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Associations between nutrition literacy and possible sarcopenia among older adults in Bengbu, China

Published online by Cambridge University Press:  04 November 2024

Jing Du Open the ORCID record for Jing Du [Opens in a new window] ,
Yan Cui ,
Ling Yang ,
Yuhui Sun ,
Xi Tian ,
Xiaoting Hu  and
Huaqing Liu
Jing Du
Affiliation:
School of Public Health, Bengbu Medical University, Bengbu, People’s Republic of China
Yan Cui
Affiliation:
School of Public Health, Bengbu Medical University, Bengbu, People’s Republic of China
Ling Yang
Affiliation:
School of Public Health, Bengbu Medical University, Bengbu, People’s Republic of China
Yuhui Sun
Affiliation:
School of Public Health, Bengbu Medical University, Bengbu, People’s Republic of China
Xi Tian
Affiliation:
School of Public Health, Bengbu Medical University, Bengbu, People’s Republic of China
Xiaoting Hu
Affiliation:
School of Public Health, Bengbu Medical University, Bengbu, People’s Republic of China
Huaqing Liu*
Affiliation:
School of Public Health, Bengbu Medical University, Bengbu, People’s Republic of China
*
Corresponding author: Huaqing Liu; Email: [email protected]
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Abstract

To explore the associations between nutrition literacy (NL) and possible sarcopenia in older Chinese adults. A cross-sectional study was conducted. NL was assessed using a twelve-item short-form NL scale. Possible sarcopenia was identified using SARC-CALF. Logistic regression was used to calculate OR and 95 % CI for NL and the incidence of possible sarcopenia. A total of 1338 older individuals, aged 71·41 (sd 6·84) years, were enrolled in this study. After confounders were adjusted for, older adults in the upper quartile of NL were found to be 52 % less likely to have possible sarcopenia than those in the lower quartile of NL (OR = 0·48, 95 % CI: 0·29, 0·77). The associations between NL and possible sarcopenia were present only in those who lived in rural areas (OR: 0·38, 95 % CI: 0·19, 0·77), had a primary school education or less (OR: 0·21, 95 % CI: 0·09, 0·48), had a monthly income < 3000 RMB (OR: 0·39, 95 % CI: 0·22, 0·70) and had chronic diseases (OR: 0·37, 95 % CI: 0·22, 0·63). Moreover, an interaction effect was observed between having a chronic disease and junior high school education and being in the upper quartile of NL. The prevalence of possible sarcopenia in older Chinese adults is substantial, with prevalence decreasing with increasing NL. Moreover, the association between NL and possible sarcopenia varies by residence type, education level, monthly income and chronic disease experience. Targeted NL interventions are required to prevent and manage sarcopenia in older adults, particularly those with low socio-economic status and chronic diseases.

Keywords

Older peopleNutritionNutrition literacyPossible sarcopenia
Type
Research Article
Information
British Journal of Nutrition , Volume 132 , Issue 10 , 28 November 2024 , pp. 1377 - 1385
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Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society

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