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A 6-items Questionnaire (6-QMD) captures a Mediterranean like dietary pattern and is associated with memory performance and hippocampal volume in elderly and persons at risk for Alzheimer’s disease 一份包含6个项目的问卷(6-QMD)记录了地中海式饮食模式,并与老年人和阿尔茨海默病风险人群的记忆表现和海马体体积有关
Q3 Medicine Pub Date : 2023-04-25 DOI: 10.3233/nha-220190
B. Rauchmann, Patrizia Gross, Ersin Ersoezlue, Michael Wagner, Ballarini Tommaso, C. Kurz, M. Tatò, J. Utecht, B. Papazov, S. Guersel, Marie Totzke, L. Trappmann, L. Burow, G. Koller, S. Stöcklein, D. Keeser, S. Altenstein, C. Bartels, K. Buerger, P. Dechent, L. Dobisch, M. Ewers, K. Fliessbach, S. D. Freiesleben, W. Glanz, Doreen Goeerss, D. Gref, J. Haynes, D. Janowitz, I. Kilimann, O. Kimmich, L. Kleineidam, C. Laske, A. Lohse, F. Maier, C. Metzger, M. Munk, O. Peters, L. Preis, J. Priller, S. Roeske, N. Roy, C. Sanzenbacher, K. Scheffler, A. Schneider, B. Schott, A. Spottke, E. Spruth, S. Teipel, D. M. van Lent, J. Wiltfang, S. Wolfsgruber, R. Yakupov, E. Düzel, F. Jessen, R. Perneczky
BACKGROUND: There is evidence that adherence to Mediterranean-like diet reduces cognitive decline and brain atrophy in Alzheimer's disease (AD). However, lengthy dietary assessments, such as food frequency questionnaires (FFQs), discourage more frequent use. OBJECTIVE: Here we aimed to validate a 6-items short questionnaire for a Mediterranean-like diet (6-QMD) and explore its associations with memory performance and hippocampal atrophy in healthy elders and individuals at risk for AD. METHODS: We analyzed 938 participants (N = 234 healthy controls and N = 704 participants with an increased AD risk) from the DZNE-Longitudinal Cognitive Impairment and Dementia Study (DELCODE). The 6-QMD was validated against the Mediterranean Diet (MeDi) score and the Mediterranean-DASH Diet Intervention for Neurodegenerative Delay (MIND) score, both derived from a detailed FFQ. Furthermore, associations between the 6-QMD and memory function as well as hippocampal atrophy were evaluated using linear regressions. RESULTS: The 6-QMD was moderately associated with the FFQ-derived MeDi adherence score (ρ = 0.25, p < 0.001) and the MIND score (ρ = 0.37, p= < 0.001). Higher fish and olive oil consumption and lower meat and sausage consumption showed significant associations in a linear regression, adjusted for diagnosis, age, sex and education, with memory function (β = 0.1, p = 0.008) and bilateral hippocampal volumes (left: β = 0.15, p < 0.001); (right: β = 0.18, p < 0.001)). CONCLUSIONS: The 6-QMD is a useful and valid brief tool to assess the adherence to MeDi and MIND diets, capturing associations with memory function and brain atrophy in healthy elders and individuals at increased AD dementia risk, making it a valid alternative in settings with time constraints.
