{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T05:37:55Z","timestamp":1735882675874,"version":"3.32.0"},"reference-count":0,"publisher":"Elsevier BV","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Frailty Aging"],"abstract":"<jats:p>Background:Successful ageing relies on the prevention of frailty and chronic disease, many of whichhave a strong link with diet. Despite evidence suggesting diet is important in the management of frailty, there islittle  evidence  investigating  the  impact  of  a  liberal  diet  on  the  prevention  of  frailty  and  development  of  chronicdiseases  in  the  elderly. Objectives:To  determine  the  impact  of  a  liberal  diet  on  the  development  of  frailty  andwhether this affects the incidence of obesity, diabetes, hypertension and hyperlipidaemia. Design:Secondary dataanalysis of the Australian Longitudinal Study of Ageing, 1992 to 2000. Setting:Random selection of older adultsfrom the South Australian electoral roll. Participants:1298 older Australians (629 women, 669 men), mean age77  years. Measurements:A  validated  food  frequency  questionnaire  was  used  to  measure  the  dietary  exposure;liberal diet defined as: energy &gt;10% estimated requirements; sodium &gt;1600mg; total fat &gt;35% energy; saturatedfat  &gt;10%;  refined  sugar  &gt;10%;  fibre  &lt;38g  males  and  &lt;28g  females.  Frailty  was  determined  using  the  Friedphenotype in combination with Cesari\u2019s biological definition of frailty. Chronic disease outcomes were measuredby  medication  usage  and  obesity  defined  as  BMI  &gt;30kg\/m\u00b2.  Binary  logistic  regression  was  performed  usingparticipants  free  of  chronic  disease  at  baseline  to  determine  the  impact  of  each  dietary  exposure  independently,and combined, on the development of frailty and the incidence of chronic disease over the subsequent eight years.Results:Incidence of frailty after 8 years of follow up was 14%. The incidence of diabetes after 8 years of followup was 5.3%, hypertension 39%, hyperlipidaemia 15% and obesity 6%. A liberal energy intake adjusted for ageand  sex,  significantly  reduced  the  risk  of  developing  frailty  eight  years  post  baseline  (OR  0.48,  95%  CI  0.30,0.77).  After  adjustment  for  age,  sex  and  body  weight,  a  liberal  saturated  fat  intake  (&gt;10%  of  energy)  increasedthe risk of hyperlipidaemia (OR 2.11, 95% CI 1.27, 3.54). A liberal intake of sodium, total fat, refined sugar andfibre  did  not  increase  the  risk  of  diabetes,  hypertension,  hyperlipidaemia  or  obesity. Conclusions:This  studysuggests  that  a  liberal  intake  of  energy  may  decrease  the  risk  of  developing  frailty  in  the  elderly  withoutincreasing  the  risk  of  developing  obesity,  diabetes,  hypertension  or  hyperlipidaemia.  Caution  should  remainhowever  in  the  prescription  of  diets  high  in  saturated  fat  as  the  link  established  with  hyperlipidaemia  in  youngadults appears to be consistent in the elderly. Further research is required to explore the optimal sources of energyfor a liberalised diet and the effect of a liberalised diet on other diet related health conditions.<\/jats:p>","DOI":"10.14283\/jfa.2012.27","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T06:43:48Z","timestamp":1629182628000},"page":"1-9","source":"Crossref","is-referenced-by-count":0,"title":["DIET LIBERALISATION IN OLDER AUSTRALIANS DECREASES FRAILTY WITHOUT INCREASING THE RISK OF DEVELOPING CHRONIC DISEASE"],"prefix":"10.1016","author":[{"given":"L.","family":"BAULDERSTONE","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"YAXLEY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"LUSZCZ","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"MILLER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","published-online":{"date-parts":[[2012]]},"container-title":["Journal of Frailty &amp; Aging"],"original-title":[],"deposited":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T19:16:26Z","timestamp":1735845386000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jfrailtyaging.com\/all-issues.html?article=54"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":0,"URL":"https:\/\/doi.org\/10.14283\/jfa.2012.27","relation":{},"ISSN":["2273-4309"],"issn-type":[{"type":"print","value":"2273-4309"}],"subject":[],"published":{"date-parts":[[2012]]}}}