| 585 | 7 | 65 |
| 下载次数 | 被引频次 | 阅读次数 |
目的探究中国八城市老年人能量、蛋白质摄入水平与肌肉衰减症的关系。方法数据来源于2016年的"中国城市成年人群膳食与健康关系研究"。采用立意抽样和多阶段整群抽样相结合的方法,抽取65岁及以上研究对象427人,采用问卷调查的方法获得社会人口学特征和生活习惯,采用24小时膳食回顾调查法获得调查对象膳食摄入情况并根据《中国食物成分表》计算能量、蛋白质摄入。使用四分位数将研究对象按照能量摄入水平分为4组:Q1(<1197.6 kcal/d)、Q2(1197.6～1531.4 kacl/d)、Q3(1531.4～1984.1 kcal/d)、Q4(≥1984.1 kacl/d);使用四分位数将研究对象按照蛋白质摄入水平分为4组:Q1(<36.8 g/d)、Q2(36.8～50.4 g/d)、Q3(50.4～68.6 g/d)、Q4(≥68.6 g/d)。生物电阻抗法测量四肢骨骼肌质量,使用手持握力计测量骨骼肌力量,四米步速测试测量骨骼肌功能。根据亚洲肌肉衰减症工作组的标准评价调查人群的骨骼肌健康现状。结果与Q1组相比,能量摄入水平较高的Q2～Q4组的四肢骨骼肌质量、握力、步速以及肌肉衰减症检出率差异无统计学意义。与Q1组相比,蛋白质摄入Q2组具有较大的握力(β=0.12,95%CI 0.03～0.21,P=0.009)和较快的步速(β=0.20,95%CI 0.07～0.34,P=0.003)。结论膳食蛋白质摄入水平与中国老年人握力及步速存在关联,但与肌肉衰减症检出率无显著关联。
Abstract：OBJECTIVE To explore the association between energy and protein intake and sarcopenia among elder people from eight cities across China. METHODS The current study is based on a previous research conducted in 2016 which was named "Chinese Urban Adults Diet and Health Study". A total of 427 participants aged 65 and older were enrolled. Questionnaire was conducted to obtain the socio-demographic characteristics of participants. 24 h dietary recall was used to assess the dietary intake and energy and protein intake was calculated according to China Food Composition. The subjects were then divided into four groups(Q1, Q2, Q3, Q4) according to their energy intake(<1197.6 kcal/d, 1197.6-1531.4 kacl/d, 1531.4-1984.0 kcal/d, ≥1984.1 kacl/d) and protein intake(<36.8 g/d, 36.8-50.4 g/d, 50.4-68.6 g/d, ≥68.6 g/d). Bioelectrical impedance analysis was used to measure the skeletal muscle mass, hand-held grip strength meter was used to measure the skeletal muscle strength, and four-meter gait speed test was used to measure the skeletal muscle performance. According to the criteria of Asian Working Group for Sarcopenia, the health status of the skeletal muscle was evaluated. RESULTS Compared with the Q1 group, there was no significant difference in skeleton muscle mass, grip strength, walking speed and the detection rate of sarcopenia among the energy intake groups(Q2-Q4). Compared with the Q1 group, the Q2 protein intake group had greater grip strength(β=0.12,95%CI 0.03-0.21,P=0.009) and faster gait speed(β=0.20,95%CI 0.07-0.34,P=0.003). CONCLUSION The level of protein intake is associated with the grip strength and gait speed of the elderly in China, but has no significant effect on the detection rate of sarcopenia.
[1] DEVRIES M C,PHILLIPS S M.Supplemental protein in support of muscle mass and health:advantage whey[J].J Food Sci,2015,80(Suppl 1):A8-A15.
[2] HEYMSFIELD S B,GONZALEZ M C,LU J,et al.Skeletal muscle mass and quality:evolution of modern measurement concepts in the context of sarcopenia[J].Proc Nutr Soc,2015,74(4):355-366.
[3] 孙建琴，张坚，常翠青，等.肌肉衰减综合征营养与运动干预中国专家共识(节录)[J].营养学报，2015,37(4):320-324.
[4] RONDANELLI M,PERNA S,FALIVA M A,et al.Novel insights on intake of meat and prevention of sarcopenia:all reasons for an adequate consumption[J].Nutr Hosp,2015,32(5):2136-2143.
[5] 杨月欣，王光亚，潘兴昌.中国食物成分表[M].北京：北京大学医学出版社，2009.
[6] 杨月欣.中国食物成分表2004[M].北京：北京大学医学出版社，2005.
[7] 中国营养学会.中国居民膳食营养素参考摄入量速查手册(2013版)[M].北京：中国标准出版社，2013.
[8] 樊萌语，吕筠，何平平.国际体力活动问卷中体力活动水平的计算方法[J].中华流行病学杂志，2014,35(8):961-964.
[9] 中华人民共和国卫生和计划生育委员会.成人体重判定：WS/T 428—2013 [S].北京：中国标准出版社，2013.
[10] CHEN L K,LIU L K,WOO J,et al.Sarcopenia in Asia:consensus report of the Asian Working Group for Sarcopenia[J].J Am Med Dir Assoc,2014,15(2):95-101.
[11] 中华医学会骨质疏松和骨矿盐疾病分会.肌少症共识[J].中华骨质疏松和骨矿盐疾病杂志，2016,9(3):215-227.
[12] WANG H,HAI S,LIU Y,et al.Association between depressive symptoms and sarcopenia in older Chinese community-dwelling individuals[J].Clin Interv Aging,2018,13:1605-1611.
[13] HAN P,KANG L,GUO Q,et al.Prevalence and factors associated with sarcopenia in suburb-dwelling older Chinese using the Asian working group for sarcopenia definition[J].J Gerontol A Biol Sci Med Sci,2016,71(4):529-535.
[14] 黄丽洁，刘永闯，温有锋，等.锦州市社区老年人肌肉减少症现状及相关因素研究[J].现代预防医学，2017,44(24):4458-4460.
[15] 吴曼，魏玉虾，余灿清，等.中国10个地区成年人骨骼肌质量和手握力的描述性分析[J].中华流行病学杂志，2019,40(4):376-381.
[16] GAO L,JIANG J,YANG M,et al.Prevalence of sarcopenia and associated factors in Chinese community-dwelling elderly:comparison between rural and urban areas[J].J Am Med Dir Assoc,2015,16(11):1001-1003.
[17] OKAMURA T,MIKI A,HASHIMOTO Y,et al.Shortage of energy intake rather than protein intake is associated with sarcopenia in elderly patients with type 2 diabetes:a cross-sectional study of the KAMOGAWA-DM cohort[J].J Diabetes,2019,11(6):477-483.
[18] CHOLEWA J M,DARDEVET D,LIMA-SOARES F,et al.Dietary proteins and amino acids in the control of the muscle mass during immobilization and aging:role of the MPS response[J].Amino Acids,2017,49(5):811-820.
[19] 陈艳秋，宗敏，李士捷，等.社区老年人膳食蛋白质摄入量及其与骨骼肌量的相关性研究[J].中国全科医学，2019,22(30):3662-3666.
[20] BRADLEE M L,MUSTAFA J,SINGER M R,et al.High-protein foods and physical activity protect against age-related muscle loss and functional decline[J].J Gerontol A Biol Sci Med Sci,2017,73(1):88-94.
[21] BJORKMAN M P,SUOMINEN M H,KAUTIAINEN H,et al.Effect of protein supplementation on physical performance in older people with sarcopenia-a randomized controlled trial[J].J Am Med Dir Assoc,2020,21(2):226-232.
[22] TIPTON K D,FERRANDO A A.Improving muscle mass:response of muscle metabolism to exercise,nutrition and anabolic agents[J].Essays Biochem,2008,44:85-98.
[23] TEN H D,NUIJTEN M,MAESSEN M,et al.Effects of protein supplementation on lean body mass,muscle strength,and physical performance in nonfrail community-dwelling older adults:a systematic review and meta-analysis[J].Am J Clin Nutr,2018,108(5):1043-1059.
[24] JAFARINASABIAN P,INGLIS J E,REILLY W,et al.Aging human body:changes in bone,muscle and body fat with consequent changes in nutrient intake[J].J Endocrinol,2017,234(1):R37-R51.
[25] SHAMAH-LEVY T,RODRIGUEZ-RAMIREZ S,GAONA-PINEDA E B,et al.Three 24-hour recalls in comparison with one improve the estimates of energy and nutrient intakes in an urban mexican population[J].J Nutr,2016,146(5):1043-1050
基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2021.02.013
中图分类号:R153.3
引用信息:
[1]毛帅,赵艾,张健,等.中国八城市老年人能量及蛋白质摄入与肌肉衰减症的关系[J].卫生研究,2021,50(02):242-249+255.DOI:10.19813/j.cnki.weishengyanjiu.2021.02.013.
2021-03-30
2021-03-30