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. 2023 Dec;35(12):3033-3040.
doi: 10.1007/s40520-023-02599-1. Epub 2023 Nov 6.

The relationship between the quantity and type of macronutrients in diet and frailty in older outpatients

Funda Yildirim Borazan  1 , Merve Esra Citar Daziroglu  2 , Nazlican Erdogan Govez  2 , Nilufer Acar-Tek  2 , Hacer Dogan Varan  3
Affiliations

The relationship between the quantity and type of macronutrients in diet and frailty in older outpatients

Funda Yildirim Borazan et al. Aging Clin Exp Res. 2023 Dec.

Abstract

Background and aim: The aim of this study is to determine the relationship between the quantity and type of macronutrients in the diet and frailty.

Material and methods: A total of 106 patients were included in the study. Exclusion criteria included patients with pacemakers, edema, advanced dementia, acute infectious and inflammatory disease, and those using oral or enteral nutritional supplements. Frailty was assessed using the Fried Frailty Phenotype. Three-day dietary records were taken, 2 days on weekdays and 1 day on weekends. The Nutrition Information System (BeBis) 8.2 full version program was used to analyze the average energy and nutrient values of the consumed foods. Insufficient protein and energy intake were defined as taking less than 1 or 1.2 g/kg/day for protein and less than 30 kcal/kg/day for energy, respectively.

Results: The mean age of the participants was 74.3 (± 6.75), and 68.9% (n = 73) of them were women. 26.4% (n = 28) of the patients were classified as frail. There was no difference between the energy consumption of < 30 kcal/kg/day in the frail and non-frail groups. Protein consumption of less than 1.2 g/kg/day had a significant relationship with frailty. There was no significant difference between the consumed plant/animal protein ratio and frailty, but plant protein, polyunsaturated fatty acids, and fiber intake were significantly lower in frail patients. Decreased consumption of polyunsaturated fatty acids (PUFAs), advanced age, and increased number of medications were identified as independently associated factors with frailty.

Conclusion: This study found that frailty was associated with less than 1.2 g/kg/day protein consumption, lower fiber, and PUFA consumption.

Keywords: Adult; Diet; Frailty; Nutrients; Older.

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References

    1. Cruz-Jentoft AJ, Kiesswetter E, Drey M et al (2017) Nutrition, frailty, and sarcopenia. Aging Clin Exp Res 29:43–48 - PubMed - DOI
    1. Vermeiren S, Vella-Azzopardi R, Beckwee D et al (2016) Frailty and the prediction of negative health outcomes: a meta-analysis. J Am Med Dir Assoc 17:1163e1-1163e17 - DOI
    1. Varan HD, Kizilarslanoglu MC, Dogrul RT et al (2021) Comparative evaluation of predictive ability of comprehensive geriatric assessment components including frailty on long-term mortality. Exp Aging Res 47:220–231 - PubMed - DOI
    1. Fried LP, Tangen CM, Walston J et al (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56:M146–M156 - PubMed - DOI
    1. Varan HD, Deniz O, Coteli S et al (2022) Validity and reliability of Fried frailty phenotype in Turkish population. Turk J Med Sci 52:524–527 - PubMed - DOI

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