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Abdominal ultrasound mitigates neurodegenerative pathology and alters specific gut microbial taxa in senescence-accelerated mice 腹部超声减轻神经退行性病理和改变特定的肠道微生物分类在衰老加速小鼠
Pub Date : 2026-10-19 DOI: 10.1093/gerona/glag250
Hanlin Jiang, Tingrui Zhao, Xiaochen Zhang, Hideki Moriyama
Age-related changes in gut microbiota composition have been implicated in brain aging and cognitive decline, acting through the gut-brain axis on amyloid accumulation, tau pathology, synapse damage, and glial activation. Live microbial approaches such as probiotics, prebiotics, and fecal microbiota transplantation address this mechanism, but they still suffer from low efficacy and unknown safety issues. We tested whether abdominal ultrasound, an approach that does not involve microbes, can alleviate age-related neurodegeneration in the senescence-accelerated mouse strain SAMP8. We treated 6-month-old male SAMP8 mice for 1 month. We then assessed behavior, neuropathology, and synaptic proteins, and quantified four pre-specified fecal bacterial taxa. Ultrasound preserved neuronal survival in the hippocampal CA3, decreased amyloid-β load in the cortex and CA3, decreased tau hyperphosphorylation in all three regions, reduced Iba-1 and GFAP immunoreactive areas, and increased synaptophysin and cortical PSD-95. Neuronal survival in the cortex and CA1 did not differ significantly from sham-treated SAMP8 mice. In the gut microbiota, ultrasound significantly reduced the enriched taxon Tyzzerella, whereas the changes in Lactobacillus, Akkermansia and Atopobiaceae were large in magnitude but not statistically significant. In an exploratory analysis, four of 64 microbiota–neuropathology associations survived correction for multiple testing. Neither object recognition memory nor spatial memory differed significantly between treated and sham-treated SAMP8 mice. Abdominal ultrasound applied to the periphery therefore reduced age-associated neuropathology in the brain, accompanied by changes in specific gut microbial taxa whose causal contribution remains untested.
肠道微生物群组成的年龄相关变化与大脑衰老和认知能力下降有关,并通过肠-脑轴作用于淀粉样蛋白积累、tau病理、突触损伤和神经胶质激活。益生菌、益生元和粪便微生物群移植等活微生物方法解决了这一机制,但它们仍然存在低疗效和未知的安全性问题。我们测试了腹部超声,一种不涉及微生物的方法,是否可以减轻衰老加速小鼠品系SAMP8中与年龄相关的神经变性。我们治疗6月龄雄性SAMP8小鼠1个月。然后,我们评估了行为、神经病理学和突触蛋白,并量化了四种预先指定的粪便细菌分类群。超声保持了海马CA3区的神经元存活,降低了皮层和CA3区的淀粉样蛋白-β负荷,降低了所有三个区域的tau过度磷酸化,降低了Iba-1和GFAP免疫反应区,增加了突触素和皮质PSD-95。皮层和CA1中的神经元存活与假药处理的SAMP8小鼠没有显著差异。在肠道菌群中,超声显著降低了Tyzzerella的富集分类群,而Lactobacillus、Akkermansia和Atopobiaceae的变化幅度较大,但无统计学意义。在一项探索性分析中,64个微生物群-神经病理学关联中有4个在多次测试中幸存下来。SAMP8小鼠的对象识别记忆和空间记忆在治疗组和假治疗组之间没有显著差异。因此,应用于外周的腹部超声减少了大脑中与年龄相关的神经病理,并伴有特定肠道微生物类群的变化,其因果关系尚未得到验证。
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引用次数: 0
Heat stress and coping strategies among older adults in three Sunbelt cities in the United States 美国三个阳光地带城市老年人的热应激和应对策略
Pub Date : 2026-10-07 DOI: 10.1093/gerona/glag239
Cornelius Dassah,Peter Crank,Leah Jones-Crank
Abstract Background Prevailing scientific evidence suggests that extreme heat poses a substantial threat to the health and well-being of older adults in the Sunbelt cities of the United States. However, prior research has not adequately addressed the specific socio-demographic, health-related vulnerabilities, and coping-strategic factors influencing heat stress among older urban populations. Methods Informed by the Socio-Ecological Model, this study adopts a retrospective cohort study design to investigate the predictors and experiences of heat stress among older adults. Data from older adults in Los Angeles, Houston, and Phoenix were analyzed using thematic and multiple binary logistic regression analyses. Results The results reveal that much older adults (aged 80 +) were less likely to experience heat stress compared to their relatively younger counterparts. Also, marital status, income, respiratory diseases, physical activity, taking cool showers, and city of residence were significantly associated with a higher risk of suffering heat stress. The qualitative results uncovered individual-level behavioural adjustment as an effective coping mechanism during extreme heat events. Conclusion These results underscore the complex interplay of behavioral, socio-demographic, and health-related factors influencing heat stress among older adults. The study recommends that urban health strategies prioritize these demographics, enhancing support systems and coping mechanisms to reduce vulnerability to heat stress among older urban populations.
