Please wait a minute...
文章检索
预防医学  2022, Vol. 34 Issue (11): 1161-1166    DOI: 10.19485/j.cnki.issn2096-5087.2022.11.016
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
老年人饮食行为对握力减退的影响研究
方瑞1, 古雪2, 李傅冬2, 章涛2, 翟羽佳2, 林君芬2, 何凡2, 俞敏2
1.宁波大学医学院,浙江 宁波 315000;
2.浙江省疾病预防控制中心,浙江 杭州 310051
Effect of dietary behaviors on handgrip strength loss among the elderly
FANG Rui1, GU Xue2, LI Fudong2, ZHANG Tao2, ZHAI Yujia2, LIN Junfen2, HE Fan2, YU Min2
1. School of Medicine, Ningbo University, Ningbo, Zhejiang 315000, China;
2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
全文: PDF(786 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 探究老年人饮食行为对握力减退的影响,为预防握力减退提供依据。方法 基于浙江省老年人健康监测队列,采用多阶段整群随机抽样方法抽取绍兴、舟山两市,每市随机抽取2个村或社区,纳入当地居住≥1年、年龄≥60岁人群为研究对象。采用问卷调查收集人口学信息、饮食行为、吸烟、饮酒和锻炼情况;测量身高、体重和握力,参照亚洲肌少症工作组2019年共识诊断握力减退。采用多因素logistic回归模型分析饮食行为对握力减退的影响。结果 纳入1 265人,年龄为(70.67±7.30)岁。男性565人,占44.66%;女性700人,占55.34%。检出握力减退542例,患病率为42.85%,男性、女性患病率分别为40.35%和44.86%。多因素logistic回归分析结果显示,控制年龄、体质指数、文化程度和锻炼后,坚果摄入频率1~3次/周(OR=0.180,95%CI:0.088~0.367)和4~6次/周(OR=0.241,95%CI:0.113~0.514)的老年人握力减退风险降低,含糖饮料摄入频率4~6次/周(OR=2.298,95%CI:1.120~4.714)的老年人握力减退风险升高。结论 老年人坚果和含糖饮料摄入可能影响握力减退的发生。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
方瑞
古雪
李傅冬
章涛
翟羽佳
林君芬
何凡
俞敏
关键词 握力减退饮食老年人肌少症    
AbstractObjective To examine the effect of dietary behaviors on handgrip strength loss among the elderly, so as to provide insights into the prevention of handgrip strength loss. Methods Based on the health surveillance cohort among the elderly in Zhejiang Province, two villages or communities were randomly sampled from each of Shaoxing and Zhoushan cities using a multi-stage cluster sampling method, and all residents that had lived in local areas for one year and longer and had an age of 60 years and older were enrolled. Participants' demographics, dietary behaviors, smoking, drinking, and exercise were collected through questionnaire surveys, and the height, body weight and handgrip strength were measured. The handgrip strength loss was diagnosed according the 2019 Consensus Update on Sarcopenia Diagnosis and Treatment proposed by Asian Working Group for Sarcopenia, and the effect of dietary behaviors on handgrip strength loss was examined using a multivariable logistic regression model. Results A total of 1 265 residents were enrolled, with a mean age of (70.67±7.30) years, and including 565 men (44.66%) and 700 women (55.34%). The overall prevalence of handgrip strength loss was 42.85% among the participants, and the prevalence was 40.35% in men and 44.86% in women, respectively. Multivariable logistic regression analysis showed that nut intake for 1 to 3 times a week (OR=0.180, 95%CI: 0.088-0.367) and for 4 to 6 times a week (OR=0.241, 95%CI: 0.113-0.514) led to a reduced risk of handgrip strength loss among the elderly, and intake of sugary drinks for 4 to 6 times a week led to an increased risk of handgrip strength loss among the elderly (OR=2.298, 95%CI: 1.120-4.714) after adjustment for age, body mass index, educational level and exercise. Conclusion Intake of nuts and sugary drinks may affect the development of handgrip strength loss among the elderly.
Key wordshandgrip strength loss    diet    elderly    sarcopenia
收稿日期: 2022-06-20      修回日期: 2022-09-23      出版日期: 2022-11-10
中图分类号:  R153.3  
基金资助:浙江省卫生健康科技计划项目(2020RC005,2021KY619)
通信作者: 俞敏,E-mail:myu@cdc.zj.cn   
作者简介: 方瑞,硕士研究生在读
引用本文:   
方瑞, 古雪, 李傅冬, 章涛, 翟羽佳, 林君芬, 何凡, 俞敏. 老年人饮食行为对握力减退的影响研究[J]. 预防医学, 2022, 34(11): 1161-1166.
