Association between the Frequency of Protein-Rich Food Intakes and Kihon-Checklist Frailty Indices in Older Japanese Adults: The Kyoto-Kameoka Study

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Abstract

We aimed to investigate whether frequencies of protein-rich food intake were associated with frailty among older Japanese adults. A cross-sectional study was conducted in 2011 among 3843 men and 4331 women in a population-based cohort of Kameoka city, Kyoto Prefecture, Japan. Frailty was assessed by the weighted score based on the 25-item Kihon-Checklist. The frequency of protein-rich food intake was examined as “seafood”, “meat”, “dairy products”, “eggs”, and “soy products”. The outcome of frailty was analyzed with a multiple logistic regression model using the frequency of protein-rich food intake. When compared to the first quartile, it was observed that there was a significant association between the lower adjusted prevalence ratio (PR) for frailty and the frequency of seafood intake in the fourth quartile among men (PR 0.64, 95% confidence interval (CI), 0.42, 0.99) and from the second quartile to the third quartile among women (PR 0.61, 95% CI, 0.43, 0.85; PR 0.64, 95% CI, 0.46, 0.91). The frequency of dairy products intake in the third quartile among women was significantly associated with a lower PR for frailty ( p-value = 0.013). Our findings suggest that the consumption of seafood and dairy products may help older adults in maintaining their independence.

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Nutritional determinants of frailty in older adults: A systematic review

Laura Lorenzo-López, Ana Maseda, Carmen de Labra … (2017)

Background Frailty is a geriatric syndrome that affects multiple domains of human functioning. A variety of problems contributes to the development of this syndrome; poor nutritional status is an important determinant of this condition. The purpose of this systematic review was to examine recent evidence regarding the association between nutritional status and frailty syndrome in older adults. Methods PubMed, Web of Science, and Scopus electronic databases were searched using specific key words, for observational papers that were published during the period from 2005 to February 2017 and that studied the association or relationship between nutritional status and frailty in older adults. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement was followed to assess the quality of the included articles. Results Of the 2042 studies found, nineteen met the inclusion criteria. Of these studies, five provided data on micronutrients and frailty, and reported that frailty syndrome is associated with low intakes of specific micronutrients. Five studies provided data on macronutrients and frailty, and among those studies, four revealed that a higher protein intake was associated with a lower risk of frailty. Three studies examined the relationship between diet quality and frailty, and showed that the quality of the diet is inversely associated with the risk of being frail. Two studies provided data on the antioxidant capacity of the diet and frailty, and reported that a high dietary antioxidant capacity is associated with a lower risk of developing frailty. Finally, seven studies evaluated the relationship between scores on both the Mini Nutritional Assessment (MNA) and the MNA-SF (Short Form) and frailty, and revealed an association between malnutrition and/or the risk of malnutrition and frailty. Conclusions This systematic review confirms the importance of both quantitative (energy intake) and qualitative (nutrient quality) factors of nutrition in the development of frailty syndrome in older adults. However, more longitudinal studies on this topic are required to further understand the potential role of nutrition in the prevention, postponement, or even reversion of frailty syndrome. Electronic supplementary material The online version of this article (doi:10.1186/s12877-017-0496-2) contains supplementary material, which is available to authorized users.

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Initial manifestations of frailty criteria and the development of frailty phenotype in the Women's Health and Aging Study II.

Jacquelyn L. Fried, Karen Bandeen-Roche, Qian Xue … (2008)

Understanding points of onset of the frailty syndrome is vital to early identification of at-risk individuals and to targeting intervention efforts to those components that are first affected, when reversal may be most possible. This study aims to characterize natural history by which commonly used frailty criteria manifest and to assess whether the rate of progression to frailty depends on initial manifestations. The investigation was based on a 7.5-year observational study of 420 community-dwelling women aged 70-79 years who were not frail at baseline, with frailty defined as meeting>or=3 of 5 criteria: weight loss, slow walking speed, weakness, exhaustion, and low physical activity level. The 7.5-year incidence of frailty was 9% among women who were nonfrail at baseline. Despite significant heterogeneity, weakness was the most common first manifestation, and occurrence of weakness, slowness, and low physical activity preceded exhaustion and weight loss in 76% of the women who were nonfrail at baseline. Women with exhaustion or weight loss as initial presenting symptoms were 3-5 times more likely to become frail than were women without any criterion (p<.05). Our findings suggest that weakness may serve as a warning sign of increasing vulnerability in early frailty development, and weight loss and exhaustion may help to identify women most at risk for rapid adverse progression.

