Impact of Frailty on Dietary Habits among Community-Dwelling Older Persons during the COVID-19 Pandemic in Japan

Background: The coronavirus disease (COVID-19) pandemic has resulted in reduced physical activity and social interaction. These restrictions may have affected the food intake habits of frail older people more than non-frail older people. Objectives: To investigate the association between frailty and change in dietary habit during the pandemic. Design: Cross-sectional mail survey Setting: Community-based Participants: The study questionnaire was mailed to 4,436 older residents of Higashiura, Aich Japan, who were aged ≥75 years and who did not need care as of April 1, 2020. Of these, 2,738 participants provided complete answers to the questionnaires (75–96 years old, 49.3% males). Measurements: The participants’ frailty status and changes in food consumption during social isolation were assessed. Frailty status was assessed using the five-item frailty screening index (i.e., weight loss, low physical function, low physical activity, cognition, and exhaustion). Any participant who reported an increase or a decrease in ≥1 of the 12 food categories was defined as having change in dietary habit. Using multivariate logistic regression analysis, the odds ratios (ORs) and 95% confidence intervals (CIs) of frailty for changes in diet were estimated by adjusting for age, sex, BMI, and living alone. In each of the 12 food categories, the proportion of participants with increased and decreased food intake was compared between the groups. Results: Among the participants, 470 (17.2%) were frail, and 1,097 (40.1%) experienced a change in dietary habit under social restriction. The adjusted OR (95% CI) of the frail group for a change in dietary habit was 2.01 (1.63–2.47, p<0.001). Participants with decreased consumption of meat, fish, seaweed and mushroom, and fruits and those with increased consumption of eggs, bread, and noodles tended to be frail. Conclusion: The nutritional intervention for frail older people should be strengthened during the pandemic.

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Modifiable factors of vitamin D status among a Brazilian osteoporotic population attended a public outpatient clinic

Arquivos Brasileiros de Endocrinologia & Metabologia ◽

10.1590/0004-2730000003393 ◽

2014 ◽

Vol 58 (5) ◽

pp. 572-582 ◽

Cited By ~ 3

Author(s):

Marília Brasilio Rodrigues Camargo ◽

llda Sizue Kunii ◽

Lilian Fukusima Hayashi ◽

Patrícia Muszkat ◽

Catherine Gusman Anelli ◽

...

Keyword(s):

Physical Activity ◽

Vitamin D ◽

Dietary Habits ◽

Vitamin D Supplementation ◽

Community Dwelling ◽

Vitamin D Status ◽

Mineral Density ◽

Cross Sectional ◽

Modifiable Factors ◽

The Mean

Objectives To evaluate the serum 25-hydroxyvitamin D [25(OH)D] concentration in Brazilian osteoporotic patients and the modifiable factors of vitamin D status in this population. Subjects and methods In a cross-sectional study, 363 community-dwelling patients who sought specialized medical care were evaluated between autumn and spring in São Paulo, Brazil. Serum levels of 25(OH)D and parathormone (PTH), biochemical and anthropometric measurements, and bone density scans were obtained. The group was assessed using two questionnaires: one questionnaire covered lifestyle and dietary habits, skin phototype, sun exposure, medical conditions, and levels of vitamin D supplementation (cholecalciferol); the other questionnaire assessed health-related quality-of-life. Logistic regression and a decision tree were used to assess the association between the variables and the adequacy of vitamin D status. Results The mean age of the overall sample was 67.9 ± 8.6 years, and the mean 25(OH)D concentration was 24.8 ng/mL. The prevalence of inadequate vitamin D status was high (73.3%), although 81.5% of the subjects were receiving cholecalciferol (mean dose of 8,169 IU/week). 25(OH)D was positively correlated with femoral neck bone mineral density and negatively correlated with PTH. In the multivariate analysis, the dose of cholecalciferol, engagement in physical activity and the month of the year (September) were associated with improvement in vitamin D status. Conclusions In this osteoporotic population, vitamin D supplementation of 7,000 IU/week is not enough to reach the desired 25(OH)D concentration (≥ 30 ng/mL). Engagement in physical activity and the month of the year are modifiable factors of the vitamin D status in this population.

