Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis

ObjectiveThis study aims to evaluate factors linked to the degree of disability among older adults and explore the relationship between the dietary inflammatory index (DII) and the degree of disability among older adults in southern China.MethodsConducted in two districts of Guangzhou, China, this c...

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Main Authors: Junbin Liao, Wenfeng Cai, Danrong Lin, Yuanyun Xiao, Yanxi Liu, Yahui Wang, Yuquan Zhong, Fan Xiao, Heng Fang, Yilu Yao, Yunfeng Lin, Jiewen Su, Siyu Sun, Bo Zhang, Yan Wang, Wei Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1476095/full
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author Junbin Liao
Junbin Liao
Wenfeng Cai
Danrong Lin
Yuanyun Xiao
Yanxi Liu
Yahui Wang
Yuquan Zhong
Fan Xiao
Heng Fang
Yilu Yao
Yunfeng Lin
Jiewen Su
Siyu Sun
Bo Zhang
Yan Wang
Wei Zhu
Wei Zhu
author_facet Junbin Liao
Junbin Liao
Wenfeng Cai
Danrong Lin
Yuanyun Xiao
Yanxi Liu
Yahui Wang
Yuquan Zhong
Fan Xiao
Heng Fang
Yilu Yao
Yunfeng Lin
Jiewen Su
Siyu Sun
Bo Zhang
Yan Wang
Wei Zhu
Wei Zhu
author_sort Junbin Liao
collection DOAJ
description ObjectiveThis study aims to evaluate factors linked to the degree of disability among older adults and explore the relationship between the dietary inflammatory index (DII) and the degree of disability among older adults in southern China.MethodsConducted in two districts of Guangzhou, China, this cross-sectional study included 262 older adults with mild-to-severe disabilities. Disability levels were assessed using the “Assessment Standard for Long-term Care Disability” from the Medical Insurance Bureau, including Activities of Daily Living (ADL), Cognitive Ability, and Sensory Perception and Communication Skills (SPCS). Dietary data were collected via Food Frequency Questionnaire (FFQ) and used to calculate the DII and intake of nutrients (e.g., Protein, Carbohydrate and Fat). A multivariable ordinal logistic regression model was employed to analyze the influence of various factors and the DII on the degree of disability among older adults. Restricted cubic spline and sensitivity analyses were used to assess the association between DII and the degree of disability of the older adult population.ResultsInactivity (never exercising, OR = 8.48, 95% CI = 2.30–31.31) and reduced activity (formerly exercising, OR = 4.85, 95% CI = 1.39–16.96), stroke (OR = 2.78, 95% CI = 1.61–4.80), and dementia (OR = 2.69, 95% CI = 1.26–5.78) were significantly associated with increased disability. After adjusting for confounding factors, a higher DII was linked to a greater degree of disability, with the highest DII quartile showing a notably higher risk (OR = 2.61, 95% CI = 1.21–5.61) compared to the lowest quartile.ConclusionLack of exercise, previous exercise, stroke, and dementia are correlated with increased disability among older adults. Additionally, a higher DII is associated with a more severe degree of disability.
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spelling doaj-art-a68b8e7648b644d19a50ba5d01cef2b42025-01-22T10:53:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14760951476095Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysisJunbin Liao0Junbin Liao1Wenfeng Cai2Danrong Lin3Yuanyun Xiao4Yanxi Liu5Yahui Wang6Yuquan Zhong7Fan Xiao8Heng Fang9Yilu Yao10Yunfeng Lin11Jiewen Su12Siyu Sun13Bo Zhang14Yan Wang15Wei Zhu16Wei Zhu17School of Public Health, Southern Medical University, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Epidemiology, Guangzhou Tianhe District Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Epidemiology, Guangzhou Tianhe District Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Epidemiology, Guangzhou Tianhe District Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Epidemiology, Guangzhou Tianhe District Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaSchool of Public Health, Southern Medical University, Guangzhou, ChinaDepartment of Epidemiology, Guangzhou Tianhe District Center for Disease Control and Prevention, Guangzhou, ChinaSchool of Public Health, Southern Medical University, Guangzhou, ChinaDepartment of Toxicology, Guangzhou Center for Disease Control and Prevention, Guangzhou, ChinaObjectiveThis study aims to evaluate factors linked to the degree of disability among older adults and explore the relationship between the dietary inflammatory index (DII) and the degree of disability among older adults in southern China.MethodsConducted in two districts of Guangzhou, China, this cross-sectional study included 262 older adults with mild-to-severe disabilities. Disability levels were assessed using the “Assessment Standard for Long-term Care Disability” from the Medical Insurance Bureau, including Activities of Daily Living (ADL), Cognitive Ability, and Sensory Perception and Communication Skills (SPCS). Dietary data were collected via Food Frequency Questionnaire (FFQ) and used to calculate the DII and intake of nutrients (e.g., Protein, Carbohydrate and Fat). A multivariable ordinal logistic regression model was employed to analyze the influence of various factors and the DII on the degree of disability among older adults. Restricted cubic spline and sensitivity analyses were used to assess the association between DII and the degree of disability of the older adult population.ResultsInactivity (never exercising, OR = 8.48, 95% CI = 2.30–31.31) and reduced activity (formerly exercising, OR = 4.85, 95% CI = 1.39–16.96), stroke (OR = 2.78, 95% CI = 1.61–4.80), and dementia (OR = 2.69, 95% CI = 1.26–5.78) were significantly associated with increased disability. After adjusting for confounding factors, a higher DII was linked to a greater degree of disability, with the highest DII quartile showing a notably higher risk (OR = 2.61, 95% CI = 1.21–5.61) compared to the lowest quartile.ConclusionLack of exercise, previous exercise, stroke, and dementia are correlated with increased disability among older adults. Additionally, a higher DII is associated with a more severe degree of disability.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1476095/fullolder adultsdisabilitydietary inflammatory indexcross-sectional studyFood Frequency Questionnaire
spellingShingle Junbin Liao
Junbin Liao
Wenfeng Cai
Danrong Lin
Yuanyun Xiao
Yanxi Liu
Yahui Wang
Yuquan Zhong
Fan Xiao
Heng Fang
Yilu Yao
Yunfeng Lin
Jiewen Su
Siyu Sun
Bo Zhang
Yan Wang
Wei Zhu
Wei Zhu
Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis
Frontiers in Public Health
older adults
disability
dietary inflammatory index
cross-sectional study
Food Frequency Questionnaire
title Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis
title_full Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis
title_fullStr Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis
title_full_unstemmed Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis
title_short Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis
title_sort dietary inflammatory index and disability among older adults in guangzhou a cross sectional analysis
topic older adults
disability
dietary inflammatory index
cross-sectional study
Food Frequency Questionnaire
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1476095/full
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