Background and Objectives:Falls are common among older females.This study investigated the relationships among falls and dietary patterns,nutritional inadequacy and prefrailty in community-dwelling older Japanese fema...Background and Objectives:Falls are common among older females.This study investigated the relationships among falls and dietary patterns,nutritional inadequacy and prefrailty in community-dwelling older Japanese females.Methods and Study Design:This cross-sectional study involved 271 females aged 65 and over.Prefrailty was defined as exhibiting one or two of the five Japanese version of the Cardiovascular Health Study criteria.Frailty was excluded(n=4).Energy,nutrient and food intakes were estimated using a validated FFQ.Dietary patterns were determined from intakes of 20 food groups assessed with FFQ,by cluster analysis.Nutritional inadequacy for the selected 23 nutrients in each dietary pattern was examined based on DRIs.Binomial logistic regression was applied to examine the relationships among falls and dietary patterns,prefrailty,and inadequate nutrients.Results:Data from 267 participants were included.The incidence of falls was 27.3%,and 37.4%of participants were classified as prefrailty.Three dietary patterns identified were namely;‘rice and fish and shellfish’(n=100);‘vegetables and dairy products’(n=113);and‘bread and beverages’(n=54).A binomial logistic regression analysis revealed that dietary patterns of‘rice and fish and shellfish’(OR,0.41;95%CI,0.16-0.95),and‘vegetables and dairy products’(OR,0.30;95%CI,0.12-0.78)were negatively correlated with falls,and falls was positively associated with prefrailty.Conclusions:Dietary patterns characterized by‘rice and fish and shellfish’,and‘vegetables and dairy products’were associated with a reduced incidence of falls in communitydwelling older Japanese females.Larger prospective studies are needed to validate these results.展开更多
Background Clinical guidelines recommend frailty screening for the aged population,given that frailty is frequently reversible.However,little is known about frailty and prefrailty reversal rates in the general populat...Background Clinical guidelines recommend frailty screening for the aged population,given that frailty is frequently reversible.However,little is known about frailty and prefrailty reversal rates in the general population if no specific interventions have been implemented.Aim To assess real-world frailty and prefrailty reversal rates in the general population aged≥65 years,the main contributing clinical conditions and the main risk factors for reversing frailty and prefrailty.Methods Observational longitudinal 12-month study(2019)of all 1·5 million persons aged≥65 years in Catalonia.Data were retrospectively collected from various health databases through the Catalan Public Data Analysis for Health Research and Innovation(PADRIS)V.2022 programme.Frailty status according to the electronic Screening Index for Frailty(e-SIF)was determined for 31 December 2018 and for 31 December 2019.Results The study included 1465312 Catalan inhabitants(mean age 75.8 years,57.0%women).The annual frailty and pre-frailty reversal rates were 7.1%and 4.6%,respectively.Both rates were higher in men and decreased with age.The e-SIF components with the greatest impact on frailty reversal were non-planned hospitalisations,polypharmacy,orthostatic hypotension or syncope,anaemia and visual impairment.Female sex,age,dependency,≥2 comorbidities and polypharmacy had an independent protective effect on 12-month frailty and pre-frailty reversals.Conclusions Prefrailty and frailty are reversible,but reversal is unlikely in cases of multimorbidity,polypharmacy and functional dependency in older and severely frail individuals.Interventions that mainly target the avoidance of non-planned hospitalisations,polypharmacy and falls would have the greatest impact on reversing frailty and pre-frailty.展开更多
文摘Background and Objectives:Falls are common among older females.This study investigated the relationships among falls and dietary patterns,nutritional inadequacy and prefrailty in community-dwelling older Japanese females.Methods and Study Design:This cross-sectional study involved 271 females aged 65 and over.Prefrailty was defined as exhibiting one or two of the five Japanese version of the Cardiovascular Health Study criteria.Frailty was excluded(n=4).Energy,nutrient and food intakes were estimated using a validated FFQ.Dietary patterns were determined from intakes of 20 food groups assessed with FFQ,by cluster analysis.Nutritional inadequacy for the selected 23 nutrients in each dietary pattern was examined based on DRIs.Binomial logistic regression was applied to examine the relationships among falls and dietary patterns,prefrailty,and inadequate nutrients.Results:Data from 267 participants were included.The incidence of falls was 27.3%,and 37.4%of participants were classified as prefrailty.Three dietary patterns identified were namely;‘rice and fish and shellfish’(n=100);‘vegetables and dairy products’(n=113);and‘bread and beverages’(n=54).A binomial logistic regression analysis revealed that dietary patterns of‘rice and fish and shellfish’(OR,0.41;95%CI,0.16-0.95),and‘vegetables and dairy products’(OR,0.30;95%CI,0.12-0.78)were negatively correlated with falls,and falls was positively associated with prefrailty.Conclusions:Dietary patterns characterized by‘rice and fish and shellfish’,and‘vegetables and dairy products’were associated with a reduced incidence of falls in communitydwelling older Japanese females.Larger prospective studies are needed to validate these results.
基金Public Data Analysis for Health Research and Innovation(PADRIS)2022 programme of the Catalan Agency for Health Quality and Assessment(AQUAS,Catalan Government)(code P-762).
文摘Background Clinical guidelines recommend frailty screening for the aged population,given that frailty is frequently reversible.However,little is known about frailty and prefrailty reversal rates in the general population if no specific interventions have been implemented.Aim To assess real-world frailty and prefrailty reversal rates in the general population aged≥65 years,the main contributing clinical conditions and the main risk factors for reversing frailty and prefrailty.Methods Observational longitudinal 12-month study(2019)of all 1·5 million persons aged≥65 years in Catalonia.Data were retrospectively collected from various health databases through the Catalan Public Data Analysis for Health Research and Innovation(PADRIS)V.2022 programme.Frailty status according to the electronic Screening Index for Frailty(e-SIF)was determined for 31 December 2018 and for 31 December 2019.Results The study included 1465312 Catalan inhabitants(mean age 75.8 years,57.0%women).The annual frailty and pre-frailty reversal rates were 7.1%and 4.6%,respectively.Both rates were higher in men and decreased with age.The e-SIF components with the greatest impact on frailty reversal were non-planned hospitalisations,polypharmacy,orthostatic hypotension or syncope,anaemia and visual impairment.Female sex,age,dependency,≥2 comorbidities and polypharmacy had an independent protective effect on 12-month frailty and pre-frailty reversals.Conclusions Prefrailty and frailty are reversible,but reversal is unlikely in cases of multimorbidity,polypharmacy and functional dependency in older and severely frail individuals.Interventions that mainly target the avoidance of non-planned hospitalisations,polypharmacy and falls would have the greatest impact on reversing frailty and pre-frailty.