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Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study

Nutrients ◽

10.3390/nu12041041 ◽

2020 ◽

Vol 12 (4) ◽

pp. 1041 ◽

Cited By ~ 2

Author(s):

Pilar Pérez-Ros ◽

Rafael Vila-Candel ◽

Lourdes López-Hernández ◽

Francisco Miguel Martínez-Arnau

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Nutritional Status ◽

Older People ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

Community Dwelling Older People ◽

The Relationship

Objective: This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Methods: Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL). Results: We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (n = 356) were women, and 83.9% (n = 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (R2 = 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21; p < 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52; p = 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02; p = 0.015), falls (OR 1.94, 95% CI 1.12, 3.25; p = 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16; p = 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35; p < 0.001). Conclusions: The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.

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Physical activity and dietary habits of Filipino college students

Kinesiology ◽

10.26582/k.50.1.11 ◽

2018 ◽

Vol 50 (1) ◽

pp. 57-67 ◽

Cited By ~ 3

Author(s):

Elizabeth Acampado ◽

Madonna Valenzuela

Keyword(s):

Physical Activity ◽

College Students ◽

Food Intake ◽

Dietary Habits ◽

Cross Sectional Study ◽

Student Population ◽

Predisposing Factors ◽

Survey Questionnaire ◽

Sectional Study ◽

Cross Sectional

No published study has been tracked to date on the physical activity (PA) and dietary habits (DH) of Filipino college students. Thus, this cross-sectional study aimed to determine (1) the prevalence of regular PA among college students in a Philippine setting and (2) the reasons for either adherence to PA or for being inactive, (3) to describe DH of the students, (4) to compare PA involvement and DH across year levels, and (5) to correlate PA and diet behaviors. Data were collected using a self-administered survey questionnaire. Results showed that only 32.8% of the 1,706 students in this study engaged in regular PA. There were greater proportions of inactivity at higher-year levels (62.5%, 66.5%, 76.5%, and 84.8% in the first, second, third and fourth year, respectively). The major reason for inactivity was lack of time, while the students’ PA adherence was largely due to predisposing factors such as knowledge about PA, beliefs in benefits and enjoyment of PA, and confidence in performing physical activity. About one of every three students in each year level had below-average to poor dietary habits, meaning they seldom eat proper types of food. Findings of this study indicate the need for an intervention that will effectively increase regular PA and ensure proper food intake in the student population.

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90 The Effectiveness of Volunteer-Led Physical Activity Interventions in Improving Health Outcomes for Community-Dwelling Older People: A Systematic Review

Age and Ageing ◽

10.1093/ageing/afz194.01 ◽

2020 ◽

Vol 49 (Supplement_1) ◽

pp. i30-i32

Author(s):

