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社区居住的老年人中多不饱和脂肪酸的膳食摄入量、身体功能和肌肉减少症之间的横断面关联。

Cross-sectional associations between dietary intake of polyunsaturated fatty acids, physical function, and sarcopenia in community-dwelling older adults.

作者信息

Coelho-Júnior Hélio José, Álvarez-Bustos Alejandro, Picca Anna, Calvani Riccardo, Rodriguez-Mañas Leocadio, Landi Francesco, Marzetti Emanuele

机构信息

Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy; Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy; Biomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain; Department of Geriatrics, Hospital Universitario de Getafe, Madrid, Spain.

Biomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain; Instituto de Investigación IdiPaz, Madrid, Spain.

出版信息

J Nutr Health Aging. 2025 Jan;29(1):100423. doi: 10.1016/j.jnha.2024.100423. Epub 2024 Nov 29.

Abstract

OBJECTIVES

The present study examined the associations between the dietary intake of polyunsaturated fatty acids (PUFAs), physical function, and the prevalence of sarcopenia in Italian community-dwelling older adults.

DESIGN

Cross-sectional study.

SETTING

Unconventional settings across Italy (e.g., exhibitions, health promotion campaigns).

PARTICIPANTS

Older adults (65+ years) who provided a written informed consent.

METHODS

Physical function was evaluated according to isometric handgrip strength (IHG) and 5-time sit-to-stand (5STS) performances. Muscle power parameters were estimated based on 5STS values. Sarcopenia was operationalized according to the presence of low physical function (IHG or 5STS) plus low appendicular skeletal muscle mass (ASM), estimated according to calf circumference. A 12-item food questionary was used to estimate the dietary intake of PUFAs, which included omega-3 (α-linolenic acid, eicosapentaenoic acid, docosahexaenoic acid) and omega-6 fatty acids.

RESULTS

Multiple linear regression results indicate negative and significant associations between the dietary intake of α-linolenic acid and muscle power, and between docosahexaenoic acid consumption and ASM. No significant associations were found between PUFAs-related variables and sarcopenia.

CONCLUSIONS

Results of the present study indicate that PUFAs-related variables were negatively and significantly associated with physical function and body composition in older adults. Nevertheless, no significant associations were found with sarcopenia. These findings suggest that a more detailed analysis of covariates should be conducted in future investigations that aim to examine the associations between the dietary intake of PUFAs and sarcopenia-related parameters.

摘要

目的

本研究探讨了意大利社区老年人多不饱和脂肪酸(PUFAs)的饮食摄入量、身体功能与肌肉减少症患病率之间的关联。

设计

横断面研究。

地点

意大利各地的非常规场所(如展览、健康促进活动)。

参与者

提供书面知情同意书的老年人(65岁及以上)。

方法

根据等长握力(IHG)和5次坐立试验(5STS)表现评估身体功能。基于5STS值估计肌肉力量参数。根据小腿围估算,肌肉减少症的定义为身体功能低下(IHG或5STS)加上低四肢骨骼肌质量(ASM)。使用一份包含12个条目的食物问卷来估计PUFAs的饮食摄入量,其中包括ω-3(α-亚麻酸、二十碳五烯酸、二十二碳六烯酸)和ω-6脂肪酸。

结果

多元线性回归结果表明,α-亚麻酸的饮食摄入量与肌肉力量之间、二十二碳六烯酸的摄入量与ASM之间存在负相关且显著相关。未发现PUFAs相关变量与肌肉减少症之间存在显著关联。

结论

本研究结果表明,PUFAs相关变量与老年人的身体功能和身体成分呈负相关且显著相关。然而,未发现与肌肉减少症存在显著关联。这些发现表明,在未来旨在研究PUFAs饮食摄入量与肌肉减少症相关参数之间关联的调查中,应进行更详细的协变量分析。

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