Association of diet quality with the risk of Sarcopenia based on the Chinese diet balance index 2016: a cross-sectional study among Chinese adults in Henan Province

BMC Public Health

Research

Junya Zhai¹  Quanjun Lyu²  Xiaodong Ran³  Amin Ullah³  Xiaoxi Zhu³  Minmin Xu⁴ 

[1] Department of Clinical Nutrition, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, People’s Republic of China;Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University and Zhengzhou Shuqing Medical College, Zhengzhou, People’s Republic of China;Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, People’s Republic of China;The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China;

关键词: Diet quality;    Sarcopenia;    Chinese Diet Balance Index 2016;    Food frequency questionnaire;   

DOI  :  10.1186/s12889-023-16933-9

 received in 2023-06-12, accepted in 2023-10-08,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSarcopenia can lead to a series of unfavourable health outcomes. Diet is an important factor influencing sarcopenia. In this study, we aimed to evaluate the association of sarcopenia with diet quality assessed by the Chinese Diet Balance Index 2016 (DBI-16).MethodsA cross-sectional study was conducted to collect information on nutrition and health in Henan Province, China, and a total of 644 individuals were studied. Sarcopenia was defined according to the Asian Working Group for Sarcopenia (AWGS) criteria updated in 2019. Diet quality was assessed by using the Chinese Diet Balance Index 2016 (DBI-16), which includes three indicators: the lower bound score (LBS), higher bound score (HBS) and diet quality distance (DQD). Binary logistic regression analysis was used to estimate the risk of sarcopenia associated with diet quality.ResultsA total of 49 of the 644 participants were diagnosed with sarcopenia. Excessive intake (score > 0) of cereals, meat, eggs and salt, inadequate intake (score < 0) of vegetables, fruits, dairy products, soybeans and low diet variety were commonly seen in both groups of participants. The participants with sarcopenia had a more serious inadequate intake of fruit than those without sarcopenia (p < 0.05). The overall LBS, HBS and DQD in both groups were in the interval of low-level problems. Compared with participants with a suitable LBS, those with an unsuitable LBS were more likely to have a low gait speed (OR: 2.58; 95%CI: 1.13–7.04) after multiple adjustments. However, the other two DBI-16 indicators, the HBS and DQD, were not associated with sarcopenia or its related diagnostic variables.ConclusionUnfavourable diet quality, mainly referring to inadequate dietary intake in this study, may be a risk factor for low gait speed.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023