Abstract
The extent of immunosenescence varies among individuals depending on several factors, including genetics, environment, lifestyle, and nutrition. The concept of nutrition as a modifiable factor with widespread influence on the immune system has established the foundation of the immunonutrition. Immunosenescence can be classified into three categories in regard to nutritional status including primary immunosenescence, secondary immunosenescence, and tertiary immunosenescence. Nutritional status, itself, depends on several factors in the elderly, and three main categories of physical, psychological, and social factors are responsible for susceptibility of the elderly to undernutrition. All these factors should be assessed in order to accurately evaluate nutritional status which is essential for successful immunonutrition in the elderly. This chapter will review the effect of nutritional status on immunosenescence in the elderly along with thorough assessment of nutritional status and contributory factors to undernutrition in the elderly. Also we will review immunonutrition options as one of the cost-effective approaches to delay immunosenescence.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Adolfsson O, Huber BT, Meydani SN (2001) Vitamin E-enhanced IL-2 production in old mice: naive but not memory T cells show increased cell division cycling and IL-2-producing capacity. J Immunol 167(7):3809–3817
Ahmed T, Haboubi N (2010) Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging 5:207–216
Ahmed T, Das SK, Golden JK et al (2009) Calorie restriction enhances T-cell-mediated immune response in adult overweight men and women. J Gerontol A Biol Sci Med Sci 64(11):1107–1113
Arthur JR, McKenzie RC, Beckett GJ (2003) Selenium in the immune system. J Nutr 133(5 Suppl 1):1457S–1459S
Aukrust P, Muller F, Ueland T et al (2000) Decreased vitamin A levels in common variable immunodeficiency: vitamin A supplementation in vivo enhances immunoglobulin production and downregulates inflammatory responses. Eur J Clin Invest 30(3):252–259
Baba N, Samson S, Bourdet-Sicard R et al (2009) Selected commensal-related bacteria and Toll-like receptor 3 agonist combinatorial codes synergistically induce interleukin-12 production by dendritic cells to trigger a T helper type 1 polarizing programme. Immunology 128(1 Suppl):e523–e531
Barbul A (2000) Immunonutrition comes of age. Crit Care Med 28(3):884–885
Bates B, Bickley LS, Szilagyi PG (2009) Bates’ guide to physical examination and history taking. Lippincott Williams & Wilkins, Philadelphia
Bengmark S (2006) Impact of nutrition on ageing and disease. Curr Opin Clin Nutr Metab Care 9(1):2–7
Bitar KN, Patil SB (2004) Aging and gastrointestinal smooth muscle. Mech Ageing Dev 125(12):907–910
Bitar K, Greenwood-Van Meerveld B, Saad R et al (2011) Aging and gastrointestinal neuromuscular function: insights from within and outside the gut. Neurogastroenterol Motil 23(6):490–501
BM L (ed) (2001) Handbook of Nutrition and the Aged. CRC Press, New York
Bogden JD, Louria DB (1999) Aging and the immune system: the role of micronutrient nutrition. Nutrition 15(7–8):593–595
Bonham M, O’Connor JM, Hannigan BM et al (2002) The immune system as a physiological indicator of marginal copper status? Br J Nutr 87(5):393–403
Brownie S (2006) Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 12(2):110–118
Burk RF (2002) Selenium, an antioxidant nutrient. Nutr Clin Care 5(2):75–79
Bush LA, Horenkamp N, Morley JE et al (1996) D-E-N-T-A-L: a rapid self-administered screening instrument to promote referrals for further evaluation in older adults. J Am Geriatr Soc 44(8):979–981
Calder PC (2007) Immunonutrition in surgical and critically ill patients. Br J Nutr 98(Suppl 1):S133–S139
Calder PC, Kew S (2002) The immune system: a target for functional foods? Br J Nutr 88(Suppl 2):S165–S177
