Highlights
- •We found that fruit intake decreased the risks of developing OSO in postmenopausal women aged 50–64.
- •This finding suggests that the intake of fruits may potentially help reduce the risks of body composition abnormalities.
- •Further longitudinal studies are needed to systemically investigate the intake of various food categories that influence OSO-related factors.
Abstract
Objectives
The purpose of this study was to assess the association between fruit intake and abnormalities
in body composition (bone, muscle, and adipose tissue) related to osteosarcopenic
obesity (OSO) in postmenopausal women.
Study design
The data of 1420 postmenopausal women aged 50–64 years were collected from cross-sectional
studies conducted by the Korea National Health and Nutrition Examination Survey (KNHANES)
from 2008 to 2010.
Main outcome measures
A dietary intake survey was administered using the 24-h dietary recall method, and
intakes of nutrients and food groups were analyzed. Body composition was evaluated
using dual-energy x-ray absorptiometry (DEXA). Body composition abnormalities include
low bone mass (T-score<−1.0), low muscle mass (weight-adjusted appendicular skeletal
muscle mass below the mean reference value of healthy young adults), and obesity (waist
circumference ≥85 cm). The associations between nutrient intake and fruit groups and
the number of abnormalities in body composition were tested by logistic regression
analysis.
Results
The intakes of vitamin C and potassium per 1000 kcal of total energy intake were significantly
lower in women with a larger number of abnormalities in body composition (p = 0.0155
and p = 0.0037, respectively). After controlling for covariates, women with a high
intake of fruit (≥257.4 g/d) had a significantly reduced likelihood of multiple abnormalities
in body composition compared with women with no fruit intake (p for trend: p < 0.01
for those with one, two, or three abnormalities).
Conclusions
Intake of fruits rich in vitamin C and potassium may help to decrease OSO-related
risks in middle-aged postmenopausal women.
Abbreviations:
OSO (osteosarcopenic obesity), KNHANES (Korea National Health and Nutrition Examination Survey), KCDC (Korea Centers for Disease Control and Prevention)Keywords
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Article info
Publication history
Published online: February 09, 2020
Accepted:
February 7,
2020
Received in revised form:
January 24,
2020
Received:
October 6,
2019
Identification
Copyright
© 2020 Elsevier B.V. All rights reserved.
