Dietary Pattern Associated with Frailty: Results from Nutrition and Health Survey in Taiwan
Objectives To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population. Design Cross‐sectional. Setting Nutrition and Health Survey in Taiwan (NAHSIT), 2014–2016. Participants Noninstitutionalized Taiwanese nationals aged 65 years and older enrol...
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| Vydáno v: | Journal of the American Geriatrics Society (JAGS) Ročník 65; číslo 9; s. 2009 - 2015 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Wiley Subscription Services, Inc
01.09.2017
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| ISSN: | 0002-8614, 1532-5415, 1532-5415 |
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| Abstract | Objectives
To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population.
Design
Cross‐sectional.
Setting
Nutrition and Health Survey in Taiwan (NAHSIT), 2014–2016.
Participants
Noninstitutionalized Taiwanese nationals aged 65 years and older enrolled in the NAHSIT (N = 923).
Measurements
Dietary intake was assessed using a 79‐item food‐frequency questionnaire (FFQ). Presence of 5 frailty phenotypes was determined using modified Fried criteria and are summed into a frailty score. Using data from the NAHSIT (2014–15), reduced rank regression was used to find a dietary pattern that explained maximal degree of variation of the frailty scores. Logistic regression models were used to estimate the association between frailty and dietary pattern. The findings were validated with data from 2016.
Results
The derived dietary pattern was characterized with a high consumption of fruit, nuts and seeds, tea, vegetables, whole grains, shellfish, milk, and fish. The prevalence of frailty was 7.8% and of prefrailty was 50.8%, defined using the modified Fried criteria. Using data from the NAHSIT (2014–15), the dietary pattern score showed an inverse dose‐response relationship with prevalence of frailty and pre‐frailty. Individuals in the second dietary pattern tertile were one‐third as likely to be frail as those in the first tertile (adjusted odds ratio (aOR) = 0.32, 95% confidence interval (CI) = 0.12−0.85), and those in the third tertile were 4% as likely to be frail as those in the first tertile (aOR = 0.04, 95% CI = 0.01−0.18). The dietary pattern score estimated using FFQ data from the NAHSIT 2016 was also significantly and inversely associated with frailty.
Conclusion
Individuals with a dietary pattern with more phytonutrient‐rich plant foods, tea, omega‐3‐rich deep‐sea fish, and other protein‐rich foods such as shellfish and milk had a reduced prevalence of frailty. Further research is necessary to confirm these findings and investigate whether related dietary interventions can reduce frailty in older adults. |
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| AbstractList | ObjectivesTo investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population.DesignCross‐sectional.SettingNutrition and Health Survey in Taiwan (NAHSIT), 2014–2016.ParticipantsNoninstitutionalized Taiwanese nationals aged 65 years and older enrolled in the NAHSIT (N = 923).MeasurementsDietary intake was assessed using a 79‐item food‐frequency questionnaire (FFQ). Presence of 5 frailty phenotypes was determined using modified Fried criteria and are summed into a frailty score. Using data from the NAHSIT (2014–15), reduced rank regression was used to find a dietary pattern that explained maximal degree of variation of the frailty scores. Logistic regression models were used to estimate the association between frailty and dietary pattern. The findings were validated with data from 2016.ResultsThe derived dietary pattern was characterized with a high consumption of fruit, nuts and seeds, tea, vegetables, whole grains, shellfish, milk, and fish. The prevalence of frailty was 7.8% and of prefrailty was 50.8%, defined using the modified Fried criteria. Using data from the NAHSIT (2014–15), the dietary pattern score showed an inverse dose‐response relationship with prevalence of frailty and pre‐frailty. Individuals in the second dietary pattern tertile were one‐third as likely to be frail as those in the first tertile (adjusted odds ratio (aOR) = 0.32, 95% confidence interval (CI) = 0.12−0.85), and those in the third tertile were 4% as likely to be frail as those in the first tertile (aOR = 0.04, 95% CI = 0.01−0.18). The dietary pattern score estimated using FFQ data from the NAHSIT 2016 was also significantly and inversely associated with frailty.ConclusionIndividuals with a dietary pattern with more phytonutrient‐rich plant foods, tea, omega‐3‐rich deep‐sea fish, and other protein‐rich foods such as shellfish and milk had a reduced prevalence of frailty. Further research is necessary to confirm these findings and investigate whether related dietary interventions can reduce frailty in older adults. To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population.OBJECTIVESTo investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population.Cross-sectional.DESIGNCross-sectional.Nutrition and Health Survey in Taiwan (NAHSIT), 2014-2016.SETTINGNutrition and Health