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Allcock L, Mantzioris E, Villani A. Adherence to a Mediterranean Diet Is Inversely Associated with Anxiety and Stress but Not Depression: A Cross-Sectional Analysis of Community-Dwelling Older Australians. Nutrients 2024; 16:366. [PMID: 38337651 PMCID: PMC10857277 DOI: 10.3390/nu16030366] [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: 11/20/2023] [Revised: 12/07/2023] [Accepted: 01/23/2024] [Indexed: 02/12/2024] Open
Abstract
Diet quality may be an important modifiable risk factor for mental health disorders. However, these findings have been inconsistent, particularly in older adults. We explored the independent associations between adherence to a Mediterranean diet (MedDiet) and severity of symptoms related to depression, anxiety and stress in older adults from Australia. This was a cross-sectional analysis of older Australians ≥ 60 years. MedDiet adherence was assessed using the Mediterranean Diet Adherence Screener (MEDAS), and the Depression, Anxiety and Stress Scale (DASS-21) was used to assess the severity of negative emotional symptoms. A total of n = 294 participants were included in the final analyses (70.4 ± 6.2 years). Adherence to a MedDiet was inversely associated with the severity of anxiety symptoms (β = -0.118; CI: -0.761, -0.012; p = 0.043) independent of age, gender, BMI, physical activity, sleep, cognitive risk and ability to perform activities of daily living. Furthermore, MedDiet adherence was inversely associated with symptoms of stress (β = -0.151; CI: -0.680, -0.073; p = 0.015) independent of age, gender, BMI, physical activity and sleep. However, no relationship between MedDiet adherence and depressive symptoms was observed. We showed that adherence to a MedDiet is inversely associated with the severity of symptoms related to anxiety and stress but not depression. Exploring these findings with the use of longitudinal analyses and robust clinical trials are needed to better elucidate these findings in older adults.
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Affiliation(s)
- Lisa Allcock
- School of Health, University of the Sunshine Coast, Sippy Downs, QLD 4556, Australia;
| | - Evangeline Mantzioris
- Clinical and Health Sciences & Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA 5000, Australia;
| | - Anthony Villani
- School of Health, University of the Sunshine Coast, Sippy Downs, QLD 4556, Australia;
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Brown AM, Ganjayi MS, Baumann CW. RAD140 (Testolone) negatively impacts skeletal muscle adaptation, frailty status and mortality risk in female mice. Clin Exp Pharmacol Physiol 2023; 50:973-983. [PMID: 37758180 DOI: 10.1111/1440-1681.13824] [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: 05/12/2023] [Revised: 07/25/2023] [Accepted: 08/28/2023] [Indexed: 10/03/2023]
Abstract
RAD140 is a selective androgen receptor modulator that produces anabolic effects within skeletal muscle. Thus, RAD140 may be effective at treating sarcopenia. No long-term studies have investigated how RAD140 influences strength in ageing muscle. This study aimed to determine how 10 weeks of RAD140 supplementation impacts strength, recovery from exercise, and overall health in ageing mice. Young and adult females were assigned to receive RAD140 (5 mg/kg) or a control solution. Dorsiflexor muscles were exposed to repeated bouts of eccentric contractions, and torque was measured before and after each bout. Adaptive potential and strength gains were calculated to assess the efficacy of RAD140 in muscle, while frailty status and mortality risk were used to measure health span. Supplementation of RAD140 increased frailty status and mortality risk in the young and adult treated groups compared to the controls (p ≤ 0.042). RAD140 decreased adaptive potential in young (p = 0.040) but not adult mice (p = 0.688). Torque did not differ between groups after 2-3 weeks of recovery (p ≥ 0.135). In conclusion, long-term RAD140 supplementation reduced indices of overall health and failed to improve strength in female mice, suggesting that RAD140 (at a 5mg/kg dosage) may be more detrimental than beneficial in delaying or preventing sarcopenia.
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Affiliation(s)
- Austin M Brown
- Honors Tutorial College, Ohio University, Athens, Ohio, USA
- Ohio Musculoskeletal and Neurological Institute (OMNI), Ohio University, Athens, Ohio, USA
| | - Muni Swamy Ganjayi
- Ohio Musculoskeletal and Neurological Institute (OMNI), Ohio University, Athens, Ohio, USA
- Department of Biomedical Sciences, Heritage College of Osteopathic Medicine, Ohio University, Athens, Ohio, USA
| | - Cory W Baumann
- Ohio Musculoskeletal and Neurological Institute (OMNI), Ohio University, Athens, Ohio, USA
- Department of Biomedical Sciences, Heritage College of Osteopathic Medicine, Ohio University, Athens, Ohio, USA
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3
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Schaaf GW, Justice JN, Quillen EE, Cline JM. Resilience, aging, and response to radiation exposure (RARRE) in nonhuman primates: a resource review. GeroScience 2023; 45:3371-3379. [PMID: 37188889 PMCID: PMC10643677 DOI: 10.1007/s11357-023-00812-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 04/26/2023] [Indexed: 05/17/2023] Open
Abstract
The Wake Forest nonhuman primate (NHP) Radiation Late Effects Cohort (RLEC) is a unique and irreplaceable population of aging NHP radiation survivors which serves the nation's need to understand the late effects of radiation exposure. Over the past 16 years, Wake Forest has evaluated > 250 previously irradiated rhesus macaques (Macaca mulatta) that were exposed to single total body irradiation (IR) doses of 1.14-8.5 Gy or to partial body exposures of up to 10 Gy (5% bone marrow sparing) or 10.75 Gy (whole thorax). Though primarily used to examine IR effects on disease-specific processes or to develop radiation countermeasures, this resource provides insights on resilience across physiologic systems and its relationship with biological aging. Exposure to IR has well documented deleterious effects on health, but the late effects of IR are highly variable. Some animals exhibit multimorbidity and accumulated health deficits, whereas others remain relatively resilient years after exposure to total body IR. This provides an opportunity to evaluate biological aging at the nexus of resilient/vulnerable responses to a stressor. Consideration of inter-individual differences in response to this stressor can inform individualized strategies to manage late effects of radiation exposure, and provide insight into mechanisms underlying systemic resilience and aging. The utility of this cohort for age-related research questions was summarized at the 2022 Trans-NIH Geroscience Interest Group's Workshop on Animal Models for Geroscience. We present a brief review of radiation injury and its relationship to aging and resilience in NHPs with a focus on the RLEC.
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Affiliation(s)
- George W Schaaf
- Department of Pathology, Section On Comparative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
| | - Jamie N Justice
- Department of Internal Medicine, Section On Gerontology and Geriatric Medicine, and Stich Center for Health Aging and Alzheimer's Prevention, Wake Forest University School of Medicine, Winston-Salem, NC, USA
| | - Ellen E Quillen
- Department of Internal Medicine, Section On Molecular Medicine, and Center for Precision Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA
| | - J Mark Cline
- Department of Pathology, Section On Comparative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA
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Baumann CW, Deane CS, Etheridge T, Szewczyk NJ, Willis CRG, Lowe DA. Adaptability to eccentric exercise training is diminished with age in female mice. J Appl Physiol (1985) 2023; 135:1135-1145. [PMID: 37823203 PMCID: PMC10979833 DOI: 10.1152/japplphysiol.00428.2023] [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: 06/29/2023] [Revised: 10/02/2023] [Accepted: 10/03/2023] [Indexed: 10/13/2023] Open
Abstract
The ability of skeletal muscle to adapt to eccentric contractions has been suggested to be blunted in older muscle. If eccentric exercise is to be a safe and efficient training mode for older adults, preclinical studies need to establish if older muscle can effectively adapt and if not, determine the molecular signatures that are causing this impairment. The purpose of this study was to quantify the extent age impacts functional adaptations of muscle and identify genetic signatures associated with adaptation (or lack thereof). The anterior crural muscles of young (4 mo) and older (28 mo) female mice performed repeated bouts of eccentric contractions in vivo (50 contractions/wk for 5 wk) and isometric torque was measured across the initial and final bouts. Transcriptomics was completed by RNA-sequencing 1 wk following the fifth bout to identify common and differentially regulated genes. When torques post eccentric contractions were compared after the first and fifth bouts, young muscle exhibited a robust ability to adapt, increasing isometric torque 20%-36%, whereas isometric torque of older muscle decreased up to 18% (P ≤ 0.047). Using differential gene expression, young and older muscles shared some common transcriptional changes in response to eccentric exercise training, whereas other transcripts appeared to be age dependent. That is, the ability to express particular genes after repeated bouts of eccentric contractions was not the same between ages. These molecular signatures may reveal, in part, why older muscles do not appear to be as adaptive to exercise training as young muscles.NEW & NOTEWORTHY The ability to adapt to exercise training may help prevent and combat sarcopenia. Here, we demonstrate young mouse muscles get stronger whereas older mouse muscles become weaker after repeated bouts of eccentric contractions, and that numerous genes were differentially expressed between age groups following training. These results highlight that molecular and functional plasticity is not fixed in skeletal muscle with advancing age, and the ability to handle or cope with physical stress may be impaired.
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Affiliation(s)
- Cory W Baumann
- Ohio Musculoskeletal and Neurological Institute (OMNI), Ohio University, Athens, Ohio, United States
- Department of Biomedical Sciences, Heritage College of Osteopathic Medicine, Ohio University, Athens, Ohio, United States
| | - Colleen S Deane
- Faculty of Life Sciences, Department of Public Health and Sport Sciences, University of Exeter, Exeter, United Kingdom
- Faculty of Medicine, Department of Human Development & Health, University of Southampton, Southampton General Hospital, Southampton, United Kingdom
| | - Timothy Etheridge
- Faculty of Life Sciences, Department of Public Health and Sport Sciences, University of Exeter, Exeter, United Kingdom
| | - Nathaniel J Szewczyk
- Ohio Musculoskeletal and Neurological Institute (OMNI), Ohio University, Athens, Ohio, United States
- Department of Biomedical Sciences, Heritage College of Osteopathic Medicine, Ohio University, Athens, Ohio, United States
| | - Craig R G Willis
- Ohio Musculoskeletal and Neurological Institute (OMNI), Ohio University, Athens, Ohio, United States
- Department of Biomedical Sciences, Heritage College of Osteopathic Medicine, Ohio University, Athens, Ohio, United States
- Faculty of Life Sciences, School of Chemistry and Biosciences, University of Bradford, Bradford, United Kingdom
| | - Dawn A Lowe
- Divisions of Rehabilitation Science and Physical Therapy, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, Minnesota, United States
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Albalwi AA, Alharbi AA. Optimal procedure and characteristics in using five times sit to stand test among older adults: A systematic review. Medicine (Baltimore) 2023; 102:e34160. [PMID: 37390277 PMCID: PMC10313281 DOI: 10.1097/md.0000000000034160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 06/09/2023] [Indexed: 07/02/2023] Open
Abstract
BACKGROUND Falls are a major concern for people of all ages, especially older adults with declining physical functions and deteriorating muscle strength. The Five Times Sit to Stand Test is used for the assessment of lower limb strength along with balance and postural control. Therefore, the systematic review at hand aimed to determine the optimal procedure and characteristics among older adults. METHODS The following databases served as the primary sources through which the target studies were searched for and obtained for review. They included Google Scholar, Pedro, BIOMED Central, Cochrane Library, MEDLINE, PUBMED and Science DIRECT. With the aim of fulfilling the eligibility criteria, 16 full-text studies were included and the quality assessment was performed. using the Thomas Tool. RESULTS The total number of the subjects who participated in the included studies was 15,130 and the ages of the aforementioned participants ranged from 60 to 80 years. In 15 of the studies, a stopwatch was used as the scoring method where the mean chair height of 42 cm was reported. Two studies reported that no significant influence of the arm position (P = .096) on the time allocated for test completion was identified. However, posterior foot placement (P < .001) led to shorter times of completion. Individuals who are unable to complete the test are more susceptible to activities of daily living related disabilities (P < .01) when compared to fall risk (P = .09). CONCLUSION The Five Times Sit-to-Stand Test is a safe test, providing added value to apply risk for falls in people at moderate risk and in healthy populations using standardized chair heights and stopwatches.
