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The immune-nutrition interplay in aging – facts and controversies 免疫与营养在衰老中的相互作用——事实与争议
Q3 Medicine Pub Date : 2019-01-01 DOI: 10.3233/NHA-170034
I. Alam, A. Almajwal, Wajid Alam, Ibrar Alam, N. Ullah, Mahmoud Abulmeaaty, S. Razak, Saleem Khan, G. Pawelec, P. Paracha
Nutrition influences immunity in multiple ways, with different nutrients affecting many immune parameters. Aging also affects immunity, making the outcome of the interplay between nutrition, age and immunity complex. Moreover, a particular nutrient may alter the whole immune constellation as deficiency of one nutrient may affect the proper metabolism of another nutrient and elicit a chain reaction of secondary malnutrition. In this article, we review these interactions and the possible mechanisms mediating such relationships.
营养以多种方式影响免疫,不同的营养物质会影响许多免疫参数。衰老也会影响免疫力,使营养、年龄和免疫力之间相互作用的结果复杂起来。此外,一种营养素的缺乏可能会影响另一种营养素的正常代谢,从而引起继发性营养不良的连锁反应,从而改变整个免疫系统。在这篇文章中,我们回顾了这些相互作用和可能的机制调解这种关系。
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引用次数: 13
Reply to critique of "A randomized trial of the effects of the no-carrageenan diet on ulcerative colitis disease activity". 回复对 "无卡拉胶饮食对溃疡性结肠炎疾病活动影响的随机试验 "的评论。
Q3 Medicine Pub Date : 2019-01-01 Epub Date: 2019-09-23 DOI: 10.3233/NHA-190068
Sumit Bhattacharyya, Hui Xie, Amar Dodda, Krista A Varady, Leo Feferman, Allan G Halline, Stephen B Hanauer, Joanne K Tobacman

This article is an invited response to a critique by industry of our published study about the impact of carrageenan supplement on the interval to relapse in ulcerative colitis patients on a no-carrageenan diet.

本文是应邀对我们发表的关于卡拉胶补充剂对无卡拉胶饮食的溃疡性结肠炎患者复发间隔时间的影响的研究的回应。
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引用次数: 0
A Critical Review of “A randomized trial of the effects of the no-carrageenan diet on ulcerative colitis disease activity (Nutr. Healthy Aging. 2017; 4(2): 181–192).” 一项关于无卡拉胶饮食对溃疡性结肠炎疾病活动性影响的随机试验(nur。健康老龄化;2017;4(2): 181 - 192)。”
Q3 Medicine Pub Date : 2019-01-01 DOI: 10.3233/NHA-180051
J. Mckim, J. Willoughby, W. Blakemore, M. Weiner
Carrageenan (CGN) is a widely used food additive commonly found in dairy products, dairy substitutes (such as almond milk and soy milk), deli meats, nutritional supplements, beverages, and infant formula. It is typically used as a gelling, thickening, emulsifying and stabilizing agent and to improve the mouthfeel of the product. Decades of research on CGN safety has been reviewed by numerous regulatory bodies across the world. These regulatory bodies have all agreed on the safety status of CGN used as a food additive. Despite this, a few groups have continually published reports using misinformation and misinterpretation of results to suggest that CGN is harmful. The study reviewed here, “A randomized trial of the effects of the no-carrageenan diet on ulcerative colitis disease activity (Bhattacharyya et al. Nutr. Healthy Aging. 2017; 4(2): 181–192)” from Joanne Tobacman’s group, is an example of this. In this study, Bhattacharyya et al. set out to assess the impact of CGN in the diet on the interval to relapse in patients with ulcerative colitis (UC) who were currently in remission. For the study, UC patients in remission were instructed to participate in a “no carrageenan” diet. Some of the participants also received placebo capsules while others received CGN capsules. CGN, being a food additive, is mostly ingested as part of the diet, and typically bound to food protein. It is never ingested as a bolus in capsule form. The study contains errors in the interpretation of CGN literature and has cited studies that used degraded CGN, not food grade CGN. There are also issues with the use of statistical tests and data interpretation. In one instance, the authors seemed to ignore their own study results, suggested that CGN in the diet had no effect. Here we will review these issues as well as discuss how this study could have been approached to eliminate obvious bias.
