ArticleJournal of epidemiology2019
Frequency of Balanced-Meal Consumption and Frailty in Community-Dwelling Older Japanese: A Cross-Sectional Study.
Article in Journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Temporal Dietary Patterns and Frailty in Korean Older Adults: Evening-Skewed and Morning-Evening Eating Patterns Associated with Frailty Risk.Nutrients · 2026Article
- Association between Japanese balanced diet and frailty: the modifying effects of social connections in Japanese older adults.BMC geriatrics · 2026Article
- An Artificial Intelligence-Assisted Smartphone Application for Improving Dietary Quality Among Frail Older Adults: A Quasi-Experimental Study.Geriatrics (Basel, Switzerland) · 2025Article
- Association Between Refrigerator Openings and Protein Intake After Hospitalization for Heart Failure Decompensation: Protocol for a Prospective Cohort Pilot Study.JMIR research protocols · 2025Article
- Association between milk consumption in middle age and frailty in later life: The Aichi Workers' cohort study.Geriatrics & gerontology international · 2024Article
- Article
- Eating alone and weight change in community-dwelling older adults during the coronavirus pandemic: A longitudinal study.Nutrition (Burbank, Los Angeles County, Calif.) · 2022Article
- Cross-Sectional, Short-, Medium-, and Long-Term Effects of Dietary Pattern on Frailty in Taiwan.International journal of environmental research and public health · 2021Article
- Frequency of consumption of balanced meals, bodyweight gain and incident risk of glucose intolerance in Japanese men and women: A cohort study.Journal of diabetes investigation · 2021Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough meals that combine a staple food, main dish, and side dish (balanced meals) are recommended in Japan, the health effects of such meals are unclear. We investigated the association of frequency of eating balanced meals with frailty among community-dwelling older Japanese.
methodsWe analyzed data from 912 persons aged 65 years or older who participated in the Hatoyama Cohort Study or Kusatsu Longitudinal Study. The frequency of eating two or more balanced meals daily was self-reported as ≤1 day/week, 2 or 3 days/week, 4 or 5 days/week, and daily. Frailty was defined as the presence of at least three, and pre-frailty as the presence of one or two, of the following criteria: weight loss, muscle weakness, exhaustion, slowness, and low physical activity. Adjusted logistic regression was used to study associations of frequency of balanced-meal consumption with frailty (prefrailty and frailty combined) and frailty criteria.
resultsParticipants reporting a frequency of balanced-meal consumption of ≤2 or 3 days/week had a higher prevalence of frailty (odds ratio [OR], 1.79; 95% confidence interval [CI], 1.21-2.64) than did those reporting a frequency of daily. Lower frequency of balanced-meal consumption was also associated with higher prevalences of weight loss (OR, 4.10; 95% CI, 1.90-8.85), exhaustion (OR, 6.35; 95% CI, 2.49-16.17), and low physical activity (OR, 1.92; 95% CI, 1.22-3.01).
conclusionsOur findings suggest that more frequent twice daily consumption of meals with a staple food, main dish, and side dish decreases the risks of prefrailty and frailty.
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