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Affiliation(s)
- Abdulaziz Aoudh Albalwi
- Department of Physical Therapy, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk, Saudi Arabia
| | - Ahmad Abdullah Alharbi
- Department of Physical Therapy, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk, Saudi Arabia
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Jiang G, Tan X, Wang H, Xu M, Wu X. Exploratory and confirmatory factor analyses identify three structural dimensions for measuring physical function in community-dwelling older adults. PeerJ 2023; 11:e15182. [PMID: 37475872 PMCID: PMC10355189 DOI: 10.7717/peerj.15182] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 03/14/2023] [Indexed: 07/22/2023] Open
Abstract
Background Physical function is a strong indicator of biological age and quality of life among older adults. However, the results from studies exploring the structural dimensions of physical function are inconsistent, and the measures assessed vary greatly, leading to a lack of comparability among them. This study aimed to construct a model to identify structural dimensions that are suitable and best assess physical function among community-dwelling adults 60-74 years of age in China. Method This study was conducted in 11 communities in Shanghai, China, from May to July 2021. A total of 381 adults 60-74 years of age were included in the study. Measured physical function data were used in factor analyses. Data collected from individuals were randomly assigned to either exploratory factor analysis (EFA) (n = 190) or confirmatory factor analysis (CFA) (n = 191). The statistical software used in the study was SPSS for EFA and AMOS for CFA. To test the properties of the structural dimension model of physical function, various fit indices, convergent validity, and discriminant validity were calculated. Results The EFA results derived seven indicators in three factors, with 58.548% of the total variance explained. The three factors were mobility function (three indicators), which explained 26.380% of the variance, handgrip strength and pulmonary function (two indicators), which explained 19.117% of the variance, and muscle strength (two indicators) which explained 13.050% of the variance. The CFA indicated that this model had an acceptable fit (χ2/df ratio, 2.102; GFI, 0.967; IFI, 0.960; CFI, 0.959; and RMSEA, 0.076), and the criteria for convergent validity and discriminability were also met by the model. Conclusion The constructed structural dimension model of physical function appeared to be a suitable and reliable tool to measure physical function in community-dwelling adults aged 60-74 years in China. The structural dimension indicators identified by this model may help sports medicine experts and healthcare providers offer more targeted interventions for older adults to reverse or slow the decline of physical function and to offer actionable targets for healthy aging in this population.
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Affiliation(s)
- Guiping Jiang
- School of Physical Education, Harbin University, Harbin, Heilongjiang, China
- School of Physical Education, Shanghai University of Sport, Shanghai, China
| | - Xiaohuan Tan
- School of Physical Education, Shanghai University of Sport, Shanghai, China
| | - Hailong Wang
- Shangti Health Technology (Shanghai) Co., Ltd., Shanghai, China
| | - Min Xu
- Shangti Health Technology (Shanghai) Co., Ltd., Shanghai, China
| | - Xueping Wu
- School of Physical Education, Shanghai University of Sport, Shanghai, China
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Fenn J, Taylor C, Goertz S, Wanelik KM, Paterson S, Begon M, Jackson J, Bradley J. Discrete patterns of microbiome variability across timescales in a wild rodent population. BMC Microbiol 2023; 23:87. [PMID: 36997846 PMCID: PMC10061908 DOI: 10.1186/s12866-023-02824-x] [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: 08/22/2022] [Accepted: 03/15/2023] [Indexed: 04/01/2023] Open
Abstract
Mammalian gastrointestinal microbiomes are highly variable, both within individuals and across populations, with changes linked to time and ageing being widely reported. Discerning patterns of change in wild mammal populations can therefore prove challenging. We used high-throughput community sequencing methods to characterise the microbiome of wild field voles (Microtus agrestis) from faecal samples collected across 12 live-trapping field sessions, and then at cull. Changes in α- and β-diversity were modelled over three timescales. Short-term differences (following 1–2 days captivity) were analysed between capture and cull, to ascertain the degree to which the microbiome can change following a rapid change in environment. Medium-term changes were measured between successive trapping sessions (12–16 days apart), and long-term changes between the first and final capture of an individual (from 24 to 129 days). The short period between capture and cull was characterised by a marked loss of species richness, while over medium and long-term in the field, richness slightly increased. Changes across both short and long timescales indicated shifts from a Firmicutes-dominant to a Bacteroidetes-dominant microbiome. Dramatic changes following captivity indicate that changes in microbiome diversity can be rapid, following a change of environment (food sources, temperature, lighting etc.). Medium- and long-term patterns of change indicate an accrual of gut bacteria associated with ageing, with these new bacteria being predominately represented by Bacteroidetes. While the patterns of change observed are unlikely to be universal to wild mammal populations, the potential for analogous shifts across timescales should be considered whenever studying wild animal microbiomes. This is especially true if studies involve animal captivity, as there are potential ramifications both for animal health, and the validity of the data itself as a reflection of a ‘natural’ state of an animal.
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Affiliation(s)
- Jonathan Fenn
- grid.4563.40000 0004 1936 8868School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD UK
| | - Christopher Taylor
- grid.4563.40000 0004 1936 8868School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD UK
| | - Sarah Goertz
- grid.4563.40000 0004 1936 8868School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD UK
| | - Klara M. Wanelik
- grid.10025.360000 0004 1936 8470University of Liverpool, Liverpool, UK
| | - Steve Paterson
- grid.10025.360000 0004 1936 8470University of Liverpool, Liverpool, UK
| | - Mike Begon
- grid.10025.360000 0004 1936 8470University of Liverpool, Liverpool, UK
| | - Joe Jackson
- grid.8752.80000 0004 0460 5971University of Salford, Salford, UK
| | - Jan Bradley
- grid.4563.40000 0004 1936 8868School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD UK
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Bachman SL, Blankenship JM, Busa M, Serviente C, Lyden K, Clay I. Capturing Measures That Matter: The Potential Value of Digital Measures of Physical Behavior for Alzheimer's Disease Drug Development. J Alzheimers Dis 2023; 95:379-389. [PMID: 37545234 PMCID: PMC10578291 DOI: 10.3233/jad-230152] [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] [Accepted: 06/30/2023] [Indexed: 08/08/2023]
Abstract
Alzheimer's disease (AD) is a devastating neurodegenerative disease and the primary cause of dementia worldwide. Despite the magnitude of AD's impact on patients, caregivers, and society, nearly all AD clinical trials fail. A potential contributor to this high rate of failure is that established clinical outcome assessments fail to capture subtle clinical changes, entail high burden for patients and their caregivers, and ineffectively address the aspects of health deemed important by patients and their caregivers. AD progression is associated with widespread changes in physical behavior that have impacts on the ability to function independently, which is a meaningful aspect of health for patients with AD and important for diagnosis. However, established assessments of functional independence remain underutilized in AD clinical trials and are limited by subjective biases and ceiling effects. Digital measures of real-world physical behavior assessed passively, continuously, and remotely using digital health technologies have the potential to address some of these limitations and to capture aspects of functional independence in patients with AD. In particular, measures of real-world gait, physical activity, and life-space mobility captured with wearable sensors may offer value. Additional research is needed to understand the validity, feasibility, and acceptability of these measures in AD clinical research.
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Affiliation(s)
| | | | - Michael Busa
- Institute for Applied Life Sciences, University of Massachusetts Amherst, Amherst, MA, USA
- Department of Kinesiology, University of Massachusetts Amherst, Amherst, MA, USA
| | - Corinna Serviente
- Institute for Applied Life Sciences, University of Massachusetts Amherst, Amherst, MA, USA
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Jiang G, Wu X. Effects of resistance training combined with balance training on physical function among older adults: a protocol for a randomised controlled trial. BMJ Open 2022; 12:e062486. [PMID: 36198467 PMCID: PMC9535182 DOI: 10.1136/bmjopen-2022-062486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION The world's population is ageing. Age-related declines in physical function negatively affect the quality of life but may be ameliorated by certain types of exercise. The purpose of this study is to investigate the effects of combining resistance training (RT) with balance training on physical function in older community-dwelling adults to provide a reference for this type of exercise compared with other exercises and to provide a theoretical basis for optimising exercise plans to improve physical function among older adults. METHODS This single-blind randomised controlled trial will recruit 66 community dwelling adults 60-89 years of age with normal cognition. Participants will be randomly assigned to one of three groups: RT, RT combined with balance training or a control group with usual daily activities. Exercise interventions will be conducted in three 45 min sessions per week for 24 weeks. Primary physical function outcomes will be assessed using the timed up and go test, usual walking speed, maximal walking speed, 30 s chair stand and 30 s arm curl. Secondary assessments will be conducted using the 2 min step test, back scratch test and chair sit-and-reach test. All physical function assessments will be performed at baseline and after 12 and 24 weeks of exercise interventions. Exercise intensity will be monitored to maintain moderate intensity by heart rate, ratings of perceived exertion and OMNI-Resistance Exercise Scale. Data that conform to a normal distribution will be expressed as means±SD, otherwise as medians and interquartile intervals. Pretest, mid-test and post-test outcomes will be analysed for within-group and between-group comparisons using two-way repeated measures analyses of variance. ETHICS AND DISSEMINATION This proposal was reviewed and approved by the Shanghai University of Sport Research Ethics Committee (102772021RT067). The results will be disseminated to the trial participants and as a peer-reviewed publication. TRIAL REGISTRATION NUMBER ChiCTR2200056090.
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Affiliation(s)
- Guiping Jiang
- School of Physical Education, Shanghai University of Sport, Shanghai, China
- School of Physical Education, Harbin University, Harbin, China
| | - Xueping Wu
- School of Physical Education, Shanghai University of Sport, Shanghai, China
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10
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McKenzie BA, Chen FL. Assessment and Management of Declining Physical Function in Aging Dogs. Top Companion Anim Med 2022; 51:100732. [DOI: 10.1016/j.tcam.2022.100732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 09/13/2022] [Accepted: 10/14/2022] [Indexed: 11/05/2022]
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Sanchez-Sanchez JL, Carnicero-Carreño JA, Garcia-Garcia FJ, Álvarez-Bustos A, Rodríguez-Sánchez B, Rodríguez-Mañas L. Physical performance measures in frailty screening: diagnostic and prognostic accuracy in the Toledo Study of Healthy Ageing. Maturitas 2022; 165:18-25. [PMID: 35849911 DOI: 10.1016/j.maturitas.2022.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 05/16/2022] [Accepted: 07/06/2022] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The present study aimed to explore the diagnostic and prognostic accuracy of standard and population-specific Physical Performance Measures (PPMs) cut-off points for frailty screening. DESIGN Prospective cohort study. SETTING AND PARTICIPANTS Population-based study including 2328 subjects from the Toledo Study of Healthy Aging (age = 76.37 ± 6.78). Data related to frailty status and PPMs was collected at baseline visit (2011-2013). Mortality and hospitalization were ascertained up to March 2019 and December 2017, respectively, whereas disability onset and worsening were evaluated in the 2015-2017 visit. METHODS Gait speed and Short Physical Performance Battery population-specific cut-off points for frailty were computed using receiver operating characteristics (ROC) curve analysis. Head-to-head comparison of associations with adverse events against existing reference values (SPPB≤6, GS < 0.8 m/s) and classical (Frailty Phenotype, Frailty Index) and newly incorporated frailty tools (12- and 5-item Frailty Trait Scale) were explored through logistic and Cox regressions. Predictive ability was compared through areas under the curves (AUCs) for disability onset/worsening and integrated AUCs for mortality and hospitalization (time-censoring adverse events). RESULTS PPMs population-specific cut-off points (SPPB ≤7 and GS ≤ 0.75 m/s for males; SPPB ≤4 and GS ≤ 0.5 for females) outperformed published reference thresholds in terms of diagnostic accuracy. Frailty identified through PPMs was associated with adverse events (death, hospitalization and incident disability) similarly to that assessed using the newly incorporated tools and showed similar prognostic accuracy (mortality [IAUCs≈0.7], hospitalization [IAUCs≈0.8] and disability onset/worsening [AUCs≈0.62]), except for the tool used to assess frailty. CONCLUSIONS Our results suggest that PPMs might serve as the first screen to identify candidates for further frailty assessment and exploration of underlying mechanisms, allowing opportunistic on-time screening in different settings (community and primary care) in which frailty instruments are rarely implementable.
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Affiliation(s)
- Juan Luis Sanchez-Sanchez
- Gerontopole of Toulouse, Institute of Aging, Toulouse University Hospital (CHU Toulouse), Toulouse, France; Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain.
| | - José Antonio Carnicero-Carreño
- CIBER of Frailty and Healthy Aging, CIBERFES, Instituto de Salud Carlos III, Madrid, Spain; Biomedical Research Foundation, Getafe University Hospital, Getafe, Spain
| | - Francisco José Garcia-Garcia
- CIBER of Frailty and Healthy Aging, CIBERFES, Instituto de Salud Carlos III, Madrid, Spain; Geriatrics Department, Virgen del Valle Hospital, Toledo, Spain
| | | | | | - Leocadio Rodríguez-Mañas
- CIBER of Frailty and Healthy Aging, CIBERFES, Instituto de Salud Carlos III, Madrid, Spain; Geriatrics Department, Getafe University Hospital, Getafe, Spain
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12
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Frye BM, Craft S, Register TC, Kim J, Whitlow CT, Barcus RA, Lockhart SN, Sai KKS, Shively CA. Early Alzheimer's disease-like reductions in gray matter and cognitive function with aging in nonhuman primates. ALZHEIMER'S & DEMENTIA (NEW YORK, N. Y.) 2022; 8:e12284. [PMID: 35310523 PMCID: PMC8918111 DOI: 10.1002/trc2.12284] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Revised: 12/24/2021] [Accepted: 02/15/2022] [Indexed: 01/13/2023]
Abstract
Introduction Age-related neuropathology associated with sporadic Alzheimer's disease (AD) often develops well before the onset of symptoms. Given AD's long preclinical period, translational models are needed to identify early signatures of pathological decline. Methods Using structural magnetic resonance imaging and cognitive assessments, we examined the relationships among age, cognitive performance, and neuroanatomy in 48 vervet monkeys (Chlorocebus aethiops sabaeus) ranging from young adults to very old. Results We found negative associations of age with cortical gray matter volume (P = .003) and the temporal-parietal cortical thickness meta-region of interest (P = .001). Additionally, cortical gray matter volumes predicted working memory at approximately 1-year follow-up (correct trials at the 20s delay [P = .008]; correct responses after longer delays [P = .004]). Discussion Cortical gray matter diminishes with age in vervets in regions relevant to AD, which may increase risk of cognitive impairment. This study lays the groundwork for future investigations to test therapeutics to delay or slow pathological decline.
