Serum antioxidants, inflammation, and total mortality in older women

Am J Epidemiol. 2006 Jan 1;163(1):18-26. doi: 10.1093/aje/kwj007. Epub 2005 Nov 23.

Abstract

The inflammatory cytokine interleukin-6 (IL-6) has been linked to poor health outcomes in older adults. Oxidative stress triggers the production of IL-6, and antioxidant micronutrients play a critical role in decreasing this inflammatory response. The authors sought to identify the relations between serum levels of antioxidant nutrients and IL-6 and mortality in older women. Levels of alpha- and beta-carotene, lycopene, lutein/zeaxanthin, alpha-cryptoxanthin, total carotenoids, retinol, alpha-tocopherol, zinc, and selenium were measured at baseline in 619 participants in Women's Health and Aging Study I (Baltimore, Maryland, 1992-1998). IL-6 was measured at baseline and at follow-up 1 and 2 years later, and all-cause mortality was determined over a 5-year period. Participants with the highest serum levels of alpha-carotene, total carotenoids, and selenium were significantly less likely to be in the highest tertile of serum IL-6 at baseline (p < 0.0001). Those with the lowest levels of alpha- and beta-carotene, lutein/zeaxanthin, and total carotenoids were significantly more likely to have increasing IL-6 levels over a period of 2 years. Those with the lowest selenium levels had a significantly higher risk of total mortality over a period of 5 years (hazard ratio = 1.54, 95% confidence interval: 1.03, 2.32). These findings suggest that specific antioxidant nutrients may play an important role in suppressing IL-6 levels in disabled older women.

Publication types

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

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antioxidants / analysis
  • Antioxidants / pharmacology*
  • Baltimore / epidemiology
  • Carotenoids / blood
  • Carotenoids / pharmacology
  • Cross-Sectional Studies
  • Dietary Supplements
  • Female
  • Frail Elderly
  • Humans
  • Inflammation / blood
  • Inflammation / prevention & control*
  • Interleukin-6 / antagonists & inhibitors
  • Interleukin-6 / blood*
  • Longitudinal Studies
  • Mortality*
  • Oxidative Stress
  • Risk Assessment
  • Risk Factors
  • Selenium / blood
  • Selenium / pharmacology
  • Women's Health*

Substances

  • Antioxidants
  • Interleukin-6
  • Carotenoids
  • Selenium