Lim Hee-Sook
Department of Food and Nutrition, Yeonsung University, Anyang, Korea.
J Bone Metab. 2020 May;27(2):143-149. doi: 10.11005/jbm.2020.27.2.143. Epub 2020 May 31.
Sarcopenia is associated with a variety of factors including age, diseases, exercise, and heredity. In particular, diet is known to affect changes in muscle mass loss.
The purpose of this study was to analyze the diversity of food intake according to the presence of sarcopenia in elderly people over 65 years old using the 2008 to 2011 Korea National Health and Nutrition Examination Survey. The differences in subjects' general characteristics, lifestyle, and intake of 15 food groups were compared, and the risk odds ratio (OR) for sarcopenia was calculated for each food intake by gender.
The proportion of sarcopenia was 27.7% for males and 24.3% for females. The sarcopenia group had significantly lower intakes of nuts and seeds, meats, and milks than the non-sarcopenia group in males. The females had significantly lower intake of fruits, milks, and beverages in non-sarcopenia group. The dietary diversity score was significantly lower in females with sarcopenia than non-sarcopenia group. Regression analysis of the risk OR for sarcopenia according to food group intake showed that the subjects in the lowest tertile (<31.1 g) had a 1.83 times (95% confidence interval [CI], 1.13-2.42) risk for sarcopenia in males. In case of milks intake of females, the risk for sarcopenia increased 1.39 times (95% CI, 1.11-1.86) in subjects with the lowest tertile (<30.1 g).
Dietary diversity status was the most vulnerable to female with sarcopenia. Sarcopenia was associated with meat intake in male and milk intake in female.
肌肉减少症与多种因素相关,包括年龄、疾病、运动和遗传。特别是,饮食已知会影响肌肉质量损失的变化。
本研究的目的是利用2008年至2011年韩国国家健康与营养检查调查,分析65岁以上老年人中肌肉减少症患者与非肌肉减少症患者食物摄入量的差异。比较了受试者的一般特征、生活方式以及15个食物组的摄入量,并按性别计算了每种食物摄入量的肌肉减少症风险比值比(OR)。
男性肌肉减少症的比例为27.7%,女性为24.3%。男性中,肌肉减少症组的坚果和种子、肉类及奶类摄入量显著低于非肌肉减少症组。女性中,非肌肉减少症组的水果、奶类及饮料摄入量显著较低。肌肉减少症女性的饮食多样性得分显著低于非肌肉减少症组。根据食物组摄入量对肌肉减少症风险OR进行的回归分析表明,男性摄入量处于最低三分位数(<31.1克)的受试者患肌肉减少症的风险为1.83倍(95%置信区间[CI],1.13 - 2.42)。对于女性奶类摄入量,摄入量处于最低三分位数(<30.1克)的受试者患肌肉减少症的风险增加1.39倍(95% CI,1.11 - 1.86)。
饮食多样性状况在患有肌肉减少症的女性中最为脆弱。肌肉减少症与男性的肉类摄入量和女性的奶类摄入量相关。