Abstract
Anorexia of aging and biological aging might share physiological underpinnings. The aim of this secondary analysis was to investigate the associations between circulating inflammation-related markers and anorexia of aging in community-dwelling older adults. C-reactive protein (CRP), tumor necrosis factor receptor-1 (TNFR-1), interleukin-6 (IL-6), monocyte chemoattractant protein-1 (MCP-1) and growth/differentiation factor-15 (GDF-15) were measured in plasma. Anorexia of aging was defined by the response “severe/moderate decrease in food intake” to the first item of the Mini-Nutritional Assessment. We included 463 subjects (median age=74y, IQR=71–78; 63.1% women). 33 subjects (7.1%) presented with anorexia at baseline, whereas 25 out of 363 (6.9%) developed it along 1-year follow-up. We found that TNFR1 (OR=1.74, 95%CI=1.27–2.39) and GDF-15 (OR=1.38, 95%CI=1.01–1.89) were associated with a significant increase in the odds of presenting with anorexia of aging cross-sectionally. No further significant associations were found. Biological aging mechanisms might be involved in the pathogenesis of anorexia of aging.
References
Chapman IM, MacIntosh CG, Morley JE, Horowitz M. The anorexia of ageing. Biogerontology 2002;3:67–71.
Morley JE. Anorexia, body composition, and ageing. Curr Opin Clin Nutr Metab Care 2001;4:9–13.
Fielding RA, Landi F, Smoyer KE, Tarasenko L, Groarke J. Association of anorexia/appetite loss with malnutrition and mortality in older populations: A systematic literature review. J Cachexia Sarcopenia Muscle 2023;14:706–729.
Landi F, Russo A, Liperoti R, Tosato M, Barillaro C, Pahor M, Bernabei R, Onder G. Anorexia, physical function, and incident disability among the frail elderly population: results from the ilSIRENTE study. J Am Med Dir Assoc 2010;11:268–274.
Landi F, Liperoti R, Russo A, Giovannini S, Tosato M, Barillaro C, Capoluongo E, Bernabei R, Onder G. Association of anorexia with sarcopenia in a community-dwelling elderly population: results from the ilSIRENTE study. Eur J Nutr 2013;52:1261–1268.
Dagenais S, Fielding RA, Clark S, Cantu C, Prasad S, Groarke JD. Anorexia in Medicare Fee-for-Service Beneficiaries: A Claims-Based Analysis of Epidemiology and Mortality. J Nutr Health Aging 2023;27:184–191.
Picca A, Calvani R, Coelho-Júnior HJ, Landi F, Marzetti E. Anorexia of Aging: Metabolic Changes and Biomarker Discovery. Clin Interv Aging 2022;17:1761–1767.
Sánchez-Sánchez JL, Rolland Y (2023) Social Isolation and Loneliness: Overlooked Therapeutic Targets of Anorexia of Aging? J Nutr Health Aging. doi:https://doi.org/10.1007/s12603-023-2011-0.
Chen L-K. Unveiling the hidden epidemic: Anorexia of aging and nutritional decline in older adults. Arch Gerontol Geriatr 2023;111:105064.
de Souto Barreto P. Poor Appetite & Aging: The Role of Physical Activity under a Geroscience Perspective. J Nutr Health Aging 2022;26:907–908.
Sierra F, Caspi A, Fortinsky RH, Haynes L, Lithgow GJ, Moffitt TE, Olshansky SJ, Perry D, Verdin E, Kuchel GA. Moving geroscience from the bench to clinical care and health policy. J Am Geriatr Soc 2021;69:2455–2463.
Franceschi C, Bonafè M, Valensin S, Olivieri F, De Luca M, Ottaviani E, De Benedictis G. Inflamm-aging. An evolutionary perspective on immunosenescence. Ann N Y Acad Sci 2000;908:244–254.
Yeh S-S, Blackwood K, Schuster MW. The cytokine basis of cachexia and its treatment: are they ready for prime time? J Am Med Dir Assoc 2008;9:219–236.
Laviano A, Meguid MM, Inui A, Muscaritoli M, Rossi-Fanelli F. Therapy insight: Cancer anorexia-cachexia syndrome—when all you can eat is yourself. Nat Clin Pract Oncol 2005;2:158–165.
Morley JE. Anorexia of ageing: a key component in the pathogenesis of both sarcopenia and cachexia. J Cachexia Sarcopenia Muscle 2017;8:523–526.
Sieske L, Janssen G, Babel N, Westhoff TH, Wirth R, Pourhassan M. Inflammation. Appetite and Food Intake in Older Hospitalized Patients. Nutrients 2019;11:1986.
