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Exploring Nintendo Wii Balance Board as a tool to assess lower limb muscle strength for fall risk screening in elderly women
Q2 Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.tma.2024.12.002
Weerasak Tapanya, Noppharath Sangkarit, Patchareeya Amput
The aging process and declining muscle strength and function are known to increase the risk of falls in older adults. The Nintendo Wii Balance Board (NWBB) is a cost-effective and easily accessible alternative to traditional dynamometry for measuring lower limb muscle strength. The study objective was to validate the ability of NWBB to assess lower limb muscle strength and screen the risk of falls in older adults. Ninety community-dwelling elderly women, divided into falling risk and non-falling groups, underwent lower limb muscle strength measurements using NWBB. Moreover, the power index of the sit-to-stand test (PSTS) was calculated from the time to completed Five Times Sit-to-Stand Test (FTSST) (TSTS). The correlation between each variable was assessed. The cut-off score, sensitivity, and specificity for the NWBB's measurement of lower limb muscular strength was determined using the receiver operating curve (ROC). The falling-risk elderly women showed significantly higher TSTS and significantly lower PSTS and leg muscle strength measured by NWBB than the non-falling risk group (p-value <0.01). A strong negative correlation was observed between TSTS and lower limb muscle strength measured by NWBB (r = - 0.747, p <0.001). The appropriate cut-off score was >79.83 kg to identify non-falling risk older adults with the best sensitivity (90.38 %) and specificity (86.84 %). In conclusion, the NWBB has demonstrated concurrent validity with established measures of lower limb muscle strength, making it a viable option for screening the risk of falls in elderly women populations.
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引用次数: 0
Overweight effects on metabolic rate, time perception, diseases, aging, and lifespan: A systematic review with meta-regression analysis
Q2 Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.tma.2024.12.001
Kuat Oshakbayev , Aigul Durmanova , Altay Nabiyev , Antonio Sarria-Santamera , Alisher Idrissov , Gulnara Bedelbayeva , Abduzhappar Gaipov , Ayan Mitra , Meruyert Gazaliyeva , Bibazhar Dukenbayeva , Gani Kuttymuratov

Background

The hypothesis that metabolic rate (MR) is inversely correlated with lifespan has long been debating. Another area of controversy is the relationship between MR and time-flow perception (TFP), and aging. Objectives: to study the impact of overweight and excess food intake on MR, TFP, chronic diseases, aging, lifespan.

Methods

Design: a systematic review. Settings: Web of Science, Scopus, Science Direct, Kopernio, PubMed, and Mendeley were searched for articles published for 44 years (1979–2022). The study bases on a systematic literature review of 3612 articles published worldwide.

Results

In total, 107 full-text articles were assessed for eligibility. Overweight/overeating accelerates MR, leading to a hyper-metabolic mode of the body. MR and lifespan are inversely correlated. TFP depends on MR; accelerated MR provides TFP deceleration.
Every person has an individual ability to gain weight up to ‘maximum bodyweight’, which indicates the individual potential energy for weight gain. Overweight excessively consumes the body's ‘vital energy’, and devours the body potential energy. Weight loss creates ‘body potential power to weight gain’ that increases physical/mental activity, recovers from disease, or weight regain. The body should consume fewer calories due the decline in MR with age.

Conclusions

Our findings support that overweight and overeating increase in MR, which delays time-flow perception, accelerates aging, and limits lifespan. Metabolic intoxication should be managed during weight loss.

