ArticleNutrients2018
Association between the Dietary Inflammatory Index and Risk of Frailty in Older Individuals with Poor Nutritional Status.
Article in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Current Status of Frailty and Influencing Factors in Elderly Patients With Hip Fractures: A Meta-Analysis.BioMed research international · 2025Pooled it
- The association of dietary inflammatory potential with skeletal muscle strength, mass, and sarcopenia: a meta-analysis.Frontiers in nutrition · 2023Pooled it
- The Association between Dietary Inflammatory Index and Aging Biomarkers/Conditions: A Systematic Review and Dose-response Meta-analysis.The journal of nutrition, health & aging · 2023Pooled it
- Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan.Public health nutrition · 2025Article
- Association of dietary health indices with frailty.BMC public health · 2025Article
- Glucose to albumin ratio as a new predictor of postoperative pressure ulcers and hospital length of stay in geriatric hip fracture patients.Frontiers in nutrition · 2025Article
- The Associations between Albumin, Globulin, Albumin-to-globulin Ratio, and Frailty in Middle-aged and Older Adults: Evidence from NHANES 2013-2014.Current pharmaceutical design · 2025Article
- Association of the dietary inflammation index with frailty in middle-aged and older adults: a systematic review and meta-analysis.Frontiers in nutrition · 2025Review
- Combined association between dietary inflammatory index-related dietary patterns and physical activity with frailty in Chinese older adults: findings from a cross-sectional.Frontiers in public health · 2025Article
- Association of the dietary inflammatory index with sarcopenic obesity and frailty in older adults.BMC geriatrics · 2024Article
- The effect of the nutritional status and dietary inflammatory index on frailty and activities of daily living in geriatric outpatients.Irish journal of medical science · 2024Article
- Association of disaster-related damage with inflammatory diet among older survivors of the Great East Japan Earthquake and Tsunami.The British journal of nutrition · 2024Article
- The association of dietary antioxidants and the inflammatory potential of the diet with poor physical function and disability in older Australian men: the Concord Health and Ageing in Men Project.The British journal of nutrition · 2024Article
- Dietary inflammatory index, dietary total antioxidant capacity, and frailty among older Chinese adults.The journal of nutrition, health & aging · 2024Article
- Association of Alternative Dietary Patterns with Osteoporosis and Fracture Risk in Older People: A Scoping Review.Nutrients · 2023Article
- The association of dietary inflammatory potential with sarcopenia in Chinese community-dwelling older adults.BMC geriatrics · 2023Article
- Association of Proinflammatory Diet With Frailty Onset Among Adults With and Without Depressive Symptoms: Results From the Framingham Offspring Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- The association between inflammatory and immune system biomarkers and the dietary inflammatory index in patients with COVID-19.Frontiers in nutrition · 2023Article
- Association between dietary inflammatory index score and muscle mass and strength in older adults: a study from National Health and Nutrition Examination Survey (NHANES) 1999-2002.European journal of nutrition · 2022Article
- Association between dietary inflammatory potential and the probable sarcopenia among community-dwelling older adults: a cross-sectional study.BMC geriatrics · 2022Article
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Authors and funding
2 authors.
Funding
Abstract
Both inflammation and poor nutritional status are major risk factors of frailty, and the dietary inflammatory index (DII) has been suggested as being associated with the risk of frailty. The present study aimed to investigate whether DII scores were positively associated with the risk of frailty in older individuals, particularly those with poor nutritional status. In total, 321 community-dwelling older individuals aged 70⁻85 years were recruited and categorized as non-frail, pre-frail, and frail according to the Cardiovascular Health Study index. DII scores were calculated based on 24-h dietary recall, and nutritional status was assessed using the Mini Nutritional Assessment. Multinomial logistic regression analysis showed that DII scores were positively associated with the risk of frailty in older individuals (odds ratio, OR 1.64, 95% confidence interval, 95% CI 1.25⁻2.17), particularly those with poor nutritional status (OR 1.68, 95% CI 1.21⁻2.34). Among the frailty criteria, weight loss (OR 1.29, 95% CI 1.03⁻1.60), low walking speed (OR 1.33, 95% CI 1.10⁻1.61), and low grip strength (OR 1.34, 95% CI 1.13⁻1.60) were associated with DII scores. In addition, the optimal DII cut-off score for frailty was ≥0.93 (sensitivity 71%; specificity: 72%; area under the receiver operating characteristic curve, AUC = 0.792). The present study showed that a pro-inflammatory diet was associated with increased risk of frailty, particularly in older individuals with poor nutritional status. Future randomized controlled trials with a low DII diet for the prevention of frailty are needed to confirm our finding.
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