Dietary protein intake and transition between frailty states in octogenarians living in New Zealand
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
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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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 |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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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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1799138058967187456 |