Scotto di Palumbo Alessandro, McSwiney Fionn T, Hone Michelle, McMorrow Aoibheann M, Lynch Gina, De Vito Giuseppe, Egan Brendan
Institute for Sport and Health, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin 4, Ireland.
School of Health and Human Performance, Dublin City University, Dublin 9, Ireland.
J Diet Suppl. 2022;19(4):499-514. doi: 10.1080/19390211.2021.1897057. Epub 2021 Mar 24.
Six months of supplementation with a multi-ingredient nutrition supplement was investigated in older adults with low skeletal muscle mass given the recently purported benefits of such approaches. Community-dwelling older adults (age, 74.9 ± 3.6 y; M/F, 18/19) participated in a double-blind, placebo-controlled, randomized trial involving daily consumption of either fruit juice placebo (PLA) or supplement (SUPP) in the form of a 200-mL carton of a juice-based emulsion of long chain n-3 polyunsaturated fatty acids (LC n-3 PUFA) (3000 mg as 1500 mg docosahexaenoic acid and 1500 mg eicosapentaenoic acid), whey protein isolate (8 g), vitamin D3 (400 IU), and resveratrol (150 mg). Body composition, physical function, and circulating markers of metabolic health were assessed at baseline (PRE), and after 3 (MID) and 6 (POST) months of supplementation. Lean body mass (LBM) was unchanged in either group, but fat mass increased in SUPP by 1.41 (0.75, 2.07) kg at POST (+6.4%; < .001; = 0.20). Hand-grip strength was maintained in SUPP, but declined in PLA by 2.50 (0.81, 4.19) kg at POST (-6.8%; = .002; = 0.38). Short physical performance battery score was unchanged in PLA, but increased in SUPP by 1.13 (0.41, 1.84) above PRE at POST ( = .001; = 0.47). Circulating markers of metabolic health were unchanged in response to the intervention in either PLA or SUPP. Long-term supplementation with an LC n-3 PUFA-rich multi-ingredient nutrition supplement demonstrates potential efficacy for improving physical function in older adults in the absence of exercise training and independent of a change in LBM.
鉴于最近宣称的此类方法的益处,研究人员对骨骼肌质量较低的老年人补充多成分营养补充剂六个月的情况进行了调查。社区居住的老年人(年龄74.9±3.6岁;男/女,18/19)参与了一项双盲、安慰剂对照、随机试验,试验内容为每日饮用200毫升纸盒装的果汁基长链n-3多不饱和脂肪酸(LC n-3 PUFA)乳液形式的果汁安慰剂(PLA)或补充剂(SUPP),其中含有3000毫克(1500毫克二十二碳六烯酸和1500毫克二十碳五烯酸)、乳清蛋白分离物(8克)、维生素D3(400国际单位)和白藜芦醇(150毫克)。在基线期(PRE)以及补充3个月(MID)和6个月(POST)后,评估身体成分、身体功能和代谢健康的循环标志物。两组的去脂体重(LBM)均未改变,但补充剂组在POST时脂肪量增加了1.41(0.75,2.07)千克(+6.4%;P<0.001;效应量=0.20)。补充剂组的握力保持不变,但安慰剂组在POST时下降了2.50(0.81,4.19)千克(-6.8%;P=0.002;效应量=0.38)。安慰剂组的简短身体功能测试电池评分未改变,但补充剂组在POST时比PRE增加了1.13(0.41,1.84)(P=0.001;效应量=0.47)。无论是安慰剂组还是补充剂组,代谢健康的循环标志物在干预后均未改变。长期补充富含LC n-3 PUFA的多成分营养补充剂显示出在无运动训练且LBM无变化的情况下改善老年人身体功能的潜在功效。