生活方式医学作为长寿之路:健康生活方式社区项目(队列2,HLCP - 2)对德国成年农村人口氧化应激生物标志物的影响。
Lifestyle Medicine as a Pathway to Longevity: The Impact of the Healthy Lifestyle Community Program (Cohort 2, HLCP-2) on Oxidative Stress Biomarkers in the Adult Rural German Population.
作者信息
Husain Sarah, Anand Corinna, Kranz Ragna-Marie, Hengst Karin, Gellner Reinhold, Bordewick-Dell Ursula, Englert Heike
机构信息
Faculty of Medicine, University of Muenster (WWU), Muenster, Germany (SH, KH, RG).
Department of Food, Nutrition, Facilities, University of Applied Sciences Muenster, Muenster, Germany (SH, CA, RMK, UBD, HE).
出版信息
Am J Lifestyle Med. 2025 Jun 20:15598276251348197. doi: 10.1177/15598276251348197.
: Oxidative stress (OS) is a major contributor to the development of non-communicable diseases (NCDs) diseases such as cardiovascular disease, diabetes, and cancer. The aim of this study was to investigate the effects of a 10-week community-based lifestyle intervention program on oxidative stress biomarkers in the adult German population. : A total of 175 adults (aged 18-75 years) were assigned to the intervention group (n = 103) and the control group (n = 72). The intervention group participated in a 10-week healthy lifestyle community-based program (HLCP-2) that included empowering individuals with scientific based knowledge on the four important pillars of health: nutritional health (high plant-based), physical health (physical activity), mental health (stress management), and social health (community support and social interactions). The control group received no intervention. Biomarkers of oxidative stress-including total antioxidant capacity (TAC), superoxide dismutase (SOD), catalase (CAT), glutathione (GSH), and lipid peroxidation (LPO)-were assessed via fasting blood samples at four timepoints: baseline (T0), post-intervention (T1), 6 months (T2), and 12 months (T3). : Our study shows significant improvements in the oxidative stress biomarkers among German adults, who participated in the healthy lifestyle community program (HLCP-2). Significant within-group improvements were observed in the IG from T0 to T1 across TAC, SOD, GSH, and LPO (all < 0.01), with sustained effects through T2 and T3. CAT showed a significant group-by-time effect, though within-group changes were not consistently significant. By contrast, the CG demonstrated minimal improvement or worsening of biomarker levels over time, including a notable increase in LPO (T0 to T1: < 0.01). Gender-based analysis revealed a significant increase in catalase activity in females ( = 0.009). Multivariate regression indicated that group assignment was the strongest predictor of improved oxidative stress status, independent of age, sex, and cardiometabolic risk. : These findings suggest that the Healthy lifestyle community program-2 (HLCP-2) had a positive impact on improving oxidative stress and may be a promising tool for reducing the risk of chronic diseases and enhancing longevity. Our study highlights the importance of simple lifestyle choices in improving overall health, offering effective strategies to combat global health challenges in the form of NCDs and promoting healthy aging.
氧化应激(OS)是导致心血管疾病、糖尿病和癌症等非传染性疾病(NCDs)发生发展的主要因素。本研究旨在调查一项为期10周的基于社区的生活方式干预计划对德国成年人群氧化应激生物标志物的影响。
共有175名成年人(年龄在18 - 75岁之间)被分为干预组(n = 103)和对照组(n = 72)。干预组参与了一项为期10周的基于社区的健康生活方式计划(HLCP - 2),该计划包括让个体掌握基于科学的健康四大重要支柱的知识:营养健康(高植物性饮食)、身体健康(体育活动)、心理健康(压力管理)和社会健康(社区支持和社交互动)。对照组未接受干预。通过空腹血样在四个时间点评估氧化应激生物标志物,包括总抗氧化能力(TAC)、超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、谷胱甘肽(GSH)和脂质过氧化(LPO):基线(T0)、干预后(T1)、6个月(T2)和12个月(T3)。
我们的研究表明,参与健康生活方式社区计划(HLCP - 2)的德国成年人的氧化应激生物标志物有显著改善。在干预组中,从T0到T1,TAC、SOD、GSH和LPO均有显著的组内改善(均P < 0.01),并持续至T2和T3。CAT显示出显著的组×时间效应,尽管组内变化并非始终显著。相比之下,对照组生物标志物水平随时间的改善甚微或有所恶化,包括LPO显著升高(从T0到T1:P < 0.01)。基于性别的分析显示女性过氧化氢酶活性显著增加(P = 0.009)。多变量回归表明,分组是氧化应激状态改善的最强预测因素,独立于年龄、性别和心血管代谢风险。
这些发现表明,健康生活方式社区计划 - 2(HLCP - 2)对改善氧化应激有积极影响,可能是降低慢性病风险和延长寿命的一个有前景的工具。我们的研究强调了简单生活方式选择对改善整体健康的重要性,为应对以非传染性疾病形式出现的全球健康挑战和促进健康老龄化提供了有效的策略。