Nutritional Status and Frailty in Community-Dwelling Older Korean Adults: The Korean Frailty and Aging Cohort Study

Nutritional Status and Frailty in Community-Dwelling Older Korean Adults: The Korean Frailty and Aging Cohort Study
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DOI:
10.1007/s12603-018-1005-9
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发表时间:
2018-07-01
影响因子:
5.8
通讯作者:
Chon, D.
Chon, D.
中科院分区:
医学3区
文献类型:
--
作者:
Kim, J.;Lee, Y.;Chon, D.

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研究老年人营养状况与身体虚弱之间的关系。横断面研究。从韩国10个研究地点招募了1473名年龄在70-84岁之间、没有严重认知障碍的志愿者,他们参加了2016年进行的韩国虚弱和衰老队列研究(KFACS)。采用迷你营养评估简表(MNA-SF)测定营养状况。用弗里德虚弱指数来评估虚弱程度。采用多项回归分析检验营养状况与虚弱之间的关系,调整协变量。在答复者中,14.3%营养不良(0.8%营养不良,13.5%有营养不良风险)。体弱多病者占10.7%,体弱多病者占48.5%,健全病者占40.8%。营养不良与体弱(比值比[OR]: 1.59, 95%可信区间[CI]: 1.09-2.32)和体弱(比值比:3.30,95%可信区间[CI]: 1.96-5.54)的风险显著增加相关。营养状况不良与老年人身体虚弱密切相关。更多的研究来了解营养状况和虚弱之间的相互依赖关系,可能会导致更好地管理这两种老年疾病。
To examine the association between nutritional status and frailty in older adults.Cross-sectional study.Community-dwelling older adults were recruited from 10 study sites in South Korea.1473 volunteers aged 70-84 years without severe cognitive impairment and who participated in the Korean Frailty and Aging Cohort Study (KFACS) conducted in 2016.Nutritional status was measured using the Mini Nutritional Assessment Short Form (MNA-SF). Frailty was assessed with the Fried's frailty index. The relationship between nutritional status and frailty was examined using the multinomial regression analysis, adjusting for covariates.Of the respondents 14.3% had poor nutrition (0.8% with malnutrition, 13.5% at risk of malnutrition). There were 10.7% who were frail, with 48.5% being prefrail, and 40.8% robust. Poor nutrition was related to a significantly increased risk of being prefrail (odds ratio [OR]: 1.59, 95% confidence interval [CI]: 1.09-2.32) and frail (OR: 3.30, 95% CI: 1.96-5.54).Poor nutritional status is strongly associated with frailty in older adults. More research to understand the interdependency between nutritional status and frailty may lead to better management of the two geriatric conditions.