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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
[景小凡,E-mail: stephy1024@163.comJING Xiaofan, E-mail: stephy1024@163.com
收稿:2023-04-20,
修回:2023-05-29,
纸质出版:2023-08-15
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李晶晶, 廖欣怡, 石磊, 等. 成都市某农村地区老年人肌少症及膳食质量分析[J]. 陆军军医大学学报, 2023,45(15):1635-1640.
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.
李晶晶, 廖欣怡, 石磊, 等. 成都市某农村地区老年人肌少症及膳食质量分析[J]. 陆军军医大学学报, 2023,45(15):1635-1640. DOI: 10.16016/j.2097-0927.202304084.
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.
目的
2
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
2
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(
n
=450)和非肌少症组(
n
=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
2
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(
P
<
0.001)、碳水化合物(
P
<
0.001)、能量(
P
=0.032)的摄入量均高于肌少症组;非肌少症组老年人粮谷类(
P
=0.006)、蔬菜(
P
<
0.001)、水果(
P
<
0.001)、肉类(
P
=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(
P
=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(
P
<
0.001)。
结论
2
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。
Objective
2
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
2
Elderly people aged 60 and above living in a rural area of Chengdu City were sampled and then divided into sarcopenia group (
n
=450) and non-sarcopenia group (
n
=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
2
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 (
P
<
0.001)
carbohydrates (
P
<
0.001) and energy (
P
=0.032)
and intakes of grains (
P
=0.006)
vegetables (
P
<
0.001)
fruits (
P
<
0.001) and meat (
P
=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 (
P
=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 (
P
<
0.001).
Conclusion
2
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.
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