背景:有证据表明,坚持地中海式饮食可以减少阿尔茨海默病(AD)患者的认知能力下降和脑萎缩。然而,冗长的饮食评估,如食物频率问卷(FFQ),阻碍了更频繁的使用。目的:在这里,我们旨在验证地中海式饮食(6-QMD)的6项简短问卷,并探讨其与健康老年人和AD风险个体的记忆表现和海马萎缩的关系。方法:我们分析了来自DZNE纵向认知障碍和痴呆症研究(DELCODE)的938名参与者(N=234名健康对照组和N=704名AD风险增加的参与者)。6-QMD根据地中海饮食(MeDi)评分和地中海DASH饮食干预神经退行性延迟(MIND)评分进行验证,这两项评分均来自详细的FFQ。此外,使用线性回归评估6-QMD与记忆功能以及海马萎缩之间的关系。结果:6-QMD与FFQ衍生的MeDi依从性评分(ρ=0.25,p<0.001)和MIND评分(ρ=0.037,p=0.001)适度相关。较高的鱼类和橄榄油消费量以及较低的肉类和香肠消费量在线性回归中显示出显著的相关性,经诊断、年龄、性别和教育程度调整后,记忆功能(β=0.1,p=0.008)和双侧海马体积(左:β=0.15,p<0.001);(右:β=0.18,p<0.001)。结论:6-QMD是评估MeDi和MIND饮食依从性的有用而有效的简短工具,可以捕捉健康老年人和AD痴呆风险增加的个体与记忆功能和脑萎缩的关系,使其成为时间限制环境中的有效替代品。
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引用次数: 0
Neuroprotective effect of Hibiscus sabdariffa extract against high glucose-induced toxicity in Neuro-2a cells and Caenorhabditis elegans 芙蓉提取物抗高糖诱导的神经2a细胞和秀丽隐杆线虫毒性的神经保护作用
Q3 Medicine Pub Date : 2023-03-03 DOI: 10.3233/nha-220177
D. Malar, M. Prasanth, J. Brimson, Kanika Verma, A. Prasansuklab, T. Tencomnao
BACKGROUND: Chronic hyperglycemic conditions can activate aberrant metabolic pathways causing neurotoxicity. OBJECTIVE: This study aimed to explore the effect of ethanol extract of Hibiscus sabdariffa calyxes (HS) against high glucose-induced neurotoxicity in Neuro-2a cells and Caenorhabditis elegans. METHODS: To ascertain the neuroprotective effect, Neuro-2a cells were pre-treated with HS followed by high glucose and assessed for cell viability, reactive oxygen species (ROS) generation, alterations in mitochondrial membrane potential (ΔΨm) using confocal microscopy, Real-Time PCR, Western blot and in silico approaches for the compounds identified through LC-MS/MS analysis. Further, C. elegans were treated with HS extract in the presence of glucose and analyzed for the neuroprotective effect. RESULTS: High glucose exhibited toxicity in Neuro-2a cells by ROS generation, disrupting ΔΨm, modulating stress response and lipid metabolism genes, altering signaling proteins (AKT, JNK), and apoptosis (P53, Caspase-3). However, pre-treatment with HS extract reversed the effect and exhibited neuroprotection. Compounds including allo-Aromadendrene, and N-Feruloyltyramine were identified through LC-MS/MS analysis. Docking studies against candidate protein targets indicated that the compounds of HS extract exhibit higher docking scores and can inhibit/activate the targets. Further, HS extended the lifespan of C. elegans (CL2006) from high glucose toxicity through the downregulation of A β. CONCLUSION: Our results propose that HS with its active constituents can be considered a promising therapeutic agent to treat hyperglycemia associated neurodegenerative diseases.
背景:慢性高血糖可激活异常代谢途径,引起神经毒性。目的:探讨芙蓉花萼(HS)乙醇提取物对高糖诱导的神经2a细胞和秀丽隐杆线虫(Caenorhabditis elegans)神经毒性的影响。方法:为了确定神经保护作用,对神经2a细胞进行HS预处理,然后进行高糖预处理,并使用共聚焦显微镜、Real-Time PCR、Western blot和通过LC-MS/MS分析鉴定的化合物,评估细胞活力、活性氧(ROS)的产生、线粒体膜电位的变化(ΔΨm)。此外,在葡萄糖存在的情况下,用HS提取物处理秀丽隐杆线虫,并分析其神经保护作用。结果:高糖通过ROS产生对神经2a细胞产生毒性,破坏ΔΨm,调节应激反应和脂质代谢基因,改变信号蛋白(AKT, JNK)和细胞凋亡(P53, Caspase-3)。然而,用HS提取物预处理逆转了这种效果,并表现出神经保护作用。通过LC-MS/MS分析,鉴定出化合物为allo- aromadenendene和n - feruloylytyramine。与候选蛋白靶点的对接研究表明,HS提取物的化合物具有较高的对接分数,并能抑制/激活靶点。此外,HS通过下调A β来延长秀丽隐杆线虫(CL2006)的高糖毒性寿命。结论:黄芪及其有效成分有望成为治疗高血糖相关神经退行性疾病的有效药物。
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引用次数: 0
The functional relationship of Yap/Taz with autophagy functions in sarcopenia associated with aging Yap/Taz与衰老所致肌肉减少症自噬功能的关系
Q3 Medicine Pub Date : 2023-03-02 DOI: 10.3233/nha-220164
A. Sanjaya, R. Lesmana, H. Goenawan, I. Setiawan, N. Sylviana, Nova Yuni S. Pratiwi, Fitriya N. Dewi, U. Supratman
