Abstract

Dairy products (DP) are part of a food group that may contribute to the prevention of physical frailty. We aimed to investigate DP exposure, including total DP, milk, fresh DP and cheese, and their cross-sectional and prospective associations with physical frailty in community-dwelling older adults. The cross-sectional analysis was carried out on 1490 participants from the Three-City Bordeaux cohort. The 10-year frailty risk was examined in 823 initially non-frail participants. A food frequency questionnaire was used to assess DP exposure. Physical frailty was defined as the presence of at least 3 out of 5 criteria of the frailty phenotype: weight loss, exhaustion, slowness, weakness, and low physical activity. Among others, diet quality and protein intake were considered as confounders. The baseline mean age of participants was 74.1 y and 61% were females. Frailty prevalence and incidence were 4.2% and 18.2%, respectively. No significant associations were observed between consumption of total DP or DP sub-types and frailty prevalence or incidence (OR = 1.40, 95%CI 0.65–3.01 and OR = 1.75, 95%CI 0.42–1.32, for a total DP consumption >4 times/d, respectively). Despite the absence of beneficial associations of higher DP consumption on frailty, older adults are encouraged to follow the national recommendations regarding DP.

Highlights

  • IntroductionThe world has been experiencing a steady increase in the aging population

  • In recent years, the world has been experiencing a steady increase in the aging population

  • Our group has previously reported the relevance of protein intake (>1 g/d being associated with a lower prevalence of frailty) [18], of fruit and vegetable intake (>5 servings/d being associated with a lower risk of frailty) [9], and of the Mediterranean diet [17]

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Summary

Introduction

The world has been experiencing a steady increase in the aging population. It is expected that by 2050, one in six people will be over the age of 65, including one in four in Europe and northern America [1]. This increased life expectancy is associated with a higher risk of morbidities. Our group has previously reported the relevance of protein intake (>1 g/d being associated with a lower prevalence of frailty) [18], of fruit and vegetable intake (>5 servings/d being associated with a lower risk of frailty) [9], and of the Mediterranean diet (a higher adherence being associated with a lower frailty risk) [17]. In line with our findings, several other longitudinal studies have showed that a higher protein intake is protective against frailty [19,20,21]

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