Evidence map›Paper›PMID 30668624›Full record

ArticleAge and ageing2019

Physical frailty in older men: prospective associations with diet quality and patterns.

Tessa J Parsons, Efstathios Papachristou, Janice L Atkins, Olia Papacosta, Sarah Ash, Lucy T Lennon, Peter H Whincup, Sheena E Ramsay, S Goya Wannamethee

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Tessa J ParsonsUCL Department of Primary Care & Population Health, UCL Medical School, Rowland Hill Street, London, UK.
Efstathios PapachristouPsychology & Human Development, UCL Institute of Education, 25 Woburn Square, London, UK.
Janice L AtkinsEpidemiology and Public Health Group, Medical School, University of Exeter, RILD Building, Barrack Road, Exeter, UK.
Olia PapacostaUCL Department of Primary Care & Population Health, UCL Medical School, Rowland Hill Street, London, UK.
Sarah AshUCL Department of Primary Care & Population Health, UCL Medical School, Rowland Hill Street, London, UK.
Lucy T LennonUCL Department of Primary Care & Population Health, UCL Medical School, Rowland Hill Street, London, UK.
Peter H WhincupPopulation Health Research Institute, St George's University of London, Cranmer Terrace, London, UK.
Sheena E RamsayInstitute of Health & Society, Newcastle University, Baddiley-Clark Building, Newcastle upon Tyne, UK.
S Goya WannametheeUCL Department of Primary Care & Population Health, UCL Medical School, Rowland Hill Street, London, UK.
Roland Hill (United Kingdom) · GBNewcastle University · GBSt George's, University of London · GBUniversity College London · GBUniversity of Exeter · GB

Funding

British Heart Foundation PG/09/024/26857British Heart Foundation RG/13/16/30528British Heart Foundation RG/19/4/34452The Dunhill Medical Trust R396/1114The Dunhill Medical Trust R419/0515
6 · The paper itself

Abstract

backgroundincreasing numbers of older adults are living with frailty and its adverse consequences. We investigated relationships between diet quality or patterns and incident physical frailty in older British men and whether any associations were influenced by inflammation.

methodsprospective study of 945 men from the British Regional Heart Study aged 70-92 years with no prevalent frailty. Incident frailty was assessed by questionnaire after 3 years of follow-up. Frailty was defined as having at least three of: low grip strength, low physical activity, slow walking speed, unintentional weight loss and feeling of low energy, all based on self-report. The Healthy Diet Indicator (HDI) based on WHO dietary guidelines and the Elderly Dietary Index (EDI) based on a Mediterranean-style dietary intake were computed from questionnaire data and three dietary patterns were identified using principal components analysis: prudent, high fat/low fibre and high sugar.

resultsmen in the highest EDI category and those who followed a prudent diet were less likely to become frail [top vs bottom category odds ratio (OR) (95% CI) 0.49 (0.30, 0.82) and 0.53 (0.30, 0.92) respectively] after adjustment for potential confounders including BMI and prevalent cardiovascular disease. No significant association was seen for the HDI. By contrast those who had a high fat low fibre diet pattern were more likely to become frail [OR (95% CI) 2.54 (1.46, 4.40)]. These associations were not mediated by C-reactive protein (marker of inflammation).

conclusionsthe findings suggest adherence to a Mediterranean-style diet is associated with reduced risk of developing frailty in older people.

Indexed as

AgedAged, 80 and overDietDietary FiberDietary SugarsDiet, High-FatDiet, MediterraneanDiet SurveysFrail ElderlyHand StrengthHumansMaleProspective StudiesRisk FactorsSurveys and QuestionnairesUnited KingdomDietary FiberDietary SugarsdietFrailtyolder people

Identifiers

PMID30668624
PMCPMC6503938
OpenAlexW2913695990

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.