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Associations of individual beverage types and substitution with dementia risk 个体饮料类型和替代与痴呆风险的关系
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-29 DOI: 10.1016/j.jnha.2026.100795
Huimin Wang
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引用次数: 0
Current marijuana use is cross-sectionally associated with accelerated biological aging among U.S. adults: exploring mediating effect of blood cadmium 当前大麻的使用与美国成年人加速生物衰老的横断面相关:探索血镉的中介作用
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.jnha.2026.100778
Kai Wei , Xiaotong Chen

Background

Global marijuana use has risen markedly in recent decades. Although prior research suggests that marijuana use is associated with epigenetic alterations, its relationship with biological aging remains unclear. This study aimed to examine the association between marijuana use and accelerated aging and explore the mediating role of metal exposure.

Methods

Using data from 12,806 U.S. adults (NHANES 2005–2018), biological age (BA) was calculated using two validated algorithms, phenotypic age (PhenoAge) and Klemera–Doubal biological age (KD-BioAge), with aging acceleration defined as the residuals from linear regression of BA on chronological age (CA). Marijuana use status was ascertained via standardized interviews. Analyses included survey-weighted multivariable linear regression, stratified subgroup analyses, joint exposure assessments, and mediation analyses.

Results

Current marijuana users exhibited significantly accelerated aging versus never users: PhenoAge acceleration (β = 0.72, 95% CI: 0.41–1.02, P < 0.001) and KD-BioAge acceleration (β = 0.36, 95% CI: 0.14–0.59, P = 0.002), after full adjustment. Subgroup and joint exposure analyses showed consistent associations, with evidence of additive associations among dual users of marijuana and tobacco. Mediation analyses identified blood cadmium as a partial mediator, explaining 15.6% and 8.3% of aging acceleration for PhenoAge and KD-BioAge, respectively.

Discussion

This study provides robust epidemiological evidence linking marijuana use to accelerated biological aging, with blood cadmium identified as a potential mechanistic link. These findings highlight the public health importance of understanding the long-term physiological correlates of marijuana use.
近几十年来,全球大麻使用量显著上升。尽管先前的研究表明大麻的使用与表观遗传改变有关,但它与生物衰老的关系尚不清楚。本研究旨在探讨大麻使用与加速衰老之间的关系,并探讨金属暴露的中介作用。方法使用12806名美国成年人(NHANES 2005-2018)的数据,使用表型年龄(PhenoAge)和klemera - double生物年龄(KD-BioAge)两种经过验证的算法计算生物年龄(BA),并将衰老加速定义为BA对实足年龄(CA)的线性回归残差。通过标准化访谈确定大麻使用状况。分析包括调查加权多变量线性回归、分层亚组分析、联合暴露评估和中介分析。结果经充分调整后,当前吸食大麻者比从未吸食大麻者明显加速衰老:表型加速(β = 0.72, 95% CI: 0.41-1.02, P < 0.001), KD-BioAge加速(β = 0.36, 95% CI: 0.14-0.59, P = 0.002)。亚组和联合暴露分析显示出一致的关联,有证据表明大麻和烟草双重使用者之间存在附加关联。中介分析发现血镉是部分中介,分别解释了表型年龄和KD-BioAge的15.6%和8.3%的衰老加速。本研究提供了强有力的流行病学证据,证明大麻使用与加速生物衰老有关,血液中的镉被确定为潜在的机制联系。这些发现强调了了解大麻使用的长期生理相关性对公共卫生的重要性。
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引用次数: 0
Allostatic load elevates the risk and adverse prognosis of immune-mediated inflammatory diseases: modulatory effects of lifestyle interventions and genetic susceptibility 适应负荷增加免疫介导的炎症性疾病的风险和不良预后:生活方式干预和遗传易感性的调节作用
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-24 DOI: 10.1016/j.jnha.2026.100792
Ziling Yang , Jinming Zhang , Zhong Qu , Zhuo Zhao , Yajuan Zheng

Background

Allostatic load (AL)—the cumulative biological cost of lifelong stress—can disrupt immune homeostasis via hypothalamic–pituitary–adrenal-axis dysregulation and persistent sympathetic activation. Immune-mediated inflammatory diseases (IMIDs) are organ-specific chronic inflammatory disorders imposing a major public-health burden, yet their causal link with AL remains unclear.

Methods

In this prospective study of 186 310 UK Biobank participants, Cox proportional-hazards models quantified dose-response associations between AL and the incidence of ten IMIDs plus all-cause mortality. Interaction models evaluated the modifying effects of physical activity, ω-3 polyunsaturated fatty acids (ω-3 PUFAs) and other lifestyle variables, and assessed gene–environment interplay using polygenic risk scores (PRS).

