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Nutritional Status and Frailty in Community-Dwelling Older Korean Adults: The Korean Frailty and Aging Cohort Study

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The journal of nutrition, health & aging

Abstract

Objectives

To examine the association between nutritional status and frailty in older adults.

Design

Cross-sectional study.

Setting

Community-dwelling older adults were recruited from 10 study sites in South Korea.

Participants

1473 volunteers aged 70–84 years without severe cognitive impairment and who participated in the Korean Frailty and Aging Cohort Study (KFACS) conducted in 2016.

Measurements

Nutritional status was measured using the Mini Nutritional Assessment Short Form (MNA-SF). Frailty was assessed with the Fried’s frailty index. The relationship between nutritional status and frailty was examined using the multinomial regression analysis, adjusting for covariates.

Results

Of the respondents 14.3% had poor nutrition (0.8% with malnutrition, 13.5% at risk of malnutrition). There were 10.7% who were frail, with 48.5% being prefrail, and 40.8% robust. Poor nutrition was related to a significantly increased risk of being prefrail (odds ratio [OR]: 1.59, 95% confidence interval [CI]: 1.09–2.32) and frail (OR: 3.30, 95% CI: 1.96–5.54).

Conclusion

Poor nutritional status is strongly associated with frailty in older adults. More research to understand the interdependency between nutritional status and frailty may lead to better management of the two geriatric conditions.

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References

  1. Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature—— What does it tell us? J Nutr Health Aging 2006;10:466–485; discussion 485–487.

    PubMed  CAS  Google Scholar 

  2. Cereda E. Mini nutritional assessment. Curr Opin Clin Nutr Metab Care 2012;15:29–41.

    Article  PubMed  Google Scholar 

  3. Verlaan S, Ligthart-Melis GC, Wijers SLJ, Cederholm T, Maier AB, de van der Schueren MAE. High prevalence of physical frailty among community-dwelling malnourished older adults-a systematic review and meta-analysis. J Am Med Dir Assoc 2017;18:374–382.

    Article  PubMed  Google Scholar 

  4. Bales CW, Ritchie CS. Sarcopenia, weight loss, and nutritional frailty in the elderly. Ann Rev Nutr 2002;22:309–323.

    Article  CAS  Google Scholar 

  5. Bauer JM, Wirth R, Volkert D, Werner H, Sieber CC, Teilnehmer des BANSS-Symposiums 2006. [Malnutrition, sarcopenia and cachexia in the elderly: from pathophysiology to treatment. Conclusions of an international meeting of experts, sponsored by the BANSS Foundation]. Dtsch Med Wochenschr 2008;133:305–310.

    Article  PubMed  CAS  Google Scholar 

  6. Andre MB, Dumavibhat N, Ngatu NR, Eitoku M, Hirota R, Suganuma N. Mini Nutritional Assessment and functional capacity in community-dwelling elderly in Rural Luozi, Democratic Republic of Congo. Geriatr Gerontol Int 2013;13:35–42.

    Article  PubMed  Google Scholar 

  7. Kaiser MJ, Bauer JM, Ramsch C et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging 2009;13:782–788.

    Article  PubMed  CAS  Google Scholar 

  8. Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNASF). J Gerontol A Biol Sci Med Sci 2001;56:M366–372.

    Article  PubMed  CAS  Google Scholar 

  9. Santos-Eggimann B, Cuénoud P, Spagnoli J, Junod J. Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries. J Gerontol A Biol Sci Med Sci 2009;64:675–681.

    Article  PubMed  Google Scholar 

  10. Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the Concepts of Disability, Frailty, and Comorbidity: Implications for Improved Targeting and Care. J Gerontol A Biol Sci Med Sci 2004;59:255–263.

    Article  PubMed  Google Scholar 

  11. Fried LP, Tangen CM, Walston J et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56:M146–156.

    Article  PubMed  CAS  Google Scholar 

  12. Espinoza S, Walston JD. Frailty in older adults: insights and interventions. Cleve Clin J Med 2005;72:1105–1112.

    Article  PubMed  Google Scholar 

  13. Laur CV, McNicholl T, Valaitis R et al. Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition. Appl Physiol Nutr Metab 2017;42:449–458.

    Article  PubMed  Google Scholar 

  14. Jeejeebhoy KN. Malnutrition, fatigue, frailty, vulnerability, sarcopenia and cachexia: Overlap of clinical features. Curr Opin Clin Nutr Metab Care 2012;15:213–219.

    Article  PubMed  CAS  Google Scholar 

  15. Dorner TE, Luger E, Tschinderle J et al. Association between nutritional status (MNA®-SF) and frailty (SHARE-FI) in acute hospitalized elderly patients. J Nutr Health Aging 2014;18:264–269.

    Article  PubMed  CAS  Google Scholar 

  16. Abellan Van Kan G, Vellas B. Is the mini nutritional assessment an appropriate tool to assess frailty in older adults? J Nutr Health Aging 2011;15:159–161.

    Article  PubMed  CAS  Google Scholar 

  17. Win AZ, Ceresa C, Arnold K, Allison TA. High prevalence of malnutrition among elderly veterans in home based primary care. J Nutr Health Aging 2017;21:610–613.

