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%)....
Published in: | Nutrients |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , , , , |
Format: | Text |
Language: | English |
Published: |
MDPI
2021
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7920314/ https://doi.org/10.3390/nu13020641 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:7920314 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:7920314 2023-05-15T16:02:01+02:00 Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study Hayakawa, Misato Motokawa, Keiko Mikami, Yurie Yamamoto, Kaori Shirobe, Maki Edahiro, Ayako Iwasaki, Masanori Ohara, Yuki Watanabe, Yutaka Kawai, Hisashi Kojima, Motonaga Obuchi, Shuichi Fujiwara, Yoshinori Kim, Hunkyung Ihara, Kazushige Inagaki, Hiroki Shinkai, Shoji Awata, Shuichi Araki, Atsushi Hirano, Hirohiko 2021-02-16 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7920314/ https://doi.org/10.3390/nu13020641 en eng MDPI http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7920314/ http://dx.doi.org/10.3390/nu13020641 © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). CC-BY Nutrients Article Text 2021 ftpubmed https://doi.org/10.3390/nu13020641 2021-03-07T02:22:00Z 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 PubMed Central (PMC) Nutrients 13 2 641 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Article |
spellingShingle |
Article Hayakawa, Misato Motokawa, Keiko Mikami, Yurie Yamamoto, Kaori Shirobe, Maki Edahiro, Ayako Iwasaki, Masanori Ohara, Yuki Watanabe, Yutaka Kawai, Hisashi Kojima, Motonaga Obuchi, Shuichi Fujiwara, Yoshinori Kim, Hunkyung Ihara, Kazushige Inagaki, Hiroki Shinkai, Shoji Awata, Shuichi Araki, Atsushi Hirano, Hirohiko Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study |
topic_facet |
Article |
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 |
Hayakawa, Misato Motokawa, Keiko Mikami, Yurie Yamamoto, Kaori Shirobe, Maki Edahiro, Ayako Iwasaki, Masanori Ohara, Yuki Watanabe, Yutaka Kawai, Hisashi Kojima, Motonaga Obuchi, Shuichi Fujiwara, Yoshinori Kim, Hunkyung Ihara, Kazushige Inagaki, Hiroki Shinkai, Shoji Awata, Shuichi Araki, Atsushi Hirano, Hirohiko |
author_facet |
Hayakawa, Misato Motokawa, Keiko Mikami, Yurie Yamamoto, Kaori Shirobe, Maki Edahiro, Ayako Iwasaki, Masanori Ohara, Yuki Watanabe, Yutaka Kawai, Hisashi Kojima, Motonaga Obuchi, Shuichi Fujiwara, Yoshinori Kim, Hunkyung Ihara, Kazushige Inagaki, Hiroki Shinkai, Shoji Awata, Shuichi Araki, Atsushi Hirano, Hirohiko |
author_sort |
Hayakawa, Misato |
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 |
MDPI |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7920314/ https://doi.org/10.3390/nu13020641 |
genre |
DML |
genre_facet |
DML |
op_source |
Nutrients |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7920314/ http://dx.doi.org/10.3390/nu13020641 |
op_rights |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.3390/nu13020641 |
container_title |
Nutrients |
container_volume |
13 |
container_issue |
2 |
container_start_page |
641 |
_version_ |
1766397665059274752 |