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Affiliation(s)
- Brett M. Frye
- Department of Pathology/Comparative MedicineWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Suzanne Craft
- Department of Internal Medicine/GerontologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA,Wake Forest Alzheimer's Disease Research CenterWinston‐SalemNorth CarolinaUSA
| | - Thomas C. Register
- Department of Pathology/Comparative MedicineWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA,Wake Forest Alzheimer's Disease Research CenterWinston‐SalemNorth CarolinaUSA
| | - Jeongchul Kim
- Wake Forest Alzheimer's Disease Research CenterWinston‐SalemNorth CarolinaUSA,Department of RadiologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Christopher T. Whitlow
- Wake Forest Alzheimer's Disease Research CenterWinston‐SalemNorth CarolinaUSA,Department of RadiologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Richard A. Barcus
- Wake Forest Alzheimer's Disease Research CenterWinston‐SalemNorth CarolinaUSA,Department of RadiologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Samuel N. Lockhart
- Department of Internal Medicine/GerontologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA,Wake Forest Alzheimer's Disease Research CenterWinston‐SalemNorth CarolinaUSA
| | - Kiran Kumar Solingapuram Sai
- Wake Forest Alzheimer's Disease Research CenterWinston‐SalemNorth CarolinaUSA,Department of RadiologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Carol A. Shively
- Department of Pathology/Comparative MedicineWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA,Wake Forest Alzheimer's Disease Research CenterWinston‐SalemNorth CarolinaUSA
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13
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Jofré-Saldía E, Villalobos-Gorigoitía Á, Gea-García G. Methodological Proposal for Strength and Power Training in Older Athletes: A Narrative Review. Curr Aging Sci 2022; 15:135-146. [PMID: 35227189 DOI: 10.2174/1874609815666220228153646] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 11/08/2021] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Within the adult population, it is not uncommon to meet older athletes who challenge the negative stereotypes associated with aging. Although their physical performance is superior to their sedentary counterparts, they are not immune to impaired neuromuscular function, leading to a decreased physical capacity and an increased risk of injuries. Despite the abundant information about the benefits of strength/power training in advanced ages, there are no methodological proposals that guide physical activity professionals to program this type of training. OBJECTIVE This study aimed to review the factors related to the decrease in sports performance within older athletes and the benefits of a strength/power program in order to provide a methodological proposal to organize training in this population. METHODS This is a review article. First, databases from PubMed, Science Direct, and SPORTSDiscus and search engines, namely Google Scholar and Scielo, were reviewed, using standard keywords such as strength and power training, evaluation of physical performance, neuromuscular function, and risk of injury in the elderly athlete. All related articles published during the period 1963 to 2020 were considered. A total of 1837 documents were found. By removing 1715 unrelated documents, 122 articles were included in the study after revision control. RESULTS Strength/power training is key to alleviating the loss of performance in older athletes and the benefits in neuromuscular function, which helps reduce the rate of serious injuries, maintaining sports practice for a longer period of time. In order to design an appropriate program, a prior evaluation of the individual's physical-technical level must be carried out, respecting the biologicalpedagogical principles and safety regulations. CONCLUSION The methodological proposal delivered in this review can serve as a technical guide for physical activity professionals, which will be able to structure the strength/power training and thus preserve the sports practice in older athletes for a longer time.
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Affiliation(s)
- Emilio Jofré-Saldía
- Instituto del Deporte, Universidad de las Américas, Santiago, Chile
- Departamento de Ciencias de la Actividad Física y el Deporte, Facultad de Deporte, Universidad Católica San Antonio de Murcia, Murcia, España
| | | | - Gemma Gea-García
- Departamento de Ciencias de la Actividad Física y el Deporte, Facultad de Deporte, Universidad Católica San Antonio de Murcia, Murcia, España
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14
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Yatsugi H, Chen T, Chen S, Liu X, Kishimoto H. The Associations between Objectively Measured Physical Activity and Physical Function in Community-Dwelling Older Japanese Men and Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:ijerph19010369. [PMID: 35010628 PMCID: PMC8744806 DOI: 10.3390/ijerph19010369] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 12/20/2021] [Accepted: 12/28/2021] [Indexed: 01/06/2023]
Abstract
Objective: The relationships between physical activity (PA) and physical function (PF) among older Japanese adults have been examined before, with some studies reporting that moderate-to-vigorous physical activity (MVPA) is positively associated with PF. However, it is unclear whether the observed associations differ between men and women. In this study, we investigated the associations of objectively measured MVPA, light physical activity (LPA), and sedentary time (ST) with different PF levels in older Japanese men and women. Subjects and Methods: A total of 810 community-dwelling subjects aged 65–75 years were investigated (52.1% women, 47.9% men). The PF variables included grip strength, one-leg standing, usual and maximum walking speeds, and chair-standing time. PA (MVPA, LPA, and ST) and the number of steps taken daily were assessed for seven consecutive days by a tri-axial accelerometer. We determined the sex-specific quartiles of MVPA, LPA, and ST and analyzed their associations with physical function in separate models for each exposure measure. Results: In the crude analysis, MVPA was significantly associated with all PF variables in the men, and with the usual walking speed, max. walking speed, and chair-standing time in the women. Neither LPA nor ST was significantly associated with any PF variables. After adjusting potential confounding factors, significant associations between MVPA and usual walking speed remained in the men and women. Conclusions: Only greater moderate-to-vigorous physical activity (MVPA) was significantly associated with higher levels of PF variables in both men and women. Thus, time spent in moderate-to-vigorous physical activity (MVPA) can help older adults maintain or improve their physical function.
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Affiliation(s)
- Harukaze Yatsugi
- Department of Behavior and Health Sciences, Graduate School of Human-Environment Studies, Kyushu University, 744 Motooka Nishi-ku, Fukuoka 819-0395, Japan; (H.Y.); (X.L.)
| | - Tao Chen
- Sports and Health Research Center, Department of Physical Education, Tongji University, Shanghai 200092, China;
| | - Si Chen
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, 44 West Wenhua Road, Jinan 250012, China;
| | - Xin Liu
- Department of Behavior and Health Sciences, Graduate School of Human-Environment Studies, Kyushu University, 744 Motooka Nishi-ku, Fukuoka 819-0395, Japan; (H.Y.); (X.L.)
| | - Hiro Kishimoto
- Department of Behavior and Health Sciences, Graduate School of Human-Environment Studies, Kyushu University, 744 Motooka Nishi-ku, Fukuoka 819-0395, Japan; (H.Y.); (X.L.)
- Faculty of Arts and Science, IC15, Kyushu University, 744 Motooka Nishi-ku, Fukuoka 819-0395, Japan
- Correspondence:
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15
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Souza D, Pessoni A, Barbosa de Lira CA, Vancini RL, Ramírez-Vélez R, Gentil P. Supervised home-based resistance training for managing idiopathic peripheral polyneuropathy - A case report. J Bodyw Mov Ther 2021; 28:126-130. [PMID: 34776129 DOI: 10.1016/j.jbmt.2021.07.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 06/09/2021] [Accepted: 07/12/2021] [Indexed: 11/19/2022]
Abstract
PURPOSE This case report aimed to investigate the effects of supervised home-based resistance training (RT) on functional capacity and mental health on a man with idiopathic peripheral polyneuropathy (PP). METHOD A 50-year-old man diagnosed with PP with no previous experience in RT performed 24 session of home-based RT for 12 weeks. Resistance training consisted of 3 exercises performed with 3 sets and lasted approximately 30 min per session. Exercises were performed with minimal implements (e.g., elastic tubes and light dumbbells). The Patient was evaluated for muscle performance, functionality, anxiety levels, and depressive symptoms before and after intervention period. Muscle performance was evaluated though 30-s push up test (PU30), functional capacity was evaluated through functional tests [sit to stand test (SST), arm curl (AC), and 2-min step test (2-MST)] and anxiety levels and depressive symptoms were evaluated through the State-Trait Anxiety Inventory (STAI) and Beck's depression inventory (BDI), respectively. RESULTS After 12 weeks, the performance on PU30 increased 40% (from 8 to 11 repetitions), while the performance on SST, AC and 2-MST increased 100% (from 4 to 8 repetitions), 44% (from 16 to 23 repetitions) and 157% (from 47 to 121 repetitions), respectively. Anxiety state and trait levels have been reduced 24% (from 42 to 32 scores) and 4% (from 47 to 45 scores), respectively. There was no change for BDI. CONCLUSION Supervised home-based RT using low cost and affordable equipment was a feasible strategy to provide functional capacity and mental health benefits in a patient with PP.
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Affiliation(s)
- Daniel Souza
- College of Physical Education and Dance, Federal University of Goiás, Goiânia, Brazil.
| | - Alana Pessoni
- College of Physical Education and Dance, Federal University of Goiás, Goiânia, Brazil
| | | | - Rodrigo Luiz Vancini
- Physical Education and Sport Center, Federal University of Espírito Santo, Vitória, Brazil
| | - Robinson Ramírez-Vélez
- Navarrabiomed-Public University of Navarra (UPNA)-Navarra Hospital Complex (CHN), Health Research Institute of Navarra (IdiSNA), Pamplona, Spain
| | - Paulo Gentil
- College of Physical Education and Dance, Federal University of Goiás, Goiânia, Brazil; Hypertension League Federal University of Goiás, Goiânia, Brazil
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16
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Frye BM, Craft S, Latimer CS, Keene CD, Montine TJ, Register TC, Orr ME, Kavanagh K, Macauley SL, Shively CA. Aging-related Alzheimer's disease-like neuropathology and functional decline in captive vervet monkeys (Chlorocebus aethiops sabaeus). Am J Primatol 2021; 83:e23260. [PMID: 33818801 PMCID: PMC8626867 DOI: 10.1002/ajp.23260] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 03/05/2021] [Accepted: 03/21/2021] [Indexed: 12/17/2022]
Abstract
Age-related neurodegeneration characteristic of late-onset Alzheimer's disease (LOAD) begins in middle age, well before symptoms. Translational models to identify modifiable risk factors are needed to understand etiology and identify therapeutic targets. Here, we outline the evidence supporting the vervet monkey (Chlorocebus aethiops sabaeus) as a model of aging-related AD-like neuropathology and associated phenotypes including cognitive function, physical function, glucose handling, intestinal physiology, and CSF, blood, and neuroimaging biomarkers. This review provides the most comprehensive multisystem description of aging in vervets to date. This review synthesizes a large body of evidence that suggests that aging vervets exhibit a coordinated suite of traits consistent with early AD and provide a powerful, naturally occurring model for LOAD. Notably, relationships are identified between AD-like neuropathology and modifiable risk factors. Gaps in knowledge and key limitations are provided to shape future studies to illuminate mechanisms underlying divergent neurocognitive aging trajectories and to develop interventions that increase resilience to aging-associated chronic disease, particularly, LOAD.
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Affiliation(s)
- Brett M. Frye
- Department of Pathology/Comparative Medicine, Wake Forest School of Medicine
- Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine
| | - Suzanne Craft
- Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine
- Wake Forest Alzheimer’s Disease Research Center
- J. Paul Sticht Center for Healthy Aging and Alzheimer’s Prevention, Wake Forest School of Medicine
| | - Caitlin S. Latimer
- Department of Laboratory Medicine and Pathology, University of Washington-Seattle
| | - C. Dirk Keene
- Department of Laboratory Medicine and Pathology, University of Washington-Seattle
| | | | - Thomas C. Register
- Department of Pathology/Comparative Medicine, Wake Forest School of Medicine
- Wake Forest Alzheimer’s Disease Research Center
- J. Paul Sticht Center for Healthy Aging and Alzheimer’s Prevention, Wake Forest School of Medicine
| | - Miranda E. Orr
- Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine
| | - Kylie Kavanagh
- Department of Pathology/Comparative Medicine, Wake Forest School of Medicine
| | - Shannon L. Macauley
- Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine
- Wake Forest Alzheimer’s Disease Research Center
| | - Carol A. Shively
- Department of Pathology/Comparative Medicine, Wake Forest School of Medicine
- Wake Forest Alzheimer’s Disease Research Center
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17
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Chen T, Honda T, Chen S, Kishimoto H, Kumagai S, Narazaki K. Potential utility of physical function measures to improve the risk prediction of functional disability in community-dwelling older Japanese adults: a prospective study. BMC Geriatr 2021; 21:476. [PMID: 34470612 PMCID: PMC8411504 DOI: 10.1186/s12877-021-02415-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Accepted: 08/10/2021] [Indexed: 12/02/2022] Open
Abstract
Background While gait speed, one-leg standing balance, and handgrip strength have been shown to be independent predictors for functional disability, it is unclear whether such simple measures of physical function contribute to improved risk prediction of functional disability in older adults. Methods A total of 1,591 adults aged ≥ 65 years and without functional disability at baseline were followed up for up to 7.9 years. Functional disability was identified using the database of Japan’s Long-term Care Insurance System. Maximum gait speed, one-leg standing time, and handgrip strength were measured at baseline. Cox proportional hazard models were used to estimate the hazard ratios (HRs) and 95 % confidence intervals (CIs) for the association of physical function and functional disability incidence. The incremental predictive value of each physical function measure for risk prediction was quantified using the difference in overall C-statistic, category-free net reclassification improvement (NRI), and integrated discrimination improvement (IDI) index. Results During follow-up (median: 7.8 years), functional disability was identified in 384 participants. All of the physical function measures were inversely associated with the risk of functional disability, independent of potential confounding factors. The multivariable adjusted HRs (95 % CIs) for functional disability per one standard deviation increment of maximum gait speed, one-leg-standing time, and hand grip strength were 0.73 (0.65–0.83), 0.68 (0.59–0.79), and 0.72 (0.59–0.86), respectively. Incorporation of each of maximum gait speed, one-leg-stand time, and hand grip strength into a basic model with other risk factors significantly improved C-statistic from 0.770 (95 % CIs, 0.751–0.794) to 0.778 (0.759–0.803), 0.782 (0.760–0.805), and 0.775 (0.756–0.800), respectively (all p < 0.05). A model including all three measures had the highest C-statistic of 0.787 (0.765–0.810). The improvements in risk prediction were also confirmed by category-free NRI and IDI index. Conclusions Adding any of the three measures to a basic model with other known risk factors significantly improved the prediction of functional disability and addition of all three measures provided further improvement of the prediction in older Japanese adults. These data provide robust evidence to support the practical utility of incorporating these simple physical function measures into functional disability risk prediction tools. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-021-02415-3.
