Association between salt intake and blood pressure among community-dwelling older adults based on their physical frailty status

Yoshida, Hiroko; Kabayama, Mai; Kido, Michiko; Godai, Kayo; Akagi, Yuya; Li, Yaya; Akasaka, Hiroshi; Takami, Yoichi; Yasumoto, Saori; Ogawa, Madoka; Nakagawa, Takeshi; Ikebe, Kazunori; Arai, Yasumichi; Masui, Yukie; Hirata, Takumi; Gondo, Yasuyuki; Yamamoto, Koichi; Kamide, Kei

doi:https://doi.org/10.1038/s41440-024-02066-y

Association between salt intake and blood pressure among community-dwelling older adults based on their physical frailty status

Yoshida, Hiroko; Kabayama, Mai; Kido, Michiko et al.

Hypertension Research, 2025

Number of Access:3,186（2025-07-28 10:53 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/100324

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Title	Association between salt intake and blood pressure among community-dwelling older adults based on their physical frailty status
Creator	CreatorName Yoshida, Hiroko
	NRID 1000050635498 1000050635498 ORCID 0000-0003-1394-1152 0000-0003-1394-1152 researchmap permalink kabayama kabayama Scopus Author ID 57031780400 57031780400 CreatorName Kabayama, Mai
	NRID 1000000706913 1000000706913 researchmap permalink 051010 051010 Scopus Author ID 56086201900 56086201900 CreatorName Kido, Michiko
	NRID 1000030708681 1000030708681 researchmap permalink vince vince Scopus Author ID 56781372400 56781372400 CreatorName Godai, Kayo
	researchmap permalink yuya-akagi yuya-akagi CreatorName Akagi, Yuya
	NRID 1000060982030 1000060982030 researchmap permalink lia lia CreatorName Li, Yaya
	NRID 1000070468081 1000070468081 researchmap permalink hiroshi-akasaka hiroshi-akasaka Scopus Author ID 35445539600 35445539600 CreatorName Akasaka, Hiroshi
	NRID 1000090621756 1000090621756 ORCID 0000-0001-9018-6707 0000-0001-9018-6707 researchmap permalink YT-1973 YT-1973 Scopus Author ID 8635744100 8635744100 CreatorName Takami, Yoichi
	NRID 1000060649317 1000060649317 researchmap permalink GSU GSU Scopus Author ID 36503185600 36503185600 CreatorName Yasumoto, Saori
	NRID 1000090626532 1000090626532 researchmap permalink ogawa ogawa CreatorName Ogawa, Madoka
	NRID 1000060636942 1000060636942 ORCID 0000-0001-5533-3169 0000-0001-5533-3169 researchmap permalink spinkids spinkids CreatorName Nakagawa, Takeshi
	NRID 1000070273696 1000070273696 researchmap permalink read0185241 read0185241 Scopus Author ID 35494649700 35494649700 ORCID 0000-0001-5696-6785 0000-0001-5696-6785 CreatorName Ikebe, Kazunori
	NRID 1000020255467 1000020255467 CreatorName Arai, Yasumichi
	NRID 1000010415507 1000010415507 CreatorName Masui, Yukie
	NRID 1000000383795 1000000383795 CreatorName Hirata, Takumi
	NRID 1000040250196 1000040250196 ORCID 0000-0002-9805-2807 0000-0002-9805-2807 researchmap permalink ygondo ygondo Scopus Author ID 55800810400 55800810400 CreatorName Gondo, Yasuyuki
	NRID 1000000528424 1000000528424 ORCID 0000-0003-0107-9315 0000-0003-0107-9315 researchmap permalink kymt0410 kymt0410 Scopus Author ID 55624482466 55624482466 CreatorName Yamamoto, Koichi
	NRID 1000080393239 1000080393239 researchmap permalink kamide kamide Scopus Author ID 7102978326 7102978326 ORCID 0000-0003-1720-2218 0000-0003-1720-2218 CreatorName Kamide, Kei
Subject	Salt intake
	Aged
	Frailty
	Independent living
Description	The version of record of this article, first published in Hypertension Research, is available online at Publisher’s website: https://doi.org/10.1038/s41440-024-02066-y.
Abstract	The effects of salt reduction and adequate nutrition intake among older adults with physical frailty remain controversial. Therefore, the present study investigated whether the association between daily salt intake and blood pressure among community-dwelling older adults, including the very old people, based on their physical frailty status. This cross-sectional study used data from the SONIC study, a cohort study on older adults, collected between 2010 and 2012. Daily salt intake was estimated from the brief self-administered diet history questionnaire. Participants were stratified by groups based on the use of antihypertensive medication and their physical frailty status. There were 1975 participants with an average age of 76.5 ± 6.5 years and 53.1% were female. No association was observed between daily salt intake and blood pressure among participants with physical frailty regardless of the use of antihypertensive medication. In contrast, an association was noted between daily salt intake and systolic blood pressure among the robust without antihypertensive medication group (β = 0.08, p = 0.038), and the odds ratios for systolic blood pressure ≥140 mmHg were significantly higher in the third and fourth quartiles of daily salt intake than in the first quartile (odds ratios = 1.78 and 1.71, respectively). The present results suggest that the physical frailty status needs to be considered when providing salt reduction guidance to older adults for blood pressure control, in order to prevent progression of frailty and maintain quality of life.