Results

Compared with the lowest AL quartile, the highest quartile showed significantly greater incidence of rheumatoid arthritis (hazard ratios (HR) = 1.52), spondyloarthritis (HR = 2.50), asthma (HR = 1.38), inflammatory bowel disease (IBD) (HR = 1.19), type 1 diabetes (T1DM) (HR = 5.16), psoriasis (HR = 1.87), autoimmune retinopathy (HR = 1.77) and composite IMIDs (HR = 1.55) (all p < 0.05). Elevated AL also predicted dose-dependent increases in all-cause mortality among patients with rheumatoid arthritis (HR = 6.59), asthma (HR = 1.87), IBD (HR = 2.00), T1DM (HR = 2.72) and composite IMIDs (HR = 2.01). Sufficient physical activity and higher ω-3 PUFA intake partially attenuated AL-related risks, whereas high PRS synergistically amplified AL effects for spondyloarthritis (attributable proportion (AP) = 7.6%), T1DM (AP = 4.7%) and psoriasis (AP = 4.9%).

Conclusions

AL is causally linked to both the development and prognosis of IMIDs, with its impact jointly modifiable by lifestyle factors and genetic susceptibility. Building AL-centred psychoneuroimmunological biomarker networks may enable refined risk stratification and precision interventions for IMIDs.
适应负荷(AL) -终生压力的累积生物成本-可通过下丘脑-垂体-肾上腺轴失调和持续的交感神经激活破坏免疫稳态。免疫介导的炎症性疾病(IMIDs)是器官特异性慢性炎症性疾病,造成了重大的公共卫生负担,但其与AL的因果关系尚不清楚。方法在这项对186310名英国生物银行参与者的前瞻性研究中,Cox比例风险模型量化了AL与10种IMIDs发生率和全因死亡率之间的剂量反应关系。相互作用模型评估了体力活动、ω-3多不饱和脂肪酸(ω-3 PUFAs)和其他生活方式变量的调节作用,并使用多基因风险评分(PRS)评估基因与环境的相互作用。结果与AL最低四分位数相比,AL最高四分位数的类风湿关节炎(HR = 1.52)、脊椎关节炎(HR = 2.50)、哮喘(HR = 1.38)、炎症性肠病(IBD) (HR = 1.19)、1型糖尿病(T1DM) (HR = 5.16)、牛皮癣(HR = 1.87)、自身免疫性视网膜病变(HR = 1.77)和复合IMIDs (HR = 1.55)的发病率均显著高于AL最低四分位数(p < 0.05)。AL升高还预测了类风湿关节炎(HR = 6.59)、哮喘(HR = 1.87)、IBD (HR = 2.00)、T1DM (HR = 2.72)和复合IMIDs (HR = 2.01)患者全因死亡率的剂量依赖性增加。充足的体力活动和较高的ω-3 PUFA摄入量部分减弱了AL相关风险,而高PRS协同放大了AL对脊柱炎(归因于比例(AP) = 7.6%)、T1DM (AP = 4.7%)和牛皮癣(AP = 4.9%)的影响。结论sal与IMIDs的发展和预后均有因果关系,其影响可由生活方式因素和遗传易感性共同改变。建立以人工智能为中心的心理神经免疫学生物标志物网络,可以对IMIDs进行精细的风险分层和精确的干预。
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引用次数: 0
Association between vitamin intake and biological aging: evidence from NHANES 2007–2018 维生素摄入与生物衰老之间的关系:来自NHANES 2007-2018的证据
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.jnha.2026.100776
Xinyu Zhang , Yujie Xu , Xiaoyu Wang , Mengxue Chen , Jingyuan Xiong , Guo Cheng

Background

The combined effect of vitamin mixture on biological aging, along with the specific contribution of individual components, remains unclear. This study investigated the associations between a mixture of 11 dietary vitamins and biological aging.

Methods

This cross-sectional study included 15050 adults from NHANES 2007–2018. Daily intakes of 11 vitamins were estimated using the multiple source method to account for within-person variation from two 24 -h recalls, incorporating both food and supplement contributions. Total vitamin intake was calculated as their sum. Biological aging was assessed using three established indicators: KDM-acceleration and PhenoAge-acceleration (derived as regression residuals of biological age on chronological age), and homeostatic dysregulation (HD, a composite physiological score). Multiple linear regression, restricted cubic spline regression, and quantile g-computation were used to assess individual and joint associations.

Results

The median age was 51.0 years, and 51.5% were female. Higher total vitamin intake was significantly associated with reduced biological aging (KDM-acceleration: β = −1.281; PhenoAge-acceleration: β = −1.379; HD: β = −0.046). Dose-response relationships were linear (all Pnonlinear > 0.05). Stratified analyses revealed stronger associations in males and individuals with comorbidity. Vitamin C was the primary protective component, followed by vitamin B2.

