Sains Malaysiana 47(8)(2018): 1819–1826

http://dx.doi.org/10.17576/jsm-2018-4708-21

 

Comparison of Fatty Acid Profiles between Successful and Usual Aging Elderly

(Perbandingan Profil Asid Lemak antara Orang Tua Penuaan Berjaya dan Biasa)

 

NABILAH ROSNEY1, HASNAH HARON1*, MAIHIZA SALLEH1 & SUZANA SHAHAR2

 

1Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences

Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Federal Territory, Malaysia

 

2Dietetic Programme, Centre of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Federal Territory, Malaysia

 

Diserahkan: 21 September 2017/Diterima: 19 April 2018

 

ABSTRACT

 

Increased the consumption of polyunsaturated (PUFA) and omega-3 fatty acid may be one of the strategies to prevent morbidity and mortality among elderly. This study aimed to identify the plasma fatty acid profile and intake among older adults who aged successfully (SA) as compared to the usual agers (UA). This cross-sectional comparative study was conducted among 48 SA (mean age 66.4+4.7 years old) and 42 UA (mean age 68.4+4.8 years old). The plasma fatty acid profile was determined using gas chromatography. Fatty acid intake was measured by using the validated Fatty Acid Omega-3 intake food frequency questionnaire. The percentage of saturated fatty acids (SFA) in blood plasma of UA (men 62.2+6.4%, women 62.9+7.0%) were significantly higher (p<0.05) compared to SA (men 53.7+15.8%, women 57.1+9.5%). On the other hand, the percentage of monounsaturated (MUFA), polyunsaturated (PUFA) omega-3 and omega-6 fatty acids were the opposites. Fatty acids intake among SA was higher compared to UA. SFA (SA=5.0+2.5%, UA=4.6+2.9%) and total omega-3 (SA=0.5+0.4%, UA=0.4+0.3%) intakes met the recommended nutrient intake (RNI). However, mean intakes of MUFA (SA=5.3+2.4%, UA=4.7+2.7%) and linoleic acid (LA) (SA=0.5+0.7%, UA=0.3+0.5%) were below than the RNI. Percentages of subjects who did not meet the RNI for omega-3 and MUFA were 44.2% and 97.7% for SA and 47.4% and 95% for UA, respectively. SA had a higher level of plasma PUFA and MUFA, but lower in SFA when compared to UA. MUFA and LA were more likely to be inadequate in the diet of older adults, particularly the UA.

 

Keywords: Elderly; fatty acid; omega-3; successful aging; usual aging

 

ABSTRAK

Meningkatkan pengambilan asid lemak politaktepu dan asid lemak omega-3 berkemungkinan merupakan salah satu strategi untuk mencegah morbiditi dan mortaliti dalam kalangan warga emas. Kajian ini bertujuan untuk mengenal pasti profil asid lemak plasma dan pengambilan asid lemak dalam kalangan warga emas penuaan berjaya (SA) berbanding penuaan biasa (UA). Kajian perbandingan hirisan lintang ini dijalankan ke atas 48 orang warga emas SA (purata umur 66.4+4.7 tahun) dan 46 orang warga emas UA (purata umur 66.4+4.7) tahun ini. Profil asid lemak ditentukan menggunakan kromatografi gas. Pengambilan asid lemak pula diukur menggunakan borang soal selidik Kekerapan Pengambilan Makanan Asid Lemak Omega-3 yang telah disahkan. Peratusan asid lemak tepu (SFA) dalam plasma darah warga emas UA (lelaki 62.2+6.4%, wanita 62.9+7.0%) adalah lebih tinggi secara signifikan (p<0.05) berbanding SA (lelaki 53.7+15.8%, wanita 62.9+7.0%). Manakala peratusan komposisi asid lemak monotaktepu (MUFA), politaktepu (PUFA), omega-3 dan omega-6 adalah sebaliknya. Pengambilan asid lemak adalah lebih tinggi dalam kalangan SA berbanding UA. Pengambilan SFA (SA=5.0+2.5%, UA=4.6+2.9%) dan omega-3 total (SA=0.5+0.4%, UA=0.4+0.3%) menepati Saranan Pengambilan Nutrien (RNI). Walau bagaimanapun, purata pengambilan MUFA (SA=5.3+2.4%, UA=4.7+2.7%) dan asid linoleik (LA) (SA=0.5+0.7%, UA=0.3+0.5%) pula adalah lebih rendah berbanding RNI. Peratusan subjek yang tidak memenuhi RNI bagi omega-3 dan MUFA pula adalah sebanyak 44.2% dan 97.7% bagi SA manakala 47.4% dan 95% bagi UA. Kesimpulannya warga emas SA mempunyai tahap PUFA dan MUFA plasma yang tinggi, tetapi rendah tahap SFA berbanding warga emas UA. Pengambilan MUFA dan LA adalah tidak mencukupi dalam diet warga emas, khususnya UA.

