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Association of marine-origin N-3 polyunsaturated fatty acids consumption and functional mobility in the community-dwelling oldest old

  • Published:
The journal of nutrition, health & aging

Abstract

Objective

To examine whether habitual dietary intake of marine-origin n-3 polyunsaturated fatty acids (MOPUFA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are associated with functional mobility in the community-dwelling oldest old, 85 years or older, who are at high risk for physical disability.

Design

A cross-sectional study.

Setting

A community-based survey conducted at university research center or home-based.

Participants

Four hundred seventeen (189 men, 228 women) out of 542 participants in the baseline examination of the Tokyo Oldest Old Survey on Total Health, a community-based ongoing longitudinal study among the oldest old living in the center of Japan.

Measurements

Habitual dietary intake of MOPUFA was assessed by the brief-type self-administered diet history questionnaire (BDHQ), and functional mobility was assessed by the Timed Up and Go test. Plasma inflammatory biomarkers (C-reactive protein, interleukin-6 and tumor necrosis factor-a) were measured. We evaluated the cross-sectional association between habitual intake of MOPUFA and functional mobility using multivariate logistic regression analysis — Prior to the analysis, validation of BDHQ in this study was confirmed among 190 participants (96 men, 94 women) based on the EPA and DHA concentrations in the erythrocyte membrane phospholipids as reference.

Results

Moderate correlation between estimated dietary intake of EPA/DHA and concentration of EPA/DHA in the erythrocyte membrane phospholipids was obtained (Spearman’s r=0.29–0.58, p<0.01). Multivariate logistic regression analysis revealed that a lower habitual intake of EPA+DHA was significantly associated with poor functional mobility in men but not in women (OR (95%CI) per 1 SD increase of EPA+DHA intake; 0.55 (0.33–0.91), 0.88 (0.59–1.32), men and women respectively).

Conclusions

Habitual intake of MOPUFA was associated with functional mobility in community-dwelling oldest old men.

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References

  1. Ljubuncic P, Globerson A, Reznick AZ (2008) Evidence-based roads to the promotion of health in old age. J Nutr Health Age 12: 139–143

    Article  CAS  Google Scholar 

  2. Westendorp R (2006) What is healthy aging in the 21st century? Am J Clin Nutr 83: Suppl. 404S–409S

    PubMed  CAS  Google Scholar 

  3. Drewnowski A, Evans WJ (2001) Nutrition, physical activity, and quality of life in older adults: summary. J Gerontol A Biol Sci Med Sci 56: 89–94

    Article  PubMed  Google Scholar 

  4. Adamson AJ, Collerton J, Davies K et al (2009) Nutrition in advanced age: dietary assessment in the Newcastle 85+ study. Eur J Clin Nutr 63:Suppl. 1, S6–S18

    Article  PubMed  Google Scholar 

  5. Calder P (2006) n-3 polyunsaturated fatty acids, inflammation and inflammatory diseases. Am J Clin Nutr 83: S1505–S1519

    Google Scholar 

  6. De Caterina R (2011) n-3 fatty acids in cardiovascular disease. N Engl J Med 364: 2439–2450

    Article  PubMed  Google Scholar 

  7. Saravanan P, Davidson NC, Schmidt EB, Calder PC (2010) Cardiovascular effects of marine omega-3 fatty acids. Lancet 376: 540–550

    Article  PubMed  CAS  Google Scholar 

  8. Cederholm T, Palmblad J (2010) Are omega-3 fatty acids options for prevention and treatment of cognitive decline and dementia? Curr Opin Clin Nutr Metab Care 13: 150–155

    Article  PubMed  CAS  Google Scholar 

  9. Fotuhi M, Mohassel P, Yaffe K (2009) Fish consumption, long-chain omega-3 fatty acids and risk of cognitive decline or Alzheimer disease: a complex association. Nat Clin Pract Neurol 5: 140–152

