title: Low Nutrient Intake and Frailty Among Overweight and Obese Migrant Women From Ethnically Diverse Backgrounds Ages 60 Years and Older: A Mixed-Methods Study.
abstract: To examine associations between energy/nutrient intakes and frailty in older migrant women, and to explore perceptions of body weight, dietary intake, and physical function.
  
  
  
  Cross-sectional, mixed-methods study.
  
  
  
  Birmingham, United Kingdom.
  
  
  
  Seventy-six first-generation migrant women ≥ 60 years of age.
  
  
  
  Energy/nutrient intakes (assessed by 24-hour dietary recall), frailty (using the frailty phenotype), and links between perceptions of body weight, dietary intake, and physical function (via semi-structured interviews).
  
  
  
  Bivariate and logistic regression analyses examined associations between frailty and low energy/nutrient intakes. Interviews were analyzed using inductive thematic analysis.
  
  
  
  Seventy-six women completed a 24-hour dietary recall; 46 participated in a semi-structured interview. Low energy intake was associated with frailty (odds ratio [OR], 11.71; 95% confidence interval [CI], 2.36-57.97). After adjusting for energy and other confounders, a low intake of > 3 nutrients was associated with frailty (OR, 6.58; 95% CI, 1.01-43.08). Qualitative data suggest that dietary intake was influenced by concerns about body weight and perceptions that unhealthy foods reduce mobility.
  
  
  
  Among older migrant women with high prevalence of overweight/obesity, an inadequate dietary intake may be a stronger predictor of frailty than weight loss. Dietary interventions should focus on healthy weight maintenance and optimization of nutritional adequacy and physical function.
authors.affiliation: School of Sport, Exercise, and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom. Electronic address: dxc242@student.bham.ac.uk.
authors.forename: Diana
authors.initials: D
authors.lastname: Castaneda-Gameros
authors.affiliation: School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom; NIHR CLAHRC West, Whitefriars, United Kingdom.
authors.forename: Sabi
authors.initials: S
authors.lastname: Redwood
authors.affiliation: School of Sport, Exercise, and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom.
authors.forename: Janice L
authors.initials: JL
authors.lastname: Thompson
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001835:Body Weight; D003430:Cross-Sectional Studies; D004032:Diet; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D016330:Frail Elderly / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D009749:Nutrition Surveys; D009765:Obesity / Q000453:epidemiology* / Q000503:physiopathology; D050177:Overweight / Q000453:epidemiology* / Q000503:physiopathology; D006113:United Kingdom
keywords: body image; ethnically diverse; frailty; nutrient inadequacy; older women; overweight/obesity; physical function