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Bartolomucci A, Kane AE, Gaydosh L, Razzoli M, McCoy BM, Ehninger D, Chen BH, Howlett SE, Snyder-Mackler N. Animal Models Relevant for Geroscience: Current Trends and Future Perspectives in Biomarkers, and Measures of Biological Aging. J Gerontol A Biol Sci Med Sci 2024; 79:glae135. [PMID: 39126297 PMCID: PMC11316208 DOI: 10.1093/gerona/glae135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Indexed: 08/12/2024] Open
Abstract
For centuries, aging was considered inevitable and immutable. Geroscience provides the conceptual framework to shift this focus toward a new view that regards aging as an active biological process, and the biological age of an individual as a modifiable entity. Significant steps forward have been made toward the identification of biomarkers for and measures of biological age, yet knowledge gaps in geroscience are still numerous. Animal models of aging are the focus of this perspective, which discusses how experimental design can be optimized to inform and refine the development of translationally relevant measures and biomarkers of biological age. We provide recommendations to the field, including: the design of longitudinal studies in which subjects are deeply phenotyped via repeated multilevel behavioral/social/molecular assays; the need to consider sociobehavioral variables relevant for the species studied; and finally, the importance of assessing age of onset, severity of pathologies, and age-at-death. We highlight approaches to integrate biomarkers and measures of functional impairment using machine learning approaches designed to estimate biological age as well as to predict future health declines and mortality. We expect that advances in animal models of aging will be crucial for the future of translational geroscience but also for the next chapter of medicine.
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Affiliation(s)
- Alessandro Bartolomucci
- Department of Integrative Biology and Physiology, University of Minnesota, Minneapolis, Minnesota, USA
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Alice E Kane
- Institute for Systems Biology, Seattle, Washington, USA
- Department of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA
| | - Lauren Gaydosh
- Department of Sociology, University of Texas at Austin, Austin, Texas, USA
| | - Maria Razzoli
- Department of Integrative Biology and Physiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Brianah M McCoy
- School of Life Sciences, Arizona State University, Tempe, Arizona, USA
- Center for Evolution and Medicine, Arizona State University, Tempe, Arizona, USA
| | - Dan Ehninger
- German Center for Neurodegenerative Diseases, Bonn, Germany
| | - Brian H Chen
- California Pacific Medical Center Research Institute, Sutter Health, San Francisco, CA, 94143, USA
| | - Susan E Howlett
- Departments of Pharmacology and Medicine (Geriatric Medicine), Dalhousie University, Halifax, Nova Scotia, Canada
| | - Noah Snyder-Mackler
- School of Life Sciences, Arizona State University, Tempe, Arizona, USA
- Center for Evolution and Medicine, Arizona State University, Tempe, Arizona, USA
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Wang W, Long P, He M, Luo T, Li Y, Yang L, Zhang Y, Wen X. Pomegranate polyphenol punicalagin as a nutraceutical for mitigating mild cognitive impairment: An overview of beneficial properties. Eur J Pharmacol 2024; 977:176750. [PMID: 38897439 DOI: 10.1016/j.ejphar.2024.176750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 05/25/2024] [Accepted: 06/16/2024] [Indexed: 06/21/2024]
Abstract
Dementia treatment has become a global research priority, driven by the increase in the aging population. Punicalagin, the primary polyphenol found in pomegranate fruit, exhibits a variety of benefits. Today, a growing body of research is showing that punicalagin is a nutraceutical for the prevention of mild cognitive impairment (MCI). However, a comprehensive review is still lacking. The aim of this paper is to provide a comprehensive review of the physicochemical properties, origin and pharmacokinetics of punicalagin, while emphasizing the significance and mechanisms of its potential role in the prevention and treatment of MCI. Preclinical and clinical studies have demonstrated that Punicalagin possesses the potential to effectively target and enhance the treatment of MCI. Potential mechanisms by which punicalagin alleviates MCI include antioxidative damage, anti-neuroinflammation, promotion of neurogenesis, and modulation of neurotransmitter interactions. Overall, punicalagin is safer and shows potential as a therapeutic compound for the prevention and treatment of MCI, although more rigorous randomized controlled trials involving large populations are required.
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Affiliation(s)
- Wenjun Wang
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China; Department of Ophthalmology, The General Hospital of Western Theater Command, Chengdu, 610000, China
| | - Pan Long
- Department of Ophthalmology, The General Hospital of Western Theater Command, Chengdu, 610000, China
| | - Mengshan He
- The Academy of Chinese Health Risks, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Tao Luo
- Department of Ophthalmology, The General Hospital of Western Theater Command, Chengdu, 610000, China
| | - Yubo Li
- School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China; Department of Traditional Chinese Medicine, The General Hospital of Western Theater Command, Chengdu, 610000, China
| | - Ling Yang
- School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China; Department of Traditional Chinese Medicine, The General Hospital of Western Theater Command, Chengdu, 610000, China
| | - Yi Zhang
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China
| | - Xudong Wen
- Department of Gastroenterology, Chengdu Integrated TCM&Western Medicine Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610059, China.
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Kjerland TM, Schroeder S, Tofaeono V. Increased community engagement of Indigenous Peoples in dementia research leads to higher context relevance of results. DEMENTIA 2024; 23:643-668. [PMID: 38445447 PMCID: PMC11059836 DOI: 10.1177/14713012241233651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2024]
Abstract
INTRODUCTION Health research that focuses on Indigenous Peoples must ensure that the community in question is actively engaged, and that the results have context relevance for Indigenous Peoples. Context relevance is "the benefits, usability, and respectful conduct of research from the perspective of Indigenous communities." The purpose of this study was to apply two tools within an already-published scoping review of 76 articles featuring research on cognitive impairment and dementia among Indigenous Peoples worldwide. One tool assessed levels of community engagement reported in the corpus, and the other tool assessed the context relevance of recommendations in the corpus. We hypothesized that research with higher levels of reported community engagement would produce recommendations with greater context relevance for Indigenous Peoples. METHODS We employed semi-structured deductive coding using two novel tools assessing levels of reported community engagement and context relevance of recommendations based on studies included in the existing scoping review. RESULTS Application of the two tools revealed a positive relationship between increasing community engagement and greater context relevance. Community engagement primarily occurred in studies conducted with First Nations, Inuit, and Métis populations in Canada and with Australian Aboriginal and/or Torres Strait Islander Peoples. Research with Alaska Native, American Indian, and Native Hawaiian Peoples in the USA stood out for its comparative lack of meaningful community engagement. DISCUSSION There is opportunity to utilize these tools, and the results of this assessment, to enhance training and mentorship for researchers who work with Indigenous populations. There is a need to increase investigator capacity to involve communities throughout all phases of research, particularly in the pre-research stages.
