Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, GERMANY.
Network Aging Research, Heidelberg University, Heidelberg, GERMANY.
Med Sci Sports Exerc. 2021 Dec 1;53(12):2528-2535. doi: 10.1249/MSS.0000000000002731.
No population-based cohort study on the associations of physical activity with biomarkers of oxidative stress has been performed so far.
The total thiol groups of serum proteins (TTP), which can be considered as a proxy biomarker for the antioxidant defense capacity of cells and the derivatives of reactive oxygen metabolites (D-ROM) serum concentration, which is mainly a biomarker of lipid peroxidation, were measured in 2572 participants of a population-based cohort study of older adults (age range, 57-83 yr), of whom 2068 had repeated measurements 3 yr later. Physical activity was assessed by a questionnaire specifically designed for the elderly.
In multivariable linear regression models, total physical activity was statistically significantly, inversely associated with both D-ROM concentrations measured at baseline and their 3-yr change. With respect to TTP, a nonsignificant, positive association with total physical activity was observed in the cross-sectional analysis, which was statistically significant in obese study participants, and a statistically significant interaction between physical activity and obesity was detected. However, no longitudinal association between total physical activity and changes in TTP levels was observed. The type of physical activity (sports, leisure time, or household activity) did not have a strong effect on the results.
This first population-based cohort study suggests that regular physical activity at older age could reduce oxidative stress. With the multifold potential adverse health consequences of chronically increased, systemic oxidative stress in mind, physical activity should be intensively promoted for all older adults as a measure to prevent age-related diseases.
目前尚无关于体力活动与氧化应激生物标志物之间关联的基于人群的队列研究。
在一项针对老年人的基于人群的队列研究中,共测量了 2572 名参与者的血清总巯基蛋白(TTP)和血清反应性氧代谢物衍生物(D-ROM)浓度,TTP 可作为细胞抗氧化防御能力的替代生物标志物,D-ROM 主要是脂质过氧化的生物标志物。该队列中 2068 人在 3 年后重复测量了这两项指标。体力活动通过专门为老年人设计的问卷进行评估。
在多变量线性回归模型中,总体力活动与基线时和 3 年后 D-ROM 浓度的变化均呈统计学显著负相关。在横断面分析中,TTP 与总体力活动呈正相关,但无统计学意义,在肥胖研究参与者中具有统计学意义,且体力活动和肥胖之间存在统计学显著的交互作用。然而,总体力活动与 TTP 水平变化之间没有纵向关联。体力活动的类型(运动、休闲时间或家务活动)对结果没有显著影响。
这是第一项基于人群的队列研究,表明老年人定期进行体力活动可以降低氧化应激。鉴于慢性、全身性氧化应激对健康的多种潜在不良后果,应积极鼓励所有老年人进行体力活动,作为预防与年龄相关疾病的措施。