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Results of a 5-Year N-of-1 Growth Hormone Releasing Hormone Gene Therapy Experiment. 5年N-of-1生长激素释放激素基因治疗实验结果
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-12-01 DOI: 10.1089/rej.2021.0036
Brian P Hanley, Keith Brewer, George Church

Here presented for the first time are results showing persistence over a 5+ year period in a human who had a hormone gene therapy administered to muscle. This growth hormone releasing hormone (GHRH) therapy was administered in two doses, a year apart, with a mean after the second dose of 195 ng/mL (13 × normal, σ = 143, σM = 34, max = 495, min = 53). This level of GHRH therapy appears to be safe for the subject, although there were some adverse events. Insulin-like growth factor 1 levels were little affected, nor were the growth hormone test results, showing no indications of acromegaly for the hormone homologue used. Heart rate declined 8 to 13 bpm, persistent over 5 years. Testosterone rose by 52% (σ = 22%, σM = 6%). The high-density lipoprotein/low-density lipoprotein ratio dropped from 3.61 to mean 2.81 (σ = 0.26, σM = 0.057, max = 3.3, min = 2.5), and triglycerides declined from 196 mg/dL to mean 94.4 mg/dL (σ = 21.9, σM = 5.0, min = 59, max = 133, min = 59). White blood cell counts increased, however, the baseline was not strong. CD4 and CD8 mean increased by11.7% (σ = 11.6%, σM = 3.3%, max = 30.7%, min = -9.6%) and 12.0% (σ = 10.5%, σM = 3.0%, max = 29.1%, min = -6.7%), respectively. Ancillary observations comprise an early period of euphoria, and a dramatic improvement in visual correction after the first dose, spherical correction from baseline (L/R) -2.25/-2.75 to -0.25/-0.5. Over the next 5 years, correction drifted back to -1.25/-1.75. Horvath PhenoAge was cut 44.1% post-treatment. At completion, epigenetic age was -6 years (-9.3%), and telomere age was +7 months (+0.9%).

本文首次提出的结果显示,在一个接受激素基因治疗的人身上,持续了5年以上的时间。该生长激素释放激素(GHRH)治疗分两次给药,间隔一年,第二次给药后平均195 ng/mL (13 ×正常人,σ = 143, σ m = 34, max = 495, min = 53)。这种水平的GHRH治疗似乎对受试者是安全的,尽管有一些不良事件。胰岛素样生长因子1水平几乎没有受到影响,生长激素测试结果也没有受到影响,使用的激素同系物没有显示肢端肥大症的迹象。心率下降8 - 13次/分钟,持续5年以上。睾酮水平上升了52% (σ = 22%, σ m = 6%)。高密度脂蛋白/低密度脂蛋白比值由3.61降至平均2.81 (σ = 0.26, σ m = 0.057, max = 3.3, min = 2.5),甘油三酯由196 mg/dL降至平均94.4 mg/dL (σ = 21.9, σ m = 5.0, min = 59, max = 133, min = 59)。然而,白细胞计数增加,基线并不强。CD4和CD8意味着增加by11.7%(σ= 11.6%,σM = 3.3%, max = 30.7%,最小值= -9.6%)和12.0%(σ= 10.5%,σM = 3.0%, max = 29.1%,最小值= -6.7%),分别为。辅助观察包括早期的欣快感,以及第一次剂量后视力矫正的显着改善,球面矫正从基线(L/R) -2.25/-2.75到-0.25/-0.5。在接下来的5年里,修正回落至-1.25/-1.75。治疗后Horvath表型降低44.1%。完成时,表观遗传年龄为-6年(-9.3%),端粒年龄为+7个月(+0.9%)。
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引用次数: 1
Increased Urinary Levels of Pentosidine Measured by a Newly Developed Enzyme-Linked Immunosorbent Assay Are Independently Correlated with Fracture After Fall. 一种新开发的酶联免疫吸附法测定尿中戊苷水平升高与跌倒后骨折独立相关。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-12-01 DOI: 10.1089/rej.2021.0066
Nobuhiro Tahara, Atsuko Tahara, Shoko Maeda-Ogata, Hanae Yoshimura, Munehisa Bekki, Yoichi Sugiyama, Akihiro Honda, Sachiyo Igata, Yuri Nishino, Takanori Matsui, Ako Fukami, Mika Enomoto, Hisashi Adachi, Yoshihiro Fukumoto, Sho-Ichi Yamagishi

Although we have found that increased serum levels of glyceraldehyde-derived advanced glycation end products (AGEs) are associated with numerous aging-related disorders, it remains unclear which structurally distinct AGEs could be a reliable biomarker of the healthy life-threatening disorders. Since pentosidine is produced by glyceraldehyde, we measured here urinary pentosidine levels with a newly developed enzyme-linked immunosorbent assay (ELISA) kit, which requires no pretreatment with acid hydrolysis and heat, and examined their correlations with geriatric syndrome, such as musculoskeletal disease, frailty, and cognitive impairment, in a general population. Multiple regression analysis revealed that female, age, history of fracture after fall, and taking medication for diabetes were independent correlates of log urine pentosidine-to-creatinine ratio (R2 = 0.190). When gender-adjusted log urine pentosidine-to-creatinine ratio stratified by smile frequency grade was compared using analysis of covariance, urine pentosidine-to-creatinine ratio was significantly decreased according to the increase in smile frequency. Our present findings suggest that measurement of urine pentosidine-to-creatinine ratio by a newly developed ELISA kit may be useful for identifying high-risk patients for fall-related fractures.

尽管我们发现甘油醛衍生的晚期糖基化终产物(AGEs)的血清水平升高与许多衰老相关疾病有关,但尚不清楚哪种结构独特的AGEs可以作为健康危及生命疾病的可靠生物标志物。由于戊苷是由甘油醛产生的,我们在这里用一种新开发的酶联免疫吸附测定(ELISA)试剂盒测量尿戊苷水平,该试剂盒不需要酸水解和加热预处理,并在一般人群中检测其与老年综合征(如肌肉骨骼疾病、虚弱和认知障碍)的相关性。多元回归分析显示,女性、年龄、跌倒后骨折史、糖尿病用药是对数尿戊苷/肌酐比的独立相关因素(R2 = 0.190)。用协方差分析比较按微笑频率等级分层的经性别调整的对数尿戊苷-肌酐比值,结果显示,随着微笑频率的增加,尿戊苷-肌酐比值显著降低。我们目前的研究结果表明,通过新开发的ELISA试剂盒测量尿戊苷与肌酐比值可能有助于识别跌倒相关骨折的高危患者。
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引用次数: 0
Multifaceted Assessment of the Effects of an Eye Exercise for Presbyopia. 眼保健操对老花眼效果的多方面评估。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-12-01 DOI: 10.1089/rej.2021.0011
Yukari Tsuneyoshi, Kazuno Negishi, Kazuo Tsubota

Exercise for presbyopia is theoretically ineffective. However, some studies have reported favorable subject responses, although the reasons were not detected. We investigated one such presbyopic exercise. Twenty-three volunteers (48.5 ± 5.0 years) viewed near (30-40 cm) and far (>5 m) points back and forth 20 times in one set and repeated this four times daily. After 2 months, the accommodation or near visual acuity did not improve. The pupillary size under accommodative stimulation decreased significantly (p = 0.04) from 4.03 ± 0.84 to 3.75 ± 0.98 mm, and the convergence amounts increased significantly (p = 0.03) from 0.71 ± 0.25 to 0.98 ± 0.46 mm. The overall satisfaction with the near vision improved significantly (p = 0.02). The changes in the pupillary sizes and convergence amounts did not differ between subjects with improved satisfaction (positive group) and those without improvement (negative group) (p = 0.50 and p = 0.94, respectively). The pupillary size after exercise was significantly (p = 0.04) smaller in the positive group (3.19 ± 0.82) than in the negative group (4.08 ± 0.94). In conclusion, the exercise for presbyopia was fundamentally ineffective to improve accommodation, however, it strengthened miosis while viewing near and might improve satisfaction for near vision. (Clinical Trial Registration number: UMIN000023561).

运动治疗老花眼在理论上是无效的。然而,一些研究报告了良好的受试者反应,尽管没有发现原因。我们调查了一个这样的老花眼练习。23名志愿者(48.5±5.0岁)在一组中来回观察近(30-40厘米)和远(>5米)点20次,每天重复4次。2个月后,调节视力和近视力均无明显改善。调节刺激下瞳孔大小由4.03±0.84 mm显著减小(p = 0.04)至3.75±0.98 mm,收敛量由0.71±0.25 mm显著增大(p = 0.03)至0.98±0.46 mm。整体近视力满意度显著提高(p = 0.02)。满意度改善组(阳性组)和未改善组(阴性组)瞳孔大小和收敛量的变化无显著性差异(p = 0.50和p = 0.94)。阳性组运动后瞳孔大小(3.19±0.82)明显小于阴性组(4.08±0.94),差异有统计学意义(p = 0.04)。总之,老花眼的锻炼对改善适应性是根本无效的,然而,它在近距离观看时加强了瞳孔缩小,并可能提高近距离视力的满意度。(临床试验注册号:UMIN000023561)。
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引用次数: 0
Metformin Treatment in Old Rats and Effects on Mitochondrial Integrity. 二甲双胍对老年大鼠线粒体完整性的影响。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-12-01 DOI: 10.1089/rej.2021.0052
Allen Herbst, Austin Hoang, Chiye Kim, Judd M Aiken, Debbie McKenzie, Deena S Goldwater, Jonathan Wanagat

Metformin, a commonly used well-tolerated treatment for type 2 diabetes, is being deployed in clinical trials to ameliorate aging in older nondiabetic humans. Concerningly, some experiments in model organisms have suggested that metformin use at old ages shortens life span and is toxic to mitochondria. The demonstrated safety of metformin therapy in humans and the conflicting data from model organisms compelled us to test the hypothesis that metformin treatment would be toxic to older rats. To define an effective dose in 30-month-old hybrid rats, we evaluated two doses of metformin (0.1%, 0.75% of the diet) and treated the rats for 4 months. Body mass decreased at the 0.75% dose. Neither dose affected mortality between 30 and 34 months of age. We assessed mitochondrial integrity by measuring mitochondrial DNA (mtDNA) copy number and deletion mutation frequency, and mitochondrial respiration in skeletal muscle and the heart. In skeletal muscle, we observed no effect of metformin on quadriceps mass, mtDNA copy number, or deletion frequency. In the heart, metformin-treated rats had higher mtDNA copy number, lower cardiac mass, with no change in mtDNA deletion frequency. Metformin treatment resulted in lower mitochondrial complex I-dependent respiration in the heart. We found that, in old rats, metformin did not compromise mtDNA integrity, did not affect mortality, and may have cardiac benefits. These data provide some reassurance that a metformin intervention in aged mammals is not toxic at appropriate doses.

二甲双胍是一种常用的耐受性良好的2型糖尿病治疗药物,目前正用于临床试验,以改善老年非糖尿病患者的衰老状况。令人担忧的是,一些模式生物的实验表明,老年人使用二甲双胍会缩短寿命,并对线粒体有毒。二甲双胍治疗人类的安全性和来自模式生物的相互矛盾的数据迫使我们测试二甲双胍治疗对老年大鼠有毒的假设。为了确定30月龄杂交大鼠的有效剂量,我们评估了两种剂量的二甲双胍(0.1%,0.75%的饮食),并给大鼠治疗了4个月。体重在0.75%剂量下下降。这两种剂量都不影响30至34个月龄之间的死亡率。我们通过测量线粒体DNA (mtDNA)拷贝数和缺失突变频率以及骨骼肌和心脏的线粒体呼吸来评估线粒体完整性。在骨骼肌中,我们观察到二甲双胍对股四头肌质量、mtDNA拷贝数或缺失频率没有影响。在心脏中,二甲双胍治疗的大鼠mtDNA拷贝数较高,心脏质量较低,mtDNA缺失频率没有变化。二甲双胍治疗导致心脏线粒体复合体i依赖性呼吸降低。我们发现,在老年大鼠中,二甲双胍不损害mtDNA的完整性,不影响死亡率,并可能对心脏有益。这些数据提供了一些保证,二甲双胍在适当剂量下对老年哺乳动物的干预是无毒的。
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引用次数: 2
Pan-Tissue Aging Clock Genes That Have Intimate Connections with the Immune System and Age-Related Disease. 泛组织衰老时钟基因与免疫系统和年龄相关疾病密切相关。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-10-01 DOI: 10.1089/rej.2021.0012
Adiv A Johnson, Maxim N Shokhirev

In our recent transcriptomic meta-analysis, we used random forest machine learning to accurately predict age in human blood, bone, brain, heart, and retina tissues given gene inputs. Although each tissue-specific model utilized a unique number of genes for age prediction, we found that the following six genes were prioritized in all five tissues: CHI3L2, CIDEC, FCGR3A, RPS4Y1, SLC11A1, and VTCN1. Since being selected for age prediction in multiple tissues is unique, we decided to explore these pan-tissue clock genes in greater detail. In the present study, we began by performing over-representation and network topology-based enrichment analyses in the Gene Ontology Biological Process database. These analyses revealed that the immunological terms "response to protozoan," "immune response," and "positive regulation of immune system process" were significantly enriched by these clock inputs. Expression analyses in mouse and human tissues identified that these inputs are frequently upregulated or downregulated with age. A detailed literature search showed that all six genes had noteworthy connections to age-related disease. For example, mice deficient in Cidec are protected against various metabolic defects, while suppressing VTCN1 inhibits age-related cancers in mouse models. Using a large multitissue transcriptomic dataset, we additionally generate a novel, minimalistic aging clock that can predict human age using just these six genes as inputs. Taken all together, these six genes are connected to diverse aspects of aging.

在我们最近的转录组meta分析中,我们使用随机森林机器学习来准确预测给定基因输入的人类血液、骨骼、大脑、心脏和视网膜组织的年龄。尽管每个组织特异性模型都使用了独特数量的基因进行年龄预测,但我们发现以下六个基因在所有五种组织中都被优先考虑:CHI3L2、CIDEC、FCGR3A、RPS4Y1、SLC11A1和VTCN1。由于在多组织中被选择用于年龄预测是独一无二的,我们决定更详细地探索这些泛组织时钟基因。在本研究中,我们首先在基因本体生物过程数据库中进行了过度表示和基于网络拓扑的富集分析。这些分析表明,这些时钟输入显著丰富了免疫学术语“对原生动物的反应”、“免疫反应”和“免疫系统过程的积极调节”。在小鼠和人体组织中的表达分析表明,这些输入经常随着年龄的增长而上调或下调。一项详细的文献检索表明,这六个基因都与年龄相关的疾病有显著的联系。例如,在小鼠模型中,缺乏Cidec的小鼠可以防止各种代谢缺陷,而抑制VTCN1则可以抑制与年龄相关的癌症。利用一个大型的多组织转录组数据集,我们还生成了一个新颖的、简约的衰老时钟,它可以仅使用这六个基因作为输入来预测人类的年龄。总的来说,这六个基因与衰老的各个方面有关。
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引用次数: 2
Diet and Botanical Supplementation: Combination Therapy for Healthspan Improvement? 饮食和植物补充:改善健康的联合疗法?
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-10-01 Epub Date: 2020-10-20 DOI: 10.1089/rej.2020.2361
Grant A Rutledge, Howard J Phang, Michael N Le, Linsey Bui, Michael R Rose, Laurence D Mueller, Mahtab Jafari

Healthspan science aims to add healthy, functional years to human life. Many different methods of improving healthspan have been investigated, chiefly focusing on just one aspect of an organism's health such as survival. Studies in Drosophila melanogaster have demonstrated that a reversal to a long-abandoned ancestral diet results in improved functional health, particularly at later ages. Meanwhile, pharmaceutical studies have demonstrated that botanical extracts have potent antiaging properties, capable of extending the mean lifespan of D. melanogaster by up to 25%, without a decrease in early fecundity. In this study, we combine these two different approaches to healthspan extension to examine whether a combination of such treatments results in a synergistic or antagonistic effect on Drosophila healthspan. One botanical extract, derived from Rhodiola rosea, mimicked the effects of the ancestral apple diet with better performance at later ages compared with the control. Another extract, derived from Rosa damascena, decreased age-specific survivorship when combined with the apple diet providing support for the "Poisoned Chalice" hypothesis that combinations of various supplements or diets can elicit adverse physiological responses. More experiments in model organisms should be completed researching the effects of combining healthspan-extending substances in various diet backgrounds.

