Casas-Agustench Patricia, Cherubini Antonio, Andrés-Lacueva Cristina
aBiomarkers and Nutrimetabolomic Laboratory, Department of Nutrition, Food Sciences and Gastronomy, Food Technology Reference Net (XaRTA), Nutrition and Food Safety Research Institute (INSA), Campus Torribera, Faculty of Pharmacy and Food Sciences, University of Barcelona, Barcelona, Spain bGeriatrics and Geriatric Emergency Care, IRCCS-INRCA, Ancona, Italy.
Curr Opin Clin Nutr Metab Care. 2017 Jan;20(1):16-25. doi: 10.1097/MCO.0000000000000333.
Healthy aging is a public health priority. The maintenance of adequate physical function is recognized as a key element of healthy aging. In recent years, scientific evidence has increased concerning the ability of lipids, in particular omega 3 polyunsaturated fatty acids (n-3 PUFAs), to positively influence muscle and overall physical function in older patients. The article will critically review observational as well as intervention studies on this topic, and it will elucidate the potential biological mechanisms underlying the beneficial effects of n-3 PUFA on physical function.
Observational studies and clinical trials performed in healthy older patients and in older patients with chronic diseases mostly found positive effects of n-3 PUFA on muscle metabolism, muscle strength and in general physical function.
Although the use of n-3 PUFA might represent an important intervention to preserve physical function in older adults, several key questions still need to be answered. Above all, large randomized controlled trials should be performed to confirm the utility of n-3 PUFA as therapeutic agents to prevent and treat physical function decline in old age.
健康老龄化是公共卫生的重点。维持足够的身体功能被认为是健康老龄化的关键要素。近年来,关于脂质,特别是ω-3多不饱和脂肪酸(n-3 PUFAs)对老年患者肌肉和整体身体功能产生积极影响的科学证据有所增加。本文将批判性地综述关于这一主题的观察性研究和干预性研究,并阐明n-3多不饱和脂肪酸对身体功能产生有益影响的潜在生物学机制。
在健康老年患者和患有慢性疾病的老年患者中进行的观察性研究和临床试验大多发现n-3多不饱和脂肪酸对肌肉代谢、肌肉力量和总体身体功能有积极影响。
尽管使用n-3多不饱和脂肪酸可能是维持老年人身体功能的一项重要干预措施,但仍有几个关键问题需要解答。最重要的是,应进行大型随机对照试验,以确认n-3多不饱和脂肪酸作为预防和治疗老年身体功能衰退的治疗药物的效用。