背景:普遍的科学证据表明,极端高温对美国阳光地带城市老年人的健康和福祉构成了重大威胁。然而,先前的研究并没有充分解决特定的社会人口统计学、健康相关脆弱性以及影响城市老年人口热应激的应对策略因素。方法以社会生态模型为基础,采用回顾性队列研究设计,探讨老年人热应激的预测因素和经历。使用主题和多元二元逻辑回归分析对洛杉矶、休斯顿和凤凰城老年人的数据进行分析。结果显示,与相对年轻的同龄人相比,年龄大得多的成年人(80岁以上)不太可能经历热应激。此外,婚姻状况、收入、呼吸系统疾病、体育活动、洗冷水澡和居住城市与患热应激的高风险显著相关。定性结果揭示了个体层面的行为调整是极端高温事件中有效的应对机制。结论:这些结果强调了影响老年人热应激的行为、社会人口统计学和健康相关因素的复杂相互作用。该研究建议城市卫生战略优先考虑这些人口统计数据,加强支持系统和应对机制,以减少城市老年人口对热应激的易感性。
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引用次数: 0
Chronic inflammation and multiple dimensions of aging among women in the Philippines 慢性炎症和菲律宾妇女衰老的多个方面
Pub Date : 2026-10-07 DOI: 10.1093/gerona/glag246
Thomas W McDade,Sofia Carrera,Calen P Ryan,Elijah Watson,Linda S Adair,Nanette R Lee,Delia B Carba,Julie L MacIsaac,Kristy Dever,Michael S Kobor,Christopher W Kuzawa
Abstract Age-related increases in chronic systemic inflammation are strong predictors of morbidity and mortality in high income countries, but evidence is lacking from lower- and middle-income settings where infectious diseases are more prevalent and rates of overweight and obesity are relatively low. Here we evaluate two complementary measures of chronic inflammation—plasma C-reactive protein (CRP) and a DNA methylation–based surrogate (DNAm-CRP)—measured at baseline as predictors of physical capacity, cognitive function, and cardiometabolic disease seven years later among women in the Philippines (N = 953; 43-75 years at follow-up). Levels of CRP and DNAm-CRP were not strongly associated with age. Both measures predicted subsequent declines in physical and functional capacity, increased incidence of diabetes and hypertension, and poorer cognitive performance, after adjustment for baseline status and other covariates. DNAm-CRP performed comparably to CRP, and was robust to variation in white blood cell composition and acute infectious symptoms at the time of sampling. These findings demonstrate that chronic inflammation is associated with multiple dimensions of aging in a lower-middle income setting, and highlights the utility of inflammatory biomarkers as scalable tools for global aging research.
