Association of foods consumption and physical activity with prefrailty and frailty among Chinese older adults in urban communities: A cross-sectional study.

IF 1.3 4区医学 Q4 NUTRITION & DIETETICS

Asia Pacific journal of clinical nutrition Pub Date : 2024-09-01 DOI:10.6133/apjcn.202409_33(3).0015

Beibei Liu, Xiaona Zhang, Shanshan Jia, Weiguo Wang, Jing Huang, Liping Kang, Lingyun Shi, Qingqing Man, Jian Zhang

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引用次数: 0

Abstract

Background and objectives: Frailty has become a public health challenge in China. To investigate the association of foods consumption and physical activity with prefrailty and frailty among older Chinese adults in urban communities.

Methods and study design: In a cross-sectional study from February to July 2023, 1183 older adults aged between 65y-88y were enrolled from urban communities in Chongqing and Shandong province, China. Frailty Index (FI) was applied to measure prefrailty and frailty. Partial proportional odds model was used to assess the association between foods consumption, physical activity and prefrailty/frailty.

Results: Higher Dietary Diversity Score (DDS), (OR=0.61, 95% CI=0.46-0.80; OR=0.47, 95% CI=0.28-0.79), Consuming animal-based foods ≥2 times/day (OR=0.62, 95% CI=0.47-0.82; OR=0.54, 95% CI=0.33-0.88), soy products ≥2 times/week (OR=0.69, 95% CI=0.53-0.89; OR=0.51, 95% CI=0.31-0.84), fresh vegetables ≥2 times/day (OR=0.42, 95% CI=0.31-0.57; OR=0.41, 95% CI=0.23-0.72), and nuts ≥2 times/week (OR=0.71, 95% CI=0.55-0.91; OR=0.52, 95% CI=0.32-0.85) was associated with a lower risk of prefrailty and frailty. In addition, higher frequency and longer duration of walking (OR=0.61, 95% CI=0.42-0.88; OR=0.63, 95% CI=0.48-0.81), exercise (OR=0.48, 95% CI=0.35-0.64; OR=0.44, 95% CI=0.32-0.61) per week were significantly associated with lower risk of prefrailty. Furthermore, higher frequency and longer duration of walking (OR=0.42, 95% CI=0.25-0.72; OR=0.46, 95% CI=0.29-0.74), and housework (OR=0.39, 95% CI=0.24-0.65; OR=0.57, 95% CI=0.34-0.96) per week, were significantly associated with lower frailty.

Conclusions: Higher DDS and higher frequency of animal-based foods, soy products, fresh vegetables, and nuts consumption is significantly associated with lower risk of prefrailty and frailty. Additionally, walking and exercising are significantly associated with lower risk of prefrailty, while walking and doing housework is significantly associated with lower frailty.

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城市社区中国老年人的食物摄入量和体力活动与虚弱前兆和虚弱的关系：一项横断面研究。

背景和目的：在中国，体弱已成为一项公共卫生挑战。方法与研究设计：在 2023 年 2 月至 7 月进行的一项横断面研究中，我们从中国重庆和山东省的城市社区招募了 1183 名年龄在 65-88 岁之间的老年人。采用虚弱指数（FI）来测量虚弱前和虚弱程度。结果显示，膳食多样性得分越高的老年人，其体力活动量越大：较高的膳食多样性评分（DDS）（OR=0.61，95% CI=0.46-0.80；OR=0.47，95% CI=0.28-0.79）、食用动物类食物≥2次/天（OR=0.62，95% CI=0.47-0.82；OR=0.54，95% CI=0.33-0.88）、食用豆制品≥2次/周（OR=0.69，95% CI=0.53-0.89；OR=0.51，95% CI=0.31-0.84）、新鲜蔬菜≥2次/天（OR=0.42，95% CI=0.31-0.57；OR=0.41，95% CI=0.23-0.72）和坚果≥2次/周（OR=0.71，95% CI=0.55-0.91；OR=0.52，95% CI=0.32-0.85）与较低的虚弱前期和虚弱风险相关。此外，每周步行（OR=0.61，95% CI=0.42-0.88；OR=0.63，95% CI=0.48-0.81）和运动（OR=0.48，95% CI=0.35-0.64；OR=0.44，95% CI=0.32-0.61）的频率越高、持续时间越长，则预感虚弱的风险越低。此外，每周散步（OR=0.42，95% CI=0.25-0.72；OR=0.46，95% CI=0.29-0.74）和做家务（OR=0.39，95% CI=0.24-0.65；OR=0.57，95% CI=0.34-0.96）的频率越高、持续时间越长，与虚弱程度越低有显著关系：结论：较高的 DDS 和较高的动物性食品、豆制品、新鲜蔬菜和坚果食用频率与较低的虚弱前期和虚弱风险显著相关。此外，步行和锻炼与降低虚弱前期风险有显著相关性，而步行和做家务与降低虚弱程度有显著相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia Pacific journal of clinical nutrition 医学-营养学

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board