Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Age-related insulin resistance: is it an obligatory finding? The Lesson from healthy centenarians
Autore:
Barbieri, M; Rizzo, MR; Manzella, D; Paolisso, G;
Indirizzi:
Univ Naples 2, Dept Geriatr Med & Metab Dis, Div Med Interna & Malattie Invecchiamento 4, I-80138 Naples, Italy Univ Naples 2 Naples Italy I-80138 vecchiamento 4, I-80138 Naples, Italy
Titolo Testata:
DIABETES-METABOLISM RESEARCH AND REVIEWS
fascicolo: 1, volume: 17, anno: 2001,
pagine: 19 - 26
SICI:
1520-7552(200101/02)17:1<19:AIRIIA>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
GROWTH-FACTOR-I; CORONARY HEART-DISEASE; DEPENDENT DIABETES-MELLITUS; IMPAIRED GLUCOSE-TOLERANCE; DEHYDROEPIANDROSTERONE-SULFATE; OXIDATIVE STRESS; FAT DISTRIBUTION; ELDERLY SUBJECTS; ADVANCING AGE; VISCERAL FAT;
Keywords:
aging; insulin resistance; anthropometric changes; centenarians;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
89
Recensione:
Indirizzi per estratti:
Indirizzo: Paolisso, G Univ Naples 2, Dept Geriatr Med & Metab Dis, Div Med Interna &Malattie Invecchiamento 4, Piazza Miraglia 2, I-80138 Naples, Italy Univ Naples 2 Piazza Miraglia 2 Naples Italy I-80138 s, Italy
Citazione:
M. Barbieri et al., "Age-related insulin resistance: is it an obligatory finding? The Lesson from healthy centenarians", DIABET M R, 17(1), 2001, pp. 19-26

Abstract

It is widely known that advancing age is associated with impaired glucose handling. A unifying hypothesis explaining the relationship between aging and insulin resistance might encompass four main pathways, namely: (a) anthropometric changes (relative and absolute increase in body fat combined witha decline in fat free mass) which could be the anatomic substrate for explaining the reduction in active metabolic tissue; (b) environmental causes, mainly diet style and physical activity; (c) neuro-hormonal variations [decline in plasma dehydroepandrosterone sulphate (DHEAS) and IGF-1]; and finally (d) the rise in oxidative stress. Indeed previous studies have also investigated the occurrence and the degree of insulin resistance in healthy centenarians. Such data demonstrated that age-related insulin resistance is not an obligatory finding in the elderly and that healthy centenarians have apreserved insulin action compared to aged subjects. Why insulin action is preserved in centenarians is still not known. Nevertheless, a possible approach to the question is to outline the centenarians' anthropometric, endocrine and metabolic characteristics in order to design a clinical picture of such metabolic 'successful aging'. According to the remodeling theory of age, the preserved insulin action in centenarians might be the net result of the continuous adaptation of the body to the deleterious changes that occurover time. Nevertheless, only future longitudinal studies specifically designed to investigate the relationship between extreme old age and degree ofinsulin sensitivity will provide a conclusive answer with regard to the pathophysiology of adaptive metabolic changes occurring in the elderly. Copyright (C) 2001 John Wiley & Sons, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/08/20 alle ore 00:18:51