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高蛋白食物摄入频率与日本老年人 Kihon-Checklist 衰弱指数的关联:京都-龟冈研究。

Association between the Frequency of Protein-Rich Food Intakes and Kihon-Checklist Frailty Indices in Older Japanese Adults: The Kyoto-Kameoka Study.

机构信息

Department of Nutrition and Metabolism, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, Japan.

Laboratory of Applied Health Sciences, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan.

出版信息

Nutrients. 2018 Jan 13;10(1):84. doi: 10.3390/nu10010084.

Abstract

We aimed to investigate whether frequencies of protein-rich food intake were associated with frailty among older Japanese adults. A cross-sectional study was conducted in 2011 among 3843 men and 4331 women in a population-based cohort of Kameoka city, Kyoto Prefecture, Japan. Frailty was assessed by the weighted score based on the 25-item Kihon-Checklist. The frequency of protein-rich food intake was examined as "seafood", "meat", "dairy products", "eggs", and "soy products". The outcome of frailty was analyzed with a multiple logistic regression model using the frequency of protein-rich food intake. When compared to the first quartile, it was observed that there was a significant association between the lower adjusted prevalence ratio (PR) for frailty and the frequency of seafood intake in the fourth quartile among men (PR 0.64, 95% confidence interval (CI), 0.42, 0.99) and from the second quartile to the third quartile among women (PR 0.61, 95% CI, 0.43, 0.85; PR 0.64, 95% CI, 0.46, 0.91). The frequency of dairy products intake in the third quartile among women was significantly associated with a lower PR for frailty (-value = 0.013). Our findings suggest that the consumption of seafood and dairy products may help older adults in maintaining their independence.

摘要

我们旨在探讨富含蛋白质的食物摄入频率与日本老年人虚弱之间的关系。2011 年,在日本京都府龟冈市的一个基于人群的队列中,对 3843 名男性和 4331 名女性进行了一项横断面研究。虚弱程度通过基于 25 项的 Kihon-Checklist 的加权评分进行评估。蛋白质丰富的食物摄入频率被检查为“海鲜”、“肉类”、“奶制品”、“鸡蛋”和“豆制品”。使用富含蛋白质的食物摄入频率的多变量逻辑回归模型分析虚弱的结果。与第一四分位相比,在男性中,第四四分位的海鲜摄入频率与虚弱的调整后患病率比(PR)呈显著负相关(PR0.64,95%置信区间[CI],0.42,0.99),而在女性中,从第二四分位到第三四分位的海鲜摄入频率与虚弱的调整后 PR 呈显著负相关(PR0.61,95%CI,0.43,0.85;PR0.64,95%CI,0.46,0.91)。女性中第三四分位的奶制品摄入频率与虚弱的较低 PR 呈显著负相关(-值=0.013)。我们的研究结果表明,海鲜和奶制品的摄入可能有助于老年人保持独立性。

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