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Association of the Baltic Sea and Mediterranean diets with indices of sarcopenia in elderly women, OSPTRE-FPS study

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Abstract

Purpose

To examine whether higher adherence to Baltic Sea diet (BSD) and Mediterranean diet (MED) have beneficial association with sarcopenia indices in elderly women.

Methods

In total 554 women, aged 65–72 years belonging to OSTPRE-FPS study answered a questionnaire on lifestyle factors and 3-day food record at baseline in 2002. Food consumptions and nutrient intakes were calculated. Nine components were selected to calculate BSD score. MED score was calculated using eight components. Body composition was measured by dual-energy X-ray absorptiometry. Physical function measures included walking speed 10 m, chair rises, one leg stance, knee extension, handgrip strength and squat at baseline and at year 3. Sarcopenia and short physical performance battery (SPPB) score were defined based on the European working group on sarcopenia criteria. Lower body muscle quality (LBMQ) was calculated as walking speed 10 m/leg muscle mass.

Results

Women in the higher quartiles of BSD and MED scores lost less relative skeletal muscle index and total body lean mass (LM) over 3-year follow-up (P trend ≤ 0.034). At the baseline, women in the higher BSD score quartiles had greater LM, faster walking speed 10 m, greater LBMQ, higher SPPB score (P trend ≤ 0.034), and higher proportion of squat test completion. Similarly, women in the higher quartiles of MED sore had significantly faster walking speed 10 m, greater LBMQ (P trend ≤ 0.041) and higher proportion of squat test completion.

Conclusions

Better diet quality as measured by higher adherence to BSD and MED might reduce the risk of sarcopenia in elderly women.

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References

  1. Prado CMM, Wells JCK, Smith SR, Stephan BCM, Siervo M (2012) Sarcopenic obesity: a critical appraisal of the current evidence. Clin Nutr 31(5):583–601

    Article  CAS  PubMed  Google Scholar 

  2. Denison HJ, Cooper C, Sayer AA, Robinson SM (2015) Prevention and optimal management of sarcopenia: a review of combined exercise and nutrition interventions to improve muscle outcomes in older people. Clin Interv Aging 10:859–869

    PubMed  PubMed Central  Google Scholar 

  3. Cruz-Jentoft AJ, Landi F, Schneider SM, Zuniga C, Arai H, Boirie Y et al (2014) Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing 43(6):748–759

    Article  PubMed  PubMed Central  Google Scholar 

  4. Cesari M, Landi F, Vellas B, Bernabei R, Marzetti E (2014) Sarcopenia and physical frailty: two sides of the same coin. Front Aging Neurosci 6:192

    PubMed  PubMed Central  Google Scholar 

  5. Mathers JC (2015) Impact of nutrition on the ageing process. Br J Nutr 113(Suppl):S18–S22

    Article  CAS  PubMed  Google Scholar 

  6. Rondanelli M, Faliva M, Monteferrario F, Peroni G, Repaci E, Allieri F, et al (2015) Novel insights on nutrient management of sarcopenia in elderly. BioMed Res Int 2015:524948

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Mursu J, Steffen LM, Meyer KA, Duprez D, Jacobs DR Jr (2013) Diet quality indexes and mortality in postmenopausal women: the Iowa Women’s Health Study. AJCN 98(2):444–453

    Article  CAS  Google Scholar 

  8. Sofi F, Macchi C, Abbate R, Gensini GF, Casini A (2014) Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score. PHN 17(12):2769–2782

    Article  Google Scholar 

  9. Ruusunen A, Lehto SM, Tolmunen T, Voutilainen S, Tuomainen T (2013) Adherence to the baltic sea diet is associated with lower prevalence of elevated depressive symptoms. Eur Psychiatry 28(Supplement 1):1

    Article  Google Scholar 

  10. Kanerva N, Kaartinen NE, Schwab U, Lahti-Koski M, Männistö S (2014) The Baltic Sea Diet Score: a tool for assessing healthy eating in Nordic countries. PHN 17(8):1697–1705

    Article  Google Scholar 

  11. Kanerva N, Kaartinen NE, Schwab U, Lahti-Koski M, Männistö S (2013) Adherence to the Baltic Sea diet consumed in the Nordic countries is associated with lower abdominal obesity. BJN 109(03):520–528

    Article  CAS  Google Scholar 

  12. Bere E, Brug J (2009) Towards health-promoting and environmentally friendly regional diets–a Nordic example. PHN 12(01):91–96

    Article  Google Scholar 

  13. Shahar DR, Houston DK, Hue TF, Lee J, Sahyoun NR, Tylavsky FA, et al (2012) Adherence to mediterranean diet and decline in walking speed over 8 years in community-dwelling older adults. JAGS 60(10):1881–1888

    Article  Google Scholar 

  14. Hashemi R, Motlagh AD, Heshmat R, Esmaillzadeh A, Payab M, Yousefinia M et al (2015) Diet and its relationship to sarcopenia in community dwelling Iranian elderly: a cross sectional study. Nutrition 31(1):97–104

    Article  PubMed  Google Scholar 

  15. Milaneschi Y, Bandinelli S, Corsi AM, Lauretani F, Paolisso G, Dominguez LJ et al (2011) Mediterranean diet and mobility decline in older persons. Exp Gerontol 46(4):303–308

    Article  PubMed  Google Scholar 

  16. Perälä MM, von Bonsdorff M, Mannisto S, Salonen MK, Simonen M, Kanerva N, et al (2016) A healthy Nordic diet and physical performance in old age: findings from the longitudinal Helsinki Birth Cohort Study. BJN 115(5):878–886

    Article  CAS  Google Scholar 

  17. Kärkkäinen M, Tuppurainen M, Salovaara K, Sandini L, Rikkonen T, Sirola J et al (2010) Effect of calcium and vitamin D supplementation on bone mineral density in women aged 65–71 years: a 3-year randomized population-based trial (OSTPRE-FPS). Osteoporos Int 21(12):2047–2055

    Article  CAS  PubMed  Google Scholar 

  18. Isanejad M, Mursu J, Sirola J, Kröger H, Rikkonen T, Tuppurainen M, et al (2016) Dietary protein intake is associated with better physical function and muscle strength among elderly women. BJN 115(7):1281–1291

    Article  CAS  Google Scholar 

  19. Erkkilä AT, Jarvinen R, Karvonen H, Keronen L, Tuppurainen MT (2012) Validation of a semi-quantitative FFQ using food records as a reference in older women in the Kuopio Fracture Prevention Study (OSTPRE-FPS). PHN 15(4):635–639

    Article  Google Scholar 

  20. Tognon G, Rothenberg E, Eiben G, Sundh V, Winkvist A, Lissner L (2011) Does the Mediterranean diet predict longevity in the elderly? A Swedish perspective. Age 33(3):439–450

    Article  CAS  PubMed  Google Scholar 

  21. Bamia C, Lagiou P, Buckland G, Grioni S, Agnoli C, Taylor AJ et al (2013) Mediterranean diet and colorectal cancer risk: results from a European cohort. Eur J Epidemiol 28(4):317–328

    Article  CAS  PubMed  Google Scholar 

  22. Sjöblöm S, Suuronen J, Rikkonen T, Honkanen R, Kröger H, Sirola J (2013) Relationship between postmenopausal osteoporosis and the components of clinical sarcopenia. Maturitas 75(2):175–180

    Article  PubMed  Google Scholar 

  23. Lohman M, Tallroth K, Kettunen JA, Marttinen MT (2009) Reproducibility of dual-energy X-ray absorptiometry total and regional body composition measurements using different scanning positions and definitions of regions. Metabolism 58(11):1663–1668

    Article  CAS  PubMed  Google Scholar 

  24. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F et al (2010) Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing 39(4):412–423

    Article  PubMed  PubMed Central  Google Scholar 

  25. Kwon S, Perera S, Pahor M, Katula JA, King AC, Groessl EJ, et al (2009) What is a meaningful change in physical performance? Findings from a clinical trial in older adults (the LIFE-P study). JNHA 13(6):538–544

    CAS  Google Scholar 

  26. Vasunilashorn S, Coppin AK, Patel KV, Lauretani F, Ferrucci L, Bandinelli S et al (2009) Use of the Short Physical Performance Battery Score to predict loss of ability to walk 400 meters: analysis from the InCHIANTI study. J Gerontol A 64(2):223–229

    Article  Google Scholar 

  27. Visser M, Kritchevsky SB, Goodpaster BH, Newman AB, Nevitt M, Stamm E, et al (2002) Leg muscle mass and composition in relation to lower extremity performance in men and women aged 70 to 79: the health, aging and body composition study. JAGS 50(5):897–904

    Article  Google Scholar 

  28. Shin S, Valentine RJ, Evans EM, Sosnoff JJ (2012) Lower extremity muscle quality and gait variability in older adults. Age Ageing 41(5):595–599

