EFFECTS OF NUTRITIONAL STATUS ON PULMONARY IMMUNE FUNCTION AND RESPONSE IN ELDERLY INDIVIDUALS
Palavras-chave:
elderly, resistance training, pulmonary inflammation, cytokinesResumo
Objectives: The aging process, as well as caloric-protein malnutrition, is associated with a progressive decline in lung function and a reduction in systemic immune response. However, it is unknown to what extent aging and caloric malnutrition can affect these responses. Method: A randomized clinical trial was conducted at the Evangelical University of Goiás (UniEVANGÉLICA), where 66 elderly individuals (aged 60 to 85 years) were evaluated for lung function, pulmonary immune response through IL-10 measurement in condensed air, peripheral strength through handgrip strength, and respiratory muscle strength through manovacuometry. Results: The results showed that of the 66 elderly individuals evaluated, 44 (67.28%) were classified as hypocaloric, 19 (28.12%) as normocaloric, and 3 (4.68%) as hypercaloric. When comparing the hypocaloric group with the normocaloric group, results show that the hypocaloric group had a reduction in forced vital capacity (FVC, p<0.0214), forced expiratory volume in the first second (FEV1, p<0.0039), and Tiffeneau index (p<0.0353), as well as a reduction in right (p<0.0032) and left (p<0.123) handgrip strength. In addition, the number of sit-to-stand repetitions in 1 minute (functional capacity) was lower for the hypocaloric group (p<0.0428), as was oxygen desaturation (p<0.0445). Conclusions: A hypocaloric dietary pattern in elderly individuals without professional guidance impairs pulmonary function and immune response, reflecting loss of muscle strength and functional capacity.
Referências
Bachi ALL, Abbasi A, Durigan JLQ, Vaisberg MW, Vieira RP. Editorial: The role of latent chronic infection in immunosenescence and inflamm-aging. Front Immunol. 2023 Sep 15;14:1285234. doi: 10.3389/fimmu.2023.1285234. PMID: 37786610; PMCID: PMC10541947.
Bohannon RW, Bubela DJ, Magasi SR, Wang YC, Gershon RC. Sit-to-stand test: Performance and determinants across the age-span. Isokinet Exerc Sci. 2010;18(4):235-240. doi: 10.3233/IES-2010-0389. PMID: 25598584; PMCID: PMC4293702.
Fisbert RM, Marchiori DML (Editors). Manual for assessing food consumption in population studies: the experience of the São Paulo Health Survey (ISA). São Paulo: USP School of Public Health, 2012. 197 p. ill.
Frasca D, Diaz A, Romero M, Garcia D, Blomberg BB. B Cell Immunosenescence. Annu Rev Cell Dev Biol. 2020 Oct 6;36:551-574. doi: 10.1146/annurev-cellbio-011620-034148. PMID: 33021823; PMCID: PMC8060858.
Institute of Medicine. 2005. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC: The National Academies Press. https://doi.org/10.17226/10490.
Kawakami K, Kadota J, Iida K, Shirai R, Abe K, Kohno S. Reduced immune function and malnutrition in the elderly. Tohoku J Exp Med. 1999 Feb;187(2):157-71. doi: 10.1620/tjem.187.157. PMID: 10228987.
Moraes-Ferreira R, Brandao-Rangel MAR, Gibson-Alves TG, Silva-Reis A, Souza-Palmeira VH, Aquino-Santos HC, et al. Physical Training Reduces Chronic Airway Inflammation and Mediators of Remodeling in Asthma. Oxid Med Cell Longev. 2022 Oct 20;2022:5037553. doi: 10.1155/2022/5037553. PMID: 36312895; PMCID: PMC9613382.
Pinheiro ABV. Table for assessing food consumption in home measurements. 5th ed. São Paulo. Atheneu, 2008.
Rodriguez IJ, Lalinde Ruiz N, Llano León M, Martínez Enríquez L, Montilla Velásquez MDP, Ortiz Aguirre JP, Rodríguez Bohórquez OM, Velandia Vargas EA, Hernández ED, Parra López CA. Immunosenescence Study of T Cells: A Systematic Review. Front Immunol. 2021 Jan 15;11:604591. doi: 10.3389/fimmu.2020.604591. PMID: 33519813; PMCID: PMC7843425.
Santoro A, Bientinesi E, Monti D. Immunosenescence and inflammaging in the aging process: age-related diseases or longevity? Ageing Res Rev. 2021 Nov;71:101422. doi: 10.1016/j.arr.2021.101422. Epub 2021 Aug 13. PMID: 34391943.
University of São Paulo. Faculty of Pharmaceutical Sciences. Department of Food and Experimental Nutrition. Brazilian Table of Food Composition - TBCA. 4th ed. São Paulo: USP, 2017. Available at: http://www.fcf.usp.br/tbca. Accessed on: June 8, 2024.