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Diet quality and physical or comprehensive frailty among older adults
PURPOSE: While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive fra...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8852878/ https://www.ncbi.nlm.nih.gov/pubmed/35152337 http://dx.doi.org/10.1007/s00394-022-02819-w |
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author | Watanabe, Daiki Kurotani, Kayo Yoshida, Tsukasa Nanri, Hinako Watanabe, Yuya Date, Heiwa Itoi, Aya Goto, Chiho Ishikawa-Takata, Kazuko Kimura, Misaka Miyachi, Motohiko Yamada, Yosuke |
author_facet | Watanabe, Daiki Kurotani, Kayo Yoshida, Tsukasa Nanri, Hinako Watanabe, Yuya Date, Heiwa Itoi, Aya Goto, Chiho Ishikawa-Takata, Kazuko Kimura, Misaka Miyachi, Motohiko Yamada, Yosuke |
author_sort | Watanabe, Daiki |
collection | PubMed |
description | PURPOSE: While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. METHODS: We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. RESULTS: Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. CONCLUSIONS: This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00394-022-02819-w. |
format | Online Article Text |
id | pubmed-8852878 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-88528782022-02-18 Diet quality and physical or comprehensive frailty among older adults Watanabe, Daiki Kurotani, Kayo Yoshida, Tsukasa Nanri, Hinako Watanabe, Yuya Date, Heiwa Itoi, Aya Goto, Chiho Ishikawa-Takata, Kazuko Kimura, Misaka Miyachi, Motohiko Yamada, Yosuke Eur J Nutr Original Contribution PURPOSE: While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. METHODS: We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. RESULTS: Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. CONCLUSIONS: This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00394-022-02819-w. Springer Berlin Heidelberg 2022-02-13 2022 /pmc/articles/PMC8852878/ /pubmed/35152337 http://dx.doi.org/10.1007/s00394-022-02819-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Contribution Watanabe, Daiki Kurotani, Kayo Yoshida, Tsukasa Nanri, Hinako Watanabe, Yuya Date, Heiwa Itoi, Aya Goto, Chiho Ishikawa-Takata, Kazuko Kimura, Misaka Miyachi, Motohiko Yamada, Yosuke Diet quality and physical or comprehensive frailty among older adults |
title | Diet quality and physical or comprehensive frailty among older adults |
title_full | Diet quality and physical or comprehensive frailty among older adults |
title_fullStr | Diet quality and physical or comprehensive frailty among older adults |
title_full_unstemmed | Diet quality and physical or comprehensive frailty among older adults |
title_short | Diet quality and physical or comprehensive frailty among older adults |
title_sort | diet quality and physical or comprehensive frailty among older adults |
topic | Original Contribution |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8852878/ https://www.ncbi.nlm.nih.gov/pubmed/35152337 http://dx.doi.org/10.1007/s00394-022-02819-w |
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