健康寿命科学的目标是为人类的生命增加健康、有功能的岁月。人们研究了许多不同的改善健康寿命的方法,主要集中在生物体健康的一个方面,如生存。对黑腹果蝇(Drosophila melanogaster)的研究表明,逆转长期被抛弃的祖先饮食可以改善功能健康,尤其是在晚年。同时,药物研究表明,植物提取物具有有效的抗衰老特性,能够延长D. melanogaster的平均寿命高达25%,而不会降低早期生殖力。在这项研究中,我们结合这两种不同的方法来延长健康寿命,以检查这些治疗组合是否对果蝇的健康寿命产生协同或拮抗作用。一种从玫瑰红景天中提取的植物提取物,模仿了祖先苹果饮食的效果,与对照组相比,在晚年表现更好。另一种来自大马士革玫瑰的提取物,当与苹果饮食相结合时,降低了年龄特异性的存活率,这为“有毒的圣杯”假说提供了支持,即各种补充剂或饮食的组合会引起不良的生理反应。需要在模式生物中进行更多的实验来研究不同饮食背景下延长健康寿命物质的组合效果。
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引用次数: 4
Effect of Long-Term Treatment with C60 Fullerenes on the Lifespan and Health Status of CBA/Ca Mice. C60富勒烯长期治疗对CBA/Ca小鼠寿命和健康状况的影响
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-10-01 Epub Date: 2021-05-19 DOI: 10.1089/rej.2020.2403
Dmytro Shytikov, Iryna Shytikova, Deepak Rohila, Anton Kulaga, Tatiana Dubiley, Iryna Pishel

Several studies claimed C60 fullerenes as a prospective geroprotector drug due to their ability to capture free radicals effectively and caused a profound interest in C60 in life extension communities. Multiple additives are already sold for human consumption despite a small body of evidence supporting the beneficial effects of fullerenes on the lifespan. To test the effect of C60 fullerenes on lifespan and healthspan, we administered C60 fullerenes dissolved in virgin olive oil orally to 10-12 months old CBA/Ca mice of both genders for 7 months and assessed their survival. To uncover C60 and virgin olive effects, we established two control groups: mice treated with virgin olive oil (vehicle) and mice treated with drinking water. To measure healthspan, we conducted daily monitoring of health condition and lethality and monthly bodyweight measurements. We also assessed physical activity, glucose metabolism, and hematological parameters every 3 months. We did not observe health deterioration in the animals treated with C60 compared with the control groups. Treatment of mice with C60 fullerenes resulted in an increased lifespan of males and females compared with the olive oil-treated animals. The lifespan of C60-treated mice was similar to the mice treated with water. These results suggest that the lifespan-extending effect in C60-treated mice appears due to the protective effect of fullerenes in opposition to the negative effect of olive oil in CBA/Ca mice.

一些研究声称C60富勒烯由于其有效捕获自由基的能力而成为一种有前景的老年保护药物,并引起了对C60在延寿界的浓厚兴趣。尽管有少量证据支持富勒烯对寿命的有益影响,但已有多种添加剂出售供人类食用。为了测试C60富勒烯对寿命和健康寿命的影响,我们将溶解在初榨橄榄油中的C60富勒烯口服给10-12月龄的雌雄CBA/Ca小鼠7个月,并评估它们的存活率。为了揭示C60和初榨橄榄油的作用,我们建立了两个对照组:初榨橄榄油处理的小鼠(对照)和饮用水处理的小鼠。为了测量健康跨度,我们对健康状况和死亡率进行了每日监测,并每月测量体重。我们还每3个月评估一次身体活动、葡萄糖代谢和血液学参数。与对照组相比,我们没有观察到C60治疗动物的健康状况恶化。用C60富勒烯处理的小鼠与橄榄油处理的小鼠相比,雄性和雌性的寿命都增加了。c60处理小鼠的寿命与水处理小鼠相似。这些结果表明,c60处理小鼠的寿命延长效应是由于富勒烯的保护作用而不是橄榄油对CBA/Ca小鼠的负面作用。
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引用次数: 2
Modulation of cGAS-STING Pathway by Nicotinamide Riboside in Alzheimer's Disease. 烟酰胺核苷在阿尔茨海默病中对cGAS-STING通路的调节。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-10-01 DOI: 10.1089/rej.2021.0062
James W Larrick, Andrew R Mendelsohn

Numerous studies demonstrate a global decrease in nicotinamide adenine dinucleotide (NAD+) with aging. This decline is associated with the development of several of the hallmarks of aging such as reduced mitophagy and neuroinflammation, processes thought to play a significant role in the progression of Alzheimer's disease (AD). Augmentation of NAD+ by oral administration of a precursor, nicotinamide riboside (NR), reduces senescence of affected cells, attenuates DNA damage and neuroinflammation in the transgenic APP/PS1 murine model of AD. Inflammation mediated by microglial cells plays an important role in progression of AD and other neurodegenerative diseases. The cytoplasmic DNA sensor, cyclic GMP-AMP synthase (cGAS) and downstream stimulator of interferon genes (STING), generates an interferon signature characteristic of senescence and inflammaging in the brain of AD mice. Elevated cGAS-STING observed in the AD mouse brains and human AD fibroblasts was normalized by NR. This intervention also increased mitophagy with improved cognition and behavior in the APP/PS1 mice. These studies suggest that modulation of the cGAS-STING pathway may benefit AD patients and possibly other disorders characterized by compromised mitophagy and excessive neuroinflammation.