在高收入国家,与年龄相关的慢性全身性炎症的增加是发病率和死亡率的有力预测因素,但在传染病更为普遍、超重和肥胖率相对较低的中低收入国家,缺乏相关证据。在这里,我们评估了两种互补的慢性炎症测量-血浆c反应蛋白(CRP)和基于DNA甲基化的替代物(DNAm-CRP) -在基线测量作为7年后菲律宾妇女身体能力、认知功能和心脏代谢疾病的预测因子(N = 953;随访43-75年)。CRP和DNAm-CRP水平与年龄无明显相关性。在调整基线状态和其他协变量后,这两种测量方法都预测了随后的身体和功能能力下降、糖尿病和高血压发病率增加以及认知能力下降。DNAm-CRP的表现与CRP相当,并且在采样时对白细胞组成和急性感染症状的变化具有很强的抵抗力。这些研究结果表明,慢性炎症与中低收入人群衰老的多个维度相关,并突出了炎症生物标志物作为全球衰老研究的可扩展工具的实用性。
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引用次数: 0
Planetary Health Diet Adherence and Frailty in Older Adults: Evidence from the Seniors-ENRICA Cohorts 行星健康饮食依从性和老年人虚弱:来自老年人- enrica队列的证据
Pub Date : 2026-10-06 DOI: 10.1093/gerona/glag244
Paul Diez-Echave,Rosario Ortolá,David Martínez-Gómez,José Luis Peñalvo,Ligia J Domínguez,Fernando Rodríguez-Artalejo,Mercedes Sotos-Prieto
Abstract Background Frailty is a major determinant of disability and adverse outcomes in older adults. The Planetary Health Diet (PHD), a plant-based dietary pattern promoting environmental sustainability, has been associated with lower mortality and reduced chronic disease risk. We examined the association between adherence to the Planetary Health Diet Index (PHDI) and frailty over time using repeated frailty assessments. Methods Data came from two cohorts of community-dwelling older adults: Seniors-ENRICA-1 (2008-2015; ≥60 years; n = 3,289) and Seniors-ENRICA-2 (2015-2023; ≥65 years; n = 3,273). Baseline diet was assessed using a validated diet history, and adherence to the PHD was assessed using the PHDI (0-140), based on 15 food groups. Frailty was defined by the Fried phenotype (≥3 criteria of exhaustion, low physical activity, slow gait, muscle weakness, unintentional weight loss). Generalized estimating equation (GEE) models estimated odds ratios (OR) and 95% confidence intervals (CI) for frailty across PHDI tertiles, adjusting for sociodemographic, lifestyle, and clinical factors. Results Higher PHDI adherence was consistently associated with lower odds of frailty over time. Comparing highest vs. lowest tertiles, multivariable-adjusted ORs (95% CI) were 0.62 (0.42, 0.92) in Seniors-ENRICA-1, 0.40 (0.24, 0.65) in Seniors-ENRICA-2 and 0.52 (0.38, 0.70) in the pooled analyses. Higher PHDI adherence was primarily associated with lower odds of low physical activity, while vegetables and fruits showed the strongest independent associations among individual PHDI components. Conclusions Greater PHDI adherence is associated with lower odds of frailty in Spanish older adults, supporting the potential role of sustainable, plant-based dietary patterns for healthy ageing.
背景:虚弱是老年人残疾和不良结局的主要决定因素。行星健康饮食(PHD)是一种促进环境可持续性的植物性饮食模式,与降低死亡率和降低慢性病风险有关。随着时间的推移,我们使用重复的虚弱评估来检查遵守行星健康饮食指数(PHDI)与虚弱之间的关系。方法数据来自两个社区居住老年人队列:senior - enrica -1(2008-2015;≥60岁;n = 3289)和senior - enrica -2(2015-2023;≥65岁;n = 3273)。基线饮食使用经过验证的饮食史进行评估,并使用基于15种食物组的PHDI(0-140)来评估PHD的依从性。虚弱被定义为Fried表型(≥3个标准的疲惫,低体力活动,缓慢的步态,肌肉无力,无意的体重减轻)。广义估计方程(GEE)模型在调整了社会人口统计学、生活方式和临床因素后,估计了PHDI各分位数的脆弱性的优势比(OR)和95%置信区间(CI)。结果随着时间的推移,较高的PHDI依从性始终与较低的虚弱几率相关。比较最高和最低位数,多变量调整后的ORs (95% CI)在senior - enrica -1中为0.62(0.42,0.92),在senior - enrica -2中为0.40(0.24,0.65),在合并分析中为0.52(0.38,0.70)。较高的PHDI坚持主要与较低的体力活动几率相关,而蔬菜和水果在单个PHDI成分中显示出最强的独立关联。结论:在西班牙老年人中,更强的PHDI依从性与更低的虚弱几率相关,这支持了可持续的植物性饮食模式在健康老龄化中的潜在作用。
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引用次数: 0
The Role of Lifestyle Medicine in Shaping and Supporting Successful Aging 生活方式医学在塑造和支持成功衰老中的作用
Pub Date : 2026-10-03 DOI: 10.1093/gerona/glag243
Teri A Undem,Heather R Fuller
