Tuesday, January 25, 2022

Exercise Started Later in Life Helps Keep Muscles Youthful; Holds Back Epigenetic Aging

Murine studies headed by a team at the University of Arkansas (U of A) have found that exercising, even when started later in life, can help to keep skeletal muscles more youthful, by holding back epigenetic aging.

The research, reported in Aging Cell, showed that in mice, late-life, voluntary endurance and resistance exercise training significantly held back age-associated shifts in epigenetic aging in skeletal muscle. The epigenetic age of muscle from older mice that trained for eight weeks was about eight weeks younger than that of their sedentary peers, which equates to about 8% of expected mouse lifespan.

Describing their studies in a paper titled, “Late-life exercise mitigates skeletal muscle epigenetic aging,” Kevin Murach, PhD, an assistant professor in the department of health, human performance and recreation at the U of A, and colleagues, concluded, “… the attenuation of muscle epigenetic aging by exercise supports recent targeted observations in humans and adds to the growing body of evidence touting exercise as a strategy to extend healthspan.”

Body aging is associated with increased DNA methylation, or even hypermethylation, at promoter sites on genes in muscle. “DNA methylation changes in a lifespan tend to happen in a somewhat systematic fashion,” Murach explained, “to the point you can look at someone’s DNA from a given tissue sample and with a fair degree of accuracy predict their chronological age.” This allows researchers to use one of a number of “methylation clocks” to determine the age of a DNA sample.

All tissues, including skeletal muscle, undergo changes to DNA methylation as they age, and this may contribute to structural and functional decline with aging, the authors noted. While its been shown that there are functional benefits of exercising to muscles, even when performed later in life, the contributions of epigenetic factors to late-life exercise are not well understood. “Exercise training alters muscle DNA methylation, but whether it causes the aged mouse skeletal muscle methylome to more closely resemble that of a younger mouse remains unclear,” the team noted.

To investigate this further, Murach and colleagues from the U of A, the University of Kentucky, and the University of Texas, carried out an exercise study in laboratory mice. “We hypothesized that late-life combined resistance/endurance exercise would reduce aging-associated hypermethylation and DNAge™ in skeletal muscle,” they suggested. Animals nearing the end of their natural lifespan, at 22 months of age, were allowed access to a weighted exercise wheel. Mice generally require no coercion to run and will do so voluntarily. In fact, older mice will run anywhere from six to eight kilometers a day, mostly in spurts, the research teams noted, while younger mice may run up to 10–12 kilometers. Giving the test animals a weighted wheel for exercise ensured that they built muscle. While there isn’t a direct analogue to most human exercise routines, Murach likened this to “a soldier carrying a heavy backpack many miles.”

The animals were then studied after two months of progressive weighted wheel running, (known as voluntary murine endurance/resistance exercise training, or progressive weighted wheel running, PoWeR). Using methods for methylation analysis, the researchers found that these exercising mice were the epigenetic age of mice eight weeks younger than sedentary mice of the same age, 24 months. Murach noted that while the specific strain of mice and their housing conditions can impact lifespans, “historically, they start dropping off after 24 months at a significant rate.” Needless to say, when lifespan is measured in months, an extra eight weeks—roughly 10% of that lifespan—is a noteworthy gain.

While the paper strengthens the case for exercise, there is still much that needs to be learned. Though the connection between methylation and aging is clear, the connection between methylation and muscle function is less clear. Murach is not yet prepared to say that the reversal of methylation with exercise is causative for improved muscle health. “That’s not what the study was set up to do,” he explained. However, he intends to pursue future studies to determine if “changes in methylation result in altered muscle function.”

“If so, what are the consequences of this?” he continued. “Do changes on these very specific methylation sites have an actual phenotype that emerges from that? Is it what’s causing aging or is it just associated with it? Is it just something that happens in concert with a variety of other things that are happening during the aging process? So that’s what we don’t know.”

And as the authors concluded in their paper, “Our work provides potentially modifiable epigenetic markers for improving muscle health with age once the mechanistic bases of dynamic DNA methylation alterations in muscle fibers are more clearly define.”