Cantorna MT, Nashold FE, Hayes CE (1994) In vitamin A deficiency multiple mechanisms establish a regulatory T helper cell imbalance with excess Th1 and insufficient Th2 function. J Immunol 152(4):1515–1522
Cantorna MT, Zhu Y, Froicu M et al (2004) Vitamin D status, 1,25-dihydroxyvitamin D3, and the immune system. Am J Clin Nutr 80(6 Suppl):1717S–1720S
Castle SC (2000) Clinical relevance of age-related immune dysfunction. Clin Infect Dis 31(2):578–585
Cederholm T, Morley J (2013) Ageing: biology and nutrition. Curr Opin Clin Nutr Metab Care 16(1):1–2
Chandra RK (1983) Nutrition, immunity, and infection: present knowledge and future directions. Lancet 1(8326 Pt 1):688–691
Chandra RK (1997) Nutrition and the immune system: an introduction. Am J Clin Nutr 66(2):460S–463S
Chandra RK (2002) Nutrition and the immune system from birth to old age. Eur J Clin Nutr 56(Suppl 3):S73–S76
Chandra RK, Sudhakaran L (1990) Regulation of immune responses by vitamin B6. Ann N Y Acad Sci 585:404–423
Chapman IM, MacIntosh CG, Morley JE et al (2002) The anorexia of ageing. Biogerontology 3(1–2):67–71
Chen CC, Schilling LS, Lyder CH (2001) A concept analysis of malnutrition in the elderly. J Adv Nurs 36(1):131–142
Clarke DM, Wahlqvist ML, Strauss BJ (1998) Undereating and undernutrition in old age: integrating bio-psychosocial aspects. Age Ageing 27(4):527–534
Courtemanche C, Elson-Schwab I, Mashiyama ST et al (2004) Folate deficiency inhibits the proliferation of primary human CD8+ T lymphocytes in vitro. J Immunol 173(5):3186–3192
Courtney ME, Greene HL, Folk CC et al (1982) Rapidly declining serum albumin values in newly hospitalized patients: prevalence, severity, and contributory factors. JPEN J Parenter Enteral Nutr 6(2):143–145
Cunningham-Rundles S, McNeeley DF, Moon A (2005) Mechanisms of nutrient modulation of the immune response. J Allergy Clin Immunol 115(6):1119–1128; quiz 1129
Darnton-Hill I (1992) Psychosocial aspects of nutrition and aging. Nutr Rev 50(12):476–479
de Moreno de LeBlanc A, Chaves S, Carmuega E et al (2008) Effect of long-term continuous consumption of fermented milk containing probiotic bacteria on mucosal immunity and the activity of peritoneal macrophages. Immunobiology 213(2):97–108
Delcenserie V, Martel D, Lamoureux M et al (2008) Immunomodulatory effects of probiotics in the intestinal tract. Curr Issues Mol Biol 10(1–2):37–54
Delpeuch F, Cornu A, Chevalier P (1980) The effect of iron-deficiency anaemia on two indices of nutritional status, prealbumin and transferrin. Br J Nutr 43(2):375–379
Deluca HF, Cantorna MT (2001) Vitamin D: its role and uses in immunology. FASEB J 15(14):2579–2585
Dhur A, Galan P, Hercberg S (1991) Folate status and the immune system. Prog Food Nutr Sci 15(1–2):43–60
Elmadfa I, Klein P, Meyer AL (2010) Immune-stimulating effects of lactic acid bacteria in vivo and in vitro. Proc Nutr Soc 69(3):416–420
Elsner RJ (2002) Changes in eating behavior during the aging process. Eat Behav 3(1):15–43
Ewing JA (1984) Detecting alcoholism. The CAGE questionnaire. JAMA 252(14):1905–1907
Fernandes G (2008) Progress in nutritional immunology. Immunol Res 40(3):244–261
Fich A, Camilleri M, Phillips SF (1989) Effect of age on human gastric and small bowel motility. J Clin Gastroenterol 11(4):416–420
Field CJ, Johnson IR, Schley PD (2002) Nutrients and their role in host resistance to infection. J Leukoc Biol 71(1):16–32
Finkelstein JA, Schiffman SS (1999) Workshop on taste and smell in the elderly: an overview. Physiol Behav 66(2):173–176
Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12(3):189–198
Galli C, Calder PC (2009) Effects of fat and fatty acid intake on inflammatory and immune responses: a critical review. Ann Nutr Metab 55(1–3):123–139
Goldberg DM, Brown D (1987) Advances in the application of biochemical tests to diseases of the liver and biliary tract: their role in diagnosis, prognosis, and the elucidation of pathogenetic mechanisms. Clin Biochem 20(2):127–148
