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The Association between Total Protein and Vegetable Protein Intake and Low Muscle Mass among the Community-Dwelling Elderly Population in Northern Taiwan

Published on Jun 17, 2016in Nutrients4.17
· DOI :10.3390/nu8060373
Ru-Yi Huang1
Estimated H-index: 1
(Harvard University),
Kuen-Cheh Yang7
Estimated H-index: 7
+ 3 AuthorsKuo-Chin Huang40
Estimated H-index: 40
(NTU: National Taiwan University)
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Abstract
Sarcopenia, highly linked with fall, frailty, and disease burden, is an emerging problem in aging society. Higher protein intake has been suggested to maintain nitrogen balance. Our objective was to investigate whether pre-sarcopenia status was associated with lower protein intake. A total of 327 community-dwelling elderly people were recruited for a cross-sectional study. We adopted the multivariate nutrient density model to identify associations between low muscle mass and dietary protein intake. The general linear regression models were applied to estimate skeletal muscle mass index across the quartiles of total protein and vegetable protein density. Participants with diets in the lowest quartile of total protein density (<13.2%) were at a higher risk for low muscle mass (odds ratio (OR) 3.03, 95% confidence interval (CI) 1.37–6.72) than those with diets in the highest quartile (≥17.2%). Similarly, participants with diets in the lowest quartile of vegetable protein density (<5.8%) were at a higher risk for low muscle mass (OR 2.34, 95% CI 1.14–4.83) than those with diets in the highest quartile (≥9.4%). Furthermore, the estimated skeletal muscle mass index increased significantly across the quartiles of total protein density (p = 0.023) and vegetable protein density (p = 0.025). Increasing daily intakes of total protein and vegetable protein densities appears to confer protection against pre-sarcopenia status.
  • References (41)
  • Citations (7)
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References41
Newest
Published on Dec 1, 2013in Nutrition in Clinical Practice2.59
Jeannette M. Beasley23
Estimated H-index: 23
(Albert Einstein College of Medicine),
James M. Shikany46
Estimated H-index: 46
,
Cynthia A. Thomson51
Estimated H-index: 51
(UA: University of Arizona)
Sarcopenia is defined as age-related decrease in muscle mass and performance. Several consensus definitions of sarcopenia exist, each providing different cut points and methodologies for assessing muscle mass and muscle strength. Thus, wide variation in the prevalence of sarcopenia has been reported, generally ranging up to 45% for men and 26% for women. Risk factors for sarcopenia include age, malnutrition, and physical inactivity. Additional evidence suggests a protective role for protein supp...
Published on Aug 1, 2013in European Journal of Clinical Nutrition3.11
A. Arnarson8
Estimated H-index: 8
,
O. Gudny Geirsdottir2
Estimated H-index: 2
+ 3 AuthorsInga Thorsdottir44
Estimated H-index: 44
Effects of whey proteins and carbohydrates on the efficacy of resistance training in elderly people: double blind, randomised controlled trial
Juergen M. Bauer20
Estimated H-index: 20
,
Gianni Biolo47
Estimated H-index: 47
(UniTS: University of Trieste)
+ 10 AuthorsDaniel Teta2
Estimated H-index: 2
New evidence shows that older adults need more dietary protein than do younger adults to support good health, promote recovery from illness, and maintain functionality. Older people need to make up for age-related changes in protein metabolism, such as high splanchnic extraction and declining anabolic responses to ingested protein. They also need more protein to offset inflammatory and catabolic conditions associated with chronic and acute diseases that occur commonly with aging. With the goal o...
Published on Mar 22, 2013in PLOS ONE2.78
Sang Ouk Chin9
Estimated H-index: 9
(Kyung Hee University),
Sang Youl Rhee17
Estimated H-index: 17
(Kyung Hee University)
+ 10 AuthorsSung-Woon Kim12
Estimated H-index: 12
(Kyung Hee University)
Background The association between sarcopenia and cardiovascular disease (CVD) in elderly people has not been adequately assessed. The aim of this study was to investigate whether CVD is more prevalent in subjects with sarcopenia independent of other well-established cardiovascular risk factors in older Korean adults.
Published on Mar 1, 2013in Journal of the American Geriatrics Society4.11
Cheng Chieh Lin42
Estimated H-index: 42
(PRC: China Medical University (PRC)),
Wen Yuan Lin26
Estimated H-index: 26
+ 7 AuthorsTsai Chung Li30
Estimated H-index: 30
Published on Jan 1, 2013in Journal of Clinical Densitometry2.18
Chia-Hung Wu1
Estimated H-index: 1
(NTU: National Taiwan University),
Kun-Cheh Yang1
Estimated H-index: 1
(NTU: National Taiwan University)
+ 3 AuthorsKuo-Chin Huang40
Estimated H-index: 40
(NTU: National Taiwan University)
Abstract Lean body mass is positively correlated with bone mineral density (BMD). The association between sarcopenia and BMD is less studied. The aim of the study is to investigate the association between sarcopenia and abnormal BMD. A total of 600 community residents aged 40–85yr (mean=63.63±10.12) from Taipei, Taiwan were included. Abnormal and normal BMD groups were categorized by T-score of femoral neck and lumbar spine (L2–L4) measured by dual-energy X-ray absorptiometry. Skeletal muscle ma...
