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A formula for calculating 30-item Geriatric Depression Scale (GDS-30) scores from the 15-item version (GDS-15) 从15项版本(GDS-15)中计算30项老年抑郁量表(GDS-30)得分的公式
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-12-01 DOI: 10.1101/2022.09.22.509012
Yuge Zhang, M. Hoozemans, M. Pijnappels, S. Bruijn
The Geriatric Depression Scale with 30 items (GDS-30) and with 15 items (GDS-15) are both valid tools for assessing depression in older adults, but their absolute values are not directly comparable. Here, we used a dataset (n=431) with GDS-30 scores from a project concerning fall-risk assessment in older adults (FARAO) to develop and validate a formula which can be used to convert GDS-15 scores into GDS-30 scores. We found that the GDS-15 score cannot simply be multiplied by 2 to obtain the GDS-30 scores and that estimations of GDS-30 from GDS-15 are not affected by age, sex and MMSE. Therefore, the optimal formula to estimate the GDS-30 score from the GDS-15 score was: GDS-30_estimated = 1.57 + 1.95 × GDS-15. This formula yielded an estimate of GDS-30 with an explained variance of 79%, compared to 63% when GDS-15 was simply multiplied by 2. Researchers that have used the GDS-15 and want to compare their outcomes to other studies that reported only the GDS-30 are advised to use this formula.
老年抑郁量表30项(GDS-30)和15项(GDS-15)都是评估老年人抑郁的有效工具,但它们的绝对值没有直接可比性。在这里,我们使用来自老年人跌倒风险评估项目(FARAO)的GDS-30评分数据集(n=431)来开发和验证一个公式,该公式可用于将GDS-15评分转换为GDS-30评分。我们发现GDS-15分数不能简单地乘以2得到GDS-30分数,并且GDS-15的GDS-30估计值不受年龄、性别和MMSE的影响。因此,由GDS-15评分估算GDS-30评分的最优公式为:GDS-30_estimated = 1.57 + 1.95 × GDS-15。这个公式得出的GDS-30的可解释方差估计为79%,而GDS-15简单乘以2时的可解释方差为63%。使用GDS-15并希望将其结果与仅报告GDS-30的其他研究结果进行比较的研究人员建议使用该公式。
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引用次数: 1
The Interaction of Osmotic and Heavy Metal Stress in C. elegans 秀丽隐杆线虫渗透和重金属胁迫的相互作用
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-12-01 DOI: 10.1093/geroni/igab046.2566
Emily Turner, Amanda Furtmann, H. Dang, Destiny DeNicola, George Sutphin
Abstract Cellular stress is an ever-present aspect of aging and a primary driver of many common age-associated diseases such as cancer, diabetes, or neurodegenerative diseases. As we age, stress-induced damage accumulates over time, along with reduced efficacy of stress response pathways at combatting such damage. Molecular stress response pathways are well studied in the context of individual stressors, but there is a lack of understanding of how these responses change when multiple stressors are encountered at the same time. The goal of our work is to explore the impact of multiple simultaneous stressors on health and survival, and to investigate the underlying molecular pathways involved. To accomplish this, we utilize the nematode Caenorhabditis elegans to monitor lifespan changes in response to various stressors. We simultaneously exposed C. elegans to high concentrations of sodium chloride and cadmium chloride, known to induce osmotic and heavy metal stress, respectively. We found that lifespan is drastically decreased by the combined stress, significantly more so than the reduction in lifespan caused by either individual stress. Our results show that glycerol levels, which are normally increased in response to osmotic stress, are significantly lowered when the two stresses are combined compared to levels detected for osmotic stress alone. This suggests that the presence of cadmium may sensitize worms to sodium and other osmotic stressors by blunting cells’ ability to mount an appropriate molecular response. In ongoing work, we will continue to dissect the mechanisms through which cadmium influences glycerol production and other aspects of osmotic stress response.