Trial registration

ClinicalTrials.gov NCT06410352 (05/08/2024): https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid&equals;S000EG8K&selectaction&equals;Edit&uid&equals;U0006MBT&ts&equals;56&cx&equals;-vph5l9.
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引用次数: 0
Curli protein: A potential contributor to α-synucleopathy in Parkinson's disease
Q2 Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.tma.2025.02.002
Nabanita Ghosh , Krishnendu Sinha
Parkinson's disease (PD) is a progressive neurodegenerative disorder marked by the gradual loss of dopaminergic neurons in the substantia nigra, resulting in both motor and non-motor symptoms. A defining feature of PD pathology is the presence of Lewy bodies, which are intracellular inclusions primarily composed of aggregated alpha-synuclein (α-syn) proteins. The abnormal buildup of α-syn, referred to as α-synucleopathy, is a key aspect of PD and other neurodegenerative conditions. Recent research indicates that bacterial amyloids, such as curli proteins produced by Escherichia coli, may influence α-syn aggregation, potentially playing a role in PD development. These discoveries provide a new perspective on the involvement of microbial factors in neurodegenerative diseases, suggesting that curli proteins can cross-seed with α-syn and enhance its aggregation. Understanding these interactions opens up new therapeutic possibilities, including methods to inhibit curli production, prevent curli-α-syn interactions, or target the resulting pathological aggregates. Such therapeutic strategies could offer promising new ways to slow or stop the progression of PD and improve outcomes for patients.
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引用次数: 0
Neural stem cells in aging
Q2 Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.tma.2024.12.003
Zhi-Xia Li , Jing-Dong J. Han
Aging is intricately linked to cognitive decline and neurodegenerative diseases, with neural stem cells (NSCs) playing a crucial role in brain function maintenance and repair. We examine the age-related metabolic shifts in NSCs, such as alterations in mitochondrial dynamics and protein expression, and how these changes affect NSCs' function of neurogenesis. We discuss the functional decline in NSCs’ proliferation and self-renewal capacity, mainly in the hippocampus, and their implications for cognitive function and emotional regulation. We also highlight the potential of understanding these cellular changes within NSCs to develop novel therapeutic strategies for neurodegenerative diseases and brain injuries, emphasizing the importance of harnessing NSC therapy in aging-related conditions.
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引用次数: 0
Multi-ancestry GWAS reveals loci linked to human variation in LINE-1- and Alu-insertion numbers
Q2 Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.tma.2025.02.001
Juan I. Bravo , Lucia Zhang , Bérénice A. Benayoun
LINE-1 (L1) and Alu are two families of transposable elements (TEs) occupying ∼17 % and ∼11 % of the human genome, respectively. Though only a small fraction of L1 copies is able to produce the machinery to mobilize autonomously, Alu and degenerate L1s can hijack their functional machinery and mobilize in trans. The expression and subsequent mobilization of L1 and Alu can exert pathological effects on their hosts. These features have made them promising focus subjects in studies of aging where they can become active. However, mechanisms regulating TE activity are incompletely characterized, especially in diverse human populations. To address these gaps, we leveraged genomic data from the 1000 Genomes Project to carry out a trans-ethnic GWAS of L1/Alu insertion singletons. These are rare, recently acquired insertions observed in only one person and which we used as proxies for variation in L1/Alu insertion numbers. Our approach identified SNVs in genomic regions containing genes with potential and known TE regulatory properties, and it enriched for SNVs in regions containing known regulators of L1 expression. Moreover, we identified reference TE copies and structural variants that associated with L1/Alu singletons, suggesting their potential contribution to TE insertion number variation. Finally, a transcriptional analysis of lymphoblastoid cells highlighted potential cell cycle alterations in a subset of samples harboring L1/Alu singletons. Collectively, our results suggest that known TE regulatory mechanisms may be active in diverse human populations, expand the list of loci implicated in TE insertion number variability, and reinforce links between TEs and disease.
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引用次数: 0
Metformin alleviates inflammatory response and severity rate of COVID-19 infection in elderly individuals 二甲双胍可减轻老年人的炎症反应和 COVID-19 感染的严重程度
Q2 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.tma.2024.04.001
Xuguang Chen, Sheng Huang, Shengyi Shi, Hanwen Sun, Lei Zhou, Heng Wang, Yan Li, Eric Gilson, Yi-ming Lu, Lan Hu, Jing Ye
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引用次数: 0
Are you feeling comfortable? – Measuring clinical hormesis 您感觉舒适吗?- 测量临床激素作用
Q2 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.tma.2024.08.001
Marios Kyriazis , Alessandro Fontana , Ursula M. Jacob , Tilman Fritsch , Vittorio Calabrese

Hormesis is a biological phenomenon where exposure to a low dose of a stressor or toxin induces a beneficial adaptive response, whereas higher doses may have detrimental effects. The concept of hormesis is being increasingly appreciated not only in toxicology and in pharmacology, but also in nutrition, clinical medicine, and in situations involving everyday life. Hormesis is an adaptive response of cells and organisms to a moderate and intermittent stressful stimulation. Following such stimulation, the organism must respond, and it has to make a choice: either treat it as a positive ‘challenge’, adapting to it and increasing its robustness, or treat it as a negative ‘threat’ with detrimental consequences for physiology and health. In clinical and everyday situations it is usually difficult to advise patients on how to determine the strength of such stimulation, and when to decide that each new stimulation is too low (ineffective), moderate (appropriate for health), or excessive (damaging to health). In this paper we argue that it is possible to rely on the subjective feelings of ‘comfort vs discomfort’, for deciding about the strength of the stimulus: if each exposure to a stimulation is felt by the individual as a ’comfortable’ event, then it is likely that its effects are beneficial (a hormetic challenge). If it is felt as an ‘uncomfortable’ event, then it is likely that it is damaging to health (a threat). These feelings take place in the anterior insula which evaluates the state of resources for responding to an external or internal event, and are a result of the integration of signals from the amygdala, hippocampus, and the prefrontal cortex. Digital cognitive stimulation and nutritional hormesis are mentioned as two detailed examples.

