Frailty and nutritional inadequacy in older Korean adults: A gender-stratified analysis using National Survey Data
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View abstract on PubMed
Summary
This summary is machine-generated.Frailty in older adults is linked to nutritional status, with distinct gender differences. Targeted, gender-specific dietary interventions are crucial for preventing frailty and enhancing elderly quality of life.
Area Of Science
- Gerontology
- Nutritional Science
- Public Health
Background
- Frailty is increasingly recognized as a multidimensional syndrome beyond physical decline, encompassing psychological and social factors.
- Understanding the interplay between nutritional status and frailty is essential for developing effective interventions in older adults.
- Previous research has highlighted the importance of nutrition in aging, but gender-specific patterns in relation to frailty require further investigation.
Purpose Of The Study
- To investigate the association between nutritional status and frailty levels in older adults using a multidimensional framework.
- To identify gender-specific nutritional patterns associated with frailty in the elderly population.
- To provide evidence for developing targeted dietary and preventive health policies for older adults.
Main Methods
- A cross-sectional study utilizing data from 14,242 participants aged 65+ from the 2009-2020 Korean National Health and Nutrition Examination Survey.
- A 41-item frailty index was constructed, and dietary intake was assessed via 24-hour recall, with nutrient adequacy evaluated against Korean Dietary Reference Intakes 2020.
- Multivariable logistic regression was employed to analyze the association between nutritional status and frailty, with gender-stratified analyses.
Main Results
- Overall frailty prevalence was 20.6%, with women showing higher prevalence and lower energy intake than men.
- Frail men exhibited a decreasing trend in riboflavin intake, while frail women showed increased carbohydrate and decreased fat and riboflavin intake.
- Significant associations were found between frailty and iron inadequacy in men (OR=1.49) and riboflavin inadequacy in women (OR=1.45).
Conclusions
- Frailty in older adults is associated with multidimensional vulnerabilities, including significant gender differences in nutritional intake patterns.
- Nutritional status, particularly specific micronutrient inadequacies, plays a role in the development of frailty.
- Gender-specific and integrated nutritional interventions are necessary to effectively prevent frailty and improve the quality of life for the elderly.
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