ArticleEuropean journal of nutrition2022
Diet quality and physical or comprehensive frailty among older adults.
Article in European journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Associations between frailty severity and dietary quality and food security among older Korean adults: a cross-sectional study.BMC geriatrics · 2026Article
- Estimated glucose disposal rate and frailty in middle and older aged adults from three prospective cohorts.Scientific reports · 2025Article
- Ultra-Processed Food and Frailty: Evidence from a Prospective Cohort Study and Implications for Future Research.Nutrients · 2025Article
- Association between dairy products intake and frailty transitions in older adults: The InCHIANTI cohort study.The journal of nutrition, health & aging · 2025Article
- A reverse J-shaped association between adherence to planetary health diet and all-cause and cause-specific mortality in Japan: a cross-sectional prefecture-level ecological study.Journal of nutritional science · 2025Observational
- 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
- A cross-sectional study on the relationship between nutrient/food intake and gut microbiota in frailty among older community residents: The Kyotango study.Journal of clinical biochemistry and nutrition · 2024Article
- Relationship between changes in the triglyceride glucose-body mass index and frail development trajectory and incidence in middle-aged and elderly individuals: a national cohort study.Cardiovascular diabetology · 2024Article
- Differences in the Values and Related Factors of Eating a Balanced Meal among the Younger Generation in Japan.Nutrients · 2024Article
- Growth Differentiation Factor 15 and Diet Quality Trajectory Interact to Determine Frailty Incidence among Middle-Aged Urban Adults.The Journal of nutrition · 2024Article
- Pro-Inflammatory Diets Are Associated with Frailty in an Urban Middle-Aged African American and White Cohort.Nutrients · 2023Article
- Article
- Article
- Dose-Response Relationships between Diet Quality and Mortality among Frail and Non-Frail Older Adults: A Population-Based Kyoto-Kameoka Prospective Cohort Study.The journal of nutrition, health & aging · 2023Article
- Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults.International journal of environmental research and public health · 2022Article
- Combined use of two frailty tools in predicting mortality in older adults.Scientific reports · 2022Article
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13 authors.
Funding
Abstract
purposeWhile the association between diet quality and mortality has been previously demonstrated, the association between frailty and diet quality has not been evaluated well. This study aimed to investigate the association between diet quality and prevalence of both physical and comprehensive frailty, using two validated tools, in a community-based cohort of older adults.
methodsWe conducted cross-sectional analyses using baseline data of 7022 participants aged ≥ 65 years in the Kyoto-Kameoka study. Diet quality was assessed by calculating the adherence scores to the Japanese Food Guide Spinning Top using a validated questionnaire; the participants were stratified into quartile groups based on these scores. Physical and comprehensive frailty was assessed using the Fried phenotype model-based Frailty Screening Index and the Kihon Checklist, respectively. Multivariable logistic regression and the restricted cubic spline model were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for associations between adherence scores and frailty prevalence.
resultsHigher adherence scores signified a higher intake of vitamin C, vegetables, dairy products, and fruits. Physical and comprehensive frailty prevalence was 14.2 and 35.8%, respectively. In a multivariable adjusted model, compared with the bottom adherence score quartile, the top quartile was associated with lower ORs of physical (OR 0.64; 95% CI 0.52-0.80) and comprehensive frailty (OR 0.60; 95% CI 0.51-0.71). These relationships were similar to results in the spline model.
conclusionsThis study shows an inverse dose-response relationship between diet quality and prevalence of both physical and comprehensive frailty in older adults.
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