    Article  PubMed  CAS  Google Scholar 

  10. Salari P, Rezaie A, Larijani B, Abdollahi M (2008) A systematic review of the impact of n-3 fatty acids in bone health and osteoporosis. Med Sci Monit 14: RA37–RA44

    PubMed  CAS  Google Scholar 

  11. Weiss LA, Barrett-Connor E, Von Mtihlen D (2005) Ratio of n-6 to n-3 fatty acids and bone mineral density in older adults: the Rancho Bernardo Study. Am J Clin Nutr 81:934–938

    PubMed  CAS  Google Scholar 

  12. Rousseau JH, Kleppinger A, Kenny AM (2009) Self-reported dietary intake of omega-3 fatty acids and association with bone and lower extremity function. J Am Geriatr Soc 57: 1781–1788

    Article  PubMed  Google Scholar 

  13. Podsiadlo D, Richardson S (1991) The Timed “Up & Go”: A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39: 142–148

    PubMed  CAS  Google Scholar 

  14. Arai Y, Iinuma T, Takayama M et al (2010) The Tokyo Oldest Old Survey on Total Health (TOOTH): A longitudinal cohort study of multidimensional components of health and well-being. BMC Geriatr 10: 35

    Article  PubMed  Google Scholar 

  15. Sasaki S, Yanagibori R, Amano K (1998) Self-administered diet history questionnaire development for health education: a relative validation of the test-version by comparison with 3-day diet record in women. J Epidemiol 8: 203–215

    Article  PubMed  CAS  Google Scholar 

  16. Sasaki S, Yanagibori R, Amano K (1998) Validity of a self-administered diet history questionnaire for assessment of sodium and potassium: comparison with single 24-hour urinary excretion. Jpn Circ J 62: 431–435

    Article  PubMed  CAS  Google Scholar 

  17. Sasaki S, Ushio F, Amano K et al (2000) Serum biomarker-based validation of a self-administered diet history questionnaire for Japanese subjects. J Nutr Sci Vitaminol (Tokyo) 46: 285–296

    Article  CAS  Google Scholar 

  18. Okubo H, Sasaki S, Rafamantanantsoa HH, Ishikawa-Takata K, Okazaki H, Tabata I (2008) Validation of self-reported energy intake by a self-administered diet history questionnaire using the doubly labeled water method in 140 Japanese adults. Eur J Clin Nutr 62: 1343–1350

    Article  PubMed  CAS  Google Scholar 

  19. Kobayashi S, Honda S, Murakami K et al (2012) Both comprehensive and brief self-administered diet history questionnaires satisfactorily rank nutrient intakes in Japanese adults. J Epidemiol 22: 151–159

    Article  PubMed  Google Scholar 

  20. Ministry of Education, Culture, Sports, Science and Technology. The 5th revision of Standard Food Composition Table of Japanese Foods (in Japanese). http://www.mext.gojp/b_menu/shingi/gijyutu/gijyutu3/houkoku/1298713.htm (in Japanese) Accessed 1 February 2012

  21. Lepage G, Roy CC (1998) Specific methylation of plasma nonesterified fatty acids in a one-step reaction. J Lipid Res 29: 227–235

    Google Scholar 

  22. Hashimoto M, Shinozuka K, Gamoh S et al (1999) The hypotensive effect of docosahexaenoic acid is associated with the enhanced release of ATP from the caudal artery of aged rats. J Nutr 129: 70–76

    PubMed  CAS  Google Scholar 

  23. Mahoney FI, Barthel DW (1965) Functional evaluation: The Barthel Index. Md State Med J 14: 61–65

    PubMed  CAS  Google Scholar 

  24. Folstein MF, Folstein SE, McHugh PR (1975) “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. J Psychiat Res 12: 189–198

    Article  PubMed  CAS  Google Scholar 

  25. Ministry of Health, Labour, and Welfare. Dietary Reference Intakes for Japanese 2010 (in Japanese), http://www.mhlw.go.jp/shingi/2009/05/s0529-4.html (in Japanese) Accessed 1 February 2012