 

Kata kunci: Asid lemak; penuaan Berjaya; penuaan biasa; omega-3; warga emas

 

RUJUKAN

 

Baylin, A. & Campos, H. 2006. The use of fatty acid biomarkers to reflect fatty acid intake. Current Opinion in Lipidology 17: 22-27.

Childs, C.E., Romeu-Nadal, M., Burdge, G.C. & Clader, P.C. 2008. Gender differences in the n-3 fatty acid content of tissues. Proceedings of the Nutrition Society 67: 19-27.

Cosco, T.D., Prina, A.M., Perales, J., Stephan, B.C.M. & Brayne, C. 2013. Lay perspectives of successful ageing: A systematic review and meta-ethnography. BMJ Open 3(6): e002710.

Cunnane, S.C., Schneider, J.A., Tangney, C., Tremblay-Mercier, J., Fortier, M., Bennet, D.A. & Morris, M.C. 2012. Plasma and brain fatty acid profiles in mild cognitive impairment and Alzheimer’s disease. Journal of Alzheimer Disease 29(3): 691-697.

FAO. 2011. Food supply - Crops primary equivalent. http:// faostat3.fao.org/download/FB/CC/E. Accessed on 24 February 2018.

Fielding, R.A., Rejeski, W.J., Blair, S., Church, T., Espeland, M.A. & Gill, T.M. 2011. The lifestyle interventions and independence for elders study: Design and methods. The Journal of Gerontology. Series A, Biological Sciences and Medical Sciences 66: 1226-1237.

Folch, J., Lees, M. & Stanley, G.H.S. 1957. A simple method for isolation and purification of total lipids from animal tissues. The Journal of Biological Chemistry 226: 497-509.

Gavrilova, N.S. & Gavrilov, L.A. 2010. Search for mechanisms of exceptional human longevity. Rejuvenation Research 13: 262-264.

Hamid, T.A., Momtaz, Y.A. & Ibrahim, R. 2012. Predictors and prevalence of successful aging among older Malaysians. Gerontology 58(4): 366-370.

Hodson, L., Skeaff, C.M. & Fielding, B.A. 2008. Fatty acid composition of adipose tissue and blood in humans and its use as a biomarker of dietary intake. Progress in Lipid Research 47(5): 348-380.

Howe, P.R.C., Meyer, B.J., Record, S. & Barghurst, K. 2006. Dietary intake of long-chain n-3 polyunsaturated fatty acids: Contribution meat sources. Nutrition 22: 47-53.

Kitson, A.P., Stroud, C.K. & Stark, K.D. 2010. Elevated production of docosahexanoic acid in females: Potential molecular mechanisms. Lipids 45(3): 209-224.

Lacruz, M.E., Emeny, R.T., Bickel, H., Cramer, B., Kurz, A., Bidlingmaier, M., Huber, D., Klug. G., Peters, A. & Ludwig, K.H. 2010. Mental health in the aged: Prevalence covariates and related neuroendocrine cardiovascular and inflammatory factors of successful aging. BMC Medical Research Methodology 10: 36.

Lee, L.K., Suzana, S., Yusoff, N.A.M. & Chin, A.V. 2013. Validation of a food frequency questionnaire in assessing the omega-3 polyunsaturated fatty acids intake for Malays and Chinese elderly in Malaysia. Sains Malaysiana 42(11): 1625-1632.

Lepage, G. & Roy, C.C. 1984. Improved recovery of fatty acid through direct transesterification without prior extraction or purification. Journal of Lipid Research 25: 1391-1396.

Micha, R., Khatibzadeh, S., Shi, P., Fahimi, S., Lim, S., Andrews, K.G., Engell, R.E., Powles, J., Ezzati, M. & Mozaffirin, D. 2014. Global, regional and national consumption of dietary fats and oils in 1990 and 2010: A systematic analysis including 266 country-specific nutrition surveys. BMJ 348: g2272.

