Jyväkorpi, SK; Urtamo, A; Kivimäki, M; Strandberg, TE; (2020) Macronutrient composition and sarcopenia in the oldest-old men: The Helsinki Businessmen Study (HBS). Clinical Nutrition , 39 (12) pp. 3839-3841. 10.1016/j.clnu.2020.04.024.

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Abstract

BACKGROUND & AIMS: Sarcopenia is associated with increased risk for several adverse health outcomes including frailty, disability, loss of independence, and mortality. We examined cross–sectional associations between sarcopenia and detailed dietary macronutrient composition in community-living oldest-old men (mean age 87). METHODS: Participants were invited to a clinic visit in 2017/2018 including assessments of sarcopenia status using European Working Group on Sarcopenia in Older People's 2 (EWGSOP2) criteria and detailed macronutrient, vitamin D and food intakes retrieved from 3-day food diaries. RESULTS: Of the 126 participants, 48 had probable sarcopenia and 27 sarcopenia. Sarcopenia was associated with lower energy (p = 0.020), total protein (p = 0.019), plant (p = 0.008) and fish proteins (p = 0.041), total fat (p = 0.015), monounsaturated fatty acids (MUFA) (p = 0.011), polyunsaturated fatty acids (p = 0.002), vitamin D intakes (p = 0.005) and, of fat quality indicators, MUFA: saturated fatty acid-ratio (p = 0.042). CONCLUSION: These findings suggest that sufficient energy and protein intakes, but also fat quality may be important along with healthy dietary patterns for prevention of sarcopenia in the oldest-old.

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