Daily step count and all-cause mortality in a sample of Japanese elderly people: a cohort study.

BACKGROUND: This study aimed to examine the relationship between pedometer-assessed daily step count and all-cause mortality in a sample of elderly Japanese people. METHODS: Participants included 419 (228 males and 191 females) physically independent, community-dwelling 71-year-old Japanese people. The number of steps per day was measured by a waist-mounted pedometer for seven consecutive days at baseline. Participants were divided into quartiles based on their average number of steps/day (first quartile, < 4503 steps/day; second quartile, 4503-6110 steps/day; third quartile, 6111-7971 steps/day; fourth quartile, > 7972 steps/day) and were followed up over a mean period of 9.8 years (1999-2010) for mortality. RESULTS: Seventy-six participants (18.1%) died during the follow-up period. The hazard ratios (adjusted for sex, body mass index, cigarette smoking, alcohol intake, and medication use) for mortality across the quartiles of daily step count (lowest to highest) were 1.00 (reference), 0.81 (95%CI, 0.43-1.54), 1.26 (95%CI, 0.70-2.26), and 0.46 (95%CI, 0.22-0.96) (P for trend = 0.149). Participants in the highest quartile had a significantly lower risk of death compared with participants in the lowest quartile. CONCLUSION: This study suggested that a high daily step count is associated with a lower risk of all-cause mortality in physically independent Japanese elderly people.

Physical performance and 10-year mortality in a 70-year-old community-dwelling population.

BACKGROUND AND AIMS: Poor physical performance is known to be inversely related to mortality. The purpose of the present study was to determine whether an association between physical performance and 10-year mortality could be extended to a Japanese 70-year-old community-dwelling population, and to compare findings with those found in an octogenarian population. METHODS: Seventy-year-old subjects residing in Niigata city, Japan, participated. Baseline examinations, including a physical performance test of four tests of muscle strength, one test of balance, and one test of agility, were carried out in June 1998 for 600 participants, and these individuals were then followed for 10 years. RESULTS: During the 10-year follow up, 80 subjects died. Cox regression analysis with adjustment for confounding factors showed that high scores in muscle strength tests for lower extremities, such as single-leg and double-leg extensor strength and isokinetic leg extensor power, were found to be related to decreases in total cause mortality. CONCLUSIONS: In an elderly 70-year-old Japanese community-dwelling population, poor muscle strength was found to be an independent predictor of total mortality. Together with our previous findings in an 80-year-old population, the association between poor strength and high mortality may have effects at 70 but not 80 years of age.

Salt Restriction Affects the Excretions of Minerals (Na, K, Ca, Mg, P and Zn) in the Second Voided Fasting Early Morning Urine.

The plasma concentrations of mineral (sodium (Na), potassium (K), calcium (Ca), magnesium (Mg), phosphorus (P), and zinc (Zn)) are kept within narrow ranges to maintain homeostasis; hence, it is difficult to use them as indicators of nutritional status. We selected the excretion of these minerals in the second voided fasting early morning urine (EMU) as potential indicators of nutritional status. We previously reported that Na restriction caused a negative balance of Ca and Mg. Therefore, Na restriction can cause changes in EMU-minerals. This study aimed to examine the relationship between dietary Na restriction and urinary mineral excretion. The study lasted for 21 d, including 16 d of balance period and 3 d of recovery period. The participants (11 healthy young women) were divided into the Na restriction group (n=5) (NaCl: 6 g/d) and control group (n=6) (NaCl: 12 g/d). The Na restriction group changed to the control diet (NaCl: 12 g/d) during only the recovery period. The EMU-Na, Ca, Mg, P and Zn in the Na restriction group significantly decreased compared with that of the control group. The EMU-Na, K, Ca, Mg, and Zn in the group with NaCl intake of 6 g/d significantly decreased compared with that of the group with NaCl intake of 12 g/d (in the Na restriction group). We conclude that the decrease in excretion of Na, Ca, Mg and Zn in the EMU can lead to Na restriction. This result can serve as basis when considering EMU as an indicator of mineral status.