BACKGROUND: Muscle loss is one of the features associated with aging with significant impacts on the quality of life. Yap/Taz, the effectors of the Hippo pathway, was shown to regulate organ size and may be associated with aging. We postulate that Yap/Taz modulation may play a role in maintaining muscle fiber size or mediating the function of autophagy during aging and sarcopenia. OBJECTIVE: The research aim to explore sarcopenia and its relationship to autophagy and Yap/Taz expression. Additionally, we also explored the relationship of autophagy function and Yap/Taz on skeletal muscle tissue during aging. METHODS: We conducted experiments on two groups of rats kept at 16 and 80 weeks. Skeletal muscle tissue from the soleus muscle was harvested, and mRNA expression of Yap/Taz and genes associated with the autophagy pathway were quantified. Immunoblotting was done with antibodies against Yap/Taz and autophagy proteins. Bafilomycin and Verteporfin were used on the C2C12 cell line to elucidate the interaction between autophagy and Yap/Taz. RESULTS: Old rats were found to have a smaller fiber surface area of the soleus muscle and was associated with increased Yap mRNA and protein expression. The inhibition of autophagy increased Yap levels. However, the inhibition of Yap/Taz function did not affect autophagy in skeletal muscle. CONCLUSIONS: With current evidence, increased Yap was paradoxically associated with sarcopenia, and this increase was caused by the decreased autophagic flux caused by aging.
背景:肌肉损失是与衰老相关的特征之一,对生活质量有重大影响。Hippo通路的效应子Yap/Taz被证明可以调节器官大小,并可能与衰老有关。我们推测,在衰老和少肌症期间,Yap/Taz调节可能在维持肌肉纤维大小或介导自噬功能方面发挥作用。目的:探讨少肌症及其与自噬和Yap/Taz表达的关系。此外,我们还探讨了衰老过程中骨骼肌组织自噬功能与Yap/Taz的关系。方法:采用16周和80周两组大鼠进行实验。采集比目鱼肌的骨骼肌组织,并定量Yap/Taz的mRNA表达和与自噬途径相关的基因。用抗Yap/Taz的抗体和自噬蛋白进行免疫印迹。在C2C12细胞系上使用巴氟霉素和维替泊芬来阐明自噬与Yap/Taz之间的相互作用。结果:发现老年大鼠比目鱼肌纤维表面积较小,并与Yap mRNA和蛋白表达增加有关。对自噬的抑制增加了Yap水平。然而,Yap/Taz功能的抑制并不影响骨骼肌的自噬。结论:根据目前的证据,Yap的增加与少肌症有矛盾的关系,而这种增加是由衰老引起的自噬流量减少引起的。
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引用次数: 0
Pentapeptide WN5 targets the gut microbiota in alleviating Alzheimer’s disease pathologies 五肽WN5靶向肠道微生物群缓解阿尔茨海默病病理
Q3 Medicine Pub Date : 2023-02-14 DOI: 10.3233/nha-220168
William Amakye, Zhengyu Ren, Min Wang, Maojin Yao, Jiaoyan Ren
BACKGROUND: Antioxidant peptides have gained attention as potential therapeutic agents for Alzheimer’s disease (AD). The gut microbiota is also increasingly being recognized as central to AD progression and a potential therapeutic target for the disease. OBJECTIVE: Using a recently-identified antioxidant pentapeptide (Trp-Pro-Pro-Lys-Asn, WN5), we sort to test the hypothesis that dietary components could target the microbiota to inhibit Aβ aggregation and relieve AD-related cognitive impairments. METHOD: An Aβ42 aggregation cell model was employed to predict the ability of WN5 to inhibit Aβ aggregation. APP/PS1 mice were then used to explore the learning and memory-improving capacity of WN5 by targeting the gut microbiota. RESULTS: WN5 dose-dependently attenuated cellular Aβ-aggregation. Oral administration of WN5 (WN5_G) was associated with decreased microbial diversity and tended to impact the abundance of several major bacterial species associated with AD. The observed microbiota changes were significantly associated with reduced hippocampal Aβ aggregation (17.6±0.71 for WN5_G and 25.4±1.7 for the control group; p <  0.009) and improved cognitive performance. However, these observations were absent when WN5 was administered intraperitoneally (WN5_Ip). CONCLUSION: The results from this preliminary study suggested that WN5 could be useful in ameliorating AD-related symptoms via the gut-brain-axis and further emphasize the significance of the gut microbiota in AD.