卡拉胶(CGN)是一种广泛使用的食品添加剂,常见于乳制品、乳制品替代品(如杏仁奶和豆奶)、熟食肉、营养补充剂、饮料和婴儿配方奶粉中。它通常用作胶凝、增稠、乳化和稳定剂,并改善产品的口感。数十年来,中广核的安全性研究已被全球众多监管机构审查。这些监管机构都同意中广核作为食品添加剂的安全地位。尽管如此,一些团体不断发表报告,使用错误的信息和对结果的误解来暗示中广核是有害的。该研究回顾了“一项无卡拉胶饮食对溃疡性结肠炎疾病活动影响的随机试验”(Bhattacharyya等)。减轻。健康老龄化;2017;4(2): 181-192),来自Joanne Tobacman的小组,就是一个例子。在这项研究中,Bhattacharyya等人着手评估饮食中CGN对目前处于缓解期的溃疡性结肠炎(UC)患者复发间隔的影响。在这项研究中,UC缓解期患者被要求参加“不含卡拉胶”的饮食。一些参与者还服用了安慰剂胶囊,而另一些则服用了CGN胶囊。CGN作为一种食品添加剂,主要作为饮食的一部分摄入,通常与食物蛋白质结合。它永远不会以胶囊的形式被摄入。该研究在对CGN文献的解释中存在错误,并引用了使用降解CGN而不是食品级CGN的研究。在使用统计检验和数据解释方面也存在问题。在一个例子中,作者似乎忽略了他们自己的研究结果,表明饮食中的CGN没有影响。在这里,我们将回顾这些问题,并讨论如何处理本研究以消除明显的偏倚。
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引用次数: 5
Vitamin D level predicts all-cause dementia 维生素D水平预测全因痴呆
Q3 Medicine Pub Date : 2019-01-01 DOI: 10.3233/NHA-190065
H. Karl Greenblatt, C. Adler, M. Aslam, J. Welge, R. Krikorian
BACKGROUND: Vitamin D deficiency is common in Western societies and has been implicated in a number of health conditions including late-life dementia. OBJECTIVE: To assess whether vitamin D level is associated with all-cause dementia in late life. METHODS: This was a retrospective case control study using the electronic medical record of an urban medical center to obtain information on age, sex, body mass index, 25-hydroxy vitamin D (25-(OH)D) values, and presence of dementia diagnosis in patients 65 to 90 years old. We classified patients to quartiles according to vitamin D values and performed logistic regression analysis to determine associations between vitamin D quartiles and incidence of dementia diagnosis. RESULTS: Rates of all-cause dementia decreased with increasing levels of 25-(OH)D independent of age, sex, and BMI, factors that also predicted dementia. Vitamin D levels above 38 ng/mL were associated with the lowest rate of all-cause dementia. CONCLUSIONS: We observed dose-dependent, inverse associations of 25-hydroxy vitamin D levels with all-cause, late life dementia independent of age, sex, and BMI. There may be greater protection for supra-sufficient levels, a notion that warrants evaluation in controlled trials.
背景:维生素D缺乏在西方社会很常见,并与包括老年痴呆在内的许多健康状况有关。目的:评估维生素D水平是否与晚年全因痴呆相关。方法:这是一项回顾性病例对照研究,使用城市医疗中心的电子病历,获取65至90岁患者的年龄、性别、体重指数、25-羟基维生素D (25-(OH)D)值和痴呆诊断的信息。我们根据维生素D值将患者分为四分位数,并进行logistic回归分析,以确定维生素D四分位数与痴呆诊断发生率之间的关系。结果:随着25-(OH)D水平的升高,全因痴呆的发病率下降,而这与年龄、性别和BMI无关,这些因素也可以预测痴呆。维生素D水平高于38 ng/mL与全因痴呆的最低发生率相关。结论:我们观察到25羟基维生素D水平与年龄、性别和BMI无关的全因老年痴呆呈剂量依赖性负相关。对于超充足的水平可能会有更大的保护,这一概念值得在对照试验中进行评估。
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引用次数: 0
Healthy eating index-2010 and physical activity and disabilities of old age 健康饮食指数-2010与老年身体活动和残疾
Q3 Medicine Pub Date : 2019-01-01 DOI: 10.3233/NHA-170040
M. Root, M. T. Nielsen, Timothy Smith, Katelyn M. Meaux
