Protein Consumption, Muscle Health, and Sarcopenia in the Elderly Chinese Population
Keywords:
protein, amino acid, consumption, sarcopenia, elderly, muscle growthAbstract
The Chinese elderly population is at high risk of sarcopenia, a decline in strength and muscle mass that can lead to injury and poor health outcomes. More education and guidelines about protein consumption and muscle health are required. Protein is an essential part of our diet since it acts as the main building block of our body. One of the main health issues closely related to protein consumption is the prevalence of sarcopenia. There have been inconsistent diagnostic criteria regarding sarcopenia, but such issues have been improved by establishing consensus on standards. Three main aspects of protein consumption that should be considered with dietary recommendations are quantity, distribution, and the source. Quantity means the total daily intake, which should increase; distribution is the proportion of protein consumed each time of eating, which should be more balanced; source is where the protein comes from, which should contain a higher percentage of animal protein. The effect of exercise is another important factor. Physical activity, especially resistance training, promotes muscle health. This review summarizes past research and provide guidelines on how dietary patterns should be modified to promote muscle health in elderly Chinese people.
Downloads
References
Bauer, J., Biolo, G., Cederholm, T., Cesari, M., Cruz-Jentoft, A. J., Morley, J. E., Phillips, S., Sieber, C., Stehle, P., Teta, D., Visvanathan, R., Volpi, E., & Boirie, Y. (2013). Evidence-based recommendations for optimal dietary protein intake in older people: A position paper from the prot-age study group. Journal of the American Medical Directors Association, 14(8), 542–559. https://doi.org/10.1016/j.jamda.2013.05.021
Bruyère, O., Beaudart, C., Ethgen, O., Reginster, J. Y., & Locquet, M. (2019). The health economics burden of sarcopenia: a systematic review. In Maturitas (Vol. 119, pp. 61–69). Elsevier Ireland Ltd. https://doi.org/10.1016/j.maturitas.2018.11.003
Chen, L. K., Woo, J., Assantachai, P., Auyeung, T. W., Chou, M. Y., Iijima, K., Jang, H. C., Kang, L., Kim, M., Kim, S., Kojima, T., Kuzuya, M., Lee, J. S. W., Lee, S. Y., Lee, W. J., Lee, Y., Liang, C. K., Lim, J. Y., Lim, W. S., … Arai, H. (2020). Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. Journal of the American Medical Directors Association, 21(3), 300-307.e2. https://doi.org/10.1016/j.jamda.2019.12.012
Cruz-Jentoft, A. J., Dawson Hughes, B., Scott, D., Sanders, K. M., & Rizzoli, R. (2020). Nutritional strategies for maintaining muscle mass and strength from middle age to later life: A narrative review. In Maturitas (Vol. 132, pp. 57–64). Elsevier Ireland Ltd. https://doi.org/10.1016/j.maturitas.2019.11.007
Deutz, N. E. P., Bauer, J. M., Barazzoni, R., Biolo, G., Boirie, Y., Bosy-Westphal, A., Cederholm, T., Cruz-Jentoft, A., Krznariç, Z., Nair, K. S., Singer, P., Teta, D., Tipton, K., & Calder, P. C. (2014). Protein intake and exercise for optimal muscle function with aging: Recommendations from the ESPEN Expert Group. Clinical Nutrition, 33(6), 929–936. https://doi.org/10.1016/j.clnu.2014.04.007
Distefano, G., & Goodpaster, B. H. (2018). Effects of exercise and aging on skeletal muscle. Cold Spring Harbor Perspectives in Medicine, 8(3). https://doi.org/10.1101/cshperspect.a029785
G. Abellan Van Kan. (2009). EPIDEMIOLOGY AND CONSEQUENCES OF SARCOPENIA. The Journal of Nutrition, Health & Aging, 13.
Hou, Y., & Wu, G. (2018). Nutritionally essential amino acids. Advances in Nutrition, 9(6), 849–851. https://doi.org/10.1093/ADVANCES/NMY054
Hua, C., Zhaohui, W., Jianqing, W., Ying, L., Jin, Z., Wenkai, X., Ping, H., Yun, Z., Jianye, W., Pulin, Y., Cuntai, Z., Jinhui, W., & Chinese Geriatrics Society. (2023). Chinese expert consensus on prevention and intervention for elderly with sarcopenia(2023). Chinese Geriatrics Society, 42(3), 144–153. https://doi.org/10.3760/cma.j.issn.0254-9026.2023.02.002.
Janssen, I., Shepard, D. S., Katzmarzyk, P. T., & Roubenoff, R. (2004). The Healthcare Costs of Sarcopenia in the United States. In J Am Geriatr Soc (Vol. 52).