Survey in Taiwan (NAHSIT), 2014-2016.Noninstitutionalized Taiwanese nationals aged 65 years and older enrolled in the NAHSIT (N = 923).PARTICIPANTSNoninstitutionalized Taiwanese nationals aged 65 years and older enrolled in the NAHSIT (N = 923).Dietary intake was assessed using a 79-item food-frequency questionnaire (FFQ). Presence of 5 frailty phenotypes was determined using modified Fried criteria and are summed into a frailty score. Using data from the NAHSIT (2014-15), reduced rank regression was used to find a dietary pattern that explained maximal degree of variation of the frailty scores. Logistic regression models were used to estimate the association between frailty and dietary pattern. The findings were validated with data from 2016.MEASUREMENTSDietary intake was assessed using a 79-item food-frequency questionnaire (FFQ). Presence of 5 frailty phenotypes was determined using modified Fried criteria and are summed into a frailty score. Using data from the NAHSIT (2014-15), reduced rank regression was used to find a dietary pattern that explained maximal degree of variation of the frailty scores. Logistic regression models were used to estimate the association between frailty and dietary pattern. The findings were validated with data from 2016.The derived dietary pattern was characterized with a high consumption of fruit, nuts and seeds, tea, vegetables, whole grains, shellfish, milk, and fish. The prevalence of frailty was 7.8% and of prefrailty was 50.8%, defined using the modified Fried criteria. Using data from the NAHSIT (2014-15), the dietary pattern score showed an inverse dose-response relationship with prevalence of frailty and pre-frailty. Individuals in the second dietary pattern tertile were one-third as likely to be frail as those in the first tertile (adjusted odds ratio (aOR) = 0.32, 95% confidence interval (CI) = 0.12-0.85), and those in the third tertile were 4% as likely to be frail as those in the first tertile (aOR = 0.04, 95% CI = 0.01-0.18). The dietary pattern score estimated using FFQ data from the NAHSIT 2016 was also significantly and inversely associated with frailty.RESULTSThe derived dietary pattern was characterized with a high consumption of fruit, nuts and seeds, tea, vegetables, whole grains, shellfish, milk, and fish. The prevalence of frailty was 7.8% and of prefrailty was 50.8%, defined using the modified Fried criteria. Using data from the NAHSIT (2014-15), the dietary pattern score showed an inverse dose-response relationship with prevalence of frailty and pre-frailty. Individuals in the second dietary pattern tertile were one-third as likely to be frail as those in the first tertile (adjusted odds ratio (aOR) = 0.32, 95% confidence interval (CI) = 0.12-0.85), and those in the third tertile were 4% as likely to be frail as those in the first tertile (aOR = 0.04, 95% CI = 0.01-0.18). The dietary pattern score estimated using FFQ data from the NAHSIT 2016 was also significantly and inversely associated with frailty.Individuals with a dietary pattern with more phytonutrient-rich plant foods, tea, omega-3-rich deep-sea fish, and other protein-rich foods such as shellfish and milk had a reduced prevalence of frailty. Further research is necessary to confirm these findings and investigate whether related dietary interventions can reduce frailty in older adults.CONCLUSIONIndividuals with a dietary pattern with more phytonutrient-rich plant foods, tea, omega-3-rich deep-sea fish, and other protein-rich foods such as shellfish and milk had a reduced prevalence of frailty. Further research is necessary to confirm these findings and investigate whether related dietary interventions can reduce frailty in older adults. To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population. Cross-sectional. Nutrition and Health Survey in Taiwan (NAHSIT), 2014-2016. Noninstitutionalized Taiwanese nationals aged 65 years and older enrolled in the NAHSIT (N = 923). Dietary intake was assessed using a 79-item food-frequency questionnaire (FFQ). Presence of 5 frailty phenotypes was determined using modified Fried criteria and are summed into a frailty score. Using data from the NAHSIT (2014-15), reduced rank regression was used to find a dietary pattern that explained maximal degree of variation of the frailty scores. Logistic regression models were used to estimate the association between frailty and dietary pattern. The findings were validated with data from 2016. The derived dietary pattern was characterized with a high consumption of fruit, nuts and seeds, tea, vegetables, whole grains, shellfish, milk, and fish. The prevalence of frailty was 7.8% and of prefrailty was 50.8%, defined using the modified Fried criteria. Using data from the NAHSIT (2014-15), the dietary pattern score showed an inverse dose-response relationship with prevalence of frailty and pre-frailty. Individuals in the second dietary pattern tertile were one-third as likely to be frail as those in the first tertile (adjusted odds ratio (aOR) = 0.32, 95% confidence interval (CI) = 0.12-0.85), and those in the third tertile were 4% as likely to be frail as those in the first tertile (aOR = 