{"title":"替代健康饮食指数与代谢综合征个体衰弱风险的相关性:一项横断面研究","authors":"Yi Wei, Min Zha, Jiangyi Yu","doi":"10.1007/s40520-025-02992-y","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Mounting evidence identifies diet quality as a frailty modifying factor. Individuals suffering from metabolic syndrome (MetS) are more likely to be affected by frailty. Therefore, our research sought to explore the relationship of Alternative Healthy Eating Index (AHEI) with frailty risk among patients with MetS.</p><h3>Methods</h3><p>National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2018 were gathered. Frailty Index (FI) was utilized for assessment of frailty status. Weighted multivariate logistic regression model was adopted for investigating the association of AHEI with frailty among patients with MetS. Subgroup analysis, interaction test and restricted cubic spline (RCS) test were also performed in this study.</p><h3>Results</h3><p>When the covariates considered were entirely adjusted for, higher AHEI scores exhibited significant association with reduced frailty risk (OR = 0.99,95%CI = 0.981–0.998, <i>P</i> = 0.022). Relative to the frailty risk among participants belonging to the lowest AHEI quartile(Q1), that of individuals in the highest AHEI quartile(Q4) decreased by 32% (OR = 0.68, 95% CI = 0.51–0.92, <i>P</i> = 0.01). Additionally, the negative association of AHEI with frailty persisted for all subgroup analyses, which also indicates the reliability of the relationship.</p><h3>Conclusion</h3><p>For patients with MetS, higher AHEI scores reduce the risk of developing frailty. This investigation provides valuable knowledge that could be utilized for treating MetS patients clinically and guiding healthy eating program development.</p></div>","PeriodicalId":7720,"journal":{"name":"Aging Clinical and Experimental Research","volume":"37 1","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40520-025-02992-y.pdf","citationCount":"0","resultStr":"{\"title\":\"Correlation of alternative healthy eating index with risk of frailty among metabolic syndrome individuals: a cross-sectional study\",\"authors\":\"Yi Wei, Min Zha, Jiangyi Yu\",\"doi\":\"10.1007/s40520-025-02992-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Mounting evidence identifies diet quality as a frailty modifying factor. Individuals suffering from metabolic syndrome (MetS) are more likely to be affected by frailty. 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引用次数: 0
摘要
背景:越来越多的证据表明,饮食质量是一个改变体质的因素。患有代谢综合征(MetS)的人更容易受到虚弱的影响。因此,我们的研究旨在探讨替代健康饮食指数(AHEI)与MetS患者衰弱风险的关系。方法收集2005 - 2018年美国国家健康与营养检查调查(NHANES)数据。采用衰弱指数(FI)评价衰弱状态。采用加权多变量logistic回归模型,探讨MetS患者AHEI与虚弱的关系。本研究还进行了亚组分析、相互作用检验和限制性三次样条(RCS)检验。结果当所考虑的协变量完全校正后,较高的AHEI评分与较低的衰弱风险有显著相关性(OR = 0.99,95%CI = 0.981 ~ 0.998, P = 0.022)。相对于AHEI最低四分位数(Q1)参与者的衰弱风险,AHEI最高四分位数(Q4)个体的衰弱风险降低了32% (OR = 0.68, 95% CI = 0.51-0.92, P = 0.01)。此外,在所有亚组分析中,AHEI与虚弱的负相关仍然存在,这也表明了这种关系的可靠性。结论对于met患者,较高的AHEI评分可降低发生虚弱的风险。本研究为临床治疗MetS患者和指导健康饮食计划的制定提供了有价值的知识。
Correlation of alternative healthy eating index with risk of frailty among metabolic syndrome individuals: a cross-sectional study
Background
Mounting evidence identifies diet quality as a frailty modifying factor. Individuals suffering from metabolic syndrome (MetS) are more likely to be affected by frailty. Therefore, our research sought to explore the relationship of Alternative Healthy Eating Index (AHEI) with frailty risk among patients with MetS.
Methods
National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2018 were gathered. Frailty Index (FI) was utilized for assessment of frailty status. Weighted multivariate logistic regression model was adopted for investigating the association of AHEI with frailty among patients with MetS. Subgroup analysis, interaction test and restricted cubic spline (RCS) test were also performed in this study.
Results
When the covariates considered were entirely adjusted for, higher AHEI scores exhibited significant association with reduced frailty risk (OR = 0.99,95%CI = 0.981–0.998, P = 0.022). Relative to the frailty risk among participants belonging to the lowest AHEI quartile(Q1), that of individuals in the highest AHEI quartile(Q4) decreased by 32% (OR = 0.68, 95% CI = 0.51–0.92, P = 0.01). Additionally, the negative association of AHEI with frailty persisted for all subgroup analyses, which also indicates the reliability of the relationship.
Conclusion
For patients with MetS, higher AHEI scores reduce the risk of developing frailty. This investigation provides valuable knowledge that could be utilized for treating MetS patients clinically and guiding healthy eating program development.
期刊介绍:
Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.