绝经后女性主要饮食模式与肌肉减少症之间的关系。

Relationship between major dietary patterns and sarcopenia among menopausal women.

作者信息

Mohseni Reza, Aliakbar Sima, Abdollahi Afsoun, Yekaninejad Mir Saeed, Maghbooli Zhila, Mirzaei Khadijeh

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

出版信息

Aging Clin Exp Res. 2017 Dec;29(6):1241-1248. doi: 10.1007/s40520-016-0721-4. Epub 2017 Feb 21.

DOI:10.1007/s40520-016-0721-4

PMID:28224473

Abstract

BACKGROUND AND AIM

Dietary habits have been associated with the prevalence of the sarcopenia and limited data are available in this field for menopausal women. This study focused on the relationship between dietary patterns and prevalence of the sarcopenia in menopausal women.

METHODS

This cross-sectional study was done in 250 menopausal women 45 years old or older. Dietary data were collected using a food-frequency questionnaire and physical activity was assessed by International Physical Activity Questionnaire (IPAQ). Height, weight, skeletal muscle mass, hand grip, and gait speed were measured and sarcopenia was defined based on European Working Group on Sarcopenia in Older People (EWGSOP) guidelines.

RESULTS

Using factor analysis, two major dietary patterns were found: a Western pattern (high in commercial beverage, sugar and dessert, snacks, solid fat, potato, high fat dairy, legume, organ meat, fast food, and sweets) and a Mediterranean pattern (high in olive, low-fat dairy, vegetable, fish, nut, and vegetable oil). After adjusting for confounding variables, for the highest vs the lowest tertiles, the Odds Ratio (OR) for sarcopenia was 1.06 [95% confidence interval (CI), 0.47-2.37] in the Western pattern and 0.40 [95% confidence interval (CI), 0.17-0.89] in the Mediterranean pattern.

CONCLUSIONS

Our findings suggest that Mediterranean dietary pattern has a favorable role in the prevention of sarcopenia.

摘要

背景与目的

饮食习惯与肌肉减少症的患病率有关，而关于绝经后女性在这方面的数据有限。本研究聚焦于绝经后女性的饮食模式与肌肉减少症患病率之间的关系。

方法

这项横断面研究针对250名45岁及以上的绝经后女性开展。使用食物频率问卷收集饮食数据，并通过国际体力活动问卷（IPAQ）评估体力活动情况。测量身高、体重、骨骼肌质量、握力和步速，并根据老年人肌肉减少症欧洲工作组（EWGSOP）的指南定义肌肉减少症。

结果

通过因子分析，发现了两种主要的饮食模式：西方模式（高商业饮料、糖和甜点、零食、固体脂肪、土豆、高脂肪乳制品、豆类、内脏肉、快餐和甜食）和地中海模式（高橄榄油、低脂乳制品、蔬菜、鱼类、坚果和植物油）。在对混杂变量进行调整后，对于最高三分位数与最低三分位数，西方模式中肌肉减少症的优势比（OR）为1.06 [95%置信区间（CI），0.47 - 2.37]，地中海模式中为0.40 [95%置信区间（CI），0.17 - 0.89]。