研究者詳細 - 牧迫　飛雄馬

論文 - 牧迫　飛雄馬

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牧迫飛雄馬 . 【整形外科疾患の運動療法-最近の進歩】サルコペニアに対する運動療法　最新の知見 . 整形・災害外科64 ( 4 ) 457 - 464 2021年4月

記述言語：日本語出版者・発行元：金原出版(株)

＜文献概要＞サルコペニアは,高齢期にみられる骨格筋量の減少と筋力もしくは身体機能(歩行速度など)の低下により定義される。サルコペニアは,2016年に国際疾病分類(ICD-10)においてM62.84のコードを取得しており,サルコペニアの治療やリハビリテーション,予防の重要性がさらに高まると考えられる。サルコペニアの定義や分類が整理されつつあるが,サルコペニアの判定方法については臨床的な活用可能性も考慮され,改訂がなされている。現状においては,サルコペニアの予防・改善のためには運動と栄養改善による介入戦略が有効であろうと考えられる。特に,運動療法に関しては,筋力トレーニングを中心とした多面的な運動プログラムが推奨される。しかし,サルコペニアに対する運動介入のエビデンスは十分なレベルではないため,さらにエビデンスが蓄積されていくことが望まれる。

Iritani O. . Olfactory-cognitive index distinguishes involvement of frontal lobe shrinkage, as in sarcopenia from shrinkage of medial temporal areas, and global brain, as in Kihon Checklist frailty/dependence, in older adults with progression of normal cognition to Alzheimer's disease . Geriatrics and Gerontology International21 ( 3 ) 291 - 298 2021年3月査読

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Geriatrics and Gerontology International

Aim: Olfactory impairment as a prodromal symptom, as well as sarcopenia, frailty and dependence as geriatric syndromes, is often associated with cognitive decline in older adults with progression of Alzheimer's disease. The present study aimed to evaluate the associations of olfactory and cognitive decline with these geriatric syndromes, and with structural changes of the brain in older adults. Methods: The participants were 135 older adults (47 men and 88 women, mean age 79.5 years), consisting of 64 with normal cognition, 23 with mild cognitive impairment and 48 with Alzheimer's disease. Olfactory function was evaluated by the Open Essence odor identification test. Shrinkage of the regional brain was determined by magnetic resonance imaging. Results: Logistic regression analysis with Open Essence, Mini-Mental State Examination, age and sex as covariates showed higher olfactory-cognitive index (|coefficient for Open Essence (a) / coefficient for Mini-Mental State Examination (b)|) in participants with sarcopenia (Asia Working Group for Sarcopenia), and lower values of (|a/b|) in participants with Barthel Index dependence, Kihon Checklist frailty, Lawton Index dependence and support/care-need certification as objective variables. Logistic regression analysis adjusted by age and sex also showed significant shrinkage of the frontal lobe in participants with AWGS sarcopenia, especially in women, and shrinkage of the medial temporal areas and global brain in participants with Kihon Checklist frailty/dependence. Conclusions: Olfactory-cognitive index (|a/b|) might be a useful tool to distinguish involvement of frontal lobe shrinkage, as in sarcopenia from shrinkage of the medial temporal areas, and global brain, as in frailty/dependence, in older adults with progression of normal cognition to Alzheimer's disease. Geriatr Gerontol Int 2021; ••: ••–••.

DOI： 10.1111/ggi.14128

Web of Science

Scopus

PubMed

Iritani Osamu, Okuno Tazuo, Miwa Takaki, Makizako Hyuma, Okutani Fumino, Kashibayashi Tetsuo, Suzuki Kumiko, Hara Hideo, Mori Eri, Omoto Shusaku, Suzuki Hirokazu, Shibata Minori, Adachi Hiroaki, Kondo Kenji, Umeda-Kameyama Yumi, Kodera Kumie, Morimoto Shigeto . Olfactory-cognitive index distinguishes involvement of frontal lobe shrinkage, as in sarcopenia from shrinkage of medial temporal areas, and global brain, as in Kihon Checklist frailty/dependence, in older adults with progression of normal cognition to Alzheimer's disease(和訳中) . Geriatrics & Gerontology International21 ( 3 ) 291 - 298 2021年3月