Abstract Background Within gerontology, various theoretical perspectives on what it means to age successfully have emerged over recent decades (5) and garnered empirical support. Similarly, within medicine and related healthcare fields, research and practice have focused on healthy living in terms of physical health, mental health, and well-being. In recent years, the practice of Lifestyle Medicine (nutrition, physical activity, stress management, restorative sleep, social connection, and avoidance of risky substances) has emerged to describe the role of such lifestyle factors on health. Methods The present article proposes a pathway to integrate lifestyle medicine with successful aging. We take a holistic approach to develop a model that merges the foundational pillars of lifestyle medicine with the principles of successful aging. Conclusions This new approach to exploring the linkages between the principles of lifestyle medicine and the essential components of successful aging highlights how proactive behavioral health strategies related to nutrition, exercise, sleep, stress, and substances could play a role in fostering optimal aging in cognitive and physical functioning and disease prevention, thereby potentially yielding more positive outcomes for aging well.
在老年学中,近几十年来出现了各种关于成功衰老意味着什么的理论观点(5),并获得了实证支持。同样,在医学和相关的医疗保健领域,研究和实践都集中在身体健康、心理健康和幸福方面的健康生活。近年来,生活方式医学(营养、体育活动、压力管理、恢复性睡眠、社会联系和避免危险物质)的实践已经出现,以描述这些生活方式因素对健康的作用。方法提出一种将生活方式医学与成功衰老相结合的途径。我们采取全面的方法来开发一个模型,将生活方式医学的基本支柱与成功衰老的原则结合起来。这种探索生活方式医学原理与成功衰老基本要素之间联系的新方法强调了与营养、运动、睡眠、压力和物质相关的积极行为健康策略如何在促进认知和身体功能以及疾病预防方面发挥最佳衰老作用,从而可能产生更积极的衰老结果。
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引用次数: 0
Sex-specific multimorbidity clusters and all-cause mortality among community-dwelling older adults: findings from the ASPREE cohort 社区居住老年人中性别特异性多病群和全因死亡率:来自ASPREE队列的研究结果
Pub Date : 2026-09-30 DOI: 10.1093/gerona/glag245
Rong Du, Swarna Vishwanath, Zimu Wu, Aung Zaw Zaw Phyo, Suzanne G Orchard, Kerry Sheets, Michael E Ernst, Joanne Ryan
Background Multimorbidity is common in older adults, but sex differences in chronic condition clustering remain unclear. This study explored multimorbidity clusters and their associations with all-cause mortality among community-dwelling adults aged 70 years and over. Methods This was a secondary analysis of data from 16,095 Australian ASPREE participants aged ≥70 years without prior dementia or cardiovascular disease. Fifteen baseline chronic conditions were grouped using latent class analysis (LCA). Observed-to-expected (O/E) ratios characterized conditions over-represented within clusters, and Cox proportional hazards models assessed associations with all-cause mortality. Results Among 16,095 participants (mean age 75.3 years), 88.3% had multimorbidity at baseline; 4,217 deaths occurred over a median follow-up of 10.85 years. Five clusters were identified overall: hypertension & dyslipidemia (52.1%), gout & metabolic (14.4%), depressive symptoms, osteoporosis & frailty (10.0%), anemia & kidney disease (10.2%), and hypotension, thyroid disorder & past cancer (13.3%). Sex-stratified analyses revealed three clusters in males and four in females. The frailty, depressive symptoms & osteoporosis cluster was associated with higher mortality in both sexes (aHR 1.56 [95% CI 1.40–1.73] in males; 1.68 [1.49–1.89] in females). Higher mortality was also observed for the metabolic, gout & kidney disease cluster in males (aHR 1.63 [1.47–1.81]) and the gout, anemia & kidney disease cluster in females (aHR 1.96 [1.74–2.21]). Conclusions Distinct multimorbidity clusters were identified overall and in sex-stratified analyses. These hypothesis-generating findings suggest the potential clinical utility of multimorbidity clusters to identify individuals at increased risk of death, but further research is needed.