Conclusions

Higher intake of dietary vitamin mixture was associated with slower biological aging, with vitamin C as the key protective driver. These findings support recommending vitamin-rich diets to promote healthy aging.
维生素混合物对生物衰老的综合影响,以及个别成分的具体贡献,尚不清楚。本研究调查了11种膳食维生素的混合物与生物衰老之间的关系。方法本横断面研究纳入了来自NHANES 2007-2018的15050名成年人。使用多来源方法估计了11种维生素的每日摄入量,以解释两次24小时回忆的个人差异,包括食物和补充剂的贡献。总维生素摄入量被计算为它们的总和。使用三个既定指标评估生物衰老:kdm加速和表型加速(根据生物年龄对实足年龄的回归残差得出),以及稳态失调(HD,一种复合生理评分)。多元线性回归、受限三次样条回归和分位数g计算用于评估个体和关节相关性。结果中位年龄为51.0岁,女性占51.5%。较高的总维生素摄入量与减少生物衰老显著相关(kdm加速:β = - 1.281;表型加速:β = - 1.379; HD: β = - 0.046)。剂量-反应关系为线性关系(均为p非线性>; 0.05)。分层分析显示,男性和有合并症的个体有更强的相关性。维生素C是主要的保护成分,其次是维生素B2。结论较高的膳食维生素混合物摄入量可减缓生物衰老,其中维生素C是关键的保护性因素。这些发现支持推荐富含维生素的饮食来促进健康衰老。
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引用次数: 0
Adherence to the Mediterranean Diet and frailty criteria in an old population with metabolic syndrome: A cross-sectional analysis 老年代谢综合征患者坚持地中海饮食和虚弱标准:横断面分析
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-17 DOI: 10.1016/j.jnha.2025.100757
Macarena Torrego-Ellacuría , Federico Cuesta-Triana , María Ortiz-Ramos , Miguel Ángel Martínez-González , Dolores Corella , Héctor Vázquez-Lorente , Montserrat Fitó , José Alfredo Martínez , Lucas Tojal-Sierra , Julia Wärnberg , Jesús Vioque , Dora Romaguera , José López-Miranda , Ramon Estruch , Francisco J Tinahones , José Manuel Santos-Lozano , J. Luís Serra-Majem , Aurora Bueno-Cavanillas , Josep A. Tur , Juan Carlos Romero Vigara , Pilar Matía-Martín

Objectives

Frailty has emerged as a key indicator of biological aging. This study aimed to assess the relationship between MedDiet adherence and frailty prevalence in the context of metabolic syndrome (MetS).

Design

Cross-sectional study. Baseline data from PREDIMED-Plus trial

Setting

Primary care health, 23 recruitment sites (2013–2016).

Participants

A total of 6874 participants with overweight/obesity and ≥3 MetS components.

Measurements

Adherence to the MedDiet: 17-item MedDiet score. Frailty and prefrailty (3 or 1–2 criteria): modified Fried Frailty Index (FFI), considering exhaustion, physical activity and functional capacity. Main independent variable was analysed: as a continuous variable (range: 0–17); in quartiles of adherence using univariate and multivariate logistic regression models adjusted for potential confounders.

Results

Prefrailty and frailty prevalence were 49.7% and 2.9%, respectively. Compared to those with the lowest MedDiet adherence (0–6), participants with the highest adherence (11–17) had significantly lower odds of meeting frailty criteria. Fully adjusted models showed ORs of 0.479 (p = 0.097) for frailty, 0.705 (p = 0.001) for prefrailty, and 0.694 (p = 0.001) for frailty or prefrailty in participants with higher/greater MedDiet adherence. Each 1-point increase in the 17-item score was associated with an OR ranging from 0.878 to 0.977 (p < 0.05 for all comparisons, except functional capacity: p = 0.100). When adherence was dichotomized, the adjusted ORs ranged from 0.406 to 0.834 (p < 0.05 for all comparisons).

