A 3-year prospective cohort study of dietary patterns and frailty risk among community-dwelling older adults. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Huang, Chi Hsien; Martins, Beatriz Arakawa; Okada, Kiwako; Matsushita, Eiji; Uno, Chiharu; Satake, Shosuke; Kuzuya, Masafumi
• Is Part Of: Clinical nutrition. Volume 40:Issue 1(2021)
• Page Start: 229
• Page End: 236
• Publication Date: 2021-01
• Subjects: Dietary pattern -- Salt -- Pickles -- Frailty -- Longitudinal study; FI frailty index -- ADLs activities of daily living -- BMI body mass index -- MNA Mini-Nutritional Assessment -- CCI Charlson Comorbidity Index -- GDS Geriatric Depression Scale -- BAQ Baecke Physical Activity Questionnaire -- SMI skeletal muscle mass index -- HGS hand grip strength -- FFQ food frequency questionnaire -- PA physical activity -- GEE generalized estimating equation; Critically ill -- Nutrition -- Periodicals; Diet therapy -- Periodicals; Parenteral feeding -- Periodicals; Enteral feeding -- Periodicals; Enteral Nutrition -- Periodicals; Parenteral Nutrition -- Periodicals; Metabolism -- Periodicals; Diétothérapie -- Périodiques; Alimentation parentérale -- Périodiques; Alimentation entérale -- Périodiques; Nutrition -- Périodiques; Diet therapy; Enteral feeding; Nutrition; Parenteral feeding; Electronic journals; Periodicals; Electronic journals; 615.854
• DOI: 10.1016/j.clnu.2020.05.013
• Languages: English
• ISSNs: 0261-5614

Abstract

Summary: Background & aims: The association between dietary patterns and frailty is less investigated in Asia. We aimed to investigate the prospective associations between dietary patterns and frailty index (FI) in community-dwelling Japanese older adults aged 60 years or older. Methods: A 3-year cohort collected the data on sociodemographic information, lifestyle behaviors, comorbidities, medication history, depression status, nutrition, and physical function from 2014 to 2017. Five dietary patterns including "Mediterranean-style, " "sugar and fat, " "salt and pickles, " "noodle and alcohol, " and "protein-rich" dietary patterns were identified using principal component analysis from 20 food groups obtained using a validated food frequency questionnaire. A 54-item FI was constructed on the basis of a deficit accumulation model. This project aimed to investigate the longitudinal association between dietary pattern and frailty trajectories with annual measurements over a 3-year period using a generalized estimating equation. Result: After excluding 108 participants with incomplete data at baseline, 666 participants (56.5% female, 69.4 ± 4.4 years) were included for longitudinal analysis. Our results demonstrated that adherence score to "sugar and fat" dietary pattern" (Q4 vs. Q1: mean difference [0.017], 95% CI [0.006 to 0.029]) and "salt and pickles" dietary pattern (Q3 vs. Q1: mean difference [0.010], 95% CI [0.001 to 0.020]; Q4 vs. Q1: mean difference [0.014], 95% CI [0.003 to 0.025]) were positively associated with change in FI. Adherence score to a "protein-rich" dietary pattern was negatively associated with change in FI (Q4 vs. Q1: mean difference [−0.013], 95% CI [−0.025 to −0.002]). Conclusions: "Salt and pickles" dietary pattern and "sugar and fat" dietary pattern were positively associated with frailty. In contrast, "protein-rich" dietary pattern was negatively associated with frailty.