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Sex-specific associations of serum 25-hydroxyvitamin D concentrations with incident sarcopenia in older adults: A 2-year follow-up study 血清25-羟基维生素D浓度与老年人肌肉减少症的性别特异性关联:一项2年随访研究
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-17 DOI: 10.1016/j.jnha.2025.100713
Sihan Song , Joong-Yeon Lim , Miji Kim , Chang Won Won , Hyun-Young Park

Objectives

This study aimed to explore the association of circulating vitamin D levels with incidence of sarcopenia and its diagnostic components in older men and women.

Design

Two-year longitudinal study.

Setting

Nationwide Korean Frailty and Aging Cohort Study.

Participants

A total of 1,292 adults (53% women) aged 70–84 years without sarcopenia at baseline and who completed the 2-year follow-up sarcopenia assessment were included.

Measurements

Serum 25-hydroxyvitamin D [25(OH)D] concentrations were measured using a chemiluminescent immunoassay and categorized into sex- and blood collection period-specific quartiles. The appendicular skeletal muscle mass was assessed using dual-energy X-ray absorptiometry. Muscle strength was evaluated using handgrip strength, and physical performance was assessed using the five-times-sit-to-stand test, usual gait speed, and Short Physical Performance Battery. Sarcopenia was defined in accordance with the 2019 consensus of the Asian Working Group for Sarcopenia. Logistic regression and generalized linear models were used to assess the association of serum 25(OH)D concentrations with sarcopenia and its components.

Results

Over the 2-year follow-up, incident sarcopenia occurred in 15.7% of men and 12.1% of women. Serum 25(OH)D concentrations were inversely associated with incident sarcopenia in men (odds ratio [OR] for the highest vs. lowest quartile, 0.47; 95% confidence interval [CI], 0.23–0.94; P for trend = 0.03), whereas no significant association was observed in women. When examining the association between serum 25(OH)D concentrations and components of sarcopenia, the third quartile was associated with lower odds of low muscle mass in men (OR, 0.39; 95% CI, 0.20–0.77) and low physical performance in women (OR, 0.32; 95% CI, 0.15–0.68), compared to the first quartile. Additionally, higher serum 25(OH)D concentrations were associated with more favorable annual changes in usual gait speed in men but not in women.

Conclusion

Low serum 25(OH)D concentrations are associated with a higher likelihood of incident sarcopenia and its components, particularly among men. Adequate 25(OH)D concentrations may help slow age-related decline in muscle mass and function, with potential sex differences.
目的:本研究旨在探讨循环维生素D水平与老年男性和女性肌肉减少症发病率及其诊断成分的关系。设计:为期两年的纵向研究。背景:韩国全国虚弱和老龄化队列研究。参与者:共有1292名成年人(53%为女性),年龄在70-84岁,基线时无肌少症,并完成了2年随访肌少症评估。测量方法:使用化学发光免疫分析法测量血清25-羟基维生素D [25(OH)D]浓度,并按性别和采血期的特定四分位数进行分类。采用双能x线骨密度仪评估阑尾骨骼肌质量。肌肉力量通过握力来评估,身体表现通过五次坐立测试、通常的步态速度和短物理性能电池来评估。肌少症的定义是根据2019年亚洲肌少症工作组的共识。采用Logistic回归和广义线性模型评估血清25(OH)D浓度与肌肉减少症及其组成部分的关系。结果:在2年的随访中,15.7%的男性和12.1%的女性发生了肌肉减少症。血清25(OH)D浓度与男性发生的肌肉减少症呈负相关(最高四分位数vs最低四分位数的比值比为0.47;95%可信区间[CI]为0.23-0.94;趋势P = 0.03),而在女性中未观察到显著相关性。当检查血清25(OH)D浓度与肌肉减少症成分之间的关系时,与第一个四分位数相比,第三个四分位数与男性低肌肉质量(OR, 0.39; 95% CI, 0.20-0.77)和女性低体力表现(OR, 0.32; 95% CI, 0.15-0.68)的几率较低相关。此外,较高的血清25(OH)D浓度与男性通常步态速度的年度变化更有利相关,而与女性无关。结论:血清25(OH)D浓度低与肌肉减少症及其组成部分发生的可能性较高有关,尤其是在男性中。充足的25(OH)D浓度可能有助于减缓与年龄相关的肌肉质量和功能下降,但存在潜在的性别差异。
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引用次数: 0
Association between cMIND diet adherence and frailty among Chinese older adults: A 10-year longitudinal study 中国老年人坚持cMIND饮食与身体虚弱之间的关系:一项为期10年的纵向研究。
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-17 DOI: 10.1016/j.jnha.2025.100709
Lin Yang , Mengying Li , Jing Shu , Lizheng Cao

Background

Both cognitive impairment and diet are significant factors associated with frailty, however, the association between the Chinese Mediterranean-DASH Intervention for Neurodegenerative Delay (cMIND) diet and frailty remains unclear.

Methods

This longitudinal study analyzed data from 1,943 adults aged ≥65 in the Chinese Longitudinal Healthy Longevity Survey (CLHLS) spanning 2008–2018. Adherence to the cMIND diet was assessed using a food frequency questionnaire, whereas frailty status was determined using the frailty index. The cMIND dietary scores were categorized into three groups based on tertiles: (T1:0−4; T2:4.5–5.5; T3:6–12). The association between cMIND adherence and frailty incidence was assessed using Cox proportional hazards models, while the dose-response relationship was examined with restricted cubic splines (with knots at the 5th, 35th, 65th, and 95th percentiles).

Results

The mean age was 74.9 ± 7.3 years; 50.5% were female. The restricted cubic spline model revealed a significant nonlinear association between baseline cMIND dietary scores and frailty risk (nonlinear p < 0.05). Subsequently, the Cox proportional hazards model showed that, after adjusting for covariates, participants in the highest tertile of cMIND scores exhibited a 16% reduction in frailty risk compared to those in the lowest tertile (HR = 0.84, 95% CI: 0.72−0.97, p = 0.022). However, subgroup analyses revealed that the association varied according to baseline cognitive function. A significant inverse association was present in those with normal cognition (HR = 0.91, 95% CI: 0.86−0.96) but absent in those with cognitive impairment (HR = 1.01, 95% CI: 0.93–1.09; interaction p = 0.037).

Conclusion

Higher adherence to the cMIND diet is associated with a lower risk of frailty among older adults in China, specifically in those with normal cognitive function at baseline.
背景:认知障碍和饮食都是与虚弱相关的重要因素,然而,中国地中海- dash干预神经退行性延迟(cMIND)饮食与虚弱之间的关系尚不清楚。方法:本纵向研究分析了2008-2018年中国纵向健康寿命调查(CLHLS)中1,943名年龄≥65岁的成年人的数据。使用食物频率问卷评估cMIND饮食的依从性,而使用虚弱指数确定虚弱状态。cMIND膳食评分按位数分为3组:(T1:0-4; T2:4.5-5.5; T3:6-12)。使用Cox比例风险模型评估cMIND依从性与虚弱发生率之间的关系,同时使用受限三次样条(在第5、35、65和95百分位处有结)检查剂量-反应关系。结果:患者平均年龄74.9±7.3岁;50.5%为女性。限制三次样条模型显示基线cMIND饮食评分与虚弱风险之间存在显著的非线性关联(非线性p < 0.05)。随后,Cox比例风险模型显示,在调整协变量后,cMIND得分最高分位数的参与者比得分最低分位数的参与者表现出16%的衰弱风险降低(HR = 0.84, 95% CI: 0.72-0.97, p = 0.022)。然而,亚组分析显示,这种关联根据基线认知功能而变化。认知正常组存在显著负相关(HR = 0.91, 95% CI: 0.86-0.96),而认知障碍组无显著负相关(HR = 1.01, 95% CI: 0.93-1.09;交互作用p = 0.037)。结论:在中国老年人中,较高的cMIND饮食依从性与较低的衰弱风险相关,特别是在基线认知功能正常的老年人中。
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引用次数: 0
Building a roadmap to nutrition for Healthy Ageing: a brief report on the ILSI Europe Healthy Ageing Task Force 为健康老龄化制定营养路线图:ILSI欧洲健康老龄化工作队的简要报告。
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-16 DOI: 10.1016/j.jnha.2025.100683
Leonie Lang , Thomas Hunt , David Vauzour , Philipe de Souto Barreto , Miguel Gueimonde , Renger Witkamp , Isabelle Guelinckx , Bruno Pot , Simon McArthur , Louise Dye , Lesley Hoyles , Nils Billecke , Andrea Bertocco , Maria Camprubi Robles , Caroline Perreau , Gabriele Civiletto , Maria Tonti
At the end of October 2024, ILSI Europe brought together industry and academic experts from different fields to identify research gaps and challenges in nutritional interventions supporting healthy ageing. The objectives of the Healthy Ageing Working Group workshop were to address the urgent need to define ageing outcomes and associated biomarkers, determine the trajectory of functional ageing across the lifespan, and leverage technology to tailor nutritional and lifestyle interventions for healthy ageing. This brief report presents the key points highlighted during this workshop.
2024年10月底,ILSI欧洲汇集了来自不同领域的行业和学术专家,以确定支持健康老龄化的营养干预措施方面的研究差距和挑战。健康老龄化工作组研讨会的目标是解决定义老龄化结果和相关生物标志物的迫切需要,确定整个生命周期中功能性老龄化的轨迹,并利用技术为健康老龄化量身定制营养和生活方式干预措施。这份简短的报告介绍了本次研讨会的重点。
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引用次数: 0
Why frailty must be central in anti-amyloid therapies for Alzheimer’s disease 为什么虚弱必须是阿尔茨海默病抗淀粉样蛋白疗法的核心。
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-15 DOI: 10.1016/j.jnha.2025.100708
Jorge G. Ruiz
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引用次数: 0
Lemon myrtle extract enhances muscle hypertrophy induced by low-load bodyweight resistance training in older adults: Findings from two independent randomized controlled trials 柠檬桃金娘提取物增强老年人低负荷体重阻力训练引起的肌肉肥大:来自两个独立随机对照试验的发现
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-11 DOI: 10.1016/j.jnha.2025.100706
Shuji Sawada , Azusa Nishino , Shinichi Honda , Yuji Tominaga , Shiori Makio , Hayao Ozaki , Shuichi Machida

Objectives

Previous literature has shown that combining lemon myrtle (LM) leaf extract with low-load resistance training may promote muscle hypertrophy. The current our studies aimed to verify the effects of LM intake combined with different training volumes on anterior thigh (AT) muscle thickness in older adults.

Design

Two independent randomized, double-blind, placebo-controlled trials.

Setting

Community-based training intervention program.

Participants

A total of 125 Japanese adults aged ≥65 years, with self-reported declines in muscle strength or walking ability. Study 1 (n = 47; LM group: n = 25, placebo group: n = 22) and Study 2 (n = 41; LM group: n = 22, placebo group: n = 19) were conducted independently, each with separate randomization into LM and placebo groups.

Intervention

Both studies involved low-load bodyweight resistance training twice weekly for 12 weeks. Study 1 compared LM + three sets of training with placebo + three sets; whereas Study 2 compared LM + one set with placebo + one set.

Measurements

AT muscle thickness (primary outcome) was assessed using B-mode ultrasound at baseline, 6, and 12 weeks. Secondary outcomes were normal walking speed (10-m walk test, m/s), maximum walking speed (10-m walk test, m/s), and 30-second chair stand (CS-30, repetitions).

Results

In Study 1, the LM + exercise group showed a greater increase in AT muscle thickness than the placebo + exercise group (12-week difference: 1.29 mm; 95% CI: −0.17 to 2.75 mm), although the difference was not statistically significant. In Study 2, the LM + exercise group showed a significant increase in AT muscle thickness compared with the placebo + exercise group (1.59 mm; 95% CI: 0.19–2.98 mm). No significant group-by-time interaction was found for secondary outcomes in either study.

