Nutrient intake and immune function of elderly subjects

J Am Diet Assoc. 2008 Dec;108(12):2005-12. doi: 10.1016/j.jada.2008.09.003.

Abstract

Objective: Food intake, aging, and immune function share complex influences. Therefore, the purpose of this study was to examine relationships between nutrient intakes from food and dietary supplements and a biomarker of immune function.

Design: Data were collected from participants in a cross-sectional study as well as baseline data from a longitudinal study (n=89). Subjects completed 24-hour food recalls, including supplement intake. Polyclonal mitogen phytohemmagluttin (PHA) was the immune function stimulator used. Height and weight were used to calculate body mass index.

Statistical analyses performed: Descriptive, bivariate correlation, Spearman's rho for nonparametric data, t tests, and stepwise regression with nutrient intakes as independent variables and T-cell proliferation as dependent variables.

Results: Significant positive correlations (P< or =0.05) were found between PHA-induced proliferation and intake of docosahexaenoic acid (DHA), eicosahexaenoic acid (EPA), sodium, and selenium, although intakes of DHA plus EPA were inadequate when compared to recommended intakes. A significant negative correlation with total vitamin A, with many vitamin A levels being above the upper limit of safety. Regression analyses found these nutrients to be variables significant in explaining the variance in PHA (P=0.005).

Conclusions: Selenium, sodium, DHA, EPA, and vitamin A intake from diet and supplements were associated with PHA-induced proliferative responses. Clients may be counseled to have adequate selenium, EPA, DHA intake, and vitamin A, but avoid excess vitamin A.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging / physiology*
  • Biomarkers
  • Body Mass Index
  • Cross-Sectional Studies
  • Diet / standards*
  • Diet / statistics & numerical data
  • Diet Surveys
  • Dietary Fats, Unsaturated / administration & dosage*
  • Dietary Supplements / statistics & numerical data
  • Eating
  • Energy Intake / physiology
  • Female
  • Geriatric Assessment
  • Humans
  • Immunity / drug effects
  • Immunity / physiology*
  • Longitudinal Studies
  • Male
  • Mental Recall
  • Minerals / administration & dosage
  • Nutritional Physiological Phenomena / physiology*
  • Nutritional Requirements
  • Phytohemagglutinins / immunology
  • Phytohemagglutinins / toxicity
  • Statistics, Nonparametric
  • Vitamins / administration & dosage

Substances

  • Biomarkers
  • Dietary Fats, Unsaturated
  • Minerals
  • Phytohemagglutinins
  • Vitamins