Cited by 81Nutrition and Health in AgingNutritional Studies and DietBone health and osteoporosis research

The Association between Daily Calcium Intake and Sarcopenia in Older, Non-Obese Korean Adults: The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) 2009

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Seo, Mi Hae, Kim, Mee Kyoung, Park, Se Eun, Rhee, Eun Jung, Park, Cheol Young, Lee, Won-Young, Baek, Ki Hyun, Song, Ki-Ho +2 more·2013·Endocrine Journal

Abstract

Recent data suggest that variations in calcium intake may influence body weight and composition; however, the relationship between daily calcium intake and muscle mass has not been well established. The objective of this study was to assess the relationship between daily calcium intake and sarcopenia. We analyzed data for older adults (over 60 years) from the fourth Korea National Health and Nutrition Examination Survey (KNHANES) conducted in 2009. A total of 1339 Non-Obese (BMI between 18.5 and 25 kg/m²), older adults (592 men and 707 women) were enrolled. Dietary variables were assessed using a nutrition survey that used a 24-hour recall method. Daily calcium intake based on the consumption of each food item was calculated. Sarcopenia was defined as an appendicular skeletal muscle mass divided by body weight less than 2 SD below the sex-specific mean for young adults. We found that daily calcium intake was negatively correlated with total body fat percentage and positively correlated with appendicular skeletal mass (p<0.001). Participants with sarcopenia appear to have significantly lower daily calcium intakes than participants without sarcopenia (p<0.001). The unadjusted prevalence of sarcopenia according to daily calcium intake tertiles were 6.3%, 4.3%, and 2.7% in tertiles 1, 2, and 3, respectively. After adjustment for age, sex, BMI, total energy intake, and lifestyle factors, compared with those in the lowest tertile of daily calcium intake, participants in the highest tertile had an odds ratio for sarcopenia of 0.295 (95% confidence interval, 0.087-0.768; p for trend = 0.014). We found that daily calcium intake, corrected for total energy intake and serum 25(OH)D status, was significantly lower in subjects with sarcopenia than in those without. Our results suggest a strong inverse association between daily calcium intake and sarcopenia in non-obese, older Korean adults.

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Crossref · 10.1507/endocrj.ej12-0395

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  • Daily calcium intake was significantly lower in subjects with sarcopenia than in those without, and there is a strong inverse association between daily calcium intake and sarcopenia in non-obese, older Korean adults.

    “The fourth Korea National Health and Nutrition Examination Survey data showed that daily calcium intake was significantly lower (2.7%) in subjects with sarcopenia than in those without (6.3%) and there is a strong inverse association between daily calcium intake and sarcopenia in non-obese, older Korean adults [50].”

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  1. Chung M, Balk EM, Brendel M, Ip S, Lau J, et al. (2009) Vitamin D and calcium: a systematic review of health outcomes. Evid Rep Technol Assess (Full Rep) Aug: 1-420.

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Authors
Seo, M. H., Kim, M. K., Park, S. E., Rhee, E. J., Park, C. Y., Lee, W.-Y., Baek, K. H., Song, K.-H., Kang, M. I., & Oh, K. W.
Affiliations
  • Kangbuk Samsung Hospital (KR)
  • Catholic University of Korea (KR)
Venue
Endocrine Journal
Published
2013
Volume
60
Issue
5
Pages
679-686
ISSN
  • 0918-8959 (ISSN-L)
  • 1348-4540
OpenAlex
W89809618
Cited by
81
References
26
Citations by year
2026: 2 · 2025: 9 · 2024: 6 · 2023: 11 · 2022: 10 · 2021: 6 · 2020: 9 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 7 · 2015: 4 · 2014: 5 · 2013: 3 · 2012: 1
FWCI
4.41
Type
journal article
Language
en
Open access
Locations
  • Endocrine Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
Keywords
calcium intake, sarcopenia, older adults, non-obese adults, appendicular skeletal muscle mass, body fat percentage, vitamin D status, dietary calcium, Korean adults
MeSH terms
Aged, Aged, 80 and over, Aging, Algorithms, Body Composition, Body Weight, Calcium, Dietary, Energy Intake, Cross-Sectional Studies, Diet, Female, Health Surveys, Humans, Male, Middle Aged, Body Mass Index, Prevalence, Logistic Models, Sarcopenia, Republic of Korea

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