BACKGROUND: Consuming a poor diet and being physically inactive may increase the risk of developing disabilities of old age. OBJECTIVE: To investigate correlations between Healthy Eating Index-2010 (HEI-2010) scores, physical activity levels, and disabilities of old age in a large biracial cohort. METHODS: The ARIC Study is a prospective cohort aged 45–64 years at baseline. Overall diet quality was assessed using the HEI-2010. A physical activity score was the sum of work, sports, and leisure. Activities of daily living (ADL), instrumental activities of daily living (IADL), and functional abilities were compared with HEI-2010 and physical activity by logistic regression 9 years after the baseline examination. RESULTS: Compared with the lowest quartile, quartile 4 healthier HEI-2010 scores showed an odds ratios of 0.76 (95% confidence interval 0.67–0.87) for functional disability, 0.89 (95% CI 0.75–1.07) for ADL disabilities, and 0.88 (95% CI 0.76–0.1.03) for IADL disabilities.Compared with the lowest tertile, tertile 3 of physical activity showed an odds ratios of 0.60 (95% CI 0.54– 0.67) for functional disability, 0.68 (95% CI 0.60–0.78) for ADL disabilities, and 0.53 (95% CI 0.47–0.60) for IADL disabilities. CONCLUSIONS: Healthier diet and higher physical activity were associated with lower levels of the disabilities of aging, particularly functional disability, at follow up.
背景:不良的饮食习惯和缺乏运动可能会增加老年残疾的风险。目的:在一个大型双种族队列中研究健康饮食指数-2010 (HEI-2010)评分、身体活动水平和老年残疾之间的相关性。方法:ARIC研究是一项基线年龄45-64岁的前瞻性队列研究。总体饮食质量采用HEI-2010进行评估。体力活动得分是工作、运动和休闲的总和。日常生活活动(ADL)、日常生活工具活动(IADL)和功能能力在基线检查后9年与HEI-2010和身体活动进行logistic回归比较。结果:与最低四分位数相比,四分位数健康的HEI-2010评分显示,功能残疾的优势比为0.76(95%可信区间0.67-0.87),ADL残疾的优势比为0.89 (95% CI 0.75-1.07), IADL残疾的优势比为0.88 (95% CI 0.76 - 0.1.03)。与最低分位数相比,体力活动的分位数3显示功能残疾的比值比为0.60 (95% CI 0.54 - 0.67), ADL残疾的比值比为0.68 (95% CI 0.60 - 0.78), IADL残疾的比值比为0.53 (95% CI 0.47-0.60)。结论:在随访中,更健康的饮食和更高的体力活动与较低水平的老年残疾,特别是功能残疾相关。
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引用次数: 2
Mediterranean diet and metabolic status in post-menopausal women living in a mediterranean area 地中海地区绝经后妇女的地中海饮食和代谢状况
Q3 Medicine Pub Date : 2019-01-01 DOI: 10.3233/NHA-190062
V. Fiore, M. Capraro, R. Ragusa, J. Godos, A. Mistretta, M. Marranzano
BACKGROUND: Limited data are available regarding the association between dietary habits and metabolic outcomes in post-menopausal women living in Italy. OBJECTIVE: To investigate the relation between adherence to the Mediterranean diet and prevalence of overweight/obesity, type-2 diabetes, hypertension and dyslipidemias in a sample of post-menopausal women. METHODS: Data on 499 women were extracted from a population-based representative sample collected in Sicily, southern Italy. High adherence to the Mediterranean diet was defined as being in the highest quartile of a score used to calculate the level of adherence in the entire cohort. RESULTS: Only 15.8% (n = 83) of the study sample was found to have high adherence to the Mediterranean diet; these individuals were less likely to be overweight [odds ratio (OR) = 0.52, 95% confidence interval (CI): 0.31–0.86] and obese (OR = 0.38, 95% CI: 0.18–0.78) as well as having dyslipidemias (OR = 0.50, 95% CI: 0.30–0.84). Among individual components of the Mediterranean diet adherence score used, obesity was inversely associated with fruit component, type-2 diabetes with cereals and olive oil, hypertension with fruit and dairy products, dyslipidemias with legumes and dairy products. CONCLUSIONS: Higher adherence to the Mediterranean diet was associated with better metabolic status in post-menopausal women.
背景:关于生活在意大利的绝经后妇女饮食习惯和代谢结果之间关系的数据有限。目的:探讨地中海饮食与绝经后妇女超重/肥胖、2型糖尿病、高血压和血脂异常患病率之间的关系。方法:从意大利南部西西里岛收集的以人群为基础的代表性样本中提取499名妇女的数据。对地中海饮食的高度坚持被定义为在用于计算整个队列中坚持水平的分数中处于最高的四分位数。结果:只有15.8% (n = 83)的研究样本被发现高度坚持地中海饮食;这些个体不太可能超重[比值比(OR) = 0.52, 95%可信区间(CI): 0.31-0.86]和肥胖(OR = 0.38, 95% CI: 0.18-0.78)以及患有血脂异常(OR = 0.50, 95% CI: 0.30-0.84)。在使用的地中海饮食依从性评分的各个组成部分中,肥胖与水果组成部分呈负相关,与谷物和橄榄油有关的2型糖尿病,与水果和乳制品有关的高血压,与豆类和乳制品有关的血脂异常。结论:较高的地中海饮食依从性与绝经后妇女更好的代谢状态相关。
{"title":"Mediterranean diet and metabolic status in post-menopausal women living in a mediterranean area","authors":"V. Fiore, M. Capraro, R. Ragusa, J. Godos, A. Mistretta, M. Marranzano","doi":"10.3233/NHA-190062","DOIUrl":"https://doi.org/10.3233/NHA-190062","url":null,"abstract":"BACKGROUND: Limited data are available regarding the association between dietary habits and metabolic outcomes in post-menopausal women living in Italy. OBJECTIVE: To investigate the relation between adherence to the Mediterranean diet and prevalence of overweight/obesity, type-2 diabetes, hypertension and dyslipidemias in a sample of post-menopausal women. METHODS: Data on 499 women were extracted from a population-based representative sample collected in Sicily, southern Italy. High adherence to the Mediterranean diet was defined as being in the highest quartile of a score used to calculate the level of adherence in the entire cohort. RESULTS: Only 15.8% (n = 83) of the study sample was found to have high adherence to the Mediterranean diet; these individuals were less likely to be overweight [odds ratio (OR) = 0.52, 95% confidence interval (CI): 0.31–0.86] and obese (OR = 0.38, 95% CI: 0.18–0.78) as well as having dyslipidemias (OR = 0.50, 95% CI: 0.30–0.84). Among individual components of the Mediterranean diet adherence score used, obesity was inversely associated with fruit component, type-2 diabetes with cereals and olive oil, hypertension with fruit and dairy products, dyslipidemias with legumes and dairy products. CONCLUSIONS: Higher adherence to the Mediterranean diet was associated with better metabolic status in post-menopausal women.","PeriodicalId":37419,"journal":{"name":"Nutrition and Healthy Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/NHA-190062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70143494","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}
引用次数: 1
Smart devices and healthy aging 智能设备和健康老龄化
Q3 Medicine Pub Date : 2019-01-01 DOI: 10.3233/NHA-170039
S. Vinciguerra, M. Vinciguerra
Chronic diseases, such as cardiovascular disease, cancers, chronic respiratory diseases, diabetes mellitus, and neurodegenerative disorders represent major global health problems to society, and their incidence and prevalence continue to increase. Chronic diseases share common risk factors, including socio-economic factors and co-morbidities and, importantly, their risk increases with age. The silent transition from health to disease with a late onset of symptoms can delay treatment and interventions. Healthcare-systems must thus evolve proactive rather than purely reactive approaches to care once symptoms appear. Many self-tracking technologies (based on wireless biosensors) are readily available to the general public that monitor and record personal bio-related data. These biosensors may be wearable, implanted in the body or installed on a device. The aim of this review is to discuss the current market and proven utility of wrist-worn devices, in improving and maintaining a healthy lifestyle. Optimizing the technological opportunities for monitoring good health has the potential to empower people and help many enjoy a high quality of life.