细胞应激是衰老过程中始终存在的一个方面,也是许多常见的年龄相关疾病(如癌症、糖尿病或神经退行性疾病)的主要驱动因素。随着年龄的增长,压力引起的损伤会随着时间的推移而积累,同时压力反应途径对抗这种损伤的功效也会降低。分子应激反应途径在单个应激源的背景下得到了很好的研究,但缺乏对同时遇到多个应激源时这些反应如何变化的理解。我们的工作目标是探索多个同时应激源对健康和生存的影响,并调查潜在的分子途径。为了实现这一目标,我们利用秀丽隐杆线虫来监测各种应激源对寿命变化的反应。我们同时将秀丽隐杆线虫暴露于高浓度氯化钠和氯化镉中,这两种物质分别会诱发渗透胁迫和重金属胁迫。我们发现,综合压力大大缩短了寿命,比任何一种单独压力造成的寿命缩短都要明显得多。我们的研究结果表明,通常在渗透胁迫下会增加的甘油水平,在两种胁迫相结合的情况下,与单独在渗透胁迫下检测到的水平相比,显著降低。这表明,镉的存在可能会使蠕虫对钠和其他渗透应激源敏感,因为镉会削弱细胞产生适当分子反应的能力。在正在进行的工作中,我们将继续剖析镉影响甘油生产和渗透胁迫反应其他方面的机制。
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引用次数: 0
Effects of WB-EMS and protein supplementation on body composition, physical function, metabolism and inflammatory biomarkers in middle-aged and elderly patients with sarcopenic obesity: A meta-analysis of randomized controlled trials WB-EMS和蛋白质补充对中老年缩肌型肥胖患者身体成分、身体功能、代谢和炎症生物标志物的影响:随机对照试验的荟萃分析
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-09-26 DOI: 10.37766/inplasy2021.9.0096
Jia-ming Yang, Yun Luo, Jiahui Zhang, Qingxi Liu, Qiangru Zhu, Hua Ye, Y. Niu, Hui Huang, H. Xie, Y. Long, Mao-yuan Wang
BACKGROUNDThe patients with sarcopenic obesity (SO) have the characteristics of both sarcopenia and obesity, that is, less muscle mass and increased fat mass, and their morbidity, disability and mortality are higher than patients with sarcopenia or obesity alone.OBJECTIVESTo investigate the effects of whole-body electromyostimulation (WB-EMS) training and protein supplementation intervention on body composition, physical function, metabolism and inflammatory biomarkers in middle-aged and elderly patients with SO.METHODSWe searched for randomized controlled trials in seven databases, including PubMed, Web of Science, Embase, Cochrane Library, Scopus, SinoMed, and CNKI as of July 3, 2021. The methodological quality of each included study was assessed using the Physiotherapy Evidence Database (PEDro) scale. The Cochrane Risk of Bias Tool was used to assess the risk of bias. Statistical analysis was performed using Review Manager 5.3.RESULTSEleven randomized controlled studies with a total of 779 participants were included in this meta-analysis. WB-EMS training improved sarcopenia Z-score (MD = -1.52, 95 % CI: -2.27, -0.77, P < 0.0001) and waist circumference (WC) (MD = -1.41, 95 % CI: -2.62, -0.20, P = 0.02), and increased skeletal muscle mass index (SMI) (MD = 1.27, 95 % CI: 0.66,1.88, P < 0.0001) and appendicular skeletal muscle mass (ASMM) (MD = 0.68, 95 % CI: 0.08, 1.27, P = 0.03). Protein supplementation intervention reduced body fat rate (BF%) (MD = -1.28, 95 % CI: -1.88, -0.68, P < 0.0001, I2 = 0 %), total body fat (TBF) (MD = -0.98, 95 % CI: -1.65, -0.31, P = 0.004, I2 = 0 %) and trunk body fat mass (TBFM) (MD = -0.50, 95 % CI: -0.94, -0.06, P = 0.03, I2 = 0 %), and increased grip strength (GS) (MD = 1.13, 95 % CI: 0.06, 2.21, P = 0.04, I2 = 0 %). The combination of WB-EMS and protein supplements is beneficial to most body components and physical functions, such as SMI (MD = 1.21, 95 % CI: 0.73, 1.51, P < 0.00001, I2 = 0 %), GS (MD = 1.60, 95 % CI: 0.80, 2.40, P < 0.0001, I2 = 45 %) and walking speed (WS) (MD = 0.04, 95 % CI: 0.02, 0.06, P < 0.0001, I2 = 49 %). Compared with protein supplementation alone, WB-EMS could have an additional beneficial effect on BF% (MD = -0.92, 95 % CI: -1.80, -0.04, P = 0.04) and WC (MD = -1.03, 95 % CI: -1.70, -0.36, P = 0.003). Nevertheless, the