激素作用是一种生物现象,即接触低剂量的压力源或毒素会诱发有益的适应性反应,而高剂量则可能产生有害影响。激素作用的概念不仅在毒理学和药理学中得到越来越多的重视,而且在营养学、临床医学和日常生活中也得到越来越多的重视。激素作用是细胞和生物体对适度和间歇性压力刺激的一种适应性反应。在受到这种刺激后,生物体必须做出反应,并且必须做出选择:要么将其视为积极的 "挑战",使其适应并增强体质;要么将其视为消极的 "威胁",对生理和健康造成不利影响。在临床和日常生活中,通常很难向患者建议如何确定这种刺激的强度,以及何时决定每次新刺激的强度过低(无效)、适度(适合健康)或过度(损害健康)。在本文中,我们认为可以依靠 "舒适与不适 "的主观感受来决定刺激的强度:如果每次接触刺激都让人感觉 "舒适",那么刺激的效果很可能是有益的(激素挑战)。如果感觉 "不舒服",则可能会损害健康(威胁)。这些感觉发生在前脑岛,它负责评估对外界或内部事件做出反应的资源状况,是杏仁核、海马和前额叶皮层信号整合的结果。数字认知刺激和营养荷尔蒙作用是其中两个详细的例子。
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引用次数: 0
Mechanistic insights of the anti-ageing dietary plant secondary metabolites vis-à-vis the modern hallmarks of ageing: Implications for developing novel anti-ageing foods 抗衰老膳食植物次生代谢物与现代衰老标志的机理研究:开发新型抗衰老食品的意义
Q2 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.tma.2024.09.001
Rohit Sharma , Anamika Sharma
Plant secondary metabolites (PSM) including polyphenols, alkaloids, and terpenes are diverse dietary influencers of human health that are also emerging as potent longevity modulators. However, the mechanistic understanding of the anti-ageing effects of PSM vis-à-vis the modern hallmarks of ageing i.e., cellular senescence, chronic inflammation, gut dysbiosis, telomere attrition, genome instability, proteostasis and autophagy, epigenetic alterations, nutrient sensing pathways, and stem cells dysfunctions, is limited. The present work provides a comprehensive review of the extent and depth of PSM as regulators of ageing within the framework of the modern hallmarks of ageing. Current evidence suggests that PSM can influence all known ageing hallmarks albeit to a varying degree. There is immense scope for identifying novel PSM targeting the hallmarks of ageing especially related to cellular senescence (as senolytics), gut microbiome, and epigenetic mechanisms. In addition, PSM and gut dysbiosis are of particular interest due to their mutual bidirectional interactions and amalgamation that could be useful in developing novel anti-ageing functional foods. Future research on the development of PSM-based anti-ageing therapies is recommended to focus on the integrative assessment of the modern hallmarks of ageing for a more holistic approach.
植物次生代谢物(PSM)包括多酚、生物碱和萜类化合物,它们是影响人类健康的多种膳食因素,也正在成为有效的长寿调节剂。然而,人们对 PSM 的抗衰老作用与现代衰老标志(即细胞衰老、慢性炎症、肠道菌群失调、端粒损耗、基因组不稳定、蛋白稳态和自噬、表观遗传学改变、营养传感途径和干细胞功能障碍)之间的机理关系了解有限。本研究在现代衰老标志的框架内,全面回顾了 PSM 作为衰老调节因子的广度和深度。目前的证据表明,PSM 可以影响所有已知的衰老标志,只是程度不同而已。针对老化特征,特别是与细胞衰老(作为衰老剂)、肠道微生物组和表观遗传机制有关的特征,确定新型 PSM 的前景十分广阔。此外,由于 PSM 和肠道菌群失调之间的双向相互作用和相互融合,它们在开发新型抗衰老功能食品方面可能非常有用,因此特别值得关注。建议今后在开发以 PSM 为基础的抗衰老疗法时,重点关注对现代衰老标志的综合评估,以便采用更全面的方法。
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引用次数: 0
Time-varying lifestyle and mental-ill health risk factors for the longitudinal development of daily activity limitations among middle-aged and older adults in Thailand 泰国中老年人日常活动受限纵向发展的时变生活方式和精神疾病风险因素
Q2 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.tma.2024.05.002
Dararatt Anantanasuwong , Supa Pengpid , Karl Peltzer