慢性疾病,如心血管疾病、癌症、慢性呼吸系统疾病、糖尿病和神经退行性疾病,是对社会的主要全球健康问题,其发病率和流行率继续增加。慢性疾病具有共同的风险因素,包括社会经济因素和合并症,重要的是,其风险随着年龄的增长而增加。从健康到出现症状较晚的疾病的无声过渡可能会延误治疗和干预措施。因此,一旦出现症状,医疗保健系统必须发展出主动而非纯粹被动的护理方法。许多自我跟踪技术(基于无线生物传感器)很容易为公众所用,用于监测和记录个人生物相关数据。这些生物传感器可能是可穿戴的,植入体内或安装在设备上。本综述的目的是讨论当前市场和已证实的腕带设备在改善和维持健康生活方式方面的效用。优化监测健康状况的技术机会有可能增强人们的权能,并帮助许多人享受高质量的生活。
{"title":"Smart devices and healthy aging","authors":"S. Vinciguerra, M. Vinciguerra","doi":"10.3233/NHA-170039","DOIUrl":"https://doi.org/10.3233/NHA-170039","url":null,"abstract":"Chronic diseases, such as cardiovascular disease, cancers, chronic respiratory diseases, diabetes mellitus, and neurodegenerative disorders represent major global health problems to society, and their incidence and prevalence continue to increase. Chronic diseases share common risk factors, including socio-economic factors and co-morbidities and, importantly, their risk increases with age. The silent transition from health to disease with a late onset of symptoms can delay treatment and interventions. Healthcare-systems must thus evolve proactive rather than purely reactive approaches to care once symptoms appear. Many self-tracking technologies (based on wireless biosensors) are readily available to the general public that monitor and record personal bio-related data. These biosensors may be wearable, implanted in the body or installed on a device. The aim of this review is to discuss the current market and proven utility of wrist-worn devices, in improving and maintaining a healthy lifestyle. Optimizing the technological opportunities for monitoring good health has the potential to empower people and help many enjoy a high quality of life.","PeriodicalId":37419,"journal":{"name":"Nutrition and Healthy Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/NHA-170039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70143386","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}
引用次数: 4
Clinical Trials Corner. 临床试验角。
Q3 Medicine Pub Date : 2018-06-15 DOI: 10.3233/NHA-180001
Leonie K Heilbronn
{"title":"Clinical Trials Corner.","authors":"Leonie K Heilbronn","doi":"10.3233/NHA-180001","DOIUrl":"https://doi.org/10.3233/NHA-180001","url":null,"abstract":"","PeriodicalId":37419,"journal":{"name":"Nutrition and Healthy Aging","volume":"4 4","pages":"355-356"},"PeriodicalIF":0.0,"publicationDate":"2018-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/NHA-180001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36264315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skin aging as a mechanical phenomenon: The main weak links. 皮肤老化作为一种机械现象:主要薄弱环节。
Q3 Medicine Pub Date : 2018-06-15 DOI: 10.3233/NHA-170037
Ilja L Kruglikov, Philipp E Scherer

From a mechanical point of view, human skin appears as a layered composite containing the stiff thin cover layer presented by the stratum corneum, below which are the more compliant layers of viable epidermis and dermis and further below the much more compliant adjacent layer of subcutaneous white adipose tissue (sWAT). Upon exposure to a strain, such a multi-layer system demonstrates structural instabilities in its stiffer layers, which in its simplest form is the wrinkling. These instabilities appear hierarchically when the mechanical strain in the skin exceeds some critical values. Their appearance is mainly dependent on the mismatch in mechanical properties between adjacent skin layers or between the skin and sWAT, on the adhesive strength and thickness ratios between the layers, on their bending and tensile stiffness as well as on the value of the stress existing in single layers. Gradual reduction of elastic fibers in aging significantly reduces the skin's ability to bend, prompting an up to 4-fold reduction of its stability against wrinkling, thereby explaining the role of these fibers in skin aging. While chronological and extrinsic aging differently modify these parameters, they lead to the same end result, reducing the critical strain required for the onset of instabilities. Comparing of mechanical properties of the skin presented as a bi-, tri- or tetra-layer structure demonstrates the particular importance of the papillary dermis in skin aging and provides the arguments to consider the undulations on the dermal-epidermal and dermal-sWAT interfaces as the result of mechanical bifurcation, leading to structural instabilities inside of the skin. According to this model, anti-aging strategies should focus not as much on the reinforcement of the dermis, but rather aim to treat the elastic mismatch between different adjacent layers in the skin and sWAT as well as the adhesion between these layers.

从力学的角度来看,人类皮肤看起来是一种层状复合物,包含角质层提供的坚硬的薄覆盖层,角质层下方是更柔顺的活表皮和真皮层,进一步位于更柔顺的皮下白色脂肪组织相邻层(sWAT)下方。在暴露于应变时,这种多层系统在其较硬的层中表现出结构不稳定性,最简单的形式是褶皱。当皮肤中的机械应变超过一些临界值时,这些不稳定性会分级出现。它们的外观主要取决于相邻表皮层之间或表皮与sWAT之间的机械性能不匹配,取决于层之间的粘合强度和厚度比,取决于它们的弯曲和拉伸刚度以及单层中存在的应力值。弹性纤维在老化过程中的逐渐减少显著降低了皮肤的弯曲能力,导致其抗皱纹的稳定性降低了4倍,从而解释了这些纤维在皮肤老化中的作用。虽然时间和外在老化对这些参数有不同的修改,但它们会导致相同的最终结果,降低不稳定性发生所需的临界应变。对呈现为双层、三层或四层结构的皮肤的机械性能进行比较,证明了真皮乳头在皮肤老化中的特殊重要性,并为考虑机械分叉导致皮肤内部结构不稳定的真皮-表皮和真皮sWAT界面上的波动提供了论据。根据该模型,抗衰老策略不应过于关注真皮的强化,而应旨在治疗皮肤中不同相邻层与sWAT之间的弹性不匹配以及这些层之间的粘附。
{"title":"Skin aging as a mechanical phenomenon: The main weak links.","authors":"Ilja L Kruglikov, Philipp E Scherer","doi":"10.3233/NHA-170037","DOIUrl":"10.3233/NHA-170037","url":null,"abstract":"<p><p>From a mechanical point of view, human skin appears as a layered composite containing the stiff thin cover layer presented by the stratum corneum, below which are the more compliant layers of viable epidermis and dermis and further below the much more compliant adjacent layer of subcutaneous white adipose tissue (sWAT). Upon exposure to a strain, such a multi-layer system demonstrates structural instabilities in its stiffer layers, which in its simplest form is the wrinkling. These instabilities appear hierarchically when the mechanical strain in the skin exceeds some critical values. Their appearance is mainly dependent on the mismatch in mechanical properties between adjacent skin layers or between the skin and sWAT, on the adhesive strength and thickness ratios between the layers, on their bending and tensile stiffness as well as on the value of the stress existing in single layers. Gradual reduction of elastic fibers in aging significantly reduces the skin's ability to bend, prompting an up to 4-fold reduction of its stability against wrinkling, thereby explaining the role of these fibers in skin aging. While chronological and extrinsic aging differently modify these parameters, they lead to the same end result, reducing the critical strain required for the onset of instabilities. Comparing of mechanical properties of the skin presented as a bi-, tri- or tetra-layer structure demonstrates the particular importance of the papillary dermis in skin aging and provides the arguments to consider the undulations on the dermal-epidermal and dermal-sWAT interfaces as the result of mechanical bifurcation, leading to structural instabilities inside of the skin. According to this model, anti-aging strategies should focus not as much on the reinforcement of the dermis, but rather aim to treat the elastic mismatch between different adjacent layers in the skin and sWAT as well as the adhesion between these layers.</p>","PeriodicalId":37419,"journal":{"name":"Nutrition and Healthy Aging","volume":"4 4","pages":"291-307"},"PeriodicalIF":0.0,"publicationDate":"2018-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/36/nha-4-nha170037.PMC6004930.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36264912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationships between the inflammatory potential of the diet, aging and anthropometric measurements in a cross-sectional study in Pakistan. 巴基斯坦一项横断面研究中饮食、衰老和人体测量的炎症潜能之间的关系。
Q3 Medicine Pub Date : 2018-06-15 DOI: 10.3233/NHA-180042
Iftikhar Alam, Nitin Shivappa, James R Hebert, Graham Pawelec, Anis Larbi

Background: Little is known about associations between dietary inflammation, age and anthropometric measurements.

Objective: In this regard, we examine how DII is related to age, anthropometrics [weight, Body mass index (BMI), waist to hip ratio (WHR)] and other parameters of nutrition (energy, protein, fats and cholesterol intake, Net Endogenous Acid Production (NEAP) and Phytochemical Index (PI)) in a cross-sectional study in Pakistan.

