Department of Neurology, Chiayi Chang Gung Memorial Hospital, No. 6, West Sec., Jiapu Road, Puzi City 613, Taiwan.
Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, No. 2, Sec. W., Jiapu Rd., Puzi City 613, Taiwan.
Nutrients. 2022 Aug 9;14(16):3254. doi: 10.3390/nu14163254.
This cross-sectional study assessed the association of eating behavior, nutritional risk, and frailty with sarcopenia in 208 community-dwelling individuals aged ≥65 years who were recruited from random rural community care centers in Chiayi County, Taiwan. The participants’ eating behavior was categorized into six categories. The gait speed (GS), grip strength, and appendicular skeletal muscle mass (ASM) were assessed based on these three parameters, which revealed that 50.9% of the participants had sarcopenia. In an adjusted model, water intake (odds ratio (OR) = 0.99, p = 0.044), dairy product intake (OR = 0.42, p = 0.049), body mass index (BMI) (OR = 0.77, p = 0.019), and marital status with widowed (OR = 0.31, p = 0.005) were significantly associated with sarcopenia. After eight steps of eliminating the least significant independent variable, age (p = 0.002), sex (p = 0.000), marital status with widowed (p = 0.001), water intake (p < 0.018), dairy product intake (p < 0.019), and BMI (p = 0.005) were found to be indispensable predictors of sarcopenia. The logistic regression model with these six indispensable variables had a predictive value of 75.8%. Longitudinal analyses are warranted to examine whether eating behavior is a risk factor for sarcopenia onset.
本横断面研究评估了 208 名年龄≥65 岁、来自台湾嘉义县随机农村社区护理中心的社区居民的饮食行为、营养风险和虚弱与肌肉减少症的相关性。参与者的饮食行为分为六类。根据这三个参数评估了步态速度(GS)、握力和四肢骨骼肌质量(ASM),结果显示 50.9%的参与者患有肌肉减少症。在调整后的模型中,饮水量(比值比(OR)= 0.99,p = 0.044)、乳制品摄入量(OR = 0.42,p = 0.049)、体重指数(BMI)(OR = 0.77,p = 0.019)和丧偶的婚姻状况(OR = 0.31,p = 0.005)与肌肉减少症显著相关。经过 8 步消除最不重要的独立变量后,发现年龄(p = 0.002)、性别(p = 0.000)、丧偶的婚姻状况(p = 0.001)、饮水量(p < 0.018)、乳制品摄入量(p < 0.019)和 BMI(p = 0.005)是肌肉减少症不可或缺的预测因子。包含这 6 个不可或缺变量的逻辑回归模型具有 75.8%的预测价值。需要进行纵向分析,以检验饮食行为是否是肌肉减少症发病的危险因素。