    Article  PubMed  Google Scholar 

  29. Richardson JT (2011) Eta squared and partial eta squared as measures of effect size in educational research. Educ Res Rev 6(2):135–147

    Article  Google Scholar 

  30. Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB (2011) Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med 364(25):2392–2404

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Rizzoli R, Stevenson JC, Bauer JM, van Loon LJ, Walrand S, Kanis JA et al (2014) The role of dietary protein and vitamin D in maintaining musculoskeletal health in postmenopausal women: a consensus statement from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Maturitas 79(1):122–132

    Article  CAS  PubMed  Google Scholar 

  32. Salles J, Chanet A, Giraudet C, Patrac V, Pierre P, Jourdan M et al (2013) 1,25(OH)2-vitamin D3 enhances the stimulating effect of leucine and insulin on protein synthesis rate through Akt/PKB and mTOR mediated pathways in murine C2C12 skeletal myotubes. Mol Nutr Food Res 57(12):2137–2146

    Article  CAS  PubMed  Google Scholar 

  33. Mason C, Xiao L, Imayama I, Duggan CR, Foster-Schubert KE, Kong A et al (2013) Influence of diet, exercise, and serum vitamin d on sarcopenia in postmenopausal women. Med Sci Sports Exerc 45(4):607–614

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Isanejad M, Mursu J, Sirola J, Kröger H, Rikkonen T, Tuppurainen M et al (2015) Association of protein intake with the change of lean mass among elderly women: the Osteoporosis Risk Factor and Prevention–Fracture Prevention Study (OSTPRE-FPS). J Nutr Sci 4:e41

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Beaudart C, Buckinx F, Rabenda V, Gillain S, Cavalier E, Slomian J et al (2014) The effects of vitamin D on skeletal muscle strength, muscle mass, and muscle power: a systematic review and meta-analysis of randomized controlled trials. J Clin Endocrinol Metab 99(11):4336–4345

    Article  CAS  PubMed  Google Scholar 

  36. Mithal A, Bonjour JP, Boonen S, Burckhardt P, Degens H, El Hajj Fuleihan G et al (2013) Impact of nutrition on muscle mass, strength, and performance in older adults. Osteoporos Int 24(5):1555–1566

    Article  CAS  PubMed  Google Scholar 

  37. Park S, Ham J, Lee B (2014) A positive association of vitamin D deficiency and sarcopenia in 50 year old women, but not men. Clin Nutr 33(5):900–905

    Article  CAS  PubMed  Google Scholar 

  38. Sohl E, Van Schoor N, De Jongh R, Visser M, Deeg D, Lips P (2013) Vitamin D status is associated with functional limitations and functional decline in older individuals. JCEM 98(9):E1483–E1490

    CAS  PubMed  Google Scholar 

  39. Robinson S, Cooper C, Aihie Sayer A (2012) Nutrition and sarcopenia: a review of the evidence and implications for preventive strategies. J Aging Res 2012:510801

    Article  PubMed  PubMed Central  Google Scholar 

  40. Sims-Robinson C, Hur J, Hayes JM, Dauch JR, Keller PJ, Brooks SV, et al (2013) The role of oxidative stress in nervous system aging. PLoS ONE 8(7):e68011

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Lauretani F, Semba RD, Bandinelli S, Dayhoff-Brannigan M, Lauretani F, Corsi AM et al (2008) Carotenoids as protection against disability in older persons. Rejuvenation Res 11(3):557–563

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Alipanah N, Varadhan R, Sun K, Ferrucci L, Fried LP, Semba RD (2009) Low serum carotenoids are associated with a decline in walking speed in older women. JNHA 13(3):170–175

    CAS  Google Scholar 

  43. Semba RD, Lauretani F, Ferrucci L (2007) Carotenoids as protection against sarcopenia in older adults. Arch Biochem Biophys 458(2):141–145

    Article  CAS  PubMed  Google Scholar 

  44. Bartali B, Frongillo EA, Bandinelli S, Lauretani F, Semba RD, Fried LP et al (2006) Low nutrient intake is an essential component of frailty in older persons. J Gerontol A 61(6):589–593

    Article  Google Scholar 

  45. Ble A, Cherubini A, Volpato S, Bartali B, Walston JD, Windham BG et al (2006) Lower plasma vitamin E levels are associated with the frailty syndrome: the InCHIANTI study. J Gerontol A 61(3):278–283