Design: Only men (n = 651, age 54-95 years) participated in the study. Anthropometric data were collected using standard methods. DII was calculated from nutrients derived from 24-hr Dietary Recall questionnaires. NEAP and PI were calculated by established algorithms using information on nutrient intake.

Results: The results show that with increasing age, there was a significant increase in the DII score (p < 0.05). Similarly significant positive correlations were found between DII score and weight, BMI, WHR and % BF (p, for all trends < 0.05). DII score significantly positively correlated with the dietary factors studied i.e. energy, protein, and fats (p, for all trends < 0.0001) but non-significantly with cholesterol (p > 0.05). Similarly, a significant positive correlation with NEAP (p < 0.0001) was found, but negative with PI (p < 0.0001).

Conclusion: In conclusion, the present study shows direct positive correlations between the DII, age and indices of obesity, and thus supports the hypothesis that diet may have a role in the development of obesity through inflammatory modulation mechanisms in elderly.

背景:人们对饮食炎症、年龄和人体测量之间的关系知之甚少。目的:在这方面,我们在巴基斯坦的一项横断面研究中研究了DII与年龄、人体测量[体重、体重指数(BMI)、腰臀比(WHR)]和其他营养参数(能量、蛋白质、脂肪和胆固醇摄入、净内生酸生成(NEAP)和植物化学指数(PI))的关系 = 651,年龄54~95岁)参与了这项研究。使用标准方法收集人体测量数据。DII是根据24小时饮食回忆问卷中的营养素计算得出的。NEAP和PI是通过使用营养摄入信息的既定算法计算的。结果:随着年龄的增长,DII评分显著增加(p p、 适用于所有趋势 p、 适用于所有趋势 p > 0.05)。同样,与NEAP呈显著正相关(p p 结论:总之,本研究表明DII、年龄和肥胖指数之间存在直接的正相关关系,从而支持了饮食可能通过炎症调节机制在老年人肥胖发展中发挥作用的假设。
{"title":"Relationships between the inflammatory potential of the diet, aging and anthropometric measurements in a cross-sectional study in Pakistan.","authors":"Iftikhar Alam,&nbsp;Nitin Shivappa,&nbsp;James R Hebert,&nbsp;Graham Pawelec,&nbsp;Anis Larbi","doi":"10.3233/NHA-180042","DOIUrl":"10.3233/NHA-180042","url":null,"abstract":"<p><strong>Background: </strong>Little is known about associations between dietary inflammation, age and anthropometric measurements.</p><p><strong>Objective: </strong>In this regard, we examine how DII is related to age, anthropometrics [weight, Body mass index (BMI), waist to hip ratio (WHR)] and other parameters of nutrition (energy, protein, fats and cholesterol intake, Net Endogenous Acid Production (NEAP) and Phytochemical Index (PI)) in a cross-sectional study in Pakistan.</p><p><strong>Design: </strong>Only men (<i>n</i> = 651, age 54-95 years) participated in the study. Anthropometric data were collected using standard methods. DII was calculated from nutrients derived from 24-hr Dietary Recall questionnaires. NEAP and PI were calculated by established algorithms using information on nutrient intake.</p><p><strong>Results: </strong>The results show that with increasing age, there was a significant increase in the DII score (<i>p</i> < 0.05). Similarly significant positive correlations were found between DII score and weight, BMI, WHR and % BF (<i>p</i>, for all trends < 0.05). DII score significantly positively correlated with the dietary factors studied i.e. energy, protein, and fats (<i>p</i>, for all trends < 0.0001) but non-significantly with cholesterol (<i>p</i> > 0.05). Similarly, a significant positive correlation with NEAP (<i>p</i> < 0.0001) was found, but negative with PI (<i>p</i> < 0.0001).</p><p><strong>Conclusion: </strong>In conclusion, the present study shows direct positive correlations between the DII, age and indices of obesity, and thus supports the hypothesis that diet may have a role in the development of obesity through inflammatory modulation mechanisms in elderly.</p>","PeriodicalId":37419,"journal":{"name":"Nutrition and Healthy Aging","volume":"4 4","pages":"335-343"},"PeriodicalIF":0.0,"publicationDate":"2018-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/NHA-180042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36264313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
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Nutrition and Healthy Aging
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