冬季季节性南迁对北方“候鸟老人”人体成分、炎症因子和肌肉功能的影响

Effect of winter seasonal southward migration on body composition, inflammation, and muscle function in northern migratory elderly

  • 摘要: 背景 近年来,季节性异地养老现象日渐普遍,越来越多的北方地区老年人冬季迁徙到温暖的南方过冬,但针对季节性迁徙对“候鸟老人”营养及免疫状况的研究较为少见。目的 前瞻性观察短期季节性迁徙对北方“候鸟老人”人体成分、炎性细胞因子、衰弱评分及肌肉衰减风险的影响。方法 采用自身前后对照设计,对北方“候鸟老人”于迁徙前后,即入岛(基线)时和离岛(结束)时检测人体成分、血液生化及炎症指标、握力、小腿围、6 m步速,并进行衰弱及肌肉衰减风险评估。结果 共纳入53 例“候鸟老人”,男性21 例,女性32 例,平均年龄(69.2±5.8)岁。与基线数据相比,迁徙后参与者体成分显著改善,男性体成分变化表现在去脂体重(fat free mass,FFM)、肌肉量(muscle mass,MM)、骨骼肌(skeletal muscle,SM)增加,差异均有统计学意义(P<0.05);女性体成分变化表现在体脂率(fat percentage,FP)、皮下脂肪重量、内脏脂肪面积(visceral fat area,VFA)降低,差异均有统计学意义(P<0.05)。白介素-2(interleukin-2,IL-2)和肿瘤坏死因子- α(tumor necrosis factor-alpha,TNF-α)均降低,差异有统计学意义(P<0.001),IL-4 和IL-10 均升高,差异有统计学意义(P<0.001)。线性回归分析显示,在控制了年龄、性别、候鸟生活年限以及IL-2、IL-4、IL-10 基线水平后,迁徙生活与促炎因子(IL-2)降低、抗炎因子(IL-4、IL-10)升高独立关联。在控制了年龄、候鸟生活年限以及体成分相关指标基线水平后,迁徙生活与男性FFM、MM、SM增加独立关联以及女性VFA降低独立关联。结论 迁徙至温暖环境生活可显著改善“候鸟老人”的体成分,并诱导体内炎症状态向抗炎方向转变。

     

    Abstract: Background In recent years, the phenomenon of seasonal relocation for elderly care has become increasingly common, more and more elderly people from northern China spend the winter in warmer southern regions. However, research on the nutritional and immune status of migratory elderly based on seasonal migration is relatively rare. Objective To prospectively observe the impact of short-term seasonal migration on the body composition, inflammatory cytokines, frailty scores and risk of muscle attenuation in northern migratory elderly. Methods A within-subject pre-post study was conducted among northern migratory elderly, with assessments performed at both arrival (baseline) and departure (endpoint) from the island. Measurements included body composition, blood biochemistry and inflammatory indicators, grip strength, calf circumference, and 6-meter gait speed, along with frailty and sarcopenia risk evaluations. Results A total of 53 elderly migratory birds were included, including 21 males and 32 females, with an average age of (69.2±5.8) years. Compared with the baseline data, the body composition of the participants after migration was significantly improved, changes in male body composition were manifested in increase in fat free mass (FFM), muscle mass (MM), and skeletal muscle (SM), and the differences were statistically significant (P<0.05); changes in female body composition were manifested in decrease in body fat percentage (FP), subcutaneous fat weight, and visceral fat area (VFA), and the differences were statistically significant (P<0.05). Interleukin-2 (IL-2) and tumor necrosis factor-alpha (TNF- α) decreased with statistically significant differences (P<0.001). IL-4 and IL-10 increased with statistically significant differences (P<0.001). Linear regression analysis showed that after controlling age, gender, years of migratory life, and baseline levels of IL-2, IL-4, and IL-10, migratory life was independently associated with decrease in pro-inflammatory factors (IL-2) and increase in antiinflammatory factors (IL-4, IL-10). After controlling for age, years of migratory life, and baseline levels of body composition-related indicators, migratory life was independently associated with increases in FFM, MM, and SM in males and decreases in VFA in females. Conclusion Migrating to a warm environment can significantly improve the body composition of migratory elderly and induce a change in the inflammatory state in the body towards an anti-inflammatory direction.

     

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