Skip to main content
Top
Published in: Current Nutrition Reports 1/2016

01-03-2016 | Dietary Patterns and Behavior (LM Steffen, Section Editor)

Dietary Patterns in the Frail Elderly

Authors: Sue O. MacDonell, Jody C. Miller, Debra L. Waters, Lisa A. Houghton

Published in: Current Nutrition Reports | Issue 1/2016

Login to get access

Abstract

Frail older adults have an increased vulnerability to health and environmental stressors and are at a greater risk of functional decline, disability, loss of independence and mortality. Inadequate caloric, protein and micronutrient intakes have been positively associated with an increased risk of frailty, however this traditional single nutrient approach does not account for potential interactions and synergies of nutrients within the total diet. Using dietary patterns as a means of exploring the impact of overall food consumption offers an alternative approach to investigating associations between nutrition and frailty. The purpose of this paper is to review the existing body of knowledge about the frailty syndrome in relationship with various dietary patterns in aged populations and identify areas for further research.
Literature
2.
go back to reference Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol Ser A Biol Med Sci. 2004;59(3):M255–63. doi:10.1093/gerona/59.3.M255.CrossRef Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol Ser A Biol Med Sci. 2004;59(3):M255–63. doi:10.​1093/​gerona/​59.​3.​M255.CrossRef
7.
go back to reference United Nations. World Population Ageing. In: Department of Economic and Social Affairs Population Division (eds). 2013. ST/ESA/SER.A/348; 2013. United Nations. World Population Ageing. In: Department of Economic and Social Affairs Population Division (eds). 2013. ST/ESA/SER.A/348; 2013.
11.
go back to reference Bandeen-Roche K, Xue Q-L, Ferrucci L, Walston J, Guralnik JM, Chaves P, et al. Phenotype of frailty: characterization in the women’s health and aging studies. J Gerontol A Biol Sci Med Sci. 2006;61(3):262–6.CrossRefPubMed Bandeen-Roche K, Xue Q-L, Ferrucci L, Walston J, Guralnik JM, Chaves P, et al. Phenotype of frailty: characterization in the women’s health and aging studies. J Gerontol A Biol Sci Med Sci. 2006;61(3):262–6.CrossRefPubMed
12.
go back to reference Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–56.CrossRefPubMed Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–56.CrossRefPubMed
14.
go back to reference Walston J, Hadley EC, Ferrucci L, Guralnik JM, Newman AB, Studenski SA, et al. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on frailty in older adults. J Am Geriatr Soc. 2006;54(6):991–1001. doi:10.1111/j.1532-5415.2006.00745.x.CrossRefPubMed Walston J, Hadley EC, Ferrucci L, Guralnik JM, Newman AB, Studenski SA, et al. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on frailty in older adults. J Am Geriatr Soc. 2006;54(6):991–1001. doi:10.​1111/​j.​1532-5415.​2006.​00745.​x.CrossRefPubMed
16.
go back to reference Bartali B, Frongillo EA, Bandinelli S, Lauretani F, Semba RD, Fried LP, et al. Low nutrient intake is an essential component of frailty in older persons. J Gerontol. 2006;61(6):589–93.CrossRef Bartali B, Frongillo EA, Bandinelli S, Lauretani F, Semba RD, Fried LP, et al. Low nutrient intake is an essential component of frailty in older persons. J Gerontol. 2006;61(6):589–93.CrossRef
17.
go back to reference Semba RD, Bartali B, Zhou J, Blaum C, Ko C-W, Fried LP. Low serum micronutrient concentrations predict frailty among older women living in the community. J Gerontol. 2006;61(6):594–9.CrossRef Semba RD, Bartali B, Zhou J, Blaum C, Ko C-W, Fried LP. Low serum micronutrient concentrations predict frailty among older women living in the community. J Gerontol. 2006;61(6):594–9.CrossRef
19.
go back to reference Bollwein J, Diekmann R, Kaiser MJ, Bauer JM, Uter W, Sieber CC, et al. Distribution but not amount of protein intake is associated with frailty: a cross-sectional investigation in the region of Nürnberg. Nutr J. 2013;12(1):1–7. doi:10.1186/1475-2891-12-109.CrossRef Bollwein J, Diekmann R, Kaiser MJ, Bauer JM, Uter W, Sieber CC, et al. Distribution but not amount of protein intake is associated with frailty: a cross-sectional investigation in the region of Nürnberg. Nutr J. 2013;12(1):1–7. doi:10.​1186/​1475-2891-12-109.CrossRef
20.