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Dietary protein intake in community-dwelling, frail, and institutionalized elderly people: scope for improvement.

Michael Tieland, Karin J Borgonjen-Van den Berg, Luc J C van Loon … (2012)

Adequate dietary protein intake is required to postpone and treat sarcopenia in elderly people. Insight into dietary protein intake in this heterogeneous population segment is needed to locate dietary inadequacies and to identify target populations and feeding strategies for dietary interventions. Therefore, we assessed dietary protein intake, distribution of protein intake throughout the day, and the use of protein-containing food sources in community-dwelling, frail, and institutionalized elderly people in the Netherlands.

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Journal

Journal ID (nlm-ta): Nutrients

Journal ID (iso-abbrev): Nutrients

Journal ID (publisher-id): nutrients

Title: Nutrients

Publisher: MDPI

ISSN (Electronic): 2072-6643

Publication date (Electronic): 13 January 2018

Publication date Collection: January 2018

Volume: 10

Issue: 1

Electronic Location Identifier: 84

Affiliations

[1 ]Department of Nutrition and Metabolism, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, Japan; yamaday@ 123456nibiohn.go.jp (Y.Y.); kimurahinako0319@ 123456gmail.com (H.N.); t-yoshida@ 123456nibiohn.go.jp (T.Y.)

[2 ]Laboratory of Applied Health Sciences, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan; yuwatana@ 123456mail.doshisha.ac.jp (Y.W.); misaka@ 123456kyotogakuen.ac.jp (M.K.)

[3 ]Department of Health and Sports Sciences, Kyoto Gakuen University, Kyoto 621-8555, Japan

[4 ]Ajinomoto Co., Inc., Tokyo 210-8681, Japan; yoshizu_nozawa@ 123456ajinomoto.com (Y.N.); hisamine_kobayashi@ 123456ajinomoto.com (H.K.)

[5 ]Department of Health, Sports and Nutrition, Faculty of Health and Welfare, Kobe Women’s University, Hyogo 650-0046, Japan; aitoi@ 123456kwjc.kobe-wu.ac.jp

[6 ]Department of Food and Health Sciences, Prefectural University of Kumamoto, Kumamoto 862-8502, Japan; eyoshi@ 123456pu-kumamoto.ac.jp

[7 ]Faculty of Health and Sports Science, Doshisha Unviersity, Kyoto 610-0394, Japan

[8 ]Senior Citizen’s Welfare Section, Kameoka City Government, Kyoto 621-8501, Japan

[9 ]Department of Business Administration, Kyoto Gakuen University, Kyoto 621-8555, Japan; physiol.yokoyama@ 123456gmail.com

[10 ]Department of Health and Nutrition, Faculty of Health and Human Life, Nagoya Bunri University, Aichi 492-8520, Japan; goto.chiho@ 123456nagoya-bunri.ac.jp

[11 ]Department of Nutritional Epidemiology and Shokuiku, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, Japan; kazu@ 123456nibiohn.go.jp

Author notes

[* ]Correspondence: miwayama@ 123456nibiohn.go.jp or yamaguchi3005@ 123456gmail.com

[†]

Current address: Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo 162-8655, Japan

Author information

Yosuke Yamada https://orcid.org/0000-0002-4284-6317

Hinako Nanri https://orcid.org/0000-0001-7263-3550

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Publisher ID: nutrients-10-00084

DOI: 10.3390/nu10010084

PMC ID: 5793312

PubMed ID: 29342873

SO-VID: a882f649-7e39-4951-a6d8-af84bdcb7cc6

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Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

Association between the Frequency of Protein-Rich Food Intakes and Kihon-Checklist Frailty Indices in Older Japanese Adults: The Kyoto-Kameoka Study

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Most cited references 27

Nutritional determinants of frailty in older adults: A systematic review

Initial manifestations of frailty criteria and the development of frailty phenotype in the Women's Health and Aging Study II.

Dietary protein intake in community-dwelling, frail, and institutionalized elderly people: scope for improvement.

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