Correlation between inflammatory markers with physical function and body composition in community older adults: a cross-sectional study.

Authors

  • Cristián Barros-Osorio Facultad de ciencias de la salud, Universidad Autónoma de Chile, Santiago, Chile.
  • Walter sepulveda loyola aculty of Health and Social Sciences, Universidad de Las Americas, Santiago, Chile
  • Ignacio Astudillo Facultad de la Salud y Ciencias Sociales, Universidad de las Américas, Santiago, Chile.
  • Jennifer Campos-Aguayo Facultad de la Salud y Ciencias Sociales, Universidad de las Américas, Santiago, Chile.
  • Juan José Valenzuela- Fuenzalida Departamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago 8370186, Chile.
  • Vanessa Suziane Probst Programa de Maestría y Doctorado en Ciencias de la Rehabilitación. Universidad Estatal de Londrina (UEL) y Universidad del Norte de Paraná (UNOPAR), Londrina, Brasil

DOI:

https://doi.org/10.12873/442barros

Keywords:

inflamacion, Fuerza Muscular, Composición Corporal, Equilibrio Postural, Anciano

Abstract

Introduction: Aging is associated with various chronic diseases that cause systemic inflammation, characterized by an increase in blood levels of interleukin 6 (IL-6) and tumor necrosis factor alpha (TNF-α). Physical function and body composition may be related to these inflammatory markers in older adults.

Objective: To analyze the correlation between blood inflammatory markers, physical function and body composition in community-dwelling older adults.

Methodology: A cross-sectional study was carried out with 245 community-dwelling older adults (men, 68±6 years; women: 69%) from the city of Londrina, Brazil. Blood levels of IL-6 and TNF-α were analyzed with flow cytometry. For the physical evaluation, static balance was measured with the one-legged stance test (OLS), handgrip strength (HGS) using a digital dynamometer and aerobic capacity with the six-minute walk test (6MWT). For the evaluation of body composition, the following perimeters were considered: hip, calf, quadriceps, biceps brachii, triceps brachii and waist. The correlation of inflammatory variables with those of physical function and body composition was analyzed using Pearson or Spearman with SPSS version 22 software.

Results: IL-6 levels were correlated with OLS (r: -0.22; p:0.002), triceps circumference (r: 0.16; p:0.023) and waist circumference (r: 0.34; p:0.000). TNF-α levels were correlated with HGS (r: -0.15; p:0.035), triceps circumference (r: 1.79; p:0.012) and waist circumference (r: 0.27; p:0.000).

Conclusion: Inflammatory biomarkers are related to low muscle strength, static balance, and an increase in triceps and waist circumference.

References

Liu Z, Liang Q, Ren Y, Guo C, Ge X, Wang L, et al. Immuno -

senescence: molecular mechanisms and diseases. Signal Transduct

Target Ther. 2023 May 13;8(1):200.

Bugueño G, Badilla V. Artículo Original Diferencias sobre variables

de salud mental y físico-funcionales entre hombres y mujeres del

primer centro de día referencial del adulto mayor de Chile

Differences on mental and physical-functional health variables

between men and women of the first referential day center of the

older adult of Chile. Nutr clín diet hosp. 2020;40(2):159–64.

Franceschi C, Garagnani P, Parini P, Giuliani C, Santoro A.

Inflammaging: a new immune–metabolic viewpoint for age-related diseases. Nat Rev Endocrinol. 2018 Oct 25;14(10):576–90.

Mukai K, Tsai M, Saito H, Galli SJ. Mast cells as sources of cytokines, chemokines, and growth factors. Immunol Rev. 2018 Mar

;282(1):121–50.

Chung HY, Kim DH, Lee EK, Chung KW, Chung S, Lee B, et al.

Redefining Chronic Inflammation in Aging and Age-Related

Diseases: Proposal of the Senoinflammation Concept. Aging Dis.

;10(2):367.

Pothier K, Gana W, Bailly N, Fougère B. Associations Between

Frailty and Inflammation, Physical, and Psycho-Social Health in

Older Adults: A Systematic Review. Front Psychol. 2022 Mar 14;13.

Furman D, Campisi J, Verdin E, Carrera-Bastos P, Targ S,

Franceschi C, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019 Dec 5;25(12):1822–32.

Sadjapong U, Yodkeeree S, Sungkarat S, Siviroj P. Multicomponent

Exercise Program Reduces Frailty and Inflammatory Biomarkers

and Improves Physical Performance in Community-Dwelling Older

Adults: A Randomized Controlled Trial. Int J Environ Res Public

Health. 2020 May 26;17(11):3760.

