Plant-based diets and risk of frailty in community-dwelling older adults: the Seniors-ENRICA-1 cohort
Entidad
UAM. Departamento de Medicina Preventiva y Salud Pública y MicrobiologíaEditor
SpringerFecha de edición
2022-07-04Cita
10.1007/s11357-022-00614-3
GeroScience (2022): 1-12
ISSN
2509-2715 (print); 2509-2723 (online)DOI
10.1007/s11357-022-00614-3Financiado por
Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. This work was supported by the Institute of Health Carlos III; the Secretary of R+D+I; the European Regional Development Fund/European Social Fund (FIS grant numbers 19/319, 20/896, FI29/00162 to MDV); the National Plan on Drugs (grant number 2020/17); Fundación Soria Melguizo (MITOFUN project); Ministry of Science, Innovation and Universities (grant number RYC 2018- 02069I to MSP); Universidad Autónoma de Madrid (FPI contract to ACC). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscriptVersión del editor
https://doi.org/10.1007/s11357-022-00614-3Materias
Diet quality; Elderly; Healthy aging; Physical impairment; Pro-vegetarian pattern; MedicinaDerechos
© The Author(s) 2022Resumen
Frailty is a geriatric syndrome that leads to increased risk of hospitalization, disability, and death. The effect of plant-based diets defined by the quality of their plant foods is unclear. Our objective is to study the association between two plant-based diet indices and the occurrence of frailty among community-dwelling older adults in Spain. We analyzed data from 1880 individuals aged ≥ 60 years from the Spanish Seniors ENRICA-1 cohort. We used a validated diet history to build two indices: (a) the healthful Plant-based Diet Index (hPDI) where healthy plant foods received positive scores, whereas less-healthy plant foods and animal foods received reverse scores; and (b) the unhealthful Plant-based Diet Index (uPDI), with positive scores to less-healthy plant foods and reverse scores to animal and healthy plant foods. Incident frailty was defined with the Fried phenotype. Study associations were summarized with odds ratios (OR) and 95% confidence intervals (CI) obtained from multivariable logistic models. After 3.3 years of follow-up, 136 incident frailty cases were ascertained. Comparing the highest vs. the lowest tertile of adherence, the OR [95% CI] for frailty was 0.43 (0.25–0.74; p-trend =.003) for the hPDI, and 2.89 (1.73–4.84; p-trend <.001) for the uPDI. Higher consumption of healthy plant foods was inversely associated with frailty (0.39 [0.23–0.66; p-trend < 0.001]); higher consumption of unhealthy plant foods was associated with higher frailty risk (2.40 [1.23–4.71; p-trend =.01]). In older adults, the hPDI was associated with lower risk of frailty, while the opposite was found for the uPDI
Lista de ficheros
Google Scholar:Maroto Rodríguez, Javier
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Delgado Velandia, Mario Alejandro
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Ortola Vidal, María Del Rosario
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Carballo Casla, Adrián
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García García-Esquinas, Esther
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Rodríguez Artalejo, Fernando
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Sotos Prieto, Mercedes
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