S E R Lim ◽

N J Cox ◽

H C Roberts

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Older People ◽

Health Outcomes ◽

Grip Strength ◽

Community Dwelling ◽

Frailty Status ◽

Community Dwelling Older People ◽

Community Dwelling Older Adults

Abstract Introduction Physical activity (PA) is important for older people to maintain functional independence and healthy ageing. PA interventions for community-dwelling older adults are often delivered by healthcare professionals, fitness instructors or trained members of a research team. Innovative approaches are needed to ensure that these interventions are practical and sustainable. This systematic review explores the effectiveness of volunteer-led PA interventions in improving health outcomes for community-dwelling older people. Methods Following PRISMA recommendations, five databases (MEDLINE, Embase, CINAHL, PEDro, Cochrane library) were systematically searched until May 2019, for studies using trained volunteers to deliver PA interventions for community-dwelling older people aged ≥ 65 years, reporting on participant outcomes. Meta-analysis was not conducted due to included study heterogeneity. Results Twelve papers (eight studies including three randomised controlled trials (RCTs)) were included in the review; five papers reported different outcomes from the same RCT. Intervention settings included community exercise groups (n=4), home (n=2) and care homes (n=2). All eight studies included strength and balance exercises and frequency of PA ranged from once daily to weekly sessions. The three RCTs showed improvement in grip strength, nutritional and frailty status, and reduction in fear of falling, among 39 older adults (mean age 83 years) who received a physical training and nutritional intervention; improvement in grip strength and activity of daily living scores among 56 nursing home older adults (mean age 78 years) who received resistance exercise training; and a significantly higher proportion of older adults (n = 193, 9% improvement vs 0.5% in the control group) achieved the recommended target of 150 minutes of moderate vigorous PA per week using the Falls Management Exercise intervention. Two studies compared volunteer and health professional-delivered PA interventions and reported that both interventions were equally effective in reducing fear of falls and improving quality of life. Two quasi-experimental studies reported improvement in functional outcomes including functional reach, timed up and go test, and chair stand. A large prospective cohort study (n = 1620) reported a reduction in disability among older adults who received volunteer-led exercise compared to control, with a hazard ratio of 0.73 (95% CI 0.62-0.86) for development of disability. Conclusions Trained volunteers can lead PA interventions among community-dwelling older adults with some evidence of improved health outcomes including nutritional, functional and frailty status.

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Conditions associated with sarcopenia and sarcopenic obesity among community-dwelling older people

Research Society and Development ◽

10.33448/rsd-v10i14.22205 ◽

2021 ◽

Vol 10 (14) ◽

pp. e279101422205

Author(s):

Rita de Cássia da Silva Almeida Lira ◽

Amanda Carla Corrêa Viana ◽

Adrielle Cavalcanti de Pontes Araújo ◽

Ulisses Taddei ◽

Ana Célia Oliveira dos Santos

Keyword(s):

Physical Activity ◽

Older People ◽

Family Support ◽

Demographic Data ◽

Community Dwelling ◽

Sarcopenic Obesity ◽

P Value ◽

Fat Percentage ◽

Cross Sectional ◽

Community Dwelling Older People

Objective: to investigate the factors associated with sarcopenia and sarcopenic obesity (SO) in community-dwelling older people. Methods: This was a cross-sectional community-based study. Sarcopenia was diagnosed according to the cutoff points of hand grip strength (HGS), and SO was identified through a low HGS concomitant with a high body fat percentage, according to sex, determined using electrical bioimpedance. Calorie and protein intake was estimated using a 24-hour recall. Socio-demographic data were obtained by means of an interview and the level of physical activity was assessed using a specific instrument. Results: Prevalence of 43% and 19.6% were observed for sarcopenia and SO, respectively. Older people aged ≥ 70 years have a significantly higher risk for sarcopenia in 183% (PR = 2.83; 95% CI = [1.62 to 4.96]; p value < 0.001) compared to those aged 60 to 69 years. The prevalence of sarcopenia was higher in males, among those who contribute to family support, present comorbidities and are less physically active. The prevalence of SO and sarcopenia was high, but this study did not allow us to observe statistically significant associations. Calorie and protein intakes were predominantly inadequate throughout the sample, however, there was no association with sarcopenia and SO. Conclusion: Advance years of life was shown to be a factor associated with sarcopenia, and with SO. Contributing to family support and insufficient physical activity were determining conditions for the occurrence of sarcopenia.

