Dietary quality is related to frailty in community-dwelling older adults
The etiology of the geriatric syndrome frailty is multifactorial. Besides hormonal and inflammatory processes, nutritional influences may be of major relevance. In this cross-sectional study, the association between dietary quality and frailty was investigated. In 192 community-dwelling older volunt...
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| Veröffentlicht in: | The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 2013-04, Vol.68 (4), p.483-489 |
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| container_title | The journals of gerontology. Series A, Biological sciences and medical sciences |
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| creator | Bollwein, Julia Diekmann, Rebecca Kaiser, Matthias J Bauer, Jürgen M Uter, Wolfgang Sieber, Cornel C Volkert, Dorothee |
| description | The etiology of the geriatric syndrome frailty is multifactorial. Besides hormonal and inflammatory processes, nutritional influences may be of major relevance. In this cross-sectional study, the association between dietary quality and frailty was investigated.
In 192 community-dwelling older volunteers (>75 years), an interview-based food frequency questionnaire was used to assess nutritional data. A Mediterranean diet (MED) score (maximum 9 points) was used to evaluate dietary quality. Frailty was defined as the presence of at least three and prefrailty as the presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength, and slow walking speed. Older adults without any of these attributes were defined as "nonfrail" Binomial logistic regression analysis was used to assess the risk of being frail (vs prefrail and nonfrail) in each quartile (vs lowest quartile) of the MED score.
The mean (SD) age of the participants was 83 (4) years; 41.1% were prefrail and 15.1% were frail. The risk of being frail was significantly reduced in the highest quartile of the MED score (OR 0.26; 95% CI 0.07-0.98).
A healthy dietary pattern is associated with a lower risk of being frail. Larger, prospective and interventional studies are needed to clarify the association between dietary quality and frailty. |
| doi_str_mv | 10.1093/gerona/gls204 |
| format | Article |
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In 192 community-dwelling older volunteers (>75 years), an interview-based food frequency questionnaire was used to assess nutritional data. A Mediterranean diet (MED) score (maximum 9 points) was used to evaluate dietary quality. Frailty was defined as the presence of at least three and prefrailty as the presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength, and slow walking speed. Older adults without any of these attributes were defined as "nonfrail" Binomial logistic regression analysis was used to assess the risk of being frail (vs prefrail and nonfrail) in each quartile (vs lowest quartile) of the MED score.
The mean (SD) age of the participants was 83 (4) years; 41.1% were prefrail and 15.1% were frail. The risk of being frail was significantly reduced in the highest quartile of the MED score (OR 0.26; 95% CI 0.07-0.98).
A healthy dietary pattern is associated with a lower risk of being frail. Larger, prospective and interventional studies are needed to clarify the association between dietary quality and frailty.</description><identifier>ISSN: 1079-5006</identifier><identifier>EISSN: 1758-535X</identifier><identifier>DOI: 10.1093/gerona/gls204</identifier><identifier>PMID: 23064817</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Cross-Sectional Studies ; Diet ; Diet, Mediterranean ; Fatigue - etiology ; Fatigue - prevention & control ; Feeding Behavior - classification ; Feeding Behavior - physiology ; Female ; Frail Elderly - statistics & numerical data ; Frailty ; Geriatric Assessment - methods ; Geriatrics ; Germany ; Hand Strength - physiology ; Humans ; Independent Living ; Male ; Models, Statistical ; Motor Activity - physiology ; Nutrition Assessment ; Nutritive Value - physiology ; Older people ; Risk Assessment ; Risk Factors ; Surveys and Questionnaires ; Walking - physiology ; Weight Loss - physiology</subject><ispartof>The journals of gerontology. Series A, Biological sciences and medical sciences, 2013-04, Vol.68 (4), p.483-489</ispartof><rights>Copyright Oxford University Press, UK Apr 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-227834e8b014e9eb8ed377d6964b0ca9d1b8bf75321cc6c34ca7de007ee4ab1c3</citedby><cites>FETCH-LOGICAL-c426t-227834e8b014e9eb8ed377d6964b0ca9d1b8bf75321cc6c34ca7de007ee4ab1c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23064817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bollwein, Julia</creatorcontrib><creatorcontrib>Diekmann, Rebecca</creatorcontrib><creatorcontrib>Kaiser, Matthias J</creatorcontrib><creatorcontrib>Bauer, Jürgen M</creatorcontrib><creatorcontrib>Uter, Wolfgang</creatorcontrib><creatorcontrib>Sieber, Cornel C</creatorcontrib><creatorcontrib>Volkert, Dorothee</creatorcontrib><title>Dietary quality is related to frailty in community-dwelling older adults</title><title>The journals of gerontology. Series A, Biological sciences and medical sciences</title><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><description>The etiology of the geriatric syndrome frailty is multifactorial. Besides hormonal and inflammatory processes, nutritional influences may be of major relevance. In this cross-sectional study, the association between dietary quality and frailty was investigated.
