Tokyo Centenarian Study 5 Nutritional Status of Japanese Centenarians
To establish the guideline for nutrition in the very old, we analyzed biochemical and hematological data from 45 Japanese centenarians living in Tokyo metropolitan area during 1994 and 1995. Levels of cholesterol, HDL-cholesterol, apolipoprotein A1 and B, albumin, prealbumin in serum were lower than...
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| Published in | Nihon Rōnen Igakkai zasshi Vol. 34; no. 4; pp. 324 - 330 |
|---|---|
| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan
The Japan Geriatrics Society
1997
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0300-9173 |
| DOI | 10.3143/geriatrics.34.324 |
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| Abstract | To establish the guideline for nutrition in the very old, we analyzed biochemical and hematological data from 45 Japanese centenarians living in Tokyo metropolitan area during 1994 and 1995. Levels of cholesterol, HDL-cholesterol, apolipoprotein A1 and B, albumin, prealbumin in serum were lower than in a control group or lower than the reference range, which indicates that these centenarians were undernourished. RBC counts, hemoglobin, and hematocirt were also low in the centenarians. The concentration of albumin correlated positively with those of HDL-cholesterol and apolipoprotein A1, and negatively with concentration of Lp(a). The value for transferrin correlated positively with energy intake and with the concentration of apolipoprotein A1. The concentration of prealbumin correlated positively with the concentration of hemoglobin, hematocrit and the total cholesterol concentration. According to their nutritional status, the centenarians were divided into 2 groups: wellnourished and undernourished. Those who were wellnourished had higher levels of cholesterol, HDL, Hb, and apolipoprotein A1, their levels of ADL and cognitive function were also high. The findings of blood-chemical data in the centenarians may be partly due to undernutrition. Centenarians who were wellnourished were considered to be aging successfully. These results and others previously published indicate that the concentrations of albumin, prealbumin, transferrin and either CRP or IL-6 are useful for nutritional assesment in the very old. |
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| AbstractList | To establish the guideline for nutrition in the very old, we analyzed biochemical and hematological data from 45 Japanese centenarians living in Tokyo metropolitan area during 1994 and 1995. Levels of cholesterol, HDL-cholesterol, apolipoprotein A1 and B, albumin, prealbumin in serum were lower than in a control group or lower than the reference range, which indicates that these centenarians were undernourished. RBC counts, hemoglobin, and hematocrit were also low in the centenarians. The concentration of albumin correlated positively with those of HDL-cholesterol and apolipoprotein A1, and negatively with concentration of Lp(a). The value for transferrin correlated positively with energy intake and with the concentration of apolipoprotein A1. The concentration of prealbumin correlated positively with the concentration of hemoglobin, hematocrit and the total cholesterol concentration. According to their nutritional status, the centenarians were divided into 2 groups: well-nourished and undernourished. Those who were well-nourished had higher levels of cholesterol, HDL, Hb, and apolipoprotein A1, their levels of ADL and cognitive function were also high. The findings of blood-chemical data in the centenarians may be partly due to undernutrition. Centenarians who were well-nourished were considered to be aging successfully. These results and others previously published indicate that the concentrations of albumin, prealbumin, transferrin and either CRI or IL-6 are useful for nutritional assessment in the very old. To establish the guideline for nutrition in the very old, we analyzed biochemical and hematological data from 45 Japanese centenarians living in Tokyo metropolitan area during 1994 and 1995. Levels of cholesterol, HDL-cholesterol, apolipoprotein A1 and B, albumin, prealbumin in serum were lower than in a control group or lower than the reference range, which indicates that these centenarians were undernourished. RBC counts, hemoglobin, and hematocrit were also low in the centenarians. The concentration of albumin correlated positively with those of HDL-cholesterol and apolipoprotein A1, and negatively with concentration of Lp(a). The value for transferrin correlated positively with energy intake and with the concentration of apolipoprotein A1. The concentration of prealbumin correlated positively with the concentration of hemoglobin, hematocrit and the total cholesterol concentration. According to their nutritional status, the centenarians were divided into 2 groups: well-nourished and undernourished. Those who were well-nourished had higher levels of cholesterol, HDL, Hb, and apolipoprotein A1, their levels of ADL and cognitive function were also high. The findings of blood-chemical data in the centenarians may be partly due to undernutrition. Centenarians who were well-nourished were considered to be aging successfully. These results and others previously published indicate that the concentrations of albumin, prealbumin, transferrin and either CRI or IL-6 are useful for nutritional assessment in the very old.To establish the guideline for nutrition in the very old, we analyzed biochemical and hematological data from 45 Japanese centenarians living in Tokyo metropolitan area during 1994 and 1995. Levels of cholesterol, HDL-cholesterol, apolipoprotein A1 and B, albumin, prealbumin in serum were lower than in a control group or lower than the reference range, which indicates that these centenarians were undernourished. RBC counts, hemoglobin, and hematocrit were also low in the centenarians. The concentration of albumin correlated positively with those of HDL-cholesterol and apolipoprotein A1, and negatively with concentration of Lp(a). The value for transferrin correlated positively with energy intake and with the concentration of apolipoprotein A1. The concentration of prealbumin correlated positively with the concentration of hemoglobin, hematocrit and the total cholesterol concentration. According to their nutritional status, the centenarians were divided into 2 groups: well-nourished and undernourished. Those who were well-nourished had higher levels of cholesterol, HDL, Hb, and apolipoprotein A1, their levels of ADL and cognitive function were also high. The findings of blood-chemical data in the centenarians may be partly due to undernutrition. Centenarians who were well-nourished were considered to be aging successfully. These results and others previously published indicate that the concentrations of albumin, prealbumin, transferrin and either CRI or IL-6 are useful for nutritional assessment in the very old. To establish the guideline for nutrition in the very old, we analyzed biochemical and hematological data from 45 Japanese centenarians living in Tokyo metropolitan area during 1994 and 1995. Levels of cholesterol, HDL-cholesterol, apolipoprotein A1 and B, albumin, prealbumin in serum were lower than in a control group or lower than the reference range, which indicates that these centenarians were undernourished. RBC counts, hemoglobin, and hematocirt were also low in the centenarians. The concentration of albumin correlated positively with those of HDL-cholesterol and apolipoprotein A1, and negatively with concentration of Lp(a). The value for transferrin correlated positively with energy intake and with the concentration of apolipoprotein A1. The concentration of prealbumin correlated positively with the concentration of hemoglobin, hematocrit and the total cholesterol concentration. According to their nutritional status, the centenarians were divided into 2 groups: wellnourished and undernourished. Those who were wellnourished had higher levels of cholesterol, HDL, Hb, and apolipoprotein A1, their levels of ADL and cognitive function were also high. The findings of blood-chemical data in the centenarians may be partly due to undernutrition. Centenarians who were wellnourished were considered to be aging successfully. These results and others previously published indicate that the concentrations of albumin, prealbumin, transferrin and either CRP or IL-6 are useful for nutritional assesment in the very old. |
| Author | Noji, Hiroyasu Hasegawa, Hiroshi Kawamura, Masahide Hirose, Nobuyoshi Nakamura, Yoshiro Arai, Yasumichi Homma, Satoki Shimizu, Kenichiro Osono, Yasunori Homma, Akira Ishida, Hiroyuki Takeda, Sumie |
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| References | 18) Chiari MM, Bagnoli R, De Luca P, Monti M, Rampoldi E, Cunietti E: Influence of acute inflammation on iron and nutritional status indexes in older inpatients. J Am Geriatr Soc 1995; 43: 767-771. 16) Nieken J, Mulder NH, Buter J, Vellenga E, Limburg PC, Piers DA, et al: Recombinant human interleukin-6 induces a rapid and reversible anemia in cancer patients. Blood 1995; 86: 900-905. 15) Catchatourian R, Eckeling G, Fried W: Effect of short-term protein deprivation on hemopoietic functions of healthy volunteers. Blood 1980; 55: 625-628. 14) Bernstein L, Bachman TE, Meguid M, Ament M, Baumgartner T, Kinosian B, et al: Measurement of visceral protein status in assessing protein and energy malnutrition: Standard of care. Nutrition 1995; 11: 169-171. 