Dietary protein intake and transition between frailty states in octogenarians living in New Zealand

Detalhes bibliográficos
Autor(a) principal: Teh, Ruth
Data de Publicação: 2021
Outros Autores: Mendonça, Nuno, Muru-Lanning, Marama, Macdonell, Sue, Robinson, Louise, Kerse, Ngaire
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/124278
Resumo: Funding Information: Funding: This research was funded by Health Research Council of New Zealand (HRC 09/068B; UoA ref: 3624940) and Ministry of Health New Zealand (MOH ref: 345426/00; UoA ref: 3703221) which funded the project management and data collection work; Nga¯ Pae o te Ma¯ramatanga (UoA ref: 3624946) which funded the Ma¯ori engagement and project management. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
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spelling Dietary protein intake and transition between frailty states in octogenarians living in New ZealandFrailtyIndigenous healthMortalityMulti-state modellingProtein deficiencyFood ScienceNutrition and DieteticsFunding Information: Funding: This research was funded by Health Research Council of New Zealand (HRC 09/068B; UoA ref: 3624940) and Ministry of Health New Zealand (MOH ref: 345426/00; UoA ref: 3703221) which funded the project management and data collection work; Nga¯ Pae o te Ma¯ramatanga (UoA ref: 3624946) which funded the Ma¯ori engagement and project management. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.Adequate nutritional status may influence progression to frailty. The purpose of this study is to determine the prevalence of frailty and examine the relationship between dietary protein intake and the transition between frailty states and mortality in advanced age. We used data from a longitudinal cohort study of Māori (80–90 years) and non-Māori (85 years). Dietary assessments (24-h multiple pass dietary recalls) were completed at the second year of follow-up (wave 2 and forms the baseline in this study). Frailty was defined using the Fried Frailty criteria. Multi-state modelling examined the association of protein intake and transitions between frailty states and death over four years. Over three quarters of participants were pre-frail or frail at baseline (62% and 16%, respectively). Those who were frail had a higher co-morbidity (p < 0.05), where frailty state changed, 44% showed a worsening of frailty status (robust → pre-frail or pre-frail → frail). Those with higher protein intake (g/kg body weight/day) were less likely to transition from robust to pre-frail [Hazard Ratio (95% Confidence Interval): 0.28 (0.08–0.91)] but also from pre-frail to robust [0.24 (0.06–0.93)]. Increased protein intake was associated with lower risk of transitioning from pre-frailty to death [0.19 (0.04–0.80)], and this association was moderated by energy intake [0.22 (0.03–1.71)]. Higher protein intake in this sample of octogenarians was associated with both better and worse outcomes.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSCentro de Estudos de Doenças Crónicas (CEDOC)RUNTeh, RuthMendonça, NunoMuru-Lanning, MaramaMacdonell, SueRobinson, LouiseKerse, Ngaire2021-09-09T00:27:49Z2021-08-192021-08-19T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/124278eng1422-8599PURE: 33458899https://doi.org/10.3390/nu13082843info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:05:46Zoai:run.unl.pt:10362/124278Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:45:25.672332Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
title Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
spellingShingle Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
Teh, Ruth
Frailty
Indigenous health
Mortality
Multi-state modelling
Protein deficiency
Food Science
Nutrition and Dietetics
title_short Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
title_full Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
title_fullStr Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
title_full_unstemmed Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
title_sort Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
author Teh, Ruth
author_facet Teh, Ruth
Mendonça, Nuno
Muru-Lanning, Marama
Macdonell, Sue
Robinson, Louise
Kerse, Ngaire
author_role author
author2 Mendonça, Nuno
Muru-Lanning, Marama
Macdonell, Sue
Robinson, Louise
Kerse, Ngaire
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
Centro de Estudos de Doenças Crónicas (CEDOC)
RUN
dc.contributor.author.fl_str_mv Teh, Ruth
Mendonça, Nuno
Muru-Lanning, Marama
Macdonell, Sue
Robinson, Louise
Kerse, Ngaire
dc.subject.por.fl_str_mv Frailty
Indigenous health
Mortality
Multi-state modelling
Protein deficiency
Food Science
Nutrition and Dietetics
topic Frailty
Indigenous health
Mortality
Multi-state modelling
Protein deficiency
Food Science
Nutrition and Dietetics
description Funding Information: Funding: This research was funded by Health Research Council of New Zealand (HRC 09/068B; UoA ref: 3624940) and Ministry of Health New Zealand (MOH ref: 345426/00; UoA ref: 3703221) which funded the project management and data collection work; Nga¯ Pae o te Ma¯ramatanga (UoA ref: 3624946) which funded the Ma¯ori engagement and project management. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-09T00:27:49Z
2021-08-19
2021-08-19T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/124278
url http://hdl.handle.net/10362/124278
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1422-8599
PURE: 33458899
https://doi.org/10.3390/nu13082843
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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