American Journal of Food and Nutrition
ISSN (Print): 2374-1155 ISSN (Online): 2374-1163 Website: Editor-in-chief: Mihalis Panagiotidis
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American Journal of Food and Nutrition. 2015, 3(1), 1-6
DOI: 10.12691/ajfn-3-1-1
Open AccessArticle

Effect of Dietary Pattern on Grip Strength in Middle Aged and Elderly People in Zhang Fang Village in Beijing

Jia Wang1 and Zhongxin Hong1,

1Department of Clinical Nutrition, Beijing Friendship Hospital, Capital Medical University, Beijing, China

Pub. Date: December 30, 2015

Cite this paper:
Jia Wang and Zhongxin Hong. Effect of Dietary Pattern on Grip Strength in Middle Aged and Elderly People in Zhang Fang Village in Beijing. American Journal of Food and Nutrition. 2015; 3(1):1-6. doi: 10.12691/ajfn-3-1-1


Objective To investigate the effect of the dietary pattern on the grip in middle aged and elderly people in Zhang Fang village, Fang Shan District, Beijing. Methods Totally 134 middle aged and elderly villagers were selected randomly. We investigated the villagers about the diet intake, and the life habit, measured the parameters of anthropometry and their grip strength. According to the grip strength, the subjects were divided into grip reaching the standards group(GRS group) and grip not reaching the standards group(GNRS group). According to the median of proportion of protein intake, the subjects were divided into low proportion of protein intake group(LPPI group) and high proportion of protein intake group(HPPI group). We analyzed the differences between these groups, then used Logistic regression to analyze the indexes which can influence the grip strength. Results The grip strength of both hands reached the standards in 20 males (44.4%), in 55 females(61.8%). There were 75 cases in GRS group, 59 in GNRS group. There was significant difference in age, free fat mass (FFM), waist-hip ratio(WHR), arm muscle circumference (AMC), exercise conditions, intakes of carbohydrates, the intake of protein and fat between two groups. By logistic regression analysis, female, the high AMC and FFM, and high proportion of protein intake were protective factors of grip strength. In HPPI group, the intake of egg, beans, meat, fish, nut and total energy were significantly higher than the LPPI group. Conclusion In Zhang Fang Village, the dietary pattern is unbalanced. The low protein intake effects their grip strength. The low grip strength is associated with the low protein food, such as egg, bean, meat, fish, nut and low total energy.

grip strength dietary pattern protein intake middle aged and elderly people

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[1]  Stevens PJ, Syddall HE, Patel HP, et al. Is grip strength a good marker of physical performance among community-dwelling older people? Journal Nutrition Health Aging, 2012, 16(9): 769-774.
[2]  Kristina Norman, Nicole Stobaus, M.Cristina Gonzalez, et al. Hand grip strength: outcome predictor and marker of nutritional status. Clinical Nutrition, 2011, 30: 135-142.
[3]  Peter B. Soeters, Petronella L.M. Reijven, Marian A.E. van Bokhorst-de van der Schueren,et al. A rational approach to nutritional assessment. Clinical Nutrition, 2008, 27: 706-716.
[4]  Pedro Abizanda, Jose Luis Navarro, Maria Isabel Garcia-Tomas, et al. Validity and usefulness of hand-held dynamometry for measuring muscle strength in community-dwelling older persons.Archives of Gerontology and Geriatrics, 2012, 54: 21-27.
[5]  K Norman1, N Stobaus1, K Kulka1, et al. Effect of inflammation on handgrip strength in the non-critically ill is independent from age, gender and body composition. European Journal of Clinical Nutrition, 2013, 1-4.
[6]  Jane V. White, Peggi Guenter, Gordon Jensen, et al. Consensus Statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition). Journal of Parenteral and Enteral Nutrition, 2012, 36(3): 275-283.
[7]  Norman K, Stobaus N, ReiƟ J, et al. Effect of sexual dimorphism on muscle strength in cachexia. Journal Cachexia Sarcopenia Muscle, 2012, 3(2): 111-116.
[8]  Tutkuviene J, Schiefenhovel W. Laterality of handgrip strength: age-and physical training-related changes in Lithuanian schoolchildren and conscripts. Annals of the New York Academy of Sciences, 2013, 124-134.
[9]  Paton NI, Chua YK, Earnest A, et al. Randomized controlled trial of nutritional supplementation in patients with newly diagnosed tuberculosis and Wasting. American Journal Clinical Nutrition, 2004, 80: 460-465.
[10]  Norman K, Kirchner H, Freudenreich M, et al. Three month intervention with protein and energy rich supplements improve muscle function and quality of life in malnourished patients with nonneoplastic gastrointestinal disease e a randomized controlled trial. Clinical Nutrition, 2008, 27: 48-56.
[11]  Ha L, Hauge T, Spenning AB, et al. Individual, nutritional support prevents undernutrition, increases muscle strength and improves among elderly at nutritional risk hospitalized for acute stroke: a randomized, controlled trial. Clinical Nutrition, 2010, 29: 567-573.
[12]  Price R, Daly F, Pennington CR, et al. Nutritional supplementation of very old people at hospital discharge increases muscle strength: a randomised controlled trial. Gerontology,2005,51:179-185.
[13]  Edington J, Barnes R, Bryan F, et al. A prospective randomised controlled trial of nutritional supplementation in malnourished elderly in the community: clinical and health economic outcomes. Clinical Nutrition, 2004, 23: 195-204.
[14]  Moslehi N. Vafa M, Sarrafzadeh J, Rahimi-Foroushani A. Dose Magnesium supplementation improve body composition and muscle strength in middle-aged overweight women? A double-blind, placebo-controlled, randomized clinical trial. Biological Trace Element Research, 2013, 153(1-3): 111-118.
[15]  ZHongxin Hong. Nutritional support and nutritional evaluation on critically ill patients. The Jouranl of critical in internal medicine, 2012, 18(1): 17-18.