Lack of Association between Insufficient Intake of Multiple Vitamins and Frailty in Older Adults Who Consume Sufficient Energy and Protein: A Nationwide Cross-Sectional Study
- PMID: 39203722
- PMCID: PMC11357227
- DOI: 10.3390/nu16162586
Lack of Association between Insufficient Intake of Multiple Vitamins and Frailty in Older Adults Who Consume Sufficient Energy and Protein: A Nationwide Cross-Sectional Study
Abstract
Frailty is a complex condition that intensifies with age and is marked by decreased physiological function. We rigorously investigated the effects of lower vitamin intake on frailty using data from 665 adults aged over 65 years who consumed sufficient recommended daily energy and protein intakes from the Korean Nutrition and Health Survey, 2016-2019. The definition of frailty was modified based on Fried et al.'s definition of weight loss, exhaustion, weakness, slowness, and low energy expenditure. Based on daily intake, we analyzed vitamins such as vitamin A, thiamine, riboflavin, niacin, folic acid, and vitamin C. Our results of logistic regression showed that increasing multiple deficiencies in several kinds of vitamins (mild to moderate to severe) is not associated with frailty (odds ratio: 1, 1.24 (0.24-3.10), 0.82 (0.28-2.39), p for trend = 0.626) in older adults who consumed sufficient calories and proteins. A subgroup analysis of age and sex, which may interfere with the relationship between vitamin intake and frailty, showed that vitamin intake was not associated with frailty when sufficient energy and proteins were consumed. Furthermore, there was no difference in the prevalence of frailty between the groups with sufficient and insufficient intakes of individual vitamins.
Keywords: energy intake; frailty; geriatrics; proteins; vitamins.
Conflict of interest statement
The authors declare no conflicts of interest.
Similar articles
-
Low vitamin intake is associated with risk of frailty in older adults.Age Ageing. 2018 Nov 1;47(6):872-879. doi: 10.1093/ageing/afy105. Age Ageing. 2018. PMID: 30052701
-
Higher Protein but Not Energy Intake Is Associated With a Lower Prevalence of Frailty Among Community-Dwelling Older Adults in the French Three-City Cohort.J Am Med Dir Assoc. 2016 Jul 1;17(7):672.e7-672.e11. doi: 10.1016/j.jamda.2016.05.005. J Am Med Dir Assoc. 2016. PMID: 27346652
-
Nutritional intakes in community-dwelling older Japanese adults: high intakes of energy and protein based on high consumption of fish, vegetables and fruits provide sufficient micronutrients.J Nutr Sci Vitaminol (Tokyo). 2004 Jun;50(3):184-95. doi: 10.3177/jnsv.50.184. J Nutr Sci Vitaminol (Tokyo). 2004. PMID: 15386931
-
[Changes in the energy needs of the elderly: an often encountered cause of nutritional deficiencies and frailty].Ned Tijdschr Geneeskd. 1998 Oct 31;142(44):2400-4. Ned Tijdschr Geneeskd. 1998. PMID: 9864535 Review. Dutch.
-
Low Protein Intake Is Associated with Frailty in Older Adults: A Systematic Review and Meta-Analysis of Observational Studies.Nutrients. 2018 Sep 19;10(9):1334. doi: 10.3390/nu10091334. Nutrients. 2018. PMID: 30235893 Free PMC article.
Cited by
-
Nutritional status and frailty in elderly patients undergoing major abdominal surgery for upper gastrointestinal tumors: a single-center prospective observational study.Ir J Med Sci. 2025 Aug 13. doi: 10.1007/s11845-025-04060-w. Online ahead of print. Ir J Med Sci. 2025. PMID: 40802148
-
Dietary Management and Nutritional Strategies for Preventing Age-Related Diseases.Nutrients. 2025 Apr 25;17(9):1450. doi: 10.3390/nu17091450. Nutrients. 2025. PMID: 40362759 Free PMC article.
References
-
- Ensrud K.E., Ewing S.K., Taylor B.C., Fink H.A., Stone K.L., Cauley J.A., Tracy J.K., Hochberg M.C., Rodondi N., Cawthon P.M. Frailty and risk of falls, fracture, and mortality in older women: The study of osteoporotic fractures. J. Gerontol. Ser. A Biol. Sci. Med. Sci. 2007;62:744–751. doi: 10.1093/gerona/62.7.744. - DOI - PubMed
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous