| 315 | 2 | 92 |
| 下载次数 | 被引频次 | 阅读次数 |
目的 了解中国老年人膳食蛋白质的摄入量、来源及餐次分布状况。方法选取4941名2018年中国健康与营养调查60岁及以上人群为研究对象,调查采用多阶段分层整群随机抽样方法,采用连续3天24小时膳食回顾法和家庭调味品称重记账法收集膳食数据,使用食物成分表计算每日和各餐蛋白质摄入量。结果 研究对象年龄范围60~97岁,男性占46.49%,农村占58.98%。研究对象每日蛋白质摄入量中位数为0.93 g/kg BW,男性和女性每日蛋白质摄入量达到推荐摄入量的比例分别为35.87%和34.34%。研究对象早餐、午餐、晚餐蛋白质摄入量的中位数分别为0.22、0.34和0.33 g/kg BW,男性和女性全天各餐蛋白质摄入量均低于0.4 g/kg BW的比例分别为45.41%和48.22%,男性和女性全天蛋白质达标餐次数平均值分别为0.84次和0.80次。研究对象每日动物蛋白和植物蛋白占比平均值分别为35.25%和64.75%,三餐蛋白质摄入量变异系数平均值为0.34。结论 2018年中国十五省(自治区、直辖市)老年人每日和各餐膳食蛋白质的摄入水平总体偏低,早餐蛋白质摄入水平低于午餐和晚餐,全天膳食蛋白质以植物食物来源为主。
Abstract:OBJECTIVE To analyze the amount, sources, and meal distribution of protein intake in Chinese adults aged ≥ 60 in 15 provinces(autonomous regions and municipalities) in 2018.METHODS A multistage, random cluster design was employed in China Health and Nutrition Survey in 2018. A total of 4941 participants aged ≥60 years were included in the analysis. The 3 consecutive day 24-hour dietary recall was used to collect information on food intake, and the condiment intake was collected by weighting and bookkeeping method. Protein intake was calculated by food composition table.RESULTS The study subjects aged between 60 to 97.5 years old, with males accounting for 46.49% and rural population accounting for 58.98%. The median daily protein intake of study subjects was 0.93 g/kg BW. The proportion of males and females who achieved recommended nutrient intake(RNI) of protein intake was 35.87% and 34.34%, respectively. The median protein intake of study subjects for breakfast, lunch, and dinner was 0.22, 0.34 and 0.33 g/kg BW, respectively. The proportion of males and females with no meal reaching 0.4 g/kg BW protein intake was 45.41% and 48.22%, respectively. The average number of meals reaching 0.4 g/kg BW protein intake throughout the day was 0.84 and 0.80 for males and females, respectively. The average proportions of animal protein and plant protein for the study subjects were 35.25% and 64.75%, respectively. The average coefficient of variation for protein intake was 0.34.CONCLUSION The daily and meal protein intake of the Chinese adults aged 60 and above in 15 provinces(autonomous regions and municipalities) are relatively low. Protein intake in breakfast is much lower than that in lunch and dinner. The main source of dietary protein throughout a day is from plant-based food.
[1] BEASLEY J M,SHIKANY J M,THOMSON C A.The role of dietary protein intake in the prevention of sarcopenia of aging[J].Nutr Clin Pract,2013,28(6):684-690.
[2] OLANIYAN E T,O′HALLORAN F,MCCARTHY A L.Dietary protein considerations for muscle protein synthesis and muscle mass preservation in older adults[J].Nutr Res Rev,2021,34(1):147-157.
[3] 刘娟,丁清清,周白瑜,等.中国老年人肌少症诊疗专家共识(2021)[J].中华老年医学杂志,2021,40(8):10.
[4] PUTRA C,KONOW N,GAGE M,et al.Protein source and muscle health in older adults:a literature review[J].Nutrients,2021,13(3):743.
[5] HUDSON J L,III R E B,CAMPBELL W W.Protein distribution and muscle-related outcomes:does the evidence support the concept[J].Nutrients,2020,12(5):1441.
[6] ZHANG B,ZHAI F Y,DU S F,et al.The China Health and Nutrition Survey,1989-2011[J].Obes Rev,2014,15(Suppl 1):2-7.
[7] 中国营养学会.中国居民膳食营养素参考摄入量(2023版)[M].北京:人民卫生出版社,2023.
[8] MOORE D R,CHURCHWARD-VENNE T A,WITARD O,et al.Protein ingestion to stimulate myofibrillar protein synthesis requires greater relative protein intakes in healthy older versus younger men[J].J Gerontol A Biol Sci Med Sci,2015,70(1):57-62.
[9] GINGRICH A,SPIEGEL A,KOB R,et al.Amount,distribution,and quality of protein intake are not associated with muscle mass,strength,and power in healthy older adults without functional limitations-an enable study[J].Nutrients,2017,9(12):1358.
[10] LOENNEKE J P,LOPRINZI P D,MURPHY C H,et al.Per meal dose and frequency of protein consumption is associated with lean mass and muscle performance[J].Clin Nutr,2016,35(6):1506-1511.
[11] 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,2019,30(22):3662-3666.
[12] KIM H K,CHIJIKI H,FUKAZAWA M,et al.Supplementation of protein at breakfast rather than at dinner and lunch is effective on skeletal muscle mass in older adults[J].Front Nutr,2021,8:797004.
[13] AOYAMA S,KIM H K,HIROOKA R,et al.Distribution of dietary protein intake in daily meals influences skeletal muscle hypertrophy via the muscle clock[J].Cell Rep,2021,36(1):109336.
[14] 王柳森,张兵,王惠君,等.1991—2015年中国九省(自治区)老年居民膳食能量及宏量营养素摄入状况[J].卫生研究,2019,48(5):700-705.
[15] OUYANG Y,TAN T,SONG X,et al.Dietary protein intake dynamics in elderly Chinese from 1991 to 2018[J].Nutrients,2021,13(11):3806.
[16] MENDONCA N,GRANIC A,MATHERS J C,et al.Prevalence and determinants of low protein intake in very old adults:insights from the Newcastle 85+ Study[J].Eur J Nutr,2018,57(8):2713-2722.
[17] HENGEVELD L M,PELGROM A D A,VISSER M,et al.Comparison of protein intake per eating occasion,food sources of protein and general characteristics between community-dwelling older adults with a low and high protein intake[J].Clin Nutr ESPEN,2019,29:165-174.
[18] HONE M,NUGENT A P,WALTON J,et al.Habitual protein intake,protein distribution patterns and dietary sources in Irish adults with stratification by sex and age[J].J Hum Nutr Diet,2020,33(4):465-476.
[19] PHILLIPS S M.Nutrient-rich meat proteins in offsetting age-related muscle loss[J].Meat Sci,2012,92(3):174-178.
[20] GORISSEN S H,HORSTMAN A M,FRANSSEN R,et al.Ingestion of wheat protein increases in vivo muscle protein synthesis rates in healthy older men in a randomized trial[J].J Nutr,2016,146(9):1651-1659.
[21] FARSIJANI S,PAYETTE H,MORAIS J A,et al.Even mealtime distribution of protein intake is associated with greater muscle strength,but not with 3-y physical function decline,in free-living older adults:the Quebec longitudinal study on Nutrition as a Determinant of Successful Aging (NuAge study)[J].Am J Clin Nutr,2017,106(1):113-124.
[22] FARSIJANI S,MORAIS J A,PAYETTE H,et al.Relation between mealtime distribution of protein intake and lean mass loss in free-living older adults of the NuAge study[J].Am J Clin Nutr,2016,104(3):694-703.
[23] JUSTESEN T E H,JESPERSEN S E,TAGMOSE THOMSEN T,et al.Comparing even with skewed dietary protein distribution shows no difference in muscle protein synthesis or amino acid utilization in healthy older individuals:a randomized controlled trial[J].Nutrients,2022,14(21):4442.
[24] KWON D H,PARK H A,CHO Y G,et al.Different associations of socioeconomic status on protein intake in the korean elderly population:a cross-sectional analysis of the Korea National Health and Nutrition Examination Survey[J].Nutrients,2019,12(1):10.
基本信息:
DOI:10.19813/j.cnki.weishengyanjiu.2025.01.014
中图分类号:R153.3
引用信息:
[1]宋晓昀,王惠君,苏畅,等.2018年中国十五省(自治区、直辖市)老年人膳食蛋白质摄入量、来源及餐次分布状况[J].卫生研究,2025,54(01):67-72.DOI:10.19813/j.cnki.weishengyanjiu.2025.01.014.
基金信息:
公共卫生应急-营养健康与合理膳食行动(No.102393220020070000012); 国家自然科学基金(No.82103848); 美国国立卫生研究院基金(No.R01-HD30880,DK056350,R24-HD050924,R01-HD38700); 中国食品科学技术学会食品科技基金-雅培食品营养与安全专项科研基金(No.2020-09)
2025-01-23
2025-01-23