运用“老龄化悖论”揭示提高生产寿命的有效措施

H. Preuss, G. Kaats, Nate Mrvichin, D. Bagchi, O. Aruoma
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引用次数: 1

摘要

从健康和非糖尿病志愿者中收集的数据显示,许多主要与胰岛素抵抗(IR)和代谢综合征(MS)相关的医疗风险因素在25至70岁之间逐渐加剧。这个阶段在这里被称为“风险连续体”(CR),是一个与健康状况相关的代谢变化调整不利的时期,但从未超过或超出诊断已确定的病理疾病的范围。其中一些风险因素的优势出人意料地转向了相反的、有益的方向。这发生在70岁以后。这种现象被定义为“老龄化悖论”(AP)。由于比较CR期和AP期的数据并没有发现MS的其他组成部分在葡萄糖-胰岛素关系上有任何显著差异,因此AP期的有益发生可归因于“幸存者偏差”。这背后的含义是,那些具有更有希望的风险因素的志愿者可以为临床研究做出贡献,而那些较差的参与者由于医疗衰弱甚至死亡而不能作为志愿者参加晚年生活。健康方面,在AP后期评估时,以下指标的平均值朝着有利的方向变化:体重、脂肪质量、无脂肪质量、空腹血糖(FBG)水平、甘油三酯、高密度脂蛋白胆固醇和丙氨酸转氨酶。FBG水平的降低意味着IR的降低,IR是ms背后公认的驱动力。相反,总胆固醇、低密度脂蛋白胆固醇和非高密度脂蛋白胆固醇水平以及收缩压基本上没有随着时间的推移而发生有利的变化。在任何发展中的方案中,与积极生存相关的健康参数都应成为关注的中心,以延长有意义的寿命。因此,包括营养、锻炼和膳食补充剂的使用在内的自然疗法可以实施必要的治疗措施,以减轻IR及其致残成分,从而可能有助于延长健康的寿命。
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Employing an “aging paradox” to uncover effective measures for advancing productive longevity
Data gathered from healthy and non-diabetic volunteers who previously had participated in assorted clinical research trials, reveal that many medical risk factors primarily related to insulin resistance (IR) and the metabolic syndrome (MS) gradually intensify between ages 25 and 70 years. This phase here labeled “Continuum of risks” (CR) is a period whereby the metabolic changes that correlate with health situations adjust unfavorably but never exceed nor fall outside ranges that would diagnose established pathological diseases. The strengths of some of these risk factors unexpectedly reverted in an opposite and beneficial direction. This occurred somewhere beyond age 70 years. This phenomenon is defined as “Aging paradox” (AP). Because comparing data from the CR and AP periods did not reveal any significant differences in the glucose-insulin relationships with other components of MS, the beneficial happenings in AP were attributed to “Survivor bias.” The meaning behind this is that those volunteers possessing the more promising profile of risk factors can contribute to clinical studies, while participants with poorer profiles cannot take part as volunteers in later life due to medical debilities or even death. Health-wise, the average values of the following markers changed in a favorable direction when evaluated in the later AP period: Body weight, fat mass, fat free mass, levels of fasting blood glucose (FBG), triglycerides, HDL-cholesterol, and alanine aminotransferase enzyme. The lowering of FBG levels signifies the lessening of IR, the well accepted driving force behind MS. In contrast, total, LDL-, and non-HDL-cholesterol levels as well as systolic blood pressure essentially did not transform favorably over time. Health parameters associated with active survival should be at the center of attention in any developing schema to extend meaningful longevity. Thus, natural regimens involving nutrition, exercise, and dietary supplement usage exist to carry out necessary therapeutic measures to mitigate IR and its disabling components – thus potentially contributing to a longer healthier lifespan.
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