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Letter to the Editor: Exploring Associations Between Oral Health and Frailty in Community-Dwelling Older People

Journal of Frailty & Aging ◽

10.14283/jfa.2021.10 ◽

2021 ◽

pp. 1-1

Author(s):

R.C. Castrejón-Pérez

Keyword(s):

Oral Health ◽

Older People ◽

Medical Record ◽

Frailty Index ◽

Community Dwelling ◽

Frailty Phenotype ◽

Cross Sectional ◽

Frailty Status ◽

Community Dwelling Older People ◽

Oral Conditions

The studies exploring the association between oral conditions and Frailty status are increasing in number, and many manuscripts have been published during the last couple of years. Even when Everaars et al. (1) manuscript is cross-sectional, it contributes to the knowledge by confirming the association between oral conditions and Frailty despite the selected strategy for measuring Frailty since authors added the interview Groningen Frailty Index and the Frailty Index (computed with data extracted from the Electronic Medical Record) to the most frequently used Frailty Phenotype and Kihon checklist (2).

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A cross-sectional study investigating the relationships between self-management abilities, productive patient-professional interactions, and well-being of community-dwelling frail older people

European Journal of Ageing ◽

10.1007/s10433-020-00586-3 ◽

2020 ◽

Author(s):

Lotte Vestjens ◽

Jane Murray Cramm ◽

Anna Petra Nieboer

Keyword(s):

Older People ◽

Well Being ◽

Cross Sectional Study ◽

Community Dwelling ◽

Self Management ◽

Sectional Study ◽

Frail Older People ◽

Cross Sectional ◽

Ageing Populations ◽

Professional Interactions

Abstract Worldwide, the maintenance of well-being in ageing populations with associated frailty has become increasingly important. To maintain well-being during ageing, investment in frail older people’s self-management abilities and the fostering of productive interactions with healthcare professionals may lead to higher levels of well-being. The aim of this study was to investigate the relationships between community-dwelling frail older people’s self-management abilities, productive patient-professional interactions and well-being, while controlling for socio-demographic characteristics. This cross-sectional study included 588 community-dwelling frail older people (aged ≥ 75 years) from 15 general practitioner (GP) practices in the Netherlands. Well-being (Social Production Function Instrument for the Level of well-being short), productivity of interactions with GPs (relational coproduction instrument), and self-management abilities (Self-Management Ability Scale short) were measured during in-home face-to-face interviews by trained interviewers. Data were analysed using descriptive statistics, correlation analyses, and linear mixed-effects models. Significant relationships were detected between self-management abilities and the overall, social, and physical well-being of older people, and between productive interactions with GPs and overall and social well-being, but not physical well-being. In a time of ageing populations with associated frailty, investment in frail older people’s self-management abilities and the productivity of patient-professional interactions may be beneficial for this population’s well-being.

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Association of Frailty Status and Functional Disability among Community-Dwelling People Aged 80 and Older in Vietnam

BioMed Research International ◽

10.1155/2021/7109452 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Thu Thi Hoai Nguyen ◽

Anh Trung Nguyen ◽

Thanh-Huyen Thi Vu ◽

Nga Thi Dau ◽

Phong Quy Nguyen ◽

...

Keyword(s):

Physical Activity ◽

Daily Living ◽

Functional Disability ◽

Walking Speed ◽

Community Dwelling ◽

80 And Over ◽

Aged 80 And Over ◽

Cross Sectional ◽

Frailty Status ◽

Sectional Analysis

Objectives. This study investigated associations between frailty and functional disability in elder suburban Vietnamese. Method. Cross-sectional analysis was carried out on 251 participants aged 80 and over in Soc Son district. We used the Instrumental Activities of Daily Living (IADL) scale including 8 items, and functional disability was defined as ≥3 IADL impairment. We defined frail as ≥3 out of 5 frailty components including weight loss > 5 % , weak grip, exhaustion, low walking speed, and low physical activity. Results. Of 251 participants with a mean age of 84.6, 11.2% was classified as frail and 64.5% had ≥3 IADLs. Among the frailty components, low walking speed and low physical activity were significantly associated with increased odds of having ≥3 IADLs: ORs (95% CI) were 4.2 (2.3-7.9) and 3.7 (1.7-8.2). Conclusion. Frailty is associated with the higher likelihood of having functional disability. Further longitudinal studies are needed to examine the causal this relationship.

