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老年人的时间营养学行为与肌肉健康之间的关联:肌肉、 Mobility与衰老研究(SOMMA) 。 注:这里“Mobility”可能是特定研究中的一个术语,不太明确其准确含义,可根据实际情况进一步调整表述。

The association between chrononutrition behaviors and muscle health among older adults: The Study of Muscle, Mobility and Aging (SOMMA).

作者信息

Mao Ziling, Cawthon Peggy M, Kritchevsky Stephen B, Toledo Frederico G S, Esser Karyn A, Erickson Melissa L, Newman Anne B, Farsijani Samaneh

出版信息

medRxiv. 2023 Nov 13:2023.11.13.23298454. doi: 10.1101/2023.11.13.23298454.

Abstract

BACKGROUND

Emerging studies highlight chrononutrition's impact on body composition through circadian clock entrainment, but its effect on older adults' muscle health remains largely overlooked.

OBJECTIVE

To determine the associations between chrononutrition behaviors and muscle health in older adults.

METHODS

Dietary data from 828 older adults (76±5y) recorded food/beverage amounts and their clock time over the past 24 hours. Studied chrononutrition behaviors included: The clock time of the first and last food/beverage intake; Eating window (the time elapsed between the first and last intake); and Eating frequency (Number of self-identified eating events logged with changed meal occasion and clock time). Muscle mass (D -creatine), leg muscle volume (MRI), grip strength (hand-held dynamometer), and leg power (Keiser) were used as outcomes. We used linear regression to assess the relationships between chrononutrition and muscle health, adjusting for age, sex, race, marital status, education, study site, self-reported health, energy, protein, fiber intake, weight, height, and moderate-to-vigorous physical activity.

RESULTS

Average eating window was 11±2 h/d; first and last intake times were at 8:22 and 19:22, respectively. After multivariable adjustment, a longer eating window and a later last intake time were associated with greater muscle mass (β±SE: 0.18±0.09; 0.27±0.11, respectively, <0.05). The longer eating window was also marginally associated with higher leg power ( =0.058). An earlier intake time was associated with higher grip strength (-0.38±0.15; =0.012).

CONCLUSIONS

Chrononutrition behaviors, including longer eating window, later last intake time, and earlier first intake time were associated with better muscle mass and function in older adults.

KEY FINDINGS

Chrononutrition behaviors, including longer eating window, later last intake time, and earlier first intake time were associated with better muscle mass and function in older adults.

摘要

背景

新兴研究强调了时间营养学通过昼夜节律同步对身体成分的影响,但其对老年人肌肉健康的影响在很大程度上仍被忽视。

目的

确定老年人时间营养行为与肌肉健康之间的关联。

方法

828名老年人(76±5岁)的饮食数据记录了过去24小时内食物/饮料的摄入量及其进食时间。研究的时间营养行为包括:首次和末次食物/饮料摄入的时间;进食窗口(首次和末次摄入之间的时间间隔);以及进食频率(记录的因用餐场合和时间变化而确定的进食事件数量)。肌肉质量(D -肌酸)、腿部肌肉体积(磁共振成像)、握力(手持测力计)和腿部力量(凯泽尔测试)作为观察指标。我们使用线性回归来评估时间营养与肌肉健康之间的关系,并对年龄、性别、种族、婚姻状况、教育程度、研究地点、自我报告的健康状况、能量、蛋白质、纤维摄入量、体重、身高以及中度至剧烈身体活动进行了调整。

结果

平均进食窗口为11±2小时/天;首次和末次摄入时间分别为8:22和19:22。经过多变量调整后,较长的进食窗口和较晚的末次摄入时间与更大的肌肉质量相关(β±标准误:分别为0.18±0.09;0.27±0.11,P<0.05)。较长的进食窗口也与较高的腿部力量存在边缘关联(P = 0.058)。较早的摄入时间与较高的握力相关(-0.38±0.15;P = 0.012)。

结论

时间营养行为,包括较长的进食窗口、较晚的末次摄入时间和较早的首次摄入时间,与老年人更好的肌肉质量和功能相关。

主要发现

时间营养行为,包括较长的进食窗口、较晚的末次摄入时间和较早的首次摄入时间,与老年人更好的肌肉质量和功能相关。

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