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The Relationship Between the Dietary Inflammatory Index and Incident Frailty: A Longitudinal Cohort Study

Overview of attention for article published in Journal of the American Medical Directors Association, September 2017
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Title
The Relationship Between the Dietary Inflammatory Index and Incident Frailty: A Longitudinal Cohort Study
Published in
Journal of the American Medical Directors Association, September 2017
DOI 10.1016/j.jamda.2017.08.006
Pubmed ID
Authors

Nitin Shivappa, Brendon Stubbs, James R. Hébert, Matteo Cesari, Patricia Schofield, Pinar Soysal, Stefania Maggi, Nicola Veronese

Abstract

Inflammation is key risk factor for several conditions in the elderly. However, the relationship between inflammation and frailty is still unclear. We investigated whether higher dietary inflammatory index (DII) scores were associated with higher incidence of frailty in a cohort of North Americans. Longitudinal, with a follow-up of 8 years. Osteoarthritis Initiative. A total of 4421 participants with, or at high risk of, knee osteoarthritis. DII scores were calculated using the validated Block Brief 2000 Food-Frequency Questionnaire and categorized into sex-specific quartiles. Frailty was defined as 2 out of 3 of the criteria of the Study of Osteoporotic Fracture study (ie, weight loss, inability to rise from a chair 5 times, and poor energy). The strength of the association between baseline DII score and incident frailty was assessed through a Cox's regression analysis, adjusted for potential baseline confounders, and reported as hazard ratios. A total of 4421 community-dwelling participants (2564 female participants; mean age: 61.3 years) without frailty at baseline were identified from the Osteoarthritis Initiative. During 8 years of follow-up, 356 individuals developed frailty (8.2%). Using Cox's regression analysis, adjusting for 11 potential confounders, participants with the highest DII score (quartile 4) had a significantly higher risk of experiencing frailty (hazard ratio 1.37; 95% confidence interval 1.01-1.89; P = .04) compared with participants with the lowest DII score (quartile 1). The association between DII score and frailty was significant only in men. Higher DII scores, indicating a more proinflammatory diet, are associated with higher incidence of frailty, particularly in men.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 159 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 159 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 18 11%
Student > Ph. D. Student 17 11%
Researcher 14 9%
Student > Bachelor 12 8%
Student > Doctoral Student 9 6%
Other 26 16%
Unknown 63 40%
Readers by discipline Count As %
Medicine and Dentistry 30 19%
Nursing and Health Professions 19 12%
Agricultural and Biological Sciences 6 4%
Sports and Recreations 5 3%
Biochemistry, Genetics and Molecular Biology 4 3%
Other 19 12%
Unknown 76 48%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 April 2018.
All research outputs
#14,283,318
of 25,382,440 outputs
Outputs from Journal of the American Medical Directors Association
#2,006
of 3,214 outputs
Outputs of similar age
#153,590
of 325,640 outputs
Outputs of similar age from Journal of the American Medical Directors Association
#36
of 56 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,214 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.3. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 325,640 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.
We're also able to compare this research output to 56 others from the same source and published within six weeks on either side of this one. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.