背景:抗氧化肽作为阿尔茨海默病(AD)的潜在治疗剂已引起人们的关注。肠道微生物群也越来越被认为是阿尔茨海默病进展的核心和潜在的治疗靶点。目的:利用最近发现的抗氧化五肽(Trp-Pro-Pro-Lys-Asn, WN5),我们试图验证膳食成分可以靶向微生物群抑制a β聚集并缓解ad相关认知障碍的假设。方法:采用Aβ42聚集细胞模型预测WN5抑制Aβ聚集的能力。然后利用APP/PS1小鼠,通过靶向肠道微生物群来探索WN5对学习和记忆的改善能力。结果:WN5剂量依赖性减弱细胞a - β聚集。口服WN5 (WN5_G)与微生物多样性下降有关,并倾向于影响与AD相关的几种主要细菌物种的丰度。观察到的微生物群变化与海马Aβ聚集减少显著相关(WN5_G组为17.6±0.71,对照组为25.4±1.7);P < 0.009),认知能力提高。然而,当腹腔注射WN5 (WN5_Ip)时,这些观察结果不存在。结论:本初步研究结果提示WN5可通过肠-脑轴改善AD相关症状,进一步强调肠道菌群在AD中的重要作用。
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引用次数: 0
Role of ingested amino acids/protein in the promotion of resistance exercise-training adaptations in aging: Analysis of meta-analyses 摄入的氨基酸/蛋白质在促进抗阻运动训练适应衰老中的作用:荟萃分析的分析
Q3 Medicine Pub Date : 2022-12-23 DOI: 10.3233/nha-220183
Abbas K. Doctor, J. Monnig, Caroline N. Kerr, Alexandra M. Bagg, C. Pickering, P. Reidy
A current lack of consensus exists regarding the effect of protein supplementation during resistance exercise in aging adult on the phenotypic adaptation. Thus, we critically assessed the collection of meta-analytic evidence to provide clarity regarding the differences between meta-analyses examining the combined effectiveness of chronic exposure to PRO/AA supplementation and resistance exercise to enhance the adaptive response. Thirteen meta-analyses, with relatively similar titles, presented different results on the topic. This divergence is mainly due to an inconsistent study selection process resulting in distinct study populations and varied types of protein-focused nutritional interventions and not RCT study quality. The methods applied to extract and estimate effects from RCTs with incorrectly formatted data for meta-analyses likely provide an additional reason for divergent results. PRO/AA supplements (when combined with resistance exercise training) produced a positive, albeit minor effect on the promotion of whole-body lean mass growth, yet a minimal and inconsistent effect on muscle mass, muscle strength, or functional capacity. The lack of an effect was skewed in studies with a higher proportion of obese and overweight participants and somewhat less noticeable in those containing sarcopenic and frail older adults, who would have the greatest need for an intervention to enhance muscle mass. Researchers are encouraged to provide the change scores mean and standard deviations for all their outcomes by group or even making the data sets available to improve future meta-analyses and advance the field.