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Affiliation(s)
- Tao Chen
- Sport and Health Research Center, Department of Physical Education, Tongji University, 1239 Siping Road, 200092, Shanghai, China
| | - Takanori Honda
- Department of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan
| | - Sanmei Chen
- Department of Global Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami Ward, 734-8553, Hiroshima, Japan
| | - Hiro Kishimoto
- Faculty of Arts and Science, Kyushu University, 744 Motooka Nishi-ku, 819-0395, Fukuoka, Japan
| | - Shuzo Kumagai
- Institute of Convergence Bio-Health, Dong-A University, 37 Nakdong-daero 550 beon-gil, Hadan-dong, Saha-gu, 49-315, Busan, South Korea.,Kumagai Institute of Health Policy, 4-47-1 Hiratadai, 816-0812, Kasuga-shi, Fukuoka, Japan
| | - Kenji Narazaki
- Center for Liberal Arts, Fukuoka Institute of Technology, 3-30-1 Wajiro- higashi, Higashi-ku, 811-0295, Fukuoka, Japan.
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18
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Orenduff MC, Rezeli ET, Hursting SD, Pieper CF. Psychometrics of the Balance Beam Functional Test in C57BL/6 Mice. Comp Med 2021; 71:302-308. [PMID: 34311810 DOI: 10.30802/aalas-cm-21-000033] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Aging is associated with a progressive decline in physical function characterized by decreased mobility, which is an important risk factor for loss of independence and reduced quality of life. Functional testing conducted in animals has advanced our understanding of age-related changes in physical ability and contributed to the development of physiologic measurements that can be used to assess functional changes during aging. The balance beam test is one assessment tool used to measure age-related changes in balance and coordination. The goal of this study is to provide analytical examples and psychometric support of a protocol that has been analyzed to show how the number of successive test runs, foot slips, pauses, and hesitations affect the reliability of the primary outcome measure, which is the time to cross the beam. Our results suggest that conducting more than 1 training session, consisting of greater than or equal to 3 successful training runs, followed by at least one test session with no less than 2 successful runs (that is, runs without pauses or hesitations) provides a psychometrically sound outcome. The data presented here indicate that a psychometric approach can improve protocol design and reliability of balance beam measures in mice.
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Affiliation(s)
- Melissa C Orenduff
- Department of Nutrition, University of North Carolina, Chapel Hill, North Carolina; Duke Molecular Physiology Institute, Duke University School of Medicine, Durham, North Carolina;,
| | - Erika T Rezeli
- Department of Nutrition, University of North Carolina, Chapel Hill, North Carolina
| | - Stephen D Hursting
- Department of Nutrition, University of North Carolina, Chapel Hill, North Carolina; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina
| | - Carl F Pieper
- Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina
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19
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Tran T, Mach J, Gemikonakli G, Wu H, Allore H, Howlett SE, Little CB, Hilmer SN. Male-Female Differences In The Effects Of Age On Performance Measures Recorded For 23 Hours In Mice. J Gerontol A Biol Sci Med Sci 2021; 76:2141-2146. [PMID: 34171083 DOI: 10.1093/gerona/glab182] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Indexed: 11/13/2022] Open
Abstract
Functional independence is an important aspect of successful aging and differs with age and by sex in humans. Physical performance often declines earlier than other age-associated functional impairments. Rodent models are used to study pharmacological/toxicological effects of human therapies. However, physical outcomes in mice are usually assessed for short periods, with limited information on the influence of age and sex. Here, we investigated how age and sex affected murine physical performance over 23 hours of continuous observation. Young (3 months) and old (22 months) C57BL/6JArc male and female mice were assessed using the Laboratory Animal Behavior Observation, Registration, and Analysis System. Mice were individually housed for recording of distance travelled, mean gait speed, and durations of different physical activities. Compared to young mice of the same sex, old mice travelled significantly shorter distances with slower gait speeds, shorter durations of locomotion, rearing, climbing and immobility. Older mice groomed significantly more than young mice. Old females reared more during the light cycle than old males. Young females climbed substantially more than young males. Significant age*sex interactions were detected for rearing and climbing, whereby an age-related decline was greater in males than females. Our results suggest that old age reduces exploratory activities and increases grooming in mice. Age-related declines vary between sexes and tend to be greater in males. This non-invasive assessment can be applied to investigate how different interventions affect rodents of different ages and sexes, through the day-night cycle.
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Affiliation(s)
- Trang Tran
- Laboratory of Ageing and Pharmacology, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, St Leonards, New South Wales, Australia.,Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.,Departments of Clinical Pharmacology and Aged Care, Royal North Shore Hospital, St Leonards, New South Wales, Australia
| | - John Mach
- Laboratory of Ageing and Pharmacology, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, St Leonards, New South Wales, Australia.,Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.,Departments of Clinical Pharmacology and Aged Care, Royal North Shore Hospital, St Leonards, New South Wales, Australia
| | - Gizem Gemikonakli
- Laboratory of Ageing and Pharmacology, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, St Leonards, New South Wales, Australia.,Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.,Departments of Clinical Pharmacology and Aged Care, Royal North Shore Hospital, St Leonards, New South Wales, Australia
| | - Harry Wu
- Laboratory of Ageing and Pharmacology, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, St Leonards, New South Wales, Australia.,Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.,Departments of Clinical Pharmacology and Aged Care, Royal North Shore Hospital, St Leonards, New South Wales, Australia
| | - Heather Allore
- Department of Internal Medicine, Yale University, New Haven, Connecticut, United States.,Department of Biostatistics, Yale School of Public Health, New Haven, Connecticut, United States
| | - Susan E Howlett
- Department of Pharmacology and Medicine (Geriatric Medicine), Dalhousie University, Halifax, Nova Scotia, Canada
| | - Christopher B Little
- Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.,Raymond Purves Bone and Joint Research Laboratory, Kolling Institute of Medical Research, Institute of Bone and Joint Research, Royal North Shore Hospital, University of Sydney, St Leonards, New South Wales, Australia
| | - Sarah N Hilmer
- Laboratory of Ageing and Pharmacology, Kolling Institute of Medical Research, Royal North Shore Hospital, University of Sydney, St Leonards, New South Wales, Australia.,Faculty of Medicine and Health, University of Sydney, New South Wales, Australia.,Departments of Clinical Pharmacology and Aged Care, Royal North Shore Hospital, St Leonards, New South Wales, Australia
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20
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Tavoian D, Lozier NR, de Lacalle S. Age of Peak Performance Differs by Functional Task in Mice Tracked Over 2 Years. J Gerontol A Biol Sci Med Sci 2021; 76:1179-1183. [PMID: 33606019 PMCID: PMC8202156 DOI: 10.1093/gerona/glab048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Indexed: 12/19/2022] Open
Abstract
Mouse models are often used to validate novel interventions prior to human testing, although biological differences between mice and humans limit the translatability of outcomes. A common assumption in animal research is that maximal physical performance will be present at a young age, and that differences in task performance between young and old can be attributed to the aging process. However, this may not be true for all physical function tasks, and leaving out intermediate time points could drastically alter data interpretation. Here, we document age-related changes in forelimb and hindlimb grip strength, balance and coordination, and body composition in mice (n = 43) collected at multiple time points between 4 and 24 months of age. Maximal forelimb grip strength was recorded at 4 months of age, but maximal hindlimb grip strength was recorded at 15 months of age. Balance performance was stable from 4 to 15 months of age, declining significantly at 18 months. Both lean and fat mass peaked at 18 months before declining steadily. We conclude that the inclusion of intermediate time points is essential for the accurate evaluation of physical function status in mice, particularly in the context of translating intervention outcomes into strategies to be tested in humans.
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Affiliation(s)
- Dallin Tavoian
- Program in Translational Biomedical Sciences, Ohio University, Athens, USA
| | | | - Sonsoles de Lacalle
- Department of Health Science, California State University Channel Islands, Camarillo, USA
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21
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Frye BM, Valure PM, Craft S, Baxter MG, Scott C, Wise-Walden S, Bissinger DW, Register HM, Copeland C, Jorgensen MJ, Justice JN, Kritchevsky SB, Register TC, Shively CA. Temporal emergence of age-associated changes in cognitive and physical function in vervets (Chlorocebus aethiops sabaeus). GeroScience 2021; 43:1303-1315. [PMID: 33611720 PMCID: PMC8190425 DOI: 10.1007/s11357-021-00338-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 02/04/2021] [Indexed: 02/07/2023] Open
Abstract
Dual declines in gait speed and cognitive performance are associated with increased risk of developing dementia. Characterizing the patterns of such impairments therefore is paramount to distinguishing healthy from pathological aging. Nonhuman primates such as vervet/African green monkeys (Chlorocebus aethiops sabaeus) are important models of human neurocognitive aging, yet the trajectory of dual decline has not been characterized. We therefore (1) assessed whether cognitive and physical performance (i.e., gait speed) are lower in older aged animals; (2) explored the relationship between performance in a novel task of executive function (Wake Forest Maze Task-WFMT) and a well-established assessment of working memory (delayed response task-DR task); and (3) examined the association between baseline gait speed with executive function and working memory at 1-year follow-up. We found (1) physical and cognitive declines with age; (2) strong agreement between performance in the novel WFMT and DR task; and (3) that slow gait is associated with poor cognitive performance in both domains. Our results suggest that older aged vervets exhibit a coordinated suite of traits consistent with human aging and that slow gait may be a biomarker of cognitive decline. This integrative approach provides evidence that gait speed and cognitive function differ across the lifespan in female vervet monkeys, which advances them as a model that could be used to dissect relationships between trajectories of dual decline over time.
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Affiliation(s)
- Brett M Frye
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Payton M Valure
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Suzanne Craft
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
- Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA
| | - Mark G Baxter
- Nash Family Department of Neuroscience, IW, New York, USA
| | - Christie Scott
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Shanna Wise-Walden
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - David W Bissinger
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Hannah M Register
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Carson Copeland
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Matthew J Jorgensen
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Jamie N Justice
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Stephen B Kritchevsky
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Thomas C Register
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
- Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA
| | - Carol A Shively
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA.
- Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA.
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22
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Physical activity guidelines for older people: knowledge gaps and future directions. LANCET HEALTHY LONGEVITY 2021; 2:e380-e383. [DOI: 10.1016/s2666-7568(21)00079-9] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 03/23/2021] [Accepted: 03/24/2021] [Indexed: 12/15/2022]
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23
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Hu Y, Zhang H, Xu W, Zhao M, Liu J, Wu L, Zou L, Zuo J, Liu Y, Fan L, Bair WN, Qiao YS, Glynn NW. Validation of perceived physical fatigability using the simplified-Chinese version of the Pittsburgh Fatigability Scale. BMC Geriatr 2021; 21:336. [PMID: 34039260 PMCID: PMC8157666 DOI: 10.1186/s12877-021-02275-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Accepted: 05/10/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Pittsburgh Fatigability Scale (PFS) was developed to capture fatigue and demand in a single tool, filling a gap that no validated questionnaire existed to measure perceived fatigability. Since fatigability is a more sensitive measure of a person's susceptibility to fatigue, we validated the simplified-Chinese version of the PFS among Chinese community-dwelling older adults. METHODS This cross-sectional study was conducted in an urban community in Beijing between November 2018 and July 2019. The PFS was translated into simplified-Chinese by the translation, retro-translation method. Internal consistency of the Physical subscale of the PFS was evaluated by Cronbach's alpha. Convergent validity and discriminant validity were evaluated against physical performance measures (i.e., Short Physical Performance Battery & Timed Up and Go Test) and daily living performance (i.e., Barthel Index & Instrumental activity of daily living). RESULTS Our study included 457 participants, including 182 men (39.8%) and 275 women (60.2%). The age range of the included participants was 61-96 years (mean = 84.8 years, SD = 5.8 years). The simplified-Chinese version of PFS Physical scores showed strong internal consistency (Cronbach's alpha = 0.81). Higher PFS Physical scores were associated with worse physical performance, and daily living performance (|correlation coefficient| range: 0.36-0.56, p < .001). Age- and sex-adjusted PFS Physical scores had moderate to good overall discrimination for correctly classifying people by their physical performance and daily living performance (AUCs range 0.70-0.87, p < .001). CONCLUSIONS The PFS simplified-Chinese version is a valid instrument to assess perceived physical fatigability in Chinese-speaking older adults with good convergent validity. Thus, the PFS, with low cost and greater feasibility, is a desired tool to measure fatigability in large population studies.
