4.7 Review

Understanding the impact of age-related changes in the gut microbiome on chronic diseases and the prospect of elderly-specific dietary interventions

Journal

CURRENT OPINION IN BIOTECHNOLOGY
Volume 70, Issue -, Pages 48-55

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.copbio.2020.11.001

Keywords

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Funding

  1. Science Foundation Ireland [APC/SFI/12/RC/2273]
  2. APC Microbiome Ireland
  3. Department of Agriculture, Food and Marine (FIRM award)

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As individuals age, there are characteristic changes in the body, including a gradual decline in physiological functions, sarcopenia, and the onset of multiple diseases. Moreover, alterations in the gut microbiome associated with aging may also increase susceptibility to various diseases. Supplementing or modifying the habitual diet can potentially address age-related frailty and comorbidities by modulating the microbiota.
Ageing is associated with characteristic changes including a gradual decline of physiological functions, inflamm-aging, sarcopenia, and the associated onset of multiple diseases. Another factor potentially contributing to enhanced susceptibility to multiple diseases is aging-associated alteration in the gut microbiome. These alterations include a loss of commensals and gain of disease-associated pathobionts, and are accelerated by lifestyle factors like medication, reduced mobility and restricted diet. Several studies suggest that supplementation or modification of the habitual diet may help to address age-related frailty and comorbidities, aided by microbiota modulation. In this review, we comprehensively summarize recent investigations of microbiota alterations during aging and age-related diseases and the possibilities for altering the microbiome as a therapeutic approach.

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