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Adherence to the Mediterranean Diet and the Risk of Frailty in Old People: A Systematic Review and Meta-Analysis
Background Frailty is a common geriatric syndrome in old people. It remains controversial whether Mediterranean diet could prevent old people from developing into frailty. The aim of this study is to summarize the relevant studies and assess the effectiveness of adherence to Mediterranean diet on fr...
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| Published in: | The Journal of nutrition, health & aging health & aging, 2018-05, Vol.22 (5), p.613-618 |
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| container_title | The Journal of nutrition, health & aging |
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| creator | Wang, Y. Hao, Q. Su, L. Liu, Y. Liu, S. Dong, Birong |
| description | Background
Frailty is a common geriatric syndrome in old people. It remains controversial whether Mediterranean diet could prevent old people from developing into frailty. The aim of this study is to summarize the relevant studies and assess the effectiveness of adherence to Mediterranean diet on frailty in old people.
Method
A systematic search of MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials was conducted to identify all relevant studies up to Oct 2017. We included studies regarding the associations between adherence to Mediterranean diet and risk of frailty among elders. A meta-analysis was performed to explore the effects of Mediterranean diet on frailty.
Results
Six studies matched the inclusion criteria, of which five were prospective and one was cross-sectional. A total of 10,210 participants from the five prospective cohort studies were included to perform the meta-analyses. In comparison with lowest adherence to Mediterranean diet, elders with highest adherence to Mediterranean diet were significantly associated with lower risk of frailty in the future (RR= 0.56, 95% CI=0.36-0.89, p=0.015). Furthermore, the pooled estimates from four studies performed among participants in western countries (European and North American) showed that higher adherence to Mediterranean diet was associated with a 52% reduced risk of frailty (RR= 0.48, 95% CI=0.32-0.72, p |
| doi_str_mv | 10.1007/s12603-018-1020-x |
| format | article |
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Frailty is a common geriatric syndrome in old people. It remains controversial whether Mediterranean diet could prevent old people from developing into frailty. The aim of this study is to summarize the relevant studies and assess the effectiveness of adherence to Mediterranean diet on frailty in old people.
Method
A systematic search of MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials was conducted to identify all relevant studies up to Oct 2017. We included studies regarding the associations between adherence to Mediterranean diet and risk of frailty among elders. A meta-analysis was performed to explore the effects of Mediterranean diet on frailty.
Results
Six studies matched the inclusion criteria, of which five were prospective and one was cross-sectional. A total of 10,210 participants from the five prospective cohort studies were included to perform the meta-analyses. In comparison with lowest adherence to Mediterranean diet, elders with highest adherence to Mediterranean diet were significantly associated with lower risk of frailty in the future (RR= 0.56, 95% CI=0.36-0.89, p=0.015). Furthermore, the pooled estimates from four studies performed among participants in western countries (European and North American) showed that higher adherence to Mediterranean diet was associated with a 52% reduced risk of frailty (RR= 0.48, 95% CI=0.32-0.72, p<0.001). However, one study showed no association between Mediterranean diet and frailty among Asian elders (RR=1.06, 95% CI=0.83-1.36, p=0.638).
Conclusion
A higher adherence to Mediterranean diet is associated with a lower risk of frailty in old people. Meanwhile, the benefits may be more obvious among elders from western countries.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-018-1020-x</identifier><identifier>PMID: 29717762</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Aged ; Aging ; Cross-Sectional Studies ; Diet ; Diet, Mediterranean - statistics & numerical data ; Evidence-based medicine ; Frailty ; Frailty - diet therapy ; Frailty - epidemiology ; Frailty - prevention & control ; Geriatrics/Gerontology ; Humans ; Low density lipoprotein ; Medicine ; Medicine & Public Health ; Meta-analysis ; Middle Aged ; Neurosciences ; Nutrition ; Older people ; Patient compliance ; Performance evaluation ; Primary Care Medicine ; Prospective Studies ; Quality of Life Research ; Risk ; Systematic review</subject><ispartof>The Journal of nutrition, health & aging, 2018-05, Vol.22 (5), p.613-618</ispartof><rights>Serdi and Springer-Verlag France SAS, part of Springer Nature 2018</rights><rights>The journal of nutrition, health & aging is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-7efb444ea49b908abc6df1eca9a2918197e11f77fb38b9269cc070ba0aeb281c3</citedby><cites>FETCH-LOGICAL-c481t-7efb444ea49b908abc6df1eca9a2918197e11f77fb38b9269cc070ba0aeb281c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29717762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Y.</creatorcontrib><creatorcontrib>Hao, Q.</creatorcontrib><creatorcontrib>Su, L.</creatorcontrib><creatorcontrib>Liu, Y.</creatorcontrib><creatorcontrib>Liu, S.</creatorcontrib><creatorcontrib>Dong, Birong</creatorcontrib><title>Adherence to the Mediterranean Diet and the Risk of Frailty in Old People: A Systematic Review and Meta-Analysis</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Background
Frailty is a common geriatric syndrome in old people. It remains controversial whether Mediterranean diet could prevent old people from developing into frailty. The aim of this study is to summarize the relevant studies and assess the effectiveness of adherence to Mediterranean diet on frailty in old people.
Method
A systematic search of MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials was conducted to identify all relevant studies up to Oct 2017. We included studies regarding the associations between adherence to Mediterranean diet and risk of frailty among elders. A meta-analysis was performed to explore the effects of Mediterranean diet on frailty.
Results
Six studies matched the inclusion criteria, of which five were prospective and one was cross-sectional. A total of 10,210 participants from the five prospective cohort studies were included to perform the meta-analyses. In comparison with lowest adherence to Mediterranean diet, elders with highest adherence to Mediterranean diet were significantly associated with lower risk of frailty in the future (RR= 0.56, 95% CI=0.36-0.89, p=0.015). Furthermore, the pooled estimates from four studies performed among participants in western countries (European and North American) showed that higher adherence to Mediterranean diet was associated with a 52% reduced risk of frailty (RR= 0.48, 95% CI=0.32-0.72, p<0.001). However, one study showed no association between Mediterranean diet and frailty among Asian elders (RR=1.06, 95% CI=0.83-1.36, p=0.638).
Conclusion
A higher adherence to Mediterranean diet is associated with a lower risk of frailty in old people. Meanwhile, the benefits may be more obvious among elders from western countries.</description><subject>Aged</subject><subject>Aging</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Diet, Mediterranean - statistics & numerical data</subject><subject>Evidence-based medicine</subject><subject>Frailty</subject><subject>Frailty - diet therapy</subject><subject>Frailty - epidemiology</subject><subject>Frailty - prevention & control</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Low density lipoprotein</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Middle Aged</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Older people</subject><subject>Patient compliance</subject><subject>Performance evaluation</subject><subject>Primary Care Medicine</subject><subject>Prospective Studies</subject><subject>Quality of Life Research</subject><subject>Risk</subject><subject>Systematic review</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kVFPFDEUhRsjEUR_gC-miS--VO7tzE5b3zYISgLBoD43nc4dKc7OrG1X2H9PlwVJSHhqk_Od03t7GHuH8AkB1EFC2UAlALVAkCBuXrA9VA2IWmn9stylMkIpULvsdUpXAPXM6OYV25VGoVKN3GPLeXdJkUZPPE88XxI_oy5kitGN5Eb-JVDmbuzupIuQ_vCp58fRhSGveRj5-dDx7zQtB_rM5_zHOmVauBw8v6B_ga7vrGeUnZiPblinkN6wnd4Nid7en_vs1_HRz8Nv4vT868nh_FT4WmMWivq2rmtytWkNaNf6puuRvDNOGtRoFCH2SvVtpVsjG-M9KGgdOGqlRl_ts4_b3GWc_q4oZbsIydMwlL2mVbISqqrSgFVT0A9P0KtpFcu8Gwpn9aySShcKt5SPU0qReruMYeHi2iLYTR12W4ctddhNHfameN7fJ6_aBXX_HQ__XwC5BVKRxt8UH59-PvUWf1SVDw</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Wang, Y.