Dietary Quality Is Related to Frailty in Community-Dwelling Older Adults

Bollwein, Julia; Diekmann, Rebecca; Kaiser, Matthias J.; Bauer, Jürgen; Uter, Wolfgang; Sieber, Cornel; Volkert, Dorothee

doi:10.1093/gerona/gls204

Cited by 179 publications

(180 citation statements)

References 41 publications

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“…There were five longitudinal cohort studies [74,[76][77][78][79] and seven cross-sectional studies [80][81][82][83][84][85]. Two studies originated from Italy [76,86], Germany [80,82] and USA [78,84], with one study coming from Greece [85], Spain [74], United Kingdom [83], Iran [81], China [77] and Finland [79]. Sample sizes ranged from 192 to 2983 participants.…”

Section: Adherence To the Mediterranean Diet Physical Frailty And Samentioning

confidence: 99%

“…There were five studies that assessed physical frailty or physical function [74,76,77,80,84]. Physical frailty was largely assessed using the Fried et al [36] diagnostic criteria that includes selfreported weight loss, exhaustion, low grip strength, slow gait speed and low physical activity.…”

Section: Adherence To the Mediterranean Diet Physical Frailty And Samentioning

confidence: 99%

“…Three studies [82,85,86] assessed adherence to the MedDiet using dietary assessment tools developed in accordance with the MedDiet pyramid [95][96][97]. Bollwein et al [80] assessed dietary adherence using the alternate Mediterranean food (MED) score developed by Fung et al [98] which is an adaptation of the MDS developed by Trichopoulou et al [94] for application in non-Mediterranean populations. Two studies [81,83] applied data-driven (a posteriori) approaches including Principal Component Analysis (PCA) to characterize dietary patterns from dietary data collected by Food Frequency Questionnaires (FFQ).…”

Section: Adherence To the Mediterranean Diet Physical Frailty And Samentioning

confidence: 99%

“…Four out of five studies [74,76,80,84] reported that greater adherence to a MedDiet is associated with lower risk of physical frailty and slower decline of physical functioning over time. Results from two longitudinal cohort studies reported that greater adherence to a MedDiet was inversely associated with the development of physical frailty [74,76].…”

Section: Adherence To a Mediterranean Diet And Physical Frailtymentioning

confidence: 99%

“…In a cross-sectional study of 192 communitydwelling older adults from Germany, Bollwein et al [80] reported that greater adherence to a MedDiet, as assessed by the MED score, was associated with a decreased risk of physical frailty (OR = 0.26; 95% CI: 0.07-0.98). The investigators also reported a linear trend in the odds ratios, indicative of a graded effect of this observation (Quartile 2: OR = 1.04; 95% CI: 0.36-3.05; Quartile 3: OR = 0.37; 95% CI: 0.11-1.32; Quartile 4: OR = 0.19; 95% CI: 0.05-0.82; p for trend = 0.011).…”

Section: Adherence To a Mediterranean Diet And Physical Frailtymentioning

confidence: 99%

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Mediterranean Diet attenuates risk of frailty and sarcopenia: New insights and future directions

McClure

Villani

2017

JCSM Clinical Reports

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Sarcopenia and physical frailty are associated with progressive disability and predictive of negative health outcomes. Dietary interventions are considered the cornerstone in the management of sarcopenic symptomology and physical frailty. However few studies have investigated preventative strategies. Moreover, most studies have focused on the efficacy of individual nutrients or supplements rather than dietary patterns. The Mediterranean Diet (MedDiet) is a dietary pattern that provides evidence for an association between diet quality, healthy ageing and disease prevention. The purpose of this paper was to examine, synthesise and develop a narrative review of the current literature, investigating the potential benefits associated with adherence to a MedDiet and attenuation of physical frailty and sarcopenic symptomology in older adults. We also explored the underlying mechanisms underpinning the potential benefits of the MedDiet on ameliorating physical frailty and sarcopenic symptomology. Synthesis of the reviewed literature is suggestive of a decreased risk of physical frailty and sarcopenic symptomology with greater adherence to a MedDiet. We identified the anti-inflammatory and high antioxidant components of the MedDiet as two potential biological mechanisms involved. Due to a lack of evidence from RCTs to support the proposed physiological mechanisms, we suggest investigating these observations in older adults with type 2 diabetes (T2DM) whom are vulnerable to physical frailty and disability. A number of biological mechanisms describing the pathway to disability in older adults with T2DM have been postulated with many of these mechanisms potentially mitigated with dietary interventions involving the MedDiet. Exploring these mechanisms with the use of well-designed, longer-term dietary intervention studies in older adults with an increased vulnerability to physical frailty and sarcopenia is warranted.

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Section: Adherence To the Mediterranean Diet Physical Frailty And Samentioning

confidence: 99%

Section: Adherence To the Mediterranean Diet Physical Frailty And Samentioning

confidence: 99%

Section: Adherence To the Mediterranean Diet Physical Frailty And Samentioning

confidence: 99%

Section: Adherence To a Mediterranean Diet And Physical Frailtymentioning

confidence: 99%

Section: Adherence To a Mediterranean Diet And Physical Frailtymentioning

confidence: 99%

See 3 more Smart Citations

Mediterranean Diet attenuates risk of frailty and sarcopenia: New insights and future directions

McClure

Villani

2017

JCSM Clinical Reports

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Trends in Diet Quality Among Older US Adults From 2001 to 2018

et al. 2022

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IMPORTANCE Poor diet is a major risk factor for chronic diseases, disability, and death in the US. As older adults comprise the fastest-growing population segment in the US, it is crucial to describe dietary trends among older adults to identify opportunities and challenges for improving health in old age. OBJECTIVE To characterize trends in overall dietary quality and key food components and nutrients among older US adults by age, sex, race and ethnicity, marital status, educational level, and income.

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Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and the ESC Working Group on e‐Cardiology

et al. 2022

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Digital health technology is receiving increasing attention in cardiology. The rise of accessibility of digital health tools including wearable technologies and smart phone applications used in medical practice has created a new era in healthcare. The coronavirus pandemic has provided a new impetus for changes in delivering medical assistance across the world. This Consensus document discusses the potential implementation of digital health technology in older adults, suggesting a practical approach to general cardiologists working in an ambulatory outpatient clinic, highlighting the potential benefit and challenges of digital health in older patients with, or at risk of, cardiovascular disease. Advancing age may lead to a progressive loss of independence, to frailty, and to increasing degrees of disability. In Geriatric Cardiology digital health technology may serve as an additional tool both in cardiovascular prevention and treatment that may help by 1) supporting self-caring patients with cardiovascular disease to maintain their independence and improve the management of their cardiovascular disease 2) improving the prevention, detection and management of frailty and supporting

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Dietary Quality Is Related to Frailty in Community-Dwelling Older Adults

Abstract: 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.

Cited by 179 publications

References 41 publications

Mediterranean Diet attenuates risk of frailty and sarcopenia: New insights and future directions

Mediterranean Diet attenuates risk of frailty and sarcopenia: New insights and future directions

Trends in Diet Quality Among Older US Adults From 2001 to 2018

Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and the ESC Working Group on e‐Cardiology

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