Ageing Flashcards

1
Q

Define Ageing:

A
  • ‘Ageing is a process or group of processes occurring in living organisms that begins at birth and, with the passage of time, leads to a loss of adaptability, functional impairment and eventually death’ (Spirduso et al 2005). - something that happens as soon as we are born
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2
Q

What is the risk associated with being sedentary, compared to trained on brain function?

Is this transferable to Alzheimer’s?

A
  • Physically active individuals have a 35–38% lower risk of cognitive decline than their sedentary counterparts
  • Yes, improve cognitive function/attenuate cognitive decline in individuals who
    are at risk for AD as well as in affected patients
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3
Q

Define BDNF:

A
  • Brain-derived neurotrophic factor (BDNF) is a protein that supports the survival and growth of neurons and is crucial for brain plasticity and regulation of memory function, this is low in AD patients
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4
Q

What myokine is most important for increased hippocampus size from exercise?

A
  • PGC1α
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5
Q

Describe Mitochondrial biogenesis:

A
  • Mitochondrial biogenesis is the intricate process through which cells increase their mitochondrial mass and copy numbers.
  • growth and division of pre-existing mitochondria.
  • ensuring the maintenance of mitochondrial DNA
  • tightly regulated by both mitochondrial(NRF-1 & 2) and nuclear factors(PGC1α and TFAM).
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6
Q

How is lactate involved in memory function?

A
  • Lactate import into neurons is necessary for long-term memory formation as it shapes neuronal connections and strengthening synapses
  • Lactate causes increases in BDNF
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7
Q

What is the role of
- ketones
- cerebral brain flow
in memory function?

A
  • higher ketone levels improve cognitive function, as they promote brain network stability and are associated with higher cognitive activity
  • exercise can impact age-associated
    decline in CBF and thus potentially protect the brain against AD development.
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8
Q

What are the mechanisms for AD treatment in the future?

A
  • intricate MRI assessments of brain structure for early detection of AD
  • improves early diagnosis
  • Precise medicine & PA program
  • Improves survival rates
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9
Q

What is:
- Primary ageing
- Secondary ageing

A
  • Primary ageing: an inevitable deterioration of cellular structure and function, independent of disease and environment. (Holloszy 2000) - can exercising prolong this?
    Cause and effect is not clear with exercise
  • Secondary ageing: caused by diseases and environmental factors, such as smoking and exposure to ultraviolet radiation. Physiological changes that are not inevitable. (Holloszy 2000) - exercise can prevent some forms of this
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10
Q

Define the age groups of:
- sexagenarians
- septuagenarians
- octogenarians
- nonagenarians
- centenarians
- supercentenarians

A
  • 60-69
  • 70-79
  • 80-89
  • 90-99
  • 100+ (few hundred thousand in the world)
  • 110+ (350-450 in the world)
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11
Q

How has women’s life expectancy changed between 1840-2007?

How has this changed during the current day?

A
  • Linear increase from 1950 (45-50 yrs life expectancy)
  • In 2000 85 was Avg life expectancy
  • Prediction is that most people born this century can expect to reach their 100th birthday
  • Life expectancy gradually rose until 2002 but is now decreasing rather than increasing
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12
Q

What affect does caloric restriction have on life expectancy?

Can PA increase life expectancy?

A

increasing life expectancy by 50% in animals

  • yes, if we prevent the decline in PA after 60yrs, which coincides with diseases and death
  • Genetic predispositions allow elderly to be this active at old age
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13
Q

When are physiological declines seen in people that stop training?

A
  • By age 70 the athletes that have stopped training is very similar to untrained people
  • Beyond 30 the decline of Vo2max is 1% per yr or 10% per decade
  • This does not vary between elite and untrained(parallel) - doesn’t make much of an impact
  • Training helps maintain Vo2max
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14
Q

How can exercise training benefit older adults?

  • Did weight training also elicit benefits?
A
  • Took 5 men, subjected them to 5 weeks of bed rest = decrease in Vo2max
  • Training group had increased vo2max & determinants in Vo2max including Q,SV, HR and a-v oxygen difference(new capillaries)
  • 6 months of training in 50yr old men reversed 30 yrs of no training - when its relative the values were lower(because the men got heavier) - common feature of ageing
  • Higher levels of HAD were seen, increasing fat metabolism
  • Weight training group could lift more and train for longer - improved strength
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15
Q

What type of exercise is the best for counteracting muscle weakness & physical frailty in old people?

How does subcutaneous fat change in men between 40-74yrs?

A
  • High-intensity exercise is feasible and effective even in elderly which are most frail.
  • 74 yr old has much higher subcutaneous fat, and myosteatosis than 40 yr old male
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16
Q

How does PA affect cognitive function?