Griffin MD, Xing N, Kumar R (2003) Vitamin D and its analogs as regulators of immune activation and antigen presentation. Annu Rev Nutr 23:117–145
Grimble RF (2005) Immunonutrition. Curr Opin Gastroenterol 21(2):216–222
Grimm H, Calder PC (2002) Immunonutrition. Br J Nutr 87(Suppl 1):S1
Guarner F, Schaafsma GJ (1998) Probiotics. Int J Food Microbiol 39(3):237–238
Halevy O, Arazi Y, Melamed D et al (1994) Retinoic acid receptor-alpha gene expression is modulated by dietary vitamin A and by retinoic acid in chicken T lymphocytes. J Nutr 124(11):2139–2146
Hartel C, Strunk T, Bucsky P et al (2004) Effects of vitamin C on intracytoplasmic cytokine production in human whole blood monocytes and lymphocytes. Cytokine 27(4–5):101–106
Hayes CE, Nashold FE, Spach KM et al (2003) The immunological functions of the vitamin D endocrine system. Cell Mol Biol (Noisy-le-grand) 49(2):277–300
Hays NP, Roberts SB (2006) The anorexia of aging in humans. Physiol Behav 88(3):257–266
Henry M, Seidel M, Jane W et al (2011) Mosby’s guide to physical examination, 7th edn. Elsevier, Philadelphia
High KP (2001) Nutritional strategies to boost immunity and prevent infection in elderly individuals. Clin Infect Dis 33(11):1892–1900
Ibs KH, Rink L (2003) Zinc-altered immune function. J Nutr 133(5 Suppl 1):1452S–1456S
Iyer SS, Chatraw JH, Tan WG et al (2012) Protein energy malnutrition impairs homeostatic proliferation of memory CD8 T cells. J Immunol 188(1):77–84
Jacob RA, Kelley DS, Pianalto FS et al (1991) Immunocompetence and oxidant defense during ascorbate depletion of healthy men. Am J Clin Nutr 54(6 Suppl):1302S–1309S
Kim W, Khan NA, McMurray DN et al (2010) Regulatory activity of polyunsaturated fatty acids in T-cell signaling. Prog Lipid Res 49(3):250–261
Koretz RL (2003) Immunonutrition: can you be what you eat? Curr Opin Gastroenterol 19(2):134–139
Lane MA, Black A, Handy A et al (2001) Caloric restriction in primates. Ann N Y Acad Sci 928:287–295
Laugier R, Bernard JP, Berthezene P et al (1991) Changes in pancreatic exocrine secretion with age: pancreatic exocrine secretion does decrease in the elderly. Digestion 50(3–4):202–211
Lesourd BM (1997) Nutrition and immunity in the elderly: modification of immune responses with nutritional treatments. Am J Clin Nutr 66(2):478S–484S
Lesourd B (2004) Nutrition: a major factor influencing immunity in the elderly. J Nutr Health Aging 8(1):28–37
Lesourd B (2006) Nutritional factors and immunological ageing. Proc Nutr Soc 65(3):319–325
Lesourd B, Mazari L (1999) Nutrition and immunity in the elderly. Proc Nutr Soc 58(3):685–695
Lesourd BM, Mazari L, Ferry M (1998) The role of nutrition in immunity in the aged. Nutr Rev 56(1 Pt 2):S113–S125
Ligthart GJ, Corberand JX, Fournier C et al (1984) Admission criteria for immunogerontological studies in man: the SENIEUR protocol. Mech Ageing Dev 28(1):47–55
Lipschitz DA, Udupa KB (1986) Influence of aging and protein deficiency on neutrophil function. J Gerontol 41(6):690–694
Lotfy OA, Saleh WA, el-Barbari M (1998) A study of some changes of cell-mediated immunity in protein energy malnutrition. J Egypt Soc Parasitol 28(2):413–428
Maggini S, Wintergerst ES, Beveridge S et al (2007) Selected vitamins and trace elements support immune function by strengthening epithelial barriers and cellular and humoral immune responses. Br J Nutr 98(Suppl 1):S29–S35
Marcos A, Nova E, Montero A (2003) Changes in the immune system are conditioned by nutrition. Eur J Clin Nutr 57(Suppl 1):S66–S69
Marik PE, Zaloga GP (2008) Immunonutrition in critically ill patients: a systematic review and analysis of the literature. Intensive Care Med 34(11):1980–1990
Martin CT, Kayser-Jones J, Stotts NA et al (2007) Risk for low weight in community-dwelling, older adults. Clin Nurse Spec 21(4):203–211; quiz 212–203
Messaoudi I, Warner J, Fischer M et al (2006) Delay of T cell senescence by caloric restriction in aged long-lived nonhuman primates. Proc Natl Acad Sci U S A 103(51):19448–19453