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

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Saturday, March 28, 2020

Vitamin D Does More Than Just Boost Your Mood

For those who run outside in the sunshine or even take additional supplements, vitamin D could potentially boost your lean body mass, a recent study suggests.

Published in the Annals of Nutrition & Metabolism, the research sought to clarify whether one year of supplementation with vitamin D would have a measurable effect on body composition and physical fitness levels of healthy adults.

Researchers from China and Japan recruited 95 participants, and gave half of them 420 IU vitamin D3 every day for a year, while the other half got a placebo. At the end of the year, lean body mass and percentage of body fat were compared to the data from the year’s start. They also assessed physical fitness using hand grip strength, leg extension power, and cardiorespiratory fitness.


They found that those taking the supplement had significant increases in lean body mass—which is calculated by subtracting body fat from total body weight—while the placebo group had no changes. For both groups, no difference was observed with the above physical fitness measures either.

The results are likely because skeletal muscle has vitamin D receptors that help regulate muscle function and performance, as suggested by previous research.

[Smash your goals with a Runner’s World Training Plan, designed for any speed and any distance.]

Even though this particular study concluded there were no changes in muscle strength with vitamin D, other studies have suggested improvement in lean body mass may enhance muscle function overall. For instance, a 2017 study published in the journal PLOS One noted there’s a link between low vitamin D levels and loss of muscle strength, especially in older adults. Another study in the journal Bone Reports stated that vitamin D has long been touted for its beneficial effects on bone heath, but is now increasingly recognized for its role in muscle function—especially with muscle pain and weakness.


Although supplements can be helpful in the winter months for those living in northern climates, it’s also worth getting a bit of vitamin D in its most available form—sunshine!—said Heidi May, Ph.D., an epidemiologist at Intermountain Healthcare.

“We continue to learn more and more about vitamin D and its benefits,” she told Runner’s World. “Low vitamin D levels have been associated with everything from poor cardiovascular health to lower immune function. If you’re getting a little sun, in a sensible way, you’re likely also being active, so that’s a double benefit.”

If you do opt for supplements, there’s still some debate on how much vitamin D you need daily. The recommended daily allowance is 600 IU, but the Endocrine Society suggests consuming potentially much higher levels of 1,500 to 2,000 IU daily.

In addition to getting outside more, look to foods like swordfish, salmon, tuna, milk, yogurt, eggs, and cheese to get enough vitamin D. For instance, three ounces of cooked swordfish contains 566 IU (international units) of vitamin D and 3 ounces of cooked sockeye salmon contains 447 IU of vitamin D.

If you’re concerned that you may be deficient, May said, it’s advisable to get your levels checked at your next physical, since a blood test is the only way to know for sure. Consult your doctor before taking any supplements, too. 


This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

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Friday, February 28, 2020

Cocoa a Novel Rx for Peripheral Artery Disease?

Cocoa, which is rich in flavanols, may improve walking performance in patients with peripheral artery disease (PAD), a pilot trial suggests.

Investigators randomly assigned 44 patients age 60 or above to receive a cocoa beverage or a placebo beverage. They found that, at the end of the study period, participants who drank the cocoa three times daily had significantly greater improvements in 6-minute walk distance compared with the group on placebo.

Moreover, those who drank the cocoa beverage showed improvement in perfusion to the legs and improvement in calf skeletal muscle characteristics, including improved function of the mitochondria, compared with their counterparts who drank the placebo beverage.

"Few therapies are available for improving walking performance in people with PAD," lead author Mary McGrae McDermott, MD, professor of medicine at Northwestern University Feinberg School of Medicine in Chicago, Illinois, said in a release.

"Our study showed both improved health in blood flow to the legs, improvements in 6-minute walk distance, and also improved calf skeletal muscle health in people who drank cocoa, compared to those who drank placebo," she told the heart.org | Medscape Cardiology.

The study was published online February 14 in Circulation Research.


Therapeutic Properties
Cocoa flavanols, including epicatechin, that are present in dark chocolate "have therapeutic properties that may improve walking performance in people with PAD," the authors write. In particular, cocoa may increase limb perfusion and improve skeletal muscle mitochondrial activity and muscle regeneration.

In animal studies and some preliminary studies of human beings, cocoa flavanols were shown to improve blood flow and muscle health, McDermott said.