El-Mikkawy DME, EL-Sadek MA, EL-Badawy MA, Samaha D.

Circulating level of interleukin-6 in relation to body mass indices

and lipid profile in Egyptian adults with overweight and obesity.

Egyptian Rheumatology and Rehabilitation. 2020 Dec 9;47(1):7.

Reyna-Quiñonez D, Morejón-Iza L, Arteaga-Pazmiño CL. Nutrición

clínica y dietética hospitalaria. Nutrición Clínica y Dietética

Hospitalaria [Internet]. 2020 Aug 22 [cited 2024 Feb 26];43(3).

Available from: https://revista.nutricion.org/index.php/ncdh/

article/view/418

Malta M, Cardoso LO, Bastos FI, Magnanini MMF, da Silva CMFP.

STROBE initiative: guidelines on reporting observational studies.

Rev Saude Publica. 2010;44(3):559–65.

Sepúlveda Loyola WA, Vilaça Cavallari Machado F, Araújo de

Castro L, Hissnauer Leal Baltus T, Rampazzo Morelli N, Landucci, Bonifácio K, et al. Is oxidative stress associated with disease

severity, pulmonary function and metabolic syndrome in chronic

obstructive pulmonary disease? Revista Clínica Española (English

Edition). 2019 Dec;219(9):477–84.

Sánchez-García S, García-Peña C, Duque-López MX, JuárezCedillo T, Cortés-Núñez AR, Reyes-Beaman S. Anthropometric

measures and nutritional status in a healthy elderly population.

BMC Public Health. 2007 Dec 3;7(1):2.

Britto RR, Probst VS, Andrade AFD de, Samora GAR, Hernandes

NA, Marinho PEM, et al. Reference equations for the six-minute

walk distance based on a Brazilian multicenter study. Braz J Phys

Ther. 2013 Dec;17(6):556–63.

Khanal P, He L, Stebbings GK, Onambele-Pearson GL, Degens H,

Williams AG, et al. Static one-leg standing balance test as a

screening tool for low muscle mass in healthy elderly women.

Aging Clin Exp Res. 2021 Jul 13;33(7):1831–9.

Pereira DS, Mateo ECC, de Queiroz BZ, Assumpção AM, Miranda

AS, Felício DC, et al. TNF-α, IL6, and IL10 polymorphisms and the

effect of physical exercise on inflammatory parameters and physical performance in elderly women. Age (Omaha). 2013 Dec

;35(6):2455–63.

Ribeiro JC, Duarte JG, Gomes GAO, Costa-Guarisco LP, de Jesus

ITM, Nascimento CMC, et al. Associations between inflammatory

markers and muscle strength in older adults according to the presence or absence of obesity. Exp Gerontol. 2021 Aug;151:111409.

Bartlett DB, Firth CM, Phillips AC, Moss P, Baylis D, Syddall H, et

al. The age-related increase in low-grade systemic inflammation

(Inflammaging) is not driven by cytomegalovirus infection. Aging

Cell. 2012 Oct 12;11(5):912–5.

Marcos-Pérez D, Sánchez-Flores M, Maseda A, Lorenzo-López L,

Millán-Calenti JC, Gostner JM, et al. Frailty in Older Adults Is

Associated With Plasma Concentrations of Inflammatory Mediators

but Not With Lymphocyte Subpopulations. Front Immunol. 2018

May 16;9.

Zille de Queiroz B, de Britto Rosa NM, Pereira DS, Lopes RA,

Leopoldino AAO, Thomasini RL, et al. Inflammatory mediators

and the risk of falls among older women with acute low back

pain: data from Back Complaints in the Elders (BACE)—Brazil.

European Spine Journal. 2020 Mar 12;29(3):549–55.

Sepúlveda Loyola W, de Barros Morselli J, Araya Quintanilla F,

Teixeira D, Alvarez Bustos A, Molari M, et al. Clinical impact of osteosarcopenia on mortality, physical function and chronic inflammation: a 9-year follow up cohort study. Nutricion Clinica y

Dietetica Hospitalaria [Internet]. 2023 [cited 2024 Feb

;43(4):133–40. Available from: https://researchers.uss.cl/en/

publications/clinical-impact-of-osteosarcopenia-on-mortalityphysical-function

Wu D, Gao X, Shi Y, Wang H, Wang W, Li Y, et al. Association between Handgrip Strength and the Systemic Immune-Inflammation

Index: A Nationwide Study, NHANES 2011–2014. Int J Environ Res

Public Health. 2022 Oct 20;19(20):13616.

