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
Abstract：Objective 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.
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.
[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.