go back to reference Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3–9.CrossRefPubMed Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3–9.CrossRefPubMed
24.•
go back to reference León-Muñoz L, García-Esquinas E, López-García E, Banegas J, Rodríguez-Artalejo F. Major dietary patterns and risk of frailty in older adults: a prospective cohort study. BMC Med. 2015;13(1):1–9. doi:10.1186/s12916-014-0255-6. This paper is one of very few prospective studies which investigates incident frailty and dietary patterns.CrossRef León-Muñoz L, García-Esquinas E, López-García E, Banegas J, Rodríguez-Artalejo F. Major dietary patterns and risk of frailty in older adults: a prospective cohort study. BMC Med. 2015;13(1):1–9. doi:10.​1186/​s12916-014-0255-6. This paper is one of very few prospective studies which investigates incident frailty and dietary patterns.CrossRef
25.••
go back to reference Allès B, Samieri C, Féart C, Jutand M-A, Laurin D, Barberger-Gateau P. Dietary patterns: a novel approach to examine the link between nutrition and cognitive function in older individuals. Nutr Res Rev. 2012;25(02):207–22. doi:10.1017/S0954422412000133. This paper provides a thorough discussion of the literature regarding dietary patterns and cognition and provides an excellent over view of the application of dietary patterns to this area of research.CrossRefPubMed Allès B, Samieri C, Féart C, Jutand M-A, Laurin D, Barberger-Gateau P. Dietary patterns: a novel approach to examine the link between nutrition and cognitive function in older individuals. Nutr Res Rev. 2012;25(02):207–22. doi:10.​1017/​S095442241200013​3. This paper provides a thorough discussion of the literature regarding dietary patterns and cognition and provides an excellent over view of the application of dietary patterns to this area of research.CrossRefPubMed
27.
go back to reference Gopinath B, Russell J, Kifley A, Flood VM, Mitchell P. Adherence to dietary guidelines and successful aging over 10 years. J Gerontol A Biol Sci Med Sci. 2015;00(00):1–7. doi:10.1093/gerona/glv189. Gopinath B, Russell J, Kifley A, Flood VM, Mitchell P. Adherence to dietary guidelines and successful aging over 10 years. J Gerontol A Biol Sci Med Sci. 2015;00(00):1–7. doi:10.​1093/​gerona/​glv189.
29.•
go back to reference Waijers PM, Ocké MC, van Rossum CT, Peeters PH, Bamia C, Chloptsios Y, et al. Dietary patterns and survival in older Dutch women. Am J Clin Nutr. 2006;83(5):1170–6. While not specific to frailty, this paper raises interesting discussion regarding the limitations of applying predetermined dietary patterns which do not fully reflect a population’s usual dietary intake.PubMed Waijers PM, Ocké MC, van Rossum CT, Peeters PH, Bamia C, Chloptsios Y, et al. Dietary patterns and survival in older Dutch women. Am J Clin Nutr. 2006;83(5):1170–6. While not specific to frailty, this paper raises interesting discussion regarding the limitations of applying predetermined dietary patterns which do not fully reflect a population’s usual dietary intake.PubMed
32.
go back to reference Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003;133(11):3476–84.PubMed Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003;133(11):3476–84.PubMed
33.•
go back to reference Chan R, Leung J, Woo J. Dietary patterns and risk of frailty in Chinese community-dwelling older people in Hong Kong: a prospective cohort study. Nutrients. 2015;7(8):7070–84. doi:10.3390/nu7085326. This paper uses a variety of dietary pattern approaches to investigate associations with frailty.CrossRefPubMedPubMedCentral Chan R, Leung J, Woo J. Dietary patterns and risk of frailty in Chinese community-dwelling older people in Hong Kong: a prospective cohort study. Nutrients. 2015;7(8):7070–84. doi:10.​3390/​nu7085326. This paper uses a variety of dietary pattern approaches to investigate associations with frailty.CrossRefPubMedPubMedCentral
34.
go back to reference Bollwein J, Diekmann R, Kaiser MJ, Bauer JM, Uter W, Sieber CC, et al. Dietary quality is related to frailty in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2013;68(4):483–9. doi:10.1093/gerona/gls204.CrossRefPubMed Bollwein J, Diekmann R, Kaiser MJ, Bauer JM, Uter W, Sieber CC, et al. Dietary quality is related to frailty in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2013;68(4):483–9. doi:10.​1093/​gerona/​gls204.CrossRefPubMed
35.•