Conclusions

Higher adherence to MedDiet was associated with a lower prevalence of frailty and prefrailty in older adults with overweight/obesity and MetS, reinforcing its potential role in promoting healthy aging despite cardiometabolic comorbidities.
目的:虚弱已成为生物衰老的一个关键指标。本研究旨在评估代谢综合征(MetS)背景下MedDiet依从性与虚弱患病率之间的关系。设计:横断面研究。PREDIMED-Plus试验的基线数据设置:初级保健卫生,23个招募点(2013-2016)。参与者:共有6874名超重/肥胖且≥3个MetS成分的参与者。测量:坚持MedDiet: 17项MedDiet评分。虚弱和脆弱(3或1-2个标准):改良的Fried虚弱指数(FFI),考虑疲劳、身体活动和功能能力。分析主自变量:作为连续变量(取值范围:0-17);使用单变量和多变量逻辑回归模型对潜在混杂因素进行调整。结果:患病率为49.7%,虚弱患病率为2.9%。与最低MedDiet依从性(0-6)的参与者相比,最高依从性(11-17)的参与者符合虚弱标准的几率显着降低。完全调整后的模型显示,体质虚弱的or值为0.479 (p = 0.097),体质虚弱的or值为0.705 (p = 0.001), MedDiet依从性较高或更强的受试者体质虚弱或体质虚弱的or值为0.694 (p = 0.001)。17项得分每增加1分,OR值范围为0.878 ~ 0.977(除功能能力外,所有比较p < 0.05)。当依从性进行二分类时,调整后的or范围为0.406 ~ 0.834(所有比较p < 0.05)。结论:MedDiet的高依从性与超重/肥胖和MetS的老年人中较低的虚弱和易感患病率相关,这加强了MedDiet在促进心脏代谢合并症的健康衰老方面的潜在作用。
{"title":"Adherence to the Mediterranean Diet and frailty criteria in an old population with metabolic syndrome: A cross-sectional analysis","authors":"Macarena Torrego-Ellacuría ,&nbsp;Federico Cuesta-Triana ,&nbsp;María Ortiz-Ramos ,&nbsp;Miguel Ángel Martínez-González ,&nbsp;Dolores Corella ,&nbsp;Héctor Vázquez-Lorente ,&nbsp;Montserrat Fitó ,&nbsp;José Alfredo Martínez ,&nbsp;Lucas Tojal-Sierra ,&nbsp;Julia Wärnberg ,&nbsp;Jesús Vioque ,&nbsp;Dora Romaguera ,&nbsp;José López-Miranda ,&nbsp;Ramon Estruch ,&nbsp;Francisco J Tinahones ,&nbsp;José Manuel Santos-Lozano ,&nbsp;J. Luís Serra-Majem ,&nbsp;Aurora Bueno-Cavanillas ,&nbsp;Josep A. Tur ,&nbsp;Juan Carlos Romero Vigara ,&nbsp;Pilar Matía-Martín","doi":"10.1016/j.jnha.2025.100757","DOIUrl":"10.1016/j.jnha.2025.100757","url":null,"abstract":"<div><h3>Objectives</h3><div>Frailty has emerged as a key indicator of biological aging. This study aimed to assess the relationship between MedDiet adherence and frailty prevalence in the context of metabolic syndrome (MetS).</div></div><div><h3>Design</h3><div>Cross-sectional study. Baseline data from PREDIMED-Plus trial</div></div><div><h3>Setting</h3><div>Primary care health, 23 recruitment sites (2013–2016).</div></div><div><h3>Participants</h3><div>A total of 6874 participants with overweight/obesity and ≥3 MetS components.</div></div><div><h3>Measurements</h3><div>Adherence to the MedDiet: 17-item MedDiet score. Frailty and prefrailty (3 or 1–2 criteria): modified Fried Frailty Index (FFI), considering exhaustion, physical activity and functional capacity. Main independent variable was analysed: as a continuous variable (range: 0–17); in quartiles of adherence using univariate and multivariate logistic regression models adjusted for potential confounders.</div></div><div><h3>Results</h3><div>Prefrailty and frailty prevalence were 49.7% and 2.9%, respectively. Compared to those with the lowest MedDiet adherence (0–6), participants with the highest adherence (11–17) had significantly lower odds of meeting frailty criteria. Fully adjusted models showed ORs of 0.479 (p = 0.097) for frailty, 0.705 (p = 0.001) for prefrailty, and 0.694 (p = 0.001) for frailty or prefrailty in participants with higher/greater MedDiet adherence. Each 1-point increase in the 17-item score was associated with an OR ranging from 0.878 to 0.977 (p &lt; 0.05 for all comparisons, except functional capacity: p = 0.100). When adherence was dichotomized, the adjusted ORs ranged from 0.406 to 0.834 (p &lt; 0.05 for all comparisons).</div></div><div><h3>Conclusions</h3><div>Higher adherence to MedDiet was associated with a lower prevalence of frailty and prefrailty in older adults with overweight/obesity and MetS, reinforcing its potential role in promoting healthy aging despite cardiometabolic comorbidities.</div></div>","PeriodicalId":54778,"journal":{"name":"Journal of Nutrition Health & Aging","volume":"30 2","pages":"Article 100757"},"PeriodicalIF":4.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 0
Intrinsic capacity and risk of hip fracture in older adults: evidence from five multinational aging cohorts 老年人髋部骨折的内在能力和风险:来自五个跨国老龄化队列的证据
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-10 DOI: 10.1016/j.jnha.2026.100773
Xiaoming Zhang , Deji Xu , Yunzhi Yang , Yufei Zeng , Huilin Yu , Tengfei Fang , Ke Zhu , Yi Xiao , Jiang Wang , Qingli Dou , Wenwu Zhang

Background

Hip fracture poses a substantial threat to the quality of life in older adults. Evidence regarding the association between intrinsic capacity (IC) and hip fracture is limited. This study aimed to investigate the relationship between IC and hip fracture risk in older populations.

Methods

This multi-cohort study included five nationally representative aging cohorts: the China Health and Retirement Longitudinal Study (CHARLS), the Health and Retirement Study (HRS), the Mexican Health and Aging Study (MHAS), the Survey of Health, Ageing and Retirement in Europe (SHARE), and the English Longitudinal Study of Ageing (ELSA). Participants aged 60 years and older with baseline IC assessments and at least two follow-ups were included. Individuals with baseline hip fracture, missing hip fracture data, missing covariate data, or lost to follow-up were excluded. IC was comprehensively evaluated across five domains: cognition, locomotion, vitality, sensory function, and psychological function. Hip fractures were identified through self-report or physician diagnosis. Cox proportional hazards regression models were used to estimate the association between IC and hip fracture, and results were pooled across cohorts using a common-effects meta-analysis.

Results

A total of 37,267 participants were included, with hip fracture prevalence ranging from 1.40% in SHARE to 4.64% in CHARLS. Higher IC was significantly associated with lower hip fracture risk in all cohorts: CHARLS (HR = 0.75, 95% CI [0.67–0.84]), HRS (HR = 0.65, 95% CI [0.53–0.78]), MHAS (HR = 0.77, 95% CI [0.63–0.95]), SHARE (HR = 0.83, 95% CI [0.72–0.95]), and ELSA (HR = 0.74, 95% CI [0.57–0.98]). The pooled estimate from the common-effects model was HR = 0.76 (95% CI [0.71–0.81], I² = 10.7%). In addition, Sensitivity analyses further supported the robustness of these findings.

