权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Preserving muscle mass and function in bedridden older adults

保持卧床老年人的肌肉质量和功能

基本信息

批准号：
9197214
负责人：
Douglas Paddon-Jones
金额：
$ 53.66万
依托单位：
UNIVERSITY OF TEXAS MED BR GALVESTON
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-02-15 至 2018-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9197214
关键词：
Activities of Daily Living Address Aging Bed Occupancy Bed rest Beds Body Composition Breath Tests Clinical Comorbidity Defect Deglutition Disorders Desire for food Diet Dietary Intervention Dietary Supplementation Elderly Energy Intake Equilibrium Ergometry Exercise Glucose tolerance test Goals Health Hospitalization Impairment Ingestion Inpatients Insulin Intervention Intuition Leg Leucine Measures Metabolic Modeling Morbidity - disease rate Morphology Motor Muscle Proteins Muscle function Muscular Atrophy Nutrient Outcome Palate Patients Physical Rehabilitation Physical activity Population Protein Biosynthesis Proteins Recovery Recovery of Function Regulation Rehabilitation therapy Risk Signal Pathway Skeletal Muscle Stimulus Strenuous Exercise Supplementation Testing Theoretical model Thinness Translation Initiation Traumatic injury Weight-Bearing state base bone mass bone strength clinical application clinically relevant cost direct application disability exercise intensity experience functional outcomes glucose tolerance insight minimally invasive mortality muscle aging muscle form muscle strength neuromuscular novel older men older women physical inactivity protein degradation protein metabolism response

项目摘要

DESCRIPTION (provided by applicant): The loss of muscle mass and function in older adults during bed rest is facilitated by defects in the regulation of muscle protein metabolism, including an impaired ability to mount an anabolic response to a mixed nutrient meal. We propose that low-intensity exercise and supplementing daily meals with leucine will independently and synergistically reduce the deleterious effects of inactivity on skeletal muscle and facilitate recovery during rehabilitation. Metabolic measures will include: a) nutrient and exercise-specific markers of translation initiation; b) skeletal muscle protein synthesis; and c) a novel breath test of glucose tolerance. Morphologic and functional measures will include: a) muscle mass and body composition; b) muscle strength and function; and c) motor activation. We will test the following hypotheses in older men and women (65-80 years) during 7 days of bed rest followed by 7 days of inpatient rehabilitation: 1. Inactivity-induced metabolic dysregulation will blunt the anabolic response to meals, facilitating a loss of lean muscle mass, glucose tolerance and functional capacity that is partially restored during rehabilitation. 2. Supplementing daily meals with leucine will maintain nutrient-stimulated translation initiation and preserve the anabolic response to meal ingestion. This will partially preserve lean muscle mass and function during bed rest and facilitate the recovery of functional and metabolic capacity during rehabilitation. 3. Daily low-intensity exercise will preserve motor unit activation, stimulate the exercise-regulated signaling pathway and normalize the anabolic response to meal ingestion. This will partially preserve glucose tolerance, lean muscle mass and function during bed rest and facilitate rehabilitation. 4. Leucine-supplemented meals combined with low-intensity exercise will be a more effective stimulus than either intervention alone, preserving glucose tolerance, lean muscle mass and function during bed rest and facilitating a greater increase in functional and metabolic capacity during rehabilitation. This translational project will provide mechanistic and practical insight into strategies to reduce the negative consequences of physical inactivity and promote rehabilitation in aging muscle. Our novel, minimally invasive and clinically interventions have direct application for older hospitalized patients at risk of accelerated muscle loss and diminished functional capacity.

描述(由申请人提供)：老年人卧床休息时肌肉质量和功能的丧失是由于肌肉蛋白质代谢调节的缺陷，包括对混合营养餐的合成代谢反应能力受损。我们认为，低强度运动和每日补充亮氨酸将独立和协同地减少不活动对骨骼肌的有害影响，并促进康复过程中的恢复。代谢措施将包括：a)翻译启动的营养和运动特异性标记物；b)骨骼肌蛋白质合成；c)新的葡萄糖耐量呼气测试。形态和功能测量将包括：a)肌肉质量和身体组成；b)肌肉力量和功能；c)运动激活。我们将在7天的卧床休息和7天的住院康复期间，在老年男性和女性(65-80岁)中测试以下假设：1.不活动导致的代谢失调将削弱对饮食的合成代谢反应，促进精瘦肌肉质量、葡萄糖耐量和康复过程中部分恢复的功能能力的丧失。2.每天补充亮氨酸将维持营养刺激的翻译启动，并保留对食物摄取的合成代谢反应。这将在卧床休息时部分保留瘦肌肉的质量和功能，并在康复期间促进功能和代谢能力的恢复。3.日常低强度运动将保护运动单位的激活，刺激运动调节的信号通路，并使对食物摄入的合成代谢反应正常化。这将在卧床休息时部分保留葡萄糖耐量、瘦肉量和功能，并促进康复。4.补充亮氨酸的膳食结合低强度运动将是一种比单独干预更有效的刺激，在卧床休息时保持葡萄糖耐量、瘦肌肉质量和功能，并在康复期间促进功能和代谢能力的更大提高。这一翻译项目将为减少缺乏运动的负面后果和促进老化肌肉康复的策略提供机械性和实用性的见解。我们的新型微创临床干预措施直接适用于面临肌肉加速丧失和功能能力减弱风险的老年住院患者。