OBJECTIVES The purpose of this study was to assess the association between fruit intake and abnormalities in body composition (bone, muscle, and adipose tissue) related to osteosarcopenic obesity (OSO) in postmenopausal women. STUDY DESIGN The data of 1420 postmenopausal women aged 50-64 years were collected from cross-sectional studies conducted by the Korea National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2010. MAIN OUTCOME MEASURES A dietary intake survey was administered using the 24-h dietary recall method, and intakes of nutrients and food groups were analyzed. Body composition was evaluated using dual-energy x-ray absorptiometry (DEXA). Body composition abnormalities include low bone mass (T-score<-1.0), low muscle mass (weight-adjusted appendicular skeletal muscle mass below the mean reference value of healthy young adults), and obesity (waist circumference ≥85 cm). The associations between nutrient intake and fruit groups and the number of abnormalities in body composition were tested by logistic regression analysis. RESULTS The intakes of vitamin C and potassium per 1000 kcal of total energy intake were significantly lower in women with a larger number of abnormalities in body composition (p = 0.0155 and p = 0.0037, respectively). After controlling for covariates, women with a high intake of fruit (≥257.4 g/d) had a significantly reduced likelihood of multiple abnormalities in body composition compared with women with no fruit intake (p for trend: p < 0.01 for those with one, two, or three abnormalities). CONCLUSIONS Intake of fruits rich in vitamin C and potassium may help to decrease OSO-related risks in middle-aged postmenopausal women.

中文翻译：

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韩国 50-64 岁绝经后妇女的水果摄入量和骨肌减少性肥胖

目的 本研究的目的是评估水果摄入量与绝经后女性骨肌肉减少性肥胖 (OSO) 相关的身体成分（骨骼、肌肉和脂肪组织）异常之间的关联。研究设计 1420 名年龄在 50-64 岁的绝经后妇女的数据是从 2008 年至 2010 年韩国国家健康和营养检查调查 (KNHANES) 进行的横断面研究中收集的。主要结果测量使用 24 -h 饮食回忆法，并对营养素和食物组的摄入量进行了分析。使用双能 X 射线吸收测定法 (DEXA) 评估身体成分。身体成分异常包括低骨量（T-score<-1.0），低肌肉质量（体重调整后的四肢骨骼肌质量低于健康年轻人的平均参考值）和肥胖（腰围≥85 cm）。通过逻辑回归分析测试营养摄入和水果组之间的关联以及身体成分异常的数量。结果 在身体成分异常较多的女性中，每 1000 kcal 总能量摄入中维生素 C 和钾的摄入量显着降低（分别为 p = 0.0155 和 p = 0.0037）。控制协变量后，与不摄入水果的女性相比，摄入大量水果（≥257.4 g/d）的女性身体成分出现多种异常的可能性显着降低（趋势p：对于那些有一个，p < 0.01，两个或三个异常）。