Food consumption is associated with frailty in edentulous older adults: evidence from the ELSI-Brazil study

Ygnatios, Nair Tavares Milhem; Lima‐Costa, Maria Fernanda; Torres, Juliana Lustosa

doi:10.1590/1413-81232023287.12032022

Cited by 5 publications

(4 citation statements)

References 47 publications

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“…Another Chinese cohort study suggested that a dietary pattern including eggs, fish, and meat might reduce the incidence of frailty in older adults [41]. A cross-sectional study from Brazil indicated that relatively low meat consumption was linked to a high prevalence of frailty in edentulous individuals [42]. Hence, exploring the association between specific food groups and frailty warrants further investigation.…”

Section: Discussionmentioning

confidence: 99%

Plant-Based Diet Indices and Their Association with Frailty in Older Adults: A CLHLS-Based Cohort Study

Qi,

Yang,

Sheng

et al. 2023

Nutrients

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Within the realm of aging, the nexus between diet and health has garnered considerable attention. However, only select studies have amalgamated insights into the correlation between plant and animal food consumption and frailty. Our aim was to appraise the connections between the overall plant-based diet index (PDI), healthful plant-based diet index (hPDI), and unhealthful plant-based diet index (uPDI) and frailty in the elderly, utilizing data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). This cohort study drew upon CLHLS data spanning from 2008 to 2018. The PDI, hPDI, and uPDI were gauged using a simplified food frequency questionnaire (FFQ). A frailty index, encompassing 35 variables across major health domains, was formulated. Cox proportional hazard models were employed to scrutinize the associations between the three plant-based dietary indices and frailty in older adults, including an exploration of gender disparities in these associations. A cohort of 2883 study participants was encompassed, with 1987 (68.9%) observed to be either frail or in the pre-frail stage. The Cox model with penalized spline exhibited linear associations of PDI, hPDI, and uPDI with the frailty index. Following covariate adjustments, it was discerned that older adults situated in the highest quartiles of PDI (HR = 0.86, 95% CI: 0.77–0.95) and hPDI (HR = 0.83, 95% CI: 0.74–0.93) experienced a 14% and 17% diminished risk of frailty compared to those in the lowest quartiles of PDI and hPDI, respectively. Conversely, when contrasted with those in the lowest quartile of uPDI, older adults adhering to the highest tertile of uPDI exhibited a 21% elevated risk of frailty (HR = 1.21, 95% CI: 1.08–1.36), with both associations achieving statistical significance (p < 0.01). Moreover, additional subgroup analyses revealed that the protective effects of PDI and hPDI against frailty and the deleterious effects of uPDI were more conspicuous in men compared to women. To forestall or decelerate the progression of frailty in the elderly, tailored dietary interventions are imperative, particularly targeting male seniors.

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Section: Discussionmentioning

confidence: 99%

Plant-Based Diet Indices and Their Association with Frailty in Older Adults: A CLHLS-Based Cohort Study

Qi,

Yang,

Sheng

et al. 2023

Nutrients

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“…For those aged 60 years and over, we used a recent cutoff reported for older Brazilian adults: adequate (<88.7 cm) or elevated (≥88.7 cm) 30 . Anthropometric measurements of body weight, height, and waist circumference were measured objectively using standardized protocols that can be consulted in another publication 31 . All measurements were performed twice, and the average of the two measurements was used in data analysis.…”

Section: Methodsmentioning

confidence: 99%

“…30 Anthropometric measurements of body weight, height, and waist circumference were measured objectively using standardized protocols that can be consulted in another publication. 31 All measurements were performed twice, and the average of the two measurements was used in data analysis. Participants who were bedridden and wheelchair users did not have their anthropometric measurements evaluated.…”

Section: Exposure Variablesmentioning

confidence: 99%

Age at natural menopause and its associated characteristics among Brazilian women: cross-sectional results from ELSI-Brazil

