Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 9 Issue 12

Effect of Agaro-Oligosaccharide Intake on Prevention of Muscle Strength Decline in Older Women: A Randomized Controlled Trial

Rina Kurasawa1, Hiroyuki Hasegawa2, Suguru Kurokawa1,2, Koji Karasawa3, Toshiyuki Ochi3, Takahiro Kubota4 and Ryoji Hirota5*

1Graduate School of Health Sciences, Matsumoto University, Nagano, Japan
2Faculty of Human Health Sciences, Matsumoto University, Nagano, Japan
3R&D Division, Ina Food Industry Co., Ltd., Nagano, Japan
4Department of Biopharmaceutics, Faculty of Pharmaceutical Sciences, Niigata University of Pharmacy and Medical and Life Sciences, Niigata, Japan
5Department of Hygiene, Kitasato University School of Medicine, Kanagawa, Japan

*Corresponding Author: Ryoji Hirota, Department of Hygiene, Kitasato University School of Medicine, Kanagawa, Japan.

Received: October 14, 2025; Published: November 10, 2025

Abstract

Background: Frailty and sarcopenia are major health issues among older women. Agaro-oligosaccharides (AGO), low-molecular-weight carbohydrates derived from agarose, exhibit anti-inflammatory and antioxidant activities that may support muscle maintenance.

Methods: In this 12-week randomized, double-blind, placebo-controlled trial, 23 community-dwelling older women (AGO n = 12; placebo n = 11) received AGO (500 mg/day) or placebo. Outcomes included 10-m walking speed, grip strength, 30-second chair-stand test (CS-30), timed up-and-go (TUG), and lower-limb circumferences.

Results: At week 6, the AGO group showed a greater increase in left-hand grip strength than placebo (Δ = +1.2 ± 1.5 kg vs −0.5 ± 1.4 kg; p = 0.020) and a greater increase in right calf circumference (Δ = +0.6 ± 1.3 cm vs −1.1 ± 1.3 cm; p = 0.008). In the pre-frail subgroup (frailty score ≥4; n = 9), left-hand grip strength improved significantly with AGO (Δ = +1.8 ± 1.8 kg; p = 0.049). Between-group differences were not significant at week 12, although directions of change remained favorable in the AGO group. No serious adverse events occurred.

Conclusions: AGO supplementation (500 mg/day) was well tolerated and associated with short-term improvements in muscle strength and calf circumference among older women, with signals stronger in pre-frail participants. Larger, longer trials are warranted to confirm durability and clinical relevance.

Keywords: Agaro-oligosaccharides; sarcopenia; frailty; older women; randomized controlled trial; muscle strength

