社区老年人营养膳食状况与肌少症可能相关性研究  

Correlation between nutritional dietary status and sarcopenia possibility in community elderly

作　　者：庞童 姜欣 张倩薇 和智坚 刘沂 李鸣 PANG Tong;JIANG Xin;ZHANG Qianwei;HE Zhijian;LIU Yi;LI Ming(West China School of Public Health,Sichuan University/West China Fourth Hospital,Chengdu,Sichuan Province 610041,China;不详)

机构地区：[1]四川大学华西公共卫生学院华西第四医院,四川省成都610041 [2]北京大学公共卫生学院妇幼卫生学系,北京100191

出　　处：《中国慢性病预防与控制》2024年第11期848-852,856,共6页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的 探讨60岁及以上社区老年人的营养状况与肌少症可能的相关性,为防治老年人肌少症提供科学依据。方法 于2022年3-12月,采用整群随机抽样法和方便抽样法,抽取四川省成都市60岁及以上社区老年人592名,对其进行问卷调查及体格检查。根据亚洲肌少症工作组(AWGS)推荐的社区老年人肌少症筛查标准,将研究对象分为肌少症可能组和非肌少症组。采用微型营养评估简表(MNA-SF)和食物频率问卷(FFQ)对社区老年人进行营养评价和膳食调查。使用SPSS 26.0软件进行t检验和χ^(2)检验、Spearman相关性分析和多因素logistic回归分析。结果 共调查社区老年人592人,其中166人(28.0%)存在肌少症可能,313人(53.9%)存在营养不良或营养不良风险,仅87人(14.7%)每日及每周摄入膳食种类数均达标。性别、握力、小腿围、步速、每日摄入膳食种类数以及摄入膳食种类数达标情况与肌少症可能呈负相关(r值分别为-0.361、-0.472、-0.450、-0.174、-0.127和-0.153);身高、体质量、四肢骨骼肌量和MNA-SF得分与肌少症可能呈正相关(r值分别为0.243、0.153、0.263和0.227,P<0.05)。多因素logistic回归分析结果显示,男性(OR=6.176,95%CI:3.487~10.938)、营养状况良好(OR=1.510,95%CI:1.310~1.742)与老年人肌少症可能高风险相关(P<0.01),每日摄入膳食种类数多(OR=0.916,95%CI:0.840~0.998)与老年人肌少症可能低风险相关(P<0.05)。结论 营养膳食状况与肌少症可能密切相关,通过增加摄入膳食种类数量以及保持非超重肥胖的良好营养状况,可以预防肌少症可能的发生,从而降低肌少症发病率。Objective To explore the correlation between nutritional status and sarcopenia possibility in community elderly(≥60 years old),and provide the scientific basis for the prevention and treatment of sarcopenia in the elderly.Methods From March to December 2022,the cluster random sampling and convenience sampling was used to select 592 community elderly people(≥60 years old)in Chengdu of Sichuan Province as the subjects,the investigation was performed with questionnaires and physical examination.According to the community sarcopenia screening criteria recommended by the Asian Working Group for Sarcopenia(AWGS),the subjects were divided into the possible sarcopenia group and the non-sarcopenia group.The nutritional evaluation and dietary investigation of the community elderly was evaluated using the Mini Nutritional Assessment Short Form(MNA-SF)and the Food Frequency Questionnaire(FFQ).The t test,χ2 test and Spearman correlation analysis and multiple logistic regression analysis were used to analyze the data.The used software was SPSS 26.0.Results A total of 592 elderly people in the community were surveyed.Among them,166(28.0%)had possible sarcopenia,313(53.9%)had malnutrition or malnutrition risk,and only 87(14.7%)people met the standard number of dietary types consumed daily and weekly.Gender,grip strength,calf circumference,walking speed,number of daily dietary types and the number of dietary types were negatively correlated with sarcopenia(r values were-0.361,-0.472,-0.450,-0.174,-0.127,-0.153,respectively);while height,weight,appendicular skeletal muscle mass and MNA-SF score were positively correlated with sarcopenia(r values were 0.243,0.153,0.263,0.227,P<0.05).Multivariate logistic regression analysis showed that males(OR=6.176,95%CI:3.487-10.938)and good nutritional status(OR=1.510,95%CI:1.310-1.742)correlated with high risk of sarcopenia in the elderly(P<0.01).The higher number of daily dietary types(OR=0.916,95%CI:0.840~0.998)correlated with the lower risk of sarcopenia.Conclusion Nutritional dietary

关 键 词：肌肉减少症 肌少症可能 营养状况 社区老年人 

分 类 号：R685[医药卫生—骨科学]