In 192 community-dwelling older volunteers (>75 years), an interview-based food frequency questionnaire was used to assess nutritional data. A Mediterranean diet (MED) score (maximum 9 points) was used to evaluate dietary quality. Frailty was defined as the presence of at least three and prefrailty as the presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength, and slow walking speed. Older adults without any of these attributes were defined as "nonfrail" Binomial logistic regression analysis was used to assess the risk of being frail (vs prefrail and nonfrail) in each quartile (vs lowest quartile) of the MED score.
The mean (SD) age of the participants was 83 (4) years; 41.1% were prefrail and 15.1% were frail. The risk of being frail was significantly reduced in the highest quartile of the MED score (OR 0.26; 95% CI 0.07-0.98).
A healthy dietary pattern is associated with a lower risk of being frail. Larger, prospective and interventional studies are needed to clarify the association between dietary quality and frailty.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Diet, Mediterranean</subject><subject>Fatigue - etiology</subject><subject>Fatigue - prevention & control</subject><subject>Feeding Behavior - classification</subject><subject>Feeding Behavior - physiology</subject><subject>Female</subject><subject>Frail Elderly - statistics & numerical data</subject><subject>Frailty</subject><subject>Geriatric Assessment - methods</subject><subject>Geriatrics</subject><subject>Germany</subject><subject>Hand Strength - physiology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Male</subject><subject>Models, Statistical</subject><subject>Motor Activity - physiology</subject><subject>Nutrition Assessment</subject><subject>Nutritive Value - physiology</subject><subject>Older people</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><subject>Walking - physiology</subject><subject>Weight Loss - physiology</subject><issn>1079-5006</issn><issn>1758-535X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1Lw0AQhhdRbK0evUrAi5fY_cpucpT6UaHgRcFb2OxOSsom2-4mSP-9W1M9OJcZhoeXlweha4LvCS7YfA3edWq-toFifoKmRGZ5mrHs8zTeWBZphrGYoIsQNvgwGT1HE8qw4DmRU7R8bKBXfp_sBmWbfp80IfFgVQ8m6V1Se9XYw7dLtGvboYtIar7A2qZbJ84a8Ikyg-3DJTqrlQ1wddwz9PH89L5Ypqu3l9fFwyrVnIo-pVTmjENeYcKhgCoHw6Q0ohC8wloVhlR5VcuMUaK10IxrJQ1gLAG4qohmM3Q35m692w0Q-rJtgo6FVAduCCVhRLCC51JE9PYfunGD72K7H0rklHIZqXSktHcheKjLrW_aqKQkuDwoLkfF5ag48jfH1KFqwfzRv07ZN_gUeXs</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Bollwein, Julia</creator><creator>Diekmann, Rebecca</creator><creator>Kaiser, Matthias J</creator><creator>Bauer, Jürgen M</creator><creator>Uter, Wolfgang</creator><creator>Sieber, Cornel C</creator><creator>Volkert, Dorothee</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20130401</creationdate><title>Dietary quality is related to frailty in community-dwelling older adults</title><author>Bollwein, Julia ; Diekmann, Rebecca ; Kaiser, Matthias J ; Bauer, Jürgen M ; Uter, Wolfgang ; Sieber, Cornel C ; Volkert, Dorothee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-227834e8b014e9eb8ed377d6964b0ca9d1b8bf75321cc6c34ca7de007ee4ab1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Diet, Mediterranean</topic><topic>Fatigue - etiology</topic><topic>Fatigue - prevention & control</topic><topic>Feeding Behavior - classification</topic><topic>Feeding Behavior - physiology</topic><topic>Female</topic><topic>Frail Elderly - statistics & numerical data</topic><topic>Frailty</topic><topic>Geriatric