    Article  PubMed  CAS  Google Scholar 

  18. Wei K, Nyunt MSZ, Gao Q, Wee SL, Ng TP. Frailty and malnutrition: related and distinct syndrome prevalence and association among community-dwelling older adults: Singapore Longitudinal Ageing Studies. J Am Med Dir Assoc 2017;18:1019–1028.

    Article  PubMed  Google Scholar 

  19. Korean Statistical Information Service. Future Population Estimation. http://kosis.kr/statisticsList_01.jsp?=MT_ZTITLE&parentID=A. Accessed 06 June 2017.

    Google Scholar 

  20. Jung HW, Jang IY, Lee YS et al. Prevalence of frailty and aging-related health conditions in older Koreans in rural communities: a cross-sectional analysis of the Aging Study of Pyeongchang Rural Area. J Korean Med Sci 2016;31:345–352.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  21. Won CW, Lee Y, Choi J, et al. Starting construction of frailty cohort for elderly and intervention study. Ann Geriatr Med Res 2016;20:114–117.

    Article  Google Scholar 

  22. Nestlé Nutrition Institute. Mini Nutritional Assessment (MNA). http://www.mnaelderly.com/mna_forms.html. Accessed 06 June 2017.

    Google Scholar 

  23. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) Short Form. J Korean Acad Fam Med 2007;28:532–541.

    Google Scholar 

  24. Chen LK, Liu Lk, Woo J et al. Sarcoopenia in Asia: consensus report of the asianworking group for sarcopenia. J Am Med Dir Assoc 2014;15:95–101.

    Article  PubMed  Google Scholar 

  25. Keimyung University Industrial-Educational Cooperation. 2008 Living Profiles of Older People Survey. Ministry of Health and Welfare & Family, Seoul, 2009.

    Google Scholar 

  26. Cho MJ, Bae JN, Seo KH, Ham BJ, Kim CK, Lee DW, Kang MH. Validation of Geriatric Depression Scale, Korean Version (GDS) in the Assessment of DSM-III-R Major Depression. Journal of the Korean Neuropsychiatric Association 1999;38:48–63.

    Google Scholar 

  27. Lee DY, Lee KU, Lee JH et al. A normative study of the CERAD neuropsychological assessment battery in the Korean elderly. J Int Neuropsychol Soc 2004;10:72–81.

    PubMed  Google Scholar 

  28. Morley J. Anorexia of aging: A true geriatric syndrome. J Nutr Health Aging 2012;16:422–425.

    Article  PubMed  CAS  Google Scholar 

  29. Chin A Paw MJ, de Groot LC, van Gend SV, Schoterman MH, Schouten EG, Schroll M, van Staveren WA. Inactivity and weight loss: effective criteria to identify frailty. J Nutr Health Aging 2003;7:55–60.

    Google Scholar 

  30. Beardsworth A, Bryman A, Keil T, Goode J, Haslam C, Lancashire E. Women, men and food: the significance of sex for nutritional attitudes and choices. Br Food J 2002;104:470–491.

    Article  Google Scholar 

  31. Wardle J, Haase AM, Steptoe A, Nillapun M, Jonwutiwes K, Bellisle F. Sex differences in food choice: the contribution of health beliefs and dieting. Ann Behav Med 2004;27:107–116.

    Article  PubMed  Google Scholar 

  32. Sidenvall B, Nydahl M, Fjellström C. The meal as a gift—the meaning of cooking among retired women. J Appl Gerontol 2000;19:405–423.

    Article  Google Scholar 

  33. Charlton KE. Elderly men living alone: are they at high nutritional risk? J Nutr Health Aging 1999;3:42–47.

    PubMed  CAS  Google Scholar 

  34. Pearson JM, Schlettwein-Gsell D, van Staveren W, de Groot L. Living alone does not adversely affect nutrient intake and nutritional status of 70- to 75-year-old men and women in small towns across Europe. Int J Food Sci Nutr 1998;49:131–139.

    Article  PubMed  CAS  Google Scholar 

  35. Hoeck S, François G, Geerts J, Van der Heyden J, Vandewoude M, Van Hal G. Health-care and home-care utilization among frail elderly persons in Belgium. Eur J Public Health 2012;22:671–677.

    Article  PubMed  Google Scholar 

  36. Garcia-Garcia FJ, Gutierrez Avila G, Alfaro-Acha A et al. The prevalence of frailty syndrome in an older population from Spain. The Toledo Study for Healthy Aging. J Nutr Health Aging 2011;15:852–856.

    Article  PubMed  CAS  Google Scholar 

  37. Htun NC, Ishikawa-Takata K, Kuroda A et al. Screening for malnutrition in community dwelling older Japanese: preliminary development and evaluation of the Japanese Nutritional Risk Screening Tool (NRST). J Nutr Health Aging 2016;20:114–120.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Yunhwan Lee.

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Kim, J., Lee, Y., Won, C.W. et al. Nutritional Status and Frailty in Community-Dwelling Older Korean Adults: The Korean Frailty and Aging Cohort Study. J Nutr Health Aging 22, 774–778 (2018). https://doi.org/10.1007/s12603-018-1005-9

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  • DOI: https://doi.org/10.1007/s12603-018-1005-9

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