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Relationships between ideal figure, lifestyle habits, physical activity and self-rated health in Japanese female healthcare students

10.21203/rs.3.rs-37289/v1 ◽

2020 ◽

Author(s):

Makoto Ohtsuki ◽

Yusuke Wakasugi ◽

Takuhiro Narukawa ◽

Shunsuke Uehara ◽

Takeshi Ohkubo

Keyword(s):

Physical Activity ◽

Dietary Habits ◽

Body Height ◽

Multivariate Logistic Regression Analysis ◽

Female Students ◽

Subjective Perception ◽

Cross Sectional Survey ◽

Lifestyle Habits ◽

Cross Sectional ◽

Self Rated Health

Abstract Background Self-rated health (SRH), a subjective perception of an individual’s overall health, is widely used in public health. The transition from adolescence to young adulthood is a critical period, with significant changes in lifestyle and dietary habits. It is therefore important to understand the self-rated health of young Japanese women. The aim of this study to provide basic data on the epidemiological features of SRH in female students of healthcare subjects, including their recognition of appropriate physique, lifestyle habits, and levels of physical activity. Methods A cross-sectional survey was conducted in a total of 1101 female students of healthcare subjects in Japan. Body mass index was calculated from body height and weight using data from periodic health examinations, and lifestyle habits, physical activity, and self-rated health were self-reported using several previously-validated scales. Multivariate logistic regression analysis was used to investigate the relationship between self-rated health and scores for lifestyle habits and physical activity, adjusting for grade and smoking. Results The odds ratio of poor/fair self-rated health was 1.87 (95% confidence interval (Cl) 1.13–3.24) for lower vs higher levels of activity, 5.38 (3.59–8.10) for those with vs. without insomnia, and 0.44 (0.28–0.69) for the group who wanted to be thin, rather than those whose ideal weight was standard. Conclusions Young women tend to want to be thin, so it is important to provide health education that will help them to understand appropriate weight on a medical basis, and prevent health problems caused by the inappropriate idealization of thinness.

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Fear of Falling among Community-dwelling Sedentary and Active Older People

Investigación y Educación en Enfermería ◽

10.17533/udea.iee.v39n1e13 ◽

2021 ◽

Vol 39 (1) ◽

Author(s):

Alejandra-Ximena Araya ◽

Evelyn Iriarte

Keyword(s):

Physical Activity ◽

Older People ◽

Fear Of Falling ◽

Care Center ◽

Depression Scale ◽

Demographic Variables ◽

Community Dwelling ◽

Cognitive Capacity ◽

Cross Sectional ◽

Community Dwelling Older People

Objective. The study sought to compare community-dwelling older people with respect to their level of physical activity and to the fear of falls between a group of sedentary elderly and a group of active elderly. Methods. Cross-sectional descriptive study carried out with 113 community-dwelling older people (45 sedentary and 48 active), users of an outpatient care center of the private health system with a geriatric program in Santiago, Chile. The study measured socio-demographic variables, state of health, comprehensive geriatric assessment, exercise, depression with the Yesavage scale, and fear of falling with the Short Falls Efficacy Scale - International (Short FES-I). Results. Sedentary older people have significantly higher scores in the Yesavage depression scale compared with active older people (4.2 versus 0.8). No statistically significant differences were found when comparing both groups of sedentary and active participants in terms of socio-demographic variables along with health, and functional and cognitive capacity. Regarding the fear of falling, the sedentary had a slightly higher score than the active (12 versus 11), although not significant. Conclusion. This study showed that fear of falling was equal in sedentary and active older people who live in the community, although it was found that sedentary individuals had a higher risk of having a positive screening for geriatric depression in those participants who do not perform physical activity.

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