Conclusions

LM intake may enhance muscle hypertrophy when combined with low-load resistance training in older adults with self-reported declines in muscle strength decline, particularly under low-volume training conditions. Further studies are needed to establish its clinical relevance.
目的已有文献表明,柠檬桃金娘叶提取物配合低负荷阻力训练可促进肌肉肥大。目前,我们的研究旨在验证LM摄入量结合不同训练量对老年人大腿前肌厚度的影响。设计两项独立、随机、双盲、安慰剂对照试验。设置以社区为基础的培训干预项目。参与者共125名年龄≥65岁的日本成年人,自我报告肌肉力量或行走能力下降。研究1 (n = 47; LM组:n = 25,安慰剂组:n = 22)和研究2 (n = 41; LM组:n = 22,安慰剂组:n = 19)分别独立进行,随机分为LM组和安慰剂组。干预:两项研究都涉及低负荷体重阻力训练,每周两次,持续12周。研究1比较LM +三组训练与安慰剂+三组训练;而研究2比较了LM + 1组与安慰剂+ 1组。测量:在基线、6周和12周使用b超评估sat肌肉厚度(主要结局)。次要结果为正常步行速度(10米步行测试,m/s)、最大步行速度(10米步行测试,m/s)和30秒站立椅(CS-30,重复)。结果在研究1中,LM +运动组AT肌厚度的增加明显大于安慰剂+运动组(12周差异:1.29 mm; 95% CI: - 0.17 ~ 2.75 mm),但差异无统计学意义。在研究2中,LM +运动组与安慰剂+运动组相比,AT肌厚度显著增加(1.59 mm; 95% CI: 0.19-2.98 mm)。在两项研究中,次要结果均未发现显著的分组时间相互作用。结论在自我报告肌肉力量下降的老年人中,特别是在低容量训练条件下,slm摄入可促进肌肉肥大,并结合低负荷阻力训练。需要进一步的研究来确定其临床相关性。
{"title":"Lemon myrtle extract enhances muscle hypertrophy induced by low-load bodyweight resistance training in older adults: Findings from two independent randomized controlled trials","authors":"Shuji Sawada ,&nbsp;Azusa Nishino ,&nbsp;Shinichi Honda ,&nbsp;Yuji Tominaga ,&nbsp;Shiori Makio ,&nbsp;Hayao Ozaki ,&nbsp;Shuichi Machida","doi":"10.1016/j.jnha.2025.100706","DOIUrl":"10.1016/j.jnha.2025.100706","url":null,"abstract":"<div><h3>Objectives</h3><div>Previous literature has shown that combining lemon myrtle (LM) leaf extract with low-load resistance training may promote muscle hypertrophy. The current our studies aimed to verify the effects of LM intake combined with different training volumes on anterior thigh (AT) muscle thickness in older adults.</div></div><div><h3>Design</h3><div>Two independent randomized, double-blind, placebo-controlled trials.</div></div><div><h3>Setting</h3><div>Community-based training intervention program.</div></div><div><h3>Participants</h3><div>A total of 125 Japanese adults aged ≥65 years, with self-reported declines in muscle strength or walking ability. Study 1 (n = 47; LM group: n = 25, placebo group: n = 22) and Study 2 (n = 41; LM group: n = 22, placebo group: n = 19) were conducted independently, each with separate randomization into LM and placebo groups.</div></div><div><h3>Intervention</h3><div>Both studies involved low-load bodyweight resistance training twice weekly for 12 weeks. Study 1 compared LM + three sets of training with placebo + three sets; whereas Study 2 compared LM + one set with placebo + one set.</div></div><div><h3>Measurements</h3><div>AT muscle thickness (primary outcome) was assessed using B-mode ultrasound at baseline, 6, and 12 weeks. Secondary outcomes were normal walking speed (10-m walk test, m/s), maximum walking speed (10-m walk test, m/s), and 30-second chair stand (CS-30, repetitions).</div></div><div><h3>Results</h3><div>In Study 1, the LM + exercise group showed a greater increase in AT muscle thickness than the placebo + exercise group (12-week difference: 1.29 mm; 95% CI: −0.17 to 2.75 mm), although the difference was not statistically significant. In Study 2, the LM + exercise group showed a significant increase in AT muscle thickness compared with the placebo + exercise group (1.59 mm; 95% CI: 0.19–2.98 mm). No significant group-by-time interaction was found for secondary outcomes in either study.</div></div><div><h3>Conclusions</h3><div>LM intake may enhance muscle hypertrophy when combined with low-load resistance training in older adults with self-reported declines in muscle strength decline, particularly under low-volume training conditions. Further studies are needed to establish its clinical relevance.</div></div>","PeriodicalId":54778,"journal":{"name":"Journal of Nutrition Health & Aging","volume":"29 12","pages":"Article 100706"},"PeriodicalIF":4.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145270832","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
Letter to Editor regarding “Effects of nutritional education intervention on frailty status in lung cancer patients” 关于“营养教育干预对肺癌患者虚弱状态的影响”的致编辑信
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-10 DOI: 10.1016/j.jnha.2025.100707
Parth Aphale , Shashank Dokania , Himanshu Shekhar
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引用次数: 0
Association between serum leptin and accelerated biological aging in US adults: Findings from NHANES III 美国成人血清瘦素与加速生物衰老之间的关系:来自NHANES III的研究结果
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-07 DOI: 10.1016/j.jnha.2025.100695
Kai Wei
{"title":"Association between serum leptin and accelerated biological aging in US adults: Findings from NHANES III","authors":"Kai Wei","doi":"10.1016/j.jnha.2025.100695","DOIUrl":"10.1016/j.jnha.2025.100695","url":null,"abstract":"","PeriodicalId":54778,"journal":{"name":"Journal of Nutrition Health & Aging","volume":"29 12","pages":"Article 100695"},"PeriodicalIF":4.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253775","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
Pain trajectories in relation to incident functional limitation among older adults: A prospective cohort study 老年人疼痛轨迹与偶发性功能限制的关系:一项前瞻性队列研究。
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-07 DOI: 10.1016/j.jnha.2025.100704
Qiao Xiang , Yuxiao Li , Ziyi Zhong , Wei Huang , Jielei Chu , Taiping Lin , Birong Dong , Jirong Yue , Masoud Isanejad

Objectives

We aimed to identify pain trajectories and examine their associations with incident functional limitation in older adults, including activities of daily living (ADL) and instrumental ADL (IADL).

Design

A prospective cohort study.

Setting

Community-based setting in western China.

Participants

We included participants with pain score information during 2018–2022, no prevalent functional limitation by 2022, and sufficient follow-up data for functional limitation assessment during 2023–2024.

Measurements

Group-based trajectory modeling was applied to identify pain trajectories based on the Numeric Rating Scale pain scores. Multivariate logistic regression models were used to assess the association between pain trajectories and incident ADL and IADL limitation. Sensitivity analyses were conducted using generalized estimating equations. Subgroup analyses were performed to assess potential interaction effects.

Results

A total of 887 older adults (all aged ≥60 years) were finally included in the analytic sample, of whom 139 (15.7%) and 198 (22.3%) individuals developed incident ADL and IADL limitation during the two-year follow-up, respectively. Four pain trajectories were identified: ‘Persistently Pain-Free’ (43.0%), ‘Pain Remission’ (16.7%), ‘Developing Mild Pain’ (21.9%), and ‘Persistent Mild-to-Moderate Pain’ (18.5%). Compared to the ‘Persistently Pain-Free’ group, only participants in the ‘Persistent Mild-to-Moderate Pain’ group had a significantly higher risk of developing ADL limitation (adjusted odds ratio = 2.19, 95% CI 1.32–3.63). No significant associations were found between any pain trajectory and the risk of incident IADL limitation. No significant interactions were observed in the subgroup analyses for either ADL or IADL (P for interaction > 0.05).

Conclusion

Persistent pain, even at mild-to-moderate levels, independently predicts incident limitation in ADL rather than IADL in older adults, while achieving pain remission may help prevent functional decline in ADL. These findings underscore the importance of early identification and management of persistent pain to help maintain functional independence.
目的:我们旨在确定老年人的疼痛轨迹,并研究它们与日常生活活动(ADL)和工具性ADL (IADL)等突发功能限制的关系。设计:前瞻性队列研究。环境:中国西部社区环境。参与者:我们纳入了2018-2022年期间有疼痛评分信息的参与者,到2022年没有普遍的功能限制,以及2023-2024年期间功能限制评估的足够随访数据。测量方法:采用基于组的轨迹建模,根据数值评定量表疼痛评分来识别疼痛轨迹。采用多变量logistic回归模型评估疼痛轨迹与事件ADL和IADL限制之间的关系。采用广义估计方程进行敏感性分析。进行亚组分析以评估潜在的相互作用效应。结果:共有887名老年人(年龄≥60岁)最终被纳入分析样本,其中139人(15.7%)和198人(22.3%)在2年随访期间分别出现了ADL和IADL限制。确定了四种疼痛轨迹:“持续无痛”(43.0%)、“疼痛缓解”(16.7%)、“发展为轻度疼痛”(21.9%)和“持续轻度至中度疼痛”(18.5%)。与“持续无痛”组相比,只有“持续轻度至中度疼痛”组的参与者发生ADL限制的风险明显更高(调整优势比= 2.19,95% CI 1.32-3.63)。没有发现任何疼痛轨迹与发生IADL限制的风险之间存在显著关联。在亚组分析中,ADL和IADL均未观察到显著的相互作用(相互作用P < 0.05)。结论:持续疼痛,即使是轻度至中度水平,独立预测老年人ADL的事件限制,而不是IADL,而实现疼痛缓解可能有助于预防ADL的功能下降。这些发现强调了早期识别和管理持续性疼痛的重要性,以帮助维持功能独立性。
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引用次数: 0
Association of standard dietary inflammatory index with diabetic retinopathy in diabetes: A prospective cohort study 标准饮食炎症指数与糖尿病视网膜病变的相关性:一项前瞻性队列研究。
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-07 DOI: 10.1016/j.jnha.2025.100694
Zihan Xu , Feipeng Jiang , Yun Zhang , Jier Ma , Jianjun Ren , Meixia Zhang

