Fish oil and moderate exercise keep elderly immobility at bay

A new study suggests that moderate exercise and a regular intake of oily fish fatty acids keeps elderly immobility at bay.

Findings of a recent trial show that women aged over 65 who received omega-3 fatty acids gained almost twice as much muscle strength following exercise than those taking olive oil.

A larger trial is planned to confirm these findings and to determine why muscle condition improves.

The findings are being presented at the British Science Festival in Aberdeen.

Some studies have linked diets high in omega-3 – commonly found in oily fish such as mackerel and sardines – to potential health benefits, such as a lower risk of coronary heart disease.

During healthy ageing, muscle size is reduced by 0.5-2% per year.

This process – known as sarcopenia – can result in frailty and immobility in old people.

US data shows that 25% of people aged 50-70 have sarcopenia and this increases to more than half of those aged over 80 years.

According to Dr. Stuart Gray from the University of Aberdeen, the cost of sarcopenia is immense; either in direct nursing and care costs or in hospital admissions through falls.

“Around one-and-a-half percent of the total US healthcare budget is spent on sarcopenia-related issues,” he said.

The rate of muscle loss is dictated to some extent by lifestyle – consumption of a low protein diet and a sedentary lifestyle are known to exacerbate muscle loss.

Previous studies demonstrated that livestock fed on omega 3-rich diets had increased muscle bulk.

This prompted Dr. Stuart Gray to investigate whether these fatty acids could help reverse sarcopenia in the elderly.

In his initial studies, he showed by MRI imaging that middle-aged rats taking fish oil supplement had a lower loss of lean mass than counterparts fed a normal diet.

“The fish oil seemed to be having anabolic [muscle-building] protective effects in the rats, but rats aren’t humans, so the next step was to try it in humans,” he said.

Dr. Stuart Gray recruited 14 women aged over 65 years and asked both groups to undergo a 12 week exercise programme consisting of two 30-minute sessions of standard leg muscle exercises.

Half the women were given the omega-3 fatty acids EPA and DHA, whist the other half received an olive oil placebo (negative control).

At the start and end of the trial, the women’s leg muscle strength was measured.

The results were compelling. Women receiving olive oil increased their muscle mass by 11% whilst those receiving EPA and DHA showed a 20% increase – a statistically significant improvement.

But as Dr. Stuart Gray was quick to point out, not all fish oil supplements contain beneficial amounts of these fatty acids.

He said: “One of the problems with a lot of these supplements is that the amount of EPA varies.

“A capsule containing one gram of fish oil might only contain 100 milligrams (mg) of EPA and some might contain 400.”

His advice for anyone wanting to improve their intake of dietary EPA and DHA was to take a supplement that contained the highest levels of these two fatty acids.

Alternatively, half of the average portion of oily fish contains equivalent amounts of beneficial EPA and DHA as those used in the trial.

The researchers have now received funding to carry out a larger trial that includes 60 people aged over 65 years to confirm the beneficial effects of the fatty acids. The new trial will recruit similar numbers of men and women.

Previous research has shown that men and women differ in their ability to synthesize new protein and also in their response to exercise.

“Older women have similar levels of protein synthesis to younger women whereas older men have lower levels compared to younger men.”

“Older men adapt to exercise and increase their protein synthesis. Older women don’t do this to a great extent, although their basal levels of synthesis are higher,” Dr. Stuart Gray explained.

Assessing whether women and men respond differently to exercise and fatty acid supplements will be one of the questions that the new trial will address.

The trial is scheduled to start in the next month and will recruit people from the Aberdeenshire area.