Association of sarcopenia with ideal cardiovascular health metrics among US adults: a cross-sectional study of NHANES data from 2011 to 2018

Abstract

ObjectiveThe American Heart Association (AHA) proposed the concept of ideal cardiovascular health (CVH) to reduce the risk of cardiovascular mortality. We attempted to broaden the impact of CVH and further contribute to AHA 2030 goals by identifying the relationship between CVH and non-cardiovascular diseases such as sarcopenia.DesignCross-sectional surveySettingNational Health and Nutrition Examination Survey conducted in the USA from 2011 to 2018.ParticipantsThis study included participants with reliable first 24-hour dietary recall and ≥20 years of age and excluded those who could not diagnose sarcopenia or insufficient data to calculate the CVH scores.Primary and secondary outcome measuresThe prevalence of sarcopenia as measured by dual-energy X-ray absorptiometry.ResultsThis cohort study involving 9326 adults≥20 years comprised 4733 females (50.0%). The number of intermediate or ideal and poor CVH participants was 5654 and 3672 with mean CVH score of 9.70±0.03 and 5.66±0.04, respectively. After adjusting for related confounding factors, intermediate or ideal CVH was associated with an odds reduction of sarcopenia than poor CVH (adjusted OR (aOR): 0.36, 95% CI 0.26 to 0.50, p<0.001) and the odds of sarcopenia was significantly lower for each incremental increase of 1 in CVH metrics (aOR: 0.75, 95% CI 0.71 to 0.79, p<0.001). Moreover, if the number of ideal CVH metrics was>5, the odds of sarcopenia decreased by up to 84% (aOR: 0.16, 95% CI 0.08 to 0.30).ConclusionsOur findings suggest a relationship between the CVH and the prevalence of sarcopenia in adults. The results of our study can contribute to achieving the 2030 public health goal of achieving CVH for all, which may be supported by efforts to reduce the prevalence of sarcopenia.

Association between oxidative balance score and sarcopenia in US adults: NHANES 2011–2018

“…Our findings align with previous research indicating a correlation between dietary factors and sarcopenia. Diets abundant in fruits and vegetables are shown to prevent metabolic acidosis, diminish protein hydrolysis and amino acid catabolism, and lower the likelihood of sarcopenia ( 11 ). Diets high in fiber play a crucial role in reducing the risk of lower lean muscle mass ( 54 ).…”

Associations between life’s essential 8 and sarcopenia in US adults: a cross-sectional analysis

“…A value of ALM standardized to BMI (ALM BMI ) was used to define sarcopenia 20 based on the criteria designated by a recent consensus meeting known as the “Foundation for the National Institutes of Health Sarcopenia Project”. Men were considered to have sarcopenia if the index ALM BMI < 0.789 and women < 0.512 21 .…”

Dietary Inflammatory Index and Its Association with the Prevalence of Coronary Heart Disease among 45,306 US Adults

“…The National Health and Nutrition Examination Survey (NHANES) is a program designed to measure the health and nutrition status of adults and children in the US. A mass of data in the NHANES database has been analyzed extensively, which is of great help in unraveling the etiologies, understanding the epidemiology, and searching for novel biomarkers of different diseases [ 14 , 15 , 16 ]. The method of “stratified multistage probability sampling” was adopted to screen out representative participants in the survey.…”