Evidence map›Paper›PMID 42310568›Full record

ArticleBMC geriatrics2026

Associations between frailty severity and dietary quality and food security among older Korean adults: a cross-sectional study.

Subeen Kim, Seon-Jip Kim, Eunhye Kim, Nayeon Park, Dawon Kwak, Eunseo Choi, Minji Kang

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

7 authors.

Subeen Kim *Department of Food and Nutrition, Duksung Women's University, Seoul, Republic of Korea.
Seon-Jip Kim *Department of Dental Hygiene, College of Health Science, Dankook University, Cheonan, Republic of Korea.
Eunhye KimDepartment of Food and Nutrition, Duksung Women's University, Seoul, Republic of Korea.
Nayeon ParkDepartment of Food and Nutrition, Duksung Women's University, Seoul, Republic of Korea.
Dawon KwakDepartment of Food and Nutrition, Duksung Women's University, Seoul, Republic of Korea.
Eunseo ChoiDepartment of Food and Nutrition, Duksung Women's University, Seoul, Republic of Korea.
Minji KangDepartment of Food and Nutrition, Duksung Women's University, Seoul, Republic of Korea. mjkang@duksung.ac.kr.

Funding

National Research Foundation of Korea RS-2026-25495997
6 · The paper itself

Abstract

backgroundFrailty in older adults is a multidimensional condition that extends beyond physical decline to include emotional and psychological vulnerability. However, evidence on how food security and overall diet quality vary according to frailty severity among older Korean adults is limited. This study aimed to systematically examine the associations between food security and diet quality, and frailty severity in this population.

methodsA cross-sectional study was conducted using data from the Korean National Health and Nutrition Examination Survey from 2013 to 2020. Among the 62,686 participants, 9,263 adults aged 65 years and older were included after those with missing frailty index variables, no nutritional records, or extreme energy intake values were excluded. Frailty was assessed using a 41-item Frailty Index (FI), categorizing participants into nonfrail (FI ≤ 0.15), prefrail (0.15 < FI ≤ 0.25), and frail (FI > 0.25) groups. Diet quality was evaluated using the Korean Healthy Eating Index (KHEI), and food security status was assessed through a standardized questionnaire.

resultsThe incidence of frailty was 14.1% in men and 23.8% in women, and it was associated with lower education, lower income, and living alone. KHEI scores decreased significantly with increasing frailty severity in both men and women (P for trend < 0.0001). Severe food insecurity was significantly associated with frailty risk with an OR = 3.62 (95% CI: 1.23-10.66) for men and an OR = 9.03 (95% CI: 2.92-27.97) for women. In the case of KHEI scores, only frail women had a significant trend for the odds of frailty (P for trend = 0.0202), whereas no significant association was observed in men.

conclusionsThese findings emphasize the importance of sex-specific nutritional interventions and stable food supply systems for preventing frailty in aging populations.

Indexed as

DietFood SecurityFrail ElderlyFrailtyAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleNutrition SurveysRepublic of KoreaDietFood securityFrailty

Identifiers

PMID42310568
PMCPMC13520187

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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.