Clinical Nutrition Research

The Korean Society of Clinical Nutrition (한국임상영양학회)
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Musculoskeletal Health of the Adults Over 50 Years of Age in Relation to Antioxidant Vitamin Intakes

  • Namhee Kim (Department of Medical Nutrition, Kyung Hee University) ;
  • Yeji Kang (Department of Medical Nutrition, Kyung Hee University) ;
  • Yong Jun Choi (Department of Endocrinology and Metabolism, Ajou University) ;
  • Yunhwan Lee (Department of Preventive Medicine and Public Health, Ajou University) ;
  • Seok Jun Park (R&D Unit, Maeil Health Nutrition Co., Ltd.) ;
  • Hyoung Su Park (R&D Unit, Maeil Health Nutrition Co., Ltd.) ;
  • Miyoung Kwon (Department of Medical Nutrition, Kyung Hee University) ;
  • Yoon-Sok Chung (Department of Endocrinology and Metabolism, Ajou University) ;
  • Yoo Kyoung Park (Department of Medical Nutrition, Kyung Hee University)
  • Received : 2022.04.10
  • Accepted : 2022.04.16
  • Published : 2022.04.30
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Abstract

As the proportion of the elderly population increases rapidly, interest in musculoskeletal health is also emerging. Here, we investigated how antioxidant vitamin intake and musculoskeletal health are related. Adults aged 50 to 80 years with a body mass index (BMI) of 18.5 to 27.0 kg/m2 were included. Bone mineral density (BMD), lean mass (LM), appendicular skeletal muscle mass index (ASMI) were measured using dual-energy X-ray absorptiometry (DXA), and the grip strength and knee extension using hand dynamometer. Nutrient intakes were measured using a 24-hour recall questionnaire. A total of 153 adults (44 men and 109 women) participated in this study. A partial correlation analysis showed a significant positive relationship between vitamin E and BMD and between vitamin C and LM/Height. Participants were classified into three groups according to whether their vitamin E and C intake met the recommended intake for Dietary Reference Intakes for Koreans (KDRIs). The prevalence of having low T-score (< -1.0) and low ASMI (< 7.0 for men and < 5.4 for women) was 51.3% and 15.4% in the group with vitamins C and E intakes below KDRIs. After adjusting for sex, smoking status and energy, protein, vitamin D, and calcium intake, the group with vitamins C and E both below the KDRIs displayed a significantly lower BMD at all test sites and LM/Height compared with vitamin C and/or E intake above the KDRIs groups. We conclude that sufficient intake of vitamin E and C is important for maintaining BMD and lean mass in Korean adults over 50 years of age.

Keywords

Acknowledgement

This research was supported by grants from Maeil Dairies Co., Ltd.

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