老年人膳食摄入量和体力活动与营养状况、身体成分和握力的相关性研究

E. A. Murbawani, H. Subagio, Niken Puruhita, E. Probosari, Aryudhatama Candra
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摘要

摘要背景:预期寿命的延长既有积极的影响,也有消极的影响。老年人容易出现营养问题和肌肉减少症等身体功能障碍。包括饮食摄入和身体活动在内的因素都是导致肌肉减少症的原因。目的:分析老年人膳食摄入量和体力活动与营养状况、身体成分和握力(HGS)的相关性。材料和方法:该研究于2020年7月至10月在Panti Wredha Dharma Bakti Surakarta举行。这是一项对54名老年人的横断面研究。采用目的抽样法选择研究对象。用微噪声测量身高,用生物电阻抗分析仪(BIA)测量体重和体成分。通过康斯托克观察获得日粮摄入量。身体活动通过国际身体活动问卷进行测量。用手握力计测量手握力值。用Kolmogorov-Smirnov检验分析数据的正态性。双变量检验采用Rank Spearman检验。结果:能量、碳水化合物和脂肪摄入量与营养状况、体脂率、皮下脂肪率和骨骼肌质量率无相关性(p值> 0.05),而能量(p值= 0.33)、碳水化合物(p值= 0.016)和脂肪摄入量(p值= 0.047)与内脏脂肪率有相关性(p值= 0.047)。体力活动与营养状况有相关性(p = 0.048),与全身脂肪率、内脏脂肪率、皮下脂肪率和骨骼肌质量率无相关性。蛋白质摄入量与HGS值无显著相关性(p值> 0.05)。结论:膳食摄入量仅与内脏脂肪率相关,与其他体成分参数无关。体力活动与营养状况相关,但与所有身体成分参数无关。蛋白质摄入量也与HGS无关。
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Correlation of dietary intake and physical activity with nutritional status, body composition and hand grip strength in elderly
ABSTRACT               Background: Increased life expectancy has both positive and negative impacts. Elderly group are prone to nutritional issues and body function disorder such as sarcopenia. Factors including dietary intake and physical activity are contributors of sarcopenia.Objectives: The purpose of this study is to analyze the correlation of dietary intake and physical activity with nutritional status, body composition and hand grip strength (HGS) in elderly.Materials and Methods: The study was held on July-October 2020 at the Panti Wredha Dharma Bakti Surakarta. This was a cross-sectional study of 54 elderly subjects. Subjects were selected by purposive sampling method. The data included height was measured using microtoise, while weight and body composition was measured using Bioelectrical Impedance Analyzer (BIA). Dietary intake was obtained through comstock observation. Physical activity was measured by the International Physical Activity Questionnaire. Hand grip strength values was measured by hand grip dynamometer. Data normality analyzed by Kolmogorov-Smirnov test. Bivariate test analyzed by Rank Spearman test.Results: Energy, carbohydrate and fat intake had no correlation with nutritional status, total body fat percentage, subcutaneous fat percentage and skeletal muscle mass percentage (p value > 0.05), but there was a relationship between energy (p value = 0.33), carbohydrate (p value = 0.016) and fat intake (p value = 0.047) with visceral fat percentage. Physical activity had relation with nutritional status (p = 0.048) but had no relationship with total body fat percentage, visceral fat percentage, subcutaneous fat percentage and skeletal muscle mass percentage. Protein intake also had no relationship with HGS value (p value> 0.05).Conclusions: Dietary intake only correlated with visceral fat percentage, but had no correlation with other body composition parameters. Physical activity correlated with nutritional status, but had no correlation with all of body composition parameters. Protein intake also had no correlation with HGS.
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