Dietary quality analysis of sarcopenia elderly in a rural area of Chengdu City

Jingjing LI; Xinyi LIAO; Lei SHI; Zhiyong SU; Lin ZHU; Xiaofan JING

doi:10.16016/j.2097-0927.202304084

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Dietary quality analysis of sarcopenia elderly in a rural area of Chengdu City

Monographic Reports: Nutritional intervention for chronic diseases | 更新时间：2026-01-09

- Dietary quality analysis of sarcopenia elderly in a rural area of Chengdu City
- Journal of Army Medical University Vol. 45, Issue 15, Pages: 1635-1640(2023)
- 作者机构：
  
  1.610041 成都，四川大学华西医院临床营养科
  2.610213 成都，四川省成都市天府新区太平中心卫生院
  3.610218 成都，四川省成都市天府新区正兴社区卫生服务中心
- 作者简介：
- 基金信息：
  
  the Project of National Clinical Research Center for Geriatrics (West China Hospital, Sichuan University)(Z20191013);the Nutri-Food Research Fund of Chinese Nutrition Society(CNS-FF2019A23)
- DOI：10.16016/j.2097-0927.202304084
  CLC： R151.42;R153.3;R592
- Received：20 April 2023，
  
  Revised：2023-05-29，
  
  Published：15 August 2023
- 稿件说明：
移动端阅览
Jingjing LI, Xinyi LIAO, Lei SHI, et al. Dietary quality analysis of sarcopenia elderly in a rural area of Chengdu City[J]. Journal of Army Medical University, 2023, 45(15): 1635-1640.
DOI：

Jingjing LI, Xinyi LIAO, Lei SHI, et al. Dietary quality analysis of sarcopenia elderly in a rural area of Chengdu City[J]. Journal of Army Medical University, 2023, 45(15): 1635-1640. DOI： 10.16016/j.2097-0927.202304084.

摘要

目的

调查成都市某农村地区老年人肌少症患病率及膳食质量情况，探讨老年肌少症人群的营养管理策略。

方法

选择成都市某农村地区≥60岁的老年人，根据2019亚洲肌少症工作组共识(AWGS)诊断标准分为肌少症组(

=450)和非肌少症组(

=1 41

2)。采用膳食平衡指数(DBI-16)对其膳食质量进行评价。

结果

共纳入1 862名老年人，肌少症患者450例，患病率为24.17%。非肌少症组老年人蛋白质(

0.001)、碳水化合物(

0.001)、能量(

=0.032)的摄入量均高于肌少症组；非肌少症组老年人粮谷类(

=0.006)、蔬菜(

0.001)、水果(

0.001)、肉类(

=0.001)的摄入量也显著高于肌少症组。肌少症组膳食质量距(diet quality distance，DQD)显著高于非肌少症组(

=0.049)，两组DBI-16总分(total score，TS)均为负值，且肌少症组TS显著低于非肌少症组(

0.001)。

结论

该地区农村老年人肌少症患病率高，肌少症患者膳食结构失衡更严重。应对该人群进行针对性的膳食营养健康教育，以提高该地区老年人膳食质量。

Abstract

Objective

To survey the prevalence of sarcopenia in the elderly and investigate their diet quality in a rural area of Chengdu in order to provide scientific basis for nutrition management for the elderly population with sarcopenia.

Methods

Elderly people aged 60 and above living in a rural area of Chengdu City were sampled and then divided into sarcopenia group (

=450) and non-sarcopenia group (

=1 412) according to the 2019 Asian Sarcopenia Working Group Consensus (AWGS) diagnostic criteria. Dietary quality was evaluated based on the Dietary Balance Index (DBI-16).

Results

For the 1 862 elderly participants

there were 450 suffering from sarcopenia

with a prevalence of 24.17%. The subjects from the non-sarcopenia group had significantly higher intakes of proteins (

0.001)

carbohydrates (

0.001) and energy (

=0.032)

and intakes of grains (

=0.006)

vegetables (

0.001)

fruits (

0.001) and meat (

=0.001) than those from the sarcopenia group. The diet quality distance (DQD) was obviously higher in the sarcopenia group than the non-sarcopenia group (

=0.049). The total score of DBI-16 was negative in both groups

and the total score of the sarcopenia group was notably lower than that of the non-sarcopenia group (

0.001).

Conclusion

The prevalence of sarcopenia in elderly in this area is quite high

and the dietary imbalance is more serious. Targeted health education should be carried out to improve the dietary quality for the elderly in the region.

