Diet Quality and Sarcopenia in Older Adults: A Systematic Review.

Diet Quality and Sarcopenia in Older Adults: A Systematic Review.
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DOI:
10.3390/nu10030308
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发表时间:
2018-03-05
期刊:
影响因子:
5.9
通讯作者:
Baird J
Baird J
中科院分区:
医学2区
文献类型:
--
作者:
Bloom I;Shand C;Cooper C;Robinson S;Baird J

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随着人们越来越多地认识到骨质疏松症,即与年龄相关的骨骼肌质量和功能(肌肉力量和体能)的丧失,作为老年人健康状况不佳的决定因素,强调了更多地了解其病因学的重要性,以提供预防和治疗这种疾病的策略。人们对饮食等可调节因素的影响越来越感兴趣;一些营养素已经被研究过,但对整体饮食质量对石棺减少症的影响知之甚少。我们对文献进行了系统的回顾,考察了饮食质量与老年人骨质疏松症的个体成分(即肌肉质量、肌肉力量和体能表现)以及总的骨质疏松症风险之间的关系。我们确定了23项符合审查纳入标准的研究。这些研究在设计、设置、饮食质量测量和结果测量方面是多样化的。一小部分证据表明,“更健康”的饮食与更好的肌肉质量结果之间存在联系。有有限且不一致的证据表明,“更健康”的饮食与肌肉力量下降的风险较低之间存在联系。有强有力和一致的观察证据表明,更健康的饮食与较低的体能表现下降风险之间存在联系。有一小部分横截面证据表明,“更健康”的饮食与较低的骨质疏松症风险之间存在关联。这篇综述提供了观察证据,支持更高质量的饮食对老年人身体表现的好处。对于考虑的其他结果,研究结果表明了一些好处,尽管证据要么在程度上有限(石棺减少),要么在性质上不一致/弱(肌肉质量、肌肉力量)。需要进一步的研究来评估全饮食干预预防和管理石棺减少症的潜力。
The increasing recognition of sarcopenia, the age-related loss of skeletal muscle mass and function (muscle strength and physical performance), as a determinant of poor health in older age, has emphasized the importance of understanding more about its aetiology to inform strategies both for preventing and treating this condition. There is growing interest in the effects of modifiable factors such as diet; some nutrients have been studied but less is known about the influence of overall diet quality on sarcopenia. We conducted a systematic review of the literature examining the relationship between diet quality and the individual components of sarcopenia, i.e., muscle mass, muscle strength and physical performance, and the overall risk of sarcopenia, among older adults. We identified 23 studies that met review inclusion criteria. The studies were diverse in terms of the design, setting, measures of diet quality, and outcome measurements. A small body of evidence suggested a relationship between “healthier” diets and better muscle mass outcomes. There was limited and inconsistent evidence for a link between “healthier” diets and lower risk of declines in muscle strength. There was strong and consistent observational evidence for a link between “healthier” diets and lower risk of declines in physical performance. There was a small body of cross-sectional evidence showing an association between “healthier” diets and lower risk of sarcopenia. This review provides observational evidence to support the benefits of diets of higher quality for physical performance among older adults. Findings for the other outcomes considered suggest some benefits, although the evidence is either limited in its extent (sarcopenia) or inconsistent/weak in its nature (muscle mass, muscle strength). Further studies are needed to assess the potential of whole-diet interventions for the prevention and management of sarcopenia.
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