addition of protein supplements did not provide any additional benefit compared with WB-EMS alone. In addition, there was almost no positive effect of WB-EMS and protein supplements on metabolic and inflammatory biomarkers.CONCLUSIONSAs things stand, protein supplementation intervention can effectively reduce body fat percentage, fat mass, and increase grip strength in SO patients. Both WB-EMS and protein supplementation intervention had no significant effects on metabolic and inflammatory biomarkers. WB-EMS combined with protein supplementation intervention was beneficial for SO patients in many ways. Due to the small number of studies, further studi
背景少肌型肥胖(SO)患者同时具有少肌症和肥胖的特点,即肌肉量减少和脂肪量增加,其发病率、致残率和死亡率均高于单纯少肌症或肥胖患者。目的研究全身电刺激(WB-EMS)训练和蛋白质补充干预对中老年SO.患者身体成分、身体功能、代谢和炎症生物标志物的影响。方法检索PubMed、Web of Science、Embase、Cochrane Library、Scopus、,截至2021年7月3日。使用物理治疗证据数据库(PEDro)量表评估每项纳入研究的方法学质量。使用Cochrane偏倚风险工具评估偏倚风险。使用Review Manager 5.3进行统计分析。结果本荟萃分析包括779名参与者的随机对照研究。WB-EMS训练改善少肌症Z评分(MD = -1.52,95 % CI:-2.27,-0.77,P < 0.0001)和腰围(WC)(MD = -1.41195 % CI:-2.62,-0.20,P = 0.02)和增加的骨骼肌质量指数(SMI)(MD = 1.27,95 % CI:0.66,1.88,P < 0.0001)和阑尾骨骼肌质量(ASMM)(MD = 0.68,95 % CI:0.081.27,P = 0.03)。蛋白质补充干预降低了体脂率(BF%)(MD = -1.28,95 % CI:1.88,-0.68,P < 0.0001,I2 = 0 %), 全身脂肪 = -0.98,95 % CI:1.65,-0.31,P = 0.004,I2 = 0 %) 和躯干脂肪量(TBFM)(MD = -0.50,95 % CI:-0.94,-0.06,P = 0.03,I2 = 0 %), 和增加的握力(GS)(MD = 1.13,95 % CI:0.062.21,P = 0.04,I2 = 0 %). WB-EMS和蛋白质补充剂的组合对大多数身体成分和身体功能有益,如SMI(MD = 1.21,95 % CI:0.73,1.51,P < 0.00001,I2 = 0 %), GS(MD = 1.60,95 % CI:0.80,2.40,P < 0.0001,I2 = 45 %) 和步行速度(WS)(MD = 0.04,95 % CI:0.020.06,P < 0.0001,I2 = 49 %). 与单独补充蛋白质相比,WB-EMS可能对BF%有额外的有益作用(MD = -0.92.95 % CI:1.80,-0.04,P = 0.04)和WC(MD = -1.03,95 % CI:1.70,-0.36,P = 0.003)。然而,与单独的WB-EMS相比,添加蛋白质补充剂没有提供任何额外的益处。此外,WB-EMS和蛋白质补充剂对代谢和炎症生物标志物几乎没有积极影响。结论就目前情况来看,补充蛋白质干预可以有效降低SO患者的体脂率、脂肪量,提高握力。WB-EMS和蛋白质补充干预对代谢和炎症生物标志物没有显著影响。WB-EMS联合蛋白质补充干预对SO患者有多种益处。由于研究数量较少,需要进一步的研究来证实WB-EMS单独或与蛋白质补充干预相结合对SO患者的疗效。注册号:INPLASY202190096 DOI:10.37766/inplas2021.9.0096。
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引用次数: 2
How are combinations of physical activity, sedentary behaviour and sleep related to cognitive function in older adults? A systematic review 体力活动、久坐行为和睡眠的组合与老年人的认知功能有何关系?系统回顾
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-09-10 DOI: 10.1101/2021.09.07.21263199
M. Mellow, Alyson J. Crozier, D. Dumuid, A. Wade, M. Goldsworthy, J. Dorrian, Ashleigh E. Smith
The relationships between cognitive function and each of physical activity, sleep and sedentary behaviour in older adults are well documented. However, these three time use behaviours are co-dependent parts of the 24-hour day (spending time in one leaves less time for the others), and their best balance for cognitive function in older adults is still largely unknown. This systematic review summarises the existing evidence on the associations between combinations of two or more time-use behaviours and cognitive function in older adults. Embase, Pubmed, PsycInfo, Medline and Emcare databases were searched in March 2020 and updated in May 2021, returning a total of 25,289 papers for screening. A total of 23 studies were included in the synthesis, spanning >23,000 participants (mean age 71 years). Findings support previous evidence that spending more time in physical activity and limiting sedentary