The aim of this study was to assess the longitudinal association between lifestyle factors, mental ill-health indicators and activities of daily living (ADL) disability among ageing adults in Thailand. We analyzed the cohort data of participants (5616 in 2015, 3600 in 2017 and 2863 in 2020) over the age of 45 from three consecutive waves of HART (health, age, retirement) in Thailand. ADL disability was assessed with a 4-item ADL scale. In order to evaluate the longitudinal correlation between measurement of lifestyle factors, mental health indicators, and ADL disability between three survey waves, we conducted a Generalized Estimate Equation Analysis (GEE). The proportion of ADL disability increased from 3.8 % in 2015 to 7.0 % in 2020. In the final GEE logistic regression model, adjusted for various confounding factors, probable depression (aOR: 1.95, 95 % CI: 1.47–2.59), self-reported poor mental health (aOR: 1.28, 95 % CI: 1.45–2.27), poor quality of life/happiness (aOR: 1.28, 95 % CI: 1.03–1.61), loneliness (aOR: 1.66, 95 % CI: 1.33–2.08), brain disease/dementia (aOR: 4.84, 95 % CI: 2.70–8.67), physical inactivity (aOR: 6.91, 95 % CI: 4.41–10.84) and having underweight (AOR: 1.33, 95 % CI: 1.00–1.76) were positively associated with ADL disability. Current smoking (aOR: 0.39, 95 % CI: 0.24–0.64) was negatively associated with ADL disability.

We found that lifestyle factors (physical inactivity and having underweight) and loneliness, poor quality of life/happiness, probable depression, self-reported poor mental health, and brain disease/dementia were associated with ADL disability. Enhancing lifestyle factors relating to physical activity and healthy diet, and screening and treatment of mental ill-health indicators may reduce ADL disability in Thailand.

本研究旨在评估泰国老龄成年人的生活方式因素、精神疾病指标和日常生活活动(ADL)残疾之间的纵向关联。我们分析了泰国连续三波 HART(健康、年龄、退休)调查中 45 岁以上参与者(2015 年 5616 人,2017 年 3600 人,2020 年 2863 人)的队列数据。ADL残疾采用4项ADL量表进行评估。为了评估三次调查之间生活方式因素、心理健康指标和 ADL 残疾测量之间的纵向相关性,我们进行了广义估计方程分析(GEE)。ADL残疾比例从2015年的3.8%上升到2020年的7.0%。61)、孤独(aOR:1.66,95 % CI:1.33-2.08)、脑部疾病/痴呆(aOR:4.84,95 % CI:2.70-8.67)、缺乏运动(aOR:6.91,95 % CI:4.41-10.84)和体重不足(AOR:1.33,95 % CI:1.00-1.76)与日常活动能力残疾呈正相关。我们发现,生活方式因素(缺乏运动和体重过轻)与孤独感、生活质量差/幸福感、可能患有抑郁症、自我报告的精神健康状况差以及脑部疾病/痴呆症与日常活动能力障碍有关。在泰国,加强与体育锻炼和健康饮食有关的生活方式因素,以及筛查和治疗精神疾病指标,可减少日常活动能力残疾。
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引用次数: 0
Osmotic stressors confer age-dependent resistance to heat stress in wild-type and daf-2 Caenorhabditis elegans 渗透应激源赋予野生型和 daf-2 穴居线虫对热应激的年龄依赖性抵抗力
Q2 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.tma.2024.06.001
Lauren Smith , Baylor Owen, Paola Ibarra, London Blackwell, Anazah Seymour, Michael Byram, Alexis Brown, Robert Redditt, Mindy Farris

Glucose has been shown to shorten lifespan in Caenorhabditis elegans. The connection of glucose to stress resistance in C. elegans, however, appears to be complex. We have shown glucose to be protective against heat stress early in adulthood (1-day-old adults), in both wild-type (WT, N2 strain) animals and those with a mutation in the gene encoding the C. elegans insulin receptor, daf-2. The protection conferred by 1 day on high glucose continues in mid-life (7-day-old adults) for daf-2, but not for WT. Mid-life and late-life stress following 7 or 13 days on high glucose shows glucose enrichment to be neutral or detrimental for recovery from heat stress in both strains. These results were also observed for animals exposed to sorbitol instead of glucose, suggesting the osmotic stress conferred by high concentrations of carbohydrate to be the basis of the resistance to heat stress.

研究表明,葡萄糖会缩短秀丽隐杆线虫的寿命。然而,葡萄糖与秀丽隐杆线虫抗应激能力的关系似乎很复杂。我们已经证明,葡萄糖对野生型(WT,N2 株系)动物和那些编码 elegans 胰岛素受体 daf-2 基因突变的动物成年早期(1 天大的成体)的热应激具有保护作用。在中年期(7 天大的成年动物),daf-2 在高糖下 1 天所提供的保护仍在继续,而 WT 则不然。在高糖环境中 7 天或 13 天后的中年和晚年应激显示,葡萄糖富集对这两个品系的热应激恢复是中性或有害的。在暴露于山梨醇而不是葡萄糖的动物中也观察到了这些结果,这表明高浓度碳水化合物带来的渗透压是抗热应激的基础。
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引用次数: 0
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Translational Medicine of Aging
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