Abstract
Background
Cognitive function has inevitable decline with advancing age in nature, and age-related cognitive decline (ARCD) is of increasing concern to aging population. Scarce study has involved the associations between hair trace elements and ARCD in older adults, especially in centenarians and oldest-old adults. This study was to investigate the associations between hair trace elements and ARCD in centenarians and oldest-old adults.
Methods
Based on the household registration information of centenarians and oldest-old adults provided by the Civil Affairs Department of Hainan Province, China, the investigators conducted a one-to-one household survey among centenarians (≥100 years old) and oldest-old adults (80–99 years old). All 50 centenarians had a median age of 103 years and females accounted for 68.0%. All 73 oldest-old adults aged 80–99 years had a median age of 90 years and females accounted for 82.2%. Basic information were obtained with questionnaire interview, physical examination, biological test and hair collection by pre-trained local doctors and nurses. An inductively coupled plasma mass spectrometer was used to measure hair trace elements. All data in this study comes from China. Age, sex, body mass index, systolic blood pressure, diastolic blood pressure, smoking, drinking, hemoglobin, albumin, fasting blood pressure, zinc, chromium, copper, selenium, iron, manganese, strontium, lead, magnesium, potassium, and barium were simultaneously included in multivariate Logistic regression analysis. One adjusted model was done with all hair trace elements together.
Results
Zinc and chromium levels were significantly lower in participants with ARCD than those without ARCD (P < 0.05 for all). Multivariate Logistic regression analysis indicated that zinc [odds ratio (OR): 0.988, 95%confidence interval (95%CI): 0.977–0.999] and chromium (OR: 0.051, 95%CI: 0.004–0.705) were associated with a reduced likelihood of ARCD (P < 0.05 for all).
Conclusions
Hair zinc and chromium levels were associated with a reduced likelihood of ARCD in centenarians and oldest-old adults. Further studies are necessary to verify if zinc and chromium supplementation has the potential to improve cognitive function and prevent ARCD development.
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References
Bonda DJ, Lee HG, Blair JA, Zhu X, Perry G, Smith MA. Role of metal dyshomeostasis in Alzheimer’s disease. Metallomics. 2011;3(3):267–70.
Méplan C. Trace elements and ageing, a genomic perspective using selenium as an example. J Trace Elem Med Biol. 2011;25 Suppl 1:S11–6.
McClain CJ, McClain M, Barve S, Boosalis MG. Trace metals and the elderly. Clin Geriatr Med. 2002;18(4):801–18, vii-viii.
Lam PK, Kritz-Silverstein D, Barrett Connor E, Milne D, Nielsen F, Gamst A, Morton D, Wingard D. Plasma trace elements and cognitive function in older men and women: the Rancho Bernardo study. J Nutr Health Aging. 2008;12(1):22–7.
Koç ER, Ilhan A, Zübeyde Aytürk, et al. A comparison of hair and serum trace elements in patients with Alzheimer disease and healthy participants. Turk J Med Sci. 2015;45(5):1034–1039.
Johnson WM, Wilson-Delfosse AL, Mieyal JJ. Dysregulation of glutathione homeostasis in neurodegenerative diseases. Nutrients 2012; 4: 1399–1440.
Greenough MA, Camakaris J, Bush AI. Metal dyshomeostasis and oxidative stress in Alzheimer’s disease. Neurochem Int 2013; 62: 540–555.
Koseoglu E, Koseoglu R, Kendirci M, Saraymen R, Saraymen B. Trace metal concentrations in hair and nails from Alzheimer’s disease patients: Relations with clinical severity. J Trace Elem Med Biol. 2017;39:124–128.
Gerardo B, Cabral Pinto M, Nogueira J, et al. Associations between Trace Elements and Cognitive Decline: An Exploratory 5-Year Follow-Up Study of an Elderly Cohort. Int J Environ Res Public Health. 2020;17(17):6051.
Zhu Q, Zhao Q, Ping P, et al. Relationships Between Hair Chemical Elements and Nutritional Status in Oldest-Old and Centenarian Populations. J Multidiscip Healthc. 2023;16:1171–1178.
Zhu Q, Yao Y, Ning CX, Zhao YL. Trace Element Levels in the Elders over 80 from the Hainan Province of China. J Nutr Health Aging. 2019;23(9):883–889.
Torrente M, Colomina MT, Domingo JL. Metal concentrations in hair and cognitive assessment in an adolescent population. Biol Trace Elem Res. 2005;104(3):215–221.
Paglia G, D’Alessandro A, Rolfsson Ó, Sigurjónsson ÓE, Bordbar A, Palsson S, Palsson BO. Biomarkers defining the metabolic age of red blood cells during cold storage. Blood. 2016;128:43–50.
Gerardo B, Cabral Pinto M, Nogueira J, Pinto P, Almeida A, Pinto E, Marinho-Reis P Diniz L, Moreira PI, Simões MR, Freitas S. Associations between Trace Elements and Cognitive Decline: An Exploratory 5-Year Follow-Up Study of an Elderly Cohort. Int J Environ Res Public Health. 2020 Aug 20;17(17):6051.
Cabral Pinto MMS, Marinho-Reis P, Almeida A, Pinto E, Neves O, Inácio M, Gerardo B, Freitas S, Simões MR, Dinis PA, Diniz L, Ferreira da Silva E, Moreira PI. Links between Cognitive Status and Trace Element Levels in Hair for an Environmentally Exposed Population: A Case Study in the Surroundings of the Estarreja Industrial Area. Int J Environ Res Public Health. 2019;16(22):4560.
