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多种维生素和矿物质补充剂对健康老年人免疫功能的影响:一项双盲、随机、对照试验。

The Effect of a Multivitamin and Mineral Supplement on Immune Function in Healthy Older Adults: A Double-Blind, Randomized, Controlled Trial.

机构信息

Linus Pauling Institute, Department of Biochemistry & Biophysics, Oregon State University, Corvallis, OR 97331, USA.

Linus Pauling Institute, Department of Microbiology, Oregon State University, Corvallis, OR 97331, USA.

出版信息

Nutrients. 2020 Aug 14;12(8):2447. doi: 10.3390/nu12082447.

Abstract

Older adults are at increased risk for vitamin and mineral deficiencies that contribute to age-related immune system decline. Several lines of evidence suggest that taking a multi-vitamin and mineral supplement (MVM) could improve immune function in individuals 55 and older. To test this hypothesis, we provided healthy older adults with either an MVM supplement formulated to improve immune function (Redoxon VI, Singapore) or an identical, inactive placebo control to take daily for 12 weeks. Prior to and after treatment, we measured (1) their blood mineral and vitamin status (i.e., vitamin C, zinc and vitamin D); (2) immune function (i.e., whole blood bacterial killing activity, neutrophil phagocytic activity, and reactive oxygen species production); (3) immune status (salivary IgA and plasma cytokine/chemokine levels); and (4) self-reported health status. MVM supplementation improved vitamin C and zinc status in blood and self-reported health-status without altering measures of immune function or status or vitamin D levels, suggesting that healthy older adults may benefit from MVM supplementation. Further development of functional assays and larger study populations should improve detection of specific changes in immune function after supplementation in healthy older adults. Clinical Trials Registration: ClinicalTrials.gov #NCT02876315.

摘要

老年人更容易出现维生素和矿物质缺乏,这会导致与年龄相关的免疫系统衰退。有几条证据表明,服用多种维生素和矿物质补充剂(MVM)可以改善 55 岁及以上人群的免疫功能。为了验证这一假设,我们为健康的老年人提供了一种旨在改善免疫功能的 MVM 补充剂(Redoxon VI,新加坡)或相同的、无活性的安慰剂对照,让他们每天服用 12 周。在治疗前后,我们测量了(1)他们的血液矿物质和维生素状况(即维生素 C、锌和维生素 D);(2)免疫功能(即全血细菌杀伤活性、中性粒细胞吞噬活性和活性氧物质产生);(3)免疫状况(唾液 IgA 和血浆细胞因子/趋化因子水平);以及(4)自我报告的健康状况。MVM 补充剂改善了血液中的维生素 C 和锌状况以及自我报告的健康状况,而不会改变免疫功能或状态或维生素 D 水平的测量值,这表明健康的老年人可能受益于 MVM 补充剂。进一步开发功能测定和更大的研究人群应该可以提高对健康老年人补充后免疫功能特定变化的检测能力。临床试验注册:ClinicalTrials.gov #NCT02876315。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b87/7468989/db1a7ca36eb3/nutrients-12-02447-g001.jpg

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