    Article  Google Scholar 

  46. Kanerva N, Loo B, Eriksson JG, Leiviskä J, Kaartinen NE, Jula A et al (2014) Associations of the Baltic Sea diet with obesity-related markers of inflammation. Ann Med 46(2):90–96

    Article  CAS  PubMed  Google Scholar 

  47. Calder PC, Ahluwalia N, Brouns F, Buetler T, Clement K, Cunningham K, et al (2011) Dietary factors and low-grade inflammation in relation to overweight and obesity. BJN 106(S3):S1–S78

    Article  CAS  Google Scholar 

  48. Rousseau JH, Kleppinger A, Kenny AM (2009) Self-reported dietary intake of omega-3 fatty acids and association with bone and lower extremity function. JAGS 57(10):1781–1788

    Article  Google Scholar 

  49. Robinson SM, Jameson KA, Batelaan SF, Martin HJ, Syddall HE, Dennison EM, et al (2008) Diet and its relationship with grip strength in community-dwelling older men and women: the Hertfordshire Cohort Study. JAGS 56(1):84–90

    Article  Google Scholar 

  50. Smith GI, Atherton P, Reeds DN, Mohammed BS, Rankin D, Rennie MJ et al (2011) Dietary omega-3 fatty acid supplementation increases the rate of muscle protein synthesis in older adults: a randomized controlled trial. Am J Clin Nutr 93(2):402–412

    Article  CAS  PubMed  Google Scholar 

  51. Abbatecola AM, Cherubini A, Guralnik JM, Lacueva CA, Ruggiero C, Maggio M et al (2009) Plasma polyunsaturated fatty acids and age-related physical performance decline. Rejuvenation Res 12(1):25–32

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Nowson C, O’Connell S (2015) Protein requirements and recommendations for older people: a review. Nutrients 7(8):6874–6899

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Calder PC (2015) Marine omega-3 fatty acids and inflammatory processes: effects, mechanisms and clinical relevance. Biochim Biophys Acta 1851(4):469–484

    Article  CAS  PubMed  Google Scholar 

  54. Talegawkar SA, Bandinelli S, Bandeen-Roche K, Chen P, Milaneschi Y, Tanaka T et al (2012) A higher adherence to a Mediterranean-style diet is inversely associated with the development of frailty in community-dwelling elderly men and women. J Nutr 142(12):2161–2166

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The OSTPRE-FPS study was supported by the Finnish Cultural Foundation (Hulda Tossavainen Foundation; Matti Kärkkäinen), Sigrid Juselius Foundation (H.K and T.R), Academy of Finland (M. T) and Kuopio University Hospital EVO grant. This study was supported by the grants from Päivikki and Sakari Sohlberg Foundation (2543), Finnish Cultural Foundation, North Savo Regional Fund (H128434), Otto. A Malm Foundation (2016), Yrjö Jahnsson Foundation (6844), and Juho Vainio Foundation (201710012) to M.I.

Author contributions

H.K and M.T designed the original OSTPRE-FPS study. M.I, A.E, planned the present analysis together and collaborated on drafting the manuscript. M.I carried out the statistical analysis, and summarized the results in tables and figures. J.S, J.M, T.R, H.K, M.T critically revised the manuscript for important intellectual content. M.I, A.E had primary responsibility for the final content.

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Authors and Affiliations

  1. Institute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, Kuopio, Finland

    Masoud Isanejad, Jaakko Mursu & Arja T. Erkkilä

  2. Kuopio Musculoskeletal Research Unit, University of Eastern Finland, 70211, Kuopio, Finland

    Masoud Isanejad, Joonas Sirola, Toni Rikkonen & Heikki Kröger

  3. Department of Orthopaedics and Traumatology, Kuopio University Hospital, Kuopio, Finland

    Joonas Sirola & Heikki Kröger

  4. Department of Obstetrics and Gynaegology, Kuopio University Hospital, Kuopio, Finland

    Marjo Tuppurainen

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  1. Masoud Isanejad
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  2. Joonas Sirola
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Correspondence to Masoud Isanejad.

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Isanejad, M., Sirola, J., Mursu, J. et al. Association of the Baltic Sea and Mediterranean diets with indices of sarcopenia in elderly women, OSPTRE-FPS study. Eur J Nutr 57, 1435–1448 (2018). https://doi.org/10.1007/s00394-017-1422-2

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  • DOI: https://doi.org/10.1007/s00394-017-1422-2

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