Xia Zhiwei, Meng Liping, Man Qingqing, Li Lixiang, Song Pengkun, Li Yuqian, Gao Yixiong, Ja Shanshan, Zhang Jian
Wei Sheng Yan Jiu. 2016 May;45(3):388-93.
To analyze the dietary factors on sarcopenia in elderly in Beijing and provide nutritional recommendations for the sarcopenia.
A total of 830 participants aged 60 and above and without serious diseases were selected from two representative communities in Beijing. A cross-sectional research design was used, including inquiry investigation, dietary surveys (food frequency questionnaire) anthropometry, muscle mass and functional assessment.
The prevalence of sarcopenia was 20.1% in this area, the men was 17.1%, while the women was 21.6% (P > 0.05). The prevalence of sarcopenia in the five age groups has significant statistically difference (chi2 = 19.03, P = 0.0008) and increased with age rising (Z = -4.18, P < 0.0001). The prevalence of sarcopenia would be downward if the time of exercise prolonged and body mass index (BMI) increased (P < 0.05). The prevalence of sarcopenia in the group of meat consumption <35, 35-70, > 70 g/d was 24.5%,19.9% and 15. 3% (chi2 = 6.02, P = 0.0492), respectively (trend test for groups comparison, Z = 2.45, P =0.0141). The prevalence of sarcopenia in the group of egg consumption <35, 35-60, >60 g/d was 25.8%, 18.7% and 11.3% (chi2 = 6.50, P = 0.0388), respectively ( trend test for groups comparison, Z =2. 55, P = 0.0109). The prevalence of sarcopenia in the group of energy consumption < 1612, 1612-2109, > 2109 kcal/d was 25.8%,19.5% and 15. 0% (x2 = 8. 19 , P = 0. 0158), respectively (trend test for groups comparison, Z = 2.87, P = 0.0042). The prevalence of sarcopenia in the group of protein consumption < 58.2, 58.2 - 78.4, > 78.4 g/d was 25.3%, 18.2% and 16.7% (chi2 = 5.97, P = 0. 0505 ) , respectively (Z = 2.28, P = 0.0227). After controlling the influence of age, BMI, exercise and education, meat consumption (beta = -0.1703, P = 0.0119), egg consumption (beta = -0.1545, P = 0.0302) and the high quality protein consumption (beta = -0.1805, P = 0.0302) were negatively related with sarcopenia.
Animal food, such as meet and egg, is an important protective factor for sarcopenia. Therefore, it is the first important thing for the elderly to ensure adequate energy intake, then you should increase the animal food intake which contains high quality protein to prevent sarcopenia.
分析北京市老年人肌肉减少症的饮食因素,并为肌肉减少症提供营养建议。
从北京市两个具有代表性的社区中选取830名60岁及以上且无严重疾病的参与者。采用横断面研究设计,包括询问调查、饮食调查(食物频率问卷)、人体测量、肌肉质量和功能评估。
该地区肌肉减少症的患病率为20.1%,男性为17.1%,女性为21.6%(P>0.05)。五个年龄组的肌肉减少症患病率有显著统计学差异(χ2=19.03,P=0.0008),且随年龄增长而增加(Z=-4.18,P<0.0001)。如果运动时间延长和体重指数(BMI)增加,肌肉减少症的患病率会下降(P<0.05)。肉类摄入量<35、35 - 70、>70g/d组的肌肉减少症患病率分别为24.5%、19.9%和15.3%(χ2=6.02,P=0.0492)(组间比较趋势检验,Z=2.45,P=0.0141)。蛋类摄入量<35、35 - 60、>60g/d组的肌肉减少症患病率分别为25.8%、18.7%和11.3%(χ2=6.50,P=0.0388)(组间比较趋势检验,Z=2.55,P=0.0109)。能量摄入量<1612、1612 - 2109、>2109kcal/d组的肌肉减少症患病率分别为25.8%、19.5%和15.0%(χ2=8.19,P=0.0158)(组间比较趋势检验,Z=2.87,P=0.0042)。蛋白质摄入量<58.2、58.2 - 78.4、>78.4g/d组的肌肉减少症患病率分别为25.3%、18.2%和16.7%(χ2=5.97,P=0.0505)(Z=2.28,P=0.0227)。在控制年龄、BMI、运动和教育的影响后,肉类摄入量(β=-0.1703,P=0.0119)、蛋类摄入量(β=-0.1545,P=0.0302)和优质蛋白质摄入量(β=-0.1805,P=0.0302)与肌肉减少症呈负相关。
肉类和蛋类等动物性食物是肌肉减少症的重要保护因素。因此,老年人首先要保证充足的能量摄入,然后应增加富含优质蛋白质的动物性食物摄入量以预防肌肉减少症。