記述言語：英語出版者・発行元：John Wiley & Sons Australia, Ltd

高齢者135名(男性47名、女性88名、平均79.5歳)を対象として、嗅覚や認知機能低下、老年症候群、脳の構造変化との関連を評価した。認知機能正常64名、MCI 23名、アルツハイマー病48名であった。評価項目は年齢、性別、Open Essenceによる嗅覚機能、ミニメンタルステート検査、AWGSによるサルコペニア、補正四肢筋量、握力、歩行速度、Barthel ADL、基本チェックリストによるフレイル、LawtonのIADLスケール、要介護・要支援認定、脳MRI所見などとした。嗅覚認知指数(|a/b|)をロジスティック回帰式(老年症候群の発生=a[OE]+b[MMSE]+c[年齢]+d[性別]+e)より算出した。ロジスティック回帰分析の結果、サルコペニア患者では嗅覚認知指数が高く、フレイル、Barthel ADLおよびIADLにおける非自立者、要介護・要支援認定者では嗅覚認知指数が低かった。また、サルコペニア患者のうち特に女性では前頭葉の有意な萎縮が認められ、フレイル/非自立者では側頭葉内側部および全脳の萎縮がみられた。

牧迫飛雄馬, 木山良二, 中井雄貴, 富岡一俊, 谷口善昭, 竹中俊宏 . サルコペニアに対する運動療法の標準化と効果の検証　ランダム化比較対照試験 . 大和証券ヘルス財団研究業績集 ( 44 ) 113 - 117 2021年3月

記述言語：日本語出版者・発行元：(公財)大和証券ヘルス財団

サルコペニアを有する高齢者を対象として、運動群と対照群にランダムに割り付け、サルコペニアに対する運動療法の効果を検証した。対象者を運動群(36名)と対照群(36名)にランダムに割り付け、3ヵ月間の介入前後での身体機能と大腿筋量(MRI画像)の変化を比較した。運動介入は、ゴムバンドによる筋力トレーニングを中心とした多面的運動プログラムを週1回(60分)の頻度で12回実施した。欠損値補正を行ったITT(intention-to-treat)解析で3ヵ月間の変化を比較した。その結果、5回立ち座りテストとTimed UP and Goで群と時間(介入前後)の有意な交互作用を認め、運動群での改善を認めた。大腿の筋面積・筋体積の変化では、運動群で減少を抑制する傾向であったが、有意な交互作用は認められなかった。また、サブグループ解析として、同運動教室に参加していた高齢者15名(平均年齢78.1±6.4歳、女性80%)を対象に、新型コロナウイルス感染症の感染拡大予防対策に伴う外出自粛時期前後での身体活動量の変化を調べた。緊急事態宣言前に比べて緊急事態宣言中では2割の者で町外への外出(生活空間レベル5)をしておらず、身体活動量と生活空間(LSA)スコアが低下傾向であったが、有意な変化ではなかった。身体活動量も有意な変化はなかった。運動教室に参加していた高齢者においては、緊急事態宣言中における生活範囲の顕著な変化および身体活動量の低下は認められなかった。

佐藤菜々, 牧迫飛雄馬, 中井雄貴, 富岡一俊, 谷口善昭, 木山良二, 和田あゆみ, 窪園琢郎, 竹中俊宏, 大石充 . 地域在住高齢者における社会参加とサルコペニアの関連性 . 理学療法学47 ( Suppl.1 ) 25 - 25 2021年3月

富岡一俊, 牧迫飛雄馬, 中井雄貴, 谷口善昭, 木山良二, 和田あゆみ, 佐藤奈々, 窪園琢朗, 竹中俊宏, 大石充 . 地域在住高齢者における身体活動量と身体・認知機能および身体組成との関連性 . 理学療法学47 ( Suppl.1 ) 12 - 12 2021年3月

和田あゆみ, 牧迫飛雄馬, 中井雄貴, 富岡一俊, 谷口善昭, 佐藤菜々, 木山良二, 田平隆行, 窪薗琢郎, 竹中俊宏, 大石充 . 地域在住高齢者における社会的フレイルとうつ傾向との関連 . 鹿児島大学医学部保健学科紀要31 ( 1 ) 11 - 18 2021年3月

