Mediterranean diet and mobility decline in older persons.

Mediterranean diet and mobility decline in older persons.
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DOI:
10.1016/j.exger.2010.11.030
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发表时间:
2011-04
影响因子:
3.9
通讯作者:
Ferrucci, Luigi
Ferrucci, Luigi
中科院分区:
医学2区
文献类型:
--
作者:
Milaneschi, Yuri;Bandinelli, Stefania;Corsi, Anna Maria;Lauretani, Fabrizio;Paolisso, Giuseppe;Dominguez, Ligia J.;Semba, Richard D.;Tanaka, Toshiko;Abbatecola, Angela M.;Talegawkar, Sameera A.;Guralnik, Jack M.;Ferrucci, Luigi

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我们对老年人的代表性样本进行了九年的随访,研究了坚持地中海式饮食是否对活动能力有积极影响。这项研究是 InCHIANTI 研究的一部分,该研究是一项针对意大利托斯卡纳老年人的前瞻性人口研究。本次分析的样本包括 935 名年龄在 65 岁及以上的女性和男性。通过标准 10 单位地中海饮食评分 (MDS) 在基线评估对地中海饮食的依从性。使用短期身体表现电池 (SPPB) 在基线以及 3 年、6 年和 9 年随访时测量下肢功能。在基线时,较高的地中海饮食依从性与较好的下半身表现相关。依从性较高的参与者的 SPPB 评分下降幅度较小,与依从性较低的参与者相比,SPPB 评分在 3 年随访时高出 0.9 分 (p<.0001),在 6 年随访时高出 1.1 分 (p = 0.0004),在 9 年随访时高出 0.9 分 (p = 0.04)。在基线时没有行动障碍的参与者中,依从性较高的参与者出现新的行动障碍的风险较低(HR=0.71,95%CI=0.51-0.98,p=0.04)。对于社区居住的老年人来说,高度坚持地中海式饮食与活动能力随着时间的推移而缓慢下降有关。如果重复的话,这一观察结果与公共卫生高度相关。
We examined whether adherence to a Mediterranean-style diet has positive effects on mobility assessed over a nine-year follow-up in a representative sample of older adults. This research is part of the InCHIANTI Study, a prospective population-based study of older persons in Tuscany, Italy. The sample for this analysis included 935 women and men aged 65 years and older. Adherence to the Mediterranean diet was assessed at baseline by the standard 10-unit Mediterranean diet score (MDS). Lower extremity function was measured at baseline, and at the 3, 6 and 9-year follow-up visits using the Short Physical Performance Battery (SPPB). At baseline, higher adherence to Mediterranean diet was associated with better lower body performance. Participants with higher adherence experienced less decline in SPPB score, which was of 0.9 points higher (p<.0001) at the 3-year-follow, 1.1 points higher (p= 0.0004) at the 6-year follow-up and 0.9 points higher (p= 0.04) at the 9-year follow-up compared to those with lower adherence. Among participants free of mobility disability at baseline, those with higher adherence had a lower risk (HR=0.71,95%CI=0.51–0.98, p=0.04) of developing new mobility disability. High adherence to a Mediterranean-style diet is associated with a slower decline of mobility over time in community dwelling older persons. If replicated, this observation is highly relevant in terms of public health.
DOI: 10.1097/ede.0b013e3181a819a1
发表时间: 2009-07
期刊: Epidemiology (Cambridge, Mass.)
影响因子: --
作者:
Schisterman EF;Cole SR;Platt RW
通讯作者: Platt RW
DOI: 10.1136/bmj.39561.501007.be
发表时间: 2008-06-14
影响因子: 105.7
作者:
Martinez-Gonzalez, M. A.;de la Fuente-Arrillaga, C.;Bes-Rastrollo, M.
通讯作者: Bes-Rastrollo, M.
DOI: 10.1111/j.1532-5415.2000.tb03873.x
发表时间: 2000-12-01
影响因子: 6.3
作者:
Ferrucci, L;Bandinelli, S;Guralnik, JM
通讯作者: Guralnik, JM
DOI: 10.1093/gerona/61.6.589
发表时间: 2006-06-01
影响因子: 5.1
作者:
Bartali, Benedetta;Frongillo, Edward A.;Ferrucci, Luigi
通讯作者: Ferrucci, Luigi
DOI: 10.1093/jn/133.3.933s
发表时间: 2003-03-01
影响因子: 4.2
作者:
Mayne, ST
通讯作者: Mayne, ST