The Power of Environment: A Comprehensive Review of the Exposome’s Role in Healthy Aging, Longevity, and Preventive Medicine—Lessons from Blue Zones and Cilento DOI Open Access
Silvana Mirella Aliberti, Mario Capunzo

Nutrients, Journal Year: 2025, Volume and Issue: 17(4), P. 722 - 722

Published: Feb. 18, 2025

Aging and longevity are shaped by the exposome, a dynamic network of environmental, social, biological factors. Understanding how these exposures interact with mechanisms can inform strategies for healthier aging. Background/Objectives: This review explores exposome as system encompassing both protective risk factors, specific focus on beneficial environmental exposures, microbiome diversity, lifestyle behaviors, resilience contribute to successful By analyzing high-longevity populations, such Blue Zones Cilento, it aims identify common determinants Methods: A mixed-method study was conducted, combining systematic English literature (2003-2024) comparative analysis regions. structured search performed in PubMed, Scopus, Google Scholar using keywords "longevity", "Blue Zones", "Cilento", "microbiome", "environmental factors", related terms. Additionally, qualitative quantitative were applied assess key factors across different aging models. Results: identified contributing hotspots, including sustained exposure biodiverse natural environments, adherence Mediterranean or plant-based diet rich polyphenols probiotics, regular physical activity, strong social networks, psychological resilience. novel aspect this is role gut mediator between immune-metabolic health, influencing inflammation modulation cellular Despite geographic cultural differences, case studies reveal shared pattern that collectively enhance lifespan healthspan. Conclusions: The critical determinant trajectories, acting through complex interactions mechanisms. integrating insights from proposes comprehensive framework optimizing enhancing resilience, promoting exposures. These findings provide translational perspective guide future interventions research global health initiatives.

Language: Английский

Sleep in Normal Aging DOI
Junxin Li, Michael V. Vitiello,

Nalaka S. Gooneratne

et al.

Sleep Medicine Clinics, Journal Year: 2017, Volume and Issue: 13(1), P. 1 - 11

Published: Nov. 22, 2017

Language: Английский

Citations

573

Association between circadian rhythms and neurodegenerative diseases DOI
Yue Leng, Erik S. Musiek, Kun Hu

et al.

The Lancet Neurology, Journal Year: 2019, Volume and Issue: 18(3), P. 307 - 318

Published: Feb. 12, 2019

Language: Английский

Citations

505

Microglia, Lifestyle Stress, and Neurodegeneration DOI Creative Commons
Charlotte Madore, Zhuoran Yin, Jeffrey Leibowitz

et al.

Immunity, Journal Year: 2020, Volume and Issue: 52(2), P. 222 - 240

Published: Jan. 7, 2020

Language: Английский

Citations

247

Circadian disruption: What do we actually mean? DOI
Céline Vetter

European Journal of Neuroscience, Journal Year: 2018, Volume and Issue: 51(1), P. 531 - 550

Published: Nov. 7, 2018

The circadian system regulates physiology and behavior. Acute challenges to the system, such as those experienced when traveling across time zones, will eventually result in re-synchronization local environmental cues, but this is oftentimes accompanied by adverse short-term consequences. When are chronically, adaptation may not be achieved, for example case of rotating night shift workers. transient chronic disturbance most frequently referred "circadian disruption", many other terms have been proposed used refer similar situations. It now beyond doubt that contributes health disease, emphasizing need clear terminology describing their goal review provide an overview describe disruption discuss quantifications experimental observational settings with a focus on human research, highlight limitations currently available tools. For research advance translational science, clear, operationalizable, scalable key, they enable improved assessment reproducibility results, ideally ranging from mechanistic settings, including animal large-scale randomized clinical trials.

Language: Английский

Citations

246

Circadian autophagy drives iTRF-mediated longevity DOI Open Access

Matt Ulgherait,

Adil Midoun, Scarlet J. Park

et al.

Nature, Journal Year: 2021, Volume and Issue: 598(7880), P. 353 - 358

Published: Sept. 29, 2021

Language: Английский

Citations

161

Genetics of circadian rhythms and sleep in human health and disease DOI
Jacqueline M. Lane, Jingyi Qian, Emmanuel Mignot

et al.

Nature Reviews Genetics, Journal Year: 2022, Volume and Issue: 24(1), P. 4 - 20

Published: Aug. 26, 2022

Language: Английский

Citations

131

Associations of sleep disorders with all-cause MCI/dementia and different types of dementia – clinical evidence, potential pathomechanisms and treatment options: A narrative review DOI Creative Commons
Geert Mayer, Helmut Frohnhofen, Martha Jokisch

et al.