  26. The American Geriatrics Society. AGS/BGS Clinical Practice Guideline: Prevention of falls in older persons (2010). http://www.americangeriatrics.org/health_care-professionals/clinical-practice/clinical-guidelines-recommendations/2010/ Accessed 1 February 2012

  27. Shumway-Cook A, Brauer S, Woollacott M (2000) Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go test. Phys Ther 80: 896–903

    PubMed  CAS  Google Scholar 

  28. Zhu K, Devine A, Lewis JR, Dhaliwal SS, Prince RL (2011) “Timed Up and Go” test and bone mineral density measurement for fracture prediction. Arch Intern Med 171: 1655–1664

    Article  PubMed  Google Scholar 

  29. Arai Y, Takayama M, Gondo Y et al (2008) Adipose endocrine function, insulin-like growth factor-1 axis, and exceptional survival beyond 100 years of age. J Gerontol A Biol Sci Med Sci 63: 1209–1218

    Article  PubMed  Google Scholar 

  30. Inzitari M, Doets E, Bartali B, Benetou V, Di Bari M, Visser M et al (2011) Nutrition in the age-related disablement process. J Nutr Health Aging 15: 599–604

    Article  PubMed  CAS  Google Scholar 

  31. Sahota O, Hosking DJ (2001) The contribution of nutritional factors to osteopenia in the elderly. Curr Opin Clin Nutr Metab Care 4: 15–20

    Article  PubMed  CAS  Google Scholar 

  32. Robinson SM, Jameson KA, Batelaan SF et al (2008) Diet and its relationship with grip strength in community-dwelling older men and women: The Hertfordshire Cohort Study. J Am Geriatr Soc 56: 84–90

    Article  PubMed  Google Scholar 

  33. Pope SK, Kritchevsky SB, Morris MC et al (2007) Cognitive ability is associated with suspected reporting errors on food frequency questionnaires. J Nutr Health Age 11:55–58.

    CAS  Google Scholar 

  34. McNeill G, Winter J, Jia X (2009) Diet and cognitive function in later life: a challenge for nutrition epidemiology. Eur J Clin Nutr 63:Suppl. 1, S33–S37.

    Article  PubMed  Google Scholar 

  35. Morris MC, Tangney CC, Bienias JL et al. (2003) Validity and reproducibility of a food frequency questionnaire by cognition in an older biracial sample. Am J Epidemiol 158: 1213–1217.

    Article  PubMed  Google Scholar 

  36. Arsenault LN, Matthan N, Scott TM et al. (2009) Validity of estimated dietary eicosapentaenoic acid and docosahexaenoic acid intakes determined by interviewer-administered food frequency questionnaire among older adults with mi Id-to-moderate cognitive impairment or dementia. Am J Epidemiol 170: 95–103.

    Article  PubMed  Google Scholar 

  37. Ministry of Health, Labour, and Welfare. Annual Report of the National Health and Nutrition Survey 2007 (in Japanese), http://www.mhlw.go.jp/bunya/kenkou/eiyou09/01.html (in Japanese) Accessed 1 February 2012

  38. Shahar D, Fraser D, Shai I, Vardi H (2003) Development of a food frequency questionnaire (FFQ) for an elderly population based on a population survey. J Nutr 133: 3625–3629

    PubMed  CAS  Google Scholar 

  39. Marsh AP, Rejeski WJ, Espeland MA et al (2011) Muscle strength and BMI as predictors of major mobility disability in the Lifestyle interventions and Independence for Elders Pilot (LIFE-P). J Gerontol A Biol Sci Med Sci 66: 1376–1383.

    Article  PubMed  Google Scholar 

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Correspondence to Michiyo Takayama.

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Takayama, M., Arai, Y., Sasaki, S. et al. Association of marine-origin N-3 polyunsaturated fatty acids consumption and functional mobility in the community-dwelling oldest old. J Nutr Health Aging 17, 82–89 (2013). https://doi.org/10.1007/s12603-012-0389-1

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  • DOI: https://doi.org/10.1007/s12603-012-0389-1

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