References

  1. Ashall L., et al. "Pulsatile Stimulation Determines Timing and Specificity of Nf-Kappab-Dependent Transcription”. Science5924 (2009): 242-246.
  2. Bano G., et al. "Inflammation and Sarcopenia: A Systematic Review and Meta-Analysis”. Maturitas 96 (2017): 10-15.
  3. Bjorkman L., et al. "The Neutrophil Response Induced by an Agonist for Free Fatty Acid Receptor 2 (Gpr43) Is Primed by Tumor Necrosis Factor Alpha and by Receptor Uncoupling from the Cytoskeleton but Attenuated by Tissue Recruitment”. Molecular and Cellular Biology 20 (2016): 2583-2595.
  4. Bohannon R W. "Grip Strength: An Indispensable Biomarker for Older Adults”. Clinical Interventions in Aging 14 (2019): 1681-1691.
  5. Li M., et al. Isolation and characterization of an agaro-oligosaccharide-hydrolyzing bacterium from the gut microflora of Chinese individuals. PLoS ONE 9; e91106: 2014. doi: 10.1371/journal.pone.0091106.
  6. Chen X., et al. "Agar Oligosaccharides: A Review of Preparation, Structures, Bioactivities and Application”. Carbohydrate Polymer 265 (2021): 118076.
  7. Dalle S., et al. "The Role of Inflammation in Age-Related Sarcopenia”. Frontiers in Physiology 8 (2017): 1045.
  8. Dodds RM., et al. "Grip Strength across the Life Course: Normative Data from Twelve British Studies”. PLoS One12 (2014): e113637.
  9. Higashimura Y., et al. "Oligosaccharides from Agar Inhibit Murine Intestinal Inflammation through the Induction of Heme Oxygenase-1 Expression”. Journal of Gastroenterology8 (2013): 897-909.
  10. Higashimura Y., et al. "Protective Effect of Agaro-Oligosaccharides on Gut Dysbiosis and Colon Tumorigenesis in High-Fat Diet-Fed Mice”. American Journal of Physiology-Gastrointestinal and Liver Physiology 6 (2016): G367-375.
  11. Higashimura, Y., et al. "Oligosaccharides from Agar Inhibit Pro-Inflammatory Mediator Release by Suppressing the Nuclear Factor-Kappa B Pathway in Macrophages”. Clinical and Experimental Immunology2 (2013): 230-239.
  12. Hogrel J Y. "Grip Strength Measured by High Precision Dynamometry in Healthy Subjects from 5 to 80 Years”. BMC Musculoskeletal Disorder 16 (2015): 139.
  13. Huang Y., et al. "The Effects of Agaro-Oligosaccharides Produced by Marine Bacteria (Rheinheimera Sp. (Hy)) Possessing Agarose-Degrading Enzymes on Myotube Function”. Marine Drugs11 (2024).
  14. Jiang C., et al. "Advances in Agaro-Oligosaccharides Preparation and Bioactivities for Revealing the Structure-Function Relationship”. Food Research International 145 (2021): 110408.
  15. Jo E., et al. "Odd-Numbered Agaro-Oligosaccharides Produced by Alpha-Neoagaro-Oligosaccharide Hydrolase Exert Antioxidant Activity in Human Dermal Fibroblasts”. Marine Drugs11 (2024).
  16. Karasawa K., et al. "Improvement of Gait Speed with Agaro-Oligosaccharide Intake in Older Men”. Japanese Patent No. 7236712 (registration date: 2023-03-02) (in Japanese) (2023)
  17. Kurasawa R., et al. "Preliminary Evidence for the Feasibility and Potential Functional Benefits of Agaro-Oligosaccharides in Prefrail Older Men: A Case-Series with Random Allocation”. Preventive Medicine Research (In press.)
  18. Liu CK and RA Fielding. "Exercise as an Intervention for Frailty”. Clinics in Geriatric Medicine1 (2011): 101-110.
  19. Pahor M., et al. "Effect of Structured Physical Activity on Prevention of Major Mobility Disability in Older Adults: The Life Study Randomized Clinical Trial”. JAMA23 (2014): 2387-2396.
  20. Shen J., et al. "Eco-Friendly Production and Probiotic Purification of Agarose Degradation Products: Oligosaccharides and 3,6-Anhydro-L-Galactose”. International Journal of Biological Macromolecules2 (2024): 135682.
  21. Shirai I., et al. "Orally Administered Low-Molecular Weight Agaro-Oligosaccharides Are Absorbed into the Plasma of Healthy Humans”. Frontiers in Nutrition 10 (2023): 1273328.
  22. Shirai I., et al. "Intestinal Permeability of Agaro-Oligosaccharides: Transport across Caco-2 Cell Monolayers and Pharmacokinetics in Rats”. Frontiers in Nutrition 9 (2022): 996607.
  23. Studenski S., et al. "Gait Speed and Survival in Older Adults”. JAMA1 (2011): 50-58.
  24. Wang L., et al. "In Vitro and in Vivo Protective Effects of Agaro-Oligosaccharides against Hydrogen Peroxide-Stimulated Oxidative Stress”. Polymers (Basel)7 (2023).
  25. Wang Q., et al. "Agaro-Oligosaccharides Mitigate Deoxynivalenol-Induced Intestinal Inflammation by Regulating Gut Microbiota and Enhancing Intestinal Barrier Function in Mice”. Food Function 7 (2024): 3380-3394.
  26. Yuan L., et al. "Multi-Omics Analysis Reveals That Agaro-Oligosaccharides with Different Degrees of Polymerization Alleviate Colitis in Mice by Regulating Intestinal Flora and Arginine Synthesis”. Food Function 21 (2024): 10628-10643.

Citation

Citation: Ryoji Hirota., et al. “Effect of Agaro-Oligosaccharide Intake on Prevention of Muscle Strength Decline in Older Women: A Randomized Controlled Trial”.Acta Scientific Medical Sciences 9.12 (2025): 15-25.

Copyright

Copyright: © 2025 Ryoji Hirota., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US