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老年人营养保健品的使用以对抗炎症和免疫衰老:一项随机病例对照研究。

Use of Nutraceuticals in Elderly to Fight Inflammation and Immuno-Senescence: A Randomized Case-Control Study.

机构信息

Department Otorhinolaryngology, Hospital of Barletta, 76121 Barletta (BT), Italy.

Department GF Ingrassia, University of Catania, 95123 Catania, Italy.

出版信息

Nutrients. 2022 Aug 24;14(17):3476. doi: 10.3390/nu14173476.

Abstract

Elderly people are at high risk of suffering from infection and being affected by severe forms of disease because their immunosystem suffers from aging. The alteration of normal immune functions causes the increase of pro-inflammatory cytokines which can expose these people to increased risk of developing pathologies as cancer, diabetes, and/or arthritis. Some supplements could be helpful for restoring normal immune functions. We conducted a case-control study to evaluate the efficacy of a supplement containing Sambucus nigra, zinc, tyndallized Lactobacillus acidophilus (HA122), arabinogalactans, vitamin D, vitamin E, and vitamin C to improve the inflammatory levels (IL-6 and CRP) and to modulate the lymphocytes growth. Additionally, we analyzed wellness by self-questionnaire. This study had two control group: a young group and an elderly one. Our study showed that treating elderly patients with the supplement for 30 days improved IL-6, CRP, and lymphocytes levels; the result was independent from the dosage of the supplements used. Elderly patients, despite the improvement, were not able to reach the same conditions of young patients; however, most of the patients (>70%) claimed to “feel better” after the use of the supplement. The use of this supplement should be considered at a low dosage for a prolonged period to reduce inflammation and modulate immune senescence in patients over 60 years old.

摘要

老年人由于免疫系统随着年龄的增长而衰退,因此面临着感染和罹患严重疾病的高风险。正常免疫功能的改变导致促炎细胞因子的增加,这使他们面临更大的患癌症、糖尿病和/或关节炎等疾病的风险。一些补充剂可能有助于恢复正常的免疫功能。我们进行了一项病例对照研究,以评估含有黑接骨木、锌、经 Tyndall 处理的嗜酸乳杆菌(HA122)、阿拉伯半乳聚糖、维生素 D、维生素 E 和维生素 C 的补充剂对改善炎症水平(IL-6 和 CRP)和调节淋巴细胞生长的功效。此外,我们通过自我问卷分析了健康状况。这项研究有两个对照组:一个是年轻组,另一个是老年组。我们的研究表明,用该补充剂治疗老年人 30 天可以改善 IL-6、CRP 和淋巴细胞水平;结果与使用的补充剂剂量无关。尽管老年患者有所改善,但他们无法达到年轻患者的相同状态;然而,大多数患者(>70%)在使用补充剂后声称“感觉更好”。对于 60 岁以上的患者,应考虑使用低剂量并延长使用时间,以减轻炎症并调节免疫衰老。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/314d/9459752/4bd5c6b0f9c7/nutrients-14-03476-g001.jpg

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