Iron, zinc, manganese and copper intakes in Japanese children aged 3 to 5 years.

This study aimed to measure and evaluate the intakes for the four trace elements of Fe, Zn, Mn, and Cu in 3- to 5-y-old Japanese preschool children. The study group consisted of a total of 90 3- to 5-y-old children living in Yokkaichi, Mie, Japan. Diet samples were collected by the duplicate-portion technique on 3 d at three different seasons between summer in 1999 and winter in 2000. The medians of annual mean daily intakes (25th-75th percentile) of Fe, Zn, Mn, and Cu in the 3- to 5-y-old children were 3.1 mg (2.4 to 3.6), 4.0 mg (3.4 to 4.7), 1.3 mg (1.1 to 1.6), and 0.45 mg (0.35 to 0.56), respectively. The annual mean value of the total daily diet intake had significant correlations with the Fe, Zn, Mn and Cu intakes (Spearman's r=0.55, 0.67, 0.58, and 0.55, respectively; p<0.001 for all). There were significant correlations between each mineral intake. The Zn and Mn intakes had differences among ages (p=0.003 and 0.005, respectively) and the Zn intake significantly differed between boys and girls (p=0.031). The proportion of subjects whose Mn intake was the AI or less was 82%, and the proportions of subjects whose Fe, Zn, and Cu intakes were the estimated average requirements (EARs) or less were 72, 83, and 13%, respectively. Many Japanese children are deficient in Fe and Zn compared with the dietary reference intakes (DRIs). However, data in a balance study examining intakes and excretion of trace minerals are insufficient in children and DRIs for trace elements may change in future.

Dietary Salt (Sodium Chloride) Requirement and Adverse Effects of Salt Restriction in Humans.

Inevitable sodium loss under sodium restriction must not be construed as evidence for the estimated average requirement (EAR) for sodium (Na) in humans. We conducted human mineral balance studies to determine the EAR for some minerals (Na, K, Ca, Mg, P, Zn, Fe, Cu and Mn). Na concentration in arm sweat was low while those of calcium (Ca) and magnesium (Mg) were high, during relatively heavy bicycle-ergometer exercise under relatively low Na intake (100 mmol/d). This suggests that Na was released from the bone, the sole pool of Na, with Ca and Mg. Additionally, the negative balances of Ca and Mg was observed under a relatively low sodium intake (100 mmol/d) even with the sufficient supply and intake of Ca and Mg into human body. Finally, we found no correlation between the Na intake and the Na balance, while the Na-intake was correlated significantly to the balances of K, Ca and Mg. The Na intake necessary to keep the balances of Ca and Mg positive was calculated to be 68 mg/kg body weight/d. To learn the signs and symptoms of low sodium intake, we compared the results of a metabolic study in which subjects consumed diets with 6 g and 12 g salt/d respectively. The blood pressure decreased only with the 6 g/d group. Fecal moisture contents of the 6 g/d group were lower than for the 12 g/d group, suggesting the fecal Na was strongly reabsorbed with water when the dietary Na was insufficienct. Indiscriminate Na restriction may have adverse effects on health.

Dentition status and frailty in community-dwelling older adults: A 5-year prospective cohort study.

AIM: To examine the longitudinal association between dentition status and incidence of frailty in older adults. METHODS: The present prospective cohort study included community-dwelling Japanese adults aged 75 years at baseline (n = 322). Dental examinations, biochemical blood examinations, physical performance and anthropometric measurements, and structured questionnaires were carried out at baseline. The presence of ≥20 teeth with nine or more occluding pairs of teeth was defined as functional dentition. Annual follow-up examinations, including physical performance, anthropometric measurements and structured questionnaires, were carried out over a 5-year period to determine the incidence of frailty, defined as three or more of the following five components derived from the Cardiovascular Health Study: weight loss, weakness, slowness, poor energy and low physical activity level. Adjusted hazard ratios of frailty incidence according to dentition status were calculated from Cox proportional hazards regression analyses. RESULTS: At baseline, 118 participants (36.6%) were defined as having functional dentition. During the follow up, 48 participants (14.9%) developed frailty. The adjusted hazard ratio for frailty in participants with functional dentition was 0.50 (95% confidence interval 0.25-0.98) compared with participants without functional dentition, after adjusting for sex, income, education, smoking status, body mass index, serum biomarkers and comorbidities. CONCLUSIONS: Functional dentition was significantly associated with a lower risk of frailty defined by the Cardiovascular Health Study frailty index in older Japanese adults. These results suggest that maintaining healthy and functional dentition into later life is important for frailty prevention. Geriatr Gerontol Int 2018; 18: 256-262.

Molybdenum balance in healthy young Japanese women.

The absorption and balance of molybdenum (Mo) were examined in 43 healthy young Japanese women in four metabolic studies performed once a year from 2001 to 2004. In each year, an 18-d metabolic study, including two successive balance study sessions of 4 d, was designed and four kinds of dietary menus were supplied to the subjects periodically. Since the protein sources of the menus were specified in 2001-2003, and soybean products were poor in 2001 and 2002 and rich in the 2003, Mo intake in 2001 and 2002 was about 150microg/d while that in 2003 reached 318microg/d. In 2004, the protein sources were not specified and Mo intake was 217microg/d. This range of Mo intake overlapped that in the Japanese population. When the results of the four studies were pooled, Mo balance was calculated as 0.09+/-0.37microg/d/kg (mean+/-SD), and no significant relationship (r=0.142) was observed between the intake and balance. Between the apparent absorption (Y) and the intake (X), a significant (r=0.988, p<0.001) positive linear regression (Y=0.927X-0.523) was observed. Similarly, a significant (r=0.960, p<0.001) positive linear regression was observed between Mo intake and urinary excretion. These results indicate that more than 90% of Mo contained in a routine dietary menu is absorbed, most of Mo absorbed is excreted in urine, and Mo balance is in equilibrium in the general Japanese population.

Characteristics of urine sodium and potassium after oral ingestion of solutions containing sodium and potassium which is isotonic to the physiological saline--a quantitative study.

The effects of orally ingesting 500 mL of four kinds of test solutions that were isotonic to physiological saline (i.e., containing sodium (Na) and potassium (K) as chloride with Na/K molar ratios of 1, 2, 3 and 4) on urine flow, Na and K excretions from Japanese male students were investigated. The subjects assembled at the National Institute of Nutrition the day before the oral ingestions, which were conducted three times for each subject. They were permitted to eat freely until 8:00 pm, and then the intake of food and drinks except tap water was prohibited until 10:00 pm. After that, no food or drinks except the test solution used, were permitted to be ingested until the end of the final collection of urine. Subjects were woken up at 7:00 am the next morning, at which time they emptied their bladder. At 8:00 am, after sampling control urine before ingestion, they ingested 500 mL of water, the physiological saline or one of the test solutions. Urine was collected every 30 min for 4 h after ingestion. Urine flow was significantly higher for those who drank solutions Na/ K = 1 and 2 than those who drank the saline (paired-t test), but that for those who drank solutions Na/K = 3 and 4 was not significantly higher. For those who drank solution Na/ k=2, urine Na was significantly higher than that of those who drank the saline 30 to 60 min after ingestion. An increase in urine flow after K ingestion may be an essential factor for K-induced Na uresis.

Equilibrium intakes of calcium and magnesium within an adequate and limited range of sodium intake in human.