Ygnatios,

Mambrini,

Torres

et al. 2024

Menopause

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Objectives This study aimed to determine the median age at natural menopause and analyze lifestyle, anthropometric, and dietary characteristics associated with the age at natural menopause among Brazilian women. Methods This cross-sectional study involved 2,731 women 50 years and over, drawn from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil, 2015/16). Nonparametric Kaplan-Meier cumulative survivorship estimates were used to assess the median timing of natural menopause. Cox proportional hazards regression models were employed to estimate the associations between age at natural menopause and exposure variables. Results The overall median age at natural menopause was 50 years. In the adjusted Cox model, current smoking (hazard ratio [HR], 1.11; 95% CI, 1.01-1.23) and underweight (HR, 1.34; 95% CI, 1.12-1.61) were associated with earlier natural menopause. Conversely, performing recommended levels of physical activity in the last week (HR, 0.88; 95% CI, 0.80-0.97), being overweight (HR 0.86; 95% CI, 0.74-0.99), and adhering to two or three healthy eating markers (HR, 0.80; 95% CI, 0.66-0.97; HR, 0.76; 95% CI, 0.61-0.94, respectively) were associated with later age at natural menopause. Binge drinking and waist circumference were not associated with age at natural menopause. Conclusions Lifestyle, anthropometric, and dietary characteristics are significant factors that affect the age at natural menopause. Our findings can contribute to public policies targeted at Brazilian women's health.

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“…Anthropometric measurements, objectively measured by standardized protocols 19 , of body weight, height, and waist circumference (WC) were included. A Seca 813 portable digital scale ( https://www.seca.com ) was used to measure weight, a Nutri-Vida portable vertical stadiometer, to assess height and a Seca 201 tape measure, to gauge WC.…”

Section: Methodsmentioning

confidence: 99%

Urban-rural differences in food consumption and environment and anthropometric parameters of older adults: results from ELSI-Brazil

et al. 2023

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This study aimed to identify dietary and anthropometric differences in older Brazilian adults (≥ 50 years old) living in urban-rural areas. This is a cross-sectional study with data from the second wave (9,949 participants) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) from 2019-2021. Weekly dietary intake of fruit/vegetables, beans, and fish; self-perception of salt consumption; food environment (availability of fruit/vegetables in the neighborhood and self-production of food); and objective anthropometric parameters (body mass index [BMI] and waist circumference [WC]) were evaluated. Analyses were adjusted for schooling level. Compared to urban areas, rural areas show lower consumption of fruit/vegetables five days or more per week (74.6% vs. 86.4%) and greater adequate salt intake (96.8% vs. 92.1%) - differences we observed for men and women. Rural areas showed lower high WC (61.9% vs. 68%), significant only for men. Considering food environment, rural areas had lower fruit and vegetable availability in the neighborhood (41.2% vs. 88.3%) and higher self-production of food (38.2% vs. 13.2%). We observed a lower consumption of fruit/vegetables five days or more per week in rural areas with fruit/vegetable availability in the neighborhood and no self-production of food. Urban and rural areas show food and nutritional diversity. Incentives for fruit or vegetable consumption among residents in urban areas should consider the greater availability of these foods in their neighborhood, whereas, in rural areas, self-production of food should be encouraged. Adequate salt intake and ideal WC maintenance should be reinforced in urban areas.

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Food consumption is associated with frailty in edentulous older adults: evidence from the ELSI-Brazil study

Cited by 5 publications

References 47 publications

Plant-Based Diet Indices and Their Association with Frailty in Older Adults: A CLHLS-Based Cohort Study

Plant-Based Diet Indices and Their Association with Frailty in Older Adults: A CLHLS-Based Cohort Study

Age at natural menopause and its associated characteristics among Brazilian women: cross-sectional results from ELSI-Brazil

Urban-rural differences in food consumption and environment and anthropometric parameters of older adults: results from ELSI-Brazil

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