Long-Term Food Variety and Dietary Patterns Are Associated with Frailty among Chinese Older Adults: A Cohort Study Based on CLHLS from 2014 to 2018

Abstract

(1) Objective: To examine the association between posterior-derived dietary patterns, food variety, and frailty measured by frailty index (FI) in Chinese elderly. (2) Method: A cohort study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2014 to 2018 was conducted among older adults. The food variety was defined by the food variety score (FVS), which was calculated using the frequency of food categories consumption. Dietary patterns were obtained using factor analysis. A FI composed of 38 health deficits was used to measure subjects’ frailty status. Logistic regression analyses were performed to explore the correlation between dietary factors and the incidence of frailty. (3) Results: Compared with low FVS, a high dietary diversity score at baseline was not associated with a reduced incidence of frailty after four years. Regarding long-term food variety, compared with the low variety maintained group, people with high variety maintained were associated with a lower risk of frailty (0.59, 95%CI 0.39–0.90). Adherence to the “egg-bean-pickle-sugar pattern” and “fruit-vegetable-meat-fish pattern” was associated with a lower risk of frailty. (4) Conclusion: Maintaining high food variety and adherence to two patterns, i.e., the egg-bean-pickle-sugar pattern and fruit-vegetable-meat-fish pattern, could reduce the incidence of frailty among Chinese older adults.

Association between indoor air pollution and depression: a systematic review and meta-analysis of cohort studies

“…After a critical review of titles and abstracts, 1301 articles were removed because they were unrelated to our research questions, and after a full-text review of the remaining 55 studies, the final 12 articles containing 25 available data met our inclusion criteria and were used in the systematic review (figure 1). 22 29–39…”

Integrated effects of nutrition‐related, physical, and social factors on frailty among community‐dwelling older adults: A 7‐year follow‐up from the Kashiwa cohort study

“…In line with the ICFSR International Clinical Practice Guidelines, the daily habits of older adults, including nutritional practices, physical activity, and maintaining social connections, are crucial in effectively preventing frailty 5 . Regarding nutrition‐related factors, maintaining high food diversity with an adequate intake of proteins (such as meat and fish) and vegetables has been reported to reduce new‐onset frailty in older adults 23 . Moreover, it has been reported that high food diversity can reduce mortality risk in older adults with pre‐frailty and frailty, 24 and that a balanced diet is crucial for maintaining the physical health of older adults and preventing chronic diseases and complications due to malnutrition 25 .…”

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Associations of Dietary Diversity Trajectories with Frailty among Chinese Older Adults: A Latent Class Trajectory Analysis Based on a CLHLS Cohort

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