In the previous analysis of our human mineral balance studies, we demonstrated positive correlations between the balances of calcium (Ca) and magnesium (Mg) and sodium (Na) intake in the range of 3.06 and 4.06 g/d or 43.71 and 96.40 mg/kg body weight (BW)/d, but there was no correlation between Na intake and Na balance. This suggested that the balances of Ca and Mg are affected by Na intake. Therefore, in the current study, we recalculated equilibrium intakes for Ca and Mg when balances of their intakes and outputs were equal to zero within the above Na range to reduce the effects of Na intake. From 1986 to 2000, 90 volunteers (10 male, 80 female; age 18 to 28 y) took part in 9 mineral balance studies. The balance periods ranged from 8 to 12 d, with adaptation periods of 2 to 4 d. The dietary intakes of Ca and Mg ranged from 294 to 719 and 154 to 334 mg/d, or from 4.83 to 15.07 and 2.44 to 6.42 mg/kg BW/d, respectively. Intake of Ca significantly correlated with Ca balance (r2 = 0.268; p < 0.0001). When the balance was equal to zero, the mean value and upper limit of the 95% confidence interval for the regression equation between intake vs. balance were 10.072 and 10.660 mg/kg BW/d, respectively. Mg intake correlated significantly with Mg balance (r2 = 0.141, p = 0.003). When the balance was equal to zero, the mean value and upper limit of the 95% confidence interval for the regression equation between intake and balance were 4.078 and 4.287 mg/kg BW/d, respectively.

Moisture and mineral content of human feces--high fecal moisture is associated with increased sodium and decreased potassium content--.

BACKGROUND: The origin of moisture in diarrhea feces is unknown but may represent the unabsorbed part of intestinal contents or alternatively, body fluid excreted into the digestive canal. If the latter mechanism contributes to moisture in the feces, active transport of water (H2O) associated with ion exchange channels may be involved. OBJECTIVE: To investigate this possibility we measured the content of moisture and minerals (sodium [Na], potassium [K], calcium [Ca], magnesium [Mg], phosphorus [P], zinc [Zn], iron [Fe], copper [Cu] and manganese [Mn]) in feces collected during a 12-d metabolic study on 11 young Japanese female students. DESIGN: The study was carried out as part of a human mineral balance study. The same quantity of food was supplied to each of the subjects throughout the study without consideration of body weight. Fecal specimens were collected throughout the study and were separated into those originating from the diet during the balance period based on the appearance of the ingested colored marker in the feces. RESULTS: The moisture content of the feces ranged between 53 and 92%. Na content in the feces was low and stable when the moisture content was below 80%, whereas it increased up to serum levels when the moisture content increased above 80%. On the other hand, K content increased when compared to dry matter base. However, when comparing concentration/g moisture, K content increased when moisture was below 70%, but decreased when this rose above 70%.

CD56(dim)CD16(high) and CD56(bright)CD16(-) cell percentages associated with maximum knee extensor strength and incidence of death in elderly.

Physical fitness is an indicator of systemic well-being in humans. Little is known about the role of physical fitness for maintaining systemic health in the elderly. Here, we study elderly subjects to determine the relationships between physical fitness and CD56 and CD16 surface NK cell markers on peripheral blood lymphocytes, as well as to analyze the relationship between the surface markers and incidence of death. We selected 253 independent elderly subjects (122 female; 131 male) who were 79-80 years old. Subjects having a higher proportion of CD56(dim)CD16(high) within CD56(+)CD16(+) cells, or ration of CD56(dim)CD16(high) and CD56(dim)CD16(-) cells had a significant positive correlation with maximum bilateral knee extensor strength/weight (kg) (r = 0.425; P < 0.0001 or r = 0.323; P < 0.0001). In contrast, an increased proportion of CD56(bright)CD16(-) cells within lymphocyte significantly negatively correlated with the maximum bilateral knee extensor strength/weight (kg) (r = -0.290; P = 0.0004); and these subjects had a significantly lower mortality during the 5 years following measurement of death. Therefore, we found that a synergistic effect of the right and left leg muscle strength was associated with proportion of matured NK and NKT cells and induced a low proportion of CD56(bright)CD16(-) cells within lymphocyte. Moreover, the low proportion of CD56(bright)CD16(-) cells was associated with incidence of death. In conclusion, measurements of physical fitness, the proportion of CD56(dim)CD16(high) within CD56(+)CD16(+) cells, the ratio of CD56(dim)CD56(high) and CD56(dim)CD16(-) cells, and the proportion of CD56(bright)C16(-) cells in lymphocytes are important indicators to check elderly health.

