دوره 31، شماره 145 - ( 12-1401 )                   جلد 31 شماره 145 صفحات 169-158 | برگشت به فهرست نسخه ها


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Dolatkhah N, Toopchizadeh V, Farshbaf Khalili A, Emamizad S, Salekzamani Y, Taleschian Tabrizi N et al . Correlation of Dietary Protein Intake with Body Composition and Physical Status in Patients with Knee Osteoarthritis. J Adv Med Biomed Res 2023; 31 (145) :158-169
URL: http://journal.zums.ac.ir/article-1-6371-fa.html
Correlation of Dietary Protein Intake with Body Composition and Physical Status in Patients with Knee Osteoarthritis. Journal of Advances in Medical and Biomedical Research. 1401; 31 (145) :158-169

URL: http://journal.zums.ac.ir/article-1-6371-fa.html


چکیده:   (10931 مشاهده)

Background and Objective: Little is known about the association between dietary protein intake and clinical manifestations in osteoarthritis (OA) patients. We aimed to determine the correlation between dietary protein intake and pain severity, functional status, and body composition indices in patients with knee OA.
Materials and Methods: This cross-sectional study was performed on 220 OA patients, staged I to on Kellgren and Lawrence scale. Patients were selected randomly via cluster sampling method from the health centers of Tabriz between October 2017 and October 2018. We estimated the participants' protein intakes using a semi-quantitative food frequency questionnaire. Western Ontario and McMaster Index (WOMAC) was used to measure the functional status. We used the Visual Analogue Scale to measure pain severity. A bioelectric impedance device measured the patients’ body composition.
Results: Total dietary protein intake was 55.36±24.14 grams per day. Higher dietary total and animal-based protein intakes were associated with lower pain severity. There were reverse correlations between dietary protein intakes (total and animal-based) with the physical disability according to WOMAC total, WOMAC pain, and WOMAC stiffness scores in the subset of patients who didn’t meet the 75 percent of recommended dietary allowance. In these patients, higher total, plant-based, and animal-based protein intakes correlated with WOMAC functional scores. Higher total and animal-based protein intakes were associated with higher soft lean and lean body mass in women.
Conclusion: Dietary protein intake needs to improve in knee OA patients, and dietary protein intake might be an intermediation objective in these patients.

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نوع مطالعه: مقاله پژوهشی | موضوع مقاله: Clinical medicine
دریافت: 1399/10/24 | پذیرش: 1401/7/1 | انتشار: 1401/12/22