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Affiliation(s)
- Tonya M Kjerland
- Department of Indigenous Health, University of North Dakota, USA
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Trumble BC, Schwartz M, Ozga AT, Schwartz GT, Stojanowski CM, Jenkins CL, Kraft TS, Garcia AR, Cummings DK, Hooper PL, Eid Rodriguez D, Buetow K, Beheim B, Irimia A, Thomas GS, Thompson RC, Gatz M, Stieglitz J, Finch CE, Gurven M, Kaplan H. Poor Oral Health Is Associated With Inflammation, Aortic Valve Calcification, and Brain Volume Among Forager-Farmers. J Gerontol A Biol Sci Med Sci 2024; 79:glae013. [PMID: 38291985 PMCID: PMC11044433 DOI: 10.1093/gerona/glae013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Indexed: 02/01/2024] Open
Abstract
Poor oral health is associated with cardiovascular disease and dementia. Potential pathways include sepsis from oral bacteria, systemic inflammation, and nutritional deficiencies. However, in post-industrialized populations, links between oral health and chronic disease may be confounded because the lower socioeconomic exposome (poor diet, pollution, and low physical activity) often entails insufficient dental care. We assessed tooth loss, caries, and damaged teeth, in relation to cardiovascular and brain aging among the Tsimane, a subsistence population living a relatively traditional forager-horticulturalist lifestyle with poor dental health, but minimal cardiovascular disease and dementia. Dental health was assessed by a physician in 739 participants aged 40-92 years with cardiac and brain health measured by chest computed tomography (CT; n = 728) and brain CT (n = 605). A subset of 356 individuals aged 60+ were also assessed for dementia and mild cognitive impairment (n = 33 impaired). Tooth loss was highly prevalent, with 2.2 teeth lost per decade and a 2-fold greater loss in women. The number of teeth with exposed pulp was associated with higher inflammation, as measured by cytokine levels and white blood cell counts, and lower body mass index. Coronary artery calcium and thoracic aortic calcium were not associated with tooth loss or damaged teeth. However, aortic valve calcification and brain tissue loss were higher in those who had more teeth with exposed pulp. Overall, these results suggest that dental health is associated with indicators of chronic diseases in the absence of typical confounds, even in a population with low cardiovascular and dementia risk factors.
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Affiliation(s)
- Benjamin C Trumble
- School of Human Evolution and Social Change, Center for Evolution and Medicine, Institute of Human Origins, Arizona State University, Tempe, Arizona, USA
| | - Matthew Schwartz
- School of Medicine, University of New Mexico, Albuquerque, New Mexico, USA
| | - Andrew T Ozga
- Department of Biological Sciences, Halmos College of Arts and Sciences, Fort Lauderdale, Florida, USA
| | - Gary T Schwartz
- School of Human Evolution and Social Change, Center for Evolution and Medicine, Institute of Human Origins, Arizona State University, Tempe, Arizona, USA
| | - Christopher M Stojanowski
- School of Human Evolution and Social Change, Center for Evolution and Medicine, Institute of Human Origins, Arizona State University, Tempe, Arizona, USA
| | - Carrie L Jenkins
- School of Human Evolution and Social Change, Center for Evolution and Medicine, Institute of Human Origins, Arizona State University, Tempe, Arizona, USA
| | - Thomas S Kraft
- Department of Anthropology, University of Utah, Salt Lake City, Utah, USA
| | - Angela R Garcia
- School of Human Evolution and Social Change, Center for Evolution and Medicine, Institute of Human Origins, Arizona State University, Tempe, Arizona, USA
| | - Daniel K Cummings
- Economic Science Institute, Chapman University, Orange, California, USA
| | - Paul L Hooper
- Economic Science Institute, Chapman University, Orange, California, USA
| | | | - Kenneth Buetow
- School of Human Evolution and Social Change, Center for Evolution and Medicine, Institute of Human Origins, Arizona State University, Tempe, Arizona, USA
| | - Bret Beheim
- Department of Human Behavior, Ecology and Culture, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | - Andrei Irimia
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA
| | - Gregory S Thomas
- Heart & Vascular Institute, MemorialCare Health System, Fountain Valley, CA and University of California Irvine, Orange, California, USA
| | - Randall C Thompson
- Department of Cardiology, Saint Luke’s Mid America Heart Institute, Kansas City, Missouri, USA
| | - Margaret Gatz
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA
| | - Jonathan Stieglitz
- Insititue for Advanced Study, Toulouse School of Economics, Toulouse, France
| | - Caleb E Finch
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA
| | - Michael Gurven
- Integrative Anthropological Sciences, University of California Santa Barbara, Santa Barbara, California, USA
| | - Hillard Kaplan
- Economic Science Institute, Chapman University, Orange, California, USA
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Chaudhari NN, Imms PE, Chowdhury NF, Gatz M, Trumble BC, Mack WJ, Law EM, Sutherland ML, Sutherland JD, Rowan CJ, Wann LS, Allam AH, Thompson RC, Michalik DE, Miyamoto M, Lombardi G, Cummings DK, Seabright E, Alami S, Garcia AR, Rodriguez DE, Gutierrez RQ, Copajira AJ, Hooper PL, Buetow KH, Stieglitz J, Gurven MD, Thomas GS, Kaplan HS, Finch CE, Irimia A. Increases in regional brain volume across two native South American male populations. GeroScience 2024:10.1007/s11357-024-01168-2. [PMID: 38683289 DOI: 10.1007/s11357-024-01168-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 04/15/2024] [Indexed: 05/01/2024] Open
Abstract
Industrialized environments, despite benefits such as higher levels of formal education and lower rates of infections, can also have pernicious impacts upon brain atrophy. Partly for this reason, comparing age-related brain volume trajectories between industrialized and non-industrialized populations can help to suggest lifestyle correlates of brain health. The Tsimane, indigenous to the Bolivian Amazon, derive their subsistence from foraging and horticulture and are physically active. The Moseten, a mixed-ethnicity farming population, are physically active but less than the Tsimane. Within both populations (N = 1024; age range = 46-83), we calculated regional brain volumes from computed tomography and compared their cross-sectional trends with age to those of UK Biobank (UKBB) participants (N = 19,973; same age range). Surprisingly among Tsimane and Moseten (T/M) males, some parietal and occipital structures mediating visuospatial abilities exhibit small but significant increases in regional volume with age. UKBB males exhibit a steeper negative trend of regional volume with age in frontal and temporal structures compared to T/M males. However, T/M females exhibit significantly steeper rates of brain volume decrease with age compared to UKBB females, particularly for some cerebro-cortical structures (e.g., left subparietal cortex). Across the three populations, observed trends exhibit no interhemispheric asymmetry. In conclusion, the age-related rate of regional brain volume change may differ by lifestyle and sex. The lack of brain volume reduction with age is not known to exist in other human population, highlighting the putative role of lifestyle in constraining regional brain atrophy and promoting elements of non-industrialized lifestyle like higher physical activity.