Pourhassan M, Babel N, Sieske L, Westhoff TH, Wirth R. Inflammatory cytokines and appetite in older hospitalized patients. Appetite 2021;166:105470.
Andrieu S, Guyonnet S, Coley N, et al. Effect of long-term omega 3 polyunsaturated fatty acid supplementation with or without multidomain intervention on cognitive function in elderly adults with memory complaints (MAPT): a randomised, placebo-controlled trial. Lancet Neurol 2017;16:377–389.
Lu W-H, Gonzalez-Bautista E, Guyonnet S, Lucas A, Parini A, Walston JD, Vellas B, de Souto Barreto P, Group for the M. Plasma inflammation-related biomarkers are associated with intrinsic capacity in community-dwelling older adults. J Cachexia Sarcopenia Muscle 2023;14:930–939.
Vellas B, Guigoz Y, Gary PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutr Burbank Los Angel Cty Calif 1999;15:116–122.
Lee JS, Kritchevsky SB, Tylavsky F, Harris TB, Ayonayon HN, Newman AB. Factors associated with impaired appetite in well-functioning community-dwelling older adults. J Nutr Elder 2006;26:27–43.
Chareh N, Kiesswetter E, Kob R, Hannink A, Brandl B, Skurk T, Hauner H, Sieber CC, Volkert D. Association Between Inflammation and Appetite in Healthy Community-Dwelling Older Adults-An enable Study. Front Aging 2022;3:826816.
Soenen S, Rayner CK, Jones KL, Horowitz M. The ageing gastrointestinal tract. Curr Opin Clin Nutr Metab Care 2016;19:12–18.
Molfino A, Rossi-Fanelli F, Laviano A. The interaction between pro-inflammatory cytokines and the nervous system. Nat Rev Cancer 2009;9:224–224.
Molfino A, Iannace A, Colaiacomo MC, Farcomeni A, Emiliani A, Gualdi G, Laviano A, Rossi Fanelli F. Cancer anorexia: hypothalamic activity and its association with inflammation and appetite-regulating peptides in lung cancer. J Cachexia Sarcopenia Muscle 2017;8:40–47.
Aderka D, Engelmann H, Shemer-Avni Y, Hornik V, Galil A, Sarov B, Wallach D. Variation in serum levels of the soluble TNF receptors among healthy individuals. Lymphokine Cytokine Res 1992;11:157–159.
Johnen H, Lin S, Kuffner T, et al. Tumor-induced anorexia and weight loss are mediated by the TGF-beta superfamily cytokine MIC-1. Nat Med 2007;13:1333–1340.
Herpich C, Lehmann S, Kochlik B, Kleinert M, Klaus S, Müller-Werdan U, Norman K. The Effect of Dextrose or Protein Ingestion on Circulating Growth Differentiation Factor 15 and Appetite in Older Compared to Younger Women. Nutrients 2022;14:4066.
Morita-Tanaka S, Miyagawa-Hayashino A, Yamada T, Matsui Y, Morimoto K, Hiranuma O, Masuzawa N, Yoshimura A, Iwasaku M, Tokuda S, Kaneko Y, Kim YH, Konishi E, Takayama K. Significance of localized expression of full-length growth differentiation factor-15 in cachexia of advanced non-small cell lung cancer. Support Care Cancer Off J Multinatl Assoc Support Care Cancer 2023;31:308.
Raffin J, Rolland Y, Parini A, Lucas A, Guyonnet S, Vellas B, de Souto Barreto P, Group F the M. Association between physical activity, growth differentiation factor 15 and bodyweight in older adults: A longitudinal mediation analysis. J Cachexia Sarcopenia Muscle 2023;14:771–780.
Lau S, Pek K, Chew J, Lim JP, Ismail NH, Ding YY, Cesari M, Lim WS. The Simplified Nutritional Appetite Questionnaire (SNAQ) as a Screening Tool for Risk of Malnutrition: Optimal Cutoff, Factor Structure, and Validation in Healthy Community-Dwelling Older Adults. Nutrients 2020;12:2885.
Ruiz JG. Non-pharmacological Interventions in Anorexia of Aging. J Nutr Health Aging 2022;26:110–111.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical standards: This research complied with the ethical rules for human experimentation stated in the Declaration of Helsinki.
Conflict of interest: The authors declare the absence of conflicts of interest.
Electronic Supplementary Material
Rights and permissions
About this article
Cite this article
Sánchez-Sánchez, J.L., Guyonnet, S., Lucas, A. et al. Plasma Inflammatory Biomarkers and Anorexia of Ageing among Community-Dwelling Older Adults: An Exploratory Analysis of the MAPT Study. J Nutr Health Aging 27, 1127–1131 (2023). https://doi.org/10.1007/s12603-023-2024-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12603-023-2024-8