Role of Dietary Carotenoids in Frailty Syndrome: A Systematic Review

Unbalanced diets and altered micronutrient intake are prevalent in the aging adult population. We conducted a systematic review to appraise the evidence regarding the association between single (α-carotene, β-carotene, lutein, lycopene, β-cryptoxanthin) or total carotenoids and frailty syndrome in t...

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Main Authors: Roberta Zupo, Fabio Castellana, Sara De Nucci, Annamaria Sila, Simona Aresta, Carola Buscemi, Cristiana Randazzo, Silvio Buscemi, Vincenzo Triggiani, Giovanni De Pergola, Claudia Cava, Madia Lozupone, Francesco Panza, Rodolfo Sardone
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/10/3/632
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author Roberta Zupo
Fabio Castellana
Sara De Nucci
Annamaria Sila
Simona Aresta
Carola Buscemi
Cristiana Randazzo
Silvio Buscemi
Vincenzo Triggiani
Giovanni De Pergola
Claudia Cava
Madia Lozupone
Francesco Panza
Rodolfo Sardone
author_facet Roberta Zupo
Fabio Castellana
Sara De Nucci
Annamaria Sila
Simona Aresta
Carola Buscemi
Cristiana Randazzo
Silvio Buscemi
Vincenzo Triggiani
Giovanni De Pergola
Claudia Cava
Madia Lozupone
Francesco Panza
Rodolfo Sardone
author_sort Roberta Zupo
collection DOAJ
description Unbalanced diets and altered micronutrient intake are prevalent in the aging adult population. We conducted a systematic review to appraise the evidence regarding the association between single (α-carotene, β-carotene, lutein, lycopene, β-cryptoxanthin) or total carotenoids and frailty syndrome in the adult population. The literature was screened from study inception to December 2021, using six different electronic databases. After establishing inclusion criteria, two independent researchers assessed the eligibility of 180 retrieved articles. Only 11 fit the eligibility requirements, reporting five carotenoid entries. No exclusion criteria were applied to outcomes, assessment tools, i.e., frailty constructs or surrogates, recruitment setting, general health status, country, and study type (cohort or cross-sectional). Carotenoid exposure was taken as either dietary intake or serum concentrations. Cross-sectional design was more common than longitudinal design (<i>n</i> = 8). Higher dietary and plasma levels of carotenoids, taken individually or cumulatively, were found to reduce the odds of physical frailty markedly, and the evidence showed consistency in the direction of association across all selected studies. Overall, the methodological quality was rated from moderate (27%) to high (73%). Prevention of micronutrient deficiencies has some potential to counteract physical decline. Considering carotenoids as biological markers, when monitoring micronutrient status, stressing increased fruit and vegetable intake may be part of potential multilevel interventions to prevent or better manage disability.
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spelling doaj.art-eedf7b897d2541ce80018c316db78ab72024-03-05T17:45:32ZengMDPI AGBiomedicines2227-90592022-03-0110363210.3390/biomedicines10030632Role of Dietary Carotenoids in Frailty Syndrome: A Systematic ReviewRoberta Zupo0Fabio Castellana1Sara De Nucci2Annamaria Sila3Simona Aresta4Carola Buscemi5Cristiana Randazzo6Silvio Buscemi7Vincenzo Triggiani8Giovanni De Pergola9Claudia Cava10Madia Lozupone11Francesco Panza12Rodolfo Sardone13Unit of Data Sciences and Technology Innovation for Population Health, National Institute of Gastroenterology IRCCS “Saverio de Bellis”, Research Hospital, Castellana Grotte, 70013 Bari, ItalyUnit of Data Sciences and Technology Innovation for Population Health, National Institute of Gastroenterology IRCCS “Saverio de Bellis”, Research Hospital, Castellana Grotte, 70013 Bari, ItalyUnit of Data Sciences and Technology Innovation for Population Health, National Institute of Gastroenterology IRCCS “Saverio de Bellis”, Research Hospital, Castellana Grotte, 70013 Bari, ItalyUnit of Data Sciences and Technology Innovation for Population Health, National Institute of Gastroenterology IRCCS “Saverio de Bellis”, Research Hospital, Castellana Grotte, 70013 Bari, ItalyUnit of Data Sciences and Technology Innovation for Population