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揭示端粒长度对社区居住老年人营养不良风险的影响:来自横断面数据分析的见解。

Exposing telomere length's impact on malnutrition risk among older adults residing in the community: Insights from cross-sectional data analysis.

机构信息

Faculty of Nutrition, Federal University of Alfenas, Alfenas, Brazil.

Polytechnic University of Coimbra, Rua da Misericórdia, Lagar dos Cortiços-S. Martinho do Bispo, Coimbra, Portugal.

出版信息

PLoS One. 2024 Nov 5;19(11):e0308612. doi: 10.1371/journal.pone.0308612. eCollection 2024.

Abstract

BACKGROUND

Successful aging is associated with an increase in life expectancy. For a better understanding of the aging process, recognize the relationship between telomere length and nutritional status is a novel approach in geriatric science. Telomers shortening coincides with a decrease in life expectancy, and an increased risk of malnutrition-related diseases.

GOALS

The goal of this study was to investigate whether a shorter telomere length is associated with a greater likelihood of malnutrition in community-dwelling older adults.

METHODS

A cross-sectional study with a probabilistic sample of 448 older people aged 60 years old or over, and living in the urban area of an inland Brazilian municipality was conducted. The information was gathered in two stages: a) a personal interview was conducted to obtain sociodemographic, cognitive, and functional autonomy data. The Mini Nutritional Assessment was used to assess the risk of malnutrition. b) a blood sample was taken to proceed with the relative quantitative study of telomere length using real-time qPCR method. The differences between the groups were estimated using Pearson's v2 and Fisher's exact tests. In the data analysis, descriptive statistics and multiple logistic regression were applied.

RESULTS

In 34.15% of the total sample, malnutrition was recognized as a risk factor. Older people with the shortest telomere length had more chances of getting malnutrition (OR = 1.63; IC:95% = 1.04-2.55) compared to those with longer telomeres, independent of age groups, family income, multimorbidity, cognitive decline, and depressive symptoms.

CONCLUSION

The creation of clinical trials and the implementation of therapies to reduce the risk of malnutrition will be aided using the telomere length as an aging innovative biomarker, connected with nutritional status.

摘要

背景

成功老龄化与预期寿命的延长有关。为了更好地了解衰老过程,认识端粒长度与营养状况之间的关系是老年科学的一种新方法。端粒缩短与预期寿命的缩短以及与营养不良相关疾病的风险增加有关。

目的

本研究旨在探讨社区居住的老年人中,端粒较短是否与营养不良的可能性更大有关。

方法

进行了一项横断面研究,采用概率抽样方法,选取了 448 名年龄在 60 岁及以上、居住在巴西内陆城市地区的老年人。信息分两个阶段收集:a)进行个人访谈,以获取社会人口统计学、认知和功能自主数据。使用迷你营养评估法评估营养不良的风险。b)采集血样,采用实时 qPCR 方法进行端粒相对定量研究。使用 Pearson's v2 和 Fisher's 确切检验估计组间差异。在数据分析中,应用了描述性统计和多因素逻辑回归。

结果

在总样本的 34.15%中,识别出营养不良是一个风险因素。与端粒较长的老年人相比,端粒最短的老年人更有可能出现营养不良(OR=1.63;95%CI:1.04-2.55),独立于年龄组、家庭收入、多种合并症、认知能力下降和抑郁症状。

结论

使用端粒长度作为与营养状况相关的衰老创新生物标志物,将有助于创建临床试验和实施减少营养不良风险的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e365/11537379/482525dd7af1/pone.0308612.g001.jpg

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