日本社区老年女性跌倒与饮食模式、营养不足和脆弱性之间的关系:一项横断面研究。

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2023-01-01 DOI:10.6133/apjcn.202303_32(1).0015
Tatsumi Hayashi, Rumi Sato, Kazuo Tamura
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引用次数: 0

摘要

背景和目的:跌倒在老年女性中很常见。本研究调查了居住在日本社区的老年女性跌倒与饮食模式、营养不足和体质的关系。方法和研究设计:这项横断面研究涉及271名年龄在65岁及以上的女性。优先性被定义为表现出日本版心血管健康研究标准中的一项或两项。排除虚弱(n=4)。使用经过验证的FFQ来估计能量、营养和食物摄入量。通过聚类分析,从FFQ评估的20种食物组的摄入量中确定饮食模式。根据DRIs检测了每种膳食模式中选定的23种营养素的营养不足程度。应用二项逻辑回归来检验跌倒与饮食模式、体质和营养不足之间的关系。结果:纳入了267名参与者的数据。跌倒的发生率为27.3%,37.4%的参与者被归类为易感者。确定的三种饮食模式分别是;“大米、鱼和贝类”(n=100);“蔬菜和乳制品”(n=113);“面包和饮料”(n=54)。二项logistic回归分析显示,“米+鱼+贝类”的饮食模式(OR, 0.41;95% CI, 0.16-0.95),以及“蔬菜和乳制品”(OR, 0.30;95% CI, 0.12-0.78)与跌倒负相关,跌倒与易感性正相关。结论:以“米饭、鱼和贝类”以及“蔬菜和乳制品”为特征的饮食模式与社区居住的日本老年女性跌倒发生率降低有关。需要更大规模的前瞻性研究来验证这些结果。
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Relationships among falls and dietary patterns, nutritional inadequacy and prefrailty in community-dwelling older Japanese females: A cross-sectional study.

Background and objectives: Falls are common among older females. This study investigated the relationships among falls and dietary patterns, nutritional inadequacy and prefrailty in community-dwelling older Japanese females.

Methods and study design: This cross-sectional study involved 271 females aged 65 and over. Prefrailty was defined as exhibiting one or two of the five Japanese version of the Cardiovascular Health Study criteria. Frailty was excluded (n=4). Energy, nutrient and food intakes were estimated using a validated FFQ. Dietary patterns were determined from intakes of 20 food groups assessed with FFQ, by cluster analysis. Nutritional inadequacy for the selected 23 nutrients in each dietary pattern was examined based on DRIs. Binomial logistic regression was applied to examine the relationships among falls and dietary pat-terns, prefrailty, and inadequate nutrients.

Results: Data from 267 participants were included. The incidence of falls was 27.3%, and 37.4% of participants were classified as prefrailty. Three dietary patterns identified were namely; 'rice and fish and shellfish' (n=100); 'vegetables and dairy products' (n=113); and 'bread and beverages' (n=54). A binomial logistic regression analysis revealed that dietary patterns of 'rice and fish and shellfish' (OR, 0.41; 95% CI, 0.16-0.95), and 'vegetables and dairy products' (OR, 0.30; 95% CI, 0.12-0.78) were negatively correlated with falls, and falls was positively associated with prefrailty.

Conclusions: Dietary patterns characterized by 'rice and fish and shellfish', and 'vegetables and dairy products' were associated with a reduced incidence of falls in community-dwelling older Japanese females. Larger prospective studies are needed to validate these results.

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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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