Cited by 144Nutrition and Health in AgingNutritional Studies and DietMuscle metabolism and nutrition

Differences in Nutrient Intake and Biochemical Nutrient Status Between Sarcopenic and Nonsarcopenic Older Adults—Results From the Maastricht Sarcopenia Study

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ter Borg, Sovianne, de Groot, Lisette C.P.G.M., Mijnarends, Donja M., de Vries, Jeanne H.M., Verlaan, Sjors, Meijboom, Saskia, Luiking, Yvette C., Schols, Jos M.G.A.·2016·Journal of the American Medical Directors Association

Abstract

BACKGROUND: There is growing evidence of a relationship between nutrients and muscle mass, strength, and physical performance. Although nutrition is seen as an important pillar of treating sarcopenia, data on the nutritional intake of sarcopenic older adults are limited. OBJECTIVE: To investigate potential nutritional gaps in the sarcopenic population, the present study compared nutrient intake and biochemical nutrient status between sarcopenic and nonsarcopenic older adults. DESIGN: The Maastricht Sarcopenia Study included 227 community-dwelling older adults (≥65 years) from Maastricht, 53 of whom were sarcopenic based on the European Working Group on Sarcopenia in Older People algorithm. Habitual dietary intake was assessed with a food frequency questionnaire and data on dietary supplement use were collected. In addition, serum 25-hydroxyvitamin D, magnesium and α-tocopherol/cholesterol, plasma homocysteine and red blood cell n-3, and n-6 fatty acids profiles were assessed. Nutrient intake and biochemical nutrient status of the sarcopenic groups were compared with those of the nonsarcopenic groups. The robustness of these results was tested with a multiple regression analysis, taking into account between-group differences in characteristics. RESULTS: Sarcopenic older adults had a 10%-18% lower intake of 5 nutrients (n-3 fatty acids, vitamin B6, folic acid, vitamin E, magnesium) compared with nonsarcopenic older adults (P < .05). When taking into account dietary supplement intake, a 19% difference remained for n-3 fatty acids intake (P = .005). For the 2 biochemical status markers, linoleic acid and homocysteine, a 7% and 27% difference was observed, respectively (P < .05). The higher homocysteine level confirmed the observed lower vitamin B intake in the sarcopenic group. Observed differences in eicosapentaenoic acid and 25-hydroxyvitamin D between the groups were related to differences in age and living situation. CONCLUSIONS: Sarcopenic older adults differed in certain nutritional intakes and biochemical nutrient status compared with nonsarcopenic older adults. Dietary supplement intake reduced the gap for some of these nutrients. Targeted nutritional intervention may therefore improve the nutritional intake and biochemical status of sarcopenic older adults.

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  • Sarcopenic older adults had a 10-18% lower intake of certain nutrients such as magnesium.

    “The Maastricht sarcopenia study, which focuses on the differences in nutrient intake and biochemical nutrient status between sarcopenic and nonsarcopenic older adults, suggests that sarcopenic older adults had a 10–18% lower intake of certain nutrients such as magnesium [51].”

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  1. Mijnarends D, Meijers J, Halfens R, et al. Rationale and design of a cross- sectional study of the prevalence, characterization and health and economic consequences of sarcopenia in community-dwelling older people in The Netherlands [abstract]. J Nutr Health Aging 2013;17:S245.

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Authors
ter Borg, S., de Groot, L. C. P. G. M., Mijnarends, D. M., de Vries, J. H. M., Verlaan, S., Meijboom, S., Luiking, Y. C., & Schols, J. M. G. A.
Affiliations
  • Maastricht University (NL)
  • Nutricia Research (Netherlands) (NL)
  • Wageningen University & Research (NL)
Venue
Journal of the American Medical Directors Association
Publisher
Elsevier BV
Published
2016-05
Volume
17
Issue
5
Pages
393-401
ISSN
1525-8610 (ISSN-L)
OpenAlex
W2269429413
Cited by
144
References
47
Citations by year
2026: 5 · 2025: 13 · 2024: 11 · 2023: 22 · 2022: 22 · 2021: 20 · 2020: 21 · 2019: 13 · 2018: 7 · 2017: 6 · 2016: 3 · 2012: 1
FWCI
7.79
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Medical Directors Association (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, cc-by-nc-nd)
  • Socio-Environmental Systems Modeling (acceptedVersion, cc-by-nc-nd)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, cc-by-nc-nd)
Funders
  • Strong
  • Universiteit Maastricht
  • Maastricht Universitair Medisch Centrum
  • Care and Public Health Research Institute, Universiteit Maastricht
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
Keywords
sarcopenia, older adults, nutrient intake, dietary supplements, omega-3 fatty acids, vitamin B6, folic acid, vitamin E, magnesium, homocysteine, 25-hydroxyvitamin D, eicosapentaenoic acid, linoleic acid, omega-6 fatty acids, muscle mass, Maastricht
MeSH terms
Aged, Aged, 80 and over, Energy Intake, Diet, Diet Surveys, Female, Humans, Male, Nutritional Status, Geriatric Assessment, Sarcopenia

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