Abbasi Hanieh, Fahimfar Noushin, Surkan Pamela J, Azadbakht Leila
Department of Community Nutrition, School of Nutritional Sciences and Dietetics Tehran University of Medical Sciences Tehran Iran.
Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute Tehran University of Medical Sciences Tehran Iran.
Food Sci Nutr. 2023 Nov 20;12(2):1230-1244. doi: 10.1002/fsn3.3837. eCollection 2024 Feb.
The source and amount of protein intake may influence cardiovascular and inflammatory risk, especially in elders who are often more vulnerable. However, findings on elders have been contradictory. Therefore, we examined the association between dietary total, plant, and animal protein intake in relation to cardiovascular outcomes and inflammatory factors in elderly men. The present cross-sectional study included 357 elderly men. A validated and reliable food frequency questionnaire (FFQ) was used to assess dietary intake. All biochemical factors including triglycerides (TG), fasting blood sugar (FBS), high-sensitivity C-reactive protein (hs-CRP), interleukin 6 (IL6), and tumor necrosis factor-α (TNF-α) were measured. Waist circumference (WC) and blood pressure (BP) were also assessed. A significant inverse association was found between animal protein intake and systolic blood pressure (SBP; OR: 0.62; 95% CI: 0.42, 0.91; trend = .014). There were significant inverse associations between plant protein intake and WC (OR: 0.34; 95% CI: 0.17, 0.68; trend < .001), FBS (OR: 0.51; 95% CI: 0.29, 0.89; trend = .018) and Hs-CRP (OR: 0.39; 95% CI: 0.21, 0.70; trend = .002). Moreover, significant inverse associations were also found between total protein intake and SBP (OR: 0.54; 95% CI: 0.33, 0.86; trend = .010) and total protein and Hs-CRP (OR: 0.50; 95% CI: 0.28, 0.88; trend = .015). In elderly men, a high dietary intake of plant protein was associated with lower odds of having high WC, FBS, and Hs-CRP. In addition, high dietary intake of animal protein was associated with higher odds of having a high SBP level, which was explained by higher intake of dairy products.
蛋白质摄入的来源和数量可能会影响心血管和炎症风险,尤其是在通常更为脆弱的老年人中。然而,关于老年人的研究结果一直相互矛盾。因此,我们研究了老年男性饮食中总蛋白质、植物蛋白和动物蛋白摄入量与心血管结局及炎症因子之间的关联。本横断面研究纳入了357名老年男性。使用经过验证且可靠的食物频率问卷(FFQ)来评估饮食摄入量。测量了所有生化指标,包括甘油三酯(TG)、空腹血糖(FBS)、高敏C反应蛋白(hs-CRP)、白细胞介素6(IL6)和肿瘤坏死因子-α(TNF-α)。还评估了腰围(WC)和血压(BP)。发现动物蛋白摄入量与收缩压(SBP)之间存在显著负相关(OR:0.62;95%CI:0.42,0.91;趋势=0.014)。植物蛋白摄入量与WC(OR:0.34;95%CI:0.17,0.68;趋势<0.001)、FBS(OR:0.51;95%CI:0.29,0.89;趋势=0.018)和Hs-CRP(OR:0.39;95%CI:0.21,0.70;趋势=0.002)之间存在显著负相关。此外,总蛋白摄入量与SBP(OR:0.54;95%CI:0.33,0.86;趋势=0.010)以及总蛋白与Hs-CRP(OR:0.50;95%CI:0.28,0.88;趋势=0.015)之间也存在显著负相关。在老年男性中,高植物蛋白饮食与高WC、FBS和Hs-CRP的较低几率相关。此外,高动物蛋白饮食与高SBP水平的较高几率相关,这可以用较高的乳制品摄入量来解释。