Study Reveals How Diet Influences Aging Metabolism Differently by Sex

Research has unveiled significant differences in how diet affects metabolism as individuals age, revealing distinct patterns between men and women. A study published in the journal Nutrients indicates that while plant proteins and whole grains enhance insulin sensitivity in men, moderate wine consumption appears to benefit women.

As people age, their metabolism naturally slows, a decline exacerbated by poor dietary choices. The study, titled Sex Differences in Associations Between Diet and Metabolic Health in Older Adults: The Roles of Vegetable Protein and Alcohol Intake, emphasizes the critical role of biological sex in metabolic health deterioration.

Understanding Aging and Metabolism

The aging process leads to a decline in metabolic and functional health, influenced by a combination of genetic, environmental, and lifestyle factors. Dietary patterns, such as the Mediterranean diet, are consistently associated with healthy aging, highlighting the necessity of a balanced diet. Research has shown that men and women metabolize dietary components differently, with women exhibiting a more efficient processing of dietary fats before menopause. Despite this knowledge, further investigation into these differences has been limited.

Maintaining healthy blood glucose levels becomes increasingly crucial with age. Conditions such as hyperglycemia and insulin resistance are linked to cardiometabolic diseases, with rising fasting glucose levels and declining glucose tolerance posing risks for type 2 diabetes and cardiovascular disease as individuals grow older. The phenomenon of inflammaging, or chronic inflammation associated with aging, plays a significant role in these conditions, driven by factors such as emerging insulin resistance and elevated insulin levels.

Key Findings from the Study

The recent study analyzed data from the Metformin to Augment Strength Training Effective Response in Seniors (MASTERS) study, which included 96 healthy older adults with a median age of 69 years and body mass index (BMI) values ranging from 19 to 34 kg/m2. Participants maintained detailed food diaries over four days, and metabolic health was assessed through measures of insulin resistance and sensitivity, utilizing the oral glucose tolerance test (OGTT).

Men exhibited a higher total energy intake compared to women, while women had a greater overall fiber consumption, largely attributed to higher insoluble fiber intake. The analysis revealed distinct dietary patterns; for women, alcohol or xylitol intake correlated with greater insulin sensitivity. In contrast, higher consumption of vegetable protein and whole grains was linked to improved insulin sensitivity in men.

The research identified several plant-derived nutrients positively associated with insulin sensitivity in men, including inositol, phytic acid, and vitamin E. Conversely, higher intake of refined grains and conjugated linoleic acid (CLA) negatively impacted insulin sensitivity. Notably, insulin resistance among women was associated with increased BMI, illustrating how fat deposition influences metabolic health.

Using linear regression models, the study demonstrated that insulin sensitivity in men correlated with whole grains, nuts, and seeds; in women, it was primarily linked to alcohol intake. Although the initial findings indicated a connection between alcohol consumption and insulin sensitivity in women, this association diminished after accounting for multiple comparisons, indicating a need for cautious interpretation.

The study emphasizes the potential metabolic benefits of a plant-based diet, particularly regarding insulin sensitivity. The favorable associations observed with nutrients such as inositol and phytic acid further highlight the positive impact of plant compounds on metabolic health.

Researchers stress the need for further studies to validate these findings and explore the dietary patterns that best support metabolic health across different sexes as individuals age. They also caution that the results may not be applicable to populations outside this relatively healthy, predominantly Caucasian group.

This study underscores the importance of tailored dietary recommendations based on sex to optimize metabolic health in older adults. The findings contribute to a growing body of evidence that supports the role of a balanced diet in promoting healthy aging.