MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK; NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Department of Public Health, Epidemiology, and Health Economics, University of Liège, Quartier Hôpital, Liège, Belgium.
Clin Nutr. 2018 Aug;37(4):1121-1132. doi: 10.1016/j.clnu.2017.08.016. Epub 2017 Aug 24.
There is a growing body of evidence that links nutrition to muscle mass, strength and function in older adults, suggesting that it has an important role to play both in the prevention and management of sarcopenia. This review summarises the discussions of a working group [ESCEO working group meeting 8th September 2016] that met to review current evidence and to consider its implications for preventive and treatment strategies. The review points to the importance of 'healthier' dietary patterns that are adequate in quality in older age, to ensure sufficient intakes of protein, vitamin D, antioxidant nutrients and long-chain polyunsaturated fatty acids. In particular, there is substantial evidence to support the roles of dietary protein and physical activity as key anabolic stimuli for muscle protein synthesis. However, much of the evidence is observational and from high-income countries. Further high-quality trials, particularly from more diverse populations, are needed to enable an understanding of dose and duration effects of individual nutrients on function, to elucidate mechanistic links, and to define optimal profiles and patterns of nutrient intake for older adults.
越来越多的证据表明,营养与老年人的肌肉质量、力量和功能有关,这表明它在预防和管理肌肉减少症方面都起着重要作用。这篇综述总结了一个工作组[ESCEO 工作组会议,2016 年 9 月 8 日]的讨论情况,该工作组开会审查了现有证据,并考虑了其对预防和治疗策略的影响。该综述指出,在老年时,“更健康”的饮食模式非常重要,这些模式在质量上是充足的,以确保摄入足够的蛋白质、维生素 D、抗氧化营养素和长链多不饱和脂肪酸。特别是,有大量证据支持饮食蛋白质和体育活动作为肌肉蛋白质合成的关键合成代谢刺激物的作用。然而,大部分证据是观察性的,来自高收入国家。需要进一步进行高质量的试验,特别是来自更多样化人群的试验,以便了解单个营养素对功能的剂量和持续时间的影响,阐明其机制联系,并确定老年人最佳的营养素摄入模式和类型。