Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA.
Department of Medicine, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA.
Aging (Albany NY). 2020 Jun 1;12(12):11914-11941. doi: 10.18632/aging.103362.
Age-related declines in physical performance predict cognitive impairment, disability, chronic disease exacerbation, and mortality. We conducted a metabolome-wide association study of physical performance among Bogalusa Heart Study participants. Bonferroni corrected multivariate-adjusted linear regression was employed to examine cross-sectional associations between single metabolites and baseline gait speed (N=1,227) and grip strength (N=1,164). In a sub-sample of participants with repeated assessments of gait speed (N=282) and grip strength (N=201), significant metabolites from the cross-sectional analyses were tested for association with change in physical performance over 2.9 years of follow-up. Thirty-five and seven metabolites associated with baseline gait speed and grip strength respectively, including six metabolites that associated with both phenotypes. Three metabolites associated with preservation or improvement in gait speed over follow-up, including: sphingomyelin (40:2) (P=2.6×10) and behenoyl sphingomyelin (d18:1/22:0) and ergothioneine (both P<0.05). Seven metabolites associated with declines in gait speed, including: 1-carboxyethylphenylalanine (P=8.8×10), and N-acetylaspartate, N-formylmethionine, S-adenosylhomocysteine, N-acetylneuraminate, N2,N2-dimethylguanosine, and gamma-glutamylphenylalanine (all P<0.05). Two metabolite modules reflecting sphingolipid and bile acid metabolism associated with physical performance (minimum P=7.6×10). These results add to the accumulating evidence suggesting an important role of the human metabolome in physical performance and specifically implicate lipid, nucleotide, and amino acid metabolism in early physical performance decline.
生理机能的年龄相关性衰退可预测认知障碍、残疾、慢性疾病恶化和死亡。我们对博加拉卢萨心脏研究参与者的生理机能进行了代谢组学全关联研究。采用经 Bonferroni 校正的多变量调整线性回归,检测了单个代谢物与基线步态速度(N=1,227)和握力(N=1,164)之间的横断面关联。在具有重复步态速度评估(N=282)和握力评估(N=201)的参与者亚样本中,对横断面分析中具有显著意义的代谢物进行了测试,以检测其与 2.9 年随访期间生理机能变化的关联。有 35 种和 7 种代谢物分别与基线步态速度和握力相关,包括与两种表型都相关的 6 种代谢物。有 3 种代谢物与随访期间步态速度的保持或改善相关,包括:神经鞘磷脂(40:2)(P=2.6×10)和二十二碳六烯酰基神经鞘氨醇(d18:1/22:0)和麦硫因(均 P<0.05)。有 7 种代谢物与步态速度下降相关,包括:1-羧乙基苯丙氨酸(P=8.8×10),以及 N-乙酰天冬氨酸、N-甲酰甲硫氨酸、S-腺苷同型半胱氨酸、N-乙酰神经氨酸、N2,N2-二甲基鸟苷和γ-谷氨酰苯丙氨酸(均 P<0.05)。两个反映神经鞘脂和胆汁酸代谢的代谢物模块与生理机能相关(最小 P=7.6×10)。这些结果增加了越来越多的证据,表明人体代谢组在生理机能中具有重要作用,特别是涉及脂质、核苷酸和氨基酸代谢与早期生理机能下降。