فهرست منابع
1. Allen K, Thoma L, Golightly Y. Epidemiology of osteoarthritis. Osteoarthritis cartilage. 2022;30(2):184-95. [DOI:10.1016/j.joca.2021.04.020] [PMID]
2. Dashtyan M, Tavafian SS, Karimzadeh K, Yazdanpanah P. Knee osteoarthritis pain management in post menopause women. Int J Musculoskelet Pain Prevent. 2022;7(1):649-57. [DOI:10.52547/ijmpp.7.1.5]
3. Mokhber N, Majdi M, Ali-Abadi M, et al. Association between malnutrition and depression in elderly people in Razavi Khorasan: a population based-study in Iran. Iran J Pub Health. 2011;40(2):67.
4. Cai H, Zheng W, Xiang YB, et al. Dietary patterns and their correlates among middle-aged and elderly Chinese men: a report from the Shanghai Men's Health Study. Br J Nutr. 2007;98(5):1006-13. [DOI:10.1017/S0007114507750900] [PMID]
5. Dardevet D, Mosoni L, Savary-Auzeloux I, Peyron M-A, Polakof S, Rémond D. Important determinants to take into account to optimize protein nutrition in the elderly: solutions to a complex equation. Proceed Nutr Soc. 2021;80(2):207-20. [DOI:10.1017/S0029665120007934] [PMID]
6. European Food Safety Authority (EFSA),. Scientific opinion on dietary reference values for protein. EFSA J. 2012;10(2):2557. [DOI:10.2903/j.efsa.2012.2557]
7. Coelho-Junior HJ, Marzetti E, Picca A, Cesari M, Uchida MC, Calvani R. Protein intake and frailty: A matter of quantity, quality, and timing. Nutrients. 2020;12(10). [DOI:10.3390/nu12102915] [PMID] [PMCID]
8. Castaneda C, Gordon P, Fielding R, Evans W, Crim M. Marginal protein intake results in reduced plasma IGF-I levels and skeletal muscle fiber atrophy in elderly women. J Nutr Health Age. 1999;4(2):85-90.
9. Ramezankhani A, Ghaffari M, Mirzaei A, Khodakarim S, Taheri Tanjani P, Haidaryan Zadeh Z. Dietary behaviors of elderly people referred to health centers of Ilam, Iran. J Educ Communit Health. 2016;3(3):45-50. [DOI:10.21859/jech-03037]
10. Levine ME, Suarez JA, Brandhorst S, et al. Low protein intake is associated with a major reduction in IGF-1, cancer, and overall mortality in the 65 and younger but not older population. Cell Metab. 2014;19(3):407-17. [DOI:10.1016/j.cmet.2014.02.006] [PMID] [PMCID]
11. Hertzler SR, Lieblein-Boff JC, Weiler M, Allgeier C. Plant proteins: assessing their nutritional quality and effects on health and physical function. Nutrients. 2020;12(12). [DOI:10.3390/nu12123704] [PMID] [PMCID]
12. Abbate LM, Stevens J, Schwartz TA, Renner JB, Helmick CG, Jordan JM. Anthropometric measures, body composition, body fat distribution, and knee osteoarthritis in women. Obesity. 2006;14(7):1274-81. [DOI:10.1038/oby.2006.145] [PMID]
13. Lee S, Kim TN, Kim SH. Sarcopenic obesity is more closely associated with knee osteoarthritis than is nonsarcopenic obesity: A cross‐sectional study. Arthritis Rheum. 2012;64(12):3947-54. [DOI:10.1002/art.37696] [PMID]
14. de Zwart AH. Muscle strength in knee osteoarthritis: a better understanding of muscle strength in patients with knee osteoarthritis. 2022.
15. de Zwart A, van der Leeden M, Roorda L, et al. Dietary protein intake and upper leg muscle strength in subjects with knee osteoarthritis: data from the osteoarthritis initiative. Rheumatol Int. 2019;39(2):277-84. [DOI:10.1007/s00296-018-4223-x] [PMID]
16. Rabdall E, Schumacker Richard G, Lomax A. A beginner's guide to structural equation modeling. 2nd ed2004. [DOI:10.4324/9781410610904]
17. Mirmiran P, Hoseini Esfahani F, aZIZI F. To assess the relative validity and reliability of food frequency questionnaires to assess food intakes: Tehran Lipid and Glucose Study [in persian]. Iranian Journal of Diabetes and Lipid Disorders. 2010;9(2):185-97.
18. Vasheghani-Farahani A, Tahmasbi M, Asheri H, Ashraf H, Nedjat S, Kordi R. The Persian, last 7-day, long form of the International Physical Activity Questionnaire: translation and validation study. Asian journal of sports medicine. 2011;2(2):106. [DOI:10.5812/asjsm.34781] [PMID] [PMCID]
19. Eftekharsadat B, Niknejad-Hosseyni SH, Babaei-Ghazani A, Toopchizadeh V, Sadeghi H. Reliability and validity of Persian version of Western Ontario and McMaster Universities Osteoarthritis index in knee osteoarthritis. 2015. [DOI:10.15171/jarcm.2015.027]
