ZHAO Hui, FU Wenhui, AILI Dilihumaer, LUO Tao, QIAO Tingting, ZHANG Guozhen, DAI Jianghong. Relationship between dietary inflammatory and frailty among rural residents over the age of 60 in the Yili region of Xinjiang[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(6): 722-725. doi: 10.16462/j.cnki.zhjbkz.2023.06.018
Citation:
ZHAO Hui, FU Wenhui, AILI Dilihumaer, LUO Tao, QIAO Tingting, ZHANG Guozhen, DAI Jianghong. Relationship between dietary inflammatory and frailty among rural residents over the age of 60 in the Yili region of Xinjiang[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(6): 722-725. doi: 10.16462/j.cnki.zhjbkz.2023.06.018
ZHAO Hui, FU Wenhui, AILI Dilihumaer, LUO Tao, QIAO Tingting, ZHANG Guozhen, DAI Jianghong. Relationship between dietary inflammatory and frailty among rural residents over the age of 60 in the Yili region of Xinjiang[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(6): 722-725. doi: 10.16462/j.cnki.zhjbkz.2023.06.018
Citation:
ZHAO Hui, FU Wenhui, AILI Dilihumaer, LUO Tao, QIAO Tingting, ZHANG Guozhen, DAI Jianghong. Relationship between dietary inflammatory and frailty among rural residents over the age of 60 in the Yili region of Xinjiang[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(6): 722-725. doi: 10.16462/j.cnki.zhjbkz.2023.06.018
Objective This study aims to investigate the association between dietary inflammation and frailty among rural residents over 60 years old in Yili, Xinjiang.Methods A total of 1 682 residents over 60 years old were recruited from Huocheng County, Yili Region, Xinjiang, from January to May, 2019. A questionnaire survey and physical examination were conducted. Dietary inflammation and frailty of subjects were evaluated by energy-density dietary inflammatory index (EDII) and frailty index. A logistic regression analysis model was employed to analyze the relationship between dietary inflammation and frailty.Results The prevalence of prefrailty and frailty were 50.65% and 8.97%, respectively. These rates were higher among males, Uygurs, individuals with lower education levels, lower annual family income, those who were divorced, widowed, or unmarried, and subjects who engaged in less physical activity. After adjusting for gender, ethnicity, family annual income, marital status and physical activity, the risk of prefrailty and frailty increased with the EDII score (all Ptrend < 0.05). Individuals in EDII tertiles T2 (versus T1) were more likely to be pre-frailty (OR=1.37, 95% CI: 1.04-1.82, P=0.027) and frailty (OR=2.18, 95% CI: 1.26-3.76, P=0.005). Individuals in EDII T3 also had greater odds of pre-frailty (OR=1.32, 95% CI: 1.02-1.72, P=0.036) and frailty (OR=2.17, 95% CI: 1.28-3.68, P=0.004).Conclusions Dietary inflammation is associated with pre-frailty and frailty, and diet may participate in the occurrence and development of frailty through inflammatory effects.
Ofori-Asenso R, Chin KL, Mazidi M, et al. Global incidence of frailty and prefrailty among community-dwelling older adults: a systematic review and meta-analysis [J]. JAMA Netw Open, 2019, 2(8): e198398. DOI: 10.1001/jamanetworkopen.2019.8398.
[2]
Cheng MH, Chang SF. Frailty as a risk factor for falls among community dwelling people: evidence from a meta-analysis [J]. J Nurs Scholarsh, 2017, 49(5): 529-536. DOI: 10.1111/jnu.12322.
[3]
Kojima G, Iliffe S, Walters K. Frailty index as a predictor of mortality: a systematic review and meta-analysis [J]. Age Ageing, 2018, 47(2): 193-200. DOI: 10.1093/ageing/afx162.
[4]
Soysal P, Stubbs B, Lucato P, et al. Inflammation and frailty in the elderly: a systematic review and meta-analysis[J]. Ageing Res Rev, 2016, 31: 1-8. DOI: 10.1016/j.arr.2016.08.006.
[5]
Chen X, Mao G, Leng SX. Frailty syndrome: an overview [J]. Clin Interv Aging, 2014, 9: 433-441. DOI: 10.2147/CIA.S45300.
[6]
Phillips CM, Shivappa N, Hébert JR, et al. Dietary inflammatory index and biomarkers of lipoprotein metabolism, inflammation and glucose homeostasis in adults [J]. Nutrients, 2018, 10(8): 1033. DOI: 10.3390/nu10081033.
[7]
Mitnitski AB, Mogilner AJ, Rockwood K. Accumulation of deficits as a proxy measure of aging [J]. Sci World J, 2001, 1: 323-336. DOI: 10.1100/tsw.2001.58.
[8]
Shivappa N, Steck SE, Hurley TG, et al. Designing and developing a literature-derived, population-based dietary inflammatory index [J]. Public Health Nutr, 2014, 17(8): 1689-1696. DOI: 10.1017/S1368980013002115.
[9]
Fan J, Yu C, Guo Y, et al. Frailty index and all-cause and cause-specific mortality in chinese adults: a prospective cohort study [J]. Lancet Public Health, 2020, 5(12): e650-e660. DOI: 10.1016/S2468-2667(20)30113-4.
[10]
Resciniti NV, Lohman MC, Wirth MD, et al. Dietary inflammatory index, pre-frailty and frailty among older US adults: evidence from the national health and nutrition examination survey, 2007-2014 [J]. J Nutr Health Aging, 2019, 23(4): 323-329. DOI: 10.1007/s12603-019-1164-3.
[11]
Macready AL, George TW, Chong MF, et al. Flavonoid-rich fruit and vegetables improve microvascular reactivity and inflammatory status in men at risk of cardiovascular disease--flavurs: a randomized controlled trial [J]. Am J Clin Nutr, 2014, 99(3): 479-489. DOI: 10.3945/ajcn.113.074237.