Gérontopôle, Institute on Aging, Toulouse University Hospital, 37 Allées Jules Guesdes, 31000, Toulouse, France.
CERPOP, Inserm 1295, Toulouse University, INSERM, UPS, Toulouse, France.
Aging Clin Exp Res. 2023 Jun;35(6):1325-1337. doi: 10.1007/s40520-023-02418-7. Epub 2023 Apr 29.
Considering their prevalence and burden, information on the sensory impairment etiology is essential. Links between nutrition and sensory impairment through inflammation have been suggested. Although the decline in sensory capacities is age-related, few research included a geriatric population.
Exploring the associations of nutrition with sensory capacities and test inflammation as a mediator among cognitively and physically impaired older adults.
Cross-sectional data from the COGFRAIL cohort, including 164 participants with no hearing aid and 20 participants wearing no visual aid. Hearing was evaluated using the Hearing Handicap Inventory for the Elderly-screening version (on 40 points, the lower the better), and the Monoyer chart (one to ten out of ten points, the higher the better), and the Parinaud scale (from 1.5, the best, to 28 points, the worst) assessed distant and near vision, respectively. Dietary intake was assessed through a diet history interview and inflammation was measured by the C-Reactive Protein level. Multivariate linear regressions were performed and Structural Equation Modeling (SEM) framework was used to explore the potential mediation effect of inflammation on the diet-hearing relationships.
None of the nutrients was significantly associated with hearing acuity in the regressions or the SEM model. Regarding vision, a higher intake of saturated fatty acids was related to lower long-distance visual acuity, and greater Omega-3 consumption was associated with better near-vision capacity.
No nutrient was associated with hearing capacity and relationships between fatty acids quality and vision acuity were suggested.
These exploratory results require further investigations.
鉴于其普遍性和负担,了解感觉损伤的病因至关重要。有研究表明,营养与炎症引起的感觉损伤之间存在关联。尽管感觉能力的下降与年龄有关,但很少有研究纳入老年人群。
探讨营养与感觉能力之间的关联,并研究炎症作为认知和身体功能受损老年人感觉能力下降的中介因素。
本研究为 COGFRAIL 队列的横断面研究,共纳入 164 名无助听器佩戴者和 20 名无视力辅助器具佩戴者。听力通过老年听力障碍筛查量表(Hearing Handicap Inventory for the Elderly-screening version,HHIE-s)(满分 40 分,得分越低表示听力越差)、Monoyer 图表(满分 10 分,得分越高表示视力越好)和 Parinaud 量表(满分 28 分,得分越低表示视力越好)进行评估,分别评估远距离和近距离视力。通过饮食史访谈评估饮食摄入情况,通过 C 反应蛋白(C-Reactive Protein,CRP)水平评估炎症情况。进行多元线性回归分析,并采用结构方程模型(Structural Equation Modeling,SEM)框架探讨炎症对饮食与听力关系的潜在中介效应。
在回归和 SEM 模型中,没有一种营养素与听力敏锐度显著相关。对于视力,较高的饱和脂肪酸摄入量与远距离视力较差相关,较高的欧米伽-3 摄入量与较好的近视力相关。
没有营养素与听力能力相关,并且脂肪酸质量与视力之间的关系仍需要进一步研究。
这些探索性结果需要进一步研究。