Published on Oct 1, 2011in The Journal of Clinical Endocrinology and Metabolism5.61
Mee Kyoung Kim17
Estimated H-index: 17
(Catholic University of Korea),
Ki-Hyun Baek22
Estimated H-index: 22
(Catholic University of Korea)
+ 4 AuthorsKi Won Oh24
Estimated H-index: 24
(SKKU: Sungkyunkwan University)
Background: An association between vitamin D status and sarcopenia has not been shown in a community-dwelling cohort, despite the well-documented relationship between vitamin D status and falls. Objective: Our objective was to investigate whether vitamin D level is associated with sarcopenia in older Koreans. Design and Setting: The Fourth Korea National Health and Nutrition Examination Survey in the Korean population was conducted in 2009. Participants: Participants included 1380 men and 1789 w...
Published on Jun 1, 2011in Australasian Journal on Ageing1.21
Daniel Bunout27
Estimated H-index: 27
(University of Chile),
María Pía de la Maza Cave16
Estimated H-index: 16
(University of Chile)
+ 2 AuthorsSandra Hirsch Birn26
Estimated H-index: 26
(University of Chile)
Aim: To evaluate the association between loss of fat-free mass and mortality among older people. Methods: Information of healthy Chilean older people evaluated by dual energy X-ray absorptiometry was used, identifying those who died in a period of 12 years. A Cox proportional hazards model was used to identify mortality predictors. Life tables were constructed calculating survival using predictive variables. Results: Information from 1413 participants aged 74.3 ± 5.6 years (1001 women), was obta...
Published on May 1, 2011in The American Journal of Clinical Nutrition6.57
Bart Pennings17
Estimated H-index: 17
,
Yves Boirie48
Estimated H-index: 48
+ 3 AuthorsLoon van L75
Estimated H-index: 75
Background: Sarcopenia has been attributed to a diminished muscle protein synthetic response to food intake. Differences in digestion and absorption kinetics of dietary protein, its amino acid composition, or both have been suggested to modulate postprandial muscle protein accretion. Objective: The objective was to compare protein digestion and absorption kinetics and subsequent postprandial muscle protein accretion after ingestion of whey, casein, and casein hydrolysate in healthy older adults....
Published on Feb 1, 2011in Amino Acids2.52
Humberto Nicastro12
Estimated H-index: 12
(USP: University of São Paulo),
Guilherme Giannini Artioli25
Estimated H-index: 25
(USP: University of São Paulo)
+ 4 AuthorsAntonio Herbert Lancha30
Estimated H-index: 30
(USP: University of São Paulo)
The characterization of the mechanisms underlying skeletal muscle atrophy under different conditions has been a constant focus of research. Among anti-atrophic therapies, amino acid supplementation, particularly with leucine, has received a lot of attention. Supplementation has been shown to have remarkable effects on muscle remodeling through protein turnover modulation. This may then impact physiological parameters related to muscle function, and even quality of life. In light of this, leucine...
Cited By7
Newest
Published on 2019in Journal of Gastroenterology5.13
Maryam Ebadi5
Estimated H-index: 5
(U of A: University of Alberta),
Rahima A. Bhanji3
Estimated H-index: 3
(U of A: University of Alberta)
+ 1 AuthorsAldo J. Montano-Loza22
Estimated H-index: 22
(U of A: University of Alberta)
Sarcopenia (severe muscle depletion) is a prevalent muscle abnormality in patients with cirrhosis that confers poor prognosis both pre- and post-liver transplantation. The pathogenesis of sarcopenia is multifactorial and results from an imbalance between protein synthesis and breakdown. Nutritional, metabolic, and biochemical abnormalities seen in chronic liver disease alter whole body protein homeostasis. Hyperammonemia, increased autophagy, proteasomal activity, lower protein synthesis, and im...
Published on May 1, 2019in Journal of the Academy of Nutrition and Dietetics4.14
Cui-yu Li , Ai-Ping Fang + 4 AuthorsHui-lian Zhu7
Estimated H-index: 7
Abstract Background Current literature does not indicate if the amount and animal vs plant protein are equally important in the prevention of muscle loss in middle-aged and older Chinese adults. Objective The aim of the study was to examine the associations between amount or animal vs plant protein and skeletal muscle mass in Chinese adults aged 40 to 80 years. Design A cross-sectional analysis of a prospective, community-based cohort was performed. Participants/setting Participants included 1,0...