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Affiliation(s)
- Nikhil N Chaudhari
- Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, USA
- Ethel Percy Andrus Gerontology Center, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
| | - Phoebe E Imms
- Ethel Percy Andrus Gerontology Center, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
| | - Nahian F Chowdhury
- Ethel Percy Andrus Gerontology Center, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
| | - Margaret Gatz
- Center for Economic and Social Research, Dana and David Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA, USA
| | - Benjamin C Trumble
- Center for Evolution & Medicine, School of Human Evolution and Social Change, School of Life Sciences, Arizona State University, Tempe, AZ, USA
| | - Wendy J Mack
- Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - E Meng Law
- iBRAIN Research Laboratory, Departments of Neuroscience, Computer Systems and Electrical Engineering, Monash University, Melbourne, VIC, Australia
- Department of Radiology, The Alfred Health Hospital, Melbourne, VIC, Australia
- Department of Neurology, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | | | | | - Christopher J Rowan
- Renown Institute for Heart and Vascular Health, Reno, NV, USA
- School of Medicine, University of Nevada, Reno, NV, USA
| | - L Samuel Wann
- Division of Cardiology, University of New Mexico, Albuquerque, NM, USA
| | - Adel H Allam
- Department of Cardiology, School of Medicine, Al-Azhar University, Al Mikhaym Al Daem, Cairo, Egypt
| | - Randall C Thompson
- Saint Luke's Mid America Heart Institute, University of Missouri, Kansas City, MO, USA
| | - David E Michalik
- Department of Pediatrics, School of Medicine, University of California, Irvine, Orange, CA, USA
- MemorialCare Miller Children's & Women's Hospital, Long Beach Medical Center, Long Beach, CA, USA
| | - Michael Miyamoto
- Division of Cardiology, Mission Heritage Medical Group, Providence Health, Mission Viejo, CA, USA
| | | | - Daniel K Cummings
- Department of Anthropology, University of New Mexico, Albuquerque, NM, USA
- Economic Science Institute, Argyros School of Business and Economics, Chapman University, Orange, CA, USA
| | - Edmond Seabright
- Department of Anthropology, University of New Mexico, Albuquerque, NM, USA
| | - Sarah Alami
- Department of Anthropology, University of New Mexico, Albuquerque, NM, USA
| | - Angela R Garcia
- Center for Evolution & Medicine, School of Human Evolution and Social Change, School of Life Sciences, Arizona State University, Tempe, AZ, USA
| | - Daniel E Rodriguez
- Institute of Biomedical Research, San Simon University, Cochabamba, Bolivia
| | | | | | - Paul L Hooper
- Department of Anthropology, University of New Mexico, Albuquerque, NM, USA
| | - Kenneth H Buetow
- Center for Evolution & Medicine, School of Human Evolution and Social Change, School of Life Sciences, Arizona State University, Tempe, AZ, USA
| | - Jonathan Stieglitz
- Institute for Advanced Study in Toulouse, Toulouse 1 Capitol University, Toulouse, France
| | - Michael D Gurven
- Department of Anthropology, University of California, Santa Barbara, USA
| | - Gregory S Thomas
- MemorialCare Health Systems, Fountain Valley, CA, USA
- Division of Cardiology, University of California, Irvine, Orange, CA, USA
| | - Hillard S Kaplan
- Economic Science Institute, Argyros School of Business and Economics, Chapman University, Orange, CA, USA
| | - Caleb E Finch
- Ethel Percy Andrus Gerontology Center, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
- Departments of Biological Sciences, Anthropology and Psychology, Dana and David Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA, USA
| | - Andrei Irimia
- Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, USA.
- Ethel Percy Andrus Gerontology Center, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
- Department of Quantitative and Computational Biology, Dana and David Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA, USA.
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Bezerra CC, Toledo NDN, da Silva DF, da Silva FC, Duarte VV, Brucki SMD, Giudice DL, Fonseca LM, Souza‐Talarico JN. Culturally adapted cognitive assessment tool for Indigenous communities in Brazil: Content, construct, and criterion validity. ALZHEIMER'S & DEMENTIA (AMSTERDAM, NETHERLANDS) 2024; 16:e12591. [PMID: 38706953 PMCID: PMC11066414 DOI: 10.1002/dad2.12591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 03/06/2024] [Accepted: 03/08/2024] [Indexed: 05/07/2024]
Abstract
INTRODUCTION Initial dementia prevalence estimates have revealed a significant burden of the disease in Indigenous communities in Amazonas, Brazil. However, the need for culturally adapted cognitive tools poses a critical challenge when assessing cognitive performance in these communities. This study addressed this issue by culturally adapting and providing validity indicators for the Brazilian Indigenous Cognitive Assessment (BRICA) tool in Manaus, Brazil's urban multiethnic Indigenous community. METHODS Using a three-stage process and a stakeholder-engaged approach, the BRICA tool was culturally adapted in an urban multiethnic Indigenous community from Manaus, Brazil. The content validity index (CVI) examined inter-rater concordance between experts, while criterion and concurrent validity were performed using diagnostic consensus criteria in 141 Indigenous participants aged ≥ 50 years. RESULTS Findings showed evidence of content validity in terms of equivalence aspects (scale CVI [S-CVI] 0.93) and relevance ratings (S-CVI 0.85) between expert panels. The identified cut-off score of ≤ 33/39 on the BRICA demonstrated a sensitivity of 94.4%, specificity of 99.2%, positive predictive value of 94.4%, and negative predictive value of 99.2% for dementia diagnosis. DISCUSSION Using a stakeholder-engaged approach, we culturally adapted the BRICA tool for a Brazilian urban multiethnic Indigenous community. This comprehensive adaptation process resulted in favorable indicators of content, construct, and criteria validity for the BRICA tool. By addressing the existing bias in cognitive assessment within Indigenous communities, the BRICA tool represents a noteworthy breakthrough. Its implementation exhibits potential for improving the early detection and management of dementia among Indigenous groups. Highlights Culturally sensitive tools are essential to assess cognition in Indigenous populations.An expert panel and stakeholders' perspectives were incorporated to design the Brazilian Indigenous Cognitive Assessment (BRICA) tool.A cognitive screening tool was adapted and validated using a stakeholder approach.BRICA is the first culturally sensitive cognitive tool for urban Brazilian Indigenous individuals.