Positive correlation between dietary intake of sodium and balances of calcium and magnesium in young Japanese adults--low sodium intake is a risk factor for loss of calcium and magnesium--.

The content of calcium (Ca) and magnesium (Mg) in sweat during exercise is considerably higher during a relatively low intake of sodium (Na) of 100 mmol/d than with an intake of 170 mmol/d. For this reason and also because Ca and Mg have a negative balance with a Na intake of 100 mmol/d, we analyzed the relationship between Na intake and balances of Ca and Mg in data from 11 balance studies. From 1986 to 2000, 109 volunteers (23 males, 86 females) with an age range of 18 to 28 y took part in mineral balance studies. The balance periods ranged from 5 to 12 d. In a given experiment, the diet of each subject contained the same quantity of food, although this varied between experiments, and was supplied during the balance period without consideration of body weight. In the data of all the studies (n= 109), the balances of Ca and Mg did not correlate positively with Na intake. However, when the data of the highest Na study were excluded, the balances of Ca and Mg correlated positively with Na intake. The mean value for the regression equation between Na intake and Ca and Mg balances when the respective balance was equal to zero were, 63.308 mg Na/kg BW/d (Ca: n=96, r2=0.134) and 60.977 mg Na/kg BW/d (Mg: n=96, r2=0.268), respectively. These values are considerably higher than Na requirements estimated by inevitable Na loss. Low dietary Na may therefore be a risk factor for maintaining positive balances of Ca and Mg.

Sodium and potassium balances in Japanese young adults.

This study was conducted to estimate the requirements of sodium (Na) and potassium (K) in Japanese young adults. From 1986 to 2000, 109 volunteers (23 males, 86 females), ranging from 18 to 28 y old, took part in 11 mineral balance studies after written informed consent had been obtained. The duration of the study periods ranged from 5 to 12 d, with a 2-4 d adaptation period. Foodstuffs used in each study were selected from those commercially available. The Na and K content of the diet, feces, urine and sweat were measured by atomic absorption spectrophotometer. The results of a study in which Na intake was 6.87 g/d (ca. 300 mmol/d), the highest of all the studies, showed apparent positive Na balances. In contrast, another study in which Na intake was 2.21 g/d (ca. 100 mmol/d), the lowest of all the studies, showed apparent negative Na balances. These two studies seemed to differ from the other studies, as shown by regression equations calculated from either data of all the studies (n= 109) or data that did not include the two studies (n=90). The dietary intakes of Na and K ranged between 38.56-142.23 and 26.77-74.42 mg/kg body weight (BW)/d, or 2.21-6.87 and 1.83-3.61 g/d, respectively in the complete data, and 43.71-96.40 and 26.77-63.70 mg/kg BW/d, or 3.06-4.06 and 1.83-2.68 g/d, respectively in the data that did not include the two studies. The intakes of the two minerals were positively correlated. Na intake (Intake) was correlated positively with apparent absorption (AA) of Na, which was also correlated with Na urinary output (Urine). In the data that did not include the two studies, Na balance (Balance) was not correlated significantly with either Na Intake (r2=0.005) or AA of Na (r2=0.006). However, analysis of all the data showed a significant correlation between Na Balance and both Na Intake (r2=0.361) and AA of Na (r2=0.360). In the complete data, the mean value and upper and lower limits of the 95% confidence interval for the regression equation between Intake and Balance for Na, when balance was equal to zero (i.e mean, upper and lower limits), were 55.824, 60.787 and 50.862 mg/ kg BW/d, respectively. K Intake was correlated positively with AA of K, which was also correlated with both Urine K and K Balance. There was a significant correlation between K Intake and K Balance in both the complete data (r2=0.213) and the data that did not include the two studies (r2 = 0.116). In all the cases, mean, upper and lower limits for K were 39.161, 41.782 and 36.540 mg/kg BW/d, respectively. Intakes of Na and K did not correlate with their respective AA rates (%). Within the ranges of K Intake in this study, K Balance was affected markedly by K Intake itself as well as by Na Intake. However, in the case of Na, when the data of the highest and lowest Na intake studies were excluded from the analysis, Na Balance did not correlate with Na Intake, whereas the data of all the studies showed Na Balance was affected strongly by Na Intake. The data of this study allowed the estimated average requirements (EARs) for both minerals to be derived.

