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Cited by 114Nutritional Studies and DietNutrition and Health in AgingFrailty in Older Adults

Association between Mediterranean diet and hand grip strength in older adult women

Barrea, Luigi, Muscogiuri, Giovanna, Di Somma, Carolina, Tramontano, Giovanni, De Luca, Vincenzo, Illario, Maddalena, Colao, Annamaria, Savastano, Silvia·2019·Clinical Nutrition
DOI 10.1016/j.clnu.2018.03.012
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Abstract

Background & aims Mediterranean Diet (MD) is an eating pattern associated with multiple healthy benefits, including the conservation of skeletal muscle. Frailty is a major geriatric syndrome characterized by low muscle strength. The Hand Grip Strength (HGS) is the most frequently used indicator of muscle functional capacity for clinical purposes. The association between the adherence to the MD and HGS in elderly has not yet fully investigated. The goal of this study was to examine the association between the adherence to the MD and HGS in a not hospitalized elderly who participated in the project PERsonalised ict Supported Services for Independent Living and Active Ageing (PERSSILAA).Methods Eighty-four elderly women were consecutively enrolled (aged 60-85 years) in this cross-sectional observational study. Anthropometric measures were evaluated. A validated 14-item questionnaire PREDIMED (PREvención con DIeta MEDiterránea) was used for the assessment of adherence to the MD. Dietary data were collected by a 7-day food records. Muscle strength was measured by HGS using a grip strength dynamometer (KERN & SOHN GmbH).Results The majority of participants were overweight (46.4%). An average adherence to the MD was found in 52.4% of participants, while the minority of them showed a low adherence (21.4%). HGS > cut-point of 20 kg were found in 43 subjects (51.2%). According to the adherence to MD, 39% participants with HGS values higher than cut-point presented a high adherence score compared with 14% of those with lower values of HGS (p = 0.018). The participants with HGS > cut-point presented significantly higher PREDIMED score than those with HGS < cut-point (p < 0.001). Based on ROC curves, the most sensitive and specific cut-point for the PREDIMED score to predict HGS categories was ≥8. No evident correlations were observed between HGS and age, while HGS was negatively correlated with hip circumference (r = -0.233, p = 0.033) and BMI (r = -0.219, p = 0.045), and positively correlated with PREDIMED score (r = 0.598, p < 0.001). At binomial logistic regression analysis almost all 14-items of PREDIMED questionnaire were significantly associated with HGS adjusted for BMI. At multinomial logistic regression analysis to assess the association of the three classes of adherence to the MD with the HGS, after adjusting for BMI the lowest adherence to MD was associated with the lowest Odds Ratio of HGS (p < 0.001).Conclusions This study evidenced a positive association between the adherence to the MD and muscle strength in a sample of active elderly women, stratified according to the HGS > cut-point of 20 kg. Our study highlights the usefulness of the developing health services to detect and prevent age-associated decline in physical performance in elderly subjects by addressing nutritional and physical intervention.

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  • The main impact of the Mediterranean diet on inflammatory activity is due to microbiota modulation as a result of dietary fiber and high intake of PUFA omega 3 and antioxidants.

    “The main impact on inflammatory activity is due to the microbiota modulation as a result of the dietary fiber and the high intake of both polyunsaturated fatty acids (PUFA) omega 3 and antioxidants [56].”

    From PCOS and nutritional approaches: Differences between lean and obese phenotype (2021) · cites this paper as [56]

  • The Mediterranean diet may decrease many risk factors for metabolic disorders such as endothelial dysfunction, fatty acid alterations, and IR due to its characteristics.

    “Among the different nutritional strategies, the MD is recognized as a dietary pattern due to its characteristics, like consumption of fatty acids, omega-3 unsaturated fatty acids, and diminished consumption of animal-derived proteins that may decrease many risk factors for metabolic disorders such as endothelial dysfunction, fatty acids alterations and IR [56,67].”

    From PCOS and nutritional approaches: Differences between lean and obese phenotype (2021) · cites this paper as [56]

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Authors
Barrea, L., Muscogiuri, G., Di Somma, C., Tramontano, G., De Luca, V., Illario, M., Colao, A., & Savastano, S.
Affiliations
  • Federico II University Hospital (IT)
  • Regione Campania (IT)
Corresponding author
  • Barrea, Luigi
  • Muscogiuri, Giovanna
  • Tramontano, Giovanni
  • Illario, Maddalena
  • Colao, Annamaria
  • Savastano, Silvia
ORCID
Venue
Clinical Nutrition
Publisher
Elsevier BV
Published
2019-04
Volume
38
Issue
2
Pages
721-729
ISSN
0261-5614 (ISSN-L)
DOI
10.1016/j.clnu.2018.03.012
OpenAlex
W2795933951
Cited by
114
References
73
Citations by year
2026: 7 · 2025: 9 · 2024: 10 · 2023: 11 · 2022: 18 · 2021: 20 · 2020: 14 · 2019: 17 · 2018: 8
FWCI
14.06
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
Mediterranean diet, grip strength, older women, dietary adherence, PREDIMED questionnaire, muscle strength, frailty, sarcopenia, independent living, active ageing, hip circumference, body mass index, anthropometry
MeSH terms
Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Middle Aged, Surveys and Questionnaires, Hand Strength, Diet, Mediterranean, Overweight

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