大量研究表明,随着年龄的增长,烟酰胺腺嘌呤二核苷酸(NAD+)整体下降。这种下降与衰老的几个特征的发展有关,如线粒体自噬减少和神经炎症,这些过程被认为在阿尔茨海默病(AD)的进展中起着重要作用。在转基因APP/PS1 AD小鼠模型中,通过口服前体烟酰胺核苷(NR)来增加NAD+,可以减少受影响细胞的衰老,减轻DNA损伤和神经炎症。小胶质细胞介导的炎症在阿尔茨海默病和其他神经退行性疾病的进展中起重要作用。胞质DNA传感器环GMP-AMP合成酶(cGAS)和干扰素基因下游刺激因子(STING)在AD小鼠大脑中产生具有衰老和炎症特征的干扰素信号。在AD小鼠大脑和人AD成纤维细胞中观察到的cGAS-STING升高被NR正常化。这种干预还增加了APP/PS1小鼠的线粒体自噬,改善了认知和行为。这些研究表明,调节cGAS-STING通路可能有益于AD患者,也可能有益于其他以线粒体自噬受损和过度神经炎症为特征的疾病。
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引用次数: 8
Ageism, Aging Anxiety, and Death and Dying Anxiety Among Doctors and Nurses. 医生和护士中的年龄歧视、衰老焦虑、死亡和临终焦虑。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-10-01 Epub Date: 2021-05-28 DOI: 10.1089/rej.2020.2385
Ilona Kolushev, Boris Punchik, Dror Digmi, Kristina Haiman, Maria Ritsner, Ofek Moller, Sarai Hadad, Tali Samson, Tamar Freud, Yan Press

Ageism is an important phenomenon that affects individuals and how society relates to older adults. It is important to evaluate ageism in the medical staff because of its potential effect on treatment for older adults. A cross-sectional study to assess the negative attitudes of doctors and nurses toward older adults was conducted using the Fraboni Scale of Ageism (FSA), a method for evaluating attitudes toward ageism in medical teams. Additional variables associated with ageism such as aging anxiety, and death and dying anxiety were also assessed. The study population included doctors and nurses working in a large university hospital or in community clinics in southern Israel. In all, 431 questionnaires were collected, 203 from the hospital (47.5%) and 224 from the community (52.5%). Of these, 216 (50.1%) were from doctors and 215 (49.9%) from nurses. The mean ageism score in the FSA was 2.8. In a linear regression model, doctors were less ageist than nurses; ageism was directly associated with aging anxiety, and dying anxiety, and was inversely associated with death anxiety. Among doctors, prominent ageist attitudes were directly associated with aging and dying anxiety, inversely associated with graduation from medical school in Israel, and death anxiety. Among nurses, prominent ageism attitudes were directly associated with dying anxiety and inversely associated with work in the hospital. Ageist attitudes were found among doctors and nurses in both the hospital and community clinics. The results emphasize the need to raise awareness of ageism in medical teams and to include this subject in professional training programs designed to reduce its prevalence.