背景:多病在老年人中很常见,但慢性疾病聚类的性别差异尚不清楚。本研究探讨了70岁及以上社区居民的多发病群及其与全因死亡率的关系。方法:对16095名年龄≥70岁、既往无痴呆或心血管疾病的澳大利亚ASPREE参与者的资料进行二次分析。使用潜类分析(LCA)对15种基线慢性疾病进行分组。观察到的期望比率(O/E)表征了群集中过度代表的疾病,Cox比例风险模型评估了与全因死亡率的关联。结果在16095名参与者(平均年龄75.3岁)中,88.3%的人在基线时患有多重疾病;在10.85年的中位随访期间发生了4217例死亡。总体上确定了5类:高血压和血脂异常(52.1%)、痛风和代谢(14.4%)、抑郁症状、骨质疏松和虚弱(10.0%)、贫血和肾脏疾病(10.2%)、低血压、甲状腺疾病和既往癌症(13.3%)。性别分层分析显示男性中有3个集群,女性中有4个集群。虚弱、抑郁症状和骨质疏松群集与两性较高的死亡率相关(男性aHR为1.56 [95% CI 1.40-1.73],女性为1.68[1.49-1.89])。男性代谢、痛风和肾脏疾病组(aHR 1.63[1.47-1.81])和女性痛风、贫血和肾脏疾病组(aHR 1.96[1.74-2.21])的死亡率也较高。结论:在性别分层分析中发现了明显的多发病群。这些产生假设的发现表明,多病聚集性在识别死亡风险增加的个体方面具有潜在的临床应用价值,但还需要进一步的研究。
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引用次数: 0
Hallmarks of Aging Associate with High Intensity Interval Training Benefits and Frailty in Female C57Bl/6J Mice 高强度间歇训练对雌性C57Bl/6J小鼠衰老的影响
Pub Date : 2026-09-25 DOI: 10.1093/gerona/glag242
Kenneth Ladd Seldeen, Saurav Saha, Baolin Wang, Bhavana Sreevelu, Ramkumar Thiyagarajan, Ilsa Nadeem, Iqra Nadeem, Yonas Z Redae, Merced Marie Leiker, Bruce Robert Troen
Frailty and cognitive decline are common among older adults, increasing risks of disability and loss of independence. We have previously demonstrated in mice that short session (≤10 minute) high-intensity interval training (HIIT) is an effective intervention for frailty, but benefits for cognitive function and reducing hallmarks of aging have not been examined. Thus, we studied 24-month-old female C57BL/6J mice from our previous study that remained sedentary or performed a 10-minute HIIT regimen 3-days-a-week for 8 weeks. We found HIIT improved cognitive aspects including an increase in T-maze alternation % and novel object recognition, but no differences were observed in Barnes maze or light-dark preference. To explore HIIT impacts on the hallmarks of aging, we examined liver, gastrocnemius muscle, and cortex brain tissues for mitochondria expression, autophagy, cellular senescence, and telomere length. HIIT increased expression of mitochondrial complexes I and V, as well as PGC1α and SIRT3 in all tissues. Autophagy marker beclin was elevated across all tissues, while p62 was increased in liver and muscle but not in the cortex, and LC3-II was lower in muscle and liver. Senescence marker p16 was lower in HIIT muscle and liver, whereas p21 decreased in liver but increased in muscle. Telomere lengths were greater in liver, but no changes in muscle or cortex. Additionally, within the group of sedentary mice, we identified differences in hallmarks of aging that potentially underlie frailty as measured using different mouse frailty assessment tools. These results highlight the potential for multi-tissue geroprotective benefits of short session HIIT to reduce frailty and improve cognition for healthy aging.
