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中国10个地区成年人膳食模式与低肌肉重量、力量和质量的相关性分析
引用本文:刘琪,吴曼,温俏睿,杜怀东,吕筠,郭彧,卞铮,裴培,陈君石,余灿清,陈铮鸣,李立明. 中国10个地区成年人膳食模式与低肌肉重量、力量和质量的相关性分析[J]. 中华流行病学杂志, 2021, 42(5): 780-786
作者姓名:刘琪  吴曼  温俏睿  杜怀东  吕筠  郭彧  卞铮  裴培  陈君石  余灿清  陈铮鸣  李立明
作者单位:北京大学公共卫生学院流行病与卫生统计学系/北京大学公众健康与重大疫情防控战略研究中心/北京大学分子心血管学教育部重点实验室 100191;英国牛津大学临床与流行病学研究中心纳菲尔德人群健康系/英国牛津大学医学研究委员会人口健康研究组 OX3 7LF;中国医学科学院, 北京 100730;国家食品安全风险评估中心, 北京 100022
基金项目:国家自然科学基金(81973125);国家重点研发计划(2016YFC0900500,2016YFC0900501、2016YFC0900504);中国香港KadoorieCharitable基金
摘    要:目的:探索我国成年人主要膳食模式与低肌肉重量、力量和质量的关系。方法:基于中国慢性病前瞻性研究(CKB)项目第二次重复调查,对20个食物组进行因子分析提取膳食模式。将四肢肌肉重量指数(ASMI)、全身肌肉重量指数(TSMI)、手握力和上肢肌肉质量(AMQ)分性别的最低五分位数作为判断低肌肉重量、力量和质量的截断值。采用...

关 键 词:膳食模式  肌肉重量  手握力  因子分析
收稿时间:2020-06-18

The correlation of dietary patterns with low muscle mass, strength and quality in adults from 10 regions of China
Liu Qi,Wu Man,Wen Qiaorui,Du Huaidong,Lyu Jun,Guo Yu,Bian Zheng,Pei Pei,Chen Junshi,Yu Canqing,Chen Zhengming,Li Liming. The correlation of dietary patterns with low muscle mass, strength and quality in adults from 10 regions of China[J]. Chinese Journal of Epidemiology, 2021, 42(5): 780-786
Authors:Liu Qi  Wu Man  Wen Qiaorui  Du Huaidong  Lyu Jun  Guo Yu  Bian Zheng  Pei Pei  Chen Junshi  Yu Canqing  Chen Zhengming  Li Liming
Affiliation:Department of Epidemiology and Biostatistics, School of Public Health, Peking University/Peking University Center for Public Health and Epidemic Pre[aredmess amd Response/Peking University Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education, Beijing 100191, China;Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health/Medical Research Council Population Health Research Unit, University of Oxford, Oxford OX3 7LF, UK;Chinese Academy of Medical Sciences, Beijing 100730, China;China National Center for Food Safety Risk Assessment, Beijing 100022, China
Abstract:Objective To evaluate the correlation of dietary patterns with low muscle mass, strength and quality in Chinese adults. Methods Based on the second resurvey of China Kadoorie Biobank, factor analysis was conducted to derive dietary patterns from 20 food groups. Low muscle mass, strength, and quality were defined as the sex-specific lowest quintile of appendicular skeletal muscle mass index (ASMI), total skeletal muscle mass index (TSMI), handgrip strength and arm muscle quality (AMQ) according to Asian Working Group for Sarcopenia recommendations. Logistic regression models were used to evaluate the correlation of dietary patterns with low muscle mass, strength, and quality. Results Two major dietary patterns were extracted. The balanced dietary pattern was characterized by the intake of a variety of foods, whereas the rice-meat dietary pattern was characterized by high intakes of rice, meat, poultry and fish. Individuals who had the highest quintile score of the balanced dietary pattern were less likely to have low TSMI, handgrip strength or AMQ(OR=0.83, 95%CI:0.74-0.95 for low TSMI; OR=0.64, 95%CI:0.56-0.74 for low handgrip strength; OR=0.82, 95%CI:0.72-0.93 for low AMQ; for trend P<0.05). And those who scored higher on the rice-meat dietary pattern had lower risk of low muscle mass and strength (OR=0.67, 95%CI:0.55-0.82 for low ASMI; OR=0.69, 95%CI:0.56-0.85 for low TSMI; OR=0.74, 95%CI:0.60-0.91 for low handgrip strength; for trend P<0.05).Conclusion Individuals followed the balanced dietary pattern, as well as those who followed the rice-meat dietary pattern, had better levels of skeletal muscle mass, strength and quality.
Keywords:Dietary pattern  Muscle mass  Handgrip strength  Factor analysis
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