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. 2023 Feb 14;52(2):afad018. doi: 10.1093/ageing/afad018

Table 2.

ORs and 95% CIs for low muscle strength, low muscle mass and sarcopenia according to protein intake comparing low and high protein intakes to optimal protein intakes (reference)

Low muscle strength Low muscle mass Sarcopenia
Protein Intake (g/kg/day) Low (<1 g/kg/day) High (>1.3 g/kg/day) Low (<1 g/kg/day) High (>1.3 g/kg/day) Low (<1 g/kg/day) High (>1.3 g/kg/day)
Unadjusted 1.18 (0.84–1.65)
P = 0.340
1.16 (0.81–1.66)
P = 0.414
0.52 (0.40–0.67)
P < 0.0001
1.76 (1.39–2.24)
P < 0.0001
0.70 (0.39–1.25)
P = 0.229
2.04 (1.21–3.44)
P = 0.008
Model 1
Age, sex
1.31 (0.92–1.86)
P = 0.131
1.10 (0.75–1.60)
P = 0.640
0.54 (0.42–0.70)
P < 0.0001
1.72 (1.35–2.19)
P < 0.0001
0.77 (0.42–1.42)
P = 0.401
2.21 (1.26–3.87)
P = 0.006
Model 2
1 + smoking, income, education
1.20 (0.82–1.76)
P = 0.349
1.02 (0.68–1.53)
P = 0.921
0.53 (0.40–0.70)
P < 0.0001
1.80 (1.39–2.34)
P < 0.0001
0.75 (0.37–1.53)
P = 0.434
2.48 (1.36–4.52)
P = 0.003
Model 3
2 + height
1.23 (0.84–1.81)
P = 0.281
0.92 (0.61–1.40)
P = 0.702
0.53 (0.40–0.70)
P < 0.0001
1.86 (1.43–2.41)
P < 0.0001
0.78 (0.39–1.57)
P = 0.489
2.36 (1.28–4.36)
P = 0.006
Model 4: Frailty/activity
2 + frailty index + activity level (IPAQ)
0.98 (0.60–1.58)
P = 0.921
0.99 (0.57–1.71)
P = 0.967
0.55 (0.38–0.79)
P = 0.001
1.71 (1.20–2.43)
P = 0.003
0.73 (0.28–1.92)
P = 0.528
2.46 (1.08–5.60)
P = 0.031
Model 5: muscle
4 + lean mass/height2
0.92 (0.55–1.55)
P = 0.767
1.04 (0.59–1.82)
P = 0.889
Not done (outcome) Not done (part of sarcopenia definition)
Model 6: renal function
4 + creatinine clearance
0.92 (0.57–1.51)
P = 0.750
1.13 (0.65–1.97)
P = 0.662
0.56 (0.39–0.81)
P = 0.002
1.37 (0.95–1.97)
P = 0.096
0.76 (0.30–1.95)
P = 0.569
2.46 (1.07–5.69)
P = 0.034
Model 7: diet
2 + energy intake (kcal/day), healthy eating index
1.09 (0.71–1.68)
P = 0.689
1.33 (0.71–1.77)
P = 0.639
0.30 (0.22–0.41)
P < 0.0001
3.01 (2.23–4.06)
P < 0.0001
0.40 (0.19–0.86)
P = 0.019
4.58 (2.37–8.87)
P < 0.001
Model 8: diet
7 + SNAQ score
1.28 (0.69–2.39)
P = 0.433
1.70 (0.91–3.15)
P = 0.095
0.31 (0.21–0.44)
P < 0.0001
3.16 (2.17–4.59)
P < 0.0001
0.49 (0.17–1.40)
P = 0.182
5.97 (2.26–15.81)
P < 0.0001
Model 9: Muscle and gut microbiota
4 + Shannon diversity
1.38 (0.86–2.22)
P = 0.188
1.39 (0.84–2.28)
P = 0.199
0.56 (0.37–0.86)
P = 0.008
1.56 (1.04–2.35)
P = 0.033
1.25 (0.50–3.15)
P = 0.628
2.67 (1.20–5.95)
P = 0.016

Italics = statistically significant; IPAQ, International Physical Activity Questionnaire; SNAQ, Simplified Nutritional Appetite Questionnaire.