記述言語：日本語出版者・発行元：鹿児島大学医学部保健学科

地域コホート研究(垂水研究2018)のデータを用いて、地域在住高齢者における社会的フレイルとうつ傾向との関連について横断観察研究を行った。対象は研究に対する同意が得られた65歳以上の地域在住高齢者859名であった。最終的に社会的フレイルの有無および高齢者用うつ尺度短縮版(GDS15)、その他基本属性に欠損のない812名(男性304名、女性508名、平均年齢74.8歳)を有効回答とし分析対象とした。対象者のうち社会的フレイルを有する者は112名(13.8%)であった。社会的フレイルを有する者は社会的フレイルを有しない者と比較し、高齢で、GDS15の点数は高く、歩行速度、握力が低下していた。社会的フレイルを有する者でうつ傾向のある者は37名(33.0%)で、社会的フレイルを有さない者でうつ傾向のある者90名(12.9%)と比較して有意に高い割合であった。ロジスティック回帰分析の結果からも社会的フレイルはうつ傾向と関連していることが示された。

CiNii Research

J-GLOBAL

機関リポジトリURL

その他リンク： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2021&ichushi_jid=J03364&link_issn=&doc_id=20210415410002&doc_link_id=http%3A%2F%2Fhdl.handle.net%2F10232%2F00031668&url=http%3A%2F%2Fhdl.handle.net%2F10232%2F00031668&type=%8E%AD%8E%99%93%87%91%E5%8Aw%81F%8E%AD%8E%99%93%87%91%E5%8Aw%83%8A%83%7C%83W%83g%83%8A&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F80042_3.gif

牧迫飛雄馬 . 【フレイル予防・対策:基礎研究から臨床、そして地域へ】フレイルの全体像を学ぶ　フレイルとは　多面性とフレイルサイクル . Advances in Aging and Health Research2020 19 - 26 2021年3月

Kaori Kaimoto, Mikako Yamashita, Taro Suzuki, Hyuma Makizako, Chihaya Koriyama, Takuro Kubozono, Toshihiro Takenaka, Mitsuru Ohishi, Hiroaki Kanouchi, The Tarumizu Study Diet Group . Association of Protein and Magnesium Intake with Prevalence of Prefrailty and Frailty in Community-Dwelling Older Japanese Women . J Nutr Sci Vitaminol67 ( 1 ) 39 - 47 2021年2月査読

Kaimoto Kaori, Yamashita Mikako, Suzuki Taro, Makizako Hyuma, Koriyama Chihaya, Kubozono Takuro, Takenaka Toshihiro, Ohishi Mitsuru, Kanouchi Hiroaki, the Tarumizu Study Diet Group . Association of Protein and Magnesium Intake with Prevalence of Prefrailty and Frailty in Community-Dwelling Older Japanese Women(和訳中) . Journal of Nutritional Science and Vitaminology67 ( 1 ) 39 - 47 2021年2月

記述言語：英語出版者・発行元：(公社)日本栄養・食糧学会

高齢者815名(女性515名、平均74.9歳)を対象に、栄養素摂取状況とプレフレイル(疲労感、動作緩慢、虚弱、活動量低下、または体重減少のいずれか一つ以上の存在)との関係について検討した。男性の52%および女性の54%がプレフレイルに該当した。男性では栄養素摂取状況とプレフレイルの間に有意な関連はみられなかった。女性の場合、健常群と比較して、プレフレイル群はビタミンKとB群(B1、B2、葉酸、パントテン酸)、リン、カリウム、カルシウム、マグネシウム、鉄、亜鉛、銅の摂取量が有意に少なかった。このうちプレフレイルに関連する有意な変数として抽出されたのはマグネシウムのみであった。マグネシウム摂取量の四分位別にみた女性のプレフレイルの調整オッズ比(95%信頼区間)は、第1分位を基準として、第2分位が0.52(0.29〜0.92,p=0.024)、第3分位が0.51(0.28〜0.95,p=0.033)、第4分位が0.38(0.19〜0.74,p=0.005)であった。以上から、高齢日本人女性において、マグネシウムはプレフレイル予防に重要な栄養素であると考えられた。

牧迫飛雄馬, 谷口善昭 . 脆弱性骨折による運動器障害とその予防-理学療法のエビデンスを踏まえて- 高齢期におけるオステオサルコペニアのリスクと対策 . 日本骨粗鬆症学会雑誌7 ( 1 ) 141 - 145 2021年2月

牧迫飛雄馬 . リハビリテーション職種が知っておくべき臨床統計　基礎から最新の話題まで母集団とサンプル、パラメータの推定 . Journal of Clinical Rehabilitation30 ( 1 ) 71 - 75 2021年1月