年龄歧视是影响个人以及社会如何与老年人联系的重要现象。评估医务人员的年龄歧视是很重要的,因为它对老年人的治疗有潜在的影响。采用Fraboni年龄歧视量表(FSA)进行了一项评估医生和护士对老年人的负面态度的横断面研究,该量表是一种评估医疗团队对年龄歧视态度的方法。与年龄歧视相关的其他变量,如衰老焦虑、死亡和临终焦虑也进行了评估。研究对象包括在以色列南部一家大型大学医院或社区诊所工作的医生和护士。共收集问卷431份,其中医院203份(47.5%),社区224份(52.5%)。其中医生216例(50.1%),护士215例(49.9%)。FSA的平均年龄歧视得分为2.8。在线性回归模型中,医生的年龄歧视程度低于护士;年龄歧视与衰老焦虑、死亡焦虑直接相关,与死亡焦虑呈负相关。在医生中,突出的年龄歧视态度与衰老和死亡焦虑直接相关,与以色列医学院毕业和死亡焦虑负相关。在护士中,年龄歧视态度突出与临终焦虑直接相关,与医院工作负相关。医院和社区诊所的医生和护士都存在年龄歧视态度。研究结果强调有必要提高医疗团队对年龄歧视的认识,并将这一主题纳入旨在减少其患病率的专业培训计划中。
{"title":"Ageism, Aging Anxiety, and Death and Dying Anxiety Among Doctors and Nurses.","authors":"Ilona Kolushev,&nbsp;Boris Punchik,&nbsp;Dror Digmi,&nbsp;Kristina Haiman,&nbsp;Maria Ritsner,&nbsp;Ofek Moller,&nbsp;Sarai Hadad,&nbsp;Tali Samson,&nbsp;Tamar Freud,&nbsp;Yan Press","doi":"10.1089/rej.2020.2385","DOIUrl":"https://doi.org/10.1089/rej.2020.2385","url":null,"abstract":"<p><p>Ageism is an important phenomenon that affects individuals and how society relates to older adults. It is important to evaluate ageism in the medical staff because of its potential effect on treatment for older adults. A cross-sectional study to assess the negative attitudes of doctors and nurses toward older adults was conducted using the Fraboni Scale of Ageism (FSA), a method for evaluating attitudes toward ageism in medical teams. Additional variables associated with ageism such as aging anxiety, and death and dying anxiety were also assessed. The study population included doctors and nurses working in a large university hospital or in community clinics in southern Israel. In all, 431 questionnaires were collected, 203 from the hospital (47.5%) and 224 from the community (52.5%). Of these, 216 (50.1%) were from doctors and 215 (49.9%) from nurses. The mean ageism score in the FSA was 2.8. In a linear regression model, doctors were less ageist than nurses; ageism was directly associated with aging anxiety, and dying anxiety, and was inversely associated with death anxiety. Among doctors, prominent ageist attitudes were directly associated with aging and dying anxiety, inversely associated with graduation from medical school in Israel, and death anxiety. Among nurses, prominent ageism attitudes were directly associated with dying anxiety and inversely associated with work in the hospital. Ageist attitudes were found among doctors and nurses in both the hospital and community clinics. The results emphasize the need to raise awareness of ageism in medical teams and to include this subject in professional training programs designed to reduce its prevalence.</p>","PeriodicalId":20979,"journal":{"name":"Rejuvenation research","volume":"24 5","pages":"366-374"},"PeriodicalIF":2.6,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38914080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Chitosan Displays a Potent Caloric Restriction Mimetic Effect in Senescent Rats. 壳聚糖在衰老大鼠中显示出强有力的热量限制模拟效应。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2021-10-01 DOI: 10.1089/rej.2021.0010
Raushan Kumar, Munish Kumar, Syed Ibrahim Rizvi

Chitosan is a polysaccharide made up of β1,4-linked d-glucosamine (GlcN) and N-acetyl-GlcN. In this study, we evaluated the possible caloric restriction mimetic (CRM) effect of dietary chitosan on systemic redox status, inflammatory biomarkers, and lipid profile in plasma and erythrocyte samples of d-galactose-induced mimetically aged rats. We found a significant increase (p < 0.05) in the reactive oxygen species, protein carbonyl, fasting glucose, body weight, cholesterol, triglyceride, inflammatory markers-interleukin-6 and tumor necrosis factor-alpha in an accelerated senescent rat model. There was also a significant decrease (p < 0.05) in glutathione, advanced glycation end product in senescent rats. Chitosan treatment increased ferric-reducing antioxidant potential, glutathione, plasma membrane-reduced system in accelerated senescent model of rats. Our finding suggests that chitosan has properties similar to a CRM and can effectively maintain the redox homeostasis during the aging process in rat erythrocytes.

壳聚糖是一种由β1,4-连接d-葡萄糖胺(GlcN)和n -乙酰-GlcN组成的多糖。在这项研究中,我们评估了饮食中壳聚糖对d-半乳糖诱导的模拟衰老大鼠血浆和红细胞样本中系统氧化还原状态、炎症生物标志物和脂质谱的可能的热量限制模拟(CRM)效应。我们发现(p。p。
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引用次数: 3
期刊
Rejuvenation research
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