Published on Jun 27, 2019in Onkologe0.25
Lian Liu (LMU: Ludwig Maximilian University of Munich), Nicole Erickson (LMU: Ludwig Maximilian University of Munich)+ 3 AuthorsJulian Walter Holch7
Estimated H-index: 7
(LMU: Ludwig Maximilian University of Munich)
Sarkopenie bedeutet Verlust von Muskelmasse und -funktion. Die derzeitige Forschung zum Begriff der Sarkopenie fokussiert sich grostenteils auf geriatrische Patienten und zeigt deutlich, dass Sarkopenie die Fahigkeit der Alltagsbewaltigung erheblich einschrankt, zu Bewegungsstorungen fuhren und die Lebensqualitat mindern kann. Bei Tumorpatienten geht das Vorhandensein von Sarkopenie mit einer erhohten Morbiditat und Mortalitat einher. Auch wenn sich das Verstandnis fur das Krankheitsbild und die...
Published on 2019in Nutrients4.17
Insaf Berrazaga , Valérie Micard19
Estimated H-index: 19
+ 1 AuthorsStéphane Walrand14
Estimated H-index: 14
Plant-sourced proteins offer environmental and health benefits, and research increasingly includes them in study formulas. However, plant-based proteins have less of an anabolic effect than animal proteins due to their lower digestibility, lower essential amino acid content (especially leucine), and deficiency in other essential amino acids, such as sulfur amino acids or lysine. Thus, plant amino acids are directed toward oxidation rather than used for muscle protein synthesis. In this review, w...
Published on Jul 1, 2019in Obesity3.97
A Rossi56
Estimated H-index: 56
(University of Verona),
Sofia Rubele3
Estimated H-index: 3
(University of Verona)
+ 8 AuthorsRiccardo Dalle Grave26
Estimated H-index: 26
Published on May 19, 2019in Journal of The American College of Nutrition2.08
Jae Yeon Lee1
Estimated H-index: 1
(KNU: Kyungpook National University),
Sunghee Lee1
Estimated H-index: 1
(Kangwon National University)
AbstractObjective: Muscle mass plays an important role in healthy aging among elderly adults. We investigated the association between dietary patterns and appendicular skeletal muscle mass (ASM) among 3,488 adults ages 60 years or older.Methods: The Korea National Health and Nutrition Examination Survey (KNHANES) data for 2008–2011 were analyzed. Dietary information from a food frequency questionnaire was utilized. To identify dietary patterns, factor analysis was performed. Dual-energy x-ray ab...
Published on Jan 1, 2019in Integrative Cancer Therapies2.63
Takuya Fukushima16
Estimated H-index: 16
(Nagasaki University),
Jiro Nakano10
Estimated H-index: 10
(Nagasaki University)
+ 5 AuthorsMinoru Okita12
Estimated H-index: 12
(Nagasaki University)
Published on Oct 10, 2018in Nutrients4.17
Nikita V. Alexandrov1
Estimated H-index: 1
(UMCG: University Medical Center Groningen),
Coby Eelderink5
Estimated H-index: 5
+ 3 AuthorsE va Corpeleijn28
Estimated H-index: 28
The influence of dietary protein intake on muscle mass in adults remains unclear. Our objective was to investigate the association between protein intake and muscle mass in 31,278 men and 45,355 women from the Lifelines Cohort. Protein intake was estimated by food frequency questionnaire and muscle mass was estimated from 24 h urinary creatinine excretion. The age range was 18–91 years and mean total protein intake was 1.0 ± 0.3 g/kg/day. Across increasing quartiles of total protein intake, anim...
Published on Sep 1, 2018in Experimental Gerontology3.08
Rodrigo R. Fernandes3
Estimated H-index: 3
,
Hellen C.G. Nabuco4
Estimated H-index: 4
+ 8 AuthorsBrad J. Schoenfeld23
Estimated H-index: 23
(Lehman College)
Abstract Objective The aim of this study was to analyze the effects of higher protein (HP) intake associated with resistance training (RT) on parameters of cardiometabolic risk disease (CMR). Methods A randomized, double-blind and placebo-controlled design was conducted. Thirty-two pre-conditioned older women were randomized in two groups to receive 35 g of protein (high protein group - HP) or 35 g of placebo (low protein group - LP) after training sessions. The RT program was carried out over 1...
Published on Sep 1, 2018in Asian Nursing Research1.26
Hewaratne Dassanayakege Wimala Thushari Damayanthi2
Estimated H-index: 2
(UM: University of Malaya),
Foong Ming Moy15
Estimated H-index: 15
(UM: University of Malaya)
+ 1 AuthorsSamath D Dharmaratne42
Estimated H-index: 42
(University of Peradeniya)
Abstract Purpose Low muscle strength is central to geriatric physical disabilities and mortality. The purpose of the present study was to examine handgrip strength (HGS) and its associated factors among community-dwelling older people in Sri Lanka. Methods A cross-sectional study was conducted in the Kandy district using multistage sampling. A total of 999 older people were recruited, with a female preponderance. Data were collected using interviewer-administered questionnaires on demographic ch...