Yoo Jun-Il, Ha Yong-Chan, Lee Young-Kyun, Yoo Moon-Jib, Koo Kyung-Hoi
Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Korea.
Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, 102 Heukseok-ro, Dongjak-ku, Seoul, 156-755, South Korea.
BMC Geriatr. 2017 May 30;17(1):114. doi: 10.1186/s12877-017-0507-3.
Alcohol consumption is considered a risk factor for sarcopenia, but the association between alcohol consumption and the prevalence of sarcopenia has not been evaluated in detail. This study was to identify the relationship between alcohol drinking patterns and the prevalence of sarcopenia in the elderly Korean population.
The cross-sectional study was performed using data from the Korea National Health and Nutrition Examination Survey. Participants were excluded if they were under the age of 65, or if data was not available regarding skeletal muscle mass or dietary intake. After these exclusions, a total of 4020 participants (men: 1698; women: 2322) were analyzed in the present study. Sarcopenia is defined according to the criteria for the Asia Working Group for Sarcopenia (AWGS). Binge drinking was defined as consuming ≥5 standard alcoholic drinks (≥4 drinks for women) consecutively on one occasion. This data was subcategorized into two groups based on presence of binge drinking: Social drinking (≤1 time/month) and binge drinking (>1 time/month).
Women binge drinkers with weekly or daily consumption had 2.8 times higher prevalence of sarcopenia than social drinkers (Odds Ratio [OR] = 2.84; 95% Confidence Interval [CI] = 1.12-7.29). However, there were no associations between binge drinkers and sarcopenia in men. After adjusting for age, body mass index (BMI), energy intake, moderate physical activity, and energy intake, women binge drinkers with weekly or daily alcohol consumption had 3.9 times higher prevalence of sarcopenia than social drinkers (OR = 3.88; 95% CI = 1.33-11.36).
The prevalence of sarcopenia in elderly women was related to binge drinking frequency and amounts of drinking after adjusting for covariates. Elderly Korean women who binge drink once or more per week may be associated with sarcopenia, as seen with the observed 3.9 times higher prevalence compared to social drinkers.
饮酒被认为是肌肉减少症的一个风险因素，但饮酒与肌肉减少症患病率之间的关联尚未得到详细评估。本研究旨在确定韩国老年人群饮酒模式与肌肉减少症患病率之间的关系。
本横断面研究使用了韩国国家健康与营养检查调查的数据。如果参与者年龄在65岁以下，或者没有关于骨骼肌质量或饮食摄入的数据，则将其排除。排除这些参与者后，本研究共分析了4020名参与者（男性：1698名；女性：2322名）。肌肉减少症根据亚洲肌肉减少症工作组（AWGS）的标准进行定义。暴饮被定义为一次连续饮用≥5标准酒精饮料（女性≥4杯）。根据是否存在暴饮，将这些数据分为两组：社交饮酒（≤每月1次）和暴饮（>每月1次）。
每周或每天饮酒的女性暴饮者患肌肉减少症的患病率比社交饮酒者高2.8倍（优势比[OR]=2.84；95%置信区间[CI]=1.12-7.29）。然而，男性暴饮者与肌肉减少症之间没有关联。在调整年龄、体重指数（BMI）、能量摄入、适度身体活动和能量摄入后，每周或每天饮酒的女性暴饮者患肌肉减少症的患病率比社交饮酒者高3.9倍（OR=3.88；95%CI=1.33-11.36）。
在调整协变量后，老年女性肌肉减少症的患病率与暴饮频率和饮酒量有关。每周暴饮一次或多次的韩国老年女性可能与肌肉减少症有关，与社交饮酒者相比，其患病率高出3.9倍。