A
  • The more light activity done the greater total cerebral brain volume (TCBV)
  • Each extra hr of PA was associated with increased brain volume, even in people not meeting PA guidelines
  • This reduces the decline in brain shrinkage
  • Bigger change in Vo2max correlated with change in left and right hippocampus
  • helps nerves grow, so better memory performance
  • Therefore increased PA is associated with lower prevalence of demetia
17
Q

Where are telomeres found?

A
  • They are long projections from DNA chromosomes
  • As you age they shorten
  • PA had longer telomeres with a dose response
  • As they shorten, they can increase risk of cancers like: pancreatic, lung, kidney and bone
18
Q

What are the key findings of:

Cardiac Arrhythmogenic Remodeling in a Rat Model of Long-Term Intensive Exercise Training (Benito et al., 2010)

A
  • exercise rats developed eccentric hypertrophy, diastolic dysfunction & atrial dilation
  • exercise significantly increased cardiac mass. individual cardiac chamber values were notably higher in exercised rats
  • no sig changes in LV-RV mass ratio
  • direct measurement of wall thickness confirmed substantial increases in intraventricular septum & left ventricle wall thickness after exercise program
19
Q

Describe the key findings of:

Regular exercise during haemodialysis promotes an anti-inflammatory leucocyte profile (Dungey et al., 2017)

A
  • Haemodialysis patients are sedentary and have high levels of chronic inflammation
  • regular exercise has anti-inflammatory effects, reducing CD4+ and lymphocytes
  • reduction in intermediate monocytes may be protective against cardiovascular morbidity
  • Exercise group had higher regulatory T cells
20
Q

Describe the key findings of:

Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease (Sargeant et al., 2018)

A
  • training improved absolute & relative Vo2 max peak
  • no change in body weight
  • reduction in intrahepatic triglycerides
  • reduced visceral fat but no changes in subcutaneous
  • increased circulatory HDL but LDL & TG unchanged
  • increased whole body glucose uptake(high individual variability)
  • insulin sensitivity improved in 75% of participants but reduced in 25%
21
Q

Describe the key findings of:

Exploratory analysis of eating- and physical activity-related outcomes from a randomized controlled trial for weight loss maintenance with exercise and liraglutide single or combination treatment (Jensen et al., 2022)

A

Placebo:
- decreased post-prandial appetite suppression(14%), higher than pre-weight loss
- increased sedentary time(31mins/day)
regained weight
Liraglutide:
- no decrease in post-prandial score compared to placebo
- sedentary time decreased compared to placebo
- maintained weight loss
- appetite suppression was maintained
decreased explicit liking for high-fat sweet & savoury foods
Exercise:
- Appetite suppression score decreased similar to placebo
- want for high-fat food increased, similar to placebo
- sedentary behaviour decreased in comparison to placebo similar MVPA to placebo
Liraglutide + Exercise:
- MVPA was highest overall
- sedentary time was lowest overall
- cognitive restraint increased

22
Q

Describe the key findings of:

Regular Physical Activity Improves Endothelial Function in patients with Coronary Artery Disease by Increasing
Phosphorylation of Endothelial Nitric Oxide Synthase (Hambrecht et al., 2016)

A

following exercise training:
- increase in mean vasodilatory response in acetyl choline
- increase in LIMA mean peak blood flow velocity
- increase in flow-dependent dilation of the proximal LIMA
- eNOS mRNA expressions in the LIMA was 96% higher than controls

23
Q

Describe the key findings of:

Reversal of muscle insulin resistance with exercise reduces postprandial hepatic de novo lipogenesis in insulin resistant individuals (Rabol et al., 2011)

A
  • exercise improved muscle insulin resistance
  • reduction in liver fat produced after meals
    = increased metabolic health due to less fat in liver
  • lifestyle interventions(exercise) can benefit people with insulin resistance
  • relevance for preventing metabolic issues
    mechanisms: decreases adipose tissue lipolysis, less breakdown of triglyceride into FA
24
Q

Describe the key findings of:

Voluntary Running Suppresses Tumor Growth through Epinephrine- and IL-6-Dependent NK Cell Mobilization and Redistribution (Pedersen et al., 2016)

A
  • reductions in tumour incidence & growth with voluntary wheel running across 5 different tumour models.
  • In control mice, NK cells were rarely detectable.
  • Infiltration of B cells did not change significantly with exercise.
  • In non-tumour-bearing mice, running increased NK cells in bone marrow & spleen
  • T cells did not increase in blood, bone marrow after running in tumour or non-tumour mice. = T cells do not suppress tumour growth with running
  • NK cells are most responsive to exercise-dependent mobilization, followed by CD8 T cells, CD4 T cells, and lastly B cells, which respond poorly to exercise
  • Plasma IL-6 increases dramatically during exercise as released from contracting muscles & might be involved in tumour homing