Liu Christine K, Lyass Asya, Larson Martin G, Massaro Joseph M, Wang Na, D'Agostino Ralph B, Benjamin Emelia J, Murabito Joanne M
Section of Geriatrics, Department of Medicine, Boston University School of Medicine, 88 E Newton Street, Robinson 2, Boston, MA, 02118, USA.
Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA.
Age (Dordr). 2016 Feb;38(1):1. doi: 10.1007/s11357-015-9864-z. Epub 2015 Dec 23.
Cardiovascular disease and frailty frequently occur together. Both are associated with inflammation, which may be partially triggered by oxidative stress, especially in cardiovascular disease. We investigated whether inflammatory and oxidative stress biomarkers linked to cardiovascular disease were associated with frailty and the related outcome of gait speed. We report cross-sectional associations of biomarkers and frailty assessed at Framingham Offspring Study cycle eight. Participants ≥60 years were eligible if they had information on frailty and at least one of the following: C-reactive protein, interleukin-6, tumor necrosis factor receptor 2, 8-epi-FGFα isoprostanes (isoprostanes), lipoprotein phospholipase A2 (LpPLA2) mass or activity, osteoprotegerin, intracellular adhesion molecule-1, monocyte chemoattractant protein-1 or P-selectin. Stepwise logistic models were utilized for frailty and stepwise linear models for gait speed. Covariates included age, sex, body mass index, smoking, and co-morbidities. Odds ratios (ORs) and slope estimates (B) are reported per standard deviation increase of loge-transformed biomarker. Of the 1919 participants, 142 (7 %) were frail. In a stepwise model, frailty odds increased with higher interleukin-6 (OR 1.90, 95 % CI 1.51, 2.38), isoprostanes (OR 1.46, 95 % CI 1.12, 1.92), and LpPLA2 mass (OR 1.29, 95 % CI 1.00, 1.65). Stepwise regression found that slower gait speeds were associated with interleukin-6 (B = -0.025 m/s, 95 % CI 0.04, -0.01), isoprostanes (B = -0.019, 95 % CI -0.03, -0.008), LpPLA2 mass (B = -0.016, 95 % CI -0.03, -0.004), and osteoprotegerin (B = -0.015, 95 % CI -0.03, -0.002, all p < 0.05). Interleukin-6, isoprostanes, and LpPLA2 mass were associated with greater frailty odds and slower gait speeds. Oxidative stress may be a mechanism contributing to frailty.
心血管疾病和身体虚弱常常同时出现。二者都与炎症相关,炎症可能部分由氧化应激引发,尤其是在心血管疾病中。我们研究了与心血管疾病相关的炎症和氧化应激生物标志物是否与身体虚弱及步态速度这一相关结果有关。我们报告了在弗雷明汉后代研究第八轮中评估的生物标志物与身体虚弱之间的横断面关联。年龄≥60岁的参与者若有关于身体虚弱的信息以及以下至少一项信息则符合条件:C反应蛋白、白细胞介素-6、肿瘤坏死因子受体2、8-表-前列腺素F2α异前列腺素(异前列腺素)、脂蛋白磷脂酶A2(LpPLA2)质量或活性、骨保护素、细胞间黏附分子-1、单核细胞趋化蛋白-1或P-选择素。对身体虚弱采用逐步逻辑模型,对步态速度采用逐步线性模型。协变量包括年龄、性别、体重指数、吸烟情况和合并症。报告的比值比(OR)和斜率估计值(B)为经自然对数转换的生物标志物每增加一个标准差时的值。在1919名参与者中,142名(7%)身体虚弱。在逐步模型中,身体虚弱的比值随着白细胞介素-6水平升高(OR 1.90,95%置信区间1.51,2.38)、异前列腺素水平升高(OR 1.46,95%置信区间1.12,1.92)和LpPLA2质量升高(OR 1.29,95%置信区间1.00,1.65)而增加。逐步回归发现,较慢的步态速度与白细胞介素-6(B = -0.025 m/s,95%置信区间0.04,-0.01)、异前列腺素(B = -0.019,95%置信区间-0.03,-0.008)、LpPLA2质量(B = -0.016,95%置信区间-0.03,-0.004)和骨保护素(B = -0.015,95%置信区间-0.03,-0.002,所有p < 0.05)有关。白细胞介素-6、异前列腺素和LpPLA2质量与更高的身体虚弱比值和更慢的步态速度相关。氧化应激可能是导致身体虚弱的一种机制。