Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional study
Abstract Background Female sex is an important factor predisposing individuals to frailty. Appropriate nutrition is one of the most effective ways to prevent older adults from developing frailty; Sex-related differences have also been detected in the association between nutritional intervention and...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-08-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-019-1229-5 |
| _version_ | 1828394557173137408 |
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| author | Koji Shibasaki Shin Kei Kin Shizuru Yamada Masahiro Akishita Sumito Ogawa |
| author_facet | Koji Shibasaki Shin Kei Kin Shizuru Yamada Masahiro Akishita Sumito Ogawa |
| author_sort | Koji Shibasaki |
| collection | DOAJ |
| description | Abstract Background Female sex is an important factor predisposing individuals to frailty. Appropriate nutrition is one of the most effective ways to prevent older adults from developing frailty; Sex-related differences have also been detected in the association between nutritional intervention and health-related outcomes. However, few studies have discussed these sex-related differences. The aim of the present study was to investigate the sex-related differences in the association between frailty and dietary consumption. Methods We conducted a cross-sectional study which investigated community-dwelling older adults aged ≥65 years. We surveyed age, sex, body mass index, family arrangement (living alone, living with a partner or living with parent(s) and/or child (ren)), dietary consumption and frailty status. Dietary consumption was surveyed using a food frequency questionnaire that included 13 major food categories (fish, meat, eggs, dairy products, soybean products, vegetables, seaweeds, potatoes, fruits, fats or oils, snacks, salty foods and alcohol). Frailty was defined by the Kihon Checklist score. The Kihon Checklist is composed of 25 simple yes/no questions, and it has been validated as a metric for frailty. A higher score indicates a greater degree of frailty. Multinomial regression analysis was performed to clarify the association between frailty and dietary consumption for each sex. Results We analyzed 905 older adults (420 (46.4%) were male). After adjusting for cofounders, a low frequency of meat consumption (less than twice/week) was associated with a high prevalence of frailty in men (odds ratio: 2.76 (95%CI: 1.12–6.77), p = 0.027). In contrast, in women, low frequencies of consumption of fish, meat, vegetables, potatoes and snacks were associated with a higher prevalence of frailty compared with those who consumed foods from those categories daily (odds ratios: fish 2.45 (1.02–5.89), p = 0.045; meat 4.05 (1.67–9.86), p = 0.002; vegetables 5.03 (2.13–11.92), p < 0.001; potatoes 3.84 (1.63–9.05), p = 0.002; snacks 2.16 (1.02–4.56), p = 0.043). Conclusions More food categories were associated with frailty in women than in men. Nutritional intervention to prevent frailty is presumably more effective for women than for men. |
| first_indexed | 2024-12-10T07:56:22Z |
| format | Article |
| id | doaj.art-a2a40e2c3046471b838a2e2c02d84625 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-10T07:56:22Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-a2a40e2c3046471b838a2e2c02d846252022-12-22T01:56:53ZengBMCBMC Geriatrics1471-23182019-08-011911910.1186/s12877-019-1229-5Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional studyKoji Shibasaki0Shin Kei Kin1Shizuru Yamada2Masahiro Akishita3Sumito Ogawa4Department of Geriatric Medicine, Graduate School of Medicine, The University of TokyoDepartment of Physical Therapy, Health Science UniversityKomagane-kogen Ladies ClinicDepartment of Geriatric Medicine, Graduate School of Medicine, The University of TokyoDepartment of Geriatric Medicine, Graduate School of Medicine, The University of TokyoAbstract Background Female sex is an important factor predisposing individuals to frailty. Appropriate nutrition is one of the most effective ways to prevent older adults from developing frailty; Sex-related differences have also been detected in the association between nutritional intervention and health-related outcomes. However, few studies have discussed these sex-related differences. The aim of the present study was to investigate the sex-related differences in the association between frailty and dietary consumption. Methods We conducted a cross-sectional study which investigated community-dwelling older adults aged ≥65 years. We surveyed age, sex, body mass index, family arrangement (living alone, living with a partner or living with parent(s) and/or child (ren)), dietary consumption and frailty status. Dietary consumption was surveyed using a food frequency questionnaire that included 13 major food categories (fish, meat, eggs, dairy products, soybean products, vegetables, seaweeds, potatoes, fruits, fats or oils, snacks, salty foods and alcohol). Frailty was defined by the Kihon Checklist score. The Kihon Checklist is composed of 25 simple yes/no questions, and it has been validated as a metric for frailty. A higher score indicates a greater degree of frailty. Multinomial regression analysis was performed to clarify the association between frailty and dietary consumption for each sex. Results We analyzed 905 older adults (420 (46.4%) were male). After adjusting for cofounders, a low frequency of meat consumption (less than twice/week) was associated with a high prevalence of frailty in men (odds ratio: 2.76 (95%CI: 1.12–6.77), p = 0.027). In contrast, in women, low frequencies of consumption of fish, meat, vegetables, potatoes and snacks were associated with a higher prevalence of frailty compared with those who consumed foods from those categories daily (odds ratios: fish 2.45 (1.02–5.89), p = 0.045; meat 4.05 (1.67–9.86), p = 0.002; vegetables 5.03 (2.13–11.92), p < 0.001; potatoes 3.84 (1.63–9.05), p = 0.002; snacks 2.16 (1.02–4.56), p = 0.043). Conclusions More food categories were associated with frailty in women than in men. Nutritional intervention to prevent frailty is presumably more effective for women than for men.http://link.springer.com/article/10.1186/s12877-019-1229-5Dietary consumptionFrailtyNutritionOlder adultsSex-related differences |
| spellingShingle | Koji Shibasaki Shin Kei Kin Shizuru Yamada Masahiro Akishita Sumito Ogawa Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional study BMC Geriatrics Dietary consumption Frailty Nutrition Older adults Sex-related differences |
| title | Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional study |
| title_full | Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional study |
| title_fullStr | Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional study |
| title_full_unstemmed | Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional study |
| title_short | Sex-related differences in the association between frailty and dietary consumption in Japanese older people: a cross-sectional study |
| title_sort | sex related differences in the association between frailty and dietary consumption in japanese older people a cross sectional study |
| topic | Dietary consumption Frailty Nutrition Older adults Sex-related differences |
| url | http://link.springer.com/article/10.1186/s12877-019-1229-5 |
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