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Affiliation(s)
- Camila Carlos Bezerra
- Department of Medical‐Surgical NursingSchool of NursingUniversity of São PauloSão PauloBrazil
- School of Nursing at ManausFederal University of AmazonasManausBrazil
| | | | - Diego Ferreira da Silva
- Department of Medical‐Surgical NursingSchool of NursingUniversity of São PauloSão PauloBrazil
| | | | | | | | - Dina Lo Giudice
- National Ageing Research Institute Ltd, Parkville, VictoriaAustralia Royal Melbourne HospitalRoyal Park CampusParkvilleVictoriaAustralia
| | - Luciana Mascarenhas Fonseca
- Department of Community and Behavioral HealthElson S. Floyd College of MedicineWashington State UniversityPullmanWashingtonUSA
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Finch CE, Burstein SM. Dementia in the Ancient Greco-Roman World Was Minimally Mentioned. J Alzheimers Dis 2024; 97:1581-1588. [PMID: 38277296 DOI: 10.3233/jad-230993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2024]
Abstract
Background The possibility that Alzheimer's disease and related dementias (ADRD) is a modern disease arises from the minimal mention of advanced cognitive decline by ancient Greeks and Romans, who were mainly concerned with the physical frailties of older ages. Objective Because standard medical histories of elderly health lacked mention of cognitive decline, we examined texts by Greek and Roman authors that mentioned memory loss and dementia. Methods Primary texts of Greco-Roman authors, 8th century BCE into the 3rd century CE, that mentioned cognitive decline were identified and critically evaluated. Secondary sources were excluded. Results No ancient account of cognitive loss is equivalent to modern clinical data. The term dementia was occasionally used in antiquity, but not invariably linked to old age. Ancient Greeks and Romans expected intellectual competence beyond age 60. While some memory loss was acknowledged, we found only four accounts of severe cognitive loss that might represent ADRD. The possibility of modest ADRD prevalence in ancient Greece and Rome is consistent with its low prevalence in the Tsimane of Bolivia. These contemporary Amerindians live under conditions of high mortality from frequent infections and minimal cardiovascular disease with physically demanding lives. Tsimane after age 60 had increased mild cognitive impairment; the few cases of dementia were not clinically consistent with AD. Conclusions The modern 'epidemic level' of advanced dementias was not described among ancient Greco-Roman elderly. The possible emergence of advanced ADRD in the Roman era may be associated with environmental factors of air pollution and increased exposure to lead. Further historical analysis may formulate critical hypotheses about the modernity of high ADRD prevalence.
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Affiliation(s)
- Caleb E Finch
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
| | - Stanley M Burstein
- Department of History, California State University, Los Angeles, CA, USA
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Nguyen HXT, Bradley K, McNamara BJ, Watson R, Malay R, LoGiudice D. Risk, protective, and biomarkers of dementia in Indigenous peoples: A systematic review. Alzheimers Dement 2024; 20:563-592. [PMID: 37746888 PMCID: PMC10917055 DOI: 10.1002/alz.13458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 08/10/2023] [Accepted: 08/13/2023] [Indexed: 09/26/2023]
Abstract
INTRODUCTION Dementia is an emergent health priority for Indigenous peoples worldwide, yet little is known about disease drivers and protective factors. METHODS Database searches were conducted in March 2022 to identify original publications on risk, protective, genetic, neuroradiological, and biological factors related to dementia and cognitive impairment involving Indigenous peoples. RESULTS Modifiable risk factors featured across multiple studies include childhood adversity, hearing loss, low education attainment, unskilled work history, stroke, head injury, epilepsy, diabetes, hypertension, hyperlipidemia, depression, low BMI, poor mobility, and continence issues. Non-modifiable risk factors included increasing age, sex, and genetic polymorphisms. Education, ex-smoking, physical and social activity, and engagement with cultural or religious practices were highlighted as potential protective factors. There is a paucity of research on dementia biomarkers involving Indigenous peoples. DISCUSSION Greater understanding of modifiable factors and biomarkers of dementia can assist in strength-based models to promote healthy ageing and cognition for Indigenous peoples.
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Affiliation(s)
- Huong X. T. Nguyen
- Department of MedicineRoyal Melbourne HospitalMelbourneVictoriaAustralia
- Department of Population Health and ImmunityWalter and Eliza Hall Institute of Medical ResearchMelbourneVictoriaAustralia
| | - Kate Bradley
- Department of MedicineRoyal Melbourne HospitalMelbourneVictoriaAustralia
| | - Bridgette J. McNamara
- Centre for Epidemiology and BiostatisticsUniversity of MelbourneVictoriaAustralia
- Barwon South‐West Public Health UnitBarwon HealthGeelongVictoriaAustralia
| | - Rosie Watson
- Department of MedicineRoyal Melbourne HospitalMelbourneVictoriaAustralia
- Department of Population Health and ImmunityWalter and Eliza Hall Institute of Medical ResearchMelbourneVictoriaAustralia
| | - Roslyn Malay
- Western Australian Centre for Health and AgeingUniversity of Western AustraliaPerthWAAustralia
| | - Dina LoGiudice
- Department of MedicineRoyal Melbourne HospitalMelbourneVictoriaAustralia
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Lorenzo-Mora AM, López-Sobaler AM, Bermejo LM, González-Rodríguez LG, Cuadrado-Soto E, Peral-Suárez Á, Salas-González MD, Delgado-Losada ML, Rodríguez-Rojo IC, Barabash A, Maestú-Unturbe F, Aparicio A. Association between Mineral Intake and Cognition Evaluated by Montreal Cognitive Assessment (MoCA): A Cross-Sectional Study. Nutrients 2023; 15:4505. [PMID: 37960158 PMCID: PMC10648921 DOI: 10.3390/nu15214505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 09/27/2023] [Accepted: 10/20/2023] [Indexed: 11/15/2023] Open
Abstract
BACKGROUND Mineral intake may protect against cognitive impairment (CI) and all-cause dementia, which affects a large number of adults worldwide. The aim of this study was to investigate the association between mineral intake and Montreal Cognitive Assessment (MoCA), which is a sensitive and specific test. METHODS In total, 201 adults were included in a cross-sectional study. They completed a three-day dietary record to estimate their average daily intake of minerals. Contributions to dietary reference intakes (DRIs) were also calculated. The participants were divided into tertiles according to their mineral intake. CI classifications were determined via the MoCA (score < 26). Apolipoprotein E (APOE) genotyping was carried out, and the patients' anthropometric measurements and physical activity, health and personal data were collected. RESULTS The prevalence of CI in this selective sample was 54.2% (34.3% females and 19.9% males). In women, being in the third tertiles of iron and manganese intake was associated with lower odds of having CI (OR [95% CI]: 0.32 [0.11 ± 0.93]; 0.33 [0.12 ± 0.93], p < 0.05). No significant differences were observed for any of the nutrients studied in men. CONCLUSIONS These findings suggest that a low mineral intake, especially low iron and manganese intake in women, is associated with a worse cognition as assessed by MoCA.
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Affiliation(s)
- Ana M. Lorenzo-Mora
- Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (A.M.L.-M.); (A.M.L.-S.); (L.M.B.); (E.C.-S.); (Á.P.-S.); (M.D.S.-G.); (A.A.)
| | - Ana M. López-Sobaler
- Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (A.M.L.-M.); (A.M.L.-S.); (L.M.B.); (E.C.-S.); (Á.P.-S.); (M.D.S.-G.); (A.A.)