Kume Y, Bae S, Lee S, Makizako H, Matsuzaki-Kihara Y, Miyano I, Kim H, Shimada H, Ota H . Association between Kihon check list score and geriatric depression among older adults from ORANGE registry. . PloS one16 ( 6 ) e0252723 2021年査読国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：PLoS ONE

Objective Older adults in Japan are tackling health-related challenges brought by comprehensive geriatric symptoms, such as physical and cognitive problems and social-psychological issues. In this nationwide study, we mainly focused on the Kihon checklist (KCL) as certificated necessity of long-term care for Japanese older adults and investigated whether the KCL score was associated with geriatric depression. In addition, we aimed to identify critical factors that influence the relationship between the KCL score and geriatric depression. Methods This survey was a cross-sectional observational study design, performed from 2013 to 2019. A total of 8, 760 participants aged 65 years and over were recruited from five cohorts in Japan, consisting of 6, 755 persons in Chubu, 1, 328 in Kanto, 481 in Kyushu, 49 in Shikoku and 147 in Tohoku. After obtaining informed consent from each participant, assessments were conducted, and outcomes were evaluated according to the ORANGE protocol. We collected data on demographics, KCL, physical, cognitive and mental evaluations. To clarify the relationship between the KCL and geriatric depression or critical factors, a random intercept model of multi-level models was estimated using individual and provincial variables depending on five cohorts. Results The KCL score was correlated with depression status. Moreover, the results of a random intercept model showed that the KCL score and geriatric depression were associated, and its association was affected by provincial factors of slow walking speed, polypharmacy and sex difference. Conclusions These results suggest that provincial factors of low walking performance, polypharmacy and sex difference (female) might be clinically targeted to improve the KCL score in older adults.

DOI： 10.1371/journal.pone.0252723

Scopus

PubMed

牧迫飛雄馬, 赤井田将真 . 加齢に伴う心理の変化 . 理学療法学48 ( 2 ) 242 - 247 2021年

Makino K. . Diabetes and Prediabetes Inhibit Reversion from Mild Cognitive Impairment to Normal Cognition . Journal of the American Medical Directors Association22 ( 9 ) 1912 - 1918 2021年国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of the American Medical Directors Association

Objectives: Diabetes and prediabetes contribute to an increased risk of cognitive decline and dementia. Currently, it remains unclear whether elevated blood HbA1c levels, including prediabetes levels, affect reversion from mild cognitive impairment (MCI) to normal cognition. This study, therefore, aimed to examine the prospective associations of diabetes and prediabetes with reversion from MCI to normal cognition among community-dwelling older adults. Design: Longitudinal cohort study with a 4-year follow-up. Setting and Participants: Community-dwelling older adults with MCI, aged ≥65 years at baseline (n = 787). Methods: Participants’ medical history of diabetes and blood HbA1c levels at baseline were assessed, and they were classified as control, prediabetes, and diabetes. Objective cognitive screening was performed using a multicomponent neurocognitive test at baseline and follow-up. Reversion from MCI to normal cognition over 4 years was determined. In the longitudinal analysis, we performed multiple imputations to adjust for a selection bias and loss of information. Results: The reversion rates of MCI in the control, prediabetes, and diabetes groups were 63.4%, 55.6%, and 42.9%, respectively, in the completed follow-up dataset, and 54.6%, 47.2%, and 34.1%, respectively, in the imputed dataset. Multivariate logistic regression showed that diabetes decreases the probability of MCI reversion both before and after multiple imputations [odds ratio (OR) 0.37; 95% confidence interval (CI) 0.18–0.74 for before imputation, OR 0.37; 95% CI 0.19–0.72 for after imputation]. Furthermore, prediabetes also showed significantly decreased probabilities of MCI reversion both before and after multiple imputations (OR 0.57; 95% CI 0.34–0.94 for before imputation, OR 0.60; 95% CI 0.37–0.97 for after imputation). Conclusions and Implications: Diabetes and prediabetes could inhibit MCI reversion. Adequate glycemic control may be effective in enhancing the reversion from MCI to normal cognition in a community setting.

