ResearchBlogShop Mitopure

Aging gracefully: lifestyle factors to combat inflammaging

How does inflammaging relate to disease? Read on to find out what behaviors combat chronic inflammation for good health with age.

Women boxing

July 27, 2023

5 min read

Key takeaways

  • “Inflammaging” is a low-grade chronic inflammation that occurs with age and is associated with the development of disease
  • Several factors may contribute to inflammaging, such as genetics, obesity, and changes in gut function
  • Impaired functioning of the mitochondria, the powerhouse of the cell, also may contribute to inflammaging
  • Mitochondrial function may be improved through regular exercise and proper nutrition

Inflammaging and health

Chronic inflammation has received attention in light of the aging population and diseases that often develop with age. Understanding the body’s response to injuries and what happens when it is not working properly provides insight into strategies for disease prevention. Read on to learn more about how chronic inflammation relates to health and aging, as well as what can be done to combat it.

What causes inflammaging?

Inflammation is a normal response of the immune system that is critical for survival during physical injury and infection.[1] However, in some cases, this inflammatory state may persist beyond what is needed in response to a threat, termed “chronic inflammation.” This may have detrimental effects on the body and has received attention when it comes to understanding what happens in the body with age and the onset of disease.

The term “inflammaging” was developed to reflect a low-grade inflammation that results from unbalanced regulation of the immune system associated with aging. [2] With age, there are changes in the immune system, including in the functions related to the inflammatory response.[3] The body is not able to respond in the same manner to stressors, given the altered functioning of the immune cells.[4]

The root causes of inflammaging are not fully understood, but a number of factors that may play a role have been identified. First, genetic susceptibility may contribute to differences in the body’s inflammatory response and affect disease risk.[5]

Weight status may also play a role when it comes to inflammaging. Research has demonstrated that obesity, particularly around the midsection, increases chronic low-grade inflammation. This inflammatory response may affect the functioning of the immune cells and promote disease.[6]

Changes in gut function with age have also been examined as a contributor to inflammation. Aging has been shown to be associated with a reduction in beneficial bacteria in the gut and an increase in other bacteria that may promote inflammation.[7] Detrimental changes in gut function have also been shown to be more pronounced with the presence of conditions such as obesity.[8]

Normal inflammation versus chronic inflammation

How are chronic inflammation and aging related?

There are numerous changes in the body that occur with age that may promote inflammation. In addition to changes in the immune system and in the gut, the decline in other functions in the body may also contribute. Autophagy, the recycling of old cells to create new ones, also may be impaired with age and promote an inflammatory response.[9]

Mitophagy, a specific type of autophagy that involves the recycling of the mitochondria, has also been identified as key when it comes to controlling inflammation and promoting healthy aging. The mitochondria are considered the “powerhouse” of the cell, and defective mitochondria that are not recycled due to impaired mitophagy may promote inflammation.[10] Defects in mitophagy are associated with various age-related conditions such as Alzheimer’s disease, cancer, and cardiovascular disease.[11]

How to prevent and reduce inflammaging

Various lifestyle factors have been examined when it comes to combating inflammaging.

Man riding a bike

Exercise

Exercise is one of the behaviors that may have a beneficial effect with regard to the avoidance of a chronic inflammatory state. A research study of lifelong aerobic exercising men showed that their activity had an anti-inflammatory effect on the muscle and circulation and that exercise also helped preserve the inflammatory response often seen with acute exercise.[12]

Dish of healthy food

Diet

The inflammation that may occur with age may also be counteracted in part through diet. Intake of particular foods such as whole grains, vegetables, fruits, nuts, and fish has been shown to decrease inflammation.[13] Particular dietary patterns, such as the Mediterranean diet, have also demonstrated the potential to help control inflammation.[14]

In conclusion, inflammaging is a phenomenon that has significant implications for health and aging. Understanding the underlying causes and consequences of this persistent inflammation and embracing lifestyle factors to promote healthy aging is crucial for disease prevention and overall well-being.


