Schrager Matthew A, Hilton James, Gould Richard, Kelly Valerie E
Department of Integrative Health Science, Stetson University, 421 N. Woodland Boulevard, DeLand, FL 32723, USA.
Appl Physiol Nutr Metab. 2015 Jun;40(6):543-9. doi: 10.1139/apnm-2014-0247. Epub 2015 Jan 12.
Limited functional mobility in older adults has been associated with declines in tests of motor, psychomotor, and executive function. Animal studies have demonstrated reversals in indices of motor and psychomotor function via supplementation with polyphenolic-rich foods such as blueberries. The purpose of this study was to examine whether 6 weeks of daily consumption of 2 cups of frozen blueberries affects functional mobility in older adults. Pre- and post-intervention assessments of grip strength, simple reaction time, adaptive gait, and executive function were completed for older adults (age >60 years) partially randomly assigned to a blueberry (BB) supplementation or a carrot juice drink control (CAR) group. Paired t tests were used to assess within-group effects for outcome variables in each supplementation group, and a mixed-model analysis of covariance (ANCOVA) was used to determine group (CAR vs. BB) differences. Mixed-model analysis indicated that the BB group demonstrated significant improvements relative to the CAR group in performance (i.e., number of step errors) of a challenging dual-task adaptive gait test that were independent of differences in gait speed. Within only the BB group, significant improvements were also seen in 3 other measures (i.e., usual gait speed; number of step errors during single-task adaptive gait; and gait speed during dual-task adaptive gait). These preliminary findings support the hypothesis that blueberry supplementation may provide an effective countermeasure to age-related declines in functional mobility and serve as justification for an expansion to larger trials to more fully assess this nonpharmacologic approach to maintaining optimal mobility and independence.
老年人有限的功能活动能力与运动、心理运动和执行功能测试的下降有关。动物研究表明,通过补充富含多酚的食物(如蓝莓),运动和心理运动功能指标会出现逆转。本研究的目的是检验每天食用2杯冷冻蓝莓,持续6周是否会影响老年人的功能活动能力。对年龄超过60岁的老年人进行了干预前和干预后的握力、简单反应时间、适应性步态和执行功能评估,这些老年人被部分随机分配到蓝莓(BB)补充组或胡萝卜汁饮料对照组(CAR)。配对t检验用于评估每个补充组中结果变量的组内效应,混合模型协方差分析(ANCOVA)用于确定组间(CAR与BB)差异。混合模型分析表明,在具有挑战性的双任务适应性步态测试的表现(即步幅误差数量)方面,BB组相对于CAR组有显著改善,且与步态速度差异无关。仅在BB组内,在其他3项指标(即通常步态速度;单任务适应性步态期间的步幅误差数量;以及双任务适应性步态期间的步态速度)上也有显著改善。这些初步发现支持了以下假设:补充蓝莓可能为与年龄相关的功能活动能力下降提供一种有效的应对措施,并为扩大到更大规模的试验提供依据,以更全面地评估这种维持最佳活动能力和独立性的非药物方法。