Diet quality and physical or comprehensive frailty among older adults
Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frai...
Ausführliche Beschreibung
Autor*in: |
Watanabe, Daiki [verfasserIn] |
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E-Artikel |
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Englisch |
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2022 |
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Anmerkung: |
© The Author(s) 2022 |
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Übergeordnetes Werk: |
Enthalten in: Zeitschrift für Ernährungswissenschaft - Darmstadt : Steinkopff, 1960, 61(2022), 5 vom: 13. Feb., Seite 2451-2462 |
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Übergeordnetes Werk: |
volume:61 ; year:2022 ; number:5 ; day:13 ; month:02 ; pages:2451-2462 |
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DOI / URN: |
10.1007/s00394-022-02819-w |
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Katalog-ID: |
SPR04756881X |
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245 | 1 | 0 | |a Diet quality and physical or comprehensive frailty among older adults |
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520 | |a Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. | ||
650 | 4 | |a Diet quality |7 (dpeaa)DE-He213 | |
650 | 4 | |a Physical frailty |7 (dpeaa)DE-He213 | |
650 | 4 | |a Comprehensive frailty |7 (dpeaa)DE-He213 | |
650 | 4 | |a Japanese Food Guide Spinning Top |7 (dpeaa)DE-He213 | |
650 | 4 | |a Cross-sectional study |7 (dpeaa)DE-He213 | |
700 | 1 | |a Kurotani, Kayo |4 aut | |
700 | 1 | |a Yoshida, Tsukasa |4 aut | |
700 | 1 | |a Nanri, Hinako |4 aut | |
700 | 1 | |a Watanabe, Yuya |4 aut | |
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700 | 1 | |a Ishikawa-Takata, Kazuko |4 aut | |
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700 | 1 | |a Miyachi, Motohiko |4 aut | |
700 | 1 | |a Yamada, Yosuke |0 (orcid)0000-0002-4284-6317 |4 aut | |
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10.1007/s00394-022-02819-w doi (DE-627)SPR04756881X (SPR)s00394-022-02819-w-e DE-627 ger DE-627 rakwb eng Watanabe, Daiki verfasserin aut Diet quality and physical or comprehensive frailty among older adults 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. Diet quality (dpeaa)DE-He213 Physical frailty (dpeaa)DE-He213 Comprehensive frailty (dpeaa)DE-He213 Japanese Food Guide Spinning Top (dpeaa)DE-He213 Cross-sectional study (dpeaa)DE-He213 Kurotani, Kayo aut Yoshida, Tsukasa aut Nanri, Hinako aut Watanabe, Yuya aut Date, Heiwa aut Itoi, Aya aut Goto, Chiho aut Ishikawa-Takata, Kazuko aut Kimura, Misaka aut Miyachi, Motohiko aut Yamada, Yosuke (orcid)0000-0002-4284-6317 aut Enthalten in Zeitschrift für Ernährungswissenschaft Darmstadt : Steinkopff, 1960 61(2022), 5 vom: 13. Feb., Seite 2451-2462 (DE-627)461907356 (DE-600)2164295-3 1435-1293 nnns volume:61 year:2022 number:5 day:13 month:02 pages:2451-2462 https://dx.doi.org/10.1007/s00394-022-02819-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 AR 61 2022 5 13 02 2451-2462 |
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10.1007/s00394-022-02819-w doi (DE-627)SPR04756881X (SPR)s00394-022-02819-w-e DE-627 ger DE-627 rakwb eng Watanabe, Daiki verfasserin aut Diet quality and physical or comprehensive frailty among older adults 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. Diet quality (dpeaa)DE-He213 Physical frailty (dpeaa)DE-He213 Comprehensive frailty (dpeaa)DE-He213 Japanese Food Guide Spinning Top (dpeaa)DE-He213 Cross-sectional study (dpeaa)DE-He213 Kurotani, Kayo aut Yoshida, Tsukasa aut Nanri, Hinako aut Watanabe, Yuya aut Date, Heiwa aut Itoi, Aya aut Goto, Chiho aut Ishikawa-Takata, Kazuko aut Kimura, Misaka aut Miyachi, Motohiko aut Yamada, Yosuke (orcid)0000-0002-4284-6317 aut Enthalten in Zeitschrift für Ernährungswissenschaft Darmstadt : Steinkopff, 1960 61(2022), 5 vom: 13. Feb., Seite 2451-2462 (DE-627)461907356 (DE-600)2164295-3 1435-1293 nnns volume:61 year:2022 number:5 day:13 month:02 pages:2451-2462 https://dx.doi.org/10.1007/s00394-022-02819-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 AR 61 2022 5 13 02 2451-2462 |
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10.1007/s00394-022-02819-w doi (DE-627)SPR04756881X (SPR)s00394-022-02819-w-e DE-627 ger DE-627 rakwb eng Watanabe, Daiki verfasserin aut Diet quality and physical or comprehensive frailty among older adults 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. Diet quality (dpeaa)DE-He213 Physical frailty (dpeaa)DE-He213 Comprehensive frailty (dpeaa)DE-He213 Japanese Food Guide Spinning Top (dpeaa)DE-He213 Cross-sectional study (dpeaa)DE-He213 Kurotani, Kayo aut Yoshida, Tsukasa aut Nanri, Hinako aut Watanabe, Yuya aut Date, Heiwa aut Itoi, Aya aut Goto, Chiho aut Ishikawa-Takata, Kazuko aut Kimura, Misaka aut Miyachi, Motohiko aut Yamada, Yosuke (orcid)0000-0002-4284-6317 aut Enthalten in Zeitschrift für Ernährungswissenschaft Darmstadt : Steinkopff, 1960 61(2022), 5 vom: 13. Feb., Seite 2451-2462 (DE-627)461907356 (DE-600)2164295-3 1435-1293 nnns volume:61 year:2022 number:5 day:13 month:02 pages:2451-2462 https://dx.doi.org/10.1007/s00394-022-02819-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 AR 61 2022 5 13 02 2451-2462 |
