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中国老年人坚果摄入量与肌肉减少症的关联。

Association of nut consumption and sarcopenia in Chinese older adults.

作者信息

Xu Jiayi, Pu Keping, Sun Wei, Pang Chang, Li Dongshu, Zang Shuang

机构信息

Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China.

Department of Ultrasound, The Second Affiliated Hospital of Shenyang Medical College, No.20 Bei Jiu Road, Heping District, Shenyang, 110002, Liaoning, China.

出版信息

Sci Rep. 2025 May 21;15(1):17598. doi: 10.1038/s41598-025-02389-x.

DOI:10.1038/s41598-025-02389-x
PMID:40399337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12095594/
Abstract

Sarcopenia emerges as a predominant health concern among the older adults, it makes the identification of relational factors crucial. Nut, a universally consumed dietary component, is posited to confer benefits to the musculoskeletal system. This study aimed to elucidate the association between nut consumption and sarcopenia in Chinese older adults. Data concerning nut consumption and sarcopenia were sourced from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The analysis incorporated 14,281 participants furnishing valid responses. This research employed logistic regression to investigate the association between nut consumption and sarcopenia. A total of 14,181 older adults (mean age = 84.86 ± 11.47 years and 55.08% were female) were included in this study. This study found an inverse association between nut consumption and sarcopenia in Chinese older adults, with higher nut consumption associated with a lower prevalence of sarcopenia, even after controlling for confounders. Compared with the nut consumption group of occasionally/rarely or never, the adjusted ORs of sarcopenia for at least once per month, at least once per week, and almost every day were 0.78 (95% CI: 0.66, 0.91), 0.81 (95% CI: 0.69, 0.95), and 0.62 (95% CI: 0.51, 0.77), respectively. Moreover, the result also displayed there is a significant interaction of nut consumption with gender (P-value = 0.016). This study identified an inverse association between nut consumption and sarcopenia. Introducing nut into the dietary regimen might present an accessible approach to bolster musculoskeletal health among the older adults.

摘要

肌肉减少症已成为老年人主要的健康问题,因此确定相关因素至关重要。坚果是一种普遍食用的膳食成分,被认为对肌肉骨骼系统有益。本研究旨在阐明中国老年人食用坚果与肌肉减少症之间的关联。有关坚果消费和肌肉减少症的数据来自2018年中国健康与养老追踪调查(CLHLS)。该分析纳入了14281名提供有效回复的参与者。本研究采用逻辑回归来调查坚果消费与肌肉减少症之间的关联。本研究共纳入了14181名老年人(平均年龄=84.86±11.47岁,女性占55.08%)。本研究发现,中国老年人食用坚果与肌肉减少症之间存在负相关,即使在控制混杂因素后,坚果摄入量越高,肌肉减少症的患病率越低。与偶尔/很少或从不食用坚果的组相比,每月至少食用一次、每周至少食用一次和几乎每天食用一次坚果的肌肉减少症调整后OR值分别为0.78(95%CI:0.66,0.91)、0.81(95%CI:0.69,0.95)和0.62(95%CI:0.51,0.77)。此外,结果还显示,坚果消费与性别之间存在显著交互作用(P值=0.016)。本研究确定了坚果消费与肌肉减少症之间的负相关。将坚果纳入饮食方案可能是增强老年人肌肉骨骼健康的一种可行方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe3/12095594/35544f68aaf0/41598_2025_2389_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe3/12095594/35544f68aaf0/41598_2025_2389_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe3/12095594/35544f68aaf0/41598_2025_2389_Fig1_HTML.jpg

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本文引用的文献

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Front Nutr. 2023 Jun 30;10:1218453. doi: 10.3389/fnut.2023.1218453. eCollection 2023.
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Associations of lifestyle with mental health and well-being in Chinese adults: a nationwide study.中国成年人生活方式与心理健康及幸福感的关联:一项全国性研究。
Front Nutr. 2023 Jun 23;10:1198796. doi: 10.3389/fnut.2023.1198796. eCollection 2023.
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Association between sarcopenia and cognitive function in older Chinese adults: Evidence from the China health and retirement longitudinal study.
在中国老年人中,肌少症与认知功能的关系:来自中国健康与养老追踪调查的证据。
Front Public Health. 2023 Jan 10;10:1078304. doi: 10.3389/fpubh.2022.1078304. eCollection 2022.
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Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018.中国老年人坚果摄入量与死亡率之间的关联:一项基于2008年至2018年中国老年健康影响因素跟踪调查(CLHLS)的全国性队列研究。
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