LIVING WITH FAMILY YET EATING ALONE IS ASSOCIATED WITH FRAILTY IN COMMUNITY-DWELLING OLDER ADULTS: THE KASHIWA STUDY
LIVING WITH FAMILY YET EATING ALONE IS ASSOCIATED WITH FRAILTY IN COMMUNITY-DWELLING OLDER ADULTS: THE KASHIWA STUDY
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DOI：
10.14283/jfa.2019.22
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发表时间：
2019-10-01
影响因子：
3.9
通讯作者：
Iijima, K.
中科院分区：
文献类型：
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作者：
Suthutvoravut, U.;Tanaka, T.;Iijima, K.
目的：单独进食与抑郁、营养风险和死亡率有关。这些影响也受到生活状态的影响。然而，尽管与家人住在一起，但独自进食与虚弱之间的关系却知之甚少。本研究探讨了社区老年人独自进食和居住状态与虚弱的关系。设计：横断面研究。地点和参与者：日本千叶县鹿儿市；随机抽取社区老年人(65岁及以上)。测量：饮食状况是通过以下问题来评估的：“你是否每天至少和别人一起吃饭一次：是还是不是？”脆弱由Kihon Checklist(KCL)评分8分或以上定义。根据KCL分类，将脆弱领域划分为日常生活工具活动(IADL)、体力、营养、进食、社交、记忆和情绪。在调整年龄、教育年限、慢性病、牙数和认知功能的基础上，进行二元Logistic回归分析。结果：在1914名受试者中，49.8%为男性，总体平均年龄为72.9+/-5.5岁。在所有参与者中，56名男性(5.9%)和112名女性(11.7%)身体虚弱。尽管与他人同住，但独自进食的老年人更有可能身体虚弱(男性OR2.49，95%可信区间1.1-5.5，女性OR2.16，95%可信区间1.0-4.5)。特别值得注意的是，在男性中，饮食和生活状态与较低的体力和情绪有关，而在女性中，这些状态与IADL、社交、记忆和情绪方面的较低分数相关。结论：尽管与他人同居，但独自进食在两性中都与高度脆弱有关；然而，不同性别之间的途径不同。这些结果可能有助于产生一种简单、根本的干预方法，以应对多方面的脆弱性，反映性别和相关的高风险领域。
Objectives: Eating alone is related to depression, nutritional risk, and mortality. These effects are also influenced by living status. However, little is known about the relationship between eating alone despite living with family and frailty. This study explores the relationship of eating alone and living status with frailty in community-dwelling older adults. Design: Cross-sectional study. Setting and Participants: Kashiwa city, Chiba prefecture, Japan; randomly selected community-dwelling older adults (aged 65 years and over). Measurements: Eating status was assessed by the question, "Do you eat meals with anyone, at least once a day: yes or no?" Frailty was defined by Kihon Checklist (KCL) score 8 or over. Domains of frailty were divided into instrumental activities of daily living (IADL), physical strength, nutrition, eating, socialization, memory, and mood, based on KCL categories. Binary logistic regression analysis was used, adjusting for age, years of education, chronic diseases, number of teeth and cognitive function. Results: Among the total of 1,914 participants, 49.8% were male, and the overall mean age was 72.9 +/- 5.5 years. Of all participants, 56 (5.9%) of men and 112 (11.7%) of women were frail. Older adults who ate alone despite living with others were more likely to be frail (OR 2.49, 95%CI 1.1-5.5 for men and OR 2.16, 95%CI 1.0-4.5 for women). Of particular note, eating and living status were associated with lower physical strength and mood in men, whereas in women these statuses were associated with lower scores for IADL, socialization, memory, and mood. Conclusions: Eating alone despite living with others was associated with high frailty in both genders; however, the pathways were different between genders. These results might help yield a simple, fundamental intervention approach to multifaceted frailty, reflecting gender and associated high-risk domains.