</creator><creator>Hao, Q.</creator><creator>Su, L.</creator><creator>Liu, Y.</creator><creator>Liu, S.</creator><creator>Dong, Birong</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20180501</creationdate><title>Adherence to the Mediterranean Diet and the Risk of Frailty in Old People: A Systematic Review and Meta-Analysis</title><author>Wang, Y. ; Hao, Q. ; Su, L. ; Liu, Y. ; Liu, S. ; Dong, Birong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-7efb444ea49b908abc6df1eca9a2918197e11f77fb38b9269cc070ba0aeb281c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aging</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Diet, Mediterranean - statistics & numerical data</topic><topic>Evidence-based medicine</topic><topic>Frailty</topic><topic>Frailty - diet therapy</topic><topic>Frailty - epidemiology</topic><topic>Frailty - prevention & control</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Low density lipoprotein</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Older people</topic><topic>Patient compliance</topic><topic>Performance evaluation</topic><topic>Primary Care Medicine</topic><topic>Prospective Studies</topic><topic>Quality of Life Research</topic><topic>Risk</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Y.</creatorcontrib><creatorcontrib>Hao, Q.</creatorcontrib><creatorcontrib>Su, L.</creatorcontrib><creatorcontrib>Liu, Y.</creatorcontrib><creatorcontrib>Liu, S.</creatorcontrib><creatorcontrib>Dong, Birong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Y.</au><au>Hao, Q.</au><au>Su, L.</au><au>Liu, Y.</au><au>Liu, S.</au><au>Dong, Birong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to the Mediterranean Diet and the Risk of Frailty in Old People: A Systematic Review and Meta-Analysis</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>22</volume><issue>5</issue><spage>613</spage><epage>618</epage><pages>613-618</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Background
Frailty is a common geriatric syndrome in old people. It remains controversial whether Mediterranean diet could prevent old people from developing into frailty. The aim of this study is to summarize the relevant studies and assess the effectiveness of adherence to Mediterranean diet on frailty in old people.
Method
A systematic search of MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials was conducted to identify all relevant studies up to Oct 2017. We included studies regarding the associations between adherence to Mediterranean diet and risk of frailty among elders. A meta-analysis was performed to explore the effects of Mediterranean diet on frailty.
Results
Six studies matched the inclusion criteria, of which five were prospective and one was cross-sectional. A total of 10,210 participants from the five prospective cohort studies were included to perform the meta-analyses. In comparison with lowest adherence to Mediterranean diet, elders with highest adherence to Mediterranean diet were significantly associated with lower risk of frailty in the future (RR= 0.56, 95% CI=0.36-0.89, p=0.015). Furthermore, the pooled estimates from four studies performed among participants in western countries (European and North American) showed that higher adherence to Mediterranean diet was associated with a 52% reduced risk of frailty (RR= 0.48, 95% CI=0.32-0.72, p<0.001). However, one study showed no association between Mediterranean diet and frailty among Asian elders (RR=1.06, 95% CI=0.83-1.36, p=0.638).
Conclusion
A higher adherence to Mediterranean diet is associated with a lower risk of frailty in old people. Meanwhile, the benefits may be more obvious among elders from western countries.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>29717762</pmid><doi>10.1007/s12603-018-1020-x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | Springer Nature |
| subjects | Aged Aging Cross-Sectional Studies Diet Diet, Mediterranean - statistics & numerical data Evidence-based medicine Frailty Frailty - diet therapy Frailty - epidemiology Frailty - prevention & control Geriatrics/Gerontology Humans Low density lipoprotein Medicine Medicine & Public Health Meta-analysis Middle Aged Neurosciences Nutrition Older people Patient compliance Performance evaluation Primary Care Medicine Prospective Studies Quality of Life Research Risk Systematic review |
| title | Adherence to the Mediterranean Diet and the Risk of Frailty in Old People: A Systematic Review and Meta-Analysis |
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