Conclusions

Higher IC is associated with a lower risk of hip fracture among older adults. IC may serve as an early predictive indicator of hip fracture, supporting preventive strategies to reduce the economic and societal burden of hip fractures and to preserve quality of life in aging populations.
背景:髋部骨折对老年人的生活质量构成重大威胁。关于内在容量(IC)与髋部骨折之间关系的证据有限。本研究旨在探讨老年人群中IC与髋部骨折风险之间的关系。方法本多队列研究包括5个具有全国代表性的老龄化队列:中国健康与退休纵向研究(CHARLS)、健康与退休研究(HRS)、墨西哥健康与老龄化研究(MHAS)、欧洲健康、老龄化与退休调查(SHARE)和英国老龄化纵向研究(ELSA)。年龄在60岁及以上的参与者进行了基线IC评估,并至少进行了两次随访。排除了基线髋部骨折、髋部骨折资料缺失、协变量资料缺失或随访失败的个体。综合评估IC在五个领域:认知,运动,活力,感觉功能和心理功能。髋部骨折是通过自我报告或医生诊断确定的。使用Cox比例风险回归模型来估计IC与髋部骨折之间的关联,并使用共同效应荟萃分析将结果汇总在队列中。结果共纳入37267名参与者,髋部骨折患病率从SHARE的1.40%到CHARLS的4.64%不等。在所有队列中,较高的IC与较低的髋部骨折风险显著相关:CHARLS (HR = 0.75, 95% CI[0.67-0.84])、HRS (HR = 0.65, 95% CI[0.53-0.78])、MHAS (HR = 0.77, 95% CI[0.63-0.95])、SHARE (HR = 0.83, 95% CI[0.72-0.95])和ELSA (HR = 0.74, 95% CI[0.57-0.98])。共同效应模型的合并估计HR = 0.76 (95% CI [0.71-0.81], I²= 10.7%)。此外,敏感性分析进一步支持了这些发现的稳健性。结论在老年人中较高的IC与较低的髋部骨折风险相关。IC可以作为髋部骨折的早期预测指标,支持预防策略,以减少髋部骨折的经济和社会负担,并保持老年人的生活质量。
{"title":"Intrinsic capacity and risk of hip fracture in older adults: evidence from five multinational aging cohorts","authors":"Xiaoming Zhang ,&nbsp;Deji Xu ,&nbsp;Yunzhi Yang ,&nbsp;Yufei Zeng ,&nbsp;Huilin Yu ,&nbsp;Tengfei Fang ,&nbsp;Ke Zhu ,&nbsp;Yi Xiao ,&nbsp;Jiang Wang ,&nbsp;Qingli Dou ,&nbsp;Wenwu Zhang","doi":"10.1016/j.jnha.2026.100773","DOIUrl":"10.1016/j.jnha.2026.100773","url":null,"abstract":"<div><h3>Background</h3><div>Hip fracture poses a substantial threat to the quality of life in older adults. Evidence regarding the association between intrinsic capacity (IC) and hip fracture is limited. This study aimed to investigate the relationship between IC and hip fracture risk in older populations.</div></div><div><h3>Methods</h3><div>This multi-cohort study included five nationally representative aging cohorts: the China Health and Retirement Longitudinal Study (CHARLS), the Health and Retirement Study (HRS), the Mexican Health and Aging Study (MHAS), the Survey of Health, Ageing and Retirement in Europe (SHARE), and the English Longitudinal Study of Ageing (ELSA). Participants aged 60 years and older with baseline IC assessments and at least two follow-ups were included. Individuals with baseline hip fracture, missing hip fracture data, missing covariate data, or lost to follow-up were excluded. IC was comprehensively evaluated across five domains: cognition, locomotion, vitality, sensory function, and psychological function. Hip fractures were identified through self-report or physician diagnosis. Cox proportional hazards regression models were used to estimate the association between IC and hip fracture, and results were pooled across cohorts using a common-effects meta-analysis.</div></div><div><h3>Results</h3><div>A total of 37,267 participants were included, with hip fracture prevalence ranging from 1.40% in SHARE to 4.64% in CHARLS. Higher IC was significantly associated with lower hip fracture risk in all cohorts: CHARLS (HR = 0.75, 95% CI [0.67–0.84]), HRS (HR = 0.65, 95% CI [0.53–0.78]), MHAS (HR = 0.77, 95% CI [0.63–0.95]), SHARE (HR = 0.83, 95% CI [0.72–0.95]), and ELSA (HR = 0.74, 95% CI [0.57–0.98]). The pooled estimate from the common-effects model was HR = 0.76 (95% CI [0.71–0.81], I² = 10.7%). In addition, Sensitivity analyses further supported the robustness of these findings.</div></div><div><h3>Conclusions</h3><div>Higher IC is associated with a lower risk of hip fracture among older adults. IC may serve as an early predictive indicator of hip fracture, supporting preventive strategies to reduce the economic and societal burden of hip fractures and to preserve quality of life in aging populations.</div></div>","PeriodicalId":54778,"journal":{"name":"Journal of Nutrition Health & Aging","volume":"30 2","pages":"Article 100773"},"PeriodicalIF":4.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 0
The association of post-stroke changes in body mass index with activity of daily living and instrumental activity of daily living trajectories: A multi-cohort analysis. 中风后身体质量指数变化与日常生活活动和日常生活轨迹的工具活动的关系:一项多队列分析。
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-12 DOI: 10.1016/j.jnha.2026.100772
Guillaume Chambinaud, Aurore Fayosse, Aline Dugravot, Benjamin Landré, Alexis Schnitzler, Archana Singh-Manoux, Séverine Sabia, Louis Jacob

