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肌肉减少症中的营养摄入变化与肌肉力量和身体表现变化的关联:SarcoPhAge 队列研究

Association between Changes in Nutrient Intake and Changes in Muscle Strength and Physical Performance in the SarcoPhAge Cohort.

机构信息

WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Division of Public Health, Epidemiology and Health Economics, University of Liège, CHU-Sart Tilman, Quartier Hôpital, Avenue Hippocrate 13 (Bât. B23), 4000 Liège, Belgium.

Engineering and Health Field: People, Bioproducts, Environment, Paris Institute of Technology for Life, Food and Environmental Sciences, 16 Claude Bernard Street, CEDEX 05, F-75231 Paris, France.

出版信息

Nutrients. 2020 Nov 13;12(11):3485. doi: 10.3390/nu12113485.

Abstract

Muscle weakness and physical performance impairment are common geriatric conditions that raise morbidity and mortality. They are known to be affected by nutrition, but only a few longitudinal studies exist. This study aims to fill this gap by exploring the association, over 3 years, between variations of nutrient intakes, as well as, on one side, the variations of handgrip strength, as a surrogate of muscle strength, and on the other side, the physical performance, assessed by gait speed. Participants from the SarcoPhAge study, a Belgian cohort of people aged 65 years and older, were asked to complete a self-administered food frequency questionnaire (FFQ) at the second (T2) and the fifth (T5) year of follow-up. Daily macro- and micronutrient intakes were measured and their changes in consumption over the three years of follow-up were then calculated. The association between changes in nutrients consumption and the variations in muscle parameters were investigated through multiple linear regressions. Out of the 534 participants included in the cohort, 238 had complete data at T2 and T5 (median age of 72.0 years (70.0-78.0 years), 60.9% women). In the cross-sectional analysis, calories, omega-3 fatty acids, potassium, and vitamins D, A, and K intakes were positively correlated with muscle strength. In the longitudinal analysis, neither the gait speed nor the muscle strength changes were significantly impacted by the variations. Other longitudinal investigations with longer follow-up are required to improve knowledge about these interrelations.

摘要

肌肉无力和身体机能障碍是常见的老年病况,会增加发病率和死亡率。已知它们受营养的影响,但仅有少数纵向研究存在。本研究旨在通过探索营养摄入量的变化与握力(肌肉力量的替代指标)变化以及身体机能(通过步态速度评估)变化之间的关联来填补这一空白,随访时间为 3 年。SarcoPhAge 研究的参与者是比利时一个年龄在 65 岁及以上的人群队列,要求他们在随访的第 2 年(T2)和第 5 年(T5)完成自我管理的食物频率问卷(FFQ)。测量了每日宏量和微量营养素的摄入量,并计算了三年内的消费变化。通过多元线性回归调查了营养素消耗变化与肌肉参数变化之间的关系。在队列中纳入的 534 名参与者中,有 238 名在 T2 和 T5 时具有完整的数据(中位年龄为 72.0 岁(70.0-78.0 岁),60.9%为女性)。在横断面分析中,热量、ω-3 脂肪酸、钾以及维生素 D、A 和 K 的摄入量与肌肉力量呈正相关。在纵向分析中,步态速度和肌肉力量变化均不受变化的显著影响。需要进行其他具有更长随访时间的纵向研究来增进对这些相互关系的了解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4abb/7696271/c141de81448f/nutrients-12-03485-g001.jpg

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