Abstract
Importance
The decline in physical performance that occurs in many older subjects is a strong predictor of falls, hospitalization, institutionalization and mortality. Polyphenols are bioactive compounds that may play a preventive role against physical performance decline due to their antioxidant and anti-inflammatory properties.
Objective
To investigate the association between total urinary polyphenols (TUP) and total dietary polyphenols (TDP) and substantial physical performance decline over a nine-year period among older subjects.
Methods
This longitudinal study included 368 participants aged 65 years or older from the InCHIANTI (Invecchiare in Chianti) study, an Italian population-based cohort. TUP and TDP concentrations were assessed at baseline using the Folin-Ciocalteau (F-C) assay and a validated food frequency questionnaire, respectively. Physical performance was objectively measured at baseline and at nine-year follow-up using the Short Physical Performance Battery (SPPB). A substantial decline in physical performance was considered as a decrease of three or more points in the SPPB score.
Results
At the nine-year follow-up assessment, 71 participants had suffered a substantial decline in physical performance. In the fully adjusted logistic regression model, participants in the highest TUP tertile had a lower risk of substantial decline in physical performance than those in the lowest tertile (OR, 0.40; 95% CI, 0.17–0.93; P trend=0.033). However, no significant association between TDP intake and physical performance decline was observed.
Conclusion
This study shows that high TUP concentrations, a biomarker of polyphenol-rich exposure, were associated with lower risk of substantial decline in physical performance in community-dwelling older subjects over a nine-year period. These results suggest that a polyphenol-rich diet may play a role in protecting against physical performance decline in older people.
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Abbreviations
- TUP:
-
total urinary polyphenols
- TDP:
-
total dietary polyphenols
- InCHIANTI:
-
Invecchiare in Chianti
- F-C:
-
Folin-Ciocalteau
- SPPB:
-
Short Physical Performance Battery
- OR:
-
odds ratio
- CI:
-
confidence interval
- GAE:
-
gallic acid equivalents
- BMI:
-
body mass index
- MMSE:
-
Mini-Mental State Examination
- CES-D:
-
Center for Epidemiologic Studies Depression Scale
- ADL:
-
activities of daily living
- IADL:
-
instrumental activities of daily living
- SD:
-
standard deviation
- IQR:
-
interquartile range
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Rabassa, M., Zamora-Ros, R., Andres-Lacueva, C. et al. Association between both total baseline urinary and dietary polyphenols and substantial physical performance decline risk in older adults: A 9-year follow-up of the InCHIANTI study. J Nutr Health Aging 20, 478–484 (2016). https://doi.org/10.1007/s12603-015-0600-2
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DOI: https://doi.org/10.1007/s12603-015-0600-2