behaviour is broadly associated with better cognitive outcomes in older adults. Higher proportions of moderate-vigorous physical activity in the day were most frequently associated with better cognitive function. Some evidence suggests that certain types of sedentary behaviour may be positively associated with cognitive function, such as reading or computer use. Sleep duration appears to share an inverted U-shaped relationship with cognition, as too much or too little sleep is negatively associated with cognitive function. This review highlights considerable heterogeneity in methodological and statistical approaches, and encourages a more standardised, transparent approach to capturing important daily behaviours in older adults. Investigating all three time-use behaviours together against cognitive function using suitable statistical methodology is strongly recommended to further our understanding of optimal 24-hour time-use for brain function in aging.
老年人的认知功能与每一项身体活动、睡眠和久坐行为之间的关系都有很好的记录。然而,这三种时间使用行为是24小时工作中相互依赖的部分(花时间在其中一种行为会减少其他行为的时间),它们对老年人认知功能的最佳平衡在很大程度上仍然未知。这篇系统综述总结了老年人两种或两种以上时间使用行为组合与认知功能之间关联的现有证据。Embase、Pubmed、PsycInfo、Medline和Emcare数据库于2020年3月进行了搜索,并于2021年5月进行了更新,共返回25289篇论文进行筛选。综合研究共包括23项研究,涉及23000多名参与者(平均年龄71岁)。研究结果支持了之前的证据,即花更多的时间进行体育活动和限制久坐行为与老年人更好的认知结果广泛相关。一天中中等强度的体育活动比例越高,认知功能越好。一些证据表明,某些类型的久坐行为可能与认知功能呈正相关,如阅读或使用电脑。睡眠持续时间似乎与认知有着倒U型关系,因为睡眠过多或过少与认知功能呈负相关。这篇综述强调了方法和统计方法的巨大异质性,并鼓励采用更标准化、透明的方法来捕捉老年人的重要日常行为。强烈建议使用适当的统计方法研究所有三种时间使用行为对认知功能的影响,以进一步了解衰老中大脑功能的最佳24小时时间使用。
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引用次数: 17
Exploring how, why and in what contexts older adults are at risk of financial cybercrime victimisation: A realist review 探讨老年人如何、为什么以及在什么情况下面临金融网络犯罪受害的风险:现实主义回顾
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-08-14 DOI: 10.31235/osf.io/qvdy3
A. Burton, C. Cooper, A. Dar, Lucy Mathews, K. Tripathi
Although older people rarely report being victims of financial cybercrime, there is evidence that older online users are at increased risk. This realist review identified factors leading to older adults' victimisation and reviewed the theory and evidence for interventions to reduce victimisation risks. We developed an initial programme theory from a scoping review and expert stakeholder consultations. We searched electronic databases, references and websites for literature meeting inclusion criteria. We analysed 52 primary and secondary data sources, seeking stakeholder views to develop and refine the programme theory and generate Context-Mechanism-Outcome Configurations (CMOCs) explaining how, why and in what circumstances older adults become financial cybercrime victims; and extrapolated this to consider rational intervention strategies. Our programme theory comprised 16 CMOCs describing how: social isolation, cognitive, physical and mental health problems; wealth status, limited cyber security skills or awareness, societal attitudes and content of scams led to victimisation. Our refined programme theory provides a novel framework to guide future intervention design. Only interventions to enhance older internet users' awareness and skills have been trialled to date. Other theoretically plausible interventions include: offender management programmes, tailored security measures, society-wide stigma reduction and awareness-raising with groups who support older people.