Objectives: The determinants of functional limitation trajectories after stroke remain scarce. This study aimed to investigate the association of early body mass index (BMI) changes with trajectories of activities of daily living (ADLs) and instrumental activities of daily living (IADLs) following stroke.

Design: Three cohorts from Europe and the United States.

Setting: Community.

Participants: Stroke survivors.

Measurements: BMI changes were assessed 1-4 years after self-reported stroke and categorized as decreased (≤-5% initial BMI), increased (≥5% initial BMI), and stable. An alternate cut-point of 2% was also used. Functional limitations were measured as the number of ADL and IADL limitations, which were repeatedly measured for up to 24 years after stroke. Associations were evaluated using segmented linear mixed-effects models after adjusting for demographic, behavioral, and medical factors.

Results: The study population comprised 2544 adults with stroke (mean [standard deviation] age 70.0 [10.9] years; 52.0% women). Based on a 5% cutoff, the number of ADL and IADL limitations was higher in the groups of decreased (ADL: 0.56 [95% CI = 0.28, 0.85]; IADL: 0.66 [95% CI = 0.38, 0.94]) and increased BMI (ADL: 0.55 [95% CI = 0.28, 0.81]; IADL: 0.59 [95% CI = 0.33, 0.85]) compared to stable BMI, respectively. Similar findings were obtained for a 2% cutoff. These differences frequently persisted for 24 years for decreased BMI and 6-12 years for increased BMI.

Conclusion: Early decreased BMI, and to a lesser extent increased BMI, following stroke could be a marker of long-term adverse trajectories of physical functioning, underlying the importance of nutritional and physical activity management after a stroke.

目的:中风后功能限制轨迹的决定因素仍然很少。本研究旨在探讨脑卒中后早期身体质量指数(BMI)变化与日常生活活动(ADLs)和日常生活工具活动(IADLs)轨迹的关系。设计:来自欧洲和美国的三个队列。设置:社区。参与者:中风幸存者。测量方法:在自我报告卒中后1-4年评估BMI变化,并将其分为下降(≤-5%初始BMI)、增加(≥5%初始BMI)和稳定。还使用了2%的替代分割点。功能限制测量为ADL和IADL限制的数量,在卒中后24年内反复测量。在调整了人口统计、行为和医学因素后,使用分段线性混合效应模型评估相关性。结果:研究人群包括2544名成年脑卒中患者(平均[标准差]70.0[10.9]岁;52.0%为女性)。基于5%的临界值,与BMI稳定组相比,BMI下降组(ADL: 0.56 [95% CI = 0.28, 0.85]; IADL: 0.66 [95% CI = 0.38, 0.94])和BMI升高组(ADL: 0.55 [95% CI = 0.28, 0.81]; IADL: 0.59 [95% CI = 0.33, 0.85])的ADL和IADL限制数量更高。在2%的临界值下也得到了类似的结果。这些差异通常持续24年的BMI下降和6-12年的BMI增加。结论:中风后早期BMI下降,以及在较小程度上BMI升高,可能是身体功能长期不良轨迹的标志,表明中风后营养和身体活动管理的重要性。
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引用次数: 0
Associations between dietary patterns and the incidence of idiopathic pulmonary fibrosis: A cohort study 饮食模式与特发性肺纤维化发病率之间的关系:一项队列研究
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-12 DOI: 10.1016/j.jnha.2025.100755
Yonghao Li , Xinran Dou , Hui Li , Xuan Li , Luqin Yang , Jiawei Chen , Fengqin Zhang , Huihui Yue , Ruihan Dong , Jianhan He , Xuewen Wang , Wei Wei , Li Liu , Huilan Zhang

Background

Idiopathic pulmonary fibrosis (IPF) is a progressive, age-related lung disease with few modifiable risk factors. While healthy dietary patterns have been associated with reduced risk of chronic diseases, their impact on IPF remains unclear. This study investigated the relationship between adherence to healthy dietary patterns and incident IPF and explored whether phenotypic age acceleration mediates this association.

Methods

We analyzed 196,473 participants from the UK Biobank. Dietary intake was assessed via repeated 24 -h recall questionnaires, and adherence scores were calculated for the DASH, MEDAS, and MIND dietary patterns. Cox proportional hazards models were used to estimate the association between dietary scores and incident IPF. Mediation analysis was conducted to examine the role of phenotypic age acceleration.

Results

During a median follow-up of 12.4 years, 516 IPF cases were identified. Higher adherence to all three dietary patterns was significantly associated with a reduced risk of IPF. In fully adjusted models, hazard ratios for the highest vs. lowest quartiles were 0.75 (95% CI: 0.59–0.95) for DASH, 0.53 (0.37–0.75) for MEDAS, and 0.66 (0.51–0.86) for MIND. Phenotypic age acceleration partially mediated these associations.

Conclusions

Higher dietary scores were associated with a lower risk of incident IPF, partially mediated by reduced phenotypic age acceleration. These findings suggest that promoting healthy eating habits may contribute to reducing age-related lung disease burden in older adults.
背景:特发性肺纤维化(IPF)是一种进行性、与年龄相关的肺部疾病,几乎没有可改变的危险因素。虽然健康的饮食模式与降低慢性疾病的风险有关,但其对IPF的影响仍不清楚。本研究调查了坚持健康饮食模式与IPF发生率之间的关系,并探讨了表型年龄加速是否介导了这种关联。方法我们分析了来自英国生物银行的196,473名参与者。通过重复的24小时回忆问卷评估饮食摄入量,并计算DASH、MEDAS和MIND饮食模式的依从性得分。使用Cox比例风险模型来估计饮食评分与IPF事件之间的关系。通过中介分析来检验表型年龄加速的作用。结果在中位随访12.4年期间,共发现516例IPF病例。坚持三种饮食模式与降低IPF风险显著相关。在完全调整的模型中,DASH最高和最低四分位数的风险比为0.75 (95% CI: 0.59-0.95), MEDAS为0.53 (0.37-0.75),MIND为0.66(0.51-0.86)。表型年龄加速部分介导了这些关联。结论较高的饮食评分与较低的IPF发生风险相关,部分原因是表型年龄加速减少。这些发现表明,促进健康的饮食习惯可能有助于减少老年人与年龄相关的肺部疾病负担。
{"title":"Associations between dietary patterns and the incidence of idiopathic pulmonary fibrosis: A cohort study","authors":"Yonghao Li ,&nbsp;Xinran Dou ,&nbsp;Hui Li ,&nbsp;Xuan Li ,&nbsp;Luqin Yang ,&nbsp;Jiawei Chen ,&nbsp;Fengqin Zhang ,&nbsp;Huihui Yue ,&nbsp;Ruihan Dong ,&nbsp;Jianhan He ,&nbsp;Xuewen Wang ,&nbsp;Wei Wei ,&nbsp;Li Liu ,&nbsp;Huilan Zhang","doi":"10.1016/j.jnha.2025.100755","DOIUrl":"10.1016/j.jnha.2025.100755","url":null,"abstract":"<div><h3>Background</h3><div>Idiopathic pulmonary fibrosis (IPF) is a progressive, age-related lung disease with few modifiable risk factors. While healthy dietary patterns have been associated with reduced risk of chronic diseases, their impact on IPF remains unclear. This study investigated the relationship between adherence to healthy dietary patterns and incident IPF and explored whether phenotypic age acceleration mediates this association.</div></div><div><h3>Methods</h3><div>We analyzed 196,473 participants from the UK Biobank. Dietary intake was assessed via repeated 24 -h recall questionnaires, and adherence scores were calculated for the DASH, MEDAS, and MIND dietary patterns. Cox proportional hazards models were used to estimate the association between dietary scores and incident IPF. Mediation analysis was conducted to examine the role of phenotypic age acceleration.</div></div><div><h3>Results</h3><div>During a median follow-up of 12.4 years, 516 IPF cases were identified. Higher adherence to all three dietary patterns was significantly associated with a reduced risk of IPF. In fully adjusted models, hazard ratios for the highest vs. lowest quartiles were 0.75 (95% CI: 0.59–0.95) for DASH, 0.53 (0.37–0.75) for MEDAS, and 0.66 (0.51–0.86) for MIND. Phenotypic age acceleration partially mediated these associations.</div></div><div><h3>Conclusions</h3><div>Higher dietary scores were associated with a lower risk of incident IPF, partially mediated by reduced phenotypic age acceleration. These findings suggest that promoting healthy eating habits may contribute to reducing age-related lung disease burden in older adults.</div></div>","PeriodicalId":54778,"journal":{"name":"Journal of Nutrition Health & Aging","volume":"30 2","pages":"Article 100755"},"PeriodicalIF":4.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145749500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 0
Autonomy, disruptions and coping strategies of community-dwelling older adults in food-related activities - food shopping, cooking and eating- a scoping review 社区居住的老年人在食品相关活动中的自主性、干扰和应对策略——食品购物、烹饪和饮食——范围审查
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-08 DOI: 10.1016/j.jnha.2025.100769
Hélène Trimaille , Yoshimasa Sagawa , Aline Chassagne

Background

Food-related activities—shopping, cooking, and eating—play a critical role in enabling community-dwelling older adults to live and age in place.

Objectives

This scoping review aims to explore existing knowledge on the experiences of community-dwelling older adults in their food-related activities. It also seeks to identify which stages of these activities have been studied.

Method

A systematic search of four databases (2000–2023) identified 1,189 articles. After screening, 48 studies were included. Data were analysed to determine which stages of food-related activities were examined and to extract emerging themes.