Frontiers in Neuroscience, Journal Year: 2024, Volume and Issue: 18

Published: March 22, 2024

Due to worldwide demographic change, the number of older persons in population is increasing. Aging accompanied by changes sleep structure, deposition beta-amyloid (Aß) and tau proteins vascular can turn into mild cognitive impairment (MCI) as well dementia. Sleep disorders are discussed both a risk factor for consequence MCI/dementia. Cross-sectional longitudinal population-based case–control studies revealed disorders, especially sleep-disorderded breathing (SDB) excessive or insufficient durations, factors all-cause Regarding different dementia types, SDB was associated with while insomnia/insufficient related an increased Alzheimer’s disease (AD). Scarce still inconsistent evidence suggests that therapy continuous positive airway pressure (CPAP) SDB, improve cognition patients without comorbid delay onset MCI/dementia previous impairment. potential pathomechanisms via which lead MCI/dementia, disturbed sleep, chronic deficit impair glymphatic clearance amyloid aggregation resulting brain structures responsible cognition. Orexins modulate Aß pathology. Their diurnal fluctuation suppressed fragmentation expression at point hippocampal atrophy, contributing progression Additionally, profile such inflammation, endothelial dysfunction atherosclerosis foster neurodegenerative There ample indicating structure aging also disorder Therefore, should be identified treated early.

Language: Английский

Citations

18

Neurodegeneration and the Circadian Clock DOI Creative Commons
Suzanne Hood, Shimon Amir

Frontiers in Aging Neuroscience, Journal Year: 2017, Volume and Issue: 9

Published: May 29, 2017

Despite varied etiologies and symptoms, several neurodegenerative diseases-specifically, Alzheimer's (AD), Parkinson's (PD), Huntington's diseases (HDs)-share the common feature of abnormal circadian rhythms, such as those in behavior (e.g., disrupted sleep/wake cycles), physiological processes diminished hormone release) biochemical activities antioxidant production). Circadian disturbances are among earliest symptoms these diseases, molecular mechanisms system suspected to play a pivotal, possibly causal, role their natural histories. Here, we review abnormalities observed ADs, PDs HDs, summarize evidence that clockwork directly influences course disease states. On basis this research, explore circadian-oriented interventions proposed treatments for neurological disorders.

Language: Английский

Citations

130

Circadian disturbances in Alzheimer's disease progression: a prospective observational cohort study of community-based older adults DOI Creative Commons
Li Peng, Lei Gao,

Arlen Gaba

et al.

The Lancet Healthy Longevity, Journal Year: 2020, Volume and Issue: 1(3), P. e96 - e105

Published: Nov. 12, 2020

Summary

Background

Circadian disturbances are commonly seen in people with Alzheimer's disease and have been reported individuals without symptoms of dementia but pathology. We aimed to assess the temporal relationship between circadian progression.

Methods

did a prospective cohort study 1401 healthy older adults (aged >59 years) enrolled Rush Memory Aging Project (Rush University Medical Center, Chicago, IL, USA) who had followed up for 15 years. Participants underwent annual assessments cognition (with battery 21 cognitive performance tests) motor activities actigraphy). Four measures were extracted from actigraphy quantify daily rhythmicity, which amplitude 24-h activity rhythm, acrophase (representing peak time), interdaily stability intradaily variability hourly fragmentation rhythm. used Cox proportional hazards models logistic regressions whether predict an increased risk incident conversion mild impairment dementia. linear mixed-effects investigate how rhythms changed longitudinally change integrated

Findings

median age 81·8 (IQR 76·3–85·7) Risk developing was lower (1 SD decrease, hazard ratio [HR] 1·39, 95% CI 1·19–1·62) higher increase, 1·22, 1·04–1·43). In participants impairment, predicted by HR 1·46, 1·24–1·72), 1·36, 1·15–1·60), 1·21, 1·02–1·44). A faster transition odds [OR] 2·08, 1·53–2·93), 1·97, 1·43–2·79), decreased 1·35, 1·01–1·84). amplitude, acrophase, progressively over time, time. progression accelerated these aging effects doubling or more than changes after diagnosis further doubled them The longitudinal global positively correlated negatively variability.

Interpretation

Our results indicate link dysregulation progression, implying either bidirectional relation shared common underlying pathophysiological mechanisms.

Funding

National Institutes Health, BrightFocus Foundation.

Language: Английский

Citations

124

Disrupting Sleep: The Effects of Sleep Loss on Psychotic Experiences Tested in an Experimental Study With Mediation Analysis DOI Creative Commons
Sarah Reeve, Richard Emsley, Bryony Sheaves

et al.

Schizophrenia Bulletin, Journal Year: 2017, Volume and Issue: unknown

Published: July 13, 2017

Our view is that insomnia may be a causal factor in the occurrence of psychotic experiences such as paranoia and hallucinations. However, relationship not established. The aim study was to investigate role via sleep restriction manipulation. within-subjects crossover design included planned mediation analysis. Sixty-eight nonclinical volunteers underwent loss condition (restricted 4 h for 3 nights) control (standard sleep) randomized order 2 consecutive weeks, with weekend washout period. Psychotic (paranoia, hallucinations, grandiosity, cognitive disorganization) candidate mediating variables (negative affect related processes, working memory, decision making, perceptual processing) were assessed before after each condition. Actigraphy verified an average duration 5 15 min condition, vs 6 58 After relative participants reported significant increases paranoia, disorganization, no changes grandiosity. also associated negative affect, self other cognitions, worry, memory impairment. Mediation analyses indicated mediated by but overall conclusion has certain experiences, key route affect.

Language: Английский

Citations

120