"Since people with PAD have difficulty walking due to blood flow problems, we thought this particular therapy may be particularly beneficial for people with PAD," she added.

To investigate the question, the researchers randomly assigned 44 patients with PAD (mean age: 72.3 years [± 7.1], mean ankle brachial index 0.66 [± 0.15]) to drink milk or water mixed with the contents of a powder packet containing either flavanol-rich cocoa (15 g of cocoa and 75 mg of epicatechin; n = 23) or placebo (n = 21) three times daily for a 6-month period.

The researchers measured walking performance using the 6-minute walking test at the beginning of the study and at 6 months, at which point the test was administered twice: 2.5 hours after drinking the beverage, and then 24 hours later, with improvement on the both tests considered to be the primary outcomes.

Additionally, patients underwent a treadmill walking test, MRI to measure blood flow to the legs, and a calf muscle biopsy to assess muscular health.

Calorie Concerns

At 6-month follow-up, after adjusting for confounding variables including smoking, race, and body mass index (BMI), the researchers found that, compared with placebo, the cocoa improved 6-minute walk distance by 42.6 meters (90% confidence interval [CI]: +22.2, +∞, P = .005) at 2.5 hours after the final study beverage and by 18 meters (90% CI: 1.7, +∞, P = .12) at 24 hours after the study beverage.

Drinking the cocoa beverage was associated with other improvements compared with the placebo.

    Improved mitochondrial cytochrome c oxidase activity in calf muscles, as demonstrated by biopsy (P = .013)

    Improved calf muscle perfusion, as demonstrated by cardiovascular MRI (P = .098)

    Increased capillary density (P = .014)

    Reduced central nuclei (P = .024)

There were no statistically significant differences in treadmill walking time or brachial artery flow-mediated dilation between consumers of cocoa vs those who drank placebo.

"Cocoa flavanols are readily available and accessible and safe, so it would be reasonable to recommend cocoa flavanols for people with PAD," McDermott commented.

However, she added several caveats.

The cocoa used in the study was dark cocoa powder, containing >85% cacao, rather than milk chocolate or chocolate with lower cacao content.

"A lot of chocolate that is available over the counter is alkalized, which improves taste and palatability but removes the beneficial cocoa flavanols that have therapeutic effects; moreover, lots of cocoa comes with calories, sugar, and fat, so weight gain is a potential concern from consuming chocolate," she said.


Prescribe More Chocolate?

Commenting on the study for theheart.org | Medscape Cardiology, Eduardo Ramacciotti, MD, PhD, head of vascular surgery at Hospital e Maternidade Dr Christovao da Gama in São Paulo, Brazil, called it "an interesting paper."

Ramacciotti, who was not involved with the study, said that "despite the fact that it is a small phase 2 study, it shows improvements in walking distance for patients with PAD that took cocoa vs placebo."

He noted that only "a few medications" are available to treat PAD and that "we expect to have zero side effects with cocoa, which is good."

Most patients with this condition "usually are taking medications for different conditions and cocoa is unlikely to interact with them," he suggested.

"Larger trials are warranted to confirm the benefit of cocoa to improve walking distance in intermittent claudication patients with PAD," Ramacciotti said.

Also commenting on the study for theheart.org | Medscape Cardiology, William R. Hiatt, MD, professor of medicine, division of cardiology, University of Colorado School of Medicine in Aurora, said that, "while potentially interesting, I think it is too early to determine if cocoa is clinically effective to treat claudication."

Hiatt, who was not involved with the study, agreed that "independent confirmation of the results from this trial" is necessary.

In an accompanying editorial, Reiko Matsui, MD, and Naomi Hamburg, MD, both of the Whitaker Cardiovascular Institute, Boston University School of Medicine, Massachusetts, write that "taken together, the pilot study by McDermott and colleagues provides compelling preliminary evidence to support a potential benefit of epicatechin-rich cocoa on walking ability along with protection from worsening of calf muscle perfusion, skeletal muscle injury, and mitochondrial dysfunction."

They add that, although more research is necessary to confirm the findings, "someday we may be able to prescribe eating more chocolate to our patients with PAD."


This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement
 

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