Ibrahim NM, Shohaimi S, Chong H-T, et al. Validation study of the mini-mental state examination in a Malay-speaking elderly population in Malaysia. Dement Geriatr Cogn Disord. 2009;27:247e53.
Fu S, Luo L, Ye P, Xiao W. Epidemiological associations between hyperuricemia and cardiometabolic risk factors: a comprehensive study from Chinese community. BMC Cardiovasc Disord. 2015;15:129.
Rabins P, Schwartz S, Tschanz JA, Corcoran C, Lyketsos C. Risk factors for severe dementia from a population-based sample of incident Alzheimer’s disease: the Cache County Dementia Progression Study. Alzheimers Dement. 2011;7:S356-S.
Kliegel M, Zimprich D, Rott C. Life-long intellectual activities mediate the predictive effect of early education on cognitive impairment in centenarians: a retrospective study. Aging Ment Health. 2004;8:430e7.
Grasso G, Giuffrida ML, Rizzarelli E. Metallostasis and amyloid beta-degrading enzymes. Metallomics 2012; 4: 937–949.
Lyubartseva G, Lovell MA. A potential role for zinc alterations in the pathogenesis of Alzheimer’s disease. Biofactors 2012; 38:98–106.
Hancock SM, Finkelstein DI, Adlard PA. Glia and zinc in ageing and Alzheimer’s disease: a mechanism for cognitive decline?. Front Aging Neurosci 2014;6:137.
Panayi AE, Spyrou NM, Iversen BS, White MA, Part P. Determination of cadmium and zinc in Alzheimer’s brain tissue using inductively coupled plasma mass spectrometry. J Neurol Sci 2002; 195: 1–10.
Corrigan FM, Reynolds GP, Ward NI. Hippocampal tin, aluminum and zinc in Alzheimer’s disease. Biometals 1993; 6:149–154.
Frederickson CJ, Koh JY, Bush AI. The neurobiology of zinc in health and disease. Nat Rev Neurosci. 2005;6:449–462.
Bhatnagar S, Taneja S. Zinc and cognitive development. Br. J. Nutr. 85, S139–S145 (2001).
Maynard CJ, Bush AI, Masters CL, Cappai R, Li QX. Metals and amyloid-beta in Alzheimer’s disease. Int J Exp Pathol. 2005;86(3):147–59.
Constantinidis J. Hypothesis regarding amyloid and zinc in the pathogenesis of Alzheimer disease: potential for preventive intervention. Alzheimer Dis Assoc Disord. 1991;5(1):31–5.
Smorgon C, Mari E, Atti AR, et al. Trace elements and cognitive impairment: an elderly cohort study. Arch Gerontol Geriatr Suppl. 2004;(9):393–402.
Davies S, McLaren Howard J, Hunnisett A, Howard M: Age-related decreases in chromium levels in 51,665 hair, sweat, and serum samples from 40,872 patients-implications for the prevention of cardiovascular disease and type II diabetes mellitus. Metabolism. 1997, 46(5):469–473.
Halder S, Kar R, Mehta AK, Bhattacharya SK, Mediratta PK, Banerjee BD. Quercetin Modulates the Effects of Chromium Exposure on Learning, Memory and Antioxidant Enzyme Activity in F1 Generation Mice. Biol Trace Elem Res. 2016;171(2):391–398.
Krikorian R, Eliassen JC, Boespflug EL, Nash TA, Shidler MD. Improved cognitive-cerebral function in older adults with chromium supplementation. Nutr Neurosci. 2010;13(3):116–122.
Bagchi D, Stohs SJ, Downs BW, Bagchi M, Preuss HG. Cytotoxicity and oxidative mechanisms of different forms of chromium. Toxicology. 2002;180(1):5–22.
Acknowledgements
We would like to express our gratitude to all participants and their families who agreed to participate, as well as all our colleagues who participated in this study.
Funding
Funding: This work was supported by grants from the Excellent Youth Incubation Program of Chinese People’s Liberation Army General Hospital (2020-YQPY-007), the Natural Science Foundation of Hainan Province (821QN389, 821MS117, 822MS198), the 2021 Military Training Injury Prevention Treatment Research Task (21xls37), the Major Science and Technology Programme of Hainan Province (ZDKJ2019012), the National Key R&D Program of China (2018YFC2000400), the National S&T Resource Sharing Service Platform Project of China (YCZYPT[2018]07), and the Specific Research Fund of Innovation Platform for Academicians of Hainan Province (YSPTZX202216). The sponsors had no role in the design, conduct, interpretation, review, approval, or control of this article.
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Author contributions: All authors contributed to the conception and design of the work, performed the acquisition, analysis and interpretation of data for the work, and drafted and revised the article. All authors read and approved the final manuscript.
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Ethics approval and consent to participate: This study has been approved by the ethics committee of Hainan Hospital of Chinese People’s Liberation Army General Hospital (301HNLL-2016-01). The informed consents were obtained from all the participants and their legal guardians.
Conflict of interest: All authors declare no conflict of interest.
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. Factors associated with MMSE in multivariate Linear regression analysis
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Feng, L., Zheng, Y., Liu, Y. et al. Hair Zinc and Chromium Levels Were Associated with a Reduced Likelihood of Age Related Cognitive Decline in Centenarians and Oldest-Old Adults. J Nutr Health Aging 27, 1012–1017 (2023). https://doi.org/10.1007/s12603-023-2008-8
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DOI: https://doi.org/10.1007/s12603-023-2008-8