Perspective: Role of Micronutrients and Omega-3 Long-Chain Polyunsaturated Fatty Acids for Immune Outcomes of Relevance to Infections in Older Adults-A Narrative Review and Call for Action.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_5ABE3F87222B
Type
Article: article from journal or magazin.
Publication sub-type
Editorial
Collection
Publications
Institution
Title
Perspective: Role of Micronutrients and Omega-3 Long-Chain Polyunsaturated Fatty Acids for Immune Outcomes of Relevance to Infections in Older Adults-A Narrative Review and Call for Action.
Journal
Advances in nutrition
Author(s)
Eggersdorfer M., Berger M.M., Calder P.C., Gombart A.F., Ho E., Laviano A., Meydani S.N.
ISSN
2156-5376 (Electronic)
ISSN-L
2161-8313
Publication state
Published
Issued date
02/10/2022
Peer-reviewed
Oui
Volume
13
Number
5
Pages
1415-1430
Language
english
Notes
Publication types: Journal Article ; Review ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
Publication Status: ppublish
Abstract
The immune system is weakened by advancing age, often referred to as immunosenescence, increasing the vulnerability to, and frequently the severity of, infectious diseases in older people. This has become very apparent in the current coronavirus disease 2019 (COVID-19) pandemic for which older people are at higher risk of severe outcomes, even those who are fully vaccinated. Aging affects both the innate and adaptive immune systems and is characterized by an imbalanced inflammatory response. Increasing evidence shows that optimal status of nutrients such as vitamins C, D, and E and selenium and zinc as well as the omega-3 (n-3) fatty acids DHA and EPA can help compensate for these age-related changes. While inadequate intakes of these nutrients are widespread in the general population, this is often more pronounced in older people. Maintaining adequate intakes is a challenge for them due to a range of factors such as physical, physiological, and cognitive changes; altered absorption; and the presence of noncommunicable diseases. While nutritional requirements are ideally covered by a balanced diet, this can be difficult to achieve, particularly for older people. Fortified foods and nutritional complements are effective in achieving adequate micronutrient intakes and should be considered as a safe and cost-effective means for older people to improve their nutritional status and hence support their defense against infections. Complementing the diet with a combination of micronutrients, particularly those playing a key role in the immune system such as vitamins C, D, and E and selenium and zinc as well as DHA and EPA, is recommended for older people. Optimal nutrition to support the immune system in older people will remain essential, particularly in the face of the current COVID-19 pandemic and, thus, developing strategies to ensure adequate nutrition for the growing number of older adults will be an important and cost-effective investment in the future.
Keywords
Aged, Ascorbic Acid, COVID-19, Fatty Acids, Omega-3, Humans, Micronutrients, Pandemics, Selenium, Vitamins, Zinc/therapeutic use, docosahexaenoic acid, eicosapentaenoic acid, immunosenescence, inflammaging, influenza, older adults, trace element, viral infection, vitamin
Pubmed
Web of science
Open Access
Yes
Create date
31/05/2022 12:32
Last modification date
23/01/2024 7:26
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