目前缺乏共识的是,在抗阻运动中补充蛋白质对老年人表型适应的影响。因此,我们对收集的meta分析证据进行了批判性评估,以明确meta分析之间的差异,这些meta分析考察了长期暴露于PRO/AA补充剂和阻力运动增强适应性反应的联合有效性。13项标题相对相似的荟萃分析对这一主题给出了不同的结果。这种差异主要是由于不一致的研究选择过程导致不同的研究人群和不同类型的以蛋白质为重点的营养干预,而不是随机对照试验研究的质量。从格式不正确的随机对照试验中提取和估计效果的方法用于荟萃分析,可能是导致结果分歧的另一个原因。PRO/AA补充剂(当与抗阻运动训练结合使用时)对促进全身瘦质量增长产生了积极的影响,尽管影响很小,但对肌肉质量、肌肉力量或功能能力的影响很小且不一致。在肥胖和超重参与者比例较高的研究中,缺乏效果是扭曲的,而在那些含有肌肉减少和虚弱的老年人的研究中,效果不那么明显,这些老年人最需要干预来增加肌肉质量。鼓励研究人员按组提供所有结果的变化分数、平均值和标准偏差,甚至使数据集可用,以改进未来的元分析和推进该领域。
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引用次数: 0
Biological age and diet: Measuring the impact of lifestyle on a 6CpG-epigenetic clock 生物年龄和饮食:测量生活方式对6cpg表观遗传时钟的影响
Q3 Medicine Pub Date : 2022-12-19 DOI: 10.3233/nha-220160
L. Bordoni, A. Malinowska, Irene Petracci, A. Chmurzyńska, R. Gabbianelli
BACKGROUND: Changes in DNA methylation along the life have been documented, and environmental exposures (including diet, physical activity and smoking) can accelerate or decelerate this process. The epigenetic clock estimates the biological age of an individual measuring methylation patterns in specific areas of its genome. Recently, a new epigenetic clock based on 6 CpGs has been proposed, with high potential to become an easy accessible tool able to measure the epigenetic age (EA) of an individual. OBJECTIVES: This study aims to validate the 6 CpG epigenetic clock comparing it with other biomarkers of aging such as telomere length (TL) and methylation in the long interspersed nuclear elements (LINE-1). The impact of life-style associated factors on these molecular marks has been evaluated. METHODS: 200 healthy participants having extreme dietary patterns (healthy vs western diet) were selected. Dietary intakes, body composition, physical activity level and smoking has been assessed. DNA extracted from whole blood was used to measure the 6CpG-EA, TL and LINE-1 methylation levels. RESULTS: 6CpG-EA was positively correlated with chronological age (r = 0.591; p = 7.2*10 - 20) and negatively with TL (r = –0.150; p = 0.040) and LINE-1 methylation (r = –0.240; p = 0.001). Despite no significant associations were detected with the overall diet quality (HEI), 6CpG-EA was correlated with dietary intakes of nutrients involved in the one-carbon (1 C) metabolism, especially in the western diet group. CONCLUSION: These results support the 6CpG epigenetic clock as an easy accessible tool to estimate biological age, in accordance with other molecular markers of aging, and suggest that EA can be modulated by micronutrients involved in the 1 C metabolism.
背景:DNA甲基化在一生中的变化已经被记录在案,环境暴露(包括饮食、体育活动和吸烟)可以加速或减缓这一过程。表观遗传时钟通过测量个体基因组特定区域的甲基化模式来估计其生物年龄。最近,一种新的基于6 CpGs的表观遗传时钟被提出,具有很高的潜力成为一种易于获取的工具,能够测量个体的表观遗传年龄(EA)。目的:本研究旨在验证6 CpG表观遗传时钟,并将其与其他衰老生物标志物(如端粒长度(TL)和长散布核元件(LINE-1)的甲基化)进行比较。已经评估了生活方式相关因素对这些分子标记的影响。方法:选择200名具有极端饮食模式(健康饮食与西方饮食)的健康参与者。对饮食摄入量、身体成分、体育活动水平和吸烟情况进行了评估。提取全血DNA,测定6CpG-EA、TL和LINE-1甲基化水平。结果:6CpG-EA与实足年龄呈正相关(r = 0.591;p = 7.2 * 10 - 20)和消极的TL (r = -0.150;p = 0.040)和LINE-1甲基化(r = -0.240;p = 0.001)。尽管没有检测到与整体饮食质量(HEI)的显著相关性,但6CpG-EA与饮食中涉及一碳(1c)代谢的营养素摄入量相关,尤其是在西方饮食组。结论:这些结果支持6CpG表观遗传时钟作为一种易于获得的估计生物年龄的工具,与其他衰老的分子标记一致,并表明EA可以通过参与1c代谢的微量营养素来调节。
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引用次数: 0
Nutritional risk and depression in adults over 60 years old 60岁以上成年人的营养风险和抑郁症
Q3 Medicine Pub Date : 2022-12-06 DOI: 10.3233/nha-220179
Ezequiel Pinto, Tânia Nascimento, M. Botelho, C. Guerreiro, A. Marreiros, Sandra Pais
BACKGROUND: The literature suggests that nutritional status is associated with the onset and maintenance of depressive symptoms, but the association is still unclear. OBJECTIVES: Describe the association between malnutrition and depressive disorder. METHODS: Cross-sectional study, in 221 non-randomly selected, community dwelling, individuals. Data were collected through individual, face-to-face interviews, which included questions on health, nutritional status, sociodemographic characteristics, and the interviewer versions of the Mini Nutritional Assessment and the Geriatric Depression Scale. Statistical analyses were conducted using IBM SPSS Statistics 27.0, and statistical significance for all procedures was set at 0.05. RESULTS: The most prevalent clinical feature was pain during the last month (73.3%). 58 participants (26.2%) were at risk for malnutrition and 2 participants (0.9%) presented malnutrition. Depression was more prevalent in women (55.3%) than in men (37.5%). Odds to exhibit depression are 1.83 times higher (95% CI 1.16–3.68, p = 0.036) with malnutrition and 2.45 times higher (95% CI 1.25–4.78, p = 0.009) if reporting pain. CONCLUSIONS: Clinicians should consider the assessment and intervention for both depression and malnutrition when encountering one of these conditions. Acute pain seems to have a strong association with depression and must also be addressed and considered in this regard.
