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[老年人的蛋白质摄入量、血脂与肌肉力量]

[Protein intake, serum lipids and muscle strenght in the elderly].

作者信息

Amador-Licona Norma, Moreno-Vargas Evelin Valeria, Martinez-Cordero Claudia

机构信息

Universidad La Salle.

出版信息

Nutr Hosp. 2018 Jan 10;35(1):65-70. doi: 10.20960/nh.1368.

Abstract

INTRODUCTION

The daily protein recommendation for adults is 0.8 g/kg/day; however, several studies argue that an intake of 1.0-1.5 g protein/kg/day could benefit the health of the elderly.

OBJECTIVE

We evaluated the protein intake and serum lipid levels in elderly patients with hip fracture, determining their correlation with the grip strength in both hands.

METHODS

The study included 47 adult patients aged 65-85 years hospitalized for recent hip fracture. Weight, height, lipid profile and muscle strength of both hands were measured, and MNA was also used to evaluate the nutritional status.

RESULTS

The elderly, predominantly women and with a homogeneous age of 80 years on average, were malnourished or at risk of malnutrition in 93% of cases according to the MNA. Men consumed significantly more protein than women. Muscle strength negatively associated with triglyceride levels; 36% of the elderly had triglyceride levels above 150 mg/dl.

CONCLUSIONS

TG levels associated inversely with muscle strength in elderly patients with hip fracture. According to these results, which should be validated in other populations, elevated TG levels are a factor of metabolic syndrome and are associated with low muscle strength in the elderly. This is relevant because obesity prevention and metabolic syndrome are one priority through the promotion of healthier lifestyles and nutrition policies that could be widely implemented.

摘要

引言

成人每日蛋白质推荐摄入量为0.8克/千克/天;然而,多项研究认为,摄入1.0 - 1.5克蛋白质/千克/天可能对老年人的健康有益。

目的

我们评估了老年髋部骨折患者的蛋白质摄入量和血脂水平,确定它们与双手握力的相关性。

方法

该研究纳入了47名年龄在65 - 85岁之间因近期髋部骨折住院的成年患者。测量了体重、身高、血脂谱和双手肌肉力量,并使用微型营养评定法(MNA)评估营养状况。

结果

根据MNA,这些老年人中93%营养不良或有营养不良风险,以女性为主,平均年龄80岁。男性摄入的蛋白质明显多于女性。肌肉力量与甘油三酯水平呈负相关;36%的老年人甘油三酯水平高于150毫克/分升。

结论

髋部骨折老年患者的甘油三酯水平与肌肉力量呈负相关。根据这些结果(应在其他人群中进行验证),甘油三酯水平升高是代谢综合征的一个因素,并且与老年人肌肉力量低有关。这很重要,因为通过推广可广泛实施的更健康生活方式和营养政策来预防肥胖和代谢综合征是一个优先事项。

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