Literature DB >> 29392822

High plasma adiponectin levels are associated with frailty in a general old-old population: The Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians study.

Motonori Nagasawa1, Yoichi Takami1, Hiroshi Akasaka1, Mai Kabayama2, Satomi Maeda1, Serina Yokoyama1, Taku Fujimoto1, Yoichi Nozato1, Yuki Imaizumi1, Masao Takeda1, Norihisa Itoh1, Yasushi Takeya1, Koichi Yamamoto1, Ken Sugimoto1, Takeshi Nakagawa3, Yukie Masui4, Yasumichi Arai5, Tatsuro Ishizaki4, Kazunori Ikebe6, Yasuyuki Gondo3, Kei Kamide2, Hiromi Rakugi1.   

Abstract

AIM: The objective of the present study was to investigate the association between frailty and plasma adiponectin levels in a general population of Japanese older adults.
METHODS: The volunteer older adults, aged approximately 83 years, were recruited randomly from a general population in the Japanese Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians study. We used the modified Cardiovascular Health Study criteria to assess the frailty status of the study participants. The study participants were classified as non-frail, pre-frail and frail according to their physical activities. We compared plasma adiponectin levels among these three groups and applied a multivariate logistic regression analysis including plasma adiponectin levels to clarify the factors associated with frailty status in the cross-sectional design.
RESULTS: The mean age of the participants was 83.1 ± 0.9 years, and 51.8% were men. The frailty index was available to assess 353 participants, of whom 24.6% were classified as non-frail, 62.3% as prefrail and 13.0% as frail. The log-transformed plasma adiponectin levels increased stepwise in the following order: non-frail, pre-frail and frail. A multivariate logistic regression analysis showed that higher plasma adiponectin levels, a higher estimated glomerular filtration rate and lower hemoglobin levels were independent determinants for pre-frail/frail status compared with non-frail status.
CONCLUSIONS: The present study showed that higher plasma adiponectin levels were associated with frailty status in older Japanese adults in the general population. Further longitudinal study is essential to clarify the role of plasma adiponectin in the progression of frailty. Geriatr Gerontol Int 2018; 18: 839-846.
© 2018 Japan Geriatrics Society.

Entities:  

Keywords:  Japanese; adiponectin; cross-sectional study; elderly; frailty

Mesh:

Substances:

Year:  2018        PMID: 29392822     DOI: 10.1111/ggi.13258

Source DB:  PubMed          Journal:  Geriatr Gerontol Int        ISSN: 1447-0594            Impact factor:   2.730


  7 in total

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