背景:文献表明,营养状况与抑郁症状的发生和维持有关,但其相关性尚不清楚。目的:描述营养不良和抑郁障碍之间的关系。方法:对221名非随机选择的社区居民进行横断面研究。数据是通过个人面对面访谈收集的,其中包括关于健康、营养状况、社会人口特征的问题,以及访谈者版本的迷你营养评估和老年抑郁症量表。使用IBM SPSS Statistics 27.0进行统计分析,所有程序的统计显著性设置为0.05。结果:最常见的临床特征是上个月的疼痛(73.3%)。58名参与者(26.2%)有营养不良的风险,2名参与者(0.9%)出现营养不良。抑郁症在女性(55.3%)中比男性(37.5%)更普遍。表现出抑郁症的几率是男性的1.83倍(95%CI 1.16-3.68,p = 0.036)与营养不良相关,并且高出2.45倍(95%CI 1.25–4.78,p = 0.009),如果报告疼痛。结论:临床医生在遇到其中一种情况时,应考虑对抑郁症和营养不良进行评估和干预。急性疼痛似乎与抑郁症有着密切的联系,在这方面也必须加以解决和考虑。
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引用次数: 0
Effects of a 4-week pecan-enriched diet on cognitive function in healthy older adults 4周富含山核桃的饮食对健康老年人认知功能的影响
Q3 Medicine Pub Date : 2022-10-31 DOI: 10.3233/nha-220181
Betsy Cogan, Regis C. Pearson, C. Paton, N. Jenkins, J. Cooper
BACKGROUND: Pecans are rich in nutrients known to benefit cognition. OBJECTIVE: To examine the effect of daily pecan consumption on cognitive function in older adults. METHODS: In this randomized controlled trial, 42 adults (50–75y) either consumed 68 g of pecans/day for 4 weeks (pecan; n = 21) or avoided all nuts (control; n = 21). At pre- (V1) and post-intervention (V2) visits, cognitive function was assessed using a fluid composite score and four subtests from the NIH toolbox cognitive battery (NIHTB-CB) (Flanker Test, Digital Change Card Sort Test (DCCS), Picture Sequence Memory Test (PSMT), NIHTB Auditory Verbal Learning Test (RAVLT)) at fasting, 30- and 210-min after a high saturated fat meal void of pecans. RESULTS: From V1 to V2, fasting and postprandial cognitive performance did not differ between groups. There were improvements in both groups for fasting fluid composite score (p <  0.001) and performance on RAVLT, PSMT, DCCS, and Flanker tests from V1 to V2 (p <  0.001 for all), with no differences between groups. Additionally, postprandial performance on RAVLT, PSMT, and Flanker tests improved at V2 (p <  0.01 for each), with no differences between groups. CONCLUSIONS: A short-term pecan-enriched diet did not provide additional cognitive benefits in healthy older adults in the fasted or postprandial state.