关键词

Keywords

references

方向, 胡世莲. 科学认识和面对老年肌少症[J]. 中国临床保健杂志, 2019, 22(6): 729-733. DOI: 10.3969/J.issn.1672-6790.2019.06.003.

FANG X, HU S L. Scientific understanding and coping with sarcopenia in the elderly[J]. Chin J Clin Healthc, 2019, 22(6): 729-733. DOI: 10.3969/J.issn.1672-6790.2019.06.003.

GAO L L, JIANG J 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): 1003. e1-1003. e6. DOI: 10.1016/j.jamda.2015.07.020.

邹浩, 刘杨, 姜东旭, 等. 肌少症影响因素Meta分析[J]. 中国预防医学杂志, 2021, 22(2): 86-92. DOI: 10.16506/j.1009-6639.2021.02.002.

ZOU H, LIU Y, JIANG D X, et al . Meta-analysis of influencing factors of sarcopenia[J ] . Chin Prev Med, 2021, 22(2): 86-92. DOI: 10.16506/j.1009-6639.2021.02.002.

何宇纳, 翟凤英, 葛可佑. 建立中国膳食平衡指数[J]. 卫生研究, 2005, 34(2): 208-211. DOI: 10.3969/j.issn.1000-8020.2005.02.025.

HE Y N, ZHAI F Y, GE K Y. Approaching Chinese diet balance index[J]. J Hyg Res, 2005, 34(2): 208-211. DOI: 10.3969/j.issn.1000-8020.2005.02.025

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): 943-952. DOI: 10.3760/cma.j.issn.0254-9026.2021.08.001.

LIU J, DING Q Q, ZHOU B Y, et al . Chinese expert consensus on diagnosis and treatment for elderly with sarcopenia(2021)[J ] . Chin J Geriatr, 2021, 40(8): 943-952. DOI: 10.3760/cma.j.issn.0254-9026.2021.08.001

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. e2. DOI: 10.1016/j.jamda.2019.12.012.

MALMSTROM T K, MORLEY J E. SARC-F: a simple questionnaire to rapidly diagnose sarcopenia[J]. J Am Med Dir Assoc, 2013, 14(8): 531-532. DOI: 10.1016/j.jamda.2013.05.018.

何宇纳, 房玥晖, 夏娟. 中国膳食平衡指数的修订: DBI-16[J]. 营养学报, 2018, 40(6): 526-530. DOI:10.3969/j.issn.0512-7955.2018.06.002.

HE Y N, FANG Y H, XIA J. Update of the Chinese diet balance index: DBI-16[J]. Acta Nutr Sin, 2018, 40(6): 526-530. DOI: 10.3969/j.issn.0512-7955.2018.06.002.

SMITH G I, JULLIAND S, REEDS D N, et al . Fish oil-derived n-3 PUFA therapy increases muscle mass and function in healthy older adults[J ] . Am J Clin Nutr, 2015, 102(1): 115-122. DOI: 10.3945/ajcn.114.105833.

李春保, 印遇龙, 周光宏. 肉类营养与人体健康研究的战略思考[J]. 中国科学院院刊, 2019, 34(2): 190-196. DOI: 10.16418/j.issn.1000-3045.2019.02.008.

LI C B, YIN Y L, ZHOU G H. Perspectives of meat nutrition and human health[J]. Bull Chin Acad Sci, 2019, 34(2): 190-196. DOI: 10.16418/j.issn.1000-3045.2019.02.008.

于潇. 用膳食平衡指数评价老年人膳食质量及肌肉减少症的膳食影响因素[D]. 济南: 山东大学, 2020.

YU X. Evaluation of dietary quality and dietary influencing factors of sarcopenia in the elderly by dietary balance index[D]. Jinan: Shandong University, 2020.

车雅洁. 乌鲁木齐市社区老年人肌少症现状及相关因素研究[D]. 乌鲁木齐: 新疆医科大学, 2021.

CHE Y J. Study on the current situation and related factors of sarcopenia among the elderly in Urumqi community[D]. Urumqi: Xinjiang Medical University, 2021.

田小丽. 乌鲁木齐市中老年人群膳食质量与肌肉减少症关联的病例对照研究[D]. 乌鲁木齐: 新疆医科大学, 2020.

TIAN X L. A case-control study on the relationship between dietary quality and sarcopenia in middle-aged and elderly people in Urumqi[D]. Urumqi: Xinjiang Medical University, 2020.

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