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膳食补充ω-3脂肪酸在老年人中的作用。

The role for dietary omega-3 fatty acids supplementation in older adults.

作者信息

Molfino Alessio, Gioia Gianfranco, Rossi Fanelli Filippo, Muscaritoli Maurizio

机构信息

Department of Clinical Medicine Sapienza, University of Rome, Viale dell'Università 37, 00185 Rome, Italy.

出版信息

Nutrients. 2014 Oct 3;6(10):4058-73. doi: 10.3390/nu6104058.

Abstract

Optimal nutrition is one of the most important determinants of healthier ageing, reducing the risk of disability, maintaining mental and physical functions, and thus preserving and ensuring a better quality of life. Dietary intake and nutrient absorption decline with age, thus increasing the risk of malnutrition, morbidity and mortality. Specific nutrients, particularly long-chain omega-3 polyunsaturated fatty acids (PUFAs), might have the potential of preventing and reducing co-morbidities in older adults. Omega-3 PUFAs are able to modulate inflammation, hyperlipidemia, platelet aggregation, and hypertension. Different mechanisms contribute to these effects, including conditioning cell membrane function and composition, eicosanoid production, and gene expression. The present review analyzes the influence of omega-3 PUFAs status and intake on brain function, cardiovascular system, immune function, muscle performance and bone health in older adults. Omega-3 FAs may have substantial benefits in reducing the risk of cognitive decline in older people. The available data encourage higher intakes of omega-3 PUFAs in the diet or via specific supplements. More studies are needed to confirm the role of omega-3 FAs in maintaining bone health and preventing the loss of muscle mass and function associated with ageing. In summary, omega-3 PUFAs are now identified as potential key nutrients, safe and effective in the treatment and prevention of several negative consequences of ageing.

摘要

最佳营养是健康老龄化最重要的决定因素之一,可降低残疾风险,维持心理和身体功能,从而维护并确保更高的生活质量。随着年龄增长,饮食摄入量和营养吸收会下降,进而增加营养不良、发病和死亡的风险。特定营养素,尤其是长链ω-3多不饱和脂肪酸(PUFA),可能具有预防和减少老年人合并症的潜力。ω-3多不饱和脂肪酸能够调节炎症、高脂血症、血小板聚集和高血压。多种不同机制促成了这些作用,包括调节细胞膜功能和组成、类花生酸生成以及基因表达。本综述分析了ω-3多不饱和脂肪酸的状态和摄入量对老年人脑功能、心血管系统、免疫功能、肌肉性能和骨骼健康的影响。ω-3脂肪酸在降低老年人认知能力下降风险方面可能具有显著益处。现有数据支持在饮食中或通过特定补充剂增加ω-3多不饱和脂肪酸的摄入量。需要更多研究来证实ω-3脂肪酸在维持骨骼健康以及预防与衰老相关的肌肉质量和功能丧失方面的作用。总之,ω-3多不饱和脂肪酸现已被确定为潜在的关键营养素,在治疗和预防衰老的若干负面后果方面安全有效。

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