Values of water-soluble vitamins in blood and urine of Japanese young men and women consuming a semi-purified diet based on the Japanese Dietary Reference Intakes.

We investigated the levels of water-soluble vitamins except for vitamin B6 in the blood and urine of Japanese college male (n = 10) and female (n = 10) students. They consumed for 7 d a semi-purified diet based on Japanese Dietary Reference Intakes to assess the Recommended Dietary Allowances (RDA) for water-soluble vitamins and to present some new normal values for blood and urine levels of water-soluble vitamins in Japanese. The blood and the 24-h urine samples were collected on the last day of the experiment and measured. The values of total vitamin B1 in whole blood, total vitamin B2 in whole blood, total cyanocobalamin in serum, total nicotinamide in whole blood, total pantothenic acid in whole blood, total folates in serum, total biotin in serum, and ascorbic acid in plasma were 104+/-17 pmol/mL (mean+/-SD), 216+/-25 pmol/mL, 0.34+/-0.05 pmol/mL, 59.1+/- 5.0 nmol/ mL, 2.45+/-0.37 nmol/mL, 15.6+/-4.6 pmol/mL, 8.3+/-0.5 pmol/mL, and 62+/-10 nmol/mL, respectively, in males, and 90+/-23, 234+/-18, 0.67+/-0.20, 61.9+/-6.0, 2.48+/-0.30, 30.2+/-8.6, 8.4+/-0.3, and 67+/-14, respectively, in females. There was a significant difference in the values of cyanocobalamin and total folates between men and women. The urinary excretion of vitamin B1, vitamin B2, cyanocobalamin, sum of the catabolic metabolites of nicotinamide, pantothenic acid, folates, biotin, and ascorbic acid were 665+/-114 nmol/d, 562+/-325 nmol/d, 93+/-31 pmol/d, 84+/-26 micromol/d, 9.3+/-2.3 micromol/d, 19.4+/-2.8 nmol/d, 83+/-18 pmol/d, and 148+/-51 micromol/d, respectively, in males, and 495+/-212, 580+/-146, 145+/-49, 83+/-19, 16.9+/-1.3, 22.7+/-2.7, 83+/-23, and 140+/-51, respectively, in females. There was a significant difference in the urinary excretion of cyanocobalamin, pantothenic acid and total folates between men and women. These values will be useful for the nutritional assessment of water-soluble vitamins for Japanese, although the examination period was short. In future, an experiment with various age groups and re-evaluation by repeated experiments will provide more accurate values.

Tracking of Pedometer-Determined Physical Activity in Healthy Elderly Japanese People.