Publisher	Springer Science and Business Media LLC
Source Title	Hypertension Research
Date of Issued	2025-01-17
Language	English
Handle URL	https://hdl.handle.net/11094/100324
PISSN	09169636
eISSN	13484214
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1038/s41440-024-02066-y
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCTERMS.bibliographicCitation	Hypertension Research. 2025
DC.title	Association between salt intake and blood pressure among community-dwelling older adults based on their physical frailty status
DC.creator	Yoshida, Hiroko
	Kabayama, Mai
	Kido, Michiko
	Godai, Kayo
	Akagi, Yuya
	Li, Yaya
	Akasaka, Hiroshi
	Takami, Yoichi
	Yasumoto, Saori
	Ogawa, Madoka
	Nakagawa, Takeshi
	Ikebe, Kazunori
	Arai, Yasumichi
	Masui, Yukie
	Hirata, Takumi
	Gondo, Yasuyuki
	Yamamoto, Koichi
	Kamide, Kei
DC.publisher	Springer Science and Business Media LLC
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-01-17
DC.identifier	https://doi.org/10.1038/s41440-024-02066-y
DC.subject	Salt intake
	Aged
	Frailty
	Independent living
DC.description	The version of record of this article, first published in Hypertension Research, is available online at Publisher’s website: https://doi.org/10.1038/s41440-024-02066-y.
DCTERMS.abstract	The effects of salt reduction and adequate nutrition intake among older adults with physical frailty remain controversial. Therefore, the present study investigated whether the association between daily salt intake and blood pressure among community-dwelling older adults, including the very old people, based on their physical frailty status. This cross-sectional study used data from the SONIC study, a cohort study on older adults, collected between 2010 and 2012. Daily salt intake was estimated from the brief self-administered diet history questionnaire. Participants were stratified by groups based on the use of antihypertensive medication and their physical frailty status. There were 1975 participants with an average age of 76.5 ± 6.5 years and 53.1% were female. No association was observed between daily salt intake and blood pressure among participants with physical frailty regardless of the use of antihypertensive medication. In contrast, an association was noted between daily salt intake and systolic blood pressure among the robust without antihypertensive medication group (β = 0.08, p = 0.038), and the odds ratios for systolic blood pressure ≥140 mmHg were significantly higher in the third and fourth quartiles of daily salt intake than in the first quartile (odds ratios = 1.78 and 1.71, respectively). The present results suggest that the physical frailty status needs to be considered when providing salt reduction guidance to older adults for blood pressure control, in order to prevent progression of frailty and maintain quality of life.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	100324
citation_title	Association between salt intake and blood pressure among community-dwelling older adults based on their physical frailty status
citation_author	Yoshida, Hiroko
	Kabayama, Mai
	Kido, Michiko
	Godai, Kayo
	Akagi, Yuya
	Li, Yaya
	Akasaka, Hiroshi
	Takami, Yoichi
	Yasumoto, Saori
	Ogawa, Madoka
	Nakagawa, Takeshi
	Ikebe, Kazunori
	Arai, Yasumichi
	Masui, Yukie
	Hirata, Takumi
	Gondo, Yasuyuki
	Yamamoto, Koichi
	Kamide, Kei
citation_publisher	Springer Science and Business Media LLC
citation_language	English
citation_date	2025-01-17
citation_journal_title	Hypertension Research
citation_doi	https://doi.org/10.1038/s41440-024-02066-y
citation_public_url	https://hdl.handle.net/11094/100324

Association between salt intake and blood pressure among community-dwelling older adults based on their physical frailty status

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