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Affiliation(s)
- Yixin Hu
- Geriatric Health Care Department of The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China.
| | - Hangming Zhang
- Department of Orthopedics, Peking University Shougang Hospital, Beijing, China
| | - Weihao Xu
- Geriatric Health Care Department of The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China
| | - Ming Zhao
- Outpatient Department, Haidian 37th Ex-Cadre Rest and Recuperation Center, Beijing, People's Republic of China
| | - Juan Liu
- Geriatric Department of Beijing North Hospital of Ordnance Industry, Beijing, China
| | - Linna Wu
- Geriatric Emergency Department of The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China
| | - Lin Zou
- Geriatric Health Care Department of The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China
| | - Jing Zuo
- Geriatric Health Care Department of The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China
| | - Yunxia Liu
- Geriatric Health Care Department of The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China
| | - Li Fan
- Geriatric Health Care Department of The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China
| | - Woei-Nan Bair
- Department of Physical Therapy, University of the Sciences in Philadelphia, Philadelphia, PA, USA
| | - Yujia Susanna Qiao
- Department of Epidemiology, Center for Aging and Population Health, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
| | - Nancy W Glynn
- Department of Epidemiology, Center for Aging and Population Health, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
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24
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Graber TG, Maroto R, Fry CS, Brightwell CR, Rasmussen BB. Measuring Exercise Capacity and Physical Function in Adult and Older Mice. J Gerontol A Biol Sci Med Sci 2021; 76:819-824. [PMID: 32822475 PMCID: PMC8087272 DOI: 10.1093/gerona/glaa205] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Indexed: 11/12/2022] Open
Abstract
The inability of older adults to maintain independence is a consequence of sarcopenia and frailty. In order to identify the molecular mechanisms responsible for decreased physical function, it will be critical to utilize a small animal model. The main purpose of this study was to develop a composite Comprehensive Functional Assessment Battery (CFAB) of well-validated tests to determine physical function and exercise capacity in 3 age groups of male C57BL/6 mice (6 months old, n = 29; 24 months old, n = 24; 28+ months old, n = 28). To measure physical function in mice, we used rotarod (overall motor function), grip meter (forelimb strength), treadmill (endurance), inverted cling (strength/endurance), voluntary wheel running (volitional exercise and activity rate), and muscle performance with in vivo contractile physiology (dorsiflexor torque). We hypothesized that CFAB would be a valid means to assess the physical function of a given mouse across the life span. In addition, we proposed that CFAB could be used to determine relationships between different parameters associated with sarcopenia. We found that there was an overall age-related significant decline (p < .05) in all measurements, and the CFAB score demonstrated that some individual mice (the upper quartile) retained the functional capacity of average mice 1 cohort younger. We conclude that the CFAB is a powerful, repeatable, and noninvasive tool to assess and compare physical function and assess complex motor task ability in mice, which will enable researchers to easily track performance at the individual mouse level.
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Affiliation(s)
- Ted G Graber
- Department of Physical Therapy, East Carolina University, Greenville, North Carolina
| | - Rosario Maroto
- Department of Nutrition and Metabolism, University of Texas Medical Branch, Galveston
| | - Christopher S Fry
- Department of Nutrition and Metabolism, University of Texas Medical Branch, Galveston
- Department of Athletic Training and Clinical Nutrition, University of Kentucky, Lexington
| | - Camille R Brightwell
- Department of Athletic Training and Clinical Nutrition, University of Kentucky, Lexington
- Cell Biology PhD Program, University of Texas Medical Branch, Galveston
| | - Blake B Rasmussen
- Department of Nutrition and Metabolism, University of Texas Medical Branch, Galveston
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25
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Vaiserman A, Krasnienkov D. Telomere Length as a Marker of Biological Age: State-of-the-Art, Open Issues, and Future Perspectives. Front Genet 2021; 11:630186. [PMID: 33552142 PMCID: PMC7859450 DOI: 10.3389/fgene.2020.630186] [Citation(s) in RCA: 161] [Impact Index Per Article: 53.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 12/21/2020] [Indexed: 12/21/2022] Open
Abstract
Telomere shortening is a well-known hallmark of both cellular senescence and organismal aging. An accelerated rate of telomere attrition is also a common feature of age-related diseases. Therefore, telomere length (TL) has been recognized for a long time as one of the best biomarkers of aging. Recent research findings, however, indicate that TL per se can only allow a rough estimate of aging rate and can hardly be regarded as a clinically important risk marker for age-related pathologies and mortality. Evidence is obtained that other indicators such as certain immune parameters, indices of epigenetic age, etc., could be stronger predictors of the health status and the risk of chronic disease. However, despite these issues and limitations, TL remains to be very informative marker in accessing the biological age when used along with other markers such as indices of homeostatic dysregulation, frailty index, epigenetic clock, etc. This review article is aimed at describing the current state of the art in the field and at discussing recent research findings and divergent viewpoints regarding the usefulness of leukocyte TL for estimating the human biological age.
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Affiliation(s)
- Alexander Vaiserman
- Laboratory of Epigenetics, D.F. Chebotarev Institute of Gerontology, Kyiv, Ukraine
| | - Dmytro Krasnienkov
- Laboratory of Epigenetics, D.F. Chebotarev Institute of Gerontology, Kyiv, Ukraine
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26
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Baumann CW, Kwak D, Thompson LV. Phenotypic Frailty Assessment in Mice: Development, Discoveries, and Experimental Considerations. Physiology (Bethesda) 2020; 35:405-414. [PMID: 33052773 DOI: 10.1152/physiol.00016.2020] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
The underlying mechanisms contributing to the onset of frailty, its progression, and its mortality risk remain unknown. Recently, the two most common human frailty assessments were reverse-translated to mice. Here, we highlight the development of the mouse frailty phenotype, unique discoveries, experimental considerations, and future perspectives.
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Affiliation(s)
- Cory W Baumann
- Ohio Musculoskeletal and Neurological Institute (OMNI) and Department of Biomedical Sciences, Ohio University, Athens, Ohio
| | - Dongmin Kwak
- Division of Sport Science, Hanyang University, Ansan, South Korea.,Department of Physical Therapy and Athletic Training, Boston University, Boston, Massachusetts
| | - LaDora V Thompson
- Department of Physical Therapy and Athletic Training, Boston University, Boston, Massachusetts
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27
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Parker DC, Bartlett BN, Cohen HJ, Fillenbaum G, Huebner JL, Kraus VB, Pieper C, Belsky DW. Association of Blood Chemistry Quantifications of Biological Aging With Disability and Mortality in Older Adults. J Gerontol A Biol Sci Med Sci 2020; 75:1671-1679. [PMID: 31693736 PMCID: PMC7494046 DOI: 10.1093/gerona/glz219] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Indexed: 12/22/2022] Open
Abstract
Quantification of biological aging has been proposed for population surveillance of age-related decline in system integrity and evaluation of geroprotective therapies. However, methods of quantifying biological aging have been little studied in geriatric populations. We analyzed three clinical-biomarker-algorithm methods to quantify biological aging. Klemera-Doubal method Biological Age and homeostatic dysregulation algorithms were parameterized from analysis of U.S. National Health and Nutrition Examination Surveys (NHANES) data (N = 36,207) based on published methods. Levine method Biological Age was adapted from published analysis of NHANES data. Algorithms were applied to biomarker data from the Duke Established Populations for Epidemiologic Studies of the Elderly (Duke-EPESE) cohort of older adults (N = 1,374, aged 71-102 years, 35% male, 52% African American). We tested associations of biological aging measures with participant reported Activities of daily living (ADL), instrumental activities of daily living (IADL) dependencies, and mortality. We evaluated the sensitivity of results to the demographic composition of reference samples and biomarker sets used to develop biological aging algorithms. African American and white Duke-EPESE participants with more advanced biological aging reported dependence in more ADLs and IADLs and were at increased risk of death over follow-up through 2017. Effect sizes were similar across algorithms, but were strongest for Levine method Biological Age (per-quintile increase in ADL incidence rate ratio = 1.25, 95% confidence interval [1.17-1.37], IADL incidence rate ratio = 1.23 [1.15-1.32], mortality hazard ratio = 1.12 [1.08-1.16]). Results were insensitive to demographic composition of reference samples, but modestly sensitive to the biomarker sets used to develop biological aging algorithms. Blood-chemistry-based quantifications of biological aging show promise for evaluating the effectiveness of interventions to extend healthy life span in older adults.
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Affiliation(s)
- Daniel C Parker
- Department of Medicine, Division of Geriatrics, Duke University School of Medicine, Durham, North Carolina
- Duke University Center for the Study of Aging and Human Development, Durham, North Carolina
| | - Bryce N Bartlett
- Department of Sociology, Duke University, Durham, North Carolina
| | - Harvey J Cohen
- Department of Medicine, Division of Geriatrics, Duke University School of Medicine, Durham, North Carolina
- Duke University Center for the Study of Aging and Human Development, Durham, North Carolina
| | - Gerda Fillenbaum
- Duke University Center for the Study of Aging and Human Development, Durham, North Carolina
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina
| | - Janet L Huebner
- Duke Molecular Physiology Institute, Duke University, Durham, North Carolina
| | - Virginia Byers Kraus
- Duke University Center for the Study of Aging and Human Development, Durham, North Carolina
- Duke Molecular Physiology Institute, Duke University, Durham, North Carolina
- Department of Medicine, Division of Rheumatology, Durham, North Carolina
| | - Carl Pieper
- Duke University Center for the Study of Aging and Human Development, Durham, North Carolina
- Department of Biostatistics, Duke University School of Medicine, Durham, North Carolina
| | - Daniel W Belsky
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York
- Robert N Butler Columbia Aging Center, Columbia University, New York
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28
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La Rosa C, Cavallo F, Pecora A, Chincarini M, Ala U, Faulkes CG, Nacher J, Cozzi B, Sherwood CC, Amrein I, Bonfanti L. Phylogenetic variation in cortical layer II immature neuron reservoir of mammals. eLife 2020; 9:55456. [PMID: 32690132 PMCID: PMC7373429 DOI: 10.7554/elife.55456] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Accepted: 06/03/2020] [Indexed: 12/22/2022] Open
Abstract
The adult mammalian brain is mainly composed of mature neurons. A limited amount of stem cell-driven neurogenesis persists in postnatal life and is reduced in large-brained species. Another source of immature neurons in adult brains is cortical layer II. These cortical immature neurons (cINs) retain developmentally undifferentiated states in adulthood, though they are generated before birth. Here, the occurrence, distribution and cellular features of cINs were systematically studied in 12 diverse mammalian species spanning from small-lissencephalic to large-gyrencephalic brains. In spite of well-preserved morphological and molecular features, the distribution of cINs was highly heterogeneous, particularly in neocortex. While virtually absent in rodents, they are present in the entire neocortex of many other species and their linear density in cortical layer II generally increased with brain size. These findings suggest an evolutionary developmental mechanism for plasticity that varies among mammalian species, granting a reservoir of young cells for the cerebral cortex. To acquire new skills or recover after injuries, the mammalian brain relies on plasticity, the ability for the brain to change its architecture and its connections during the lifetime of an animal. Creating new nerve cells is one way to achieve plasticity, but this process is rarer in humans than it is in mammals with smaller brains. In particular, it is absent in the human cortex: this region is enlarged in species with large brains, where it carries out complex tasks such as learning and memory. Producing new cells in the cortex would threaten the stability of the structures that retain long-term memories. Another route to plasticity is to reshape the connections between existing, mature nerve cells. This process takes place in the human brain during childhood and adolescence, as some connections are strengthened and others pruned away. An alternative mechanism relies on keeping some nerve cells in an immature, ‘adolescent’ state. When needed, these nerve cells emerge from their state of arrested development and ‘grow up’, connecting with the appropriate brain circuits. This mechanism does not involve producing new nerve cells, and so it would be suitable to maintain plasticity in the cortex. Consistent with this idea, in mice some dormant nerve cells are present in a small, primitive part of the cortex. La Rosa et al. therefore wanted to determine if the location and number of immature cells in the cortex differed between mammals, and if so, whether these differences depended on brain size. The study spanned 12 mammal species, from small-brained species like mice to larger-brained animals including sheep and non-human primates. Microscopy imaging was used to identify immature nerve cells in brain samples, which revealed that the cortex in larger-brained species contained more adolescent cells than its mouse counterpart. The difference was greatest in a region called the neocortex, which has evolved most recently. This area is most pronounced in primates – especially humans – where it carries out high-level cognitive tasks. These results identify immature nerve cells as a potential mechanism for plasticity in the cortex. La Rosa et al. hope that the work will inspire searches for similar reservoirs of young cells in humans, which could perhaps lead to new treatments for brain disorders like dementia.