BACKGROUND: Tracking refers to the tendency for an individual to maintain their rank within a group over time. This study longitudinally investigated the 8-year tracking of pedometer-determined physical activity among physically independent elderly Japanese people aged 72 to 80 years. METHODS: Steps/day were measured when participants were aged 72 and assessed again after 2, 5, and 8 years. The number of participants with a 2-year follow-up (72 to 74 years) was 177 (101 males, 76 females), with a 5-year follow-up (72 to 77 years) was 183 people (110 males, 73 females), and with an 8-year follow-up (72 to 80 years) was 145 people (91 males, 54 females). Step counts were continuously measured for 1 week in January, April, July, and October during each year of assessment. RESULTS: A high rank correlation coefficient for steps/day exceeding 0.60 was obtained at the 2-, 5- and 8-year follow-up examinations for both males and females. CONCLUSION: This study suggests that the rank within a group of pedometer-determined steps/day remains stable over up to 8 years in healthy Japanese people aged between 72 to 80 years old.

Diurnal variations in human urinary excretion of nicotinamide catabolites: effects of stress on the metabolism of nicotinamide.

BACKGROUND: More than 500 enzymes need niacin coenzymes. Therefore, elucidation of the control mechanisms of coenzyme metabolism is fundamentally important. OBJECTIVE: NAD(+) is involved in ATP production. Because energy expenditure is generally higher during the day than at night, we investigated whether the metabolism of nicotinamide changes at various times of day and whether stress affects nicotinamide metabolism. DESIGN: Twelve women were housed in the same facility and followed the same schedule for activities of daily living for 12 d. Urinary outputs were collected during 5 specific periods to investigate diurnal variations in nicotinamide metabolism. The effects of cold exposure (physical stress), having to perform arithmetic calculations (mental stress), and dark exposure (emotional stress) on nicotinamide metabolism were investigated. RESULTS: A diurnal variation in the nicotinamide metabolites N(1)-methylnicotinamide, N(1)-methyl-2-pyridone-5-carboxamide, and N(1)-methyl-4-pyridone-3-carboxamide was observed. Of the stresses studied, cold exposure significantly increased the urinary excretory outputs of the nicotinamide metabolites. CONCLUSIONS: Diurnal variations in nicotinamide metabolism were found in these women. The biosynthesis of nicotinamide from tryptophan seemed to be increased by cold exposure.

Relationship between dental occlusion and physical fitness in an elderly population.

BACKGROUND: The relationship between physical fitness and dental health status in elderly adults is still unknown. The purpose of the present study is to examine the relationship between physical fitness and occlusal condition of natural teeth in the elderly population. The sample consisted of 591 individuals aged 70 years and 158 aged 80 years selected from the registry of residents in Niigata city. METHODS: Hand grip strength (kg), leg extensor strength (kg), leg extensor power (watts), stepping rate (time per 10 seconds), and one-leg standing time with eyes open (seconds) were measured. The Eichner index was used as a measurement of occlusal condition. It was based on existing natural tooth contacts between maxilla and mandible in the bilateral premolar and molar regions and determined the three groups of classification used. In comparing physical fitness with Eichner index, multiple regression models were developed to adjust for variables such as age, gender, height, body weight, past medical history, blood pressure, serum albumin concentration, presence of lower back pain, smoking habit, marital status, and education. RESULTS: Multiple regression analyses revealed that leg extensor power (R(2) =.627, p <.05), stepping rate (R(2) =.159, p <.05), and one-leg standing time with eyes open (R(2) =.179, p <.05) showed significant correlations with the Eichner index. CONCLUSIONS: Leg extensor power, stepping rate, and one-leg standing time with eyes open are useful indicators in evaluating lower extremity dynamic strength, agility, and balance function, respectively. These findings suggest that dental occlusal condition is associated with lower extremity dynamic strength, agility, and balance function in elderly adults.

Negative balance of calcium and magnesium under relatively low sodium intake in humans.