Loenneke, J. P., Loprinzi, P. D., Murphy, C. H., & Phillips, S. M. (2016). Per meal dose and frequency of protein consumption is associated with lean mass and muscle performance. Clinical Nutrition, 35(6), 1506–1511. https://doi.org/10.1016/j.clnu.2016.04.002
Mertz, K. H., Reitelseder, S., Bechshoeft, R., Bulow, J., Højfeldt, G., Jensen, M., Schacht, S. R., Lind, M. V., Rasmussen, M. A., Mikkelsen, U. R., Tetens, I., Engelsen, S. B., Nielsen, D. S., Jespersen, A. P., & Holm, L. (2021). The effect of daily protein supplementation, with or without resistance training for 1 year, on muscle size, strength, and function in healthy older adults: A randomized controlled trial. American Journal of Clinical Nutrition, 113(4), 790–800. https://doi.org/10.1093/ajcn/nqaa372
Mustafa, J., Ellison, R. C., Singer, M. R., Bradlee, M. L., Kalesan, B., Holick, M. F., Moore, L. L., Library, C., Serials, /, & User, D. (2018). Dietary Protein and Preservation of Physical Functioning Among Middle-aged and Older Adults in the Framingham Offspring Study. https://doi.org/10.1093/aje/kwy014/4953391
Nam, K. C., Jo, C., & Lee, M. (2010). Meat products and consumption culture in the East. In Meat Science (Vol. 86, Issue 1, pp. 95–102). https://doi.org/10.1016/j.meatsci.2010.04.026
Ouyang, Y., Huang, F., Zhang, X., Li, L., Zhang, B., Wang, Z., & Wang, H. (2022). Association of Dietary Protein Intake with Muscle Mass in Elderly Chinese: A Cross-Sectional Study. Nutrients, 14(23). https://doi.org/10.3390/nu14235130
Paddon-Jones, D., & Rasmussen, B. B. (2009). Dietary protein recommendations and the prevention of sarcopenia. In Current Opinion in Clinical Nutrition and Metabolic Care (Vol. 12, Issue 1, pp. 86–90). https://doi.org/10.1097/MCO.0b013e32831cef8b
Putra, C., Konow, N., Gage, M., York, C. G., & Mangano, K. M. (2021). Protein source and muscle health in older adults: A literature review. In Nutrients (Vol. 13, Issue 3, pp. 1–19). MDPI AG. https://doi.org/10.3390/nu13030743
Ren, X., Zhang, X., He, Q., Du, L., Chen, K., Chen, S., & Pan, Y. (2022). Prevalence of sarcopenia in Chinese community-dwelling elderly: a systematic review. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13909-z
Rogeri, P. S., Zanella, R., Martins, G. L., Garcia, M. D. A., Leite, G., Lugaresi, R., Gasparini, S. O., Sperandio, G. A., Ferreira, L. H. B., Souza‐junior, T. P., & Lancha, A. H. (2022). Strategies to prevent sarcopenia in the aging process: Role of protein intake and exercise. In Nutrients (Vol. 14, Issue 1). MDPI. https://doi.org/10.3390/nu14010052
Schoenfeld, B. J., & Aragon, A. A. (2018). How much protein can the body use in a single meal for muscle-building? Implications for daily protein distribution. In Journal of the International Society of Sports Nutrition (Vol. 15, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12970-018-0215-1
Seo, M. W., Jung, S. W., Kim, S. W., Lee, J. M., Jung, H. C., & Song, J. K. (2021). Effects of 16 weeks of resistance training on muscle quality and muscle growth factors in older adult women with sarcopenia: A randomized controlled trial. International Journal of Environmental Research and Public Health, 18(13). https://doi.org/10.3390/ijerph18136762
Sports Science Research Institute. (2020). Report on Physical Activity Engagement of the Population.
Wany, L., Zhang, B., Wang, H., Du, W., Zhang, J., & Wang, Z. (2019). Intakes of energy and macronutrient among the elderly in nine provinces (autonomous region), China during 1991-2015. Wei Sheng Yan Jiu = Journal of Hygiene Research, 48(5), 700–705.
Wu, X., Li, X., Xu, M., Zhang, Z., He, L., & Li, Y. (2021). Sarcopenia prevalence and associated factors among older Chinese population: Findings from the China Health and Retirement Longitudinal Study. PLoS ONE, 16(3 March). https://doi.org/10.1371/journal.pone.0247617
Xiaoyu, R., Qiang, H., & Xianliang, Z. (2022). The Sarcopenia Prevalence within our community, a systematic review and a meta-analysis.
Xu, X., E. Byles, J., Shi, Z., & J. Hall, J. (2015). Evaluation of older Chinese people’s macronutrient intake status: Results from the China Health and Nutrition Survey. British Journal of Nutrition, 113(1), 159–171. https://doi.org/10.1017/S0007114514003444
Zhao, F., Fang, H., Zhao, L., Mu, D., Guo, Q., Ju, L., & He, L. (2021). Intakes of dietary energy and macronutrients among the elderly aged 65 and above in China in 2015. Wei Sheng Yan Jiu = Journal of Hygiene Research, 50(1), 37–45. https://doi.org/10.19813/j.cnki.weishengyanjiu.2021.01.007
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Zhaoxiang Liu, Andrea Merchak
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license unless indicated otherwise in a credit line to the material. If the material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/ licenses/by/4.0/