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Affiliation(s)
- Chiara La Rosa
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Orbassano, Italy.,Department of Veterinary Sciences, University of Turin, Torino, Italy
| | - Francesca Cavallo
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Orbassano, Italy
| | - Alessandra Pecora
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Orbassano, Italy
| | - Matteo Chincarini
- Università degli Studi di Teramo, Facoltà di Medicina Veterinaria, Teramo, Italy
| | - Ugo Ala
- Department of Veterinary Sciences, University of Turin, Torino, Italy
| | - Chris G Faulkes
- School of Biological and Chemical Sciences, Queen Mary University of London, London, United Kingdom
| | - Juan Nacher
- Neurobiology Unit, BIOTECMED, Universitat de València, and Spanish Network for Mental Health Research CIBERSAM, València, Spain
| | - Bruno Cozzi
- Department of Comparative Biomedicine and Food Science, University of Padova, Legnaro, Italy
| | - Chet C Sherwood
- Department of Anthropology and Center for the Advanced Study of Human Paleobiology, The George Washington University, Washington DC, United States
| | - Irmgard Amrein
- D-HEST, ETH, Zurich, Switzerland.,Institute of Anatomy, University of Zurich, Zurich, Switzerland
| | - Luca Bonfanti
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Orbassano, Italy.,Department of Veterinary Sciences, University of Turin, Torino, Italy
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29
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Sayed RKA, Fernández-Ortiz M, Diaz-Casado ME, Aranda-Martínez P, Fernández-Martínez J, Guerra-Librero A, Escames G, López LC, Alsaadawy RM, Acuña-Castroviejo D. Lack of NLRP3 Inflammasome Activation Reduces Age-Dependent Sarcopenia and Mitochondrial Dysfunction, Favoring the Prophylactic Effect of Melatonin. J Gerontol A Biol Sci Med Sci 2020; 74:1699-1708. [PMID: 30869745 DOI: 10.1093/gerona/glz079] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Indexed: 12/20/2022] Open
Abstract
To investigate the role of NLRP3 inflammasome in muscular aging, we evaluated here the morphological and functional markers of sarcopenia in the NLRP3-knockout mice, as well as the beneficial effect of melatonin supplementation. The gastrocnemius muscles of young (3 months), early-aged (12 months), and old-aged (24 months) NLRP3-knockout female mice were examined. Moreover, locomotor activity and apoptosis were assessed. The results revealed early markers of sarcopenia at the age of 12 months, including reduction of lactate, ratio of muscle weight to body weight, muscle fibers number, and mitochondrial number. Increased interstitial tissues, apoptosis, and muscle fibers area, as well as mitochondrial damage were detected, with little muscular activity effects. In the old-aged, these alterations progressed with a reduction in locomotor activity, mitochondrial cristae destruction, nuclear fragmentation, tubular aggregates (TAs) formation, and increased frailty index. Oral melatonin supplementation preserved the normal muscular structure, muscle fibers number, and muscular activity in old age. Melatonin enhanced lactate production, recovered mitochondria, inhibited TAs formation, reduced apoptosis, and normalized frailty index. The fewer sarcopenic changes as well as the highly detectable prophylactic effects of melatonin treatment reported here in the muscle of NLRP3-knockout mice comparing with that previously detected in wild-type mice, confirming NLRP3 inflammasome implication in muscular aging and sarcopenia onset and progression.
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Affiliation(s)
- Ramy K A Sayed
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Department of Anatomy and Embryology, Faculty of Veterinary Medicine, Sohag University, Egypt
| | - Marisol Fernández-Ortiz
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Departamento de Fisiología, Facultad de Medicina, Universidad de Granada, Spain
| | - María E Diaz-Casado
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Departamento de Fisiología, Facultad de Medicina, Universidad de Granada, Spain
| | - Paula Aranda-Martínez
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Departamento de Fisiología, Facultad de Medicina, Universidad de Granada, Spain
| | - José Fernández-Martínez
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Departamento de Fisiología, Facultad de Medicina, Universidad de Granada, Spain
| | - Ana Guerra-Librero
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Departamento de Fisiología, Facultad de Medicina, Universidad de Granada, Spain
| | - Germaine Escames
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Departamento de Fisiología, Facultad de Medicina, Universidad de Granada, Spain.,CIBER de Fragilidad y Envejecimiento, Ibs. Granada, Unidad de Gestión Clínica de Laboratorios Clínicos, Complejo Hospitalario de Granada, Spain
| | - Luis C López
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Departamento de Fisiología, Facultad de Medicina, Universidad de Granada, Spain.,CIBER de Fragilidad y Envejecimiento, Ibs. Granada, Unidad de Gestión Clínica de Laboratorios Clínicos, Complejo Hospitalario de Granada, Spain
| | - Reem M Alsaadawy
- Department of Animal Hygiene and Zoonoses, Faculty of Veterinary Medicine, Assiut University, Egypt
| | - Darío Acuña-Castroviejo
- Instituto de Biotecnología, Centro de Investigación Biomédica, Parque Tecnológico de Ciencias de la Salud, Universidad de Granada, Spain.,Departamento de Fisiología, Facultad de Medicina, Universidad de Granada, Spain.,CIBER de Fragilidad y Envejecimiento, Ibs. Granada, Unidad de Gestión Clínica de Laboratorios Clínicos, Complejo Hospitalario de Granada, Spain
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30
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Bair WN, Petr M, Alfaras I, Mitchell SJ, Bernier M, Ferrucci L, Studenski SA, De Cabo R. Of Aging Mice and Men: Gait Speed Decline Is a Translatable Trait, With Species-Specific Underlying Properties. J Gerontol A Biol Sci Med Sci 2020; 74:1413-1416. [PMID: 30649206 DOI: 10.1093/gerona/glz015] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 01/11/2019] [Indexed: 01/03/2023] Open
Abstract
In the last two decades, great strides were made in our ability to extend the life span of model organisms through dietary and other manipulations. Survival curves provide evidence of altered aging processes but are uninformative on what lead to that increase in life span. Longitudinal assessments of health and function during intervention studies could help in the identification of predictive biomarkers for health and survival. Comparable biomarkers of healthspan are necessary to effectively translate interventions into human clinical trials. Gait speed is a well-established predictive biomarker of healthspan in humans for risk of disability, health outcomes and mortality, and is relatively simple to assess noninvasively in rodents. In this study, we assessed and compared gait speed in males from two species (mice and humans), from young adulthood to advanced old age. Although gait speed decreases nonlinearly with age in both species, the underlying drivers of this change in gait speed were different, with humans exhibiting a shortened step length, and mice displaying a decrease in cadence. Future longitudinal and interventional studies in mice should examine the predictive value of longitudinal declines in gait speed for health and survival.
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Affiliation(s)
- Woei-Nan Bair
- Translational Gerontology Branch, National Institute on Aging, Intramural Research Program, National Institute of Health, Baltimore, Maryland
| | - Michael Petr
- Translational Gerontology Branch, National Institute on Aging, Intramural Research Program, National Institute of Health, Baltimore, Maryland.,Center for Healthy Aging, ICMM, University of Copenhagen, Denmark
| | - Irene Alfaras
- Aging Institute, University of Pittsburgh School of Medicine, Pennsylvania
| | - Sarah J Mitchell
- Genetics and Complex Diseases, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Michel Bernier
- Translational Gerontology Branch, National Institute on Aging, Intramural Research Program, National Institute of Health, Baltimore, Maryland
| | - Luigi Ferrucci
- Translational Gerontology Branch, National Institute on Aging, Intramural Research Program, National Institute of Health, Baltimore, Maryland
| | - Stephanie A Studenski
- Translational Gerontology Branch, National Institute on Aging, Intramural Research Program, National Institute of Health, Baltimore, Maryland
| | - Rafael De Cabo
- Translational Gerontology Branch, National Institute on Aging, Intramural Research Program, National Institute of Health, Baltimore, Maryland
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31
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Baumann CW, Kwak D, Thompson LV. Assessing onset, prevalence and survival in mice using a frailty phenotype. Aging (Albany NY) 2019; 10:4042-4053. [PMID: 30562163 PMCID: PMC6326660 DOI: 10.18632/aging.101692] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Accepted: 11/28/2018] [Indexed: 11/25/2022]
Abstract
Little is known whether frailty assessments in mice are capable of distinguishing important characteristics of the frailty syndrome. The goals of this study were to identify the onset and the prevalence of frailty across the lifespan and to determine if a frailty phenotype predicts mortality. Body weight, walking speed, strength, endurance and physical activity were assessed in male C57BL/6 mice every three months starting at 14 months of age. Mice that fell in the bottom 20% for walking speed, strength, endurance and physical activity, and in the top 20% for body weight were considered to have a positive frailty marker. The onset of frailty occurred at 17 months, and represented only 3.5% of the mouse cohort. The percentage of frail mice increased with age until basically every mouse was identified as frail. Frail, pre-frail, and non-frail mice had mean survival ages of 27, 29 and 34 months, respectively. In closing, frail mice lack resilience; in that, multiple tissue/organ systems may deteriorate at an accelerated rate and ultimately lead to early mortality when compared to non-frail mice. Identifying the onset and prevalence of frailty, in addition to predicting mortality, has potential to yield information about several aging processes.
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Affiliation(s)
- Cory W Baumann
- Divisions of Rehabilitation Science and Physical Therapy, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN 55455, USA
| | - Dongmin Kwak
- Department of Physical Therapy and Athletic Training, Boston University, Boston, MA 02215, USA
| | - LaDora V Thompson
- Department of Physical Therapy and Athletic Training, Boston University, Boston, MA 02215, USA
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32
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Berthelot G, Johnson S, Noirez P, Antero J, Marck A, Desgorces FD, Pifferi F, Carter PA, Spedding M, Manoux AS, Toussaint JF. The age-performance relationship in the general population and strategies to delay age related decline in performance. ACTA ACUST UNITED AC 2019; 77:51. [PMID: 31827790 PMCID: PMC6900856 DOI: 10.1186/s13690-019-0375-8] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Accepted: 10/27/2019] [Indexed: 02/06/2023]
Abstract
The age-performance relationship describes changes in the organism's structural and functional capabilities over the course of the lifespan. The typical, empirical pattern is an asymmetrical inverted-U shape association with peak capacity occurring early in life. This process is well described in the literature, with an increasing interest in features that characterize this pattern, such as the rate of growth, age of peak performance, and rate of decline with aging. This is usually examined in cohorts of individuals followed over time with repeat assessments of physical or cognitive abilities. This framework ought to be integrated into public health programs, embedding the beneficial (such as physical or cognitive training) or adverse effects (such as chronic diseases or injuries) that respectively sustain or limit capabilities. The maintenance of physical or cognitive performances at older ages would result in both optimal health and promote resistance to disabling conditions and chronic diseases, such as obesity and type 2 diabetes. The causes of accelerated degeneration of health optima are mainly: sedentary and unhealthy lifestyles -including poor nutrition-, exposure to environmental pollutants, and heterogeneity in aging. Better knowledge of optima, compatible with or required for good health, should also allow for establishing ideal conditions for longevity.
