Pro-inflammatory diet, frailty and sarcopenia: a study with older people in outpatient care

Authors

DOI:

https://doi.org/10.33448/rsd-v10i17.24488

Keywords:

Sarcopenia; Inflammation; Frailty.

Abstract

Objectives: To analyze the relationship between the Dietary Inflammatory Index (DII), sarcopenia, and frailty syndrome in older people. Methods: A cross-sectional, non-probabilistic study was carried out with 135 older people, attended by a general outpatient clinic. The older people were classified in relation to sarcopenia according to the European Working Group on Sarcopenia in Older People. The frailty classification was made through self-referred questions. The calculation of the DII was made using the iOS application IF RATING®. Association analysis was performed using multiple logistic regression. Results: Of the 135 older people evaluated, 17.78% were classified as sarcopenic and 47.41% as frail. No association was observed between the most inflammatory DII and sarcopenia. Regarding frailty syndrome, older people with a more inflammatory DII were more likely to be frail (OR=3.64; 95%CI=1.24-10.70). Discussion: These results could stimulate actions to promote an anti-inflammatory diet, with a view to preventing frailty in older people.

Author Biographies

Gabriela Benatti de Oliveira, Federal University of Alfenas

Corresponding Author: Undergraduate Student; Faculty of Nutrition, Federal University of Alfenas, Alfenas, Brazil Address: Rua Padre Francisco de Abreu Sampaio, 269, Jardim Dom Vieira, Campinas, São Paulo, CEP: 13036-140. Telephone Number: +55 19 99792 0011.

Cintia Midori Yogi, Federal University of Alfenas

Undergraduate Student; Faculty of Nutrition, Federal University of Alfenas, Alfenas, Brazil.

Fernanda de Carvalho Vidigal, Federal University of Alfenas

PhD; Faculty of Nutrition, Federal University of Alfenas, Alfenas, Brazil

Daniela Braga Lima, Federal University of Alfenas

PhD; Faculty of Nutrition, Federal University of Alfenas, Alfenas, Brazil

Alice Helena de Souza Paulino, Faculty of São Lourenço

PhD; Faculty of São Lourenço/UNISEPE, São Lourenço, Brazil

Tábatta Renata Pereira de Brito, Federal University of Alfenas

PhD; Faculty of Nutrition, Federal University of Alfenas, Alfenas, Brazil

References

Barreto Silva, M. I., Menna Barreto, A. P. M., Pontes, K. S. da S., Costa, M. S. da, Rosina, K. T. de C., Souza, E., Bregman, R., Prado, C. M., & Klein, M. R.S. T. (2021). Accuracy of surrogate methods to estimate skeletal muscle mass in non-dialysis dependent patients with chronic kidney disease and in kidney transplant recipients. Clinical Nutrition (Edinburgh, Scotland), 40(1), 303–312. https://doi.org/10.1016/j.clnu.2020.05.021

Brucki, S. M. D., Nitrin, R., Caramelli, P., Bertolucci, P. H. F., & Okamoto, I. H. (2003). Suggestions for utilization of the mini-mental state examination in Brazil. Arquivos de Neuro-Psiquiatria, 61(3 B), 777–781. https://doi.org/10.1590/s0004-282x2003000500014

Carvalho, C. A., Silva, A. A. M., Assunção, M. C. F., Fonseca, P. C. A., Barbieri, M. A., Bettiol, H., Shivappa, N., & Hébert, J. R. (2019). The dietary inflammatory index and insulin resistance or metabolic syndrome in young adults. Nutrition (Burbank, Los Angeles County, Calif.), 58, 187–193. https://doi.org/10.1016/j.nut.2018.07.014

Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., Cooper, C., Landi, F., Rolland, Y., Sayer, A. A., Schneider, S. M., Sieber, C. C., Topinkova, E., Vandewoude, M., Visser, M., Zamboni, M., Bautmans, I., Baeyens, J. P., Cesari, M., … Schols, J. (2019). Sarcopenia: Revised European consensus on definition and diagnosis. Age and Ageing, 48(1), 16–31. https://doi.org/10.1093/ageing/afy169

Delmonico, M. J., Harris, T. B., Lee, J. S., Visser, M., Nevitt, M., Kritchevsky, S. B., Tylavsky, F. A., & Newman, A. B. (2007). Alternative definitions of sarcopenia, lower extremity performance, and functional impairment with aging in older men and women. Journal of the American Geriatrics Society, 55(5), 769–774. https://doi.org/10.1111/j.1532-5415.2007.01140.x

Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198. https://doi.org/https://doi.org/10.1016/0022-3956(75)90026-6

Fried, L. P., Xue, Q. L., Cappola, A. R., Ferrucci, L., Chaves, P., Varadhan, R., Guralnik, J. M., Leng, S. X., Semba, R. D., Walston, J. D., Blaum, C. S., & Bandeen-Roche, K. (2009). Nonlinear multisystem physiological dysregulation associated with frailty in older women: Implications for etiology and treatment. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 64(10), 1049–1057. https://doi.org/10.1093/gerona/glp076

Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of Illness in the Aged: The Index of ADL: A Standardized Measure of Biological and Psychosocial Function. JAMA, 185(12), 914–919. https://doi.org/10.1001/jama.1963.03060120024016

Kim, D., & Park, Y. (2018). Association between the dietary inflammatory index and risk of frailty in older individuals with poor nutritional status. Nutrients, 10(10). https://doi.org/10.3390/nu10101363

Kurkcu, M., Meijer, R. I., Lonterman, S., Muller, M., & de van der Schueren, M. A. E. (2018). The association between nutritional status and frailty characteristics among geriatric outpatients. Clinical Nutrition ESPEN, 23, 112–116. https://doi.org/https://doi.org/10.1016/j.clnesp.2017.11.006

Laclaustra, M., Rodriguez-Artalejo, F., Guallar-Castillon, P., Banegas, J. R., Graciani, A., Garcia-Esquinas, E., & Lopez-Garcia, E. (2020). The inflammatory potential of diet is related to incident frailty and slow walking in older adults. Clinical Nutrition, 39(1), 185–191. https://doi.org/10.1016/j.clnu.2019.01.013

Lange, C., Nunes, D. P., & Pastore, C. A. (2017). Artigo Original Fragilidade em idosos da zona rural : proposta de algoritmo de cuidados Frailty in rural older adults : development of a care algorithm. 30(5), 520–530.

Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186.

Lee, R. C., Wang, Z., Heo, M., Ross, R., Janssen, I., & Heymsfield, S. B. (2000). Total-body skeletal muscle mass: development and cross-validation of anthropometric prediction models. The American Journal of Clinical Nutrition, 72(3), 796–803. https://doi.org/10.1093/ajcn/72.3.796

Lipschitz, D. . (1994). Screening for nutritional status in the elderly. Prim. Care, 21, 55–67.

Moura, K., Machado de Jesus, I. T., Angelini dos Santos Orlandi, A., & Silvana Zazzetta, M. (2020). Fragilidade E Suporte Social De Idosos Em Região Vulnerável: Uma Abordagem Em Uma Unidade De Saúde Da Família. Revista de Atenção à Saúde, 18(63), 65–73. https://doi.org/10.13037/ras.vol18n63.6342

Newman, A. B., Kupelian, V., Visser, M., Simonsick, E., Goodpaster, B., Nevitt, M., Kritchevsky, S. B., Tylavsky, F. A., Rubin, S. M., & Harris, T. B. (2003). Sarcopenia: Alternative Definitions and Associations with Lower Extremity Function. Journal of the American Geriatrics Society, 51(11), 1602–1609. https://doi.org/10.1046/j.1532-5415.2003.51534.x

Ntanasi, E., Yannakoulia, M., Mourtzi, N., Vlachos, G. S., Kosmidis, M. H., Anastasiou, C. A., Dardiotis, E., Hadjigeorgiou, G., Megalou, M., Sakka, P., & Scarmeas, N. (2018). Prevalence and Risk Factors of Frailty in a Community-Dwelling Population: The HELIAD Study. Journal of Aging and Health, 32(1–2), 14–24. https://doi.org/10.1177/0898264318801735

Nunes, D. P., Duarte, Y. A. de O., Santos, J. L. F., & Lebrão, M. L. (2015). Screening for frailty in older adults using a self-reported instrument. Revista de Saude Publica, 49(1). https://doi.org/10.1590/S0034-8910.2015049005516

Pimentel, C. K. dos S., Santos, C. M. dos, & Luz Neto, L. M. da. (2016). Características nutricionais e fator inflamatório das dietas usadas por pacientes em terapia renal substitutiva. 31(3), 208–220.

Polit, D., & Beck, C. (2011). Fundamento de Pesquisa em Enfermagem : Avaliação de evidências para a prática de enfermagem (7a). Artmed.