- VALORNUT Research Group, Complutense University of Madrid, 28040 Madrid, Spain;
- San Carlos Health Research Institute (IdISSC), 28040 Madrid, Spain;
| | - Laura M. Bermejo
- Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (A.M.L.-M.); (A.M.L.-S.); (L.M.B.); (E.C.-S.); (Á.P.-S.); (M.D.S.-G.); (A.A.)
- VALORNUT Research Group, Complutense University of Madrid, 28040 Madrid, Spain;
- San Carlos Health Research Institute (IdISSC), 28040 Madrid, Spain;
| | - Liliana G. González-Rodríguez
- Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (A.M.L.-M.); (A.M.L.-S.); (L.M.B.); (E.C.-S.); (Á.P.-S.); (M.D.S.-G.); (A.A.)
- VALORNUT Research Group, Complutense University of Madrid, 28040 Madrid, Spain;
| | - Esther Cuadrado-Soto
- Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (A.M.L.-M.); (A.M.L.-S.); (L.M.B.); (E.C.-S.); (Á.P.-S.); (M.D.S.-G.); (A.A.)
- VALORNUT Research Group, Complutense University of Madrid, 28040 Madrid, Spain;
| | - África Peral-Suárez
- Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (A.M.L.-M.); (A.M.L.-S.); (L.M.B.); (E.C.-S.); (Á.P.-S.); (M.D.S.-G.); (A.A.)
- School of Sport, Exercise and Health Sciences, Loughborough LE11 3TU, UK
| | - María Dolores Salas-González
- Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (A.M.L.-M.); (A.M.L.-S.); (L.M.B.); (E.C.-S.); (Á.P.-S.); (M.D.S.-G.); (A.A.)
- VALORNUT Research Group, Complutense University of Madrid, 28040 Madrid, Spain;
| | - María Luisa Delgado-Losada
- VALORNUT Research Group, Complutense University of Madrid, 28040 Madrid, Spain;
- San Carlos Health Research Institute (IdISSC), 28040 Madrid, Spain;
- Department of Experimental Psychology, Cognitive Processes and Speech Therapy, Faculty of Psychology, Complutense University of Madrid, 28223 Madrid, Spain
| | - Inmaculada C. Rodríguez-Rojo
- Center for Cognitive and Computational Neuroscience, Complutense University of Madrid, 28223 Madrid, Spain;
- Department of Nursing and Physiotherapy, Faculty of Medicine and Health Sciences, Universidad de Alcalá, 28871 Madrid, Spain
| | - Ana Barabash
- Faculty of Medicine, Department of Medicine, Complutense University of Madrid, 28040 Madrid, Spain;
- Endocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), 28029 Madrid, Spain
| | - Fernando Maestú-Unturbe
- San Carlos Health Research Institute (IdISSC), 28040 Madrid, Spain;
- Department of Experimental Psychology, Cognitive Processes and Speech Therapy, Faculty of Psychology, Complutense University of Madrid, 28223 Madrid, Spain
- Center for Cognitive and Computational Neuroscience, Complutense University of Madrid, 28223 Madrid, Spain;
| | - Aránzazu Aparicio
- Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain; (A.M.L.-M.); (A.M.L.-S.); (L.M.B.); (E.C.-S.); (Á.P.-S.); (M.D.S.-G.); (A.A.)
- VALORNUT Research Group, Complutense University of Madrid, 28040 Madrid, Spain;
- San Carlos Health Research Institute (IdISSC), 28040 Madrid, Spain;
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10
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Trumble BC, Charifson M, Kraft T, Garcia AR, Cummings DK, Hooper P, Lea AJ, Eid Rodriguez D, Koebele SV, Buetow K, Beheim B, Minocher R, Gutierrez M, Thomas GS, Gatz M, Stieglitz J, Finch CE, Kaplan H, Gurven M. Apolipoprotein-ε 4 is associated with higher fecundity in a natural fertility population. SCIENCE ADVANCES 2023; 9:eade9797. [PMID: 37556539 PMCID: PMC10411886 DOI: 10.1126/sciadv.ade9797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Accepted: 07/11/2023] [Indexed: 08/11/2023]
Abstract
In many populations, the apolipoprotein-ε4 (APOE-ε4) allele increases the risk for several chronic diseases of aging, including dementia and cardiovascular disease; despite these harmful effects at later ages, the APOE-ε4 allele remains prevalent. We assess the impact of APOE-ε4 on fertility and its proximate determinants (age at first reproduction, interbirth interval) among the Tsimane, a natural fertility population of forager-horticulturalists. Among 795 women aged 13 to 90 (20% APOE-ε4 carriers), those with at least one APOE-ε4 allele had 0.3 to 0.5 more children than (ε3/ε3) homozygotes, while those with two APOE-ε4 alleles gave birth to 1.4 to 2.1 more children. APOE-ε4 carriers achieve higher fertility by beginning reproduction 0.8 years earlier and having a 0.23-year shorter interbirth interval. Our findings add to a growing body of literature suggesting a need for studies of populations living in ancestrally relevant environments to assess how alleles that are deleterious in sedentary urban environments may have been maintained by selection throughout human evolutionary history.
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Affiliation(s)
- Benjamin C. Trumble
- School of Human Evolution and Social Change, Arizona State University, Tempe, AZ, USA
- Center for Evolution and Medicine, Arizona State University, Tempe, AZ, USA
| | - Mia Charifson
- Department of Population Health, New York University Grossman School of Medicine, New York City, NY, USA
| | - Tom Kraft
- Anthropology Department, University of Utah, Salt Lake City, UT, USA
| | - Angela R. Garcia
- Center for Evolution and Medicine, Arizona State University, Tempe, AZ, USA
- Scientific Research Core, Phoenix Children's Hospital, Phoenix, AZ, USA
- Department of Child Health, University of Arizona, Tucson, AZ, USA
| | - Daniel K. Cummings
- Department of Health Economics and Anthropology, Economic Science Institute, Argyros School of Business and Economics, Chapman University, Orange, CA, USA
| | - Paul Hooper
- Department of Health Economics and Anthropology, Economic Science Institute, Argyros School of Business and Economics, Chapman University, Orange, CA, USA
| | - Amanda J. Lea
- Child and Brain Development Program, Canadian Institute for Advanced Research, Toronto, Ontario, Canada
- Department of Biological Sciences, Vanderbilt University, Nashville, TN, USA
| | | | | | - Kenneth Buetow
- Center for Evolution and Medicine, Arizona State University, Tempe, AZ, USA
- School of Life Sciences, Arizona State University, Tempe, AZ, USA
| | - Bret Beheim
- Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | - Riana Minocher
- Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | | | - Gregory S. Thomas
- MemorialCare Health System, Fountain Valley, CA, USA
- University of California, Irvine, CA, USA
| | - Margaret Gatz
- Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA
| | - Jonathan Stieglitz
- Institute for Advanced Study in Toulouse, Université Toulouse 1 Capitole, Toulouse, France
| | - Caleb E. Finch
- Leonard Davis School of Gerontology and Dornsife College, University of Southern California, Los Angeles, CA, USA
| | - Hillard Kaplan
- Department of Health Economics and Anthropology, Economic Science Institute, Argyros School of Business and Economics, Chapman University, Orange, CA, USA
| | - Michael Gurven
- Department of Anthropology, University of California Santa Barbara, Santa Barbara, CA, USA
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11
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Konner M, Eaton SB. Hunter-gatherer diets and activity as a model for health promotion: Challenges, responses, and confirmations. Evol Anthropol 2023; 32:206-222. [PMID: 37417918 DOI: 10.1002/evan.21987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 07/27/2022] [Accepted: 04/17/2023] [Indexed: 07/08/2023]
Abstract
Beginning in 1985, we and others presented estimates of hunter-gatherer (and ultimately ancestral) diet and physical activity, hoping to provide a model for health promotion. The Hunter-Gatherer Model was designed to offset the apparent mismatch between our genes and the current Western-type lifestyle, a mismatch that arguably affects prevalence of many chronic degenerative diseases. The effort has always been controversial and subject to both scientific and popular critiques. The present article (1) addresses eight such challenges, presenting for each how the model has been modified in response, or how the criticism can be rebutted; (2) reviews new epidemiological and experimental evidence (including especially randomized controlled clinical trials); and (3) shows how official recommendations put forth by governments and health authorities have converged toward the model. Such convergence suggests that evolutionary anthropology can make significant contributions to human health.
