Relationship between physical frailty, nutritional risk factors and protein intake in community-dwelling older adults

Buhl, Sussi Friis; Beck, Anne Marie; Olsen, Pia Øllgaard; Kock, Gry; Christensen, Britt; Wegner, Manfred; Vaarst, Jonathan; Caserotti, Paolo

doi:10.1016/j.clnesp.2022.03.004

Cited by 8 publications

(7 citation statements)

References 73 publications

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“…However, a cross-sectional study from the same Rotterdam study found that neither specifically plant nor animal protein intake was associated with lower frailty [ 27 ]. Another cross-sectional study indicated no significant reduction in the risk of pre-frailty/frailty with higher protein intakes [ 28 ]. However, two prospective cohort studies confirmed that daily protein intake was inversely associated with the risk of pre-frailty/frailty in older adults [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Associations between Low-Carbohydrate Diets and Low-Fat Diets with Frailty in Community-Dwelling Aging Chinese Adults

Wang

Guo

et al. 2023

Nutrients

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Frailty is a major health issue associated with aging. Diet affects frailty status; however, studies on the associations between the low-carbohydrate diet (LCD) score, low-fat diet (LFD) score and frailty in older Chinese adults are scarce. This study aimed to examine the associations between the LCD score, LFD score and risk of frailty in older Chinese adults. We analyzed data from 6414 participants aged ≥ 60 years from the China Northwest Natural Population Cohort: Ningxia Project. Frailty was measured using the frailty index (FI), calculated from 28 items comprising diseases, behavioral disorders and blood biochemistry and classified as robust, pre-frail and frail. LCD and LFD scores were calculated using a validated food frequency questionnaire (FFQ). Multiple logistic regression models were used to evaluate associations between LCD, LFD scores and frail or pre-frail status after adjusting for confounders. Participants’ mean age was 66.60 ± 4.15 years, and 47.8% were male. After adjusting for age, sex, educational level, drinking, smoking, BMI, physical activity and total energy, compared to the lowest quartile (Q1: reference), the odds ratios (ORs) for pre-frail and frail status in the highest quartile (Q4) of LCD score were 0.73 (95% confidence intervals: 0.61–0.88; p for trend = 0.017) and 0.73 (95%CI: 0.55–0.95; p for trend = 0.035), respectively. No significant associations were observed between LFD score and either pre-frail or frail status. Our data support that lower-carbohydrate diets were associated with lower pre-frail or frail status, particularly in females, while diets lower in fat were not significantly associated with the risk of either pre-frail or frail status in older Chinese adults. Further intervention studies are needed to confirm these results.

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Section: Discussionmentioning

confidence: 99%

Associations between Low-Carbohydrate Diets and Low-Fat Diets with Frailty in Community-Dwelling Aging Chinese Adults

Wang

Guo

et al. 2023

Nutrients

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“…Martino et al found that intramuscular lipid concentration increased in localized regions of the lumbar muscles following 60-day bed rest [ 26 ]. Previous studies have shown nutritional risk factors were independently associated with physical pre-frail/frail condition [ 27 ]. However, poorer nutritional status is significantly associated with sarcopenia [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Morphology of paraspinal muscles in frail and non-frail older adults evaluated through FRAIL scale

Huang

Fang

Kong

et al. 2023

BMC Musculoskelet Disord

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Background Frailty is a condition characterized by the progressive deterioration of physiological functioning, which is closely related to adverse events. Multiple previous investigations applied frailty scales for spine research, and the purpose of this study is to investigate the differences in the morphology of the paraspinal muscles in frail and non-frail older adults evaluated through FRAIL scale. Methods The sample of this retrospectively cross-sectional study consisted of individuals who were ≥ 60 years of age and with lumbar degenerative disease. We divided patients into two groups (0–2 = non-Frail, 3–5 = Frail) according to the FRAIL scale. The cross-sectional area (CSA) and percentage of the fatty infiltration (FI%) of the paraspinal muscles were compared between the two groups. Results The fCSA (functional cross-sectional area) of the non-Frail group (32.78 [28.52, 38.28]) (cm2) was significantly greater than that of the Frail group (28.50 [24.11, 34.77]) (p < 0.001). The ES FI% (erector spinae fatty infiltration rate) (24.83 ± 6.61 vs. 29.60 ± 7.92, p < 0.001) and MF FI% (multifidus fatty infiltration rate) (31.68 ± 5.63 vs. 41.12 ± 7.04, p < 0.001) of the non-Frail group were significantly lower than that of Frail group. Conclusions The paraspinal muscles of elderly Frail patients screened by the FRAIL scale are worse than those of the non-Frail patients, and the ability of the FRAIL scale to distinguish paraspinal muscle morphology has important clinical significance.

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“…Важную роль в повышении риска развития недостаточности питания в текущем исследовании играли низкий уровень физического функционирования и прогрессирование зависимости от посторонней помощи. Низкий уровень физического функционирования является одним из доказанных факторов потери независимости в пожилом и старческом возрастах, что объясняет увеличение риска развития недостаточности питания у таких людей [7,11]…”

Section: Discussionunclassified

Impact of malnutrition and its correction on mortality in older adults

Turusheva

2022

Russian Family Doctor

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BACKGROUND: Malnutrition is associated with decreased levels of physical function, cognitive decline, and an increased risk of all-cause mortality, making it important to identify risk factors for malnutrition, especially in old age. AIM: To identify factors associated with an increase and decrease in the risk of developing malnutrition, as well as to assess the impact of malnutrition and its correction on mortality in older adults. MATERIALS AND METHODS: A prospective cohort study of a random sample of 611 people aged 65 years and older. Mini Nutritional Assessment, Geriatric Depression Scale, Mini-Mental State Examination, dynamometry, Barthel Index, chronic noncommunicable diseases, clinical blood count, C-reactive protein. 2 examinations, 9 years of total follow-up. RESULTS: Risk factors for deterioration in nutritional status are decrease in emotional status (odds ratio 5.439; 95% confidence interval 2.79410.588), progression of autonomy decline (odds ratio 2.428; 95% confidence interval 1.3424.393), low physical function (odds ratio 2.877; 95% confidence interval 1.5775.250). A high level of physical function reduces the risk of malnutrition by 64.1%. Malnutrition increases the risk of five-year mortality by 2.7 times. A normal nutritional status reduces the risk of nine-year mortality by 50.2%. Improve nutrition status leads to a lower risk of mortality. CONCLUSIONS: The main factors in the deterioration of nutritional status are a decrease in emotional status, loss of autonomy and a low level of physical function. Early detection of older adults with malnutrition and its correction can reduce the risk of mortality.

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Relationship between physical frailty, nutritional risk factors and protein intake in community-dwelling older adults

Cited by 8 publications

References 73 publications

Associations between Low-Carbohydrate Diets and Low-Fat Diets with Frailty in Community-Dwelling Aging Chinese Adults

Associations between Low-Carbohydrate Diets and Low-Fat Diets with Frailty in Community-Dwelling Aging Chinese Adults

Morphology of paraspinal muscles in frail and non-frail older adults evaluated through FRAIL scale

Impact of malnutrition and its correction on mortality in older adults

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