Nirupa, R.M., Esther, M.O., Linda, V.H., Marian, L.N., Richard, W. & Alice, L.H. 2014. Plasma phospholipid fatty acid biomarkers of dietary fat quality and endogenous metabolism predict coronary heart disease: A nested case-control study within the Women’s Health Initiative Study. Journal of American Heart Association 3(4): e000764.

National Coordinating Committee on Food and Nutrition. 2017. Recommended nutrient intakes for Malaysia: A report of the technical working group on nutritional guidelines. Putrajaya: Ministry of Health Malaysia.

Rise, P., Eligini, S., Ghezzi, S., Colli, S. & Galli, C. 2007. Fatty acid composition of plasma, blood cells and whole blood: Relevance for the assessment of the fatty acid status in humans. Prostaglandins, Leukotrienes and Essential Fatty Acids 76: 363-369.

Rowe, J.W. & Kahn, R.L. 1997. Successful aging. Gerontologist 37: 433-440.

Rowe, J.W. & Kahn, R.L. 1987. Human aging: Usual and successful. Science 237: 143-149.

Saadatian-Elahi, M., Nadia, S., Veronique, C., Mazda, J., Joelle, G., Carine, B., Pietro, F., Graham, B., Philippe, A., Petra, H.M., Marga, O. & Elio, R. 2009. Plasma phospholipid fatty acid profile sand their association with food intakes: Results from a cross-sectional study within the European Prospective Investigation into Cancer and Nutrition. American Journal Clinical of Nutrition 89: 331-346.

Samad, S.A. & Mansor, N. 2013. Population aging and social protection in Malaysia. Malaysian Journal of Economic Studies 50(2): 139-156.

Shahar, S., Omar, A., Vanoh, D., Hamid, T.A., Mukari, S.Z., Din, N.C., Rajab, N.F., Mohammed, Z., Ibrahim, R., Loo, W.H., Meramat, A., Kamaruddin, M.Z., Bagat, M.F. & Razali, R. 2015. Approaches in methodology for population-based longitudinal study on neuroprotective model for healthy longevity (TUA) among Malaysian older adults. Aging Clinical Experiment Research 28(6): 1089-1104.

Sofi, F., Macchi, C., Abbate, R. & Gensini, G.F. 2013. Mediterranean diet and health status: An updated meta-analysis and a proposal for a literature-based adherence score. Public Health Nutrition 17(12): 2769-2782.

Sun, Q., Ma, J., Campos, H., Hankinson, S.E. & Hu, F.B. 2007. Comparison between plasma and erythrocyte fatty acid content as biomarkers of fatty acid intake in US women. The American Journal of Clinical Nutrition 86: 74-81.

Sun, Q., Townsend, M.K., Okereke, O.I., Franco, O.H., Hu, F.B. & Grodstein, F. 2010. Physical activity at midlife in relation to successful survival in women at age 70 years or older. Archieves of Internal Medicine 170(2): 194-201.

Sun, Q., Townsend, M.K., Okereke, O.I., Franco, O.H., Hu, F.B. & Grodstein, F. 2009. Adiposity and weight change in mid-life in relation to healthy survival after age 70 in women: Prospective cohort study. BMJ 339: b3796.

Tee, E.S., Ismail, M.N., Nasir, M.A. & Khatijah, I. 1997. Nutrient Composition of Malaysian Foods. Kuala Lumpur: Asean Food Habits Project.

Tyrovolas, S., Haro, J.M., Mariolis, A., Piscopo, S., Valacchi, G., Tsakountakis, N., Zeimbekis, A., Tyrovola, D., Bountziouka, V. & Gotsis, E. 2014. Successful aging, dietary habits and health status of elderly individuals: A k-dimensional approach within the multi-national MEDIS study. Experimental Gerontology 60: 57-63.

Ubeda, N., Anchon, M. & Varela-Moreiras, G. 2012. Omega 3 fatty acids in the elderly. British Journal of Nutrition 107: 137-151.

WHO. 2015. World Report on Ageing and Health. Geneva: World Health Organization.

 

 

*Pengarang untuk surat menyurat; email: hasnaharon@ukm.edu.my

 

 

 

 

 

sebelumnya