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Affiliation(s)
- Melvin Konner
- Department of Anthropology, Program in Anthropology and Human Biology, Emory University, Atlanta, Georgia, USA
| | - S Boyd Eaton
- Department of Radiology, Emory University School of Medicine (Emeritus), Adjunct Lecturer, Department of Anthropology, Emory University, Atlanta, Georgia, USA
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12
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Stieglitz J, Buoro Y, Beheim B, Trumble BC, Kaplan H, Gurven M. Labour's pain: strenuous subsistence work, mechanical wear-and-tear and musculoskeletal pain in a non-industrialized population. Proc Biol Sci 2023; 290:20222497. [PMID: 37161336 PMCID: PMC10170198 DOI: 10.1098/rspb.2022.2497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Accepted: 04/21/2023] [Indexed: 05/11/2023] Open
Abstract
Musculoskeletal pain is the most debilitating human health condition. Neurophysiological pain mechanisms are highly conserved and promote somatic maintenance and learning to avoid future harm. However, some chronic pain might be more common owing to mismatches between modern lifestyles and traits that originally evolved under distinct premodern conditions. To inform assumptions about factors affecting chronic pain vulnerability prior to industrialization, we assess pain prevalence, perceived causes, and predictors among Tsimane forager-horticulturalists. Habitual subsistence work is the primary reported cause of pain throughout life for both sexes, and pain is more common with age, especially in the back, and for those with more musculoskeletal problems. Sex differences in pain are relatively weak, and we find no association between women's reproductive history and pain, contrary to the hypothesis that reproduction causes women's greater pain susceptibility. Age-standardized current pain prevalence is 1.7-8.2 times higher for Tsimane than other select populations, and Tsimane chronic pain prevalence is within the range of variation observed elsewhere. Chronic low back pain is not a 'mismatch disease' limited to post-industrialized populations. Hominin musculoskeletal changes supporting bipedalism probably imposed health costs, which, after millions of years of evolution, remain an epidemiological burden that may be exacerbated by modern conditions.
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Affiliation(s)
- Jonathan Stieglitz
- Institute for Advanced Study in Toulouse, Université Toulouse 1 Capitole, Toulouse 31080, France
| | - Yoann Buoro
- Department of Anthropology, University of California-Santa Barbara, Santa Barbara, CA 93106, USA
| | - Bret Beheim
- Department of Human Behavior, Ecology and Culture, Max-Planck Institute for Evolutionary Anthropology, Leipzig 04103, Germany
| | - Benjamin C. Trumble
- Center for Evolution and Medicine, Arizona State University, Tempe, AZ 85287, USA
- School of Human Evolution and Social Change, Arizona State University, Tempe, AZ 85287, USA
| | - Hillard Kaplan
- Economic Science Institute, Chapman University, 1 University Drive, Orange, CA 92866, USA
| | - Michael Gurven
- Department of Anthropology, University of California-Santa Barbara, Santa Barbara, CA 93106, USA
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13
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Kaplan H, Hooper PL, Gatz M, Mack WJ, Law EM, Chui HC, Sutherland ML, Sutherland JD, Rowan CJ, Wann LS, Allam AH, Thompson RC, Michalik DE, Lombardi G, Miyamoto MI, Eid Rodriguez D, Copajira Adrian J, Quispe Gutierrez R, Beheim BA, Cummings DK, Seabright E, Alami S, R. Garcia A, Buetow K, Thomas GS, Finch CE, Stieglitz J, Trumble BC, Gurven MD, Irimia A. Brain volume, energy balance, and cardiovascular health in two nonindustrial South American populations. Proc Natl Acad Sci U S A 2023; 120:e2205448120. [PMID: 36940322 PMCID: PMC10068758 DOI: 10.1073/pnas.2205448120] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Accepted: 01/24/2023] [Indexed: 03/22/2023] Open
Abstract
Little is known about brain aging or dementia in nonindustrialized environments that are similar to how humans lived throughout evolutionary history. This paper examines brain volume (BV) in middle and old age among two indigenous South American populations, the Tsimane and Moseten, whose lifestyles and environments diverge from those in high-income nations. With a sample of 1,165 individuals aged 40 to 94, we analyze population differences in cross-sectional rates of decline in BV with age. We also assess the relationships of BV with energy biomarkers and arterial disease and compare them against findings in industrialized contexts. The analyses test three hypotheses derived from an evolutionary model of brain health, which we call the embarrassment of riches (EOR). The model hypothesizes that food energy was positively associated with late life BV in the physically active, food-limited past, but excess body mass and adiposity are now associated with reduced BV in industrialized societies in middle and older ages. We find that the relationship of BV with both non-HDL cholesterol and body mass index is curvilinear, positive from the lowest values to 1.4 to 1.6 SDs above the mean, and negative from that value to the highest values. The more acculturated Moseten exhibit a steeper decrease in BV with age than Tsimane, but still shallower than US and European populations. Lastly, aortic arteriosclerosis is associated with lower BV. Complemented by findings from the United States and Europe, our results are consistent with the EOR model, with implications for interventions to improve brain health.
