The Association Between Mediterranean Diet and the Risk of Falls and Physical Function Indices in Older Type 2 Diabetic People Varies by Age

Overview

Journal Nutrients

Date 2018 Jun 15

PMID 29899221

Citations 13

Authors

Sigal Tepper

Amit Alter Sivashensky

Danit Rivkah Shahar

Diklah Geva

Tali Cukierman-Yaffe

Affiliations

Soon will be listed here.

Abstract

Background And Aims: Diabetes and dysglycemia increase the risk of frailty and decreased physical abilities. Adherence to the Mediterranean Diet (MD) may reduce this risk. We hypothesized that adherence to the MD is associated with physical function in older type-2 diabetic patients and that the association is stratified by age.

Methods And Results: We recruited type-2 diabetes patients aged >60 years at the Center for Successful Aging with Diabetes at Sheba Medical Center. Health status and demographic data were obtained from medical records. Food Frequency Questionnaire was used for nutritional assessment and calculation of MD score. Physical function indices were determined by a physiotherapist and included: Berg Balance test, Timed Get-Up-and-Go, 6-min walk (6 MW), 10-m walk (10 MW), Four Square Step Test, 30-s chair stand and Grip strength, and activities and instrumental activities of daily living. Among 117 participants (age 70.6 ± 6.5), high adherence to MD was associated with better score on functional tests (low vs. high MD adherence: 9.7% vs. 25%, ANOVA = 0.02). A significant age by MD interaction was found: a higher adherence to MD was associated with a better 6 MW (low vs. high: 387 ± 35 m vs. 483 ± 26 m; = 0.001) and higher 10 MW (low vs. high: 1.8 ± 0.16 m/s vs. 2.0 ± 0.13 m/s; = 0.02) in participants aged >75 years. These associations remained significant after controlling for gender, age, BMI, and physical activity.

Conclusion: In the current study, we showed relationships between strength, physical performance, and MD among older diabetic patients. Future studies are needed to confirm this association and establish temporal relationships.

Citing Articles

Effects of a Yoga Program Combined with a Mediterranean Diet on Nutritional Status and Functional Capacity in Community-Dwelling Older Adults: A Randomized Controlled Clinical Trial.

Carcelen-Fraile M, Martin-Baute M, Ledesma-Cerrato M, Castellote-Caballero Y, Gonzalez-Martin A, Hita-Contreras F Nutrients. 2024; 16(11).

PMID: 38892534 PMC: 11175083. DOI: 10.3390/nu16111601.

Adherence to a Mediterranean Diet is associated with physical and cognitive health: A cross-sectional analysis of community-dwelling older Australians.

Allcock L, Mantzioris E, Villani A Front Public Health. 2022; 10:1017078.

PMID: 36466491 PMC: 9709195. DOI: 10.3389/fpubh.2022.1017078.

Effect of Yijinjing combined with elastic band exercise on muscle mass and function in middle-aged and elderly patients with prediabetes: A randomized controlled trial.

Huang Y, Han J, Gu Q, Cai Y, Li J, Wang S Front Med (Lausanne). 2022; 9:990100.

PMID: 36405599 PMC: 9670541. DOI: 10.3389/fmed.2022.990100.

High Adherence to the Mediterranean Diet is Associated with Higher Physical Fitness in Adults: a Systematic Review and Meta-Analysis.

Bizzozero-Peroni B, Brazo-Sayavera J, Martinez-Vizcaino V, Fernandez-Rodriguez R, Lopez-Gil J, Diaz-Goni V Adv Nutr. 2022; 13(6):2195-2206.

PMID: 36166848 PMC: 9776663. DOI: 10.1093/advances/nmac104.

The Environmental Footprint Associated With the Mediterranean Diet, EAT-Lancet Diet, and the Sustainable Healthy Diet Index: A Population-Based Study.

Tepper S, Kissinger M, Avital K, Shahar D Front Nutr. 2022; 9:870883.

PMID: 35662947 PMC: 9161357. DOI: 10.3389/fnut.2022.870883.