Background and aims

Diabetic retinopathy (DR) is a major cause of vision impairment, and its development is linked to chronic inflammation. Investigating the role of dietary patterns, specifically the standard dietary inflammatory index (DII), may provide insights into modifiable risk factors for DR.

Objective

To quantify the impact of dietary inflammatory potential (assessed via the standard DII) on both risk of DR and structural alterations across individual retinal layers.

Methods

We conducted a prospective cohort study using data from the UK Biobank. Cox proportional hazards models and restricted cubic splines were used to examine the correlation between the standard DII and DR in three adjusted models. Sensitivity analyses were performed to test the robustness of the outcomes. Linear regression models were employed to explore the associations between the standard DII and retinal structural parameters.

Results

Data from 16,224 participants with diabetes from the UK Biobank were analyzed, including 1,257 (7.75%) who developed DR during the follow-up period. Higher standard DII scores were associated with an increased risk of DR in all adjusted models [Model 3: HR = 1.51, 95% CI: (1.15, 1.99), p = 0.003]. A J-shaped association between standard DII scores and DR was observed, and the relationship was significant only when the standard DII score was greater than −2.5 [HR = 1.59, 95% CI: (1.44, 2.04), p = 0.002]. Subgroup analyses revealed consistent results across different stratified groups, indicating increased DR risk. Image analysis revealed that standard DII scores were associated with the thinning of the retinal pigment epithelium layer.

Conclusions

Our findings suggest a J-shaped association between standard DII score and DR risk in a multiracial sample from the UK Biobank. These findings indicate that an anti-inflammatory diet may be promising for mitigating the onset of DR.
背景和目的:糖尿病性视网膜病变(DR)是视力损害的主要原因,其发展与慢性炎症有关。研究饮食模式的作用,特别是标准饮食炎症指数(DII),可能为DR的可改变危险因素提供见解。目的:量化饮食炎症潜力(通过标准DII评估)对DR风险和个体视网膜层结构改变的影响。方法:我们使用来自英国生物银行的数据进行了一项前瞻性队列研究。采用Cox比例风险模型和受限三次样条检验三种调整模型中标准DII与DR之间的相关性。进行敏感性分析以检验结果的稳健性。采用线性回归模型探讨标准DII与视网膜结构参数之间的关系。研究人员分析了来自英国生物银行(UK Biobank)的16224名糖尿病患者的数据,其中1257名(7.75%)在随访期间发生了DR。在所有调整后的模型中,较高的标准DII评分与DR风险增加相关[模型3:HR = 1.51, 95% CI:(1.15, 1.99), p = 0.003]。标准DII评分与DR呈j型相关,且只有当标准DII评分大于-2.5时,这种关系才具有显著性[HR = 1.59, 95% CI: (1.44, 2.04), p = 0.002]。亚组分析显示,不同分层组的结果一致,表明DR风险增加。图像分析显示,标准DII评分与视网膜色素上皮层变薄有关。结论:我们的研究结果表明,在英国生物银行的多种族样本中,标准DII评分与DR风险之间存在j型关联。这些发现表明,抗炎饮食可能有希望减轻DR的发作。
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引用次数: 0
Egg intake and cognitive function in healthy adults: A systematic review of the literature 健康成人鸡蛋摄入与认知功能:文献系统综述。
IF 4 3区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-07 DOI: 10.1016/j.jnha.2025.100696
Nessmah Sultan , Nicole J. Kellow , Caroline J. Tuck , Edellyne Cheng , Clare MacMahon , Jessica R. Biesiekierski

Background

Cognitive decline is a growing public health concern, particularly in aging populations. Eggs are a widely consumed, nutrient-dense food containing choline, phospholipids, tryptophan, and omega-3 fatty acids, which individually support cognitive processes such as memory, attention, and neurogenesis. While these individual nutrients have demonstrated benefits in supplementation studies, the cognitive effects of whole egg consumption are not well established. This systematic review aimed to evaluate the association between whole egg consumption and cognitive function in healthy adults.

