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一种新型姜黄素磷脂递送系统(Meriva®)可维持健康老年受试者的肌肉质量。

A novel phospholipid delivery system of curcumin (Meriva®) preserves muscular mass in healthy aging subjects.

作者信息

Franceschi F, Feregalli B, Togni S, Cornelli U, Giacomelli L, Eggenhoffner R, Belcaro G

机构信息

Indena S.p.A, Milan, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2016;20(4):762-6.

Abstract

OBJECTIVE

Curcumin is known to interrupt pro-inflammatory signalling and increases anti-oxidant protection, thus inhibiting the expression of inflammatory cytokines and the expression and function of inducible inflammatory enzymes. Together, these effects contribute to limit the onset and the progression of sarcopenia, due to the major role played by inflammation in the pathophysiology of this disease. This registry study evaluates the effects of Meriva® supplementation in otherwise healthy elderly subjects.

PATIENTS AND METHODS

This was a registry, supplement study, conducted in healthy subjects > 65 years with apparent loss of strength and tiredness who freely decided to start one of the following interventions: (1) standard management (exercise, balanced diet including proteins) (n = 33); (2) standard management + Meriva® one tablet/day (n = 31); (3) standard management + Meriva® one tablet/day + other supplementation (n = 22). A number of functional and biochemical parameters were evaluated at baseline and after three months (hand grip, weight lifting, time/distance before feeling tired after cycling, walking and climbing stairs; general fitness, proteinuria, oxidative stress, Karnofsky scale; left ventricular ejection fraction).

RESULTS

Significant improvements in all parameters, with respect to baseline values, were observed in the two supplementation groups (p < 0.05 for all comparisons). On the other hand, no improvement was observed in the standard management-only group. At three months, inter-group comparison revealed a statistical advantage in all parameters for both supplementation groups compared with the standard management-only group (p < 0.05 for all comparisons).

CONCLUSIONS

Our registry study shows that the addition of Meriva® - either or not combined with other nutritional supplements - to standardized diet and exercise plan contributes to improve strength and physical performance in elderly subjects, potentially preventing the onset of sarcopenia.

摘要

目的

已知姜黄素可中断促炎信号传导并增强抗氧化保护作用,从而抑制炎性细胞因子的表达以及诱导型炎性酶的表达和功能。由于炎症在肌肉减少症病理生理学中起主要作用,这些作用共同有助于限制肌肉减少症的发生和进展。本登记研究评估了补充Meriva®对其他方面健康的老年受试者的影响。

患者与方法

这是一项登记补充研究,针对年龄超过65岁、明显有力量丧失和疲劳感的健康受试者,他们自由决定开始以下干预措施之一:(1)标准管理(运动、包括蛋白质的均衡饮食)(n = 33);(2)标准管理 + 每天一片Meriva®(n = 31);(3)标准管理 + 每天一片Meriva® + 其他补充剂(n = 22)。在基线和三个月后评估了一些功能和生化参数(握力、举重、骑自行车、行走和爬楼梯后感到疲劳前的时间/距离;总体健康状况、蛋白尿、氧化应激、卡氏评分;左心室射血分数)。

结果

两个补充剂组的所有参数相对于基线值均有显著改善(所有比较p < 0.05)。另一方面,仅标准管理组未观察到改善。三个月时,组间比较显示,与仅标准管理组相比,两个补充剂组在所有参数上均具有统计学优势(所有比较p < 0.05)。

结论

我们的登记研究表明,在标准化饮食和运动计划中添加Meriva®(无论是否与其他营养补充剂联合使用)有助于改善老年受试者的力量和身体表现,可能预防肌肉减少症的发生。

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