The balance of minerals (sodium [Na], potassium [K], calcium [Ca], and magnesium [Mg]) was measured in six female students for 10 d while under a relatively low Na intake (100 mmol/d or 2.2 g/d) with receiving adequate Ca (20 mmol/d or 800 mg/d) and Mg (12 mmol/d or 280 mg/d). Both the plasma renin activity (PRA) and aldosterone level were above the reference ranges throughout the experiment, which implied that the subjects were Na deficient. However, the urine Na excretion was about the same as that ingested, while there was no substantial reduction of sweat Na concentration observed during moderate physical exercise (13.2+/-2.6 mmol/L) (mean+/-SD). On the other hand, the urine Ca and Mg levels were high, but the apparent absorption of Ca and Mg was moderate (21 +/- 5%, 34 +/- 4%, respectively), which resulted in a negative balance of these two elements. It seems that the stored Na in the bone is eluted so as to compensate for the low dietary Na intake, while any excess Ca and Mg also inevitably flows into the blood stream with Na, which inhibited the intestinal absorption of both Ca and Mg and accelerates their excretion in urine.

Nutritional intakes in community-dwelling older Japanese adults: high intakes of energy and protein based on high consumption of fish, vegetables and fruits provide sufficient micronutrients.

The purpose of this study was to obtain detailed data on the dietary intake of energy, macronutrients, and micronutrients, especially minerals and vitamins, of healthy free-living people over the age of 70 in Japan and to clarify the correlations among nutrient intakes. The survey was conducted in November 2001 for 57 persons (men: 31, women: 26) aged 74 y (born in 1927) living in Niigata City, Japan. A precise weighing method was used to record food intake for three consecutive days. Nutrient intake was calculated based on the Standard Tables of Food Composition in Japan (5th ed.). The intakes of energy and total protein were 44.8+/-7.7 kcal/kg/d and 1.80+/-0.35 g/kg/d for men and 38.1+/-7.6 kcal/ kg/d and 1.51+/-0.26 g/kg/d for women. These values are significantly higher than those proposed by the current Recommended Dietary Allowances (RDAs) and the data by the 2001 National Nutrition Survey in Japan. The energy intake ratios from protein, carbohydrate and fat for men were 16 : 58 : 22, respectively, and the residual part was alcohol. For women, the ratios were 16 : 62 : 22. The proportion of total protein intake that consisted of animal protein was 57.8% for men and 52.8% for women. For both sexes, all of the mean daily intakes of nine minerals and 12 vitamins were higher than those prescribed for elderly Japanese people (> or =70 y) in the RDAs. Significant strong correlations were found between total protein intake and intakes of vitamins D, B2 and B6, as well as niacin and pantothenic acid (p<0.0001). Among the nine minerals, the correlations were very strong between potassium and magnesium, calcium and phosphorus, magnesium and iron, magnesium and copper, iron and copper, and zinc and copper (r's>0.700). For vitamins, strong correlations were found between vitamin A and folic acid, vitamin B2 and pantothenic acid, and folic acid and pantothenic acid. Furthermore, strong relationships were observed between potassium and folic acid, potassium and pantothenic acid, potassium and dietary fiber, phosphorus and vitamin B2, phosphorus and pantothenic acid, iron and folic acid, zinc and vitamin B12, and copper and vitamin B12. From these results, it is evident that age is not an important determinant of dietary intake among apparently healthy elderly Japanese people aged 74 y. In addition, the high intake of energy and protein in the Japanese dietary pattern, based upon high consumption of fish and/or shellfish, vegetables, and fruits, provide sufficient minerals and vitamins.

Effects of stress on the urinary excretory pattern of niacin catabolites, the most reliable index of niacin status, in humans.

Urinary output of water-soluble vitamins has been used as an indices for vitamin nutrition. It has been pointed out that the coefficient variance of these values is high, especially for niacin catabolites. Thus, we investigated what kinds of stress affect the catabolism using female subjects. The effects of cold exposure (as a typical physical stress), calculation exercise (a typical mental stress) and dark exposure (a typical emotional stress) on the metabolism of niacin were investigated. Of the stresses, cold exposure significantly increased urinary excretory output of the niacin metabolites. The biosynthesis of nicotinamide from Trp seemed to be increased by cold exposure.