsin controlling skin aging has been the subject of much investigation throughout theyears. Due to their complex molecular pathways, polyphenols, a broad class of bioactive substancespresent in large quantities in plants, have emerged as attractive candidates for skin anti-agingtherapies. This review aims to provide a comprehensive overview of the molecular mechanismsthrough which polyphenols exert their anti-aging effects on the skin. Various chemicalmechanisms contribute to reducing skin aging signs and maintaining a vibrant appearance. Thesemechanisms include UV protection, moisturization, hydration, stimulation of collagen synthesis,antioxidant activity, and anti-inflammatory actions. These mechanisms work together to reducesigns of aging and keep the skin looking youthful. Polyphenols, with their antioxidant properties,are particularly noteworthy. They can neutralize free radicals, lessening oxidative stress that mightotherwise cause collagen breakdown and DNA damage. The anti-inflammatory effects of polyphenolsare explored, focusing on their ability to suppress pro-inflammatory cytokines and enzymes,thereby alleviating inflammation and its detrimental effects on the skin. Understanding thesemechanisms can guide future research and development, leading to the development of innovativepolyphenol-based strategies for maintaining healthy skin.
皮肤的自然老化过程受到多种因素的影响,包括氧化压力、炎症、胶原蛋白降解和紫外线照射。多年来,人们一直在研究多酚在控制皮肤老化方面的潜力。多酚是植物中大量存在的一类生物活性物质,由于其复杂的分子途径,多酚已成为具有吸引力的皮肤抗衰老候选疗法。本综述旨在全面概述多酚对皮肤产生抗衰老作用的分子机制。各种化学机制有助于减少皮肤老化迹象,保持皮肤的活力。这些机制包括紫外线防护、保湿、补水、刺激胶原蛋白合成、抗氧化和抗炎作用。这些机制共同作用,减少老化迹象,保持肌肤年轻。多酚的抗氧化特性尤其值得一提。它们可以中和自由基,减轻氧化压力,否则可能会导致胶原蛋白分解和 DNA 损伤。多酚的抗炎作用也得到了探讨,重点是它们抑制促炎细胞因子和酶的能力,从而减轻炎症及其对皮肤的有害影响。了解这些机理可以指导未来的研究和开发工作,从而开发出基于多酚的创新策略来保持皮肤健康。
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引用次数: 0
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Current aging science
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