背景:山核桃富含有益于认知的营养物质。目的:研究每日食用山核桃对老年人认知功能的影响。方法:在这项随机对照试验中,42名成年人(50 - 75岁)连续4周每天食用68克山核桃(山核桃;N = 21)或避免所有坚果(对照组;n = 21)。在干预前(V1)和干预后(V2)访问时,在禁食、高饱和脂肪无核桃餐后30分钟和210分钟,使用液体复合评分和NIH工具箱认知电池(NIHTB- cb)中的四个子测试(Flanker测试、数字变化卡分类测试(DCCS)、图片序列记忆测试(PSMT)、NIHTB听觉语言学习测试(RAVLT))评估认知功能。结果:从V1到V2,两组之间的空腹和餐后认知表现没有差异。两组空腹液体综合评分(p < 0.001)和V1到V2的RAVLT、PSMT、DCCS和Flanker测试的表现均有改善(p < 0.001),组间无差异。此外,餐后在RAVLT、PSMT和Flanker测试中的表现在V2时有所改善(p < 0.01),组间无差异。结论:短期富含山核桃的饮食并没有为处于禁食或餐后状态的健康老年人提供额外的认知益处。
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引用次数: 0
Clinical characteristics and outcomes of COVID-19 diabetic versus non-diabetic patients: A retrospective comparative study COVID-19糖尿病患者与非糖尿病患者的临床特征和结局:一项回顾性比较研究
Q3 Medicine Pub Date : 2022-10-26 DOI: 10.3233/nha-220166
Buthaina M. Alkhatib
BACKGROUND AND OBJECTIVE: Coronavirus disease-19 (COVID-19) has caused significant morbidity and mortality worldwide. Diabetes mellitus (DM) and related comorbidities have a significant impact on clinical presentation and outcomes. The aim is to compare clinical presentation and outcomes among COVID-19 patients with or without DM. SUBJECTS AND METHODS: Data from 312 patients who tested positive for COVID-19 at a single hospital were collected respectively from January to April 2021. It included demographic data, clinical symptoms, underlying comorbidities, clinical chemistry, and hematological laboratory findings. Different inflammation indices were calculated. The findings of COVID-19 diabetic and nondiabetic patients were compared. RESULTS: The percentage of COVID-19 patients with DM and hypertension or cardiovascular diseases was significantly higher compared to non-diabetic patients (78.6 % vs. 35%, and 46.4% vs. 23%, P <  0.001) respectively. The diabetic patients showed a significant increase in D-dimer and alkaline phosphatase levels (1922.2 vs.1154.5, P = 0.007 and 85.3 vs.75.5, P = 0.01) respectively. On the other hand, diabetic patients showed a significant decrease in serum albumin (3.5 vs.3.6, P = 0.012). The mean death probability indicator (ANDC), and ICU admission were higher in diabetic patients (72.2%, and 36.6% ; respectively) versus the non-diabetic patients (60.7% and 26.1% ; P <  0.001, 0.071; respectively). Also, the estimated glomerular filtration rate (eGFR) was significantly higher in diabetic patients as compared to non-diabetic patients. CONCLUSION: The diabetic patients had more comorbidities, a higher rate of ICU admission
背景与目的:冠状病毒病-19(新冠肺炎)已在全球范围内造成显著的发病率和死亡率。糖尿病(DM)和相关合并症对临床表现和结果有显著影响。目的是比较患有或不患有糖尿病的新冠肺炎患者的临床表现和结果。受试者和方法:分别收集2021年1月至4月在一家医院检测出新冠肺炎阳性的312名患者的数据。它包括人口统计学数据、临床症状、潜在合并症、临床化学和血液学实验室发现。计算不同的炎症指数。对新冠肺炎糖尿病和非糖尿病患者的研究结果进行了比较。结果:新冠肺炎糖尿病、高血压或心血管疾病患者的比例显著高于非糖尿病患者(78.6%对35%,46.4%对23%,P <  0.001)。糖尿病患者的D-二聚体和碱性磷酸酶水平显著升高(1922.2比1154.5,P = 0.007和85.3对75.5,P = 0.01)。另一方面,糖尿病患者的血清白蛋白显著降低(3.5比3.6,P = 糖尿病患者的平均死亡概率指标(ANDC)和ICU入院率(分别为72.2%和36.6%)高于非糖尿病患者(60.7%和26.1%);P <  0.001、0.071;分别)。此外,糖尿病患者的估计肾小球滤过率(eGFR)明显高于非糖尿病患者。结论:糖尿病患者合并症较多,ICU入院率较高
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引用次数: 0
Omega-3 supplementation increases omega-3 fatty acids in lipid compartments that can be taken up by the brain independent of APOE genotype status: A secondary analysis from a randomised controlled trial1 补充ω-3可增加脂质区中的ω-3脂肪酸,这些脂肪酸可被大脑吸收,与APOE基因型状态无关:一项随机对照试验的二次分析1
Q3 Medicine Pub Date : 2022-10-20 DOI: 10.3233/nha-220169
Janani Balakrishnan, M. Husain, Annick Vachon, R. Chouinard‐Watkins, P. Léveillé, M. Plourde
Background: Omega-3 fatty acid (OM3) intake is associated with a lower risk of developing Alzheimer’s disease, but individuals carrying the ɛ4 allele of apolipoprotein E (APOE4) might not benefit from this prevention strategy. Indeed, they might have lower OM3 into plasma free fatty acid (FFA) and lysophosphatidylcholine (LPC) compartments, the two forms the brain can take-in. Objective: To evaluate the docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) concentrations in the FFA and LPC pre- and post OM3 supplementation in APOE4 carriers and non-carriers. BDesign: Plasma samples from 25 APOE4 carriers and non-carriers before and six months after receiving 2.5 g/d DHA+EPA daily were analyzed. DHA and EPA concentrations in the LPC, and FFA were compared by supplementation and genotype. A secondary analysis investigated the interaction between body mass index (BMI) and APOE genotype status. Results: There was no genotype x supplement interaction nor a genotype effect on LPC and FFA. However, there was a supplement effect where OM3 increased in all lipid compartment by <  1-fold to 4-fold. Individuals with a low BMI had higher OM3 increase concentrations in the LPC than those with a high BMI. Conclusions: APOE4 carriers and non-carriers can both benefit from taking an OM3 supplement. However, individuals with a high BMI have lower OM3 increases than those with a lower BMI.