DOI： 10.1016/j.jamda.2021.02.033

Scopus

PubMed

中井雄貴, 富岡一俊, 谷口善昭, 竹中俊宏, 牧迫飛雄馬 . COVID-19対策に伴う外出自粛時期の地域在住高齢者における身体活動量変化:─運動教室に参加していた高齢者を対象とした調査─ . 理学療法科学36 ( 1 ) 35 - 40 2021年

記述言語：日本語出版者・発行元：理学療法科学学会

〔目的〕新型コロナウイルス感染症（COVID-19）の感染拡大予防対策に伴う外出自粛時期前後での運動教室に参加していた地域在住高齢者における身体活動量の変化を調べた．〔対象と方法〕対象は地域在住高齢者15名，2019年9月（緊急事態宣言前）と2020年4月（緊急事態宣言中）における身体活動量と生活空間（LSA）の変化を比較した．身体活動量は3軸加速度計を用いて計測した．〔結果〕緊急事態宣言前に比べて緊急事態宣言中は2割の者で町外への外出（生活空間レベル5）をしておらず，LSAスコアが低下傾向であったが，有意な変化ではなかった．身体活動量も有意な変化はなかった．〔結語〕2020年4月中旬時点において運動教室に参加していた高齢者は，生活範囲の顕著な変化および身体活動量の低下は認められなかった．

DOI： 10.1589/rika.36.35

CiNii Research

J-GLOBAL

KAIMOTO Kaori, YAMASHITA Mikako, SUZUKI Taro, MAKIZAKO Hyuma, KORIYAMA Chihaya, KUBOZONO Takuro, TAKENAKA Toshihiro, OHISHI Mitsuru, KANOUCHI Hiroaki, theTarumizuStudyDietGroup . Association of Protein and Magnesium Intake with Prevalence of Prefrailty and Frailty in Community-Dwelling Older Japanese Women . Ｊｏｕｒｎａｌ　ｏｆ　Ｎｕｔｒｉｔｉｏｎａｌ　Ｓｃｉｅｎｃｅ　ａｎｄ　Ｖｉｔａｍｉｎｏｌｏｇｙ67 ( 1 ) 39 - 47 2021年

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：一般財団法人学会誌刊行センター

We examined the association between nutrient intake and prefrailty. Data from 815 older people (63% women) who participated in a community-based health check survey (Tarumizu Study) were analyzed. Prefrailty were defined using five parameters (exhaustion, slowness, weakness, low physical activity, and weight loss). Participants with one or more components were considered to belong to the prefrailty group. Nutrition intake was estimated from a validated brief-type self-administered diet history questionnaire. Among the participants, 154 men (52%) and 278 women (54%) were found to be in a status of prefrailty. In men, there were no significant associations between nutrient intake and prefrailty. In women, carbohydrate intake was slightly higher in prefrailty group. Vitamins K, B1, B2, folic acid, pantothenic acid, phosphorus, potassium, calcium, magnesium, iron, zinc, and copper intake was significantly lower in the prefrailty group. Among the nutrients, magnesium was identified as a significant covariate of prefrailty using a stepwise regression method. In women adjusted ORs (95%CI, p value) for prefrailty in the first, second, third, and fourth quartiles of magnesium intake were 1.00 (reference), 0.52 (0.29–0.92, 0.024), 0.51 (0.28–0.95, 0.033), and 0.38 (0.19–0.74, 0.005), respectively, by multivariate logistic regression analysis (variates: age, body mass index, energy intake, supplement use, osteoporosis, magnesium, and protein intake). Protein intake did not related to prefrailty. Protein intake might be sufficient to prevent prefrailty in the present study. We propose magnesium to be an important micronutrient that prevents prefrailty in community-dwelling older Japanese women.

DOI： 10.3177/jnsv.67.39

Scopus

PubMed

CiNii Research

Maruta M. . Association between apathy and satisfaction with meaningful activities in older adults with mild cognitive impairment: A population-based cross-sectional study . International Journal of Geriatric Psychiatry36 ( 7 ) 1065 - 1074 2021年査読国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：International Journal of Geriatric Psychiatry

Objectives: This cross-sectional study aimed to clarify the relationship between apathy, meaningful activities, and satisfaction with such activities of older adults with mild cognitive impairment (MCI). Methods: We analyzed 235 older adults with MCI (≥65 years, mean age: 76.9 ± 6.4 years, women: 63.4%) who participated in a community-based health check survey (Tarumizu Study 2018). MCI was defined as at least 1.5 SD below the reference threshold (age- and education-adjusted score) on one or more of the computerized cognitive test including memory, attention, executive functions, and processing speed. Apathy symptoms were assessed using three of the 15 items of Geriatric Depression Scale. Participants selected meaningful activities from the 95 activities of the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Results: Apathy in MCI was prevalent by 23.8%. The categories of meaningful activities revealed no difference, with, or without apathy. Logistic regression analysis showed that activity satisfaction was significantly associated with apathy after adjusting for age, sex, education, instrumental activities of daily living, depressive symptoms, and MCI subtype (OR, 0.62; 95% CI, 0.44–0.88, p = 0.008). Conclusions: Satisfaction with the activities that are deemed meaningful is associated with apathy among community-dwelling older adults with MCI.

