Marcellini F, Giuli C, Papa R, Gagliardi C, Malavolta M, Mocchegiani E
Social Gerontology Unit, Research Department, INRCA, Via S. Margherita, 5. I-60100 Ancona, Italy.
Arch Gerontol Geriatr. 2007;44 Suppl 1:259-69. doi: 10.1016/j.archger.2007.01.035.
The study of the interactions among biological factors and psychosocial conditions is a very innovative field, because data are lacking in the scientific literature. Among biological aspects, zinc is an essential element in the elderly, especially in relation to one of the proteins, such as albumin, involved in zinc transport into the cells. In this study, the aim is the assessment of the interrelationship between albumin value (used as an index of the body zinc status) and some psychosocial dimensions in elderly Italian sample recruited for ZINCAGE project, supported by the European Commission in the "Sixth Framework Programme". Some tests and questionnaires were administered to older people included in the trial: the "life-style questionnaire"; the mini mental state examination (MMSE); the geriatric depression scale (GDS-15 items). On the basis of the Senieur Protocol for gerontological studies, a sample of 291 Italian healthy old subjects has been recruited in Central Italy and divided into 3 age groups: (a) 125 subjects aged from 65 to 74 years, (b) 89 subjects aged from 75 to 84 years, (c) 77 subjects aged >or=85 years (classified like successful old people). No cognitive impairment assessed by MMSE was observed in 67.5% of the sample; 64.0% had GDS score less than 5, indicating no depression, whereas the prevalence of biological albumin deficiency (<3.5 g/dl) found in Italian old people was 21.0%. Sixty one percent of subjects with albumin deficiency displayed higher values of GDS (>or=5). These preliminary results showed an interrelationship among serum albumin value and psychosocial aspects in Italian old population, suggesting that low albumin values may be involved in impaired psychological dimensions.
生物因素与社会心理状况之间相互作用的研究是一个非常创新的领域,因为科学文献中缺乏相关数据。在生物学方面,锌是老年人必需的元素,特别是与参与锌转运进入细胞的蛋白质之一(如白蛋白)有关。在本研究中,目的是评估白蛋白值(用作身体锌状态的指标)与参与欧盟委员会“第六框架计划”资助的ZINCAGE项目招募的意大利老年样本中一些社会心理维度之间的相互关系。对试验中纳入的老年人进行了一些测试和问卷调查:“生活方式问卷”;简易精神状态检查表(MMSE);老年抑郁量表(GDS - 15项)。根据老年学研究的高级协议,在意大利中部招募了291名健康的老年受试者样本,并将其分为3个年龄组:(a)125名年龄在65至74岁之间的受试者,(b)89名年龄在75至84岁之间的受试者,(c)77名年龄≥85岁的受试者(归类为成功的老年人)。样本中67.5%未观察到MMSE评估的认知障碍;64.0%的GDS得分低于5,表明无抑郁,而意大利老年人中生物白蛋白缺乏(<3.5 g/dl)的患病率为21.0%。白蛋白缺乏的受试者中有61%的GDS值较高(≥5)。这些初步结果表明意大利老年人群中血清白蛋白值与社会心理方面之间存在相互关系,表明低白蛋白值可能与心理维度受损有关。