Preliminary investigation on the correlations among self-perceived health, dietary behavior, and sarcopenia measurements in Taiwanese adults

Main Article Content

Kuan-Ching Lai
Tsen-Hsuan Tsui

Keywords

sarcopenia, self-perceived health, dietary behavior

Abstract

Due to population aging in [removed for blind review] and in countries worldwide, promotion of active aging, reduction of sarcopenia incidence, balanced diet and sufficient protein intake, and reduction of refined sugar intake have become particularly critical among older adults. This study investigated the correlations between the perceived health, dietary behavior and sarcopenia measurements of [removed for blind review] adults. This study conducted a questionnaire survey to collect data on participants’ diets for the preceding three days; on habit and frequency of exercise; and on total daily intake of protein, refined sugar, and calories. The questionnaire contained 43 items, with an average content validity ratio of 0.9. The participants were also evaluated using a sarcopenia index comprising four measurement items: body mass index, body fat percentage, grip strength, walking speed for a distance of 6 meters, and muscle mass. The results showed the higher the total daily calorie intake, the higher the daily intake of refined sugars. A low total daily intake of protein is associated with low muscle mass. The older age, lower total self-perceived health score and lower the grip performance were correlated. Older adults should be encouraged to engage in outdoor activities, a health-promoting lifestyle, social activities, and regular exercise for enhancing their positive psychological sate, preventing sarcopenia, and facilitating active aging and quality of life.

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References

1. von Haehling S, Morley JE, Anker SD. An overview of sarcopenia: facts and numbers on prevalence and clinical impact. J Cachexia Sarcopenia Muscle 2010; 1(2): 129-33.
2. Wu IC, Lin CC, Hsiung CA, Wang CY, Wu CH, Chan DCD, et al. Epidemiology of sarcopenia among community‐dwelling older adults in T aiwan: A pooled analysis for a broader adoption of sarcopenia assessments. Geriatr Gerontol Int 2014; 14: 52-60.
3. Yuki A, Ando F, Shimokata H. Transdisciplinary approach for sarcopenia. Sarcopenia: definition and the criteria for Asian elderly people. Clin Calcium 2014; 24(10): 1441-8.
4. Daily Diet Guidelines. Health Promotion Administration Ministry of Health and Welfare, 2018: 1-26.
5. Chen L-K, Lee W-J, Peng L-N, Liu L-K, Arai H, Akishita M, et al. Recent advances in sarcopenia research in Asia: 2016 update from the Asian Working Group for Sarcopenia. J Am Med Dir Assoc 2016; 17(8): 767. e1-7.
6. Ouyang C-M. Nutritional Care for the Prevention and Treatment of Elderly Sarcopenia. J Long Term Care 2016; 20(2): 137-47.
7. Robinson SM, Reginster J-Y, Rizzoli R, Shaw S, Kanis JA, Bautmans I, et al. Does nutrition play a role in the prevention and management of sarcopenia? Clin Nutr 2018; 37(4): 1121-32.
8. Chiang P-H, Chen Y-H. Sarcopenia: Diagnosis, Pathogenesis, and Clinical Importance. Taiwan J Fam Med 2014; 24(1): 1-8.
9. Chen L-K, Woo J, Assantachai P, Auyeung T-W, Chou M-Y, Iijima K, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc. 2020; 21(3):300-7
10. Wu Y-J, Chou Y-C, Chan D-C. Review: Sarcopenia and Frailty. J Int Med Taiwan 2014; 25(3): 131-6.
11. Machón M, Vergara I, Dorronsoro M, Vrotsou K, Larrañaga I. Self-perceived health in functionally independent older people: associated factors. BMC Geriatr 2016; 16(1): 1-9.
12. Paddon-Jones D, Sheffield-Moore M, Aarsland A, Wolfe RR, Ferrando AA. Exogenous amino acids stimulate human muscle anabolism without interfering with the response to mixed meal ingestion. Am J Physiol Endocrinol Metab 2005; 288: E761–E767.