{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:42:05Z","timestamp":1785426125503,"version":"3.56.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"unspecified","delay-in-days":182,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980026102973_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to examine the association between protein intake and risk of sarcopenia, with a specific focus on protein sources, in middle-aged and older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102973_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This was a 9-year follow-up study. Dietary protein intake was assessed by a validated FFQ with energy adjustment using the residual method. Sarcopenia was defined by using height-adjusted appendicular lean mass and grip strength. Adjusted OR for sarcopenia were calculated by multivariable logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102973_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Baseline surveys (2011\u20132014) for the Murakami and Uonuma cohorts assessed body size, lifestyle and medical history. Sarcopenia-related measurements were conducted in 2021\u20132022 in Murakami, Sekikawa, Uonuma and Minamiuonuma, Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102973_as4\">\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>6232 individuals aged 40\u201374 years (mean age, 62\u00b74 years; females, 54\u00b78 %).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102973_as5\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      An inverse association between plant protein intake and sarcopenia was observed in males (\n                      <jats:italic>P<\/jats:italic>\n                      <jats:sub>for trend<\/jats:sub>\n                      = 0\u00b7018), although total and animal protein intakes were not. Animal-to-plant protein ratio was U-shaped in its association with sarcopenia; adjusted OR for the lowest and highest quintiles of the ratio compared to the middle quintile were 1\u00b771 (95 % CI: 0\u00b796, 3\u00b707) and 1\u00b797 (95 % CI: 1\u00b710, 3\u00b753), respectively, for males (\n                      <jats:italic>P<\/jats:italic>\n                      <jats:sub>for quadratic term<\/jats:sub>\n                      = 0\u00b7017), and 1\u00b793 (95 % CI: 1\u00b706, 3\u00b751) and 1\u00b765 (95 % CI: 0\u00b790, 3\u00b705), respectively, for females (\n                      <jats:italic>P<\/jats:italic>\n                      <jats:sub>for quadratic term<\/jats:sub>\n                      = 0\u00b7010).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102973_as6\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>An imbalanced intake of plant and animal proteins may increase the risk of sarcopenia, highlighting the importance of balanced protein intake.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1368980026102973","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:33:43Z","timestamp":1782974023000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Dietary protein intake, animal-to-plant protein ratio and risk of sarcopenia in community-dwelling adults: a 9-year follow-up study"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8041-888X","authenticated-orcid":false,"given":"Tomoyo","family":"Komata","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ww21r56","id-type":"ROR","asserted-by":"publisher"}],"name":"Niigata University Graduate School of Medical and Dental Sciences"},{"name":"Niigata University Graduate School of Medical and Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3665-9996","authenticated-orcid":false,"given":"Keiko","family":"Kabasawa","sequence":"additional","affiliation":[{"name":"Niigata University Graduate School of Medical and Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaori","family":"Kitamura","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ww21r56","id-type":"ROR","asserted-by":"publisher"}],"name":"Niigata University Graduate School of Medical and Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumi","family":"Watanabe","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ww21r56","id-type":"ROR","asserted-by":"publisher"}],"name":"Niigata University Graduate School of Medical and Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumi","family":"Ito","sequence":"additional","affiliation":[{"name":"Niigata University Graduate School of Medical and Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akemi","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Niigata University of Rehabilitation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiko","family":"Saito","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ww21r56","id-type":"ROR","asserted-by":"publisher"}],"name":"Niigata University Graduate School of Medical and Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junta","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Niigata University Graduate School of Medical and Dental Sciences"},{"name":"University of Niigata Prefecture"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Niigata University Medical and Dental Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ribeka","family":"Takachi","sequence":"additional","affiliation":[{"name":"Nara Women\u2019s University Graduate School of Humanities and Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoichiro","family":"Tsugane","sequence":"additional","affiliation":[{"name":"International University of Health and Welfare Graduate School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suguru","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Niigata University Graduate School of Medical and Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8618-7632","authenticated-orcid":false,"given":"Kazutoshi","family":"Nakamura","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ww21r56","id-type":"ROR","asserted-by":"publisher"}],"name":"Niigata University Graduate School of Medical and Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,2]]},"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980026102973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T07:54:09Z","timestamp":1784620449000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980026102973\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S1368980026102973"],"URL":"https:\/\/doi.org\/10.1017\/s1368980026102973","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e153"}}