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Affiliation(s)
- Geoffroy Berthelot
- 1IRMES, INSEP, 11 avenue du Tremblay, Paris, 75012 France.,EA 7329, Université de Paris, 12 rue de l'Ecole de Médecine, Paris, 75006 France.,REsearch LAboratory for Interdisciplinary Studies (RELAIS), Paris, France
| | | | - Philippe Noirez
- 1IRMES, INSEP, 11 avenue du Tremblay, Paris, 75012 France.,EA 7329, Université de Paris, 12 rue de l'Ecole de Médecine, Paris, 75006 France
| | - Juliana Antero
- 1IRMES, INSEP, 11 avenue du Tremblay, Paris, 75012 France.,EA 7329, Université de Paris, 12 rue de l'Ecole de Médecine, Paris, 75006 France
| | - Adrien Marck
- 1IRMES, INSEP, 11 avenue du Tremblay, Paris, 75012 France.,EA 7329, Université de Paris, 12 rue de l'Ecole de Médecine, Paris, 75006 France.,REsearch LAboratory for Interdisciplinary Studies (RELAIS), Paris, France
| | - François-Denis Desgorces
- 1IRMES, INSEP, 11 avenue du Tremblay, Paris, 75012 France.,EA 7329, Université de Paris, 12 rue de l'Ecole de Médecine, Paris, 75006 France
| | | | - Patrick A Carter
- 6School of Biological Sciences, Washington State University, Pullman, WA 99164-4236 United States of America
| | - Michael Spedding
- IUPHAR and Spedding Research Solutions SAS, Le Vésinet, 78110 France
| | - Archana Singh Manoux
- 8 Université de Paris, Inserm U1153, Paris, France.,9Department of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Jean-François Toussaint
- 1IRMES, INSEP, 11 avenue du Tremblay, Paris, 75012 France.,EA 7329, Université de Paris, 12 rue de l'Ecole de Médecine, Paris, 75006 France.,CIMS, Hôtel-Dieu, Assistance Publique - Hôpitaux de Paris, Paris, France
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Kuh D, Hardy R, Blodgett JM, Cooper R. Developmental factors associated with decline in grip strength from midlife to old age: a British birth cohort study. BMJ Open 2019; 9:e025755. [PMID: 31072852 PMCID: PMC6528009 DOI: 10.1136/bmjopen-2018-025755] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES To test whether developmental factors are associated with grip strength trajectories between 53 and 69 years, and operate independently or on the same pathway/s as adult factors. DESIGN British birth cohort study. SETTING England, Scotland and Wales. PARTICIPANTS 3058 men and women. MAIN OUTCOME MEASURES Grip strength (kg) at ages 53, 60-64 and 69 were analysed using multilevel models to estimate associations with developmental factors (birth weight, growth parameters, motor and cognitive development) and father's social class, and investigate adult factors that could explain observed associations, testing for age and sex interactions. RESULTS In men, heavier birth weight, beginning to walk 'on time', later puberty and greater weight 0-26 years and in women, heavier birth weight and earlier age at first standing were independently associated with stronger grip but not with its decline. The slower decline in grip strength (by 0.07 kg/year, 95% CI 0.02 to 0.11 per 1 SD, p=0.003) in men of higher cognitive ability was attenuated by adjusting for adult verbal memory. CONCLUSIONS Patterns of growth and motor development have persisting associations with grip strength between midlife and old age. The strengthening associations with cognition suggest that, at older ages, grip strength increasingly reflects neural ageing processes. Interventions across life that promote muscle development or maintain muscle strength should increase the chance of an independent old age.
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Affiliation(s)
- Diana Kuh
- MRC Unit for Lifelong Health and Ageing at UCL, London, UK
| | - Rebecca Hardy
- MRC Unit for Lifelong Health and Ageing at UCL, London, UK
| | | | - Rachel Cooper
- MRC Unit for Lifelong Health and Ageing at UCL, London, UK
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34
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Berthelot G, Bar-Hen A, Marck A, Foulonneau V, Douady S, Noirez P, Zablocki-Thomas PB, da Silva Antero J, Carter PA, Di Meglio JM, Toussaint JF. An integrative modeling approach to the age-performance relationship in mammals at the cellular scale. Sci Rep 2019; 9:418. [PMID: 30674921 PMCID: PMC6344496 DOI: 10.1038/s41598-018-36707-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Accepted: 11/25/2018] [Indexed: 11/09/2022] Open
Abstract
Physical and cognitive performances change across lifespan. Studying cohorts of individuals in specific age ranges and athletic abilities remains essential in assessing the underlying physiological mechanisms that result in such a drop in performance. This decline is now viewed as a unique phenotypic biomarker and a hallmark of the aging process. The rates of decline are well documented for sets of traits such as running or swimming but only a limited number of studies have examined the developmental and senescent phases together. Moreover, the few attempts to do so are merely descriptive and do not include any meaningful biological features. Here we propose an averaged and deterministic model, based on cell population dynamics, replicative senescence and functionality loss. It describes the age-related change of performance in 17 time-series phenotypic traits, including human physical and cognitive skills, mouse lemur strength, greyhound and thoroughbred speed, and mouse activity. We demonstrate that the estimated age of peak performance occurs in the early part of life (20.5% ± 6.6% of the estimated lifespan) thus emphasizing the asymmetrical nature of the relationship. This model is an initial attempt to relate performance dynamics to cellular dynamics and will lead to more sophisticated models in the future.
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Affiliation(s)
- Geoffroy Berthelot
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES), EA 7329, Institut National du Sport de l'Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris, France. .,REsearch LAboratory for Interdisciplinary Studies (RELAIS), Paris, France.
| | | | - Adrien Marck
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES), EA 7329, Institut National du Sport de l'Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris, France.,Laboratoire Matière et Systèmes Complexes, UMR 7057, Université Paris Diderot and CNRS, Sorbonne Paris Cité, Paris, France
| | - Vincent Foulonneau
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES), EA 7329, Institut National du Sport de l'Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - Stéphane Douady
- Laboratoire Matière et Systèmes Complexes, UMR 7057, Université Paris Diderot and CNRS, Sorbonne Paris Cité, Paris, France
| | - Philippe Noirez
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES), EA 7329, Institut National du Sport de l'Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - Pauline B Zablocki-Thomas
- Département de Biologie, ENS de Lyon, Lyon, France.,Département d'écologie et de Gestion de la Biodiversité, UMR 7179 CNRS/MNHN, Paris, France
| | - Juliana da Silva Antero
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES), EA 7329, Institut National du Sport de l'Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - Patrick A Carter
- School of Biological Sciences, Washington State University, Pullman, USA
| | - Jean-Marc Di Meglio
- Laboratoire Matière et Systèmes Complexes, UMR 7057, Université Paris Diderot and CNRS, Sorbonne Paris Cité, Paris, France
| | - Jean-François Toussaint
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES), EA 7329, Institut National du Sport de l'Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris, France.,CIMS, Hôtel-Dieu, APHP, Paris, France
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35
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Bergquist R, Weber M, Schwenk M, Ulseth S, Helbostad JL, Vereijken B, Taraldsen K. Performance-based clinical tests of balance and muscle strength used in young seniors: a systematic literature review. BMC Geriatr 2019; 19:9. [PMID: 30626340 PMCID: PMC6327480 DOI: 10.1186/s12877-018-1011-0] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Accepted: 12/11/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Many balance and strength tests exist that have been designed for older seniors, often aged ≥70 years. To guide strategies for preventing functional decline, valid and reliable tests are needed to detect early signs of functional decline in young seniors. Currently, little is known about which tests are being used in young seniors and their methodological quality. This two-step review aims to 1) identify commonly used tests of balance and strength, and 2) evaluate their measurement properties in young seniors. METHODS First, a systematic literature search was conducted in MEDLINE to identify primary studies that employed performance-based tests of balance and muscle strength, and which aspects of balance and strength these tests assess in young seniors aged 60-70. Subsequently, for tests used in ≥3 studies, a second search was performed to identify method studies evaluating their measurement properties. The quality of included method studies was evaluated using the Consensus-based Standards for selection of health Measurement Instruments (COSMIN) checklist. RESULTS Of 3454 articles identified, 295 met the inclusion criteria. For the first objective, 69 balance and 51 muscle strength tests were identified, with variations in administration mode and outcome reporting. Twenty-six balance tests and 15 muscle strength tests were used in ≥3 studies, with proactive balance tests and functional muscle power tests used most often. For the second objective, the search revealed 1880 method studies, of which nine studies (using 5 balance tests and 1 strength test) were included for quality assessment. The Timed Up and Go test was evaluated the most (4 studies), while the Community Balance and Mobility (CBM) scale was the second most assessed test (3 studies). For strength, one study assessed the reliability of the Five times sit-to-stand. CONCLUSION Commonly used balance and muscle strength tests in young seniors vary greatly with regards to administration mode and outcome reporting. Few studies have evaluated measurement properties of these tests when used in young seniors. There is a need for standardisation of existing tests to improve their informative value and comparability. For measuring balance, the CBM is a new and promising tool to detect even small balance deficits in balance in young seniors.
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Affiliation(s)
- Ronny Bergquist
- Department of Neuromedicine and Movement Science, Norwegian Univerity of Science and Technology, Trondheim, Norway.
| | - Michaela Weber
- Network Aging Research (NAR), Heidelberg University, Heidelberg, Germany
| | - Michael Schwenk
- Network Aging Research (NAR), Heidelberg University, Heidelberg, Germany.,Institute of Sports and Sports Sciences, Heidelberg University, Heidelberg, Germany
| | - Synnøve Ulseth
- Department of Neuromedicine and Movement Science, Norwegian Univerity of Science and Technology, Trondheim, Norway
| | - Jorunn L Helbostad
- Department of Neuromedicine and Movement Science, Norwegian Univerity of Science and Technology, Trondheim, Norway
| | - Beatrix Vereijken
- Department of Neuromedicine and Movement Science, Norwegian Univerity of Science and Technology, Trondheim, Norway
| | - Kristin Taraldsen
- Department of Neuromedicine and Movement Science, Norwegian Univerity of Science and Technology, Trondheim, Norway
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36
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Miller RR, Roubenoff R. Emerging Interventions for Elderly Patients-The Promise of Regenerative Medicine. Clin Pharmacol Ther 2018; 105:53-60. [PMID: 30387136 DOI: 10.1002/cpt.1272] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Accepted: 10/24/2018] [Indexed: 12/22/2022]
Abstract
The impressive increase in lifespan that occurred in the 20th century has driven a boom in age-associated degeneration resulting from senescence. Geriatric syndromes, such as sarcopenia and frailty, do not fall neatly into classical medical definitions of disease because they result from subtle declines in physiological function that occur over many years instead of specific organ-related pathology. These conditions have become more clinically prominent with the aging population and are the focus of research in regenerative medicine. Two major approaches are being pursued: the first targets specific organs that are adversely affected by senescence, and the second targets senescence pathways themselves, with the goal of favorably altering the affected physiology. This review will highlight a few examples of recent applications of both of these approaches to illustrate the potential of the application of a regenerative medicine approach to improve the quality of life and independence in older adults.
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Affiliation(s)
- Ram R Miller
- Novartis Institutes for BioMedical Research, Cambridge, Massachusetts, USA.,Novartis Institutes for BioMedical Research, Basel, Switzerland
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37
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Jørgensen TSH, Siersma V, Lund R, Nilsson CJ. Mortality Following Trajectories of Mobility Limitations: The Modifying Impact of Social Factors. J Aging Health 2018; 32:134-142. [PMID: 30442037 DOI: 10.1177/0898264318809787] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Objective: How are trajectories of mobility limitations (MLs) among older adults associated with mortality? Do social factors modify these associations? Method: Group-based trajectory modeling was used to identify four trajectories of MLs over a period of 4.5 years among 3,055 older Danes. Mortality analyses were conducted using additive hazard regression models. Results: Compared to older adults without MLs, older adults with high level of MLs who experienced further increase in MLs were associated with the most additional deaths followed by older adults with no MLs at baseline who later experienced limitations and older adults with a medium ML level at baseline who later experienced further increase in limitations. Men and 80-year olds experienced more additional deaths following adverse ML trajectories than women and 75-year olds. Discussion: Trajectories that led to higher ML levels were associated with most additional deaths especially among men and in the oldest age group.
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Affiliation(s)
| | | | - Rikke Lund
- University of Copenhagen, Denmark.,University of Southern Denmark, Odense, Denmark.,Aarhus University, Denmark
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38
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Marck A, Antero J, Berthelot G, Johnson S, Sedeaud A, Leroy A, Marc A, Spedding M, Di Meglio JM, Toussaint JF. Age-Related Upper Limits in Physical Performances. J Gerontol A Biol Sci Med Sci 2018; 74:591-599. [DOI: 10.1093/gerona/gly165] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Indexed: 02/04/2023] Open
Affiliation(s)
- Adrien Marck
- Institut de Recherche bio-Médicale et d’Épidémiologie du Sport (IRMES), EA, Institut National du Sport, de l’Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris
- Laboratoire Matière et Systèmes Complexes (MSC), UMR, Université Paris Diderot and CNRS, Sorbonne Paris cité, Paris
| | - Juliana Antero
- Institut de Recherche bio-Médicale et d’Épidémiologie du Sport (IRMES), EA, Institut National du Sport, de l’Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris
| | - Geoffroy Berthelot
- Institut de Recherche bio-Médicale et d’Épidémiologie du Sport (IRMES), EA, Institut National du Sport, de l’Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris
| | - Stacey Johnson
- Institut de Recherche bio-Médicale et d’Épidémiologie du Sport (IRMES), EA, Institut National du Sport, de l’Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris
| | - Adrien Sedeaud
- Institut de Recherche bio-Médicale et d’Épidémiologie du Sport (IRMES), EA, Institut National du Sport, de l’Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris
| | - Arthur Leroy
- Institut de Recherche bio-Médicale et d’Épidémiologie du Sport (IRMES), EA, Institut National du Sport, de l’Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris
| | - Andy Marc
- Institut de Recherche bio-Médicale et d’Épidémiologie du Sport (IRMES), EA, Institut National du Sport, de l’Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris
| | | | - Jean-Marc Di Meglio
- Laboratoire Matière et Systèmes Complexes (MSC), UMR, Université Paris Diderot and CNRS, Sorbonne Paris cité, Paris
| | - Jean-François Toussaint
- Institut de Recherche bio-Médicale et d’Épidémiologie du Sport (IRMES), EA, Institut National du Sport, de l’Expertise et de la Performance (INSEP) and Université Paris Descartes, Sorbonne Paris Cité, Paris
- Centre d’Investigations en Médecine du Sport (CIMS), Hôtel-Dieu, Assistance Publique—Hôpitaux de Paris, Paris, France
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Cesari M, Araujo de Carvalho I, Amuthavalli Thiyagarajan J, Cooper C, Martin FC, Reginster JY, Vellas B, Beard JR. Evidence for the Domains Supporting the Construct of Intrinsic Capacity. J Gerontol A Biol Sci Med Sci 2018; 73:1653-1660. [DOI: 10.1093/gerona/gly011] [Citation(s) in RCA: 219] [Impact Index Per Article: 36.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Indexed: 01/16/2023] Open
Affiliation(s)
- Matteo Cesari
- Gérontopôle, Centre Hospitalier Universitaire de Toulouse, France
- Université de Toulouse III Paul Sabatier, France
- Geriatric Unit, Fondazione IRCCS Ca’ Granda - Ospedale Maggiore Policlinico, Milano, Italy
- Department of Clinical Sciences and Community Health, Università di Milano, Italy
| | | | | | - Cyrus Cooper
- Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, United Kingdom
| | - Finbarr C Martin
- Division of Health and Social Care Research, King’s College, London, United Kingdom
| | - Jean-Yves Reginster
- Department of Public Health, Epidemiology and Health Economics, University of Liege, Belgium
| | - Bruno Vellas
- Gérontopôle, Centre Hospitalier Universitaire de Toulouse, France
- Université de Toulouse III Paul Sabatier, France
| | - John R Beard
- Department of Ageing and Life Course, World Health Organization, Geneva, Switzerland
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40
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Cadore EL, Izquierdo M. Muscle Power Training: A Hallmark for Muscle Function Retaining in Frail Clinical Setting. J Am Med Dir Assoc 2018; 19:190-192. [PMID: 29371129 DOI: 10.1016/j.jamda.2017.12.010] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2017] [Accepted: 12/13/2017] [Indexed: 12/30/2022]
Affiliation(s)
- Eduardo Lusa Cadore
- Exercise Research Laboratory, Physical Education School, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Mikel Izquierdo
- Department of Health Sciences, Public University of Navarre, CIBER de Fragilidad y Envejecimiento Saludable (CB16/10/00315), Tudela, Navarre, Spain.
