The Association between Total Protein and Vegetable Protein Intake and Low Muscle Mass among the Community-Dwelling Elderly Population in Northern Taiwan
Open accessAbstract
Sarcopenia, highly linked with fall, frailty, and disease burden, is an emerging problem in aging society. Higher protein intake has been suggested to maintain nitrogen balance. Our objective was to investigate whether pre-sarcopenia status was associated with lower protein intake. A total of 327 community-dwelling elderly people were recruited for a cross-sectional study. We adopted the multivariate nutrient density model to identify associations between low muscle mass and dietary protein intake. The general linear regression models were applied to estimate skeletal muscle mass index across the quartiles of total protein and vegetable protein density. Participants with diets in the lowest quartile of total protein density (<13.2%) were at a higher risk for low muscle mass (odds ratio (OR) 3.03, 95% confidence interval (CI) 1.37–6.72) than those with diets in the highest quartile (≥17.2%). Similarly, participants with diets in the lowest quartile of vegetable protein density (<5.8%) were at a higher risk for low muscle mass (OR 2.34, 95% CI 1.14–4.83) than those with diets in the highest quartile (≥9.4%). Furthermore, the estimated skeletal muscle mass index increased significantly across the quartiles of total protein density (p = 0.023) and vegetable protein density (p = 0.025). Increasing daily intakes of total protein and vegetable protein densities appears to confer protection against pre-sarcopenia status.
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Several studies have shown that adequate intake of proteins of animal or vegetable origin contributes to the maintenance of lean mass, but very few have focused on fish proteins.
“Several studies have shown that adequate intake of proteins of animal or vegetable origin contributes to the maintenance of lean mass, but very few have focused on fish proteins [52,53].”
From Novel Insights on Intake of Fish and Prevention of Sarcopenia: All Reasons for an Adequate Consumption (2020) · cites this paper as [53]
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- Authors
- Huang, R.-Y., Yang, K.-C., Chang, H.-H., Lee, L.-T., Lu, C.-W., & Huang, K.-C.
- Affiliations
- Department of Medical Education, E-Da Hospital and I-Shou University, Kaohsiung City 82445, Taiwan
- National Taiwan University Hospital (TW)
- China Medical University (TW)
- Corresponding author
- Huang, Kuo-Chin
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2016-06-17
- Volume
- 8
- Issue
- 6
- Pages
- 373
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC4924214
- OpenAlex
- W2426230542
- Cited by
- 66
- References
- 43
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 8 · 2023: 9 · 2022: 13 · 2021: 4 · 2020: 10 · 2019: 9 · 2018: 5
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Health Institute of Taiwan ((GE-096-PP-08))
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- sarcopenia, low muscle mass, protein intake, plant proteins, skeletal muscle index, community-dwelling older adults, pre-sarcopenia, nitrogen balance, frailty, falls
- MeSH terms
- Aged, Aged, 80 and over, Aging, Body Composition, Energy Intake, Cross-Sectional Studies, Diet, Dietary Carbohydrates, Dietary Proteins, Female, Hemoglobins, Humans, Life Style, Lymphocytes, Male, Serum Albumin, Taiwan, Plant Proteins, Dietary, Biomarkers, Nutrition Assessment, Body Mass Index, Multivariate Analysis, Linear Models, Logistic Models, Electric Impedance, Muscle, Skeletal, Micronutrients, History, 17th Century, Sarcopenia
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