背景:摄入ω-3脂肪酸(OM3)与患阿尔茨海默病的风险较低有关,但携带载脂蛋白E(APOE4)4等位基因的个体可能不会从这种预防策略中受益。事实上,他们可能在血浆游离脂肪酸(FFA)和溶血磷脂酰胆碱(LPC)区室中具有较低的OM3,这两种形式的大脑可以接受。目的:评估APOE4携带者和非携带者在补充OM3前后FFA和LPC中二十二碳六烯酸(DHA)和二十碳五烯酸(EPA)的浓度。B设计:25名APOE4携带者和非携带者在接受2.5治疗前和6个月后的血浆样本 每天分析g/d的DHA+EPA。通过补充和基因型比较LPC和FFA中的DHA和EPA浓度。二次分析调查了体重指数(BMI)和APOE基因型状态之间的相互作用。结果:对LPC和FFA无基因型x补充交互作用,也无基因型效应。然而,有一种补充作用,即OM3在所有脂质区室中增加 <  1倍至4倍。低BMI的个体在LPC中的OM3增加浓度高于高BMI的个体。结论:APOE4携带者和非携带者都可以从服用OM3补充剂中获益。然而,与BMI较低的人相比,BMI较高的人的OM3增幅较低。
{"title":"Omega-3 supplementation increases omega-3 fatty acids in lipid compartments that can be taken up by the brain independent of APOE genotype status: A secondary analysis from a randomised controlled trial1","authors":"Janani Balakrishnan, M. Husain, Annick Vachon, R. Chouinard‐Watkins, P. Léveillé, M. Plourde","doi":"10.3233/nha-220169","DOIUrl":"https://doi.org/10.3233/nha-220169","url":null,"abstract":"Background: Omega-3 fatty acid (OM3) intake is associated with a lower risk of developing Alzheimer’s disease, but individuals carrying the ɛ4 allele of apolipoprotein E (APOE4) might not benefit from this prevention strategy. Indeed, they might have lower OM3 into plasma free fatty acid (FFA) and lysophosphatidylcholine (LPC) compartments, the two forms the brain can take-in. Objective: To evaluate the docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) concentrations in the FFA and LPC pre- and post OM3 supplementation in APOE4 carriers and non-carriers. BDesign: Plasma samples from 25 APOE4 carriers and non-carriers before and six months after receiving 2.5 g/d DHA+EPA daily were analyzed. DHA and EPA concentrations in the LPC, and FFA were compared by supplementation and genotype. A secondary analysis investigated the interaction between body mass index (BMI) and APOE genotype status. Results: There was no genotype x supplement interaction nor a genotype effect on LPC and FFA. However, there was a supplement effect where OM3 increased in all lipid compartment by <  1-fold to 4-fold. Individuals with a low BMI had higher OM3 increase concentrations in the LPC than those with a high BMI. Conclusions: APOE4 carriers and non-carriers can both benefit from taking an OM3 supplement. However, individuals with a high BMI have lower OM3 increases than those with a lower BMI.","PeriodicalId":37419,"journal":{"name":"Nutrition and Healthy Aging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45038277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Nutrition and Healthy Aging
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