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巴西老年人中能量和营养素不足的高患病率。

High Prevalence of Energy and Nutrients Inadequacy among Brazilian Older Adults.

作者信息

Magalhães Natalia Vieira, Waitzberg Dan Linetzky, Lopes Natalia Correia, Vicedomini Ana Carolina Costa, Prudêncio Ana Paula Aguiar, Jacob-Filho Wilson, Busse Alexandre Leopold, Ferdinando Douglas, Alves Tatiana Pereira, Pereira Rosa Maria Rodrigues, Torrinhas Raquel Susana, Belarmino Giliane

机构信息

Laboratory of Nutrition and Metabolic Surgery of the Digestive System, LIM 35, Department of Gastroenterology, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo 01246-903, SP, Brazil.

Laboratório de Investigação Médica em Envelhecimento (LIM-66), Serviço de Geriatria, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo 01246-903, SP, Brazil.

出版信息

Nutrients. 2023 Jul 21;15(14):3246. doi: 10.3390/nu15143246.

Abstract

Poor nutrition increases the risk of diseases and adverse health outcomes in older adults. We evaluated the potential inadequacy of nutrient intake among older adults in Brazil and its association with body anthropometry and composition outcomes. Dietary intake was obtained from 295 community-living older adults (>60 years old), of both genders, using a seven-day food record. Nutrient inadequacy was further identified based on the Dietary Reference Intakes and European Guidelines. Skeletal muscle mass (SM), strength and performance, and the diagnosis of sarcopenia were assessed using reference methods. Nutritional inadequacy was high, with energy, dietary fiber, and six micronutrients exhibiting the greatest inadequacy levels (>80%). Energy intake was correlated with SM strength ( = 0.000) and performance ( = 0.001). Inadequate energy, fiber, and protein intakes influenced BMI, while inadequate intake of vitamin B6 directly affected the diagnosis of sarcopenia ( ≤ 0.005). Further research is required to investigate whether these inadequacies can be associated with other clinical health outcomes.

摘要

营养不良会增加老年人患病风险及出现不良健康结局的可能性。我们评估了巴西老年人营养摄入可能存在的不足及其与身体测量指标和身体成分指标之间的关联。通过七天饮食记录,获取了295名社区居住的60岁以上老年人(男女均有)的饮食摄入量。基于膳食参考摄入量和欧洲指南进一步确定营养不足情况。使用参考方法评估骨骼肌质量(SM)、力量和功能以及肌肉减少症的诊断。营养不足情况严重,能量、膳食纤维和六种微量营养素的不足水平最高(>80%)。能量摄入与SM力量(=0.000)和功能(=0.001)相关。能量、纤维和蛋白质摄入不足影响体重指数,而维生素B6摄入不足直接影响肌肉减少症的诊断(≤0.005)。需要进一步研究来调查这些不足是否与其他临床健康结局相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c1/10384757/f5b21a5ddcc9/nutrients-15-03246-g001.jpg

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