Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study
The association between dietary diversity and frailty remains unknown in older people. We evaluated whether a limited dietary variety is associated with frailty in older adults with diabetes mellitus (DM). This cross-sectional investigation included 1357 adults (median age: 77 years, women: 61.3%)....
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ftmdpi:oai:mdpi.com:/2072-6643/13/2/641/ 2023-08-20T04:06:10+02:00 Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study Misato Hayakawa Keiko Motokawa Yurie Mikami Kaori Yamamoto Maki Shirobe Ayako Edahiro Masanori Iwasaki Yuki Ohara Yutaka Watanabe Hisashi Kawai Motonaga Kojima Shuichi Obuchi Yoshinori Fujiwara Hunkyung Kim Kazushige Ihara Hiroki Inagaki Shoji Shinkai Shuichi Awata Atsushi Araki Hirohiko Hirano agris 2021-02-16 application/pdf https://doi.org/10.3390/nu13020641 EN eng Multidisciplinary Digital Publishing Institute Nutritional Epidemiology https://dx.doi.org/10.3390/nu13020641 https://creativecommons.org/licenses/by/4.0/ Nutrients; Volume 13; Issue 2; Pages: 641 frailty diabetes Dietary Variety Score Text 2021 ftmdpi https://doi.org/10.3390/nu13020641 2023-08-01T01:05:11Z The association between dietary diversity and frailty remains unknown in older people. We evaluated whether a limited dietary variety is associated with frailty in older adults with diabetes mellitus (DM). This cross-sectional investigation included 1357 adults (median age: 77 years, women: 61.3%). DM was determined by self-reporting, the Dietary Variety Score (DVS) was used to evaluate dietary variety, and the revised Japanese version of the Cardiovascular Health Study criteria evaluated frailty. Participants were divided into 4 groups: no DM/high DVS (non-DMHV), no DM/low DVS (non-DMLV), DM/high DVS (DMHV), and DM/low DVS (DMLV). The prevalence of frailty in each group was 3.6%, 6.7%, 6.7%, and 12.2%. After adjusting for covariates, logistic regression analysis revealed the highest odds ratio (OR) of frailty in the DMLV (non-DMLV, OR = 2.18 (95% confidence interval (CI): 1.25–3.83); DMHV, OR = 1.87 (95% CI: 0.63–5.52); DML, OR = 5.03 (95% CI: 2.05–12.35)). Another logistic regression analysis revealed that a low DVS and DM were independently associated with frailty. Both a low dietary variety and DM were independently related to frailty in older people and the combination increased the prevalence of frailty. These findings suggest that high dietary variety could be important for the prevention of frailty in people with DM. Text DML MDPI Open Access Publishing Nutrients 13 2 641 |
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frailty diabetes Dietary Variety Score |
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frailty diabetes Dietary Variety Score Misato Hayakawa Keiko Motokawa Yurie Mikami Kaori Yamamoto Maki Shirobe Ayako Edahiro Masanori Iwasaki Yuki Ohara Yutaka Watanabe Hisashi Kawai Motonaga Kojima Shuichi Obuchi Yoshinori Fujiwara Hunkyung Kim Kazushige Ihara Hiroki Inagaki Shoji Shinkai Shuichi Awata Atsushi Araki Hirohiko Hirano Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study |
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frailty diabetes Dietary Variety Score |
description |
The association between dietary diversity and frailty remains unknown in older people. We evaluated whether a limited dietary variety is associated with frailty in older adults with diabetes mellitus (DM). This cross-sectional investigation included 1357 adults (median age: 77 years, women: 61.3%). DM was determined by self-reporting, the Dietary Variety Score (DVS) was used to evaluate dietary variety, and the revised Japanese version of the Cardiovascular Health Study criteria evaluated frailty. Participants were divided into 4 groups: no DM/high DVS (non-DMHV), no DM/low DVS (non-DMLV), DM/high DVS (DMHV), and DM/low DVS (DMLV). The prevalence of frailty in each group was 3.6%, 6.7%, 6.7%, and 12.2%. After adjusting for covariates, logistic regression analysis revealed the highest odds ratio (OR) of frailty in the DMLV (non-DMLV, OR = 2.18 (95% confidence interval (CI): 1.25–3.83); DMHV, OR = 1.87 (95% CI: 0.63–5.52); DML, OR = 5.03 (95% CI: 2.05–12.35)). Another logistic regression analysis revealed that a low DVS and DM were independently associated with frailty. Both a low dietary variety and DM were independently related to frailty in older people and the combination increased the prevalence of frailty. These findings suggest that high dietary variety could be important for the prevention of frailty in people with DM. |
format |
Text |
author |
Misato Hayakawa Keiko Motokawa Yurie Mikami Kaori Yamamoto Maki Shirobe Ayako Edahiro Masanori Iwasaki Yuki Ohara Yutaka Watanabe Hisashi Kawai Motonaga Kojima Shuichi Obuchi Yoshinori Fujiwara Hunkyung Kim Kazushige Ihara Hiroki Inagaki Shoji Shinkai Shuichi Awata Atsushi Araki Hirohiko Hirano |
author_facet |
Misato Hayakawa Keiko Motokawa Yurie Mikami Kaori Yamamoto Maki Shirobe Ayako Edahiro Masanori Iwasaki Yuki Ohara Yutaka Watanabe Hisashi Kawai Motonaga Kojima Shuichi Obuchi Yoshinori Fujiwara Hunkyung Kim Kazushige Ihara Hiroki Inagaki Shoji Shinkai Shuichi Awata Atsushi Araki Hirohiko Hirano |
author_sort |
Misato Hayakawa |
title |
Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study |
title_short |
Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study |
title_full |
Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study |
title_fullStr |
Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study |
title_full_unstemmed |
Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study |
title_sort |
low dietary variety and diabetes mellitus are associated with frailty among community-dwelling older japanese adults: a cross-sectional study |
publisher |
Multidisciplinary Digital Publishing Institute |
publishDate |
2021 |
url |
https://doi.org/10.3390/nu13020641 |
op_coverage |
agris |
genre |
DML |
genre_facet |
DML |
op_source |
Nutrients; Volume 13; Issue 2; Pages: 641 |
op_relation |
Nutritional Epidemiology https://dx.doi.org/10.3390/nu13020641 |
op_rights |
https://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.3390/nu13020641 |
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Nutrients |
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13 |
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2 |
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641 |
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