De Larichaudy J, Zufferli A, Serra F, Isidori AM, Naro F, Dessalle K,

et al. TNF-α- and tumor-induced skeletal muscle atrophy involves

sphingolipid metabolism. Skelet Muscle. 2012 Dec 18;2(1):2.

Zuo, Prather, Stetskiv, Garrison, Meade, Peace, et al. Inflammaging

and Oxidative Stress in Human Diseases: From Molecular

Mechanisms to Novel Treatments. Int J Mol Sci. 2019 Sep 10;

(18):4472.

Tuttle CSL, Thang LAN, Maier AB. Markers of inflammation and

their association with muscle strength and mass: A systematic review and meta-analysis. Ageing Res Rev. 2020 Dec;64:101185.

Lee SY. Handgrip Strength: An Irreplaceable Indicator of Muscle

Function. Ann Rehabil Med. 2021 Jun 30;45(3):167–9.

Mella De Cuevas KM, Sepúlveda-Loyola W, Araya-Quintanilla F, de

Barros Morselli J, Molari M, Probst VS. Association between clinical measures for the diagnosis of osteosarcopenia with functionality and mortality in older adults: longitudinal study. Nutricion

Clinica y Dietetica Hospitalaria. 2022;42(3):143–51.

Smith L, Yang L, Hamer M. Handgrip strength, inflammatory

markers, and mortality. Scand J Med Sci Sports. 2019 Aug

;29(8):1190–6.

Mella De Cuevas KM, Sepúlveda-Loyola W, Araya-Quintanilla F, de

Barros Morselli J, Molari M, Probst VS. Association between clinical measures for the diagnosis of osteosarcopenia with functionality and mortality in older adults: longitudinal study. Nutricion

Clinica y Dietetica Hospitalaria. 2022;42(3):143–51.

Al-Mansoori L, Al-Jaber H, Prince MS, Elrayess MA. Role of

Inflammatory Cytokines, Growth Factors and Adipokines in

Adipogenesis and Insulin Resistance. Inflammation. 2022 Feb

;45(1):31–44.

Vargas Vitoria R, Alfaro Larena J, Rodríguez M, Arellano R, Valdés

Badilla P. Efectos de un programa multicomponente sobre medidas antropométricas, condición física y calidad de vida relacionada con la salud en personas mayores. Nutricion Clinica y

Dietetica Hospitalaria. 2021 Mar 20;41(1):69–75.

Tay J, Goss AM, Locher JL, Ard JD, Gower BA. Physical Function

and Strength in Relation to Inflammation in Older Adults with

Obesity and Increased Cardiometabolic Risk. J Nutr Health Aging.

Dec 26;23(10):949–57.

Cawthorn WP, Sethi JK. TNF-α and adipocyte biology. FEBS Lett.

Jan 9;582(1):117–31.

Calvani R, Marini F, Cesari M, Buford TW, Manini TM, Pahor M, et

al. Systemic inflammation, body composition, and physical performance in old community-dwellers. J Cachexia Sarcopenia

Muscle. 2017 Feb 8;8(1):69–77.

Tay J, Goss AM, Locher JL, Ard JD, Gower BA. Physical Function

and Strength in Relation to Inflammation in Older Adults with

Obesity and Increased Cardiometabolic Risk. J Nutr Health Aging.

Dec 26;23(10):949–57.

Cesari M, Fielding RA, Pahor M, Goodpaster B, Hellerstein M, Van

Kan GA, et al. Biomarkers of sarcopenia in clinical trials—recommendations from the International Working Group on Sarcopenia.

J Cachexia Sarcopenia Muscle. 2012 Sep 3;3(3):181–90.

Menzel A, Samouda H, Dohet F, Loap S, Ellulu MS, Bohn T. Common

and Novel Markers for Measuring Inflammation and Oxidative Stress

Ex Vivo in Research and Clinical Practice—Which to Use Regarding

Disease Outcomes? Antioxidants. 2021 Mar 9;10(3):414

Published

2024-04-22

How to Cite

Barros-Osorio, C., sepulveda loyola, W., Astudillo, I., Campos-Aguayo, J., Valenzuela- Fuenzalida, J. J., & Suziane Probst, V. (2024). Correlation between inflammatory markers with physical function and body composition in community older adults: a cross-sectional study. Nutrición Clínica Y Dietética Hospitalaria, 44(2). https://doi.org/10.12873/442barros