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氧化平衡评分与老年人肌少症的关系。

Association between oxidative balance score and sarcopenia in older adults.

机构信息

Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Sci Rep. 2024 Mar 4;14(1):5362. doi: 10.1038/s41598-024-56103-4.

Abstract

Sarcopenia is a progressive skeletal muscle disease in which oxidative stress has been proposed as one of the primary markers. The oxidative balance score (OBS) represents the oxidative balance of a person's dietary pattern using the merged intake of anti-oxidants and pro-oxidants. Therefore, the present study assessed the association between OBS and sarcopenia in Iranian older adults. In the current study, 80 people with sarcopenia and 80 without it were considered the case and control groups, respectively. All controls were matched by sex with cases. To confirm sarcopenia, skeletal muscle mass index (SMI), handgrip strength (HGS) measurement, and gait speed were used. Also, body composition was measured by bioelectrical impedance analysis (BIA). A valid and reliable food frequency questionnaire (FFQ) was used to assess all participants' dietary intake of pro-oxidants and anti-oxidants. Conditional logistic regression was applied to assess the association between OBS and sarcopenia. In the bivariate model, we observed lower odds of sarcopenia in the second and last tertile of OBS in comparison to the first tertile (T) (T - odds ratio (OR) = 0.414, 95% confidence interval (CI) : 0.186-0.918 and T - OR = 0.101, 95% CI: 0.041-0.248). After adjusting for potential confounders, the association was not significant in second and last tertile of OBS in comparision to the first one. The present study's findings demonstrated that overcoming exposure to anti-oxidants over pro-oxidants, as illustrated by a higher OBS, is not related to lower odds of sarcopenia in older adults.

摘要

肌肉减少症是一种进行性的骨骼肌疾病,其中氧化应激被认为是主要标志物之一。氧化平衡评分(OBS)使用抗氧化剂和促氧化剂的合并摄入量来表示一个人的饮食模式的氧化平衡。因此,本研究评估了 OBS 与伊朗老年人肌肉减少症之间的关系。在本研究中,分别将 80 名患有肌肉减少症的人和 80 名没有肌肉减少症的人视为病例组和对照组。所有对照组均按性别与病例组相匹配。为了确认肌肉减少症,使用骨骼肌质量指数(SMI)、握力(HGS)测量和步态速度来评估。此外,通过生物电阻抗分析(BIA)来测量身体成分。使用有效且可靠的食物频率问卷(FFQ)来评估所有参与者的促氧化剂和抗氧化剂的饮食摄入量。应用条件逻辑回归来评估 OBS 与肌肉减少症之间的关联。在双变量模型中,与第一 tertile(T)相比,我们观察到 OBS 的第二和最后 tertile 发生肌肉减少症的几率较低(T-OR=0.414,95%置信区间(CI):0.186-0.918 和 T-OR=0.101,95%CI:0.041-0.248)。在调整了潜在混杂因素后,与第一 tertile 相比,OBS 的第二和最后 tertile 与肌肉减少症之间的关联并不显著。本研究的结果表明,在老年人中,克服抗氧化剂暴露超过促氧化剂暴露,如较高的 OBS 所示,与较低的肌肉减少症几率无关。

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