Next Article in Journal
Nutritional Therapy to Modulate Tryptophan Metabolism and Aryl Hydrocarbon-Receptor Signaling Activation in Human Diseases
Previous Article in Journal
Nutritional Ergogenic Aids in Racquet Sports: A Systematic Review
Open AccessArticle

Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly

1
Department of Community Health and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 4668550, Japan
2
Department of Family Medicine, E-Da Hospital, No.1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City 82445, Taiwan
3
School of Medicine for International Students, College of Medicine, I-Shou University, No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City 82445, Taiwan
4
Institutes of Innovation for Future Society, Nagoya University, NIC, Chikusa Ward, Furocho, Nagoya 4648601, Japan
5
Graduate School of Nutritional Sciences, Nagoya University of Arts and Sciences, Takenoyama–57, Iwasakicho, Nisshin 4700196, Japan
6
Section of Frailty Prevention, Department of Frailty Research, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7–430 Morioka-cho, Obu City 4748511, Japan
7
Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, 7–430 Morioka-cho, Obu City 4748511, Japan
8
Adelaide Geriatrics Training and Research with Aged Care (G-TRAC Centre), Discipline of Medicine, Adelaide Medical School, University of Adelaide, 61 Silkes Rd, Paradise, Adelaide 5075, Australia
9
National Health and Medical Research Council Centre of Research Excellence in Frailty and Healthy Ageing, University of Adelaide, Adelaide 5005, Australia
*
Authors to whom correspondence should be addressed.
Nutrients 2020, 12(9), 2845; https://doi.org/10.3390/nu12092845
Received: 20 August 2020 / Revised: 14 September 2020 / Accepted: 15 September 2020 / Published: 17 September 2020
(This article belongs to the Section Clinical Nutrition)
The effects of social frailty on diet and nutrition are under-investigated. Our study aimed to assess the association between social frailty and diet quality, diet quantity, and nutrition over a 3-year period in community-dwelling older Japanese adults. This prospective cohort study recruited individuals aged ≥60 years from a community college and followed up 666 participants annually. Social frailty was determined using a 4-item questionnaire. Diet quantity (energy and macronutrient intake) and diet quality (dietary diversity score and Diet Quality Index-International) were assessed using a food frequency questionnaire. Nutrition was evaluated using the Mini-Nutritional Assessment (MNA). Out of the 666 participants (56.5% women), 250 (37.5%) were categorized as having social prefrailty or frailty. Regarding diet quantity, energy intake (β = −1.59kcal/kg/day, p < 0.01) and nutrient intake (protein intake, β = −0.08g/kg/day; fat intake, β = −0.06g/kg/day; carbohydrate intake, β = −0.18g/kg/day; fiber intake, β = −0.01g/kg/day; all p < 0.05) were lower in men with social prefrailty or frailty than in men with social robustness. Dietary diversity score (β = −0.25, p = 0.01) and MNA score (β = −0.32, p = 0.04) decreased in men with social prefrailty or frailty. However, these associations were not observed in women. Social frailty is associated with lower dietary intake, poor diet quality, and poor nutrition among community-dwelling older men. Future studies are required to determine the benefits of sex-specific interventions targeting social frailty on nutritional outcomes. View Full-Text
Keywords: social frailty; diet quantity; diet quality; nutritional status; sex difference social frailty; diet quantity; diet quality; nutritional status; sex difference
Show Figures

Figure 1

MDPI and ACS Style

Huang, C.H.; Okada, K.; Matsushita, E.; Uno, C.; Satake, S.; Arakawa Martins, B.; Kuzuya, M. Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly. Nutrients 2020, 12, 2845.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop