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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.
Nutrients. 2016 Jun 17; 8(6)N

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.

Authors+Show Affiliations

Department of Medical Education, E-Da Hospital and I-Shou University, Kaohsiung City 82445, Taiwan. Ruyi@mail.harvard.edu. Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan. Ruyi@mail.harvard.edu.Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan. kcyang@ntuh.gov.tw. Department of Community and Family Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu City 30059, Taiwan. kcyang@ntuh.gov.tw. Department of Family Medicine, National Taiwan University Hospital, Bei-Hu Branch, Taipei 10845, Taiwan. kcyang@ntuh.gov.tw.Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan. allanchanghs@gmail.com.Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan. ltlee@ntuh.gov.tw.Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan. biopsycosocial@gmail.com.Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan. bretthuang@ntu.edu.tw. Department of Family Medicine, National Taiwan University Hospital, Bei-Hu Branch, Taipei 10845, Taiwan. bretthuang@ntu.edu.tw. Graduate Institute of Clinical Medical Science, China Medical University, Taichung 40402, Taiwan. bretthuang@ntu.edu.tw.

Pub Type(s)

Historical Article
Journal Article

Language

eng

PubMed ID

27322317

Citation

Huang, Ru-Yi, et al. "The Association Between Total Protein and Vegetable Protein Intake and Low Muscle Mass Among the Community-Dwelling Elderly Population in Northern Taiwan." Nutrients, vol. 8, no. 6, 2016.
Huang RY, Yang KC, Chang HH, et al. The Association between Total Protein and Vegetable Protein Intake and Low Muscle Mass among the Community-Dwelling Elderly Population in Northern Taiwan. Nutrients. 2016;8(6).
Huang, R. Y., Yang, K. C., Chang, H. H., Lee, L. T., Lu, C. W., & Huang, K. C. (2016). The Association between Total Protein and Vegetable Protein Intake and Low Muscle Mass among the Community-Dwelling Elderly Population in Northern Taiwan. Nutrients, 8(6). https://doi.org/10.3390/nu8060373
Huang RY, et al. The Association Between Total Protein and Vegetable Protein Intake and Low Muscle Mass Among the Community-Dwelling Elderly Population in Northern Taiwan. Nutrients. 2016 Jun 17;8(6) PubMed PMID: 27322317.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Association between Total Protein and Vegetable Protein Intake and Low Muscle Mass among the Community-Dwelling Elderly Population in Northern Taiwan. AU - Huang,Ru-Yi, AU - Yang,Kuen-Cheh, AU - Chang,Hao-Hsiang, AU - Lee,Long-Teng, AU - Lu,Chia-Wen, AU - Huang,Kuo-Chin, Y1 - 2016/06/17/ PY - 2016/05/04/received PY - 2016/06/02/revised PY - 2016/06/08/accepted PY - 2016/6/21/entrez PY - 2016/6/21/pubmed PY - 2017/3/11/medline KW - nutrition KW - protein KW - sarcopenia KW - vegetable protein KW - vegetarian diet JF - Nutrients JO - Nutrients VL - 8 IS - 6 N2 - 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. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/27322317/The_Association_between_Total_Protein_and_Vegetable_Protein_Intake_and_Low_Muscle_Mass_among_the_Community_Dwelling_Elderly_Population_in_Northern_Taiwan_ L2 - http://www.mdpi.com/resolver?pii=nu8060373 DB - PRIME DP - Unbound Medicine ER -