Chen Xi, Brodaty Henry, O'Leary Fiona
Dementia Centre for Research Collaboration.
Centre for Healthy Brain Ageing (CHeBA), School of Psychiatry, Faculty of Medicine, University of New South Wales.
Curr Opin Clin Nutr Metab Care. 2022 Jan 1;25(1):7-28. doi: 10.1097/MCO.0000000000000796.
Cell senescence is implicated in numerous age-related conditions. Antiageing therapies and nutritional approaches have been researched for purposes of removing senescent cells (senolytics) to treat or prevent age-related diseases, such as cognitive impairment and Alzheimer's disease. In this updated review, we examined the evidence from the last 18 months regarding nutrition senolytics, with a focus on cognitive ageing among older adults.
Overall, 19 systematic reviews and 17 intervention studies were included. Studies failed to provide evidence of nutritional senolytic agents or senescence-associated secretory phenotype (SASP) suppressors, for oral supplements providing beneficial effects on cognitive ageing among older adults. The protective role of food sources such as berries and nuts, and dietary patterns of Mediterranean diet and Mediterranean-DASH diet Intervention for Neurodegenerative Delay diet against cognitive decline or risk of dementia have been mostly supported by recent studies.
The present review gathered additional evidence for both oral supplements and foods/diets rich in nutritional senolytic agents or SASP suppressors on cognitive health among older adults. In pursuing antiageing strategies, the importance of whole foods and healthy diets should not be overlooked, future studies are warranted on long-term effects and cytotoxicity of nutritional senolytics.
细胞衰老与多种年龄相关病症有关。为了治疗或预防年龄相关疾病,如认知障碍和阿尔茨海默病,人们对抗衰老疗法和营养方法进行了研究,旨在清除衰老细胞(衰老细胞溶解剂)。在本次更新综述中,我们研究了过去18个月中关于营养衰老细胞溶解剂的证据,重点关注老年人的认知衰老。
总共纳入了19项系统评价和17项干预研究。对于口服补充剂对老年人认知衰老具有有益作用,研究未能提供营养衰老细胞溶解剂或衰老相关分泌表型(SASP)抑制剂的证据。近期研究大多支持浆果和坚果等食物来源以及地中海饮食和地中海-得舒饮食延缓神经退行性变饮食干预对认知衰退或痴呆风险的保护作用。
本综述收集了关于口服补充剂以及富含营养衰老细胞溶解剂或SASP抑制剂的食物/饮食对老年人认知健康影响的更多证据。在寻求抗衰老策略时,不应忽视全食物和健康饮食的重要性,未来有必要对营养衰老细胞溶解剂的长期影响和细胞毒性进行研究。