老年人补充谷氨酰胺的耐受性:一项双盲安慰剂对照随机临床试验。

Tolerability of glutamine supplementation in older adults: a double-blind placebo-controlled randomized clinical trial.

机构信息

Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Cruzeiro do Sul, São Paulo, SP, Brasil.

Departamento de Farmacologia e Terapêutica, Universidade Estadual de Maringá, Maringá, PR, Brasil.

出版信息

Braz J Med Biol Res. 2024 May 20;57:e13468. doi: 10.1590/1414-431X2024e13468. eCollection 2024.

Abstract

In this double-blind placebo-controlled randomized investigation, we assessed the tolerability of glutamine in older adults recruited from three daycare centers. The relevance of studying glutamine supplementation in elderly patients lies in its potential to provide a well-tolerated intervention. Glutamine, a crucial amino acid, plays a vital role in various physiological processes, including immune function and protein synthesis. Understanding its impact on older adults is essential, given the potential implications for their health and well-being. Participants received a daily dose of 12.4 g of oral effervescent glutamine (EGln group) or maltodextrin (placebo group) for 60 days. Fifteen patients from each group completed the study. The mean ages were 77.0±9.1 and 79.0±6.9 years for the EGln and placebo groups, respectively. We evaluated body mass index, aminogram, hemogram, plasma levels of glucose, prealbumin, albumin, urea, creatinine, uric acid, C-reactive protein, vitamin D, calcium, sodium, potassium, and the plasma activities of aspartate aminotransferase and alanine aminotransferase. Notably, we quantified a broad array of inflammatory markers and growth factors providing a holistic understanding of the potential effects of glutamine supplementation. The results demonstrated that oral glutamine did not induce significant changes in any evaluated parameters, and no adverse effects were reported. This finding suggested that the dosage of glutamine used in this study was well-tolerated and safe. This information contributes to the broader understanding of glutamine supplementation, emphasizing its safety and supporting its potential as a viable intervention for maintaining health in aging individuals.

摘要

在这项双盲安慰剂对照随机研究中,我们评估了从三个日托中心招募的老年人对谷氨酰胺的耐受性。研究老年患者补充谷氨酰胺的相关性在于其提供耐受良好的干预的潜力。谷氨酰胺是一种关键的氨基酸,在多种生理过程中发挥着重要作用,包括免疫功能和蛋白质合成。鉴于其对老年人健康和幸福的潜在影响,了解其对老年人的影响至关重要。参与者每天接受 12.4 克口服泡腾谷氨酰胺(EGln 组)或麦芽糊精(安慰剂组)治疗 60 天。每组有 15 名患者完成了这项研究。EGln 组和安慰剂组的平均年龄分别为 77.0±9.1 岁和 79.0±6.9 岁。我们评估了体重指数、氨基谱、血象、血糖、前白蛋白、白蛋白、尿素、肌酐、尿酸、C 反应蛋白、维生素 D、钙、钠、钾以及血浆天冬氨酸转氨酶和丙氨酸转氨酶活性。值得注意的是,我们量化了广泛的炎症标志物和生长因子,全面了解了谷氨酰胺补充的潜在影响。结果表明,口服谷氨酰胺不会引起任何评估参数的显著变化,也没有报告不良反应。这一发现表明,本研究中使用的谷氨酰胺剂量是耐受良好且安全的。这一信息有助于更全面地了解谷氨酰胺补充,强调其安全性,并支持其作为维持衰老个体健康的可行干预措施的潜力。

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