The Relationship between Dietary Habits and Frailty in Rural Japanese Community-Dwelling Older Adults: Cross-Sectional Observation Study Using a Brief Self-Administered Dietary History Questionnaire

Tamaki, Kunihiko; Kusunoki, Hiroshi; Tsuji, Shotaro; Wada, Yosuke; Nagai, Koutatsu; Itoh, Masako; Sano, Kyoko; Amano, Minoru; Maeda, Hatsuo; Hirabayashi, Yoko; Kishimoto, Hiroyuki; Shimomura, Soji; Shinmura, Ken

doi:10.3390/nu10121982

Cited by 31 publications

(31 citation statements)

References 28 publications

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“…The cross‐sectional study was designed and named the Frail Elderly in the Sasayama‐Tamba Area (FESTA) 15–17 . The study population, comprising individuals ≥65 years old, was recruited from the Sasayama‐Tamba area, a rural area in Hyogo prefecture, Japan, between November 2016 and December 2018.…”

Section: Methodsmentioning

confidence: 99%

Low back pain is closely associated with frailty but not with sarcopenia: Cross‐sectional study of rural Japanese community‐dwelling older adults

Tsuji

Shinmura

Nagai

et al. 2020

Geriatrics Gerontology Int

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AimWe speculated that low back pain, which is the most common ailment in older adults, is associated with frailty and/or sarcopenia and contributes to the progression of either condition. Our objective was to evaluate the relationship between low back pain, sarcopenia and frailty in rural Japanese community‐dwelling older adults.MethodsWe recruited 730 participants aged ≥65 years who underwent a comprehensive health examination between November 2016 and December 2018. The Oswestry Disability Index (ODI) was used to assess low back pain quantitatively, and scores were compared for the frail groups determined by the Japanese version of Cardiovascular Health Study, and the sarcopenia groups as determined by the Asian Working Group for Sarcopenia 2019.ResultsAmong 730 participants, the prevalence of low back pain was 57.8%. There were significant differences in the ODI scores between the robust, prefrail and frail groups (P < 0.001). In contrast, there were no significant differences in the ODI scores among the robust, low appendicular skeletal muscle and sarcopenia groups. Logistic regression analysis showed that the prevalence of low back pain and the ODI scores were significantly associated with frailty after adjustment for age, sex and body mass index (odds ratio 3.41, 95% confidence interval 1.39–8.39, P = 0.008, and odds ratio 1.06, 95% confidence interval 1.04–1.09, P < 0.001, respectively).ConclusionsTo the best of our knowledge, this study is the first to show the close association between low back pain and frailty, and suggests that not only the decline in physical function but also neuropsychiatric factors, including chronic pain, constitute a vicious cycle of frailty in community‐dwelling older adults. Geriatr Gerontol Int 2021; 21: 54–59.

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Section: Methodsmentioning

confidence: 99%

Low back pain is closely associated with frailty but not with sarcopenia: Cross‐sectional study of rural Japanese community‐dwelling older adults

Tsuji

Shinmura

Nagai

et al. 2020

Geriatrics Gerontology Int

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“…Frailty was defined using the Japan Cardiovascular Health Study (J-CHS) index based on the CHS index criteria [14]. The components of frailty in the J-CHS index are the same as in the original CHS index: weight loss, exhaustion, low level of activity, slowness, and weakness.…”

Section: Assessment Of Frailtymentioning

confidence: 99%

Oral Factors as Predictors of Frailty in Community-Dwelling Older People: A Prospective Cohort Study

Takeuchi

Sawada

Ekuni

et al. 2022

IJERPH

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The purpose of this prospective cohort study was to identify predictors for frailty among possible oral factors in community-dwelling older people. Ninety-seven participants (≥60 years old) without frailty at baseline were included and assigned to either the robust or the frailty group after 2-year follow-up. The frailty was defined using the Japan Cardiovascular Health Study index. The numbers of present and functional teeth and periodontal disease severity were recorded. Bacterial counts on the dorsum of the tongue, oral moisture, tongue pressure, occlusal force, masticatory ability, and the oral diadochokinesis (ODK) rate were measured. Swallowing function, along with psychosocial status, relationships with communities and people, nutritional status, medical history, and comorbidities were evaluated using a questionnaire. The newly identified frailty group at follow-up showed significantly lower values in the number of teeth present, ODK/ta/sound and ODK/ka/sound rates, and clinical attachment level at baseline compared to the robust group. A logistic regression model showed a significantly negative association between the ODK/ta/sound rate at baseline and the incidence of frailty. Articulatory oral motor skill was found to be a predictor of frailty after two years.

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“…To assess physical frailty, we used the five criteria from the Japanese version of the Cardiovascular Health Study [27]: weight loss, weakness, slowness, exhaustion, and low activity. Participants who did not have any of these components were considered robust, those with one or two components were considered pre-frail, and those with three or more were considered frail.…”

Section: Physical Frailty Assessmentmentioning

confidence: 99%

Association between Daily Living Walking Speed and Walking Speed in Laboratory Settings in Healthy Older Adults

Kawai

Obuchi

Watanabe

et al. 2020

IJERPH

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Although there is evidence on the predictors of adverse health outcomes in older individuals, walking speed has typically been measured in laboratory settings (LWS); LWS may be distinct from individuals' actual walking speed in their daily lives (DWS). We examined whether DWS differs from LWS among older adults, and its association with physical frailty. Participants were 90 community-dwelling older adults. A five-meter normal (LWS nor ) and maximum (LWS max ) walking speed was measured with a stopwatch. DWS was measured using a global positioning system-related smartphone application for one month during their daily lives. DWS avr , DWS max , and DWS sd were defined as the average, maximum, and standard deviation of walking speed for one month. Participants' mean DWS avr and DWS max were 1.28 m/s and 2.14 m/s, respectively, significantly slower than the mean LWS nor (1.42 m/s) and LWS max (2.24 m/s); the intraclass correlation coefficient between DWS and LWS were 0.188 to 0.341. DWS was significantly correlated with grip strength, one-legged stance, and LWS. The area under the receiver operating characteristic curve of DWS sd concerning pre-frailty was largest among DWSs, at 0.615, while that of LWS nor was 0.643. The findings suggest that DWS differs from LWS and is associated with physical function and pre-frailty.

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The Relationship between Dietary Habits and Frailty in Rural Japanese Community-Dwelling Older Adults: Cross-Sectional Observation Study Using a Brief Self-Administered Dietary History Questionnaire

Cited by 31 publications

References 28 publications

Low back pain is closely associated with frailty but not with sarcopenia: Cross‐sectional study of rural Japanese community‐dwelling older adults

Low back pain is closely associated with frailty but not with sarcopenia: Cross‐sectional study of rural Japanese community‐dwelling older adults

Oral Factors as Predictors of Frailty in Community-Dwelling Older People: A Prospective Cohort Study

Association between Daily Living Walking Speed and Walking Speed in Laboratory Settings in Healthy Older Adults

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