DOI： 10.1002/gps.5544

Scopus

PubMed

その他リンク： https://onlinelibrary.wiley.com/doi/full-xml/10.1002/gps.5544

Makizako H. . Physical Frailty and Future Costs of Long-Term Care in Older Adults: Results from the NCGG-SGS . Gerontology67 ( 6 ) 1 - 10 2021年国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Gerontology

Introduction: Frailty is associated with adverse outcomes, but few studies have determined associations between the frailty phenotype and measures of healthcare burden, including long-term care insurance (LTCI) costs, in older community-dwelling populations. Objective: The aim of this study was to examine the association between frailty status and subsequent LTCI costs in Japanese community-dwelling older adults. Methods: The prospective data were from a cohort study (National Center for Geriatrics and Gerontology-Study of Geriatric Syndromes [NCGG-SGS]). The participants were community-dwelling older adults (mean age 71.8 years, women 50.7%) participating in an NCGG-SGS baseline examination held between August 2011 and February 2012 in Obu, Japan (N = 4,539). At baseline, we assessed the physical frailty phenotype using the Japanese version of the CHS criteria and categorized it as robust, pre-frail, or frail. We also ascertained care-needs certification and total costs using long-term care services in Japan's public LTCI system during the 29 months. Results: During the 29-month follow-up period, 239 participants (5.3%) required the LTCI system's care-needs certification and 163 participants (3.6%) used LTCI services. Participants classified as frail (odds ratio 5.85, 95% confidence interval 3.54-9.66) or pre-frail (2.40, 1.58-3.66) at the baseline assessment had an increased risk of requiring care-needs certification compared with robust participants. The mean total costs for LTCI services during the 29 months were Currency sign6,434 ($63.1) for robust, Currency sign19,324 ($189.5) for pre-frail, and Currency sign147,718 ($1,448.2) for frail participants (1 US dollar = 102 Japanese yen in July 2014). There were significantly higher costs associated with advancing frailty status. Individual frailty components (slowness, weakness, exhaustion, low activity, and weight loss) were also associated with higher total costs for using LTCI services. Discussion/Conclusion: Frail community-dwelling older adults had a higher risk of requiring the LTCI system's care-needs certification and the subsequent total LTCI costs.

DOI： 10.1159/000514679

Scopus

PubMed

Kiuchi Y. . The association between dietary variety and physical frailty in community-dwelling older adults . Healthcare (Switzerland)9 ( 1 ) 2021年国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Healthcare (Switzerland)

The aim of this cross-sectional study was to examine the association between diet variety and physical frailty in community-dwelling older adults. Data of 577 older adults (mean age: 74.0 ± 6.3 years, women: 62.5%) were analyzed. Diet variety was assessed using the Food Frequency Score (FFS) (maximum, 30 points). The FFS assessed the one-week consumption frequency of ten foods (meat, fish/shellfish, eggs, milk & dairy products, soybean products, green & yellow vegetables, potatoes, fruits, seafood, and fats & oil). Physical frailty was assessed using Fried’s component (slowness, weakness, exhaustion, low physical activity, and weight loss). The participants were classified into frail, pre-frail, and non-frail groups. The prevalence of physical frailty was 6.6%. This study found significant associations between physical frailty and low FFS after adjusting for covariates (odds ratio (OR) 0.90, 95% confidence interval (CI) 0.84–0.97, p < 0.01). The optimal cutoff point of the FFS for physical frailty was ≤16 points. FFS lower than the cutoff point were significantly associated with physical frailty after adjusting for covariates (OR 3.46, 95% CI 1.60–7.50, p < 0.01). Diet variety assessed using the FFS cutoff value of ≤16 points was related to the physical frailty status in community-dwelling older adults.

DOI： 10.3390/healthcare9010032

Scopus

PubMed

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