尽管老年人很少报告自己是金融网络犯罪的受害者,但有证据表明,老年网民面临的风险更高。这篇现实主义的综述确定了导致老年人受害的因素,并回顾了减少受害风险的干预措施的理论和证据。我们从范围审查和专家利益相关者咨询中制定了初步的方案理论。我们检索了电子数据库、参考文献和网站,寻找符合纳入标准的文献。我们分析了52个主要和次要数据源,寻求利益相关者的意见,以发展和完善程序理论,并产生情境-机制-结果配置(cmoc),解释老年人如何,为什么以及在什么情况下成为金融网络犯罪的受害者;并以此推断出理性干预策略。我们的方案理论包括16个cmoc,描述如何:社会孤立、认知、身体和心理健康问题;财富状况、有限的网络安全技能或意识、社会态度和诈骗的内容导致了受害者。我们完善的程序理论为指导未来的干预设计提供了一个新的框架。迄今为止,只有提高老年互联网用户意识和技能的干预措施得到了试验。其他理论上可行的干预措施包括:罪犯管理规划、量身定制的安全措施、全社会减少耻辱和提高支持老年人的团体的认识。
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引用次数: 9
Aerobic exercise inhibits inflammatory response in atherosclerosis via Sestrin1 protein 有氧运动通过Sestrin1蛋白抑制动脉粥样硬化中的炎症反应
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-06-15 DOI: 10.21203/RS.3.RS-592550/V1
Yunfeng Sun, Yawei Wu, Yingping Jiang, Hao Liu
Aerobic exercise plays an important role in prevention and treatment of atherosclerosis. Inflammatory response is the main pathological process during occurrence and development stage of atherosclerosis. SESNs are considered as anti-inflammation protein in atherosclerosis. In current study, a high expression level of SESN1 is identified under the condition of aerobic exercise, further investigation shows levels of IL-1β/IL-6/TNF-α are significantly suppressed compared to those atherosclerosis mice with no aerobic training. Besides, we find that the activation of NF-κB signaling is impeded. Combine with our previous study, SESN1 is considered as the downstream factor of aerobic exercise which tend to inhibit the activation of inflammatory signaling and result in suppress the expression level of inflammatory factors. Another exciting finding is that MMP9/13 are also suppressed,but the potential mechanism is unclear. Overall, present study sheds light on the significance of aerobic exercise for inflammation and stability of plaque through SESN1 may help developing new clinical treatments of atherosclerosis.