Results

Of the 48 studies, 31% addressed all three stages, 14% focused on two stages, and 54% examined one stage. This review highlights the complex interplay of social, cultural, economic, political, and health environments that structure food-related activities. Disruptions within these environments challenge autonomy. Depending on their social roles, interests, skills, and knowledge, older adults develop coping strategies to maintain control over their food-related activities.

Conclusion

The findings underscore the need for ethical, person-centered support from healthcare and social service professionals, as well as relatives. Support should respect the decision-making autonomy of older adults while offering tailored nutritional guidance that enables them to adapt their food-related activities to evolving needs.
与食物相关的活动——购物、烹饪和饮食——在使社区居住的老年人能够在适当的地方生活和衰老方面发挥着关键作用。目的:本综述旨在探讨社区居住老年人食物相关活动经验的现有知识。它还设法查明对这些活动的哪些阶段进行了研究。方法系统检索4个数据库(2000-2023),共收录1189篇文献。筛选后,纳入48项研究。对数据进行了分析,以确定审查了与粮食有关的活动的哪些阶段,并提取了新出现的主题。在48项研究中,31%的研究涉及所有三个阶段,14%的研究关注两个阶段,54%的研究关注一个阶段。这篇综述强调了社会、文化、经济、政治和健康环境之间复杂的相互作用,这些环境构成了与食物有关的活动。这些环境中的干扰挑战了自主性。根据他们的社会角色、兴趣、技能和知识,老年人会制定应对策略来控制他们与食物有关的活动。结论研究结果强调了卫生保健和社会服务专业人员以及家属需要道德的、以人为本的支持。支持应尊重老年人的决策自主权,同时提供量身定制的营养指导,使他们能够根据不断变化的需求调整与食物有关的活动。
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引用次数: 0
Lycopene, Race and Periodontitis: Disparities in Older Adults 番茄红素,种族和牙周炎:老年人的差异
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-13 DOI: 10.1016/j.jnha.2025.100759
Katherine Kwong , You Lu , ZhuoHuan Li , Susu Luo , Zhaoyu Huang , Zhong Chen , Na Zhao , Tung-Sung Tseng

Background

Periodontitis is a severe gum disease that can be an indicator of other health conditions such as cardiovascular disease and diabetes. Lycopene has been suggested as an adjunct therapy for periodontitis. This study aims to investigate the association between insufficient lycopene intake and the risk of Periodontitis among non-Hispanic White (NHW) and non-Hispanic Black (NHB) older adults.

Methods

The study included 1,227 adults aged 65–79 years from the National Health and Nutritional Examination Survey (2009–2014). Total lycopene intake from daily diet was studied with age, race, marital status, smoking status, BMI, diabetes, sex, and education as independent variables in regression model.

Results

Overall, 48.7% of the older adults exhibited varying degrees of PD, and 49.1% had insufficient dietary lycopene intake. Adequate lycopene intake was associated with a reduced likelihood of severe PD (odds ratio (O.R.): 0.33; 95%CI: 0.17−0.65). NHBs were more prone to developing severe PD compared to NHWs (O.R.: 2.82, 95%CI: 1.46−5.45). Women exhibiting a lower likelihood of severe PD than men (O.R.: 0.27; 95% CI: 0.14−0.55). NHW females, who were less likely to have severe PD compared to NHW males (O.R.: 0.26; 95% CI: 0.12−0.56).

Conclusion

Dietary lycopene intake is associated with reduced risk of severe PD, particularly in NHW individuals over 65 years old. PD was more common in men and NHB individuals, with a latter group showing a higher prevalence of severe PD. Our results suggest that future PD prevention strategies should consider targeted, race-and sex-specific dietary interventions.
背景牙周炎是一种严重的牙龈疾病,可以作为其他健康状况的指标,如心血管疾病和糖尿病。番茄红素已被建议作为牙周炎的辅助治疗。本研究旨在调查非西班牙裔白人(NHW)和非西班牙裔黑人(NHB)老年人番茄红素摄入量不足与牙周炎风险之间的关系。方法选取2009-2014年全国健康与营养调查中1227名65 ~ 79岁的成年人为研究对象。以年龄、种族、婚姻状况、吸烟状况、体重指数、糖尿病、性别、教育程度为自变量的回归模型研究每日饮食中番茄红素的总摄入量。结果总体而言,48.7%的老年人表现出不同程度的PD, 49.1%的老年人饮食中番茄红素摄入量不足。充足的番茄红素摄入量与严重PD的可能性降低相关(优势比:0.33;95%置信区间:0.17−0.65)。nhb比nhw更容易发展为严重PD (O.R: 2.82, 95%CI: 1.46−5.45)。女性患严重PD的可能性低于男性(O.R: 0.27; 95% CI: 0.14 - 0.55)。与NHW男性相比,NHW女性患严重PD的可能性更小(比值比:0.26;95% CI: 0.12 - 0.56)。结论:饮食中番茄红素的摄入与严重PD的风险降低有关,特别是在65岁以上的NHW患者中。PD在男性和NHB个体中更为常见,后者显示出更高的严重PD患病率。我们的研究结果表明,未来的PD预防策略应该考虑有针对性的、针对种族和性别的饮食干预。
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引用次数: 0
期刊
Journal of Nutrition Health & Aging
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