Ageing; Bone architecture; Bone density; Dynapenia; Obesity; Protein intake; Aged; Body Composition; Female; Hand Strength; Humans; Bone Density; Muscle Strength; Medicine (miscellaneous); Nutrition and Dietetics; Public Health, Environmental and Occupational Health
Abstract :
[en] OBJECTIVE: The current study aimed to assess the relationship between protein intake and bone parameters among dynapenic-obese older adults.
DESIGN: The current study is a secondary analysis with an a posteriori and exploratory design.
SETTING: Subjects were recruited from the community via social communication (flyers and meetings in community centres) in the Great Montreal area.
PARTICIPANTS: Twenty-six subjects were divided a posteriori into two groups according to their usual protein intake: PROT-: < 1 g/kg per d (n 13; women: 53·8 %; 66·5 (sd 3·3) years) and PROT+: > 1·2 g/kg per d (n 13; women: 61·5 %; 67·2 (sd 2·7) years).
RESULTS: Both groups were comparable for age (PROT-: 66·5 (sd 3·3) v. PROT+: 67·2 (sd 2·7) years, P = 0·61) and gender (women: PROT-: n 7; 53·8 % v. PROT+: n 8; 61·5 %, P = 0·69). The PROT- group had a higher marrow area (P = 0·049), a greater bone compressive strength (P = 0·048) and a larger total bone area (P = 0·045) than the PROT+ group. However, no significant difference between the two groups was observed regarding body composition (fat and lean masses) or muscle composition.
CONCLUSIONS: A lower protein intake seems to be associated with bone sizes, which influence bone strength, but do not influence bone density among dynapenic-obese older people.
Disciplines :
Geriatrics
Author, co-author :
Buckinx, Fanny ; Université de Liège - ULiège > Unité de recherche Santé publique, épidémiologie et économie de la santé (URSAPES) ; Département des Sciences de l'Activité physique, Groupe de Recherche en Activité Physique Adapté, Université du Québec à Montréal, Pavillon Sciences Biologiques, SB-4615, 141, Avenue du Président Kennedy, Montreal, QC H2X 1Y4, Canada ; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada
Peyrusque, Eva; Département des Sciences de l'Activité physique, Groupe de Recherche en Activité Physique Adapté, Université du Québec à Montréal, Pavillon Sciences Biologiques, SB-4615, 141, Avenue du Président Kennedy, Montreal, QC H2X 1Y4, Canada ; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada
Bass, Alec; École de Réadaptation, Université de Montréal, Montreal, QC, Canada
Noirez, Philippe; Département des Sciences de l'Activité physique, Groupe de Recherche en Activité Physique Adapté, Université du Québec à Montréal, Pavillon Sciences Biologiques, SB-4615, 141, Avenue du Président Kennedy, Montreal, QC H2X 1Y4, Canada ; UFR STAPS, Université de Reims Champagne-Ardenne, Reims, France ; INSERM UMRS1124, Université de Paris, Paris, France
Aubertin-Leheudre, Mylène; Département des Sciences de l'Activité physique, Groupe de Recherche en Activité Physique Adapté, Université du Québec à Montréal, Pavillon Sciences Biologiques, SB-4615, 141, Avenue du Président Kennedy, Montreal, QC H2X 1Y4, Canada ; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada
Language :
English
Title :
Relationship between protein intake and bone architecture or bone mineral density among dynapenic-obese older adults.
Acknowledgements: The authors would like to thank all study participants. Financial support: F.B. is funded by IRSC and FRQS post-doctoral fellowships, A.B. is funded by IRSC and FRQS master fellowships. M.A.-L. is recipient of Chercheur Boursier salary awards from the FRQS. This work was supported by grants from the FRQS, the Réseau Québécois de Recherche sur le Vieillissement, a thematic network funded by FRQS and the Groupe de Recherche en Activité Physique Adaptée – Université du Québec à Montréal. Conflict of interest: The authors declare that they have no conflict of interest. Authorship: M.A.L. and P.N. conceived the original idea. E.P. and A.B. collected the data. F.B. and P.N. performed the statistical analyses. F.B. wrote the manuscript. M.A.L., P.N., E.V. and A.B. revised the manuscript. M.A.L. and P.N. supervised the project. Ethics of human subject participation: The current study was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures involving research study participants were approved by the Ethics Committee of the Université du Québec à Montréal. Written informed consent was obtained from all subjects/patients.
