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炎症与衰弱相互作用及其对新型冠状病毒肺炎的影响:预防和辅助治疗观点。

Interplay between Inflammaging, Frailty and Nutrition in Covid-19: Preventive and Adjuvant Treatment Perspectives.

机构信息

Sandra Maria Lima Ribeiro, University of São Paulo- Public Health School, Av Dr. Arnaldo 715, Sao Paulo- SP- Brazil, e-mail:

出版信息

J Nutr Health Aging. 2022;26(1):67-76. doi: 10.1007/s12603-021-1720-5.

Abstract

As humans age, their immune system undergoes modifications, including a low-grade inflammatory status called inflammaging. These changes are associated with a loss of physical and immune resilience, amplifying the risk of being malnourished and frail. Under the COVID-19 scenario, inflammaging increases the susceptibility to poor prognostics. We aimed to bring the current concepts of inflammaging and its relationship with frailty and COVID-19 prognostic; highlight the importance of evaluating the nutritional risk together with frailty aiming to monitor older adults in COVID-19 scenario; explore some compounds with potential to modulate inflammaging in perspective to manage the COVID-19 infection. Substances such as probiotics and senolytics can help reduce the high inflammatory status. Also, the periodic evaluation of nutrition risk and frailty will allow interventions, assuring the appropriate care.

摘要

随着人类年龄的增长,其免疫系统会发生变化,包括一种称为“炎老化”的低度炎症状态。这些变化与身体和免疫弹性的丧失有关,增加了营养不良和虚弱的风险。在 COVID-19 背景下,炎老化会增加预后不良的风险。我们旨在介绍炎老化的现有概念及其与脆弱性和 COVID-19 预后的关系;强调在 COVID-19 背景下评估营养风险与脆弱性以监测老年人的重要性;探讨一些具有调节炎老化潜力的化合物,以管理 COVID-19 感染。益生菌和衰老细胞清除剂等物质有助于降低高度炎症状态。此外,定期评估营养风险和脆弱性将允许进行干预,确保提供适当的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27dc/12275621/3847153d5a84/gr1.jpg

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