Methods

A systematic search of five electronic databases (Medline, Embase, CINAHL Plus, SCOPUS, and PsychInfo) was conducted from database inception through February 2025. Studies were included if they investigated whole egg intake in relation to cognitive outcomes in healthy adults. Risk of bias was assessed using tools appropriate to study design. Due to heterogeneity in study methods, outcomes were synthesised narratively. Cognitive outcomes were categorised into domains including global cognitive function, memory, executive function, language, processing speed, and dementia risk.

Results

Eleven studies met the inclusion criteria: one pre-post intervention study, six prospective cohort studies, three cross-sectional studies, and one case-control study. Study populations were predominantly older adults and included >38,000 participants. Two studies reported a reduced risk of dementia or cognitive impairment associated with moderate egg consumption (approximately 0.5–1 egg per day), while one study found increased risk at high intake levels (Over 1 egg per day). Several studies showed improvements in memory, verbal fluency, or processing speed with moderate—but not high—egg intake. The pre-post study reported improved reaction time following eight weeks of daily egg consumption (2 eggs per day). Heterogeneity in exposure measurement and cognitive testing methods limited direct comparisons across studies.

Discussion

Moderate whole egg consumption may be associated with improvements in cognitive outcomes in healthy adults, including reduced dementia risk and better memory performance. However, findings are inconsistent and limited by differences in study design, dietary assessment, and cognitive testing. Further well-controlled intervention studies are needed to determine optimal intake levels, explore mechanisms, and assess whether eggs can be integrated meaningfully into dietary strategies to support cognitive aging. (PROSPERO registration: 408532).
背景:认知能力下降是一个日益严重的公共卫生问题,特别是在老龄化人口中。鸡蛋是一种广泛食用的营养丰富的食物,含有胆碱、磷脂、色氨酸和omega-3脂肪酸,它们分别支持记忆、注意力和神经发生等认知过程。虽然这些单独的营养素在补充研究中已经证明有好处,但食用全蛋对认知的影响还没有得到很好的证实。本系统综述旨在评估健康成人全蛋消费与认知功能之间的关系。方法:系统检索Medline、Embase、CINAHL Plus、SCOPUS和PsychInfo 5个电子数据库,检索时间为数据库建立至2025年2月。如果研究调查了健康成年人的全蛋摄入量与认知结果的关系,则将其纳入研究。使用适合研究设计的工具评估偏倚风险。由于研究方法的异质性,结果是叙述性的。认知结果被分为多个领域,包括全球认知功能、记忆、执行功能、语言、处理速度和痴呆风险。结果:11项研究符合纳入标准:1项干预前研究、6项前瞻性队列研究、3项横断面研究和1项病例对照研究。研究人群主要是老年人,包括38,000名参与者。两项研究报告说,适量吃鸡蛋(每天大约0.5-1个鸡蛋)可以降低患痴呆症或认知障碍的风险,而一项研究发现,高摄入量(每天超过1个鸡蛋)会增加患痴呆症或认知障碍的风险。几项研究表明,适度而不是高摄入量的鸡蛋可以改善记忆力、语言流畅性或处理速度。前后研究报告说,在八周每天吃鸡蛋(每天2个鸡蛋)后,反应时间有所改善。暴露测量和认知测试方法的异质性限制了研究间的直接比较。讨论:适量食用全蛋可能与健康成人认知结果的改善有关,包括降低痴呆风险和改善记忆表现。然而,由于研究设计、饮食评估和认知测试的差异,研究结果是不一致的和有限的。需要进一步的控制良好的干预研究来确定最佳摄入水平,探索机制,并评估鸡蛋是否可以有意地纳入饮食策略以支持认知衰老。(普洛斯彼罗注册:408532)。
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引用次数: 0
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Journal of Nutrition Health & Aging
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