JafariNasabian Pegah, Inglis Julia E, Reilly Wendimere, Kelly Owen J, Ilich Jasminka Z
Department of NutritionFood and Exercise Sciences, Florida State University, Tallahassee, Florida, USA.
Abbott NutritionColumbus, Ohio, USA.
J Endocrinol. 2017 Jul;234(1):R37-R51. doi: 10.1530/JOE-16-0603. Epub 2017 Apr 25.
Aging affects almost all physiological processes, but changes in body composition and body phenotype are most observable. In this review, we focus on these changes, including loss of bone and muscle and increase in body fat or redistribution of the latter, possibly leading to osteosarcopenic obesity syndrome. We also address low-grade chronic inflammation, prevalent in aging adults and a cause of many disorders including those associated with body composition. Changes in dietary intake and nutritional requirements of older individuals, that all may lead to some disturbances on tissue and organ levels, are discussed as well. Finally, we discuss the hormonal changes in the aging body, considering each of the tissues, bone, muscle and fat as separate endocrine organs, but yet in the continuous interface and communication with each other. Although there are still many unanswered questions in this field, this review will enable the readers to better understand the aging human body and measures needing to be implemented toward reducing impaired health and disability in older individuals.
衰老几乎影响所有生理过程,但身体成分和身体表型的变化最为明显。在本综述中,我们关注这些变化,包括骨骼和肌肉的流失、体脂增加或体脂重新分布,这可能导致骨少肌少性肥胖综合征。我们还讨论了在老年人中普遍存在的低度慢性炎症,以及包括与身体成分相关疾病在内的许多疾病的病因。我们也讨论了老年人饮食摄入和营养需求的变化,这些变化都可能导致组织和器官水平的一些紊乱。最后,我们讨论衰老机体中的激素变化,将骨骼、肌肉和脂肪这三种组织分别视为独立的内分泌器官,但它们之间仍存在持续的相互作用和交流。尽管该领域仍有许多未解之谜,但本综述将使读者更好地了解衰老的人体,以及为减少老年人健康受损和残疾而需要采取的措施。