allfieldsGer |
10.1007/s00394-022-02819-w doi (DE-627)SPR04756881X (SPR)s00394-022-02819-w-e DE-627 ger DE-627 rakwb eng Watanabe, Daiki verfasserin aut Diet quality and physical or comprehensive frailty among older adults 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. Diet quality (dpeaa)DE-He213 Physical frailty (dpeaa)DE-He213 Comprehensive frailty (dpeaa)DE-He213 Japanese Food Guide Spinning Top (dpeaa)DE-He213 Cross-sectional study (dpeaa)DE-He213 Kurotani, Kayo aut Yoshida, Tsukasa aut Nanri, Hinako aut Watanabe, Yuya aut Date, Heiwa aut Itoi, Aya aut Goto, Chiho aut Ishikawa-Takata, Kazuko aut Kimura, Misaka aut Miyachi, Motohiko aut Yamada, Yosuke (orcid)0000-0002-4284-6317 aut Enthalten in Zeitschrift für Ernährungswissenschaft Darmstadt : Steinkopff, 1960 61(2022), 5 vom: 13. Feb., Seite 2451-2462 (DE-627)461907356 (DE-600)2164295-3 1435-1293 nnns volume:61 year:2022 number:5 day:13 month:02 pages:2451-2462 https://dx.doi.org/10.1007/s00394-022-02819-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 AR 61 2022 5 13 02 2451-2462 |
allfieldsSound |
10.1007/s00394-022-02819-w doi (DE-627)SPR04756881X (SPR)s00394-022-02819-w-e DE-627 ger DE-627 rakwb eng Watanabe, Daiki verfasserin aut Diet quality and physical or comprehensive frailty among older adults 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. Diet quality (dpeaa)DE-He213 Physical frailty (dpeaa)DE-He213 Comprehensive frailty (dpeaa)DE-He213 Japanese Food Guide Spinning Top (dpeaa)DE-He213 Cross-sectional study (dpeaa)DE-He213 Kurotani, Kayo aut Yoshida, Tsukasa aut Nanri, Hinako aut Watanabe, Yuya aut Date, Heiwa aut Itoi, Aya aut Goto, Chiho aut Ishikawa-Takata, Kazuko aut Kimura, Misaka aut Miyachi, Motohiko aut Yamada, Yosuke (orcid)0000-0002-4284-6317 aut Enthalten in Zeitschrift für Ernährungswissenschaft Darmstadt : Steinkopff, 1960 61(2022), 5 vom: 13. Feb., Seite 2451-2462 (DE-627)461907356 (DE-600)2164295-3 1435-1293 nnns volume:61 year:2022 number:5 day:13 month:02 pages:2451-2462 https://dx.doi.org/10.1007/s00394-022-02819-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 AR 61 2022 5 13 02 2451-2462 |
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This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. 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Watanabe, Daiki |
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Watanabe, Daiki misc Diet quality misc Physical frailty misc Comprehensive frailty misc Japanese Food Guide Spinning Top misc Cross-sectional study Diet quality and physical or comprehensive frailty among older adults |
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Watanabe, Daiki Kurotani, Kayo Yoshida, Tsukasa Nanri, Hinako Watanabe, Yuya Date, Heiwa Itoi, Aya Goto, Chiho Ishikawa-Takata, Kazuko Kimura, Misaka Miyachi, Motohiko Yamada, Yosuke |
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diet quality and physical or comprehensive frailty among older adults |
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Diet quality and physical or comprehensive frailty among older adults |
abstract |
Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. © The Author(s) 2022 |
abstractGer |
Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. © The Author(s) 2022 |
abstract_unstemmed |
Purpose While the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. Conclusions This study shows an inverse dose–response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults. © The Author(s) 2022 |
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Diet quality and physical or comprehensive frailty among older adults |
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Kurotani, Kayo Yoshida, Tsukasa Nanri, Hinako Watanabe, Yuya Date, Heiwa Itoi, Aya Goto, Chiho Ishikawa-Takata, Kazuko Kimura, Misaka Miyachi, Motohiko Yamada, Yosuke |
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Kurotani, Kayo Yoshida, Tsukasa Nanri, Hinako Watanabe, Yuya Date, Heiwa Itoi, Aya Goto, Chiho Ishikawa-Takata, Kazuko Kimura, Misaka Miyachi, Motohiko Yamada, Yosuke |
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This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults. Methods We conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence. Results Higher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52–0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51–0.71). These relationships were similar to results in the spline model. 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