go back to reference León-Muñoz LM, Guallar-Castillón P, López-García E, Rodríguez-Artalejo F. Mediterranean diet and risk of frailty in community-dwelling older adults. J Am Med Dir Assoc. 2014;15(12):899–903. This paper is one of very few prospective studies which investigates incident frailty and dietary patterns.CrossRefPubMed León-Muñoz LM, Guallar-Castillón P, López-García E, Rodríguez-Artalejo F. Mediterranean diet and risk of frailty in community-dwelling older adults. J Am Med Dir Assoc. 2014;15(12):899–903. This paper is one of very few prospective studies which investigates incident frailty and dietary patterns.CrossRefPubMed
36.•
go back to reference Talegawkar SA, Bandinelli S, Bandeen-Roche K, Chen P, Milaneschi Y, Tanaka T, et al. A Higher adherence to a Mediterranean-style diet is inversely associated with the development of frailty in community-dwelling elderly men and women. J Nutr. 2012;142(12):2161–6. doi:10.3945/jn.112.165498. This paper is one of very few prospective studies which investigates incident frailty and dietary patterns.CrossRefPubMedPubMedCentral Talegawkar SA, Bandinelli S, Bandeen-Roche K, Chen P, Milaneschi Y, Tanaka T, et al. A Higher adherence to a Mediterranean-style diet is inversely associated with the development of frailty in community-dwelling elderly men and women. J Nutr. 2012;142(12):2161–6. doi:10.​3945/​jn.​112.​165498. This paper is one of very few prospective studies which investigates incident frailty and dietary patterns.CrossRefPubMedPubMedCentral
37.••
go back to reference Malmstrom TK, Miller DK, Morley JE. A comparison of four frailty models. J Am Geriatr Soc. 2014;62(4):721–6. doi:10.1111/jgs.12735. This paper provides useful information of the operationalisation of frailty and application of various frailty tools in the clinical setting.CrossRefPubMedPubMedCentral Malmstrom TK, Miller DK, Morley JE. A comparison of four frailty models. J Am Geriatr Soc. 2014;62(4):721–6. doi:10.​1111/​jgs.​12735. This paper provides useful information of the operationalisation of frailty and application of various frailty tools in the clinical setting.CrossRefPubMedPubMedCentral
38.
go back to reference Chan R, Chan D, Woo J. The association of a priori and a posterior dietary patterns with the risk of incident stroke in Chinese older people in Hong Kong. J Nutr Health Aging. 2013;17(10):866–74. doi:10.1007/s12603-013-0334-y. Chan R, Chan D, Woo J. The association of a priori and a posterior dietary patterns with the risk of incident stroke in Chinese older people in Hong Kong. J Nutr Health Aging. 2013;17(10):866–74. doi:10.​1007/​s12603-013-0334-y.
41.
go back to reference Zbeida M, Goldsmith R, Shimony T, Vardi H, Naggan L, Shahar D. Mediterranean diet and functional indicators among older adults in non-Mediterranean and Mediterranean countries. J Nutr Health Aging. 2014;18(4):411–8. doi:10.1007/s12603-014-0003-9.CrossRefPubMed Zbeida M, Goldsmith R, Shimony T, Vardi H, Naggan L, Shahar D. Mediterranean diet and functional indicators among older adults in non-Mediterranean and Mediterranean countries. J Nutr Health Aging. 2014;18(4):411–8. doi:10.​1007/​s12603-014-0003-9.CrossRefPubMed
42.
go back to reference Ortolá R, García-Esquinas E, León-Muñoz LM, Guallar-Castillón P, Valencia-Martín JL, Galán I, et al. Patterns of alcohol consumption and risk of frailty in community-dwelling older adults. J Gerontol Ser A Biol Sci Med Sci. 2016;71(2):251–8. doi:10.1093/gerona/glv125.CrossRef Ortolá R, García-Esquinas E, León-Muñoz LM, Guallar-Castillón P, Valencia-Martín JL, Galán I, et al. Patterns of alcohol consumption and risk of frailty in community-dwelling older adults. J Gerontol Ser A Biol Sci Med Sci. 2016;71(2):251–8. doi:10.​1093/​gerona/​glv125.CrossRef
Metadata
Title
Dietary Patterns in the Frail Elderly
Authors
Sue O. MacDonell
Jody C. Miller
Debra L. Waters
Lisa A. Houghton
Publication date
01-03-2016
Publisher
Springer US
Published in
Current Nutrition Reports / Issue 1/2016
Electronic ISSN: 2161-3311
DOI
https://doi.org/10.1007/s13668-016-0156-8

Other articles of this Issue 1/2016

Current Nutrition Reports 1/2016 Go to the issue

Cancer (MF Leitzmann, Section Editor)

Does a Mediterranean-Type Diet Reduce Cancer Risk?

Cancer (MF Leitzmann, Section Editor)

Adolescent Diet and Breast Cancer Risk

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.