0.04, 95% CI = 0.01-0.18). The dietary pattern score estimated using FFQ data from the NAHSIT 2016 was also significantly and inversely associated with frailty. Individuals with a dietary pattern with more phytonutrient-rich plant foods, tea, omega-3-rich deep-sea fish, and other protein-rich foods such as shellfish and milk had a reduced prevalence of frailty. Further research is necessary to confirm these findings and investigate whether related dietary interventions can reduce frailty in older adults. Objectives To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population. Design Cross‐sectional. Setting Nutrition and Health Survey in Taiwan (NAHSIT), 2014–2016. Participants Noninstitutionalized Taiwanese nationals aged 65 years and older enrolled in the NAHSIT (N = 923). Measurements Dietary intake was assessed using a 79‐item food‐frequency questionnaire (FFQ). Presence of 5 frailty phenotypes was determined using modified Fried criteria and are summed into a frailty score. Using data from the NAHSIT (2014–15), reduced rank regression was used to find a dietary pattern that explained maximal degree of variation of the frailty scores. Logistic regression models were used to estimate the association between frailty and dietary pattern. The findings were validated with data from 2016. Results The derived dietary pattern was characterized with a high consumption of fruit, nuts and seeds, tea, vegetables, whole grains, shellfish, milk, and fish. The prevalence of frailty was 7.8% and of prefrailty was 50.8%, defined using the modified Fried criteria. Using data from the NAHSIT (2014–15), the dietary pattern score showed an inverse dose‐response relationship with prevalence of frailty and pre‐frailty. Individuals in the second dietary pattern tertile were one‐third as likely to be frail as those in the first tertile (adjusted odds ratio (aOR) = 0.32, 95% confidence interval (CI) = 0.12−0.85), and those in the third tertile were 4% as likely to be frail as those in the first tertile (aOR = 0.04, 95% CI = 0.01−0.18). The dietary pattern score estimated using FFQ data from the NAHSIT 2016 was also significantly and inversely associated with frailty. Conclusion Individuals with a dietary pattern with more phytonutrient‐rich plant foods, tea, omega‐3‐rich deep‐sea fish, and other protein‐rich foods such as shellfish and milk had a reduced prevalence of frailty. Further research is necessary to confirm these findings and investigate whether related dietary interventions can reduce frailty in older adults. |
| Author | Hsu, Li‐Lin Chen, Ching‐Yu Chang, Hsing‐Yi Hsieh, Yao‐Te Hsu, Chih‐Cheng Pan, Wen‐Harn Lo, Yen‐Li Chuang, Shao‐Yuan |
| Author_xml | – sequence: 1 givenname: Yen‐Li surname: Lo fullname: Lo, Yen‐Li organization: Academia Sinica – sequence: 2 givenname: Yao‐Te surname: Hsieh fullname: Hsieh, Yao‐Te organization: Academia Sinica – sequence: 3 givenname: Li‐Lin surname: Hsu fullname: Hsu, Li‐Lin organization: Academia Sinica – sequence: 4 givenname: Shao‐Yuan surname: Chuang fullname: Chuang, Shao‐Yuan organization: National Health Research Institute – sequence: 5 givenname: Hsing‐Yi surname: Chang fullname: Chang, Hsing‐Yi organization: National Health Research Institute – sequence: 6 givenname: Chih‐Cheng surname: Hsu fullname: Hsu, Chih‐Cheng organization: National Health Research Institute – sequence: 7 givenname: Ching‐Yu surname: Chen fullname: Chen, Ching‐Yu organization: National Taiwan University – sequence: 8 givenname: Wen‐Harn surname: Pan fullname: Pan, Wen‐Harn email: pan@ibms.sinica.edu.tw organization: Academia Sinica |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28603896$$D View this record in MEDLINE/PubMed |
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| Keywords | frailty reduced rank regression dietary pattern Nutrition and Health Survey in Taiwan (NAHSIT) elderly |
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| Snippet | Objectives
To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population.
Design
Cross‐sectional.
Setting... To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population. Cross-sectional. Nutrition and Health Survey... ObjectivesTo investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese... To investigate whether dietary patterns are associated with frailty phenotypes in an elderly Taiwanese population.OBJECTIVESTo investigate whether dietary... |
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| SubjectTerms | Adults Aged Criteria Cross-Sectional Studies Data Diet Diet, Mediterranean - statistics & numerical data Dietary intake dietary pattern elderly Female Fish Food Food consumption Food plants Frail Frail Elderly - statistics & numerical data Frailty Geriatrics Health surveys Healthy food Humans Male Milk Nutrition Nutrition and Health Survey in Taiwan (NAHSIT) Nutrition Surveys Nuts Older people Phenotypes Polls & surveys reduced rank regression Regression analysis Seeds Shellfish Surveys and Questionnaires Taiwan Tea Vegetables |
| Title | Dietary Pattern Associated with Frailty: Results from Nutrition and Health Survey in Taiwan |
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