Cross-sectional associations between dietary intake of polyunsaturated fatty acids, physical function, and sarcopenia in community-dwelling older adults - 19/11/24

Doi : 10.1016/j.jnha.2024.100423 
Hélio José Coelho-Júnior a, b, c, d, , Alejandro Álvarez-Bustos c, e, Anna Picca a, f, Riccardo Calvani a, b, Leocadio Rodriguez-Mañas c, d, e, Francesco Landi a, b, Emanuele Marzetti a, b,
a Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy 
b Department of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, Rome, Italy 
c Biomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain 
d Department of Geriatrics, Hospital Universitario de Getafe, Madrid, Spain 
e Instituto de Investigación IdiPaz, Madrid, Spain 
f Department of Medicine and Surgery, LUM University, Casamassima, Italy 

Corresponding authors at: Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, L.go F. Vito 1, Rome 00168, Italy.Department of Geriatrics, Orthopedics and RheumatologyUniversità Cattolica del Sacro CuoreL.go F. Vito 1Rome00168Italy

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Abstract

Objectives

The present study examined the associations between the dietary intake of polyunsaturated fatty acids (PUFAs), physical function, and the prevalence of sarcopenia in Italian community-dwelling older adults.

Design

Cross-sectional study.

Setting

Unconventional settings across Italy (e.g., exhibitions, health promotion campaigns).

Participants

Italian older adults (65+ years) who provided a written informed consent.

Methods

Physical function was evaluated according to isometric handgrip strength (IHG) and 5-time sit-to-stand (5STS) performances. Muscle power parameters were estimated based on 5STS values. Sarcopenia was operationalized according to the presence of low physical function (IHG or 5STS) plus low appendicular skeletal muscle mass (ASM), estimated according to calf circumference. A 12-item food questionary was used to estimate the dietary intake of PUFAs, which included omega-3, omega-6, α-linolenic acid (ALA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA).

Results

Multiple linear regression results indicate negative and significant associations between the dietary intake of ALA and muscle power, and between DHA consumption and ASM. However, no significant associations were found between PUFAs-related variables and sarcopenia.

Conclusions

Results of the present study indicate that PUFAs-related variables were negatively and significantly associated with physical function and body composition in older adults. Nevertheless, no significant associations were found with sarcopenia. These findings suggest that a more detailed analysis of covariates should be conducted in future investigations that aim to examine the associations between the dietary intake of PUFAs and sarcopenia-related parameters.

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Keywords : Nutrition, Malnutrition, Frailty, Muscle atrophy, Muscle strength, Muscle power


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