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http://dx.doi.org/10.4163/jnh.2021.54.6.631

Association between frailty and dietary intake amongst the Korean elderly: based on the 2018 Korean National Health and Nutrition Examination Survey  

Yang, Suhyeon (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health)
Jang, Won (Department of Nutritional Science and Food Management, Ewha Womans University)
Kim, Yangha (Department of Nutritional Science and Food Management, Ewha Womans University)
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Journal of Nutrition and Health / v.54, no.6, 2021 , pp. 631-643 More about this Journal
Abstract
Purpose: Frailty is a clinical syndrome in older adults, and adequate nutrition is a modifiable factor in preventing the condition. The current study aims to investigate the association between frailty and dietary intake in the Korean elderly. Methods: This cross-sectional study included data from the 2018 Korean National Health and Nutrition Examination Survey of 1,268 subjects (535 men and 733 women) aged 65 years or older. Frailty was defined as having more than three of the following 5 modified Fried frailty phenotype criteria: unintentional weight loss, exhaustion, walking difficulties, weakness, and low physical activity. Dietary intake was assessed by applying the one-day 24-hour dietary recall. The association between frailty and dietary intakes were analyzed by multiple logistic regression. Results: Totally, 9.7% men and 21.9% women were classified as the frail group. Increasing levels of frailty were proportional to a decreased mean nutrient adequacy ratio in both genders. Moreover, the total food intake was significantly low in the frail elderly. In male subjects, multiple logistic regression analyses after adjusting covariates showed that the odds ratio (OR) of frailty in the highest tertile of the consumption of fruits (OR [95% confidence interval, CI] = 0.34 [0.13-0.93], p-trend = 0.021) were significantly lower than values obtained in the lowest tertile. In females, the highest tertile of fish and shellfish intake showed a significantly lower OR for frailty (OR [95% CI] = 0.55 [0.30-0.99], p-trend = 0.045), as compared with the lowest tertile. Conclusion: The present study indicates that high intake of fruits for men, and fish and shellfish for women, are probably linked with lowering the risk of frailty in the elderly.
Keywords
frailty; nutrients; food intake; elderly;
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1 Carrier N, Villalon L, Lengyel C, Slaughter SE, Duizer L, Morrison-Koechl J, et al. Diet quality is associated with malnutrition and low calf circumference in Canadian long-term care residents. BMC Nutr 2019; 5(1): 57.   DOI
2 Garcia-Esquinas E, Rahi B, Peres K, Colpo M, Dartigues JF, Bandinelli S, et al. Consumption of fruit and vegetables and risk of frailty: a dose-response analysis of 3 prospective cohorts of community-dwelling older adults. Am J Clin Nutr 2016; 104(1): 132-142.   DOI
3 Bollwein J, Diekmann R, Kaiser MJ, Bauer JM, Uter W, Sieber CC, et al. Dietary quality is related to frailty in community-dwelling older adults. J Gerontol A Biol Sci Med Sci 2013; 68(4): 483-489.   DOI
4 Bartali B, Frongillo EA, Bandinelli S, Lauretani F, Semba RD, Fried LP, et al. Low nutrient intake is an essential component of frailty in older persons. J Gerontol A Biol Sci Med Sci 2006; 61(6): 589-593.   DOI
5 Shalini T, Chitra PS, Kumar BN, Madhavi G, Reddy GB. Frailty and nutritional status among urban older adults in South India. J Aging Res 2020; 2020: 8763413.
6 Hosomi R, Yoshida M, Fukunaga K. Seafood consumption and components for health. Glob J Health Sci 2012; 4(3): 72-86.   DOI
7 Chen YM, Ho SC, Lam SS. Higher sea fish intake is associated with greater bone mass and lower osteoporosis risk in postmenopausal Chinese women. Osteoporos Int 2010; 21(6): 939-946.   DOI
8 Schoufour JD, Franco OH, Kiefte-de Jong JC, Trajanoska K, Stricker B, Brusselle G, et al. The association between dietary protein intake, energy intake and physical frailty: results from the Rotterdam Study. Br J Nutr 2019; 121(4): 393-401.   DOI
9 Alaghehband FR, Erkkila AT, Rikkonen T, Sirola J, Kroger H, Isanejad M. Association of Baltic Sea and Mediterranean diets with frailty phenotype in older women, Kuopio OSTPRE-FPS study. Eur J Nutr 2021; 60(2): 821-831.   DOI
10 Liu LK, Lee WJ, Chen LY, Hwang AC, Lin MH, Peng LN, et al. Association between frailty, osteoporosis, falls and hip fractures among community-dwelling people aged 50 years and older in Taiwan: results from I-Lan Longitudinal Aging Study. PLoS One 2015; 10(9): e0136968.   DOI
11 Shibasaki K, Kin SK, Yamada S, Akishita M, Ogawa S. Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional study. BMC Geriatr 2019; 19(1): 211.   DOI
12 Kim H, Kim H, Kwon O, Park H. Food and nutrient intake level by the risk of osteoporosis and cardiovascular disease in postmenopausal women: the use of the 5th Korean National Health and Nutrition Examination Surveys (2010-2011). Korean J Community Nutr 2019; 24(2): 152-162.   DOI
13 Savela SL, Koistinen P, Stenholm S, Tilvis RS, Strandberg AY, Pitkala KH, et al. Leisure-time physical activity in midlife is related to old age frailty. J Gerontol A Biol Sci Med Sci 2013; 68(11): 1433-1438.   DOI
14 Lehmann U, Gjessing HR, Hirche F, Mueller-Belecke A, Gudbrandsen OA, Ueland PM, et al. Efficacy of fish intake on vitamin D status: a meta-analysis of randomized controlled trials. Am J Clin Nutr 2015; 102(4): 837-847.   DOI
15 Kim J, Lee Y, Won CW, Kim MK, Kye S, Shim JS, et al. Dietary patterns and frailty in older Korean adults: results from the Korean Frailty and Aging Cohort Study. Nutrients 2021; 13(2): 601.   DOI
16 Jonsson AC, Lindgren I, Norrving B, Lindgren A. Weight loss after stroke: a population-based study from the Lund Stroke Register. Stroke 2008; 39(3): 918-923.   DOI
17 Kim SH, Ahn J, Ock M, Shin S, Park J, Luo N, et al. The EQ-5D-5L valuation study in Korea. Qual Life Res 2016; 25(7): 1845-1852.   DOI
18 Grossi G, Jeding K, Soderstrom M, Osika W, Levander M, Perski A. Self-reported sleep lengths ≥ 9 hours among Swedish patients with stress-related exhaustion: associations with depression, quality of sleep and levels of fatigue. Nord J Psychiatry 2015; 69(4): 292-299.   DOI
19 Hatloy A, Torheim LE, Oshaug A. Food variety--a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. Eur J Clin Nutr 1998; 52(12): 891-898.   DOI
20 Jung HW, Jang IY, Lee YS, Lee CK, Cho EI, Kang WY, et al. Prevalence of frailty and aging-related health conditions in older Koreans in rural communities: a cross-sectional analysis of the aging study of Pyeongchang rural area. J Korean Med Sci 2016; 31(3): 345-352.   DOI
21 Choi J, Ahn A, Kim S, Won CW. Global prevalence of physical frailty by Fried's criteria in communitydwelling elderly with national population-based surveys. J Am Med Dir Assoc 2015; 16(7): 548-550.   DOI
22 Szanton SL, Seplaki CL, Thorpe RJ Jr, Allen JK, Fried LP. Socioeconomic status is associated with frailty: the Women's Health and Aging Studies. J Epidemiol Community Health 2010; 64(1): 63-67.   DOI
23 Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc 2014; 15(2): 95-101.   DOI
24 Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, et al. Frailty consensus: a call to action. J Am Med Dir Assoc 2013; 14(6): 392-397.   DOI
25 Ministry of Health and Welfare (KR); The Korean Nutrition Society. Dietary Reference Intakes for Koreans 2015. Sejong: Ministry of Health and Welfare; 2015.
26 Chapman IM, MacIntosh CG, Morley JE, Horowitz M. The anorexia of ageing. Biogerontology 2002; 3(1-2): 67-71.   DOI
27 Smit E, Winters-Stone KM, Loprinzi PD, Tang AM, Crespo CJ. Lower nutritional status and higher food insufficiency in frail older US adults. Br J Nutr 2013; 110(1): 172-178.   DOI
28 Norazman CW, Adznam SN, Jamaluddin R. Malnutrition as key predictor of physical frailty among Malaysian older adults. Nutrients 2020; 12(6): 1713.   DOI
29 Landi F, Calvani R, Tosato M, Martone AM, Ortolani E, Savera G, et al. Anorexia of aging: risk factors, consequences, and potential treatments. Nutrients 2016; 8(2): 69.   DOI
30 Korean Statistical Information Service. Population projections for Korea (2017-2067) [Internet]. Daejeon: Statistics Korea; 2019 [cited 2020 Sep 5]. Available from: https://kosis.kr/.
31 Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001; 56(3): M146-M156.   DOI
32 Robinson TN, Wu DS, Stiegmann GV, Moss M. Frailty predicts increased hospital and six-month healthcare cost following colorectal surgery in older adults. Am J Surg 2011; 202(5): 511-514.   DOI
33 Kobayashi S, Asakura K, Suga H, Sasaki S; Three-generation Study of Women on Diets and Health Study Groups. Inverse association between dietary habits with high total antioxidant capacity and prevalence of frailty among elderly Japanese women: a multicenter cross-sectional study. J Nutr Health Aging 2014; 18(9): 827-836.   DOI
34 Inzitari M, Doets E, Bartali B, Benetou V, Di Bari M, Visser M, et al. Nutrition in the age-related disablement process. J Nutr Health Aging 2011; 15(8): 599-604.   DOI
35 Slavin JL, Lloyd B. Health benefits of fruits and vegetables. Adv Nutr 2012; 3(4): 506-516.   DOI
36 Saum KU, Dieffenbach AK, Jansen EH, Schottker B, Holleczek B, Hauer K, et al. Association between oxidative stress and frailty in an elderly German population: results from the ESTHER cohort study. Gerontology 2015; 61(5): 407-415.   DOI
37 Pechey R, Monsivais P, Ng YL, Marteau TM. Why don't poor men eat fruit? Socioeconomic differences in motivations for fruit consumption. Appetite 2015; 84: 271-279.   DOI
38 Ochiai M, Kuroda T, Gohtani S, Matsuo T. Dietary protein derived from dried bonito fish improves type-2 diabetes mellitus-induced bone frailty in Goto-Kakizaki rats. J Food Sci 2015; 80(4): H848-H856.   DOI