References

  1. Furman D, Campisi J, Verdin E, Carrera-Bastos P, Targ S, Franceschi C, Ferrucci L, Gilroy DW, Fasano A, Miller GW, Miller AH, Mantovani A, Weyand CM, Barzilai N, Goronzy JJ, Rando TA, Effros RB, Lucia A, Kleinstreuer N, Slavich GM. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019 Dec;25(12):1822-1832. doi: 10.1038/s41591-019-0675-0. Epub 2019 Dec 5. PMID: 31806905; PMCID: PMC7147972.

  2. Fülöp T, Larbi A, Witkowski JM. Human Inflammaging. Gerontology. 2019;65(5):495-504. doi: 10.1159/000497375. Epub 2019 May 3. PMID: 31055573.

  3. Di Giosia P, Stamerra CA, Giorgini P, Jamialahamdi T, Butler AE, Sahebkar A. The role of nutrition in inflammaging. Ageing Res Rev. 2022 May;77:101596. doi: 10.1016/j.arr.2022.101596. Epub 2022 Feb 24. PMID: 35219904.

  4. Fülöp T, Larbi A, Witkowski JM. Human Inflammaging. Gerontology. 2019;65(5):495-504. doi: 10.1159/000497375. Epub 2019 May 3. PMID: 31055573.

  5. Fülöp T, Larbi A, Witkowski JM. Human Inflammaging. Gerontology. 2019;65(5):495-504. doi: 10.1159/000497375. Epub 2019 May 3. PMID: 31055573.

  6. Frasca D, Blomberg BB, Paganelli R. Aging, Obesity, and Inflammatory Age-Related Diseases. Front Immunol. 2017 Dec 7;8:1745. doi: 10.3389/fimmu.2017.01745. PMID: 29270179; PMCID: PMC5725402.

  7. Ferrucci L, Fabbri E. Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty. Nat Rev Cardiol. 2018 Sep;15(9):505-522. doi: 10.1038/s41569-018-0064-2. PMID: 30065258; PMCID: PMC6146930.

  8. Turnbaugh P. J., Hamady M., Yatsunenko T., et al. A core gut microbiome in obese and lean twins. Nature. 2009;457(7228):480–484. doi: 10.1038/nature07540.

  9. Kaushik S, Tasset I, Arias E, Pampliega O, Wong E, Martinez-Vicente M, Cuervo AM. Autophagy and the hallmarks of aging. Ageing Res Rev. 2021 Dec;72:101468. doi: 10.1016/j.arr.2021.101468. Epub 2021 Sep 24. PMID: 34563704; PMCID: PMC8616816.

  10. Bar-Shai M, Carmeli E & Reznick AZ The role of NF-κB in protein breakdown in immobilization, aging, and exercise: From basic processes to promotion of health. Ann. NY Acad. Sci 1057, 431–447 (2005).

  11. Kaushik S, Tasset I, Arias E, Pampliega O, Wong E, Martinez-Vicente M, Cuervo AM. Autophagy and the hallmarks of aging. Ageing Res Rev. 2021 Dec;72:101468. doi: 10.1016/j.arr.2021.101468. Epub 2021 Sep 24. PMID: 34563704; PMCID: PMC8616816.

  12. Lavin KM, Perkins RK, Jemiolo B, Raue U, Trappe SW, Trappe TA. Effects of aging and lifelong aerobic exercise on basal and exercise-induced inflammation. J Appl Physiol (1985). 2020 Jan 1;128(1):87-99. doi: 10.1152/japplphysiol.00495.2019. Epub 2019 Nov 21. PMID: 31751180; PMCID: PMC6985808.

  13. Di Giosia P, Stamerra CA, Giorgini P, Jamialahamdi T, Butler AE, Sahebkar A. The role of nutrition in inflammaging. Ageing Res Rev. 2022 May;77:101596. doi: 10.1016/j.arr.2022.101596. Epub 2022 Feb 24. PMID: 35219904.

  14. Ghosh T.S., Rampelli S., Jeffery I.B., et. al.: Mediterranean diet intervention alters the gut microbiome in older people reducing frailty and improving health status: the NU-AGE 1-year dietary intervention across five European countries. Gut 2020; 69: pp. 1218-1228.

Authors

Jinan Banna

Author

Davide D’Amico

Reviewed by

Related articles

Keep up with the science of Urolithin A

Get updates straight to your inbox

Research
Privacy policy