目的:虚弱已成为中国的公共卫生挑战。调查城市社区中国老年人的食物消费和体力活动与脆弱和脆弱的关系。
方法:在2023年2月至7月的一项横断面研究中,从重庆和山东省的城市社区招募了1183名65岁至88岁的老年人,中国。采用脆弱指数(FI)来衡量脆弱和脆弱。部分比例赔率模型用于评估食物消费之间的关联,身体活动和偏好/虚弱。
结果:较高的饮食多样性评分(DDS),(OR=0.61,95%CI=0.46-0.80;OR=0.47,95%CI=0.28-0.79),食用动物性食品≥2次/天(OR=0.62,95%CI=0.47-0.82;OR=0.54,95%CI=0.33-0.88),豆制品≥2次/周(OR=0.69,95%CI=0.53-0.89;OR=0.51,95%CI=0.31-0.84),新鲜蔬菜≥2次/天(OR=0.42,95%CI=0.31-0.57;OR=0.41,95%CI=0.23-0.72),坚果≥2次/周(OR=0.71,95%CI=0.55-0.91;OR=0.52,95%CI=0.32-0.85)与较低的早弱和虚弱风险相关。此外,步行频率更高,持续时间更长(OR=0.61,95%CI=0.42-0.88;OR=0.63,95%CI=0.48-0.81),每周运动(OR=0.48,95%CI=0.35-0.64;OR=0.44,95%CI=0.32-0.61)与较低的早熟风险显著相关.此外,步行频率更高,持续时间更长(OR=0.42,95%CI=0.25-0.72;OR=0.46,95%CI=0.29-0.74),每周做家务(OR=0.39,95%CI=0.24-0.65;OR=0.57,95%CI=0.34-0.96),与较低的虚弱显著相关。
结论:更高的DDS和更高的动物性食品频率,豆制品,新鲜蔬菜,坚果消费与较低的脆弱和脆弱风险显著相关。此外,步行和锻炼与较低的早熟风险显著相关,而散步和做家务与较低的身体虚弱显著相关。
OBJECTIVE: Frailty has become a public health challenge in China. To investigate the association of foods consumption and physical activity with prefrailty and
frailty among older Chinese adults in urban communities.
METHODS: In a cross-sectional study from February to July 2023, 1183 older adults aged between 65y-88y were enrolled from urban communities in Chongqing and Shandong province, China.
Frailty Index (FI) was applied to measure prefrailty and
frailty. Partial proportional odds model was used to assess the association between foods consumption, physical activity and prefrailty/
frailty.
RESULTS: Higher Dietary Diversity Score (DDS), (OR=0.61, 95% CI=0.46-0.80; OR=0.47, 95% CI=0.28-0.79), Consuming animal-based foods ≥2 times/day (OR=0.62, 95% CI=0.47-0.82; OR=0.54, 95% CI=0.33-0.88), soy products ≥2 times/week (OR=0.69, 95% CI=0.53-0.89; OR=0.51, 95% CI=0.31-0.84), fresh vegetables ≥2 times/day (OR=0.42, 95% CI=0.31-0.57; OR=0.41, 95% CI=0.23-0.72), and nuts ≥2 times/week (OR=0.71, 95% CI=0.55-0.91; OR=0.52, 95% CI=0.32-0.85) was associated with a lower risk of prefrailty and
frailty. In addition, higher frequency and longer duration of walking (OR=0.61, 95% CI=0.42-0.88; OR=0.63, 95% CI=0.48-0.81), exercise (OR=0.48, 95% CI=0.35-0.64; OR=0.44, 95% CI=0.32-0.61) per week were significantly associated with lower risk of prefrailty. Furthermore, higher frequency and longer duration of walking (OR=0.42, 95% CI=0.25-0.72; OR=0.46, 95% CI=0.29-0.74), and housework (OR=0.39, 95% CI=0.24-0.65; OR=0.57, 95% CI=0.34-0.96) per week, were significantly associated with lower frailty.
CONCLUSIONS: Higher DDS and higher frequency of animal-based foods, soy products, fresh vegetables, and nuts consumption is significantly associated with lower risk of prefrailty and frailty. Additionally, walking and exercising are significantly associated with lower risk of prefrailty, while walking and doing housework is significantly associated with lower frailty.