Lifestyle factors associated with muscle quality in community-dwelling older people with type 2 diabetes in Japan and Taiwan: a cross-sectional study
Lifestyle factors associated with muscle quality in community-dwelling older people with type 2 diabetes in Japan and Taiwan: a cross-sectional study
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日本和台湾社区居住的 2 型糖尿病老年人的生活方式与肌肉质量相关：一项横断面研究
DOI：
10.1111/psyg.12878
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发表时间：
2022
期刊：
影响因子：
2
通讯作者：
Pi-Hsia Lee
中科院分区：
文献类型：
--
作者：
Yuko Yamaguchi;Chieko Greiner;Shu-Chun Lee;Hirochika Ryuno;Hsin-Yen Yen;Chiou-Fen Lin;Ting-I Lee;Pi-Hsia Lee
背景 2 型糖尿病 (T2DM) 在老年人中很常见，是日本和台湾人群肌肉损失的重要原因。然而，人们对生活方式行为与肌肉质量之间的关系知之甚少。我们的目的是比较日本和台湾患有 T2DM 的老年人的生活方式行为，并确定与肌肉质量相关的生活方式因素。方法这项横断面研究是在台湾和日本年龄≥65 岁的社区居住的 T2DM 患者中进行的。总共有 114 名日本人和 226 名台湾人参加了这项研究。通过血液生化检查、身体成分分析和结构化自我报告问卷来测量结果，以评估生活方式行为和肌肉质量。使用SPSS 27.0版采用线性回归模型检验生活方式因素与肌肉质量之间的关系，统计显着性水平为P< 0.05。结果与台湾受试者相比，日本受试者更可能吸烟和饮酒，并且他们不太可能有均衡的饮食和进行更多的体力活动。日本受试者的肌肉质量明显差于台湾受试者。调整年龄、性别和体重指数后，体力活动、饮食习惯和吸烟与肌肉质量相关。结论体力活动强度不足、不健康的饮食习惯和吸烟可能是肌肉质量差的危险因素。这些发现有助于制定有效的策略来改善居住在社区的患有 T2DM 的亚洲老年人的肌肉质量。
BackgroundType 2 diabetes mellitus (T2DM), common in older people, is an important reason for muscle loss in Japanese and Taiwanese populations. However, little is known about the association between lifestyle behaviours and muscle quality. We aimed to compare the lifestyle behaviours of Japanese and Taiwanese older adults with T2DM and to the identify lifestyle factors associated with muscle quality.MethodsThis cross‐sectional study was conducted among community‐dwelling individuals with T2DM aged ≥65 years in Taiwan and Japan. Totally, 114 Japanese and 226 Taiwanese participants were enrolled in the study. Outcomes were measured by blood biochemical examinations, body composition analyses and structured self‐reported questionnaires to assess lifestyle behaviours and muscle quality. Linear regression models were used to examine the relationship between lifestyle factors and muscle quality using SPSS version 27.0 with a statistical significance level ofP< 0.05.ResultsJapanese subjects were more likely to be smokers and alcohol consumers, and they were less likely to have well‐balanced diets and engage in more physical activity as compared to Taiwanese subjects. The muscle quality in the Japanese subjects was significantly poorer than that in the Taiwanese subjects. Physical activity, dietary habits and smoking were associated with muscle quality, after adjusting for age, gender and body mass index.ConclusionsPhysical activity of insufficient intensity, unhealthy dietary habits and smoking could be risk factors for poor muscle quality. These findings can contribute to the development of effective strategies to improve muscle quality in community‐dwelling older Asian people with T2DM.