20. Fulgoni VL. Current protein intake in America: analysis of the National Health and Nutrition Examination Survey, 2003-2004. The American journal of clinical nutrition. 2008;87(5):1554S-7S. [DOI:10.1093/ajcn/87.5.1554S] [PMID]
21. Mohammadifard N, Sarrafzadegan N, Nouri F, Sajjadi F, Alikhasi H, Maghroun M, et al. Using factor analysis to identify dietary patterns in Iranian adults: Isfahan Healthy Heart Program. International journal of public health. 2012;57(1):235-41. [DOI:10.1007/s00038-011-0260-x] [PMID]
22. Heidari Z, Feizi A, Azadbakht L, Mohammadifard N, Maghroun M, Sarrafzadegan N. Usual energy and macronutrient intakes in a large sample of Iranian middle‐aged and elderly populations. Nutrition & Dietetics. 2019;76(2):174-83. [DOI:10.1111/1747-0080.12431] [PMID]
23. FAO. FAOSTAT food balance sheets. FAO Rome; 2016.
24. Farvid MS, Malekshah AF, Pourshams A, Poustchi H, Sepanlou SG, Sharafkhah M, et al. Dietary Protein Sources and All-Cause and Cause-Specific Mortality: The Golestan Cohort Study in Iran. American journal of preventive medicine. 2017;52(2):237-48. [DOI:10.1016/j.amepre.2016.10.041] [PMID] [PMCID]
25. Souza RA, Yokoo EM, Sichieri R, Pereira RA. Energy and macronutrient intakes in Brazil: results of the first nationwide individual dietary survey. Public health nutrition. 2015;18(17):3086-95. [DOI:10.1017/S1368980015000750] [PMID]
26. Noh H-M, Choi YH, Lee SK, Song HJ, Park YS, Kim N, et al. Association between dietary protein intake, regular exercise, and low back pain among middle-aged and older korean adults without osteoarthritis of the lumbar spine. Journal of Clinical Medicine. 2022;11(5):1220. [DOI:10.3390/jcm11051220] [PMID] [PMCID]
27. Shell WE, Pavlik S, Roth B, Silver M, Breitstein ML, May L, et al. Reduction in pain and inflammation associated with chronic low back pain with the use of the medical food theramine. American Journal of Therapeutics. 2016;23(6):e1353. [DOI:10.1097/MJT.0000000000000068] [PMID] [PMCID]
28. Park S. Polygenetic Variants Related to Osteoarthritis Risk and Their Interactions with Energy, Protein, Fat, and Alcohol Intake in Adults in a Large Cohort. Diagnostics. 2022;12(2):340. [DOI:10.3390/diagnostics12020340] [PMID] [PMCID]
29. Li C-y, Fang A-p, Ma W-j, Wu S-l, Li C-l, Chen Y-m, et al. Amount rather than animal vs plant protein intake is associated with skeletal muscle mass in community-dwelling middle-aged and older Chinese adults: results from the Guangzhou Nutrition and Health Study. Journal of the Academy of Nutrition and Dietetics. 2019;119(9):1501-10. [DOI:10.1016/j.jand.2019.03.010] [PMID]
30. Houston DK, Nicklas BJ, Ding J, Harris TB, Tylavsky FA, Newman AB, et al. Dietary protein intake is associated with lean mass change in older, community-dwelling adults: the Health, Aging, and Body Composition (Health ABC) Study-. The American journal of clinical nutrition. 2008;87(1):150-5. [DOI:10.1093/ajcn/87.1.150] [PMID]
31. Jeanmaire C, Mazieres B, Verrouil E, Bernard L, Guillemin F, Rat AC. Body composition and clinical symptoms in patients with hip or knee osteoarthritis: Results from the KHOALA cohort. Semin Arthritis Rheum. 2018;47(6):797-804. [DOI:10.1016/j.semarthrit.2017.10.012] [PMID]
32. Zoico E, Di Francesco V, Mazzali G, Zivelonghi A, Volpato S, Bortolani A, et al. High baseline values of fat mass, independently of appendicular skeletal mass, predict 2-year onset of disability in elderly subjects at the high end of the functional spectrum. Aging clinical and experimental research. 2007;19(2):154-9. [DOI:10.1007/BF03324682] [PMID]
33. Riebe D, Blissmer BJ, Greaney ML, Ewing Garber C, Lees FD, Clark PG. The relationship between obesity, physical activity, and physical function in older adults. Journal of Aging and Health. 2009;21(8):1159-78. [DOI:10.1177/0898264309350076] [PMID]
34. Butterworth PA, Urquhart D, Cicuttini FM, Menz HB, Strauss B, Proietto J, et al. Fat mass is a predictor of incident foot pain. Obesity. 2013;21(9):E495-E9. [DOI:10.1002/oby.20393] [PMID]
35. Younger J, Kapphahn K, Brennan K, Sullivan SD, Stefanick ML. Association of leptin with body pain in women. Journal of Women's Health. 2016;25(7):752-60. [DOI:10.1089/jwh.2015.5509] [PMID] [PMCID]

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