虚弱和认知能力下降在老年人中很常见,增加了残疾和丧失独立性的风险。我们之前在小鼠身上证明,短时间(≤10分钟)高强度间歇训练(HIIT)是一种有效的虚弱干预,但对认知功能和减少衰老特征的益处尚未得到检验。因此,我们研究了先前研究中24个月大的雌性C57BL/6J小鼠,这些小鼠保持久坐或进行10分钟的HIIT方案,每周三天,持续8周。我们发现HIIT改善了认知方面,包括t迷宫交替率和新物体识别的增加,但在巴恩斯迷宫或光暗偏好方面没有观察到差异。为了探索HIIT对衰老特征的影响,我们检查了肝脏、腓肠肌和皮层脑组织的线粒体表达、自噬、细胞衰老和端粒长度。HIIT增加了所有组织中线粒体复合物I和V以及PGC1α和SIRT3的表达。自噬标志物beclin在所有组织中均升高,p62在肝脏和肌肉中升高,但在皮质中没有,LC3-II在肌肉和肝脏中降低。衰老标志物p16在HIIT肌肉和肝脏中较低,而p21在肝脏中降低,在肌肉中升高。肝脏的端粒长度更大,但肌肉和皮质的端粒长度没有变化。此外,在久坐小鼠组中,我们发现了衰老特征的差异,这些差异可能是使用不同小鼠脆弱性评估工具测量的脆弱性的基础。这些结果强调了短时间HIIT在减少虚弱和改善健康衰老认知方面的多组织保护益处的潜力。
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引用次数: 0
Exploring Epigenetic Aging and Cognitive Change in Middle Adulthood 探索成年中期的表观遗传衰老和认知变化
Pub Date : 2026-09-25 DOI: 10.1093/gerona/glag240
Daisy V Zavala, Sharon H Kim, John M Felt, Zita Oravecz, Martin J Sliwinski, Jennifer E Graham-Engeland, Christopher G Engeland, Kristin Bernard, Krishna R Veeramah, Stacey B Scott
Greater age deviation (AgeDev), in which a person’s biological age is older than their chronological age, is associated with worse cognitive performance. Most findings, however, rely on lab-administered cognitive measures and do not account for time-ordered effects of practice. The present study leveraged a measurement burst dataset to examine six distinct features of cognitive performance (peak performance, change in peak performance, intraindividual variability, forgetting, retest-related gains), and explored whether individual differences in these features can be predicted by AgeDev. In a sample of 139 adults aged 25-65, baseline AgeDev (Horvath1, Horvath2, Hannum, PhenoAge, GrimAge), DunedinPACE, and SystemsAge were derived from DNA methylation. Across four annual high-frequency assessment bursts, processing speed and working memory were assessed via a Symbol Search and N-Back task, respectively. Using Bayesian Double Exponential Models (BDEMs), we found that baseline peak performance was lower for individuals with greater AgeDev, DunedinPACE, and chronological age. Interestingly, individuals with greater AgeDev and faster DunedinPACE showed greater retest-related gains within and across bursts. Neither AgeDev nor chronological age predicted differences in cognitive change across time. Individuals with greater AgeDev showed more intraindividual variability in processing speed. Finally, greater chronological age (but not AgeDev) was linked with more forgetting between bursts in both tasks. These findings underscore the value of multidimensional indices of cognitive performance. Importantly, even in a sample spanning young adulthood through early old age, such indices may provide unique information regarding the nature of longitudinal patterns in cognition associated with chronological or biological aging.