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41
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Yasunaga A, Shibata A, Ishii K, Koohsari MJ, Inoue S, Sugiyama T, Owen N, Oka K. Associations of sedentary behavior and physical activity with older adults' physical function: an isotemporal substitution approach. BMC Geriatr 2017; 17:280. [PMID: 29212458 PMCID: PMC5719750 DOI: 10.1186/s12877-017-0675-1] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Accepted: 11/23/2017] [Indexed: 01/06/2023] Open
Abstract
Backgrounds The purpose of this study was to examine, in a sample of Japanese older adults, the associations of objectively-assessed sedentary behavior (SB) and physical activity (PA) with performance-based physical function. The isotemporal substitution (IS) approach was used to model simultaneously the effects of the specific activity being performed and the activity being displaced, in an equal time-exchange manner. Methods Among 287 older adults (65–84 years), we used accelerometers to identify the daily average time spent on SB (≤1.5 METs); light-intensity PA (LIPA) (>1.5 to <3.0 METs); and moderate- to vigorous-intensity PA (MVPA) (≥3.0 METs). Physical function was assessed using five performance-based measures: hand grip strength, usual and maximum gait speeds, timed up and go, and one-legged stance with eyes open. We employed three linear regression models – a single-activity model, a partition model, and an IS model – to assess the associations of SB, LIPA, and MVPA with each of the five measures of physical function. Results There were significant positive associations in the single-activity and partition models between MVPA and the measures of physical function (with the exception of hand grip strength). The IS models found that replacing SB or LIPA with MVPA was significantly and favorably associated with physical function measures. Conclusions These findings indicate that replacing small amounts of SB and LIPA with MVPA (such as 10 min) may contribute to improvements in older adults’ physical function.
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Affiliation(s)
- Akitomo Yasunaga
- Faculty of Liberal Arts and Sciences, Bunka Gakuen University, 3-22-1 Yoyogi, Shibuya-ku, Tokyo, 151-8523, Japan.
| | - Ai Shibata
- Faculty Health and Sport Sciences, University of Tsukuba, Tsukuba, Japan
| | - Kaori Ishii
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
| | - Mohammad Javad Koohsari
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan.,Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Australia.,Institute for Health & Aging, Australian Catholic University, Melbourne, Australia
| | - Shigeru Inoue
- Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan
| | - Takemi Sugiyama
- Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Australia.,Institute for Health & Aging, Australian Catholic University, Melbourne, Australia.,Swinburne University of Technology, Melbourne, Australia
| | - Neville Owen
- Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Australia.,Swinburne University of Technology, Melbourne, Australia
| | - Koichiro Oka
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
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42
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Relationships of depressive behavior and sertraline treatment with walking speed and activity in older female nonhuman primates. GeroScience 2017; 39:585-600. [PMID: 29080976 DOI: 10.1007/s11357-017-9999-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2017] [Accepted: 10/15/2017] [Indexed: 01/08/2023] Open
Abstract
Depression is the most common mental health problem in aging persons and is a leading risk factor for physical disability, especially in women. Though antidepressant drugs such as serotonin reuptake inhibitors (SSRI) are commonly prescribed, epidemiological evidence reveals mixed effects of long-term antidepressant use on physical function and activity, possibly depending on depressive status. The purpose of this preclinical trial was to determine the relationships of depressive behavior and the potential for an SSRI treatment to modulate walking speed and activity patterns in older adult female cynomolgus monkeys (Macaca fascicularis). We evaluated the effects of depression and a commonly prescribed SSRI, sertraline HCl (20 mg/kg/day p.o.), on (a) walking speed, (b) accelerometry-derived activity (counts) and sedentariness (daytime 60-s sedentary epochs), and (c) observed locomotor and sedentary behaviors (% time) in adult female depressed and nondepressed monkeys (n = 42; 17.2 ± 1.8 years) during an 18 month pre-treatment phase and an 18 month treatment phase using a longitudinal, stratified placebo-control study design. Monkeys that were depressed prior to treatment (19/42) subsequently had slower walking speeds (F D [1, 38] = 4.14; p ≤ 0.05) and tended to be more sedentary during the daytime (F D [1, 38] = 3.63; p ≤ 0.06). Sertraline did not affect depressive behaviors, walking speed, accelerometry-derived physical activity or sedentariness, or time observed in total locomotor or sedentary behavior (all p > 0.10). This study provides the first experimental demonstration of relationships between nonhuman primate behavioral depression and walking speed, activity, and sedentariness and provides evidence for a lack of an effect of SSRI treatment on these phenotypes.
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43
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Marck A, Antero J, Berthelot G, Saulière G, Jancovici JM, Masson-Delmotte V, Boeuf G, Spedding M, Le Bourg É, Toussaint JF. Are We Reaching the Limits of Homo sapiens? Front Physiol 2017; 8:812. [PMID: 29123486 PMCID: PMC5662890 DOI: 10.3389/fphys.2017.00812] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Accepted: 10/02/2017] [Indexed: 02/06/2023] Open
Abstract
Echoing scientific and industrial progress, the Twentieth century was an unprecedented period of improvement for human capabilities and performances, with a significant increase in lifespan, adult height, and maximal physiological performance. Analyses of historical data show a major slow down occurring in the most recent years. This triggered large and passionate debates in the academic scene within multiple disciplines; as such an observation could be interpreted as our upper biological limits. Such a new phase of human history may be related to structural and functional limits determined by long term evolutionary constraints, and the interaction between complex systems and their environment. In this interdisciplinary approach, we call into question the validity of subsequent forecasts and projections through innovative and related biomarkers such as sport, lifespan, and height indicators. We set a theoretical framework based on biological and environmental relevance rather than using a typical single-variable forecasting approach. As demonstrated within the article, these new views will have major social, economical, and political implications.
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Affiliation(s)
- Adrien Marck
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES) EA 7329, Institut National du Sport, de l'Expertise et de la Performance, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France.,Laboratoire Matière et Systèmes Complexes, UMR 7057 Université Paris Diderot, Centre National de la Recherche Scientifique, Université Sorbonne Paris Cité, Paris, France
| | - Juliana Antero
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES) EA 7329, Institut National du Sport, de l'Expertise et de la Performance, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - Geoffroy Berthelot
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES) EA 7329, Institut National du Sport, de l'Expertise et de la Performance, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France.,Group Adaptation and Prospective, High Council of Public Health, Paris, France.,Research Laboratory for Interdisciplinary Studies, Paris, France
| | - Guillaume Saulière
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES) EA 7329, Institut National du Sport, de l'Expertise et de la Performance, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | | | - Valérie Masson-Delmotte
- Laboratoire des Sciences du Climat et l'Environnement, Institut Pierre Simon Laplace, CEA-Centre National de la Recherche Scientifique, Université de Versailles Saint-Quentin en Yvelines, Gif-sur-Yvette, France
| | - Gilles Boeuf
- Muséum National d'Histoire Naturelle, Université Pierre et Marie Curie, Sorbonne Universités, Paris, France
| | | | - Éric Le Bourg
- Centre de Recherches sur la Cognition Animale, Centre de Biologie Intégrative, Université de Toulouse, Centre National de la Recherche Scientifique, Université Toulouse III Paul Sabatier, Toulouse, France
| | - Jean-François Toussaint
- Institut de Recherche bio-Médicale et d'Epidémiologie du Sport (IRMES) EA 7329, Institut National du Sport, de l'Expertise et de la Performance, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France.,Group Adaptation and Prospective, High Council of Public Health, Paris, France.,Centre d'Investigations en Médecine du Sport (CIMS), Hôtel-Dieu de Paris, Assistance Publique - Hôpitaux de Paris, Paris, France
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Ferrucci L, Cooper R, Shardell M, Simonsick EM, Schrack JA, Kuh D. Age-Related Change in Mobility: Perspectives From Life Course Epidemiology and Geroscience. J Gerontol A Biol Sci Med Sci 2016; 71:1184-94. [PMID: 26975983 PMCID: PMC4978365 DOI: 10.1093/gerona/glw043] [Citation(s) in RCA: 220] [Impact Index Per Article: 27.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Accepted: 02/19/2016] [Indexed: 12/18/2022] Open
Abstract
Mobility is the most studied and most relevant physical ability affecting quality of life with strong prognostic value for disability and survival. Natural selection has built the "engine" of mobility with great robustness, redundancy, and functional reserve. Efficient patterns of mobility can be acquired during development even by children affected by severe impairments. Analogously, age-associated impairments in mobility-related physiological systems are compensated and overt limitations of mobility only occur when the severity can no longer be compensated. Mobility loss in older persons usually results from multiple impairments in the central nervous system, muscles, joints, and energetic and sensory physiological systems. Early preclinical changes in these physiological systems that precede mobility loss have been poorly studied. Peak performance, rate of decline, compensatory behaviors, or subclinical deterioration of physiological resources may cumulatively influence both timing of mobility loss and chances of recovery, but their role as risk factors has not been adequately characterized. Understanding the natural history of these early changes and intervening on them would likely be the most effective strategy to reduce the burden of disability in the population. For example, young women with low bone peak mass could be counseled to start strength resistance exercise to reduce their high risk of developing osteoporosis and fracture later in life. Expanding this approach to other physiological domains requires collecting and interpreting data from life course epidemiological studies, establishing normative measures of mobility, physical function, and physical activity, and connecting them with life course trajectories of the mobility-relevant physiological domains.
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Affiliation(s)
| | - Rachel Cooper
- Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK
| | | | | | - Jennifer A Schrack
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Diana Kuh
- Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK
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Abstract
The survival of HIV-infected persons has been increasing over the last years, thanks to the implementation of more effective pharmacological and non-pharmacological interventions. Nevertheless, HIV-infected persons are often "biologically" older than their "chronological" age due to multiple clinical, social, and behavioral conditions of risk. The detection in this population of specific biological features and syndromic conditions typical of advanced age has made the HIV infection an interesting research model of accelerated and accentuated aging. Given such commonalities, it is possible that "biologically aged" HIV-positive persons might benefit from models of adapted and integrated care developed over the years by geriatricians for the management of their frail and complex patients. In this article, possible strategies to face the increasingly prevalent geriatric syndromes in HIV-infected persons are discussed. In particular, it is explained the importance of shifting from the traditional disease-oriented approach into models of care facilitating a multidisciplinary management of frailty.
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Affiliation(s)
- Matteo Cesari
- a Gérontopôle , Centre Hospitalier Universitaire de Toulouse , Toulouse , France.,b Université de Toulouse III Paul Sabatier , Toulouse , France
| | - Emanuele Marzetti
- c Department of Geriatrics , Neurosciences and Orthopedics, Catholic University of the Sacred Heart , Rome , Italy
| | - Marco Canevelli
- d Memory Clinic, Department of Neurology and Psychiatry , Sapienza University , Rome , Italy
| | - Giovanni Guaraldi
- e Department of Medical and Surgical Sciences for Adults and Children , Clinic of Infectious Diseases, University of Modena and Reggio Emilia , Modena , Italy
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