Patterns of circulating fat-soluble vitamins and carotenoids and risk of frailty in four European cohorts of older adults.

Purpose: To investigate the cross-sectional and prospective associations between patterns of serum fat-soluble micronutrients and frailty in four European cohorts of older adults 65 years of age and older.Methods: Participants from the Three-City (Bordeaux, France), AMI (Gironde, France), TSHA (Tole...

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Publicado en:European Journal of Nutrition Vol. 58; no. 1; pp. 379 - 390
Autores principales: Pilleron, Sophie, Weber, Daniela, Pérès, Karine, Colpo, Marco, Gomez-Cabrero, David, Stuetz, Wolfgang, Dartigues, Jean-François, Ferrucci, Luigi, Bandinelli, Stefania, Garcia-Garcia, Francisco Jose, Grune, Tilman, Féart, Catherine, On behalf of the FRAILOMIC initiative
Formato: research Journal Article
Publicado: Springer Nature Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
      vid: 58
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      pub: Springer Nature
      place: New York, New York
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        135451148
        135451148
        135451148
        10.1007/s00394-017-1602-0
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        atl: Patterns of circulating fat-soluble vitamins and carotenoids and risk of frailty in four European cohorts of older adults.
      aug:
        au:
          Pilleron, Sophie
          Weber, Daniela
          Pérès, Karine
          Colpo, Marco
          Gomez-Cabrero, David
          Stuetz, Wolfgang
          Dartigues, Jean-François
          Ferrucci, Luigi
          Bandinelli, Stefania
          Garcia-Garcia, Francisco Jose
          Grune, Tilman
          Féart, Catherine
          On behalf of the FRAILOMIC initiative
        affil: Inserm, Bordeaux Population Health Research Center, UMR 1219, University Bordeaux, 33000, Bordeaux, France
      sug:
        subj:
          Vitamins Blood
          Carotenoids Blood
          Frailty Syndrome In Old Age
          Risk Assessment
          Human
          Europe
          Solubility
          Aged
          Aged, 80 and Over
          France
          Spain
          Italy
          beta Carotene Blood
          Lycopene Blood
          Lutein Blood
          Zeaxanthin Blood
          Vitamin A Blood
          Factor Analysis
          Cholecalciferol Blood
          Multivariate Analysis
          Logistic Regression
          Serum
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Aged: 65+ years
          Aged, 80 & over
      ab: Purpose: To investigate the cross-sectional and prospective associations between patterns of serum fat-soluble micronutrients and frailty in four European cohorts of older adults 65 years of age and older.Methods: Participants from the Three-City (Bordeaux, France), AMI (Gironde, France), TSHA (Toledo, Spain) and InCHIANTI (Tuscany, Italy) cohorts with available data on serum α-carotene, β-carotene, lycopene, cryptoxanthin, lutein + zeaxanthin, retinol, α-tocopherol, γ-tocopherol and 25-hydroxyvitamin D3 (25(OH)D) were included. A principal component (PC) analysis was used to derive micronutrient patterns. Frailty was defined using Fried's criteria. Multivariate logistic regression models adjusted for socio-demographic and health-related covariates were performed to assess the association between micronutrient patterns and prevalent frailty in 1324 participants, and the risk of frailty in 915 initially non-frail participants.Results: Three different patterns were identified: the first pattern was characterized by higher serum carotenoids and α-tocopherol levels; the second was characterized by high loadings for serum vitamins A and E levels and low loadings for carotenes level; the third one had the highest loading for serum 25(OH)D and cryptoxanthin level and the lowest loading for vitamin A and E. A significant cross-sectional association was only observed between the seconnd PC and prevalent frailty (p = 0.02). Compared to the highest quartile, participants in the lowest quartile—i.e., high carotenes and low vitamins E and A levels—had higher odds of frailty (Odds ratio = 2.2; 95% confidence interval 1.3-3.8). No association with the risk of frailty was observed.Conclusions: These findings suggest that some specific micronutrient patterns are markers but not predictors of frailty in these European cohorts of older adults.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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