Cargando…

Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly

The effects of social frailty on diet and nutrition are under-investigated. Our study aimed to assess the association between social frailty and diet quality, diet quantity, and nutrition over a 3-year period in community-dwelling older Japanese adults. This prospective cohort study recruited indivi...

Descripción completa

Detalles Bibliográficos
Autores principales: Huang, Chi Hsien, Okada, Kiwako, Matsushita, Eiji, Uno, Chiharu, Satake, Shosuke, Arakawa Martins, Beatriz, Kuzuya, Masafumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551288/
https://www.ncbi.nlm.nih.gov/pubmed/32957506
http://dx.doi.org/10.3390/nu12092845
_version_ 1783593151339954176
author Huang, Chi Hsien
Okada, Kiwako
Matsushita, Eiji
Uno, Chiharu
Satake, Shosuke
Arakawa Martins, Beatriz
Kuzuya, Masafumi
author_facet Huang, Chi Hsien
Okada, Kiwako
Matsushita, Eiji
Uno, Chiharu
Satake, Shosuke
Arakawa Martins, Beatriz
Kuzuya, Masafumi
author_sort Huang, Chi Hsien
collection PubMed
description The effects of social frailty on diet and nutrition are under-investigated. Our study aimed to assess the association between social frailty and diet quality, diet quantity, and nutrition over a 3-year period in community-dwelling older Japanese adults. This prospective cohort study recruited individuals aged ≥60 years from a community college and followed up 666 participants annually. Social frailty was determined using a 4-item questionnaire. Diet quantity (energy and macronutrient intake) and diet quality (dietary diversity score and Diet Quality Index-International) were assessed using a food frequency questionnaire. Nutrition was evaluated using the Mini-Nutritional Assessment (MNA). Out of the 666 participants (56.5% women), 250 (37.5%) were categorized as having social prefrailty or frailty. Regarding diet quantity, energy intake (β = −1.59kcal/kg/day, p < 0.01) and nutrient intake (protein intake, β = −0.08g/kg/day; fat intake, β = −0.06g/kg/day; carbohydrate intake, β = −0.18g/kg/day; fiber intake, β = −0.01g/kg/day; all p < 0.05) were lower in men with social prefrailty or frailty than in men with social robustness. Dietary diversity score (β = −0.25, p = 0.01) and MNA score (β = −0.32, p = 0.04) decreased in men with social prefrailty or frailty. However, these associations were not observed in women. Social frailty is associated with lower dietary intake, poor diet quality, and poor nutrition among community-dwelling older men. Future studies are required to determine the benefits of sex-specific interventions targeting social frailty on nutritional outcomes.
format Online
Article
Text
id pubmed-7551288
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-75512882020-10-16 Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly Huang, Chi Hsien Okada, Kiwako Matsushita, Eiji Uno, Chiharu Satake, Shosuke Arakawa Martins, Beatriz Kuzuya, Masafumi Nutrients Article The effects of social frailty on diet and nutrition are under-investigated. Our study aimed to assess the association between social frailty and diet quality, diet quantity, and nutrition over a 3-year period in community-dwelling older Japanese adults. This prospective cohort study recruited individuals aged ≥60 years from a community college and followed up 666 participants annually. Social frailty was determined using a 4-item questionnaire. Diet quantity (energy and macronutrient intake) and diet quality (dietary diversity score and Diet Quality Index-International) were assessed using a food frequency questionnaire. Nutrition was evaluated using the Mini-Nutritional Assessment (MNA). Out of the 666 participants (56.5% women), 250 (37.5%) were categorized as having social prefrailty or frailty. Regarding diet quantity, energy intake (β = −1.59kcal/kg/day, p < 0.01) and nutrient intake (protein intake, β = −0.08g/kg/day; fat intake, β = −0.06g/kg/day; carbohydrate intake, β = −0.18g/kg/day; fiber intake, β = −0.01g/kg/day; all p < 0.05) were lower in men with social prefrailty or frailty than in men with social robustness. Dietary diversity score (β = −0.25, p = 0.01) and MNA score (β = −0.32, p = 0.04) decreased in men with social prefrailty or frailty. However, these associations were not observed in women. Social frailty is associated with lower dietary intake, poor diet quality, and poor nutrition among community-dwelling older men. Future studies are required to determine the benefits of sex-specific interventions targeting social frailty on nutritional outcomes. MDPI 2020-09-17 /pmc/articles/PMC7551288/ /pubmed/32957506 http://dx.doi.org/10.3390/nu12092845 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Huang, Chi Hsien
Okada, Kiwako
Matsushita, Eiji
Uno, Chiharu
Satake, Shosuke
Arakawa Martins, Beatriz
Kuzuya, Masafumi
Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly
title Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly
title_full Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly
title_fullStr Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly
title_full_unstemmed Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly
title_short Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly
title_sort sex-specific association between social frailty and diet quality, diet quantity, and nutrition in community-dwelling elderly
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551288/
https://www.ncbi.nlm.nih.gov/pubmed/32957506
http://dx.doi.org/10.3390/nu12092845
work_keys_str_mv AT huangchihsien sexspecificassociationbetweensocialfrailtyanddietqualitydietquantityandnutritionincommunitydwellingelderly
AT okadakiwako sexspecificassociationbetweensocialfrailtyanddietqualitydietquantityandnutritionincommunitydwellingelderly
AT matsushitaeiji sexspecificassociationbetweensocialfrailtyanddietqualitydietquantityandnutritionincommunitydwellingelderly
AT unochiharu sexspecificassociationbetweensocialfrailtyanddietqualitydietquantityandnutritionincommunitydwellingelderly
AT satakeshosuke sexspecificassociationbetweensocialfrailtyanddietqualitydietquantityandnutritionincommunitydwellingelderly
AT arakawamartinsbeatriz sexspecificassociationbetweensocialfrailtyanddietqualitydietquantityandnutritionincommunitydwellingelderly
AT kuzuyamasafumi sexspecificassociationbetweensocialfrailtyanddietqualitydietquantityandnutritionincommunitydwellingelderly