Assessment - methods</topic><topic>Geriatrics</topic><topic>Germany</topic><topic>Hand Strength - physiology</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Male</topic><topic>Models, Statistical</topic><topic>Motor Activity - physiology</topic><topic>Nutrition Assessment</topic><topic>Nutritive Value - physiology</topic><topic>Older people</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><topic>Walking - physiology</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bollwein, Julia</creatorcontrib><creatorcontrib>Diekmann, Rebecca</creatorcontrib><creatorcontrib>Kaiser, Matthias J</creatorcontrib><creatorcontrib>Bauer, Jürgen M</creatorcontrib><creatorcontrib>Uter, Wolfgang</creatorcontrib><creatorcontrib>Sieber, Cornel C</creatorcontrib><creatorcontrib>Volkert, Dorothee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bollwein, Julia</au><au>Diekmann, Rebecca</au><au>Kaiser, Matthias J</au><au>Bauer, Jürgen M</au><au>Uter, Wolfgang</au><au>Sieber, Cornel C</au><au>Volkert, Dorothee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary quality is related to frailty in community-dwelling older adults</atitle><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>68</volume><issue>4</issue><spage>483</spage><epage>489</epage><pages>483-489</pages><issn>1079-5006</issn><eissn>1758-535X</eissn><abstract>The etiology of the geriatric syndrome frailty is multifactorial. Besides hormonal and inflammatory processes, nutritional influences may be of major relevance. In this cross-sectional study, the association between dietary quality and frailty was investigated.
In 192 community-dwelling older volunteers (>75 years), an interview-based food frequency questionnaire was used to assess nutritional data. A Mediterranean diet (MED) score (maximum 9 points) was used to evaluate dietary quality. Frailty was defined as the presence of at least three and prefrailty as the presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength, and slow walking speed. Older adults without any of these attributes were defined as "nonfrail" Binomial logistic regression analysis was used to assess the risk of being frail (vs prefrail and nonfrail) in each quartile (vs lowest quartile) of the MED score.
The mean (SD) age of the participants was 83 (4) years; 41.1% were prefrail and 15.1% were frail. The risk of being frail was significantly reduced in the highest quartile of the MED score (OR 0.26; 95% CI 0.07-0.98).
A healthy dietary pattern is associated with a lower risk of being frail. Larger, prospective and interventional studies are needed to clarify the association between dietary quality and frailty.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>23064817</pmid><doi>10.1093/gerona/gls204</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Aging Cross-Sectional Studies Diet Diet, Mediterranean Fatigue - etiology Fatigue - prevention & control Feeding Behavior - classification Feeding Behavior - physiology Female Frail Elderly - statistics & numerical data Frailty Geriatric Assessment - methods Geriatrics Germany Hand Strength - physiology Humans Independent Living Male Models, Statistical Motor Activity - physiology Nutrition Assessment Nutritive Value - physiology Older people Risk Assessment Risk Factors Surveys and Questionnaires Walking - physiology Weight Loss - physiology |
| title | Dietary quality is related to frailty in community-dwelling older adults |
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