FANG Rui, GU Xue, LI Fudong, ZHANG Tao, ZHAI Yujia, LIN Junfen, HE Fan, YU Min. Effect of dietary behaviors on handgrip strength loss among the elderly. Preventive Medicine, 2022, 34(11): 1161-1166.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.11.016      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I11/1161
[1] XIN C,SUN X,LU L,et al.Prevalence of sarcopenia in older Chinese adults:a systematic review and meta-analysis [J/OL].BMJ Open,2021,11(8)[2022-09-23].https://doi.org/10.1136/bmjopen-2020-041879.
[2] XIA L,ZHAO R,WAN Q,et al.Sarcopenia and adverse health-related outcomes:an umbrella review of meta-analyses of observational studies[J].Cancer Med,2020,9(21):7964-7978.
[3] LANDI F,CALVANI R,MARTONE A M,et al.Normative values of muscle strength across ages in a' real world' population:results from the longevity check-up 7+ project[J].J Cachexia Sarcopenia Muscle,2020,11(6):1562-1569.
[4] 路菲,王青,杨卉.老年人步速和握力与不良健康结局关系的研究进展[J].中华老年医学杂志,2021,40(11):1444-1448.
LU F,WANG Q,YANG H.Research progress on the relationship between grip strength,gaits peed and adverse health outcomes in the elderly[J].Chin J Geriatr,2021,40(11):1444-1448.
[5] 宋倩,孟文文,姜威,等.社区老年人步速、握力与跌倒风险的前瞻性队列研究[J].中华保健医学杂志,2020,22(3):112-114.
SONG Q,MENG W W,JIANG W,et al.Association between gait speed,grip strength and the risk of falls among the elderly in community[J].Chin J Health Care Med,2020,22(3):112-114.
[6] WELCH A A,JENNINGS A,KELAIDITI E,et al.Cross-sectional associations between dietary antioxidant Vitamins C,E and carotenoid intakes and sarcopenic indices in women aged 18-79 years[J].Calcif Tissue Int,2020,106(4):331-342.
[7] JUN S,COWAN A E,DWYER J T,et al.Dietary protein intake is positively associated with appendicular lean mass and handgrip strength among middle-aged US adults[J].J Nutr,2021,151(12):3755-3763.
[8] GEDMANTAITE A,CELIS-MORALES C A,HO F,et al.Associations between diet and handgrip strength:a cross-sectional study from UK Biobank[J/OL].Mech Ageing Dev,2020,189(1)[2022-09-23].https://doi.org/10.1016/j.mad.2020.111269.
[9] BEAUDART C,LOCQUET M,TOUVIER M,et al.Association between dietary nutrient intake and sarcopenia in the SarcoPhAge study[J].Aging Clin Exp Res,2019,31(6):815-824.
[10] HUANG J,HE F,GU X,et al.Estimation of sarcopenia prevalence in individuals at different ages from Zhejiang province in China[J].Aging,2021,13(4):6066-6075.
[11] CHEN L K,WOO J,ASSANTACHAI P,et al.Asian Working Group for Sarcopenia:2019 consensus update on sarcopenia diagnosis and treatment[J].J Am Med Dir Assoc,2020,21(3):300-307.
[12] 巩文欢,李芳,郁晓琴,等.兰州市社区空巢老人生活质量及其影响因素调查分析[J].社区医学杂志,2020,18(7):477-481.
GONG W H,LI F,YU X Q,et al.Analvysis on the quality of life and its influencing factors of empty nest elderly in Lanzhou City[J].J Community Med,2020,18(7):477-481.
[13] ROS E,SINGH A,O'KEEFE J H.Nuts:natural pleiotropic nutraceuticals[J/OL].Nutrients,2021,13(9)[2022-09-23].https://doi.org/10.3390/nu13093269.
[14] RUSU M E,MOCAN A,FERREIRA I C F R,et al.Health benefits of nut consumption in middle-aged and elderly population[J/OL].Antioxidants,2019,8(8)[2022-09-23].https://doi.org/10.3390/10.3390/antiox8080302.
[15] TAN S Y,TEY S L,BROWN R.Nuts and older adults' health:a narrative review[J/OL].Int J Environ Res Public Health,2021,18(4)[2022-09-23].https://doi.org/10.3390/ijerph18041848.
[16] ARIAS-FERNANDEZ L,MACHADO-FRAGUA M D,GRACIANI A,et al.Prospective association between nut consumption and physical function in older men and women[J].J Gerontol A Biol Sci Med Sci,2019,74(7):1091-1097.
[17] HAI S,WANG H,CAO L,et al.Association between sarcopenia with lifestyle and family function among community-dwelling Chinese aged 60 years and older[J/OL].BMC Geriatr,2017,17[2022-09-23].https://doi.org/10.1186/s12877-017-0587-0.
[18] KHORSHIDIAN N,SHADNOUSH M,ZABIHZADEH KHAJAVI M,et al.Fructose and high fructose corn syrup:are they a two-edged sword?[J].Int J Food Sci Nutr,2021,72(5):592-614.
[19] NISHIKAWA H,ASAI A,FUKUNISHI S,et al.Metabolic syndrome and sarcopenia[J/OL].Nutrients,2021,13(10)[2022-09-23].https://doi.org/10.3390/nu13103519.
[20] LEE G,HAN J H,MAENG H J,et al.Three-month daily consumption of sugar-sweetened beverages affects the liver,adipose tissue,and glucose metabolism[J].J Obes Metab Syndr,2020,29(1):26-38.
[21] ZHANG D,LEE J H,SHIN H E,et al.The effects of exercise and restriction of sugar-sweetened beverages on muscle function and autophagy regulation in high-fat high-sucrose-fed obesity mice[J].Diabetes Metab J,2021,45(5):773-786.
[22] HAO G,POLLOCK N K,HARRIS R A,et al.Associations between muscle mass,physical activity and dietary behaviour in adolescents[J/OL].Pediatr Obes,2019,14(3)[2022-09-23].https://doi.org/10.1111/ijpo.12471.Epub 2018 Sep 17.
[23] WU H,LI X,ZHANG Q,et al.Association between soft drink consumption and handgrip strength in middle aged and older adults:the TCLSIH cohort study[J].Int J Food Sci Nutr,2020,71(7):856-862.
[1] 段芮, 王红. 2011—2018年我国中老年人抑郁症状流行趋势分析[J]. 预防医学, 2023, 35(8): 649-654.
[2] 戚一, 王怀昭, 乔婷婷. 呼和浩特市老年人医养结合养老服务支付意愿调查[J]. 预防医学, 2023, 35(8): 697-700,704.
[3] 彭晶, 傅文婷, 杨秀琳. 甘南藏族自治州老年人群健康素养调查[J]. 预防医学, 2023, 35(6): 546-550.
[4] 陈蓉, 林静静, 秦家胜, 陆凤. 中老年人群睡眠质量与体力活动、静坐时间的关联研究[J]. 预防医学, 2023, 35(6): 533-537.
[5] 张媛, 韩正风, 马艳. 老年人群肌少症危险因素的病例对照研究[J]. 预防医学, 2023, 35(6): 461-464.
[6] 吴绍峰, 王素珍, 朱秀媛, 李静, 冯美菱, 章德林. 农村老年慢性病患者抑郁症状的影响因素研究[J]. 预防医学, 2023, 35(4): 277-281.
[7] 王倩倩, 章涛, 李傅冬, 林君芬, 何凡, 俞敏, 曹亦菲. 老年人群白内障的影响因素分析[J]. 预防医学, 2023, 35(4): 311-315.
[8] 许太彬, 程春荣, 段江洋, 兰培利, 段欣洋. 郑州市50岁及以上HIV/AIDS病例流行特征[J]. 预防医学, 2023, 35(4): 323-326.
[9] 马奕竹, 赵效国, 朱启英, 马依拉·买买提, 张环美, 苑晓琳, 李莉. 孕期膳食模式与妊娠糖尿病的关联研究[J]. 预防医学, 2023, 35(4): 286-290.
[10] 龚科米, 廖辉, 陈树昶, 刘卫艳, 徐珊珊, 吕烨, 伍丽, 徐虹. 杭州市老年人群肺功能状况调查[J]. 预防医学, 2023, 35(3): 246-249.
[11] 石鑫, 许军, 舒畅, 冷焱. 黑龙江省老年人群流行性感冒流行特征[J]. 预防医学, 2023, 35(3): 250-252,261.
[12] 张曼, 吴鉴伦, 程心蓓, 马源, 郑卫军. 老年人家庭代际接触、抑郁症状与自评健康状况的关联研究[J]. 预防医学, 2023, 35(10): 840-843.
[13] 杨红英, 袁月荣, 李金成, 高燕, 罗侃, 吴鑫琦, 李链, 边国林. 宁波市老年人群阿尔茨海默病筛查结果分析[J]. 预防医学, 2023, 35(10): 849-855.
[14] 陈可, 李锦成, 虞浩, 竺丽梅, 刘巧. 扬州市65岁及以上老年人群肺结核流行特征分析[J]. 预防医学, 2023, 35(10): 877-880.
[15] 古雪, 李傅冬, 徐乐, 章涛, 翟羽佳, 何凡. KLB基因与肌少症的关联研究[J]. 预防医学, 2023, 35(10): 890-894.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed