Serum essential elements and muscle health in Chinese adults: a community-based study.

IF 3.9 2区 医学 Q2 NUTRITION & DIETETICS
Hong Ye, Dongmei Wang, Siyang Liu, Nanfang Yao, Zihao Gui, Zimeng Huang, Yi Zeng, Lan Liu, Heng Wan, Jie Shen
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引用次数: 0

Abstract

Background: Although studies have focused on the relationship between serum essential elements and muscle mass or muscle strength, research on sex- and age-specific associations between any two of them was limited. The purpose of this study was to investigate the linear and nonlinear relationships between four serum essential elements, including copper (Cu), zinc (Zn), magnesium (Mg), and calcium (Ca), with muscle health, including appendicular skeletal muscle mass (ASM), grip strength and fat-to-muscle ratio (FMR) among Chinese adults, and to explore the differences in these associations according to sex and age.

Methods: This study included participants aged 18 years or older who completed bioelectrical impedance analysis (BIA) and serological testing. ASM and grip strength were adjusted by dividing by body mass index (BMI). The multivariable linear regression, the subgroup analysis, and the restricted cubic spline (RCS) analysis were carried out. Linear trend tests and interaction tests were also conducted.

Results: A total of 5389 community-dwelling adults were included in the study. In the multivariable linear regression, serum Cu was negatively correlated with ASM/BMI and grip strength/BMI (both P for trend < 0.001), while there was a significant positive correlation with FMR (P for trend < 0.001). Inversely, serum Zn was positively correlated with ASM/BMI and grip strength/BMI (both P for trend < 0.001), while there was a significant negative correlation with FMR (P for trend = 0.006). In the subgroup analysis of sex and age, serum Cu showed stronger negative associations with ASM/BMI (P for interaction = 0.001) and grip strength/BMI (P for interaction = 0.004) in younger adults and a stronger positive association with FMR (P for interaction < 0.001) in adult women. In the RCS analysis, a nonlinear and reverse L-shaped association was detected between serum Cu and FMR (P for nonlinear < 0.004), as well as serum Zn and grip strength/BMI (P for nonlinear = 0.043).

Conclusions: Elevated serum Cu levels are correlated with diminished muscle health, with variations observed across different age groups and genders. In contrast, increased serum Zn and Ca levels are associated with enhanced muscle health. Maintaining the balance of serum essential elements for preserving muscle health may be worthy of note. However, further research is warranted to validate the conclusions.

中国成人血清必需元素与肌肉健康:一项社区研究
背景:虽然研究集中于血清必需元素与肌肉质量或肌肉力量之间的关系,但对其中任何两者之间的性别和年龄特异性关联的研究有限。本研究的目的是探讨四种血清必需元素铜(Cu)、锌(Zn)、镁(Mg)和钙(Ca)与中国成年人肌肉健康(包括附属肌质量(ASM)、握力和脂肌比(FMR))之间的线性和非线性关系,并探讨这些关系在性别和年龄上的差异。方法:本研究纳入了年龄在18岁及以上完成了生物电阻抗分析(BIA)和血清学检测的参与者。ASM和握力通过除以身体质量指数(BMI)来调整。进行了多变量线性回归、亚群分析和受限三次样条(RCS)分析。并进行了线性趋势检验和交互作用检验。结果:共有5389名居住在社区的成年人被纳入研究。在多变量线性回归中,血清Cu与ASM/BMI和握力/BMI呈负相关(P均为趋势)。结论:血清Cu水平升高与肌肉健康状况下降相关,且在不同年龄组和性别之间存在差异。相反,血清锌和钙水平的增加与肌肉健康的增强有关。维持血清必需元素的平衡以保持肌肉健康可能值得注意。然而,需要进一步的研究来验证这些结论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nutrition & Metabolism
Nutrition & Metabolism 医学-营养学
CiteScore
8.40
自引率
0.00%
发文量
78
审稿时长
4-8 weeks
期刊介绍: Nutrition & Metabolism publishes studies with a clear focus on nutrition and metabolism with applications ranging from nutrition needs, exercise physiology, clinical and population studies, as well as the underlying mechanisms in these aspects. The areas of interest for Nutrition & Metabolism encompass studies in molecular nutrition in the context of obesity, diabetes, lipedemias, metabolic syndrome and exercise physiology. Manuscripts related to molecular, cellular and human metabolism, nutrient sensing and nutrient–gene interactions are also in interest, as are submissions that have employed new and innovative strategies like metabolomics/lipidomics or other omic-based biomarkers to predict nutritional status and metabolic diseases. Key areas we wish to encourage submissions from include: -how diet and specific nutrients interact with genes, proteins or metabolites to influence metabolic phenotypes and disease outcomes; -the role of epigenetic factors and the microbiome in the pathogenesis of metabolic diseases and their influence on metabolic responses to diet and food components; -how diet and other environmental factors affect epigenetics and microbiota; the extent to which genetic and nongenetic factors modify personal metabolic responses to diet and food compositions and the mechanisms involved; -how specific biologic networks and nutrient sensing mechanisms attribute to metabolic variability.
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