References

Shai I, Rosner B, Shahar D, Vardi H, Azrad A, Kanfi A . Dietary evaluation and attenuation of relative risk: multiple comparisons between blood and urinary biomarkers, food frequency, and 24-hour recall questionnaires: the DEARR study. J Nutr. 2005; 135(3):573-9. DOI: 10.1093/jn/135.3.573. View

Castro-Rodriguez M, Carnicero J, Garcia-Garcia F, Walter S, Morley J, Rodriguez-Artalejo F . Frailty as a Major Factor in the Increased Risk of Death and Disability in Older People With Diabetes. J Am Med Dir Assoc. 2016; 17(10):949-55. DOI: 10.1016/j.jamda.2016.07.013. View

Kalyani R, Corriere M, Ferrucci L . Age-related and disease-related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014; 2(10):819-29. PMC: 4156923. DOI: 10.1016/S2213-8587(14)70034-8. View

Struijk E, Guallar-Castillon P, Rodriguez-Artalejo F, Lopez-Garcia E . Mediterranean Dietary Patterns and Impaired Physical Function in Older Adults. J Gerontol A Biol Sci Med Sci. 2017; 73(3):333-339. DOI: 10.1093/gerona/glw208. View

Lopez-Garcia E, Hagan K, Fung T, Hu F, Rodriguez-Artalejo F . Mediterranean diet and risk of frailty syndrome among women with type 2 diabetes. Am J Clin Nutr. 2018; 107(5):763-771. DOI: 10.1093/ajcn/nqy026. View

Bianchi L, Zuliani G, Volpato S . Physical disability in the elderly with diabetes: epidemiology and mechanisms. Curr Diab Rep. 2013; 13(6):824-30. DOI: 10.1007/s11892-013-0424-6. View

Limongi F, Noale M, Gesmundo A, Crepaldi G, Maggi S . Adherence to the Mediterranean Diet and All-Cause Mortality Risk in an Elderly Italian Population: Data from the ILSA Study. J Nutr Health Aging. 2017; 21(5):505-513. DOI: 10.1007/s12603-016-0808-9. View

Jones C, Rikli R, Beam W . A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999; 70(2):113-9. DOI: 10.1080/02701367.1999.10608028. View

Biessels G, Deary I, Ryan C . Cognition and diabetes: a lifespan perspective. Lancet Neurol. 2008; 7(2):184-90. DOI: 10.1016/S1474-4422(08)70021-8. View

10.

Milaneschi Y, Tanaka T, Ferrucci L . Nutritional determinants of mobility. Curr Opin Clin Nutr Metab Care. 2010; 13(6):625-9. PMC: 2964392. DOI: 10.1097/MCO.0b013e32833e337d. View

11.

van Iersel M, Hoefsloot W, Munneke M, Bloem B, Olde Rikkert M . Systematic review of quantitative clinical gait analysis in patients with dementia. Z Gerontol Geriatr. 2004; 37(1):27-32. DOI: 10.1007/s00391-004-0176-7. View

12.

Dite W, Temple V . Development of a clinical measure of turning for older adults. Am J Phys Med Rehabil. 2002; 81(11):857-66; quiz 867-8. DOI: 10.1097/00002060-200211000-00010. View

13.

Berg K, Williams J, Maki B . Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992; 83 Suppl 2:S7-11. View

14.

Zbeida M, Goldsmith R, Shimony T, Vardi H, Naggan L, Shahar D . Mediterranean diet and functional indicators among older adults in non-Mediterranean and Mediterranean countries. J Nutr Health Aging. 2014; 18(4):411-8. DOI: 10.1007/s12603-014-0003-9. View

15.

van Iersel M, Munneke M, Esselink R, Benraad C, Olde Rikkert M . Gait velocity and the Timed-Up-and-Go test were sensitive to changes in mobility in frail elderly patients. J Clin Epidemiol. 2008; 61(2):186-91. DOI: 10.1016/j.jclinepi.2007.04.016. View

16.

Milaneschi Y, Bandinelli S, Corsi A, Lauretani F, Paolisso G, Dominguez L . Mediterranean diet and mobility decline in older persons. Exp Gerontol. 2010; 46(4):303-8. PMC: 3056167. DOI: 10.1016/j.exger.2010.11.030. View

17.

Ropponen A, Silventoinen K, Tynelius P, Rasmussen F . Association between hand grip/body weight ratio and disability pension due to musculoskeletal disorders: a population-based cohort study of 1 million Swedish men. Scand J Public Health. 2011; 39(8):830-8. DOI: 10.1177/1403494811424610. View

18.

Anderson R, Freedland K, Clouse R, Lustman P . The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care. 2001; 24(6):1069-78. DOI: 10.2337/diacare.24.6.1069. View

19.

van Iersel M, Ribbers H, Munneke M, Borm G, Rikkert M . The effect of cognitive dual tasks on balance during walking in physically fit elderly people. Arch Phys Med Rehabil. 2007; 88(2):187-91. DOI: 10.1016/j.apmr.2006.10.031. View

20.

Cukierman T, Gerstein H, Williamson J . Cognitive decline and dementia in diabetes--systematic overview of prospective observational studies. Diabetologia. 2005; 48(12):2460-9. DOI: 10.1007/s00125-005-0023-4. View