Relationship between Frailty and Insufficient Nutrient Intake in Older Outpatients at a Frailty Clinic

  • Kinoshita Kaori
    Department of Frailty Research, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology
  • Satake Shosuke
    Department of Frailty Research, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology Center for Frailty and Locomotive Syndrome, Hospital, National Center for Geriatrics and Gerontology
  • Matsui Yasumoto
    Center for Frailty and Locomotive Syndrome, Hospital, National Center for Geriatrics and Gerontology
  • Arai Hidenori
    National Center for Geriatrics and Gerontology

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Other Title
  • フレイル外来を受診した高齢患者のフレイルと食事摂取基準に基づく摂取栄養素との関連
  • フレイル ガイライ オ ジュシン シタ コウレイ カンジャ ノ フレイル ト ショクジ セッシュ キジュン ニ モトズク セッシュ エイヨウソ ト ノ カンレン

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Abstract

<p>We aimed to clarify the relationship between frailty and insufficient nutrient intake in older outpatients attending a frailty clinic, independent of energy intake. The subjects were 270 patients with a median age of 79 years who had no moderate or severe cognitive impairment, comorbidities requiring protein restriction, or physical dependency. Frailty was evaluated using the J-CHS criteria. Nutrient intake was assessed with a brief-type self-administered diet history questionnaire, and adjusted to the required energy intake for each individual. The criteria for sufficient intake of 22 nutrients were based on the Dietary Reference Intakes for Japanese. The association between frailty and insufficient nutrient intake was analyzed by the logistic regression model. The dependent variable was nutrient intake deficiency, the independent variable was frailty, and the covariates were age and BMI. We found that there was a significant association between frailty status and insufficient intake of zinc with an odds ratio (95% confidence interval) of 2.50 (1.23‐5.06) in women, but not in men. Our results indicate that paying attention to sufficient intake of zinc is an important part of nutritional therapy for frail older women.</p>

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