Nutrition (Burbank, Los Angeles County, Calif.) · 2025
Association between frailty, malnutrition, and chronic diseases in community-based patients in Poland.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Jankowska-Polańska Beata, Tomasiewicz Anna, Polański Jacek, Tański Wojciech
Аннотация
BACKGROUND: Frailty and malnutrition significantly impact the well-being and quality of life of the aging population. Understanding how frailty, nutritional condition, and chronic diseases correlate with each other is fundamental for designing individualized prevention and intervention methods.
OBJECTIVES: To analyze the relationships between frailty, nutritional status, and associated sociodemographic and clinical factors in older individuals participating in the "Golden Years in Health" program.
METHODS: This cross-sectional study involved 727 community-dwelling adults aged 65-100 years from Wrocław, Poland. Validated tools were used to assess nutritional status (Mini Nutritional Assessment, MNA) and frailty (Tilburg Frailty Indicator, TFI). Logistic regression and correlation analyses were employed to explore associations between variables. Receiver Operating Characteristic (ROC) curve analysis was conducted to identify key predictors of malnutrition.
RESULTS: Malnutrition or risk of malnutrition was most prevalent among participants with severe frailty (p < 0.001). Logistic regression identified low BMI (≤23.9 kg/m²; OR = 2.96, 95% CI: 1.89-4.63), polypharmacy (≥3 medications daily; OR = 2.40, 95% CI: 1.59-3.62), and frailty (TFI ≥7; OR = 3.77, 95% CI: 2.45-5.80) as significant predictors of malnutrition risk. ROC analysis indicated that the TFI score had the highest predictive accuracy for malnutrition (AUC = 0.71, 95% CI: 0.66-0.75).
CONCLUSIONS: Frailty, low BMI, and polypharmacy are strongly associated with malnutrition in older adults. These findings underscore the need for integrated screening and targeted interventions to mitigate nutritional risk and improve outcomes in aging populations.
OBJECTIVES: To analyze the relationships between frailty, nutritional status, and associated sociodemographic and clinical factors in older individuals participating in the "Golden Years in Health" program.
METHODS: This cross-sectional study involved 727 community-dwelling adults aged 65-100 years from Wrocław, Poland. Validated tools were used to assess nutritional status (Mini Nutritional Assessment, MNA) and frailty (Tilburg Frailty Indicator, TFI). Logistic regression and correlation analyses were employed to explore associations between variables. Receiver Operating Characteristic (ROC) curve analysis was conducted to identify key predictors of malnutrition.
RESULTS: Malnutrition or risk of malnutrition was most prevalent among participants with severe frailty (p < 0.001). Logistic regression identified low BMI (≤23.9 kg/m²; OR = 2.96, 95% CI: 1.89-4.63), polypharmacy (≥3 medications daily; OR = 2.40, 95% CI: 1.59-3.62), and frailty (TFI ≥7; OR = 3.77, 95% CI: 2.45-5.80) as significant predictors of malnutrition risk. ROC analysis indicated that the TFI score had the highest predictive accuracy for malnutrition (AUC = 0.71, 95% CI: 0.66-0.75).
CONCLUSIONS: Frailty, low BMI, and polypharmacy are strongly associated with malnutrition in older adults. These findings underscore the need for integrated screening and targeted interventions to mitigate nutritional risk and improve outcomes in aging populations.