较大的年龄偏差(AgeDev),即一个人的生理年龄大于其实际年龄,与较差的认知表现有关。然而,大多数研究结果依赖于实验室管理的认知测量,并没有考虑到练习的时间顺序效应。本研究利用测量突发数据集来检查认知表现的六个不同特征(峰值表现,峰值表现变化,个体内部变异性,遗忘,重测相关收益),并探索这些特征的个体差异是否可以通过AgeDev来预测。在139名25-65岁的成年人样本中,基线AgeDev (Horvath1, Horvath2, Hannum, PhenoAge, GrimAge), DunedinPACE和SystemsAge来自DNA甲基化。在四次年度高频评估爆发中,分别通过符号搜索和N-Back任务评估处理速度和工作记忆。使用贝叶斯双指数模型(bdem),我们发现年龄越大、DunedinPACE越大和实足年龄越大的个体,其基线峰值表现越低。有趣的是,AgeDev越高、DunedinPACE越快的人,在爆发内和爆发间的重测相关收益越高。AgeDev和实足年龄都不能预测不同时间认知变化的差异。AgeDev越大的个体在处理速度上表现出更大的个体差异。最后,更大的实足年龄(而不是年龄)与两项任务之间的遗忘次数有关。这些发现强调了认知表现多维指数的价值。重要的是,即使在跨越青年到老年早期的样本中,这些指数也可能提供关于与时间或生物衰老相关的认知纵向模式性质的独特信息。
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引用次数: 0
Alda-1 Alleviates the Cognitive Deficits in D-galactose-induced Aging Mice by Regulating Oxidative Stress, Neuroinflammation, and Mitochondrial Biogenesis Alda-1通过调节氧化应激、神经炎症和线粒体生物发生减轻d -半乳糖诱导的衰老小鼠的认知缺陷
Pub Date : 2026-09-25 DOI: 10.1093/gerona/glag241
Tengfei Liang, Lixia Wang, Shujuan Kang, Xiaoyan Pang, Hexin Yan
Although mitochondrial aldehyde dehydrogenase 2 (ALDH2) is involved in aging and age-related neurodegenerative diseases, the impact of ALDH2 on age-related cognitive deficits and its underlying mechanisms have not been fully elucidated. This study aimed to explore the effects of ALDH2 on cognitive deficits in D-galactose-induced aging mice and illustrate the potential molecular mechanisms. We treated D-galactose-induced aging mice with Alda-1 (a potent agonist of ALDH2) for eight weeks and observed the alterations in behavior, levels of oxidative stress and neuroinflammation, mitochondrial function, and expression of mitochondrial biogenesis-related genes. The results revealed that Alda-1 alleviated neuropathological changes in the hippocampus and ameliorated cognitive deficits in D-galactose-induced aging mice. Administration of Alda-1 further reduced the levels of 4-HNE, MDA, 3-NT, IL-6, TNF-α, and IL-1β; enhanced Mn-SOD and CAT activities; increased GSH and ATP levels and mitochondrial content; and upregulated PGC-1α/NRF-1/TFAM expression in the hippocampus of D-galactose-induced aging mice. Moreover, in D-galactose-treated HT22 cells, we found that the SIRT1 inhibitor EX527 reversed the Alda-1-induced upregulation of PGC-1α, suggesting that the Alda-1-induced upregulation of PGC-1α is associated with SIRT1 signaling. Collectively, Alda-1 ameliorated cognitive deficits in D-galactose-induced aging mice by reducing neuroinflammation, enhancing antioxidative capability, promoting mitochondrial biogenesis, and modulating the SIRT1/PGC-1α signaling pathway.