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Affiliation(s)
- Hillard Kaplan
- Economic Science Institute, Chapman University, Orange, CA82866
| | - Paul L. Hooper
- Economic Science Institute, Chapman University, Orange, CA82866
- Department of Anthropology, University of New Mexico, Albuquerque, NM87131
| | - Margaret Gatz
- Center for Economic and Social Research, University of Southern California, Los Angeles, CA90089
| | - Wendy J. Mack
- Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA90089
| | - E. Meng Law
- Department of Neurology, Keck School of Medicine, University of Southern California, Los Angeles, CA90089
- Department of Radiology, The Alfred Health Hospital, Melbourne, VIC3004, Australia
- iBRAIN Research Laboratory, Departments of Neuroscience, Computer Systems and Electrical Engineering, Monash University, Melbourne, VIC3800, Australia
| | - Helena C. Chui
- Department of Neurology, Keck School of Medicine, University of Southern California, Los Angeles, CA90089
- Alzheimer’s Disease Research Center, Keck School of Medicine, University of Southern California, Los Angeles, CA90089
| | | | | | - Christopher J. Rowan
- Renown Institute for Heart and Vascular Health, Reno, NV89502
- School of Medicine, University of Nevada, Reno, NV89557
| | - L. Samuel Wann
- Division of Cardiology, University of New Mexico, Albuquerque, NM87131
| | - Adel H. Allam
- Department of Cardiology, School of Medicine, Al-Azhar University, Al Mikhaym Al Daem, Cairo4334003, Egypt
| | - Randall C. Thompson
- Saint Luke’s Mid America Heart Institute, University of Missouri - Kansas City, Kansas City, MO64111
| | - David E. Michalik
- Department of Pediatrics, School of Medicine, University of California at Irvine, Orange, CA92617
- MemorialCare Miller Children’s and Women’s Hospital, Long Beach, CA90806
| | - Guido Lombardi
- Laboratorio de Paleopatologia, Catedra Pedro Weiss, Universidad Peruana Cayetano Heredia, Lima15102, Peru
| | | | | | | | | | - Bret A. Beheim
- Department of Human Behavior, Ecology and Culture, Max Planck Institute for Evolutionary Anthropology, Leipzig04103, Germany
| | | | - Edmond Seabright
- Department of Anthropology, University of New Mexico, Albuquerque, NM87131
- School of Collective Intelligence, Universite Mohammed 6 Polytechnic, Ben Guerir43150, Morocco
| | - Sarah Alami
- School of Collective Intelligence, Universite Mohammed 6 Polytechnic, Ben Guerir43150, Morocco
- Department of Anthropology, University of California Santa Barbara, Santa Barbara, CA93106
| | - Angela R. Garcia
- Scientific Research Core, Phoenix Children’s Hospital, Phoenix, AZ85016
- Department of Child Health, University of Arizona, Tucson, AZ85724
| | - Kenneth Buetow
- Center for Evolution and Medicine, School of Life Sciences, Arizona State University, Tempe, AZ85287
| | - Gregory S. Thomas
- MemorialCare Health Systems, Fountain Valley, CA92708
- Division of Cardiology, University of California, Irvine, Orange, CA92868
| | - Caleb E. Finch
- Ethel Percy Andrus Gerontology Center, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA90089
- Department of Biological Sciences, Anthropology and Psychology, University of Southern California, Los Angeles, CA90089
| | - Jonathan Stieglitz
- Institute for Advanced Study in Toulouse, Toulouse 1 Capitole University, Toulouse31000, France
| | - Benjamin C. Trumble
- Center for Evolution and Medicine, School of Human Evolution and Social Change, Arizona State University, Tempe, AZ85287
| | - Michael D. Gurven
- Department of Anthropology, University of California Santa Barbara, Santa Barbara, CA93106
| | - Andrei Irimia
- Ethel Percy Andrus Gerontology Center, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA90089
- Corwin D. Denney Research Center, Department of Biomedical Engineering, University of Southern California, Los Angeles, CA90089
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14
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Borelli WV, Formoso CR, Bieger A, Ferreira PL, Zimmer ER, Pascoal TA, Chaves MLF, Castilhos RM. Race‐related population attributable fraction of preventable risk factors of dementia: A Latino population‐based study. ALZHEIMER'S & DEMENTIA : DIAGNOSIS, ASSESSMENT & DISEASE MONITORING 2023; 15:e12408. [PMID: 36968620 PMCID: PMC10031750 DOI: 10.1002/dad2.12408] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 12/27/2022] [Accepted: 01/19/2023] [Indexed: 03/24/2023]
Abstract
Background Risk factors for dementia have distinct frequency and impact in relation to race. Our aim was to identify differences in modifiable risk factors of dementia related to races and estimate their population attributable fraction (PAF). Methods An epidemiological cohort was used to estimate the prevalence of 10 modifiable risk factors for dementia among five races—White, Black, Brown, Asian, and Indigenous. Sample weighting was used to estimate the prevalence and PAF of each risk factor in each race. Results A total of 9070 individuals were included. Overall adjusted PAF was the lowest in Indigenous (38.9%), and Asian individuals (41.2%). Race‐related prevalence of individual risk factors was widely variable in our population, but hearing loss was the most important contributor to the overall PAF in all races. Conclusions Public policies aiming to reduce preventable risk factors for dementia should take into consideration the race of the target populations. HIGHLIGHTS Preventable risk factors for dementia vary according to race. Hearing loss presented the highest prevalence among all races studied. Indigenous and Asian individuals presented the lowest population attributable fractions. Black and Brown individuals were more vulnerable to social determinants.
