膳食营养与长寿老年人骨骼肌质量的关系

The correlation between dietary nutrition and skeletal muscle mass in the elderly with advanced age

  • 摘要:
    目的 通过分析我国长寿老年人的营养素摄入、膳食结构等特点,探索可能影响长寿人群骨骼肌质量的特定膳食成分。
    方法 于我国上海市崇明地区招募206名≥90岁的长寿老年人。应用3天24小时膳食回顾调查法,由专业营养师面对面访谈采集膳食信息与一般人口学资料。采用生物阻抗分析(BIA)法测量骨骼肌指数(SMI),并根据2019年亚洲肌少症工作组标准诊断低骨骼肌质量。采用t检验、卡方检验及logistic回归等方法分析膳食营养素摄入量及其与骨骼肌质量之间的关系。
    结果 在食物摄入种类方面,与骨骼肌正常的长寿老年人相比,低骨骼肌质量的长寿老年人谷类(含杂豆)、蔬菜的摄入量均偏低(P<0.05)。在营养素摄入量方面,低骨骼肌质量的长寿老年人总能量、碳水化合物、膳食纤维、维生素D、叶酸、磷、钾、镁、铁、锰的摄入量均偏低(P<0.05)。校正多种重要混杂因素后,多因素logistic回归结果显示,叶酸、膳食纤维仍是影响骨骼肌质量的重要因素。叶酸及膳食纤维摄入水平较低,长寿老年人患低骨骼肌质量的风险较高[OR叶酸T1、膳食纤维T1(95%CI):2.90(1.11~7.61);4.09(1.53~10.91)]。
    结论 在长寿老年人群中,低骨骼肌质量者谷类(含杂豆)、蔬菜的摄入量低于骨骼肌正常者。此外,低叶酸、膳食纤维摄入水平与低骨骼肌质量的患病风险增加有关。

     

    Abstract:
    Objective This research focused on examining the distinctive characteristics of nutrient intake and dietary patterns among long-lived elderly individuals. Additionally, the study was aimed to explore the specific dietary components that may impact the skeletal muscle mass in this particular group.
    Methods This study was conducted in the Chongming area of Shanghai, China. A total of 206 long-lived elderly individuals aged 90 or above were recruited. The 3-day 24-hour dietary recall method was used to collect dietary information and general demographic data through face-to-face interviews with professional nutritionists. The skeletal muscle mass index(SMI) was measured by bioelectrical impedance analysis(BIA), and low skeletal muscle mass was diagnosed based on the 2019 Asian Working Group for Sarcopenia criteria. T-test analysis, chi-square test, and logistic regression were used to analyze the relationship between dietary nutrient intake and skeletal muscle mass.
    Results In terms of food intake categories, compared with the long-lived elderly people with normal muscle mass, the intake of cereals containing miscellaneous beans and vegetables in the long-lived elderly people with low muscle mass was significantly lower (P<0.05). In terms of the nutrient intake, compared with the long-lived elderly people with normal muscle mass, the intake of total energy, carbohydrate, dietary fiber, vitamin D, folic acid, phosphorus, potassium, magnesium, iron, and manganese in the long-lived elderly people with low muscle mass was significantly lower(P<0.05). After continuous adjustment for the covariates, multivariate logistic regression analysis found that the intake levels of folic acid and dietary fiber were important factors influencing skeletal muscle mass, Individuals with lower intake levels of folic acid and dietary fiber are at a higher risk of low muscle mass in long-lived elderly individuals [ORfolic acid T1dietary fiber T1 (95%CI): 2.90 (1.11‒7.61); 4.09 (1.53‒10.91)].
    Conclusion The consumption of cereals that include a variety of beans and vegetables was noticeably lower in the long-lived elderly individuals with lower muscle mass when compared to those with normal muscle mass. Furthermore, low levels of folic acid and dietary fiber intake are associated with an increased risk of low skeletal muscle mass.

     

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