ORIGINAL RESEARCH article
Front. Nutr.
Sec. Nutritional Epidemiology
Volume 12 - 2025 | doi: 10.3389/fnut.2025.1583795
Associations of four important dietary patterns scores, micronutrients with sarcopenia and osteopenia in adults: Results from the National Health and Nutrition Examination Survey
Provisionally accepted
- 1Changzhi Medical College Affiliated Peace Hospital, Changzhi, Shanxi Province, China
- 2School of Public Health, Shanghai Jiao Tong University, Shanghai, Shanghai Municipality, China
- 3Qingdao Institute of Preventive Medicine, Shandong Center for Disease Control and Prevention, Qingdao, Shandong Province, China
- 4Qingdao Municipal Center for Disease Control and Prevention, Qingdao, Shandong Province, China
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We aimed to comprehensively evaluate the association between four important dietary patterns and micronutrients with sarcopenia and osteopenia. Data were obtained from the National Health and Nutrition Examination Survey 2005-2018. The association between dietary patterns and micronutrients with sarcopenia and osteopenia was evaluated by logistic regression models. 6709 and 7161 participants were included in the final analyses. Higher adherence to HEI-2020, aMed, and DASH dietary patterns was inversely associated with sarcopenia risk, with each standard deviation (SD) increment linked to 18%, 16%, and 14% reductions in odds, respectively.However, DII increased the prevalence of sarcopenia and osteopenia by 44% and 8% per SD increase. Dietary intake of vitamins A, B2, B9, C, calcium, phosphorus, magnesium, copper, and potassium were negatively associated with sarcopenia, whereas vitamins D and K were negatively associated with osteopenia. SIRI and NLR partially mediated the associations among them. Adherence to healthy dietary patterns especially anti-inflammatory diet and supplementary micronutrients reduce bone and muscle loss.
Keywords: Dietary patterns, Micronutrients, Sarcopenia, osteopenia, NHANES
Received: 26 Feb 2025; Accepted: 03 Jul 2025.
Copyright: © 2025 Li, Gu, Hao, Xu, Li, Zhao and Huang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yueliang Zhao, School of Public Health, Shanghai Jiao Tong University, Shanghai, 200240, Shanghai Municipality, China
Qingyun Huang, School of Public Health, Shanghai Jiao Tong University, Shanghai, 200240, Shanghai Municipality, China
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