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The Association Between the Composite Dietary Antioxidant Index and Frailty Symptoms: Mediating Effects of Oxidative Stress

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机构: [1]Capital Med Univ, Xuanwu Hosp, Beijing Geriatr Healthcare Ctr, Changchun St 45, Beijing, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Dept Evidence Based Med, Beijing, Peoples R China [3]Hebei Prov Hosp Tradit Chinese Med, Dept Neurol, Shijiazhuang, Peoples R China [4]Hebei Med Univ, Hosp 2, Dept Neurol, Shijiazhuang, Peoples R China [5]Beijing Municipal Geriatr Med Res Ctr, Beijing, Peoples R China
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关键词: frailty CDAI NHANES elderly adults

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<bold>Background:</bold> There is growing evidence that an antioxidant diet is a protective factor against frailty. However, few studies have examined the effect of comprehensive dietary antioxidants on frailty symptoms. The aim of this study was to examine the relationships between the composite dietary antioxidant index (CDAI) and frailty and the underlying mechanisms involved.<br /> <bold>Methods:</bold> Based on the National Health and Nutrition Survey (NHANES) 2003- 2018, this study included 11,277 older persons aged >= 60 years. In this study, frailty was defined as having a total score > 0.21 on the 49-item frailty index. Six dietary antioxidants were selected for use in calculating the CDAI. A weighted multiple logistic regression model with subgroup analysis and restricted cubic splines (RCSs) were used to examine the association between the CDAI and frailty. To examine the role of oxidative stress, mediation analyses were also conducted.<br /> <bold>Results:</bold> The association between the CDAI score and frailty risk was significant according to the multivariate model. Compared with participants in tertile 1, participants in both tertile 2 and tertile 3 had lower odds of developing frailty symptoms (OR=0.86; 95% CI=0.75- 0.97; P=0.02; and OR=0.81; 95% CI=0.70- 0.93; P=0.003). According to the subgroup analyses, the differences in interactions were not statistically significant. There was also a potential nonlinear relationship between the CDAI score and frailty risk. The serum albumin concentration and uric acid concentration had significant mediating effects on the association between the CDAI score and frailty index, with 19.25% (P=0.002) and 21.26% (P < 0.001) of the total, respectively.<br /> <bold>Conclusion:</bold> Frailty is negatively associated with the CDAI score, which may be partially mediated by oxidative stress.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 老年医学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 老年医学
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出版当年[2022]版:
Q3 GERIATRICS & GERONTOLOGY
最新[2023]版:
Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Beijing Geriatr Healthcare Ctr, Changchun St 45, Beijing, Peoples R China
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通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Beijing Geriatr Healthcare Ctr, Changchun St 45, Beijing, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Dept Evidence Based Med, Beijing, Peoples R China [5]Beijing Municipal Geriatr Med Res Ctr, Beijing, Peoples R China
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