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Affiliation(s)
- Wyllians Vendramini Borelli
- Pharmacology and Therapeutics Research ProgramUniversidade Federal do Rio Grande do Sul (UFRGS)Porto AlegreBrazil
- Cognitive and Behavioral Neurology CenterNeurology ServiceHospital de Clínicas de Porto Alegre (HCPA)Porto AlegreBrazil
| | - Carolina Rodrigues Formoso
- Cognitive and Behavioral Neurology CenterNeurology ServiceHospital de Clínicas de Porto Alegre (HCPA)Porto AlegreBrazil
- Faculty of MedicineUniversidade Federal do Rio Grande do Sul (UFRGS)Porto AlegreBrazil
| | - Andrei Bieger
- Faculty of MedicineUniversidade Federal do Rio Grande do Sul (UFRGS)Porto AlegreBrazil
- Department of BiochemistryInstitute of Health SciencesUniversidade Federal do Rio Grande do Sul (UFRGS)Porto AlegreBrazil
| | | | - Eduardo R. Zimmer
- Pharmacology and Therapeutics Research ProgramUniversidade Federal do Rio Grande do Sul (UFRGS)Porto AlegreBrazil
| | | | - Marcia Lorena Fagundes Chaves
- Cognitive and Behavioral Neurology CenterNeurology ServiceHospital de Clínicas de Porto Alegre (HCPA)Porto AlegreBrazil
- Faculty of MedicineUniversidade Federal do Rio Grande do Sul (UFRGS)Porto AlegreBrazil
| | - Raphael Machado Castilhos
- Cognitive and Behavioral Neurology CenterNeurology ServiceHospital de Clínicas de Porto Alegre (HCPA)Porto AlegreBrazil
- Faculty of MedicineUniversidade Federal do Rio Grande do Sul (UFRGS)Porto AlegreBrazil
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15
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Ribeiro F, Teixeira-Santos AC, Caramelli P, Leist AK. Prevalence of dementia in Latin America and Caribbean countries: Systematic review and meta-analyses exploring age, sex, rurality, and education as possible determinants. Ageing Res Rev 2022; 81:101703. [PMID: 35931410 PMCID: PMC9582196 DOI: 10.1016/j.arr.2022.101703] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 07/30/2022] [Accepted: 07/31/2022] [Indexed: 01/31/2023]
Abstract
BACKGROUND Studies have shown that the prevalence of dementia in Latin America and the Caribbean (LAC) may be higher than in high-income countries. Thus, we sought to systematically analyse the prevalence of dementia and explore possible drivers that lead to this disparity in LAC countries. METHOD We searched Pubmed, Web of Knowledge, Scopus, Lilacs, and SciELO for studies on dementia in LAC countries published in English, Spanish, and Portuguese. Random-effects model was applied. RESULTS Thirty-one studies from 17 LAC countries were included. Pooled prevalence of all-cause dementia was 10.66%. Further analyses with studies providing raw prevalence by sex, area, and educational level showed a higher prevalence for women (8.97%) than for men (7.26%). Also, dementia prevalence was higher for rural than urban residents (7.71% vs 8.68%, respectively). Participants without formal education presented more than double the prevalence of dementia (21.37%) compared to those with at least one year of formal education (9.88%). Studies with more recent data collection showed higher dementia prevalence. CONCLUSION Our findings suggest a high global dementia prevalence in LAC countries and an unequal burden of dementia for women, lower-educated, and rural residents. Secular increases in dementia prevalence call for greater public health efforts for preventative actions.
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Affiliation(s)
- Fabiana Ribeiro
- Department of Social Sciences, University of Luxembourg Belval Campus, 11 Porte des Sciences, L-4366 Esch-sur-Alzette, Luxembourg,Correspondence to: University of Luxembourg, Department of Social Sciences, Esch-sur Alzette, Luxembourg.
| | - Ana C. Teixeira-Santos
- Department of Social Sciences, University of Luxembourg Belval Campus, 11 Porte des Sciences, L-4366 Esch-sur-Alzette, Luxembourg
| | - Paulo Caramelli
- Behavioral and Cognitive Neurology Research Group, Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, Av. Alfredo Balena, 190 - sala 246, 30130-100 Belo Horizonte, Minas Gerais, Brazil
| | - Anja K. Leist
- Department of Social Sciences, University of Luxembourg Belval Campus, 11 Porte des Sciences, L-4366 Esch-sur-Alzette, Luxembourg
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16
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Rody T, De Amorim JA, De Felice FG. The emerging neuroprotective roles of exerkines in Alzheimer’s disease. Front Aging Neurosci 2022; 14:965190. [PMID: 36118704 PMCID: PMC9472554 DOI: 10.3389/fnagi.2022.965190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Accepted: 08/11/2022] [Indexed: 11/26/2022] Open
Abstract
Despite the extensive knowledge of the beneficial effects of physical exercise, a sedentary lifestyle is still a predominant harm in our society. Sedentarism is one of the major modifiable risk factors for metabolic diseases such as diabetes mellitus, obesity and neurological disorders, including Alzheimer’s disease (AD)–characterized by synaptic failure, amyloid protein deposition and memory loss. Physical exercise promotes neuroprotective effects through molecules released in circulation and mediates the physiological crosstalk between the periphery and the brain. This literature review summarizes the current understanding of the roles of exerkines, molecules released during physical exercise, as systemic and central factors that mediate the beneficial effects of physical exercise on cognition. We highlight the neuroprotective role of irisin—a myokine released from the proteolytic cleavage of fibronectin type III domain-containing protein 5 (FNDC5) transmembrane protein. Lastly, we review evidence pointing to physical exercise as a potential preventative and interventional strategy against cognitive decline in AD.
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Affiliation(s)
- Tayna Rody
- Institute of Medical Biochemistry Leopoldo de Meis, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Julia A. De Amorim
- Institute of Medical Biochemistry Leopoldo de Meis, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Fernanda G. De Felice
- Institute of Medical Biochemistry Leopoldo de Meis, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- Centre for Neuroscience Studies, Department of Biomedical and Molecular Sciences, Queen’s University, Kingston, ON, Canada
- Department of Psychiatry, Queen’s University, Kingston, ON, Canada
- D’Or Institute for Research and Education, Rio de Janeiro, Brazil
- *Correspondence: Fernanda G. De Felice,
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17
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Wang W, Wang S, Liu Y, Wang X, Nie J, Meng X, Zhang Y. Ellagic Acid: A Dietary-Derived Phenolic Compound for Drug Discovery in Mild Cognitive Impairment. Front Aging Neurosci 2022; 14:925855. [PMID: 35860668 PMCID: PMC9289475 DOI: 10.3389/fnagi.2022.925855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 06/09/2022] [Indexed: 11/24/2022] Open
Abstract
Ellagic acid (EA), a naturally occurring polyphenolic compound, is detected in free form or linked to polyols or sugars, constituting hydrolyzable tannins or ellagitannins in distinct fruits, nuts, and herbs. Today, a considerable number of botanicals and enriched foods containing EA are commercially available as nutraceuticals and used to prevent mild cognitive impairment (MCI) due to the excellent neuroprotective capacity of EA. Here, this study aims to provide an overview of the physicochemical properties, source, and pharmacokinetics of EA and to emphasize the importance and mechanisms of EA in the prevention and management of MCI. To date, preclinical studies of EA and its derivatives in various cell lines and animal models have advanced the idea of dietary EA as a feasible agent capable of specifically targeting and improving MCI. The molecular mechanisms of EA and its derivatives to prevent or reduce MCI are mainly through reducing neuroinflammation, oxidative stress, neuronal apoptosis, synaptic dysfunction and loss, and defective mitochondrial functions. Nevertheless, well-designed and correctly large randomized controlled trials in the human population need to be performed to reinforce the scientific facticity of the beneficial effects of EA against MCI. Synchronously, the mechanism of EA against MCI is least provided cynosure and expects more attention from the emerging research community.
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Affiliation(s)
- Wenjun Wang
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Shaohui Wang
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
- *Correspondence: Shaohui Wang,
| | - Yue Liu
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Xiaobo Wang
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Jia Nie
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Xianli Meng
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yi Zhang
- State Key Laboratory of Southwestern Chinese Medicine Resources, School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
- Yi Zhang,
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