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[社区绝经后妇女的蛋白质摄入量及其与肌肉减少症的关系]

[Protein intake in community-dwelling postmenopausal women and its relationship with sarcopenia].

作者信息

Guillamón Escudero Carlos, Soriano Del Castillo José Miguel, Diago Galmés Ángela, Tenías Burillo José M, Fernández Garrido Julio

机构信息

Hospital General Universitari de Castelló.

Food & Health Lab. Instituto de Ciencias de los Materiales. Universitat de València.

出版信息

Nutr Hosp. 2021 Dec 9;38(6):1209-1216. doi: 10.20960/nh.03690.

Abstract

Objectives: the general aging of the population is related to the increase in the prevalence of sarcopenic disease; especially among older women, this pathology is closely related to nutrition and specifically to protein consumption in older adults. The aim of our study was to evaluate the possible relationship between a low protein intake and a higher prevalence of sarcopenic disease, a worse dietary pattern, and lower physical performance in postmenopausal women living in the community. Material and methods: the study was carried out in a total of 164 independent women over 65 years of age, recruited from a municipal social center in Valencia (Benimaclet). The presence of sarcopenic pathology was evaluated using the latest algorithm published by EWGSOP2, and the intake of nutrients through a three-day dietary record. Physical performance was evaluated through the iPaq-e questionnaire, as well as the SPPB test and the 4-meter gait speed test. Results: the total sample comprised 164 women with a mean age of ± 72 years; 26.2 % of the sample had a protein intake lower than recommended by the FAO/WHO; 25.6 % of the women presented some stage of sarcopenia; regarding the prevalence of sarcopenic obesity, 12.2 % of the sample was affected by this disease. Significant relationships were found between protein consumption and the prevalence of sarcopenia (p = 0.021) and sarcopenic obesity (p = 0.043). Significant related differences were found between the majority of macronutrients and micronutrients under study and protein consumption. No relationship was found between protein intake and physical performance. Conclusions: protein consumption in most of the women studied (73.8 %) was higher than the daily recommendations established by the FAO/WHO. There was a significant relationship between the prevalence of sarcopenia and sarcopenic obesity, and low protein intake. Higher protein intake was associated with a higher energy intake pattern. No relationship was found between protein intake and physical performance of the participants.

摘要

目的

人口老龄化与肌肉减少症患病率的增加有关;尤其是在老年女性中,这种病症与营养密切相关,特别是与老年人的蛋白质摄入量有关。我们研究的目的是评估低蛋白摄入量与社区绝经后女性肌肉减少症患病率较高、饮食模式较差以及身体机能较低之间的可能关系。

材料与方法

该研究共对164名65岁以上的独立女性进行,她们是从瓦伦西亚(贝尼马克莱特)的一个市政社会中心招募的。使用EWGSOP2发布的最新算法评估肌肉减少症的存在情况,并通过为期三天的饮食记录评估营养摄入量。通过iPaq-e问卷以及SPPB测试和4米步态速度测试评估身体机能。

结果

总样本包括164名平均年龄为±72岁的女性;26.2%的样本蛋白质摄入量低于粮农组织/世卫组织的建议值;25.6%的女性存在某种程度的肌肉减少症;关于肌肉减少性肥胖的患病率,12.2%的样本受此疾病影响。发现蛋白质摄入量与肌肉减少症患病率(p = 0.021)和肌肉减少性肥胖患病率(p = 0.043)之间存在显著关系。在所研究的大多数常量营养素和微量营养素与蛋白质摄入量之间发现了显著的相关差异。未发现蛋白质摄入量与身体机能之间存在关系。

结论

在大多数研究女性(73.8%)中,蛋白质摄入量高于粮农组织/世卫组织确定的每日建议值。肌肉减少症和肌肉减少性肥胖的患病率与低蛋白摄入量之间存在显著关系。较高的蛋白质摄入量与较高的能量摄入模式相关。未发现蛋白质摄入量与参与者的身体机能之间存在关系。

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