Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ Project

Muscle strength is a relevant metric of aging. Greater adherence to Mediterranean diet is associated with better health outcomes across all life stages; however, evidence on the relationship between Mediterranean diet and muscle strength in older adults is inconclusive. In this study, we evaluated t...

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Main Authors: Stefano Cacciatore, Riccardo Calvani, Emanuele Marzetti, Anna Picca, Hélio José Coelho-Júnior, Anna Maria Martone, Claudia Massaro, Matteo Tosato, Francesco Landi
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/4/1026
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author Stefano Cacciatore
Riccardo Calvani
Emanuele Marzetti
Anna Picca
Hélio José Coelho-Júnior
Anna Maria Martone
Claudia Massaro
Matteo Tosato
Francesco Landi
author_facet Stefano Cacciatore
Riccardo Calvani
Emanuele Marzetti
Anna Picca
Hélio José Coelho-Júnior
Anna Maria Martone
Claudia Massaro
Matteo Tosato
Francesco Landi
author_sort Stefano Cacciatore
collection DOAJ
description Muscle strength is a relevant metric of aging. Greater adherence to Mediterranean diet is associated with better health outcomes across all life stages; however, evidence on the relationship between Mediterranean diet and muscle strength in older adults is inconclusive. In this study, we evaluated the relationship between adherence to Mediterranean diet and handgrip strength in a large sample of community-dwelling older adults from the Longevity Check-up 7+ project. A total of 2963 participants (mean age 72.8 ± 5.7 years; 54.4% women) were analyzed. Mediterranean diet adherence was evaluated using a modified Medi-Lite score and categorized as low (≤8), good (9 to 11), or high (≥12). Handgrip strength was categorized as normal or low according to cut-points by the European Working Group on Sarcopenia in Older People 2. Older adults with lower Mediterranean diet adherence had a significantly higher prevalence of probable sarcopenia (25.9%) than those with good (19.1%) or high (15.5%) adherence. The proportion of participants with probable sarcopenia increased with age, but it remained lower in the good and high adherence groups. Logistic regression showed that greater Mediterranean diet adherence was associated with a lower risk of probable sarcopenia. Older age, female sex, and physical inactivity were associated with a greater risk of probable sarcopenia. Our findings emphasize the positive association between healthy lifestyles, including adherence to Mediterranean diet, and physical function in old age.
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spelling doaj.art-ca63b8e3d04e43e99d9850e4f30ce3132023-11-16T22:32:14ZengMDPI AGNutrients2072-66432023-02-01154102610.3390/nu15041026Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ ProjectStefano Cacciatore0Riccardo Calvani1Emanuele Marzetti2Anna Picca3Hélio José Coelho-Júnior4Anna Maria Martone5Claudia Massaro6Matteo Tosato7Francesco Landi8Department of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyFondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, ItalyDepartment of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyFondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, ItalyDepartment of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyFondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, ItalyDepartment of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyFondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, ItalyDepartment of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyMuscle strength is a relevant metric of aging. Greater adherence to Mediterranean diet is associated with better health outcomes across all life stages; however, evidence on the relationship between Mediterranean diet and muscle strength in older adults is inconclusive. In this study, we evaluated the relationship between adherence to Mediterranean diet and handgrip strength in a large sample of community-dwelling older adults from the Longevity Check-up 7+ project. A total of 2963 participants (mean age 72.8 ± 5.7 years; 54.4% women) were analyzed. Mediterranean diet adherence was evaluated using a modified Medi-Lite score and categorized as low (≤8), good (9 to 11), or high (≥12). Handgrip strength was categorized as normal or low according to cut-points by the European Working Group on Sarcopenia in Older People 2. Older adults with lower Mediterranean diet adherence had a significantly higher prevalence of probable sarcopenia (25.9%) than those with good (19.1%) or high (15.5%) adherence. The proportion of participants with probable sarcopenia increased with age, but it remained lower in the good and high adherence groups. Logistic regression showed that greater Mediterranean diet adherence was associated with a lower risk of probable sarcopenia. Older age, female sex, and physical inactivity were associated with a greater risk of probable sarcopenia. Our findings emphasize the positive association between healthy lifestyles, including adherence to Mediterranean diet, and physical function in old age.https://www.mdpi.com/2072-6643/15/4/1026agingmuscle strengthnutritionphysical performancehandgrip strengthMedi-Lite
spellingShingle Stefano Cacciatore
Riccardo Calvani
Emanuele Marzetti
Anna Picca
Hélio José Coelho-Júnior
Anna Maria Martone
Claudia Massaro
Matteo Tosato
Francesco Landi
Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ Project
Nutrients
aging
muscle strength
nutrition
physical performance
handgrip strength
Medi-Lite
title Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ Project
title_full Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ Project
title_fullStr Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ Project
title_full_unstemmed Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ Project
title_short Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ Project
title_sort low adherence to mediterranean diet is associated with probable sarcopenia in community dwelling older adults results from the longevity check up lookup 7 project
topic aging
muscle strength
nutrition
physical performance
handgrip strength
Medi-Lite
url https://www.mdpi.com/2072-6643/15/4/1026
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