有氧运动在预防和治疗动脉粥样硬化中具有重要作用。炎症反应是动脉粥样硬化发生发展阶段的主要病理过程。sesn被认为是动脉粥样硬化中的抗炎症蛋白。本研究发现有氧运动条件下SESN1表达水平较高,进一步研究发现与未进行有氧运动的动脉粥样硬化小鼠相比,其IL-1β/IL-6/TNF-α水平明显受到抑制。此外,我们发现NF-κB信号的激活受到阻碍。结合我们前期的研究,SESN1被认为是有氧运动的下游因子,往往会抑制炎症信号的激活,从而抑制炎症因子的表达水平。另一个令人兴奋的发现是MMP9/13也受到抑制,但潜在的机制尚不清楚。总的来说,本研究通过SESN1揭示了有氧运动对炎症和斑块稳定性的重要性,可能有助于开发新的动脉粥样硬化临床治疗方法。
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引用次数: 10
Skeletal muscle mitochondrial respiration in a model of age-related osteoarthritis is impaired after dietary rapamycin 年龄相关性骨关节炎模型骨骼肌线粒体呼吸在饮食雷帕霉素后受损
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-06-11 DOI: 10.1101/2021.06.11.448123
C. Elliehausen, D. Minton, A. Nichol, A. Konopka
A decline in skeletal muscle mitochondrial function is associated with the loss of skeletal muscle size and function during knee osteoarthritis (OA). We have recently reported that the 12-weeks of dietary rapamycin (Rap, 14ppm), with or without metformin (Met, 1000ppm), increased plasma glucose and OA severity in male Dunkin Hartley (DH) guinea pigs, a model of naturally occurring, age-related OA. The purpose of the current study was to determine if increased OA severity after dietary Rap and Rap+Met was accompanied by impaired skeletal muscle mitochondrial function. Mitochondrial respiration and hydrogen peroxide (H2O2) emissions were evaluated in permeabilized muscle fibers via high-resolution respirometry and fluorometry using either a saturating bolus or titration of ADP. Rap and Rap+Met decreased complex I (CI)-linked respiration and increased ADP sensitivity, consistent with previous findings in patients with end-stage OA. Rap also tended to decrease mitochondrial H2O2 emissions, however, this was no longer apparent after normalizing to respiration. The decrease in CI-linked respiration was accompanied with lower CI protein abundance. This is the first inquiry into how lifespan extending treatments Rap and Rap+Met can influence skeletal muscle mitochondria in a model of age-related OA. Collectively, our data suggest that Rap with or without Met inhibits CI-linked capacity and increases ADP sensitivity in DH guinea pigs that have greater OA severity.
骨骼肌线粒体功能的下降与膝关节骨关节炎(OA)期间骨骼肌大小和功能的丧失有关。我们最近报道了12周的饮食雷帕霉素(Rap, 14ppm),加或不加二甲双胍(Met, 1000ppm),增加了雄性Dunkin Hartley (DH)豚鼠的血糖和OA严重程度,这是一种自然发生的与年龄相关的OA模型。本研究的目的是确定饮食Rap和Rap+Met后OA严重程度的增加是否伴随骨骼肌线粒体功能受损。线粒体呼吸和过氧化氢(H2O2)排放通过高分辨率呼吸测定法和荧光测定法在渗透性肌纤维中进行评估,使用饱和剂量或ADP滴定。Rap和Rap+Met降低了复合体I (CI)相关呼吸,增加了ADP敏感性,这与之前在终末期OA患者中的发现一致。Rap也倾向于减少线粒体H2O2的排放,然而,这在呼吸正常化后不再明显。CI相关呼吸的减少伴随着CI蛋白丰度的降低。这是首次研究Rap和Rap+Met延长寿命治疗如何影响与年龄相关的OA模型中的骨骼肌线粒体。总的来说,我们的数据表明,在OA严重程度较高的DH豚鼠中,含或不含Met的Rap会抑制ci相关能力,并增加ADP敏感性。
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引用次数: 4
Effects of recreational sports and combined training on blood pressure and glycosylated hemoglobin in middle-aged and older adults: a systematic review and meta-analysis 休闲运动和联合训练对中老年人血压和糖化血红蛋白的影响:系统回顾和荟萃分析
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-05-07 DOI: 10.1101/2021.05.05.21256401
V. M. Schneider, Paula Frank, S. Fuchs, Rodrigo Ferrari
Background Combined resistance and aerobic training (CT) is the most suitable form of exercise training to simultaneously improve cardiometabolic profile and functional capacity in middle-aged and older adults. Recreational sports (RS) emerge as an alternative to traditional exercises to improve these outcomes that could be used as a retention and continuity strategy, promoting health benefits associated with pleasure and satisfaction during the physical activity. Objectives The aim was to conduct a meta-analysis on the effects of RS and CT on systolic blood pressure (SBP), diastolic blood pressure (DBP) and glycosylated hemoglobin (HbA1c) in middle-aged and older adults and to compare these exercise interventions to a non-exercising control group (CON). Data Sources A literature search was conducted using the databases at PubMed, COCHRANE and SciELO between July and August 2020. Study Eligibility Criteria Studies that included men and women aged 45 years, healthy or with values of baseline for SBP 130mmHg or DBP 80 mmHg or with type II diabetes, in which the participants performed RS or CT versus CON, and evaluated SBP, DBP and HbA1c. Study Appraisal and Synthesis Methods Two independent reviewers screened search results, performed data extraction, and assessed of methodological quality of studies. Random effects modeling was used to compare pre to postintervention changes in BP and HbA1c from RS and CT versus CON, and the effect size were calculated through the weighted mean difference (MD) with a 95% confidence interval (CI). Conclusions RS and CT are effective exercise interventions to improve blood pressure in middle-aged and older adults. Additionally, CT seems to be an excellent strategy to reduce HbA1c, and future studies are necessary to confirm the effectiveness of recreational sports to improve HbA1c.