3) 新井康通, 広瀬信義, 川村昌嗣, 本間聡起, 長谷川浩, 石田浩之ほか: 百寿者の血清脂質組成とその特徴. 日老医誌 (印刷中). 11) Toure M, Sall MC, Gauthier F, Weill J, Mouray H, Fall M: Apolipoprotein A1 as an early index of protein-energy malnutrition. Eur J Clin Nutr 1991; 45: 511-514. 8) 三島康男, 木畑正義, 石岡達司, 岡田康司, 神坂謙, 藤原みち子ほか: Rapid Turnover Protein からみた高齢者の栄養状態に関する検討. 日老医誌 1993; 30: 771-777. 4) Corpas E, Harman SM, Blackman MR: Human growth hormone and human aging. Endocr Rev 1993; 14: 20-39. 2) Spiekerman AM: Proteins used in nvtritional assessment. Clin Lab Med 1993; 13: 353-369. 7) Scouba WW: Cytokine control of nutrition and metabolism in critical illness. Curr Probl Surg 1994; 31: 579-643. 12) 渡辺努, 脇田康志, 小林正, 佐々木隆一郎, 稲垣俊明: 百歳老人の身体. 老年精神医誌 1996; 7: 137-144. 1) Corti MC, Guralnik JM, Salive ME, Sorkin JD: Serum albumin level and physical disability as predictors of mortality in older persons. JAMA 1994; 272: 1036-1042. 6) Erschler WB: Interleukin-6: A Cytokine for gerontolgists. JAGS 1993; 41: 176-181. 9) Yang WS, Kim SB, Min WK, Park S, Lee MS, Park JS: Atherogenic lipid profile and lipoprotein (a) in relation to serum albumin in haemodialysis patients. Nephrol Dial Transplant. 1995; 10: 1668-1671. 10) 川村昌嗣, 広瀬信義, 新井康通, 長谷川浩, 石田浩之, 清水健一郎ほか: Tokyo Centenarian Study 2-百寿者におけるLp(a)の検討-. 日老医誌 1996; 33: 707-709. 5) Jones JI, Clemmons DR: Insulin-like growth factors and their binding proteins: biological actions. Endocr Rev 1995; 16: 3-34. 13) 鈴木信: 百歳の科学. 新潮社, 東京, 1985. 17) Ettinger WH, Harris T, Verdery RB, Tracy R, Kouba E: Evidence for inflammation as a cause of hypocholesterolemia in older people. J Am Geriatr Soc 1995; 43: 264-266. |
| References_xml | – reference: 13) 鈴木信: 百歳の科学. 新潮社, 東京, 1985. – reference: 1) Corti MC, Guralnik JM, Salive ME, Sorkin JD: Serum albumin level and physical disability as predictors of mortality in older persons. JAMA 1994; 272: 1036-1042. – reference: 4) Corpas E, Harman SM, Blackman MR: Human growth hormone and human aging. Endocr Rev 1993; 14: 20-39. – reference: 3) 新井康通, 広瀬信義, 川村昌嗣, 本間聡起, 長谷川浩, 石田浩之ほか: 百寿者の血清脂質組成とその特徴. 日老医誌 (印刷中). – reference: 12) 渡辺努, 脇田康志, 小林正, 佐々木隆一郎, 稲垣俊明: 百歳老人の身体. 老年精神医誌 1996; 7: 137-144. – reference: 9) Yang WS, Kim SB, Min WK, Park S, Lee MS, Park JS: Atherogenic lipid profile and lipoprotein (a) in relation to serum albumin in haemodialysis patients. Nephrol Dial Transplant. 1995; 10: 1668-1671. – reference: 5) Jones JI, Clemmons DR: Insulin-like growth factors and their binding proteins: biological actions. Endocr Rev 1995; 16: 3-34. – reference: 2) Spiekerman AM: Proteins used in nvtritional assessment. Clin Lab Med 1993; 13: 353-369. – reference: 17) Ettinger WH, Harris T, Verdery RB, Tracy R, Kouba E: Evidence for inflammation as a cause of hypocholesterolemia in older people. J Am Geriatr Soc 1995; 43: 264-266. – reference: 7) Scouba WW: Cytokine control of nutrition and metabolism in critical illness. Curr Probl Surg 1994; 31: 579-643. – reference: 15) Catchatourian R, Eckeling G, Fried W: Effect of short-term protein deprivation on hemopoietic functions of healthy volunteers. Blood 1980; 55: 625-628. – reference: 14) Bernstein L, Bachman TE, Meguid M, Ament M, Baumgartner T, Kinosian B, et al: Measurement of visceral protein status in assessing protein and energy malnutrition: Standard of care. Nutrition 1995; 11: 169-171. – reference: 16) Nieken J, Mulder NH, Buter J, Vellenga E, Limburg PC, Piers DA, et al: Recombinant human interleukin-6 induces a rapid and reversible anemia in cancer patients. Blood 1995; 86: 900-905. – reference: 8) 三島康男, 木畑正義, 石岡達司, 岡田康司, 神坂謙, 藤原みち子ほか: Rapid Turnover Protein からみた高齢者の栄養状態に関する検討. 日老医誌 1993; 30: 771-777. – reference: 18) Chiari MM, Bagnoli R, De Luca P, Monti M, Rampoldi E, Cunietti E: Influence of acute inflammation on iron and nutritional status indexes in older inpatients. J Am Geriatr Soc 1995; 43: 767-771. – reference: 10) 川村昌嗣, 広瀬信義, 新井康通, 長谷川浩, 石田浩之, 清水健一郎ほか: Tokyo Centenarian Study 2-百寿者におけるLp(a)の検討-. 日老医誌 1996; 33: 707-709. – reference: 6) Erschler WB: Interleukin-6: A Cytokine for gerontolgists. JAGS 1993; 41: 176-181. – reference: 11) Toure M, Sall MC, Gauthier F, Weill J, Mouray H, Fall M: Apolipoprotein A1 as an early index of protein-energy malnutrition. Eur J Clin Nutr 1991; 45: 511-514. |
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| SubjectTerms | Aged Aged, 80 and over - physiology Albumin Centenarian Female Humans Interleukin-6 - blood Male Nutritional parameter Nutritional Status Prealbumin Prealbumin - analysis Serum Albumin - analysis Tokyo Transferrin Transferrin - analysis Undernourished |
| Title | Tokyo Centenarian Study 5 Nutritional Status of Japanese Centenarians |
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