Pritchard, J. M., Kennedy, C. C., Karampatos, S., Ioannidis, G., Misiaszek, B., Marr, S., Patterson, C., Woo, T., & Papaioannou, A. (2017). Measuring frailty in clinical practice: A comparison of physical frailty assessment methods in a geriatric out-patient clinic. BMC Geriatrics, 17(1), 1–8. https://doi.org/10.1186/s12877-017-0623-0

Reijnierse, E. M., Trappenburg, M. C., Leter, M. J., Blauw, G. J., Sipilä, S., Sillanpää, E., Narici, M. V, Hogrel, J.-Y., Butler-Browne, G., McPhee, J. S., Gapeyeva, H., Pääsuke, M., de van der Schueren, M. A. E., Meskers, C. G. M., & Maier, A. B. (2015). The Impact of Different Diagnostic Criteria on the Prevalence of Sarcopenia in Healthy Elderly Participants and Geriatric Outpatients. Gerontology, 61(6), 491–496. https://doi.org/10.1159/000377699

Reinagel M. (2007). The Inflammation – Free Diet Plan. McGraw – Hill Education, 1st ed.

Resciniti, N. V, Lohman, M. C., Wirth, M. D., Shivappa, N., & Hebert, J. R. (2019). Dietary Inflammatory Index, Pre-Frailty and Frailty Among Older US Adults: Evidence from the National Health and Nutrition Examination Survey, 2007–2014. The Journal of Nutrition, Health & Aging, 23(4), 323–329. https://doi.org/10.1007/s12603-019-1164-3

Rossi, P. G., Carnavale, B. F., Farche, A. C. S., Ansai, J. H., de Andrade, L. P., & Takahashi, A. C. de M. (2021). Effects of physical exercise on the cognition of older adults with frailty syndrome: A systematic review and meta-analysis of randomized trials. Archives of Gerontology and Geriatrics, 93, 104322. https://doi.org/10.1016/j.archger.2020.104322

Shivappa, N., Stubbs, B., Hébert, J. R., Cesari, M., Schofield, P., Soysal, P., Maggi, S., & Veronese, N. (2018). The Relationship Between the Dietary Inflammatory Index and Incident Frailty: A Longitudinal Cohort Study. Journal of the American Medical Directors Association, 19(1), 77–82. https://doi.org/10.1016/j.jamda.2017.08.006

Shokri-mashhadi, N., Moradi, S., Heidari, Z., & Saadat, S. (2021). Association of circulating C-reactive protein and high-sensitivity C-reactive protein with components of sarcopenia: A systematic review and meta-analysis of observational studies. Experimental Gerontology, 150(July 2020), 111330. https://doi.org/10.1016/j.exger.2021.111330

Teskey, G., Bundalovic-Torma, C., & Bowdish, D. (2019). Age-associated inflammation alters the aging trajectory. Biochemist, 41(1), 22–25. https://doi.org/10.1042/bio04101022

Vadell, A. K. E., Bärebring, L., Hulander, E., Gjertsson, I., Lindqvist, H. M., & Winkvist, A. (2020). Anti-inflammatory Diet In Rheumatoid Arthritis (ADIRA)—a randomized, controlled crossover trial indicating effects on disease activity. The American Journal of Clinical Nutrition, 111(6), 1203–1213. https://doi.org/10.1093/ajcn/nqaa019

Yang, L., Yao, X., Shen, J., Sun, G., Sun, Q., Tian, X., Li, X., Li, X., Ye, L., Zhang, Z., Dai, J., & Xiao, H. (2020). Comparison of revised EWGSOP criteria and four other diagnostic criteria of sarcopenia in Chinese community-dwelling elderly residents. Experimental Gerontology, 130, 110798. https://doi.org/10.1016/j.exger.2019.110798

Yesavage, J. A., & Sheikh, J. I. (1986). 9/Geriatric Depression Scale (GDS). Clinical Gerontologist, 5(1–2), 165–173. https://doi.org/10.1300/J018v05n01_09

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Published

22/12/2021

How to Cite

OLIVEIRA, G. B. de; YOGI, C. M. .; VIDIGAL, F. de C.; LIMA, D. B.; PAULINO, A. H. . de S.; BRITO, T. R. P. de. Pro-inflammatory diet, frailty and sarcopenia: a study with older people in outpatient care. Research, Society and Development, [S. l.], v. 10, n. 17, p. e103101724488, 2021. DOI: 10.33448/rsd-v10i17.24488. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24488. Acesso em: 23 nov. 2024.

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Health Sciences