Cited by 94Nutritional Studies and DietFrailty in Older AdultsNutrition and Health in Aging

Adherence to Mediterranean Diet and Frailty

Ntanasi, Eva, Yannakoulia, Mary, Kosmidis, Mary-Helen, Anastasiou, Costas A., Dardiotis, Efthimios, Hadjigeorgiou, Giorgos, Sakka, Paraskevi, Scarmeas, Nikolaos·2018·Journal of the American Medical Directors Association

Abstract

Objective Το investigate associations between adherence to the Mediterranean diet and frailty in a Greek population of older adults. Design Cross-sectional study. Setting Data were drawn from the Hellenic longitudinal Investigation of Aging and Diet (HELIAD), a population-based, multidisciplinary study designed to estimate the prevalence and incidence of dementia in the Greek population. Participants Data from 1740 participants aged ≥65 years were included in the present analysis. Participants were selected through random sampling from the records of 2 Greek municipalities. Measurements Adherence to Mediterranean diet was evaluated through the MedDietScore, calculated from the information participants provided to a validated food frequency questionnaire. Frailty was assessed using 3 different definitions (the phenotypic approach proposed by Fried et al, the Frailty Index, and the Tilburg Frailty Indicator). Unadjusted and adjusted logistic and linear regression models were performed. Results Of our participants, 70 (4%), 325 (18.7%), and 442 (25.4%) were identified as frail according to the Fried et al definition, the Frailty Index, and the Tilburg Frailty Indicator, respectively. Adjusting for confounding factors, each additional unit in the MedDietScore was associated with a 5% (P = .09), 4% (P = .005), and 7% (P Conclusions According to study results, a higher adherence to the Mediterranean diet was associated with lower odds of frailty, irrespective of the definition used…

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Crossref · 10.1016/j.jamda.2017.11.005

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Authors
Ntanasi, E., Yannakoulia, M., Kosmidis, M.-H., Anastasiou, C. A., Dardiotis, E., Hadjigeorgiou, G., Sakka, P., & Scarmeas, N.
Affiliations
  • Harokopio University of Athens (GR)
  • Aristotle University of Thessaloniki (GR)
  • University of Thessaly (GR)
  • National and Kapodistrian University of Athens (GR)
Corresponding author
Yannakoulia, Mary
Venue
Journal of the American Medical Directors Association
Publisher
Elsevier BV
Published
2018-04
Volume
19
Issue
4
Pages
315-322.e2
ISSN
1525-8610 (ISSN-L)
OpenAlex
W2777181250
Cited by
94
References
70
Citations by year
2026: 5 · 2025: 3 · 2024: 8 · 2023: 10 · 2022: 17 · 2021: 15 · 2020: 11 · 2019: 16 · 2018: 9
FWCI
9.23
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of the American Medical Directors Association (publishedVersion)
  • PubMed (publishedVersion)
  • University of Thessaly Institutional Repository (University of Thessaly) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
Keywords
Mediterranean diet, dietary adherence, frailty, older adults, frailty index, Tilburg Frailty Indicator, Fried frailty phenotype, MedDietScore, Greek population
MeSH terms
Frailty, Age Factors, Aged, Aged, 80 and over, Cross-Sectional Studies, Dementia, Greece, Humans, Longitudinal Studies, Male, Patient Compliance, Sex Factors, Prevalence, Multivariate Analysis, Logistic Models, Frail Elderly, Risk Assessment, Diet, Mediterranean

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