背景:抗阻与有氧联合训练(CT)是同时改善中老年人心脏代谢特征和功能能力的最合适的运动训练形式。休闲运动(RS)作为传统运动的替代方案出现,以改善这些结果,可作为一种保留和连续性策略,在体育活动期间促进与快乐和满足感相关的健康益处。目的是对RS和CT对中老年成年人收缩压(SBP)、舒张压(DBP)和糖化血红蛋白(HbA1c)的影响进行荟萃分析,并将这些运动干预与非运动对照组(CON)进行比较。在2020年7月至8月期间,使用PubMed、COCHRANE和SciELO的数据库进行文献检索。研究纳入年龄45岁的男性和女性,健康或基线收缩压为130mmHg或舒张压为80mmhg或患有II型糖尿病,其中参与者进行RS或CT对比CON,并评估收缩压、舒张压和HbA1c。研究评价和综合方法:两名独立的审稿人筛选搜索结果,进行数据提取,并评估研究的方法学质量。采用随机效应模型比较干预前和干预后RS和CT与CON的血压和糖化血红蛋白变化,并通过加权平均差(MD)计算效应大小,95%置信区间(CI)。结论RS和CT是改善中老年人血压的有效运动干预措施。此外,CT似乎是降低HbA1c的极好策略,需要进一步的研究来证实休闲运动改善HbA1c的有效性。
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引用次数: 2
Senolytics and the compression of late-life mortality 老年化和晚年死亡率的压缩
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-04-26 DOI: 10.1101/2021.04.24.441236
A. Kowald, T. Kirkwood
Senescent cells play an important role in mammalian ageing and in the etiology of age-related diseases. Treatment of mice with senolytics – drugs that selectively remove senescent cells – causes an extension of median lifespan but has little effect on maximum lifespan. Postponement of some mortality to later ages, without a corresponding increase in maximum mortality, can be termed ‘compression of mortality’. When we fit the standard Gompertz mortality model to the survival data following senolytic treatment, we find an increase in the slope parameter, commonly described as the ‘actuarial ageing rate’. These observations raise important questions about the actions of senolytic treatments and their effects on health and survival, which are not yet sufficiently understood. To explore how the survival data from senolytics experiments might be explained, we combine recent exploration of the evolutionary basis of cellular senescence with theoretical consideration of the molecular processes that might be involved. We perform numerical simulations of senescent cell accumulation and senolytic treatment in an ageing population. The simulations suggest that while senolytics diminish the burden of senescent cells, they may also impair the general repair capacity of the organism, leading to a faster accumulation post-treatment of new senescent cells. Our results suggest a framework to address the benefits and possible side effects of senolytic therapies, with the potential to aid the design of optimal treatment regimens.
衰老细胞在哺乳动物衰老和年龄相关疾病的病因学中起着重要作用。用抗衰老药(一种选择性去除衰老细胞的药物)治疗小鼠,可以延长小鼠的中位寿命,但对最大寿命几乎没有影响。将某些死亡率推迟到较晚的年龄,而最高死亡率没有相应增加,可称为“死亡率压缩”。当我们将标准Gompertz死亡率模型拟合到老年治疗后的生存数据时,我们发现斜率参数增加,通常被描述为“精算老化率”。这些观察结果提出了关于抗衰老治疗的作用及其对健康和生存的影响的重要问题,这些问题尚未得到充分的了解。为了探索如何解释衰老实验的生存数据,我们将最近对细胞衰老的进化基础的探索与可能涉及的分子过程的理论考虑结合起来。我们执行衰老细胞积累和衰老治疗在老龄化人口的数值模拟。模拟表明,虽然衰老药物减轻了衰老细胞的负担,但它们也可能损害生物体的一般修复能力,导致新的衰老细胞在处理后更快地积累。我们的研究结果提出了一个框架来解决衰老治疗的益处和可能的副作用,有可能帮助设计最佳治疗方案。
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引用次数: 7
Elevated circulating CD16+ monocytes and TLR4+ monocytes in older adults with multiple cardiometabolic disease risk factors 具有多种心脏代谢疾病危险因素的老年人循环CD16+单核细胞和TLR4+单核细胞升高
IF 3.9 3区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-04-20 DOI: 10.1101/2021.04.13.21255420
M. Markofski, M. Flynn
We endeavored to examine relationships between circulating monocyte phenotype and cardio-metabolic disease risk, in healthy, older adults. We performed a secondary data analysis on men and women, 55-75 yr, who were assigned to groups based on cardio-metabolic risk factors other than age. Subject in the low risk group (n=16, 12 females) had fewer than three risk factors. Subjects in the elevated risk group (n=29, 19 females) had three or more risk factors. Along with baseline screening for fitness and body composition, resting blood samples were assessed for markers of inflammation including: monocyte phenotype (inflammatory monocytes), monocyte cell-surface TLR4 expression, and serum C-reactive protein. The low risk group had a smaller (19.3% difference; p<0.0001) waist circumference and lower body fat weight (36.3%; p<0.0001), but higher V02max (45.5%; p=0.0019). There were no mean differences (p>0.05) between the low and elevated risk groups for BMI, serum cholesterol, fasting glucose, or leg press 1RM. The low risk group had lower CRP (114.7%, p=0.0002), higher CD14+CD16- (classical) monocytes (6.7%; p=0.0231) and fewer CD14+CD16+ (inflammatory) monocytes (46.2%; p=0.0243) than the elevated risk group. The low risk group also had a lower percentage of CD14+CD16- monocytes that were positive for TLR4 (14.0%; p=0.0328). Older men and women with fewer cardio-metabolic risk factors had lower serum and cellular markers of inflammation and higher aerobic capacity.
我们努力研究健康老年人循环单核细胞表型与心脏代谢疾病风险之间的关系。我们对55-75岁的男性和女性进行了二次数据分析,他们被根据年龄以外的心脏代谢风险因素分组。低风险组受试者(n=16/12名女性)的风险因素少于三个。高危组的受试者(n=29,19名女性)有三个或三个以上的危险因素。除了健康状况和身体成分的基线筛查外,还评估了静息血液样本的炎症标志物,包括:单核细胞表型(炎症单核细胞)、单核细胞表面TLR4表达和血清C反应蛋白。低风险组的BMI、血清胆固醇、空腹血糖或腿部按压1RM在低风险组和高风险组之间的差异较小(19.3%;p0.05)。与高危组相比,低风险组的CRP较低(114.7%,p=0.0002),CD14+CD16-(经典)单核细胞较高(6.7%;p=0.0231),CD14+CD16+(炎症)单核细胞核较少(46.2%;p=0.0243)。低风险组TLR4阳性的CD14+CD16-单核细胞比例也较低(14.0%;p=0.0328)。心脏代谢危险因素较少的老年男性和女性的血清和细胞炎症标志物较低,有氧能力较高。
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引用次数: 0
期刊
Experimental Gerontology
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