Health, National Institute of Gastroenterology IRCCS “Saverio de Bellis”, Research Hospital, Castellana Grotte, 70013 Bari, ItalyDepartment of Health Promotion, Maternal and Child Health, Internal and Specialty Medicine of Excellence (PROMISE), University of Palermo, 90127 Palermo, ItalyDepartment of Health Promotion, Maternal and Child Health, Internal and Specialty Medicine of Excellence (PROMISE), University of Palermo, 90127 Palermo, ItalyDepartment of Health Promotion, Maternal and Child Health, Internal and Specialty Medicine of Excellence (PROMISE), University of Palermo, 90127 Palermo, ItalySection of Internal Medicine, Geriatrics, Endocrinology, and Rare Disease, Interdisciplinary Department of Medicine, School of Medicine, University of Bari, 70124 Bari, ItalyUnit of Geriatrics and Internal Medicine, National Institute of Gastroenterology IRCCS “Saverio de Bellis”, Research Hospital, Castellana Grotte, 70013 Bari, ItalyInstitute of Molecular Bioimaging and Physiology, National Research Council (IBFM-CNR), Via F. Cervi 93, 20131 Milan, ItalyDepartment of Basic Medicine, Neuroscience, and Sense Organs, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Basic Medicine, Neuroscience, and Sense Organs, University of Bari Aldo Moro, 70124 Bari, ItalyUnit of Data Sciences and Technology Innovation for Population Health, National Institute of Gastroenterology IRCCS “Saverio de Bellis”, Research Hospital, Castellana Grotte, 70013 Bari, ItalyUnbalanced diets and altered micronutrient intake are prevalent in the aging adult population. We conducted a systematic review to appraise the evidence regarding the association between single (α-carotene, β-carotene, lutein, lycopene, β-cryptoxanthin) or total carotenoids and frailty syndrome in the adult population. The literature was screened from study inception to December 2021, using six different electronic databases. After establishing inclusion criteria, two independent researchers assessed the eligibility of 180 retrieved articles. Only 11 fit the eligibility requirements, reporting five carotenoid entries. No exclusion criteria were applied to outcomes, assessment tools, i.e., frailty constructs or surrogates, recruitment setting, general health status, country, and study type (cohort or cross-sectional). Carotenoid exposure was taken as either dietary intake or serum concentrations. Cross-sectional design was more common than longitudinal design (<i>n</i> = 8). Higher dietary and plasma levels of carotenoids, taken individually or cumulatively, were found to reduce the odds of physical frailty markedly, and the evidence showed consistency in the direction of association across all selected studies. Overall, the methodological quality was rated from moderate (27%) to high (73%). Prevention of micronutrient deficiencies has some potential to counteract physical decline. Considering carotenoids as biological markers, when monitoring micronutrient status, stressing increased fruit and vegetable intake may be part of potential multilevel interventions to prevent or better manage disability.https://www.mdpi.com/2227-9059/10/3/632carotenoidsphysical frailtyagingadult populationsystematic review
spellingShingle Roberta Zupo
Fabio Castellana
Sara De Nucci
Annamaria Sila
Simona Aresta
Carola Buscemi
Cristiana Randazzo
Silvio Buscemi
Vincenzo Triggiani
Giovanni De Pergola
Claudia Cava
Madia Lozupone
Francesco Panza
Rodolfo Sardone
Role of Dietary Carotenoids in Frailty Syndrome: A Systematic Review
Biomedicines
carotenoids
physical frailty
aging
adult population
systematic review
title Role of Dietary Carotenoids in Frailty Syndrome: A Systematic Review
title_full Role of Dietary Carotenoids in Frailty Syndrome: A Systematic Review
title_fullStr Role of Dietary Carotenoids in Frailty Syndrome: A Systematic Review
title_full_unstemmed Role of Dietary Carotenoids in Frailty Syndrome: A Systematic Review
title_short Role of Dietary Carotenoids in Frailty Syndrome: A Systematic Review
title_sort role of dietary carotenoids in frailty syndrome a systematic review
topic carotenoids
physical frailty
aging
adult population
systematic review
url https://www.mdpi.com/2227-9059/10/3/632
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