Higher levels of tumor necrosis factor are associated with frailty in socially vulnerable community-dwelling older adults

Autor(es)

Nascimento, Carla M. C. ^[1] ; Zazzetta, Marisa S. ^[1] ; Gomes, Grace A. O. ^[1] ; Orlandi, Fabiana S. ^[1] ; Gramani-Say, Karina ^[1] ; Vasilceac, Fernando A. ^[1] ; Gratao, Aline C. M. ^[1] ; Pavarini, Sofia C. I. ^[1] ; Cominetti, Marcia R. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Carlos, Dept Gerontol, Rod Washington Luis, Km 235, BR-13565 Sao Carlos, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BMC GERIATRICS; v. 18, NOV 6 2018.
• Citações Web of Science: 0

Resumo

BackgroundThe complex physiology underpinning the frailty syndrome is responsible for the absence of robust biomarkers that can be used for screening, diagnostic and/or prognostic purposes and has made clinical implementation difficult. Considering socially vulnerable populations, who have poor health status and increased morbidity and mortality, this scenario is even more complex. However, to the best of our knowledge, there are no studies available to investigate frailty biomarkers in socially vulnerable populations. Thus, the aim of this cross-sectional study was to identify potential blood-based biomarkers of frailty in a socially vulnerable population.MethodsA sample consisting of 347 community-dwelling older people living in a context of high social vulnerability was divided into non-frail (robust), pre-frail and frail groups, according to modified Fried frailty phenotype criteria. Blood samples were collected and analyzed for basic metabolic parameters and for inflammatory cytokines.ResultsLevels of Interleukin-1 (IL-1) and Tumor Necrosis Factor (TNF-) were significantly higher in pre-frail subjects, compared to non-frail ones. Tumor Necrosis Factor (TNF-) levels presented higher values in the frail compared to non-frail individuals. Interleukin-6 (IL-6) levels in pre-frail and frail subjects were significantly higher compared to the levels of non-frail subjects. Using an ordinal regression analysis, we observed that socially vulnerable older people at higher risk of developing frailty were subjects above 80years old (OR: 2.5; 95% CI: 1.1-5.6) and who presented higher levels of TNF- (0.81pg/mL, OR: 2.53; 95% CI: 1.3-4.9).ConclusionAs vulnerable populations continue to age, it is imperative to have a greater understanding of the frailty condition, identifying novel potential blood-based biomarkers. The results presented here could help to implement preventive healthcare strategies by evaluating frailty and at the same time measuring a set of inflammatory biomarkers, paying special attention to TNF- plasmatic levels. (AU)

• Processo FAPESP: 14/21066-2 - Expressão gênica de citocinas inflamatórias e de microRNAs candidatos a biomarcadores de fragilidade em idosos em contexto de vulnerabilidade social.
• Beneficiário: Carla Manuela Crispim Nascimento
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 14/50104-0 - Ferramenta para monitoramento de níveis de fragilidade e fatores associados em idosos atendidos pelo Núcleo de Apoio à Saúde da Família (NASF) no Município de São Carlos
• Beneficiário: Marisa Silvana Zazzetta
• Modalidade de apoio: Auxílio à Pesquisa - Pesquisa em Políticas Públicas para o SUS