虽然线粒体醛脱氢酶2 (ALDH2)参与衰老和与年龄相关的神经退行性疾病,但ALDH2对年龄相关认知缺陷的影响及其潜在机制尚未完全阐明。本研究旨在探讨ALDH2对d -半乳糖诱导的衰老小鼠认知缺陷的影响,并阐明其可能的分子机制。我们用Alda-1(一种ALDH2的强效激动剂)治疗d -半乳糖诱导的衰老小鼠8周,观察其行为、氧化应激和神经炎症水平、线粒体功能和线粒体生物发生相关基因表达的变化。结果显示,Alda-1可减轻d -半乳糖诱导的衰老小鼠海马神经病理改变,改善认知缺陷。Alda-1进一步降低了4-HNE、MDA、3-NT、IL-6、TNF-α和IL-1β的水平;Mn-SOD和CAT活性增强;GSH、ATP水平和线粒体含量升高;d -半乳糖诱导衰老小鼠海马中PGC-1α/NRF-1/TFAM表达上调。此外,在d -半乳糖处理的HT22细胞中,我们发现SIRT1抑制剂EX527逆转了alda -1诱导的PGC-1α上调,这表明alda -1诱导的PGC-1α上调与SIRT1信号传导有关。总的来说,Alda-1通过减少神经炎症、增强抗氧化能力、促进线粒体生物发生和调节SIRT1/PGC-1α信号通路,改善了d -半乳糖诱导的衰老小鼠的认知缺陷。
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引用次数: 0
Cognitive reserve and everyday functioning in cognitively unimpaired older adults: evidence from the CAN-PROTECT study 认知功能未受损老年人的认知储备和日常功能:来自CAN-PROTECT研究的证据
Pub Date : 2026-09-12 DOI: 10.1093/gerona/glag227
Maryam Ghahremani, Dylan X Guan, Clive Ballard, Byron Creese, Anne Corbett, Ellie Pickering, Eric E Smith, Zahinoor Ismail
Background Cognitive reserve (CR) is thought to buffer against the clinical manifestation of dementia, preserving cognitive function despite accumulating pathology. However, less is known about how CR relates to the capacity to independently perform activities of daily living (ADL), particularly among cognitively unimpaired (CU) older adults. Here, we investigated this association. Methods Baseline data from 1,571 CU participants (mean age: 64.7±7.6; 81.3% female) from the CAN-PROTECT study were analyzed. A composite CR score was derived from education, occupational complexity, and engagement in cognitively stimulating activities. Functional ability was measured using the Standard Assessment of Global Everyday Activities (SAGEA) scale, capturing cognitive, applied cognitive, instrumental, and basic ADL, and mobility. Negative binomial models examined associations between CR and global and domain-specific ADL, adjusting for age, sex, cognition, behaviour, and physical/sensory limitations. Additional models tested the independent contribution of CR components to functional outcomes. Mediation analyses assessed the effect of CR on quality of life (QoL) through ADL abilities. Results Higher CR was associated with lower global ADL impairment (count ratio=0.58, 95%CI: 0.36-0.94, p = 0.027), driven by 49% less impairment in applied cognitive ADL (95%CI: 0.26-0.97, p = 0.038). Among CR domains, education showed the most consistent association with lower impairment across all ADL domains and was indirectly linked to better QoL through improved function. Conclusions CR, particularly education, may play an important role in supporting functional abilities and QoL among CU older adults. Enhancing CR may be a promising avenue to promote functional independence and healthy aging, even in the absence of cognitive impairment.
认知储备(Cognitive reserve, CR)被认为可以缓冲痴呆症的临床表现,在病理积累的情况下保持认知功能。然而,关于CR与独立进行日常生活活动(ADL)的能力之间的关系,特别是在认知未受损(CU)的老年人中,所知甚少。在这里,我们调查了这种关联。方法分析来自CAN-PROTECT研究的1571名CU参与者(平均年龄:64.7±7.6岁,81.3%为女性)的基线数据。综合CR评分来源于教育程度、职业复杂性和参与认知刺激活动。使用全球日常活动标准评估(SAGEA)量表测量功能能力,包括认知、应用认知、工具性和基本ADL以及移动性。负二项模型研究了CR与整体和特定领域ADL之间的关系,调整了年龄、性别、认知、行为和身体/感官限制。其他模型测试了CR成分对功能结果的独立贡献。中介分析通过ADL能力评估CR对生活质量(QoL)的影响。结果较高的CR与较低的整体ADL功能障碍相关(计数比=0.58,95%CI: 0.36-0.94, p = 0.027),应用认知ADL功能障碍减少49% (95%CI: 0.26-0.97, p = 0.038)。在CR域中,教育与所有ADL域中较低的损伤表现出最一致的关联,并通过改善功能间接与更好的生活质量相关。结论CR,特别是教育,可能在CU老年人的功能能力和生活质量支持中起重要作用。即使在没有认知障碍的情况下,增强CR可能是促进功能独立和健康老龄化的有希望的途径。
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The Journals of Gerontology Series A: Biological Sciences and Medical Sciences
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