Messaoudi I, Fischer M, Warner J et al (2008) Optimal window of caloric restriction onset limits its beneficial impact on T-cell senescence in primates. Aging Cell 7(6):908–919
Meydani M (2001) Nutrition interventions in aging and age-associated disease. Ann N Y Acad Sci 928:226–235
Meydani SN, Han SN, Wu D (2005) Vitamin E and immune response in the aged: molecular mechanisms and clinical implications. Immunol Rev 205:269–284
Miller DK, Morley JE, Rubenstein LZ et al (1991) Abnormal eating attitudes and body image in older undernourished individuals. J Am Geriatr Soc 39(5):462–466
Nutritional Care Consensus Group (1995) Measurement of visceral protein status in assessing protein and energy malnutrition: standard of care. Nutrition 11(2):169–171
Office of National Statistics (2011) Population trends. Population and Demography Division. http://www.ons.gov.uk/ons/rel/population-trends-rd/population-trends/no--145--autumn-2011/index.html. Accessed 1 Jan 2013
Omran ML, Morley JE (2000a) Assessment of protein energy malnutrition in older persons, part I: History, examination, body composition, and screening tools. Nutrition 16(1):50–63
Omran ML, Morley JE (2000b) Assessment of protein energy malnutrition in older persons, Part II: laboratory evaluation. Nutrition 16(2):131–140
Oppenheimer SJ (2001) Iron and its relation to immunity and infectious disease. J Nutr 131(2S–2):616S–633S; discussion 633S-635S
Pae M, Meydani SN, Wu D (2012) The role of nutrition in enhancing immunity in aging. Aging Dis 3(1):91–129
Pallast EG, Schouten EG, de Waart FG et al (1999) Effect of 50- and 100-mg vitamin E supplements on cellular immune function in noninstitutionalized elderly persons. Am J Clin Nutr 69(6):1273–1281
Parker BA, Chapman IM (2004) Food intake and ageing–the role of the gut. Mech Ageing Dev 125(12):859–866
Pekmezci D (2011) Vitamin E and immunity. Vitam Horm 86:179–215
Pepersack T (2009) Nutritional problems in the elderly. Acta Clin Belg 64(2):85–91
Pokorny AD, Miller BA, Kaplan HB (1972) The brief MAST: a shortened version of the Michigan Alcoholism Screening Test. Am J Psychiatry 129(3):342–345
Price DM (2008) Protein-energy malnutrition among the elderly: implications for nursing care. Holist Nurs Pract 22(6):355–360
Rall LC, Meydani SN (1993) Vitamin B6 and immune competence. Nutr Rev 51(8):217–225
Redmond HP, Leon P, Lieberman MD et al (1991) Impaired macrophage function in severe protein-energy malnutrition. Arch Surg 126(2):192–196
Redmond HP, Gallagher HJ, Shou J et al (1995) Antigen presentation in protein-energy malnutrition. Cell Immunol 163(1):80–87
Reibnegger G, Huber LA, Jurgens G et al (1988) Approach to define “normal aging” in man. Immune function, serum lipids, lipoproteins and neopterin levels. Mech Ageing Dev 46(1–3):67–82
Rink L, Kirchner H (2000) Zinc-altered immune function and cytokine production. J Nutr 130(5S Suppl):1407S–1411S
Roberts-Thomson IC, Whittingham S, Youngchaiyud U et al (1974) Ageing, immune response, and mortality. Lancet 2(7877):368–370
Rothschild MA, Oratz M, Schreiber SS (1972a) Albumin synthesis (second of two parts). N Engl J Med 286(15):816–821
Rothschild MA, Oratz M, Schreiber SS (1972b) Albumin synthesis. 1. N Engl J Med 286(14):748–757
Roubenoff R (2000) Sarcopenia and its implications for the elderly. Eur J Clin Nutr 54(Suppl 3):S40–S47
Ryan-Harshman M, Aldoori W (2005) The relevance of selenium to immunity, cancer, and infectious/inflammatory diseases. Can J Diet Pract Res 66(2):98–102
Rymkiewicz PD, Heng YX, Vasudev A et al (2012) The immune system in the aging human. Immunol Res 53(1–3):235–250
Satyaraj E (2011) Emerging paradigms in immunonutrition. Top Companion Anim Med 26(1):25–32
Savino W, Dardenne M (2010) Nutritional imbalances and infections affect the thymus: consequences on T-cell-mediated immune responses. Proc Nutr Soc 69(4):636–643
Savino W, Dardenne M, Velloso LA et al (2007) The thymus is a common target in malnutrition and infection. Br J Nutr 98(Suppl 1):S11–S16
Scrimshaw NS, SanGiovanni JP (1997) Synergism of nutrition, infection, and immunity: an overview. Am J Clin Nutr 66(2):464S–477S
Shaikh SR, Edidin M (2006) Polyunsaturated fatty acids, membrane organization, T cells, and antigen presentation. Am J Clin Nutr 84(6):1277–1289
Shatenstein B (2008) Impact of health conditions on food intakes among older adults. J Nutr Elder 27(3–4):333–361
Shepherd A (2009) Nutrition through the life span. Part 3: adults aged 65 years and over. Br J Nurs 18(5):301–302, 304–307
Sijben JW, Calder PC (2007) Differential immunomodulation with long-chain n-3 PUFA in health and chronic disease. Proc Nutr Soc 66(2):237–259
Smith FR, Goodman DS (1971) The effects of diseases of the liver, thyroid, and kidneys on the transport of vitamin A in human plasma. J Clin Invest 50(11):2426–2436
Swartz MH (2001) Textbook of physical diagnosis: history and examination, 4th edn. Saunders, Philadelphia
Tamura J, Kubota K, Murakami H et al (1999) Immunomodulation by vitamin B12: augmentation of CD8+ T lymphocytes and natural killer (NK) cell activity in vitamin B12-deficient patients by methyl-B12 treatment. Clin Exp Immunol 116(1):28–32
Taylor AK, Cao W, Vora KP et al (2013) Protein energy malnutrition decreases immunity and increases susceptibility to influenza infection in mice. J Infect Dis 207(3):501–510
Thomson WM, Brown RH, Williams SM (1992) Dentures, prosthetic treatment needs, and mucosal health in an institutionalised elderly population. N Z Dent J 88(392):51–55
Troen AM, Mitchell B, Sorensen B et al (2006) Unmetabolized folic acid in plasma is associated with reduced natural killer cell cytotoxicity among postmenopausal women. J Nutr 136(1):189–194
Tsai YT, Cheng PC, Fan CK et al (2008) Time-dependent persistence of enhanced immune response by a potential probiotic strain Lactobacillus paracasei subsp. paracasei NTU 101. Int J Food Microbiol 128(2):219–225
Vellas B, Lauque S, Andrieu S et al (2001) Nutrition assessment in the elderly. Curr Opin Clin Nutr Metab Care 4(1):5–8
Volkert D (2002) Malnutrition in the elderly — prevalence, causes and corrective strategies. Clin Nutr 21(1):110–112
Volkert D, Saeglitz C, Gueldenzoph H et al (2010) Undiagnosed malnutrition and nutrition-related problems in geriatric patients. J Nutr Health Aging 14(5):387–392
Wahrburg U (2004) What are the health effects of fat? Eur J Nutr 43(Suppl 1):I/6–I/11
Weiss G (2002) Iron and immunity: a double-edged sword. Eur J Clin Invest 32(Suppl 1):70–78
Weiss G (2004) Chapter 11. Iron. In: Hughes DA, Darlington LG, Bendich A (eds) Diet and human immune function. Humana Press, New York
Weksler ME (1995) Immune senescence: deficiency or dysregulation. Nutr Rev 53(4 Pt 2):S3–S7
White JV (1991) Risk factors for poor nutritional status in older Americans. Am Fam Physician 44(6):2087–2097
Wilson MM, Morley JE (2003) Invited review: aging and energy balance. J Appl Physiol 95(4):1728–1736
Wintergerst ES, Maggini S, Hornig DH (2006) Immune-enhancing role of vitamin C and zinc and effect on clinical conditions. Ann Nutr Metab 50(2):85–94
Wu D, Meydani SN (2008) Age-associated changes in immune and inflammatory responses: impact of vitamin E intervention. J Leukoc Biol 84(4):900–914
Yesavage JA, Brink TL, Rose TL et al (1982) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17(1):37–49
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Hirbod-Mobarakeh, A., Mahmoudi, M., Rezaei, N. (2014). Nutrition, Immunity, and Aging. In: Massoud, A., Rezaei, N. (eds) Immunology of Aging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39495-9_20
Download citation
DOI: https://doi.org/10.1007/978-3-642-39495-9_20
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-39494-2
Online ISBN: 978-3-642-39495-9
eBook Packages: MedicineMedicine (R0)