Padilla Colon CJ, Molina-Vicenty IL, Frontera-Rodriguez M et al. (2018) Muscle and Bone Mass Loss in the Elderly Population: advances in diagnosis and treatment. J Biomed 3, 40-49.
Durosier-Izart C, Biver E, Merminod F et al. (2017) Peripheral skeleton bone strength is positively correlated with total and dairy protein intakes in healthy postmenopausal women. Am J Clin Nutr 105, 513-525.
Reginster JY, Beaudart C, Buckinx F et al. (2016) Osteoporosis and sarcopenia: two diseases or one? Curr Opin Clin Nutr Metab Care 19, 31-36.
Shapses SA, Pop LC & Wang Y (2017) Obesity is a concern for bone health with aging. Nutr Res 39, 1-13.
Bauer J, Biolo G, Cederholm T et al. (2013) Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. J Am Med Directors Assoc 14, 542-559.
Lee CL & Tsai SF (2020) The impact of protein diet on bone density in people with/without chronic kidney disease: an analysis of the National Health and Nutrition Examination Survey database. Clin Nutr 39, 3497-3503.
Buckinx F, Gouspillou G, Carvalho LP et al. (2018) Effect of high-intensity interval training combined with l-citrulline supplementation on functional capacities and muscle function in dynapenic-obese older adults. J Clin Med 7, 561.
Luhrmann PM, Herbert BM, Gaster C et al. (1999) Validation of a self-administered 3-day estimated dietary record for use in the elderly. Eur J Nutr 38, 235-240.
Brazeau AS, Beaudoin N, Belisle V et al. (2016) Validation and reliability of two activity monitors for energy expenditure assessment. J Sci Med Sport 19, 46-50.
Frank-Wilson AW, Johnston JD, Olszynski WP et al. (2015) Measurement of muscle and fat in postmenopausal women: precision of previously reported pQCT imaging methods. Bone 75, 49-54.
Riggs BL, Wahner HW, Dunn WL et al. (1981) Differential changes in bone mineral density of the appendicular and axial skeleton with aging: relationship to spinal osteoporosis. J Clin Investig 67, 328-335.
Bassey EJ & Short AH (1990) A new method for measuring power output in a single leg extension: feasibility, reliability and validity. Eur J Appl Physiol Occup Physiol 60, 385-390.
Podsiadlo D & Richardson S (1991) The timed Up & Go: a test of basic functional mobility for frail elderly persons. J Am Geriatrics Soc 39, 142-148.
Springer BA, Marin R, Cyhan T et al. (2007) Normative values for the unipedal stance test with eyes open and closed. J Geriatric Phys Ther (2001) 30, 8-15.
Yanagawa N, Shimomitsu T, Kawanishi M et al. (2016) Relationship between performances of 10-time-repeated sit-to-stand and maximal walking tests in non-disabled older women. J Physiol Anthropol 36, 2.
Chung MM, Chan RW, Fung YK et al. (2014) Reliability and validity of Alternate Step Test times in subjects with chronic stroke. J Rehabil Med 46, 969-974.
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories (2002) ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 166, 111-117.
Granic A, Mendonca N, Sayer AA et al. (2018) Low protein intake, muscle strength and physical performance in the very old: the Newcastle 85+ Study. Clin Nutr 37, 2260-2270.
Scott D, Blizzard L, Fell J et al. (2010) Associations between dietary nutrient intake and muscle mass and strength in community-dwelling older adults: the Tasmanian Older Adult Cohort Study. J Am Geriatrics Soc 58, 2129-2134.