Dietary diversity and overweight are associated with high intrinsic capacity among Chinese urban older adults (2020-2021)

被引:10
作者
Lin, Siyang [1 ,2 ,3 ,4 ]
Huang, Min [5 ]
Yang, Linxin [2 ,3 ]
Chen, Simiao [6 ]
Huang, Xiaoming [1 ,2 ,3 ,4 ]
Zheng, Jiaxin [1 ,2 ,3 ,4 ]
Yuan, Yin [1 ,2 ,3 ,4 ]
Li, Na [1 ,2 ,3 ,4 ]
Huang, Feng [1 ,2 ,3 ,4 ]
Zhu, Pengli [1 ,2 ,3 ,4 ]
机构
[1] Fujian Med Univ, Shengli Clin Med Coll, Fuzhou, Fujian, Peoples R China
[2] Fujian Prov Hosp, Dept Geriatr Med, Fuzhou, Fujian, Peoples R China
[3] Fujian Prov Ctr Geriatr, Fuzhou, Fujian, Peoples R China
[4] Fujian Prov Key Lab Geriatr, Fuzhou, Fujian, Peoples R China
[5] 900TH Hosp Joint Logist Support Force, Dept Geriatr Med, Fuzhou, Fujian, Peoples R China
[6] Xiamen Med Coll, Xiamen, Fujian, Peoples R China
关键词
Body mass index; Dietary diversity; Intrinsic capacity; Older adults; BODY-MASS INDEX; COGNITIVE IMPAIRMENT; WAIST CIRCUMFERENCE; PHYSICAL-ACTIVITY; OBESITY PARADOX; MORTALITY; VARIETY; FRAILTY; HEALTH; RISK;
D O I
10.1016/j.exger.2023.112194
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background and objectives: The associations of intrinsic capacity (IC) with dietary diversity and body mass index (BMI) remain unclear in older adults. This study aimed to examine the associations of dietary diversity and BMI on high IC.Methods: The cross-sectional study used data from the Fujian Prospective Aging Cohort, which included 1972 individuals aged 60-98 from 2020 to 2021. The dietary diversity score (DDS) was constructed with eight food varieties, and consuming >= five varieties of food daily was considered a high DDS. BMI was grouped into un-derweight, normal weight, overweight, and obesity according to the Chinese guidelines. High IC was defined as >= three unimpaired domains of cognition, locomotion, sensory, vitality, and psychology.Results: Multivariate logistic regression analysis was used to assess the separate association of high DDS and BMI groups with high IC. Compared with low DDS, high DDS had a positive association with high IC (OR = 1.42, 95 % CI = 1.16-1.74). Compared with normal weight, underweight was inversely related to high IC (OR = 0.18, 95 % CI = 0.09-0.36), overweight was positively related to high IC (OR = 1.65, 95 % CI = 1.33-2.06), while no significant association was observed between obesity and high IC. The restricted cubic spline model exhibited an inverted U-shaped nonlinear curve of BMI and high IC and identified an optimal BMI of 25.7 kg/m2 for high IC. Conclusions: High DDS is a protective factor of high IC in older adults. Overweight had the most protective as-sociation with high IC among the four BMI subgroups. Individuals with overweight and higher dietary diversity had higher IC.
引用
收藏
页数:9
相关论文
共 68 条
[1]   Long-Term High Dietary Diversity Maintains Good Physical Function in Chinese Elderly: A Cohort Study Based on CLHLS from 2011 to 2018 [J].
Aihemaitijiang, Sumiya ;
Zhang, Li ;
Ye, Chen ;
Halimulati, Mairepaiti ;
Huang, Xiaojie ;
Wang, Ruoyu ;
Zhang, Zhaofeng .
NUTRIENTS, 2022, 14 (09)
[2]   Recent Advances on the Role of Brain-Derived Neurotrophic Factor (BDNF) in Neurodegenerative Diseases [J].
Azman, Khairunnuur Fairuz ;
Zakaria, Rahimah .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2022, 23 (12)
[3]   The obesity paradox: Understanding the effect of obesity on mortality among individuals with cardiovascular disease [J].
Banack, Hailey R. ;
Kaufman, Jay S. .
PREVENTIVE MEDICINE, 2014, 62 :96-102
[4]   The World report on ageing and health: a policy framework for healthy ageing [J].
Beard, John R. ;
Officer, Alana ;
de Carvalho, Islene Araujo ;
Sadana, Ritu ;
Pot, Anne Margriet ;
Michel, Jean-Pierre ;
Lloyd-Sherlock, Peter ;
Epping-Jordan, JoAnne E. ;
Peeters, G. M. E. E. ;
Mahanani, Wahyu Retno ;
Thiyagarajan, Jotheeswaran Amuthavalli ;
Chatterji, Somnath .
LANCET, 2016, 387 (10033) :2145-2154
[5]   Obesity paradox and aging [J].
Bosello, Ottavio ;
Vanzo, Angiola .
EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY, 2021, 26 (01) :27-35
[6]   Interrelations between body mass index, frailty, and clinical adverse events in older community-dwelling women: The EPIDOS cohort study [J].
Boutin, Emmanuelle ;
Natella, Pierre-Andre ;
Schott, Anne-Marie ;
Bastuji-Garin, Sylvie ;
David, Jean-Philippe ;
Paillaud, Elena ;
Rolland, Yves ;
Canoui-Poitrine, Florence .
CLINICAL NUTRITION, 2018, 37 (05) :1638-1644
[7]   Central adiposity and the overweight risk paradox in aging: follow-up of 130,473 UK Biobank participants [J].
Bowman, Kirsty ;
Atkins, Janice L. ;
Delgado, Joao ;
Kos, Katarina ;
Kuchel, George A. ;
Ble, Alessandro ;
Ferrucci, Luigi ;
Melzer, David .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2017, 106 (01) :130-135
[8]   Diet, Stress and Mental Health [J].
Bremner, J. Douglas ;
Moazzami, Kasra ;
Wittbrodt, Matthew T. ;
Nye, Jonathon A. ;
Lima, Bruno B. ;
Gillespie, Charles F. ;
Rapaport, Mark H. ;
Pearce, Bradley D. ;
Shah, Amit J. ;
Vaccarino, Viola .
NUTRIENTS, 2020, 12 (08) :1-27
[9]  
Cederholm T, 2019, J CACHEXIA SARCOPENI, V38, P1, DOI DOI 10.1002/jcsm.12383
[10]   Adiponectin: More than just another fat cell hormone? [J].
Chandran, M ;
Phillips, SA ;
Ciaraldi, T ;
Henry, RR .
DIABETES CARE, 2003, 26 (08) :2442-2450