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Peer-reviewedCC BY-NC-NDBMC geriatrics

Eating disorder-related attitudes as predictors of pre-frailty/frailty in older adults: a cross-sectional clinical study.

6 affiliations
  1. 1Department of Nutrition and Dietetics, Faculty of Health Sciences, Gazi University, Ankara, Türkiye. [email protected].
  2. 2Department of Nutrition and Dietetics, Faculty of Health Sciences, Gazi University, Ankara, Türkiye.
  3. 3Department of Geriatric Medicine, Beyhekim Training and Research Hospital, University of Health Sciences, Konya, Türkiye.
  4. 4Department of Geriatric Medicine, Ankara Etlik City Hospital, Ankara, Türkiye.
  5. 5Department of Geriatric Medicine, Osmaniye Training and Research Hospital, Osmaniye, Türkiye.
  6. 6Department of Geriatric Medicine, Faculty of Medicine, Gazi University, Ankara, Türkiye.

Abstract

Objective

Frailty is a prevalent geriatric syndrome influenced by nutritional status, body composition, and functional capacity. Nevertheless, the role of eating disorder-related attitudes and behaviors in older adults is not definitively known. Therefore, this study was conducted to investigate the association between frailty and eating disorder-related attitudes and behaviors in older adults.Methods

This cross-sectional study included 79 older adults (73.2 ± 6.14 years) attending a geriatric outpatient clinic. Frailty was assessed using the Frailty score, and participants were classified as non-frail or pre-frail/frail. Eating disorder-related attitudes were evaluated using the Eating Disorder Examination Questionnaire (EDE-Q). Anthropometric measurements, body composition assessed by bioelectrical impedance analysis, and handgrip strength were obtained. Spearman correlation and logistic regression analyses were performed.Results

Pre-frail/frail individuals had significantly higher scores for thoughts about body shape and weight compared with non-frail participants (p = 0.029). Disordered eating behaviors showed positive correlations with visceral fat and body mass index (BMI), while body fat percentage was positively correlated with the frailty score (p < 0.05). Furthermore, logistic regression analysis showed that higher total EDE-Q scores were associated with higher odds of frailty risk (p = 0.036).Conclusion

Eating disorder-related attitudes may be associated with increased frailty risk in older adults, highlighting the potential importance of integrating disordered eating assessments into geriatric evaluation.

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BibTeX
@article{dazıroglu2026eating,
  title = {{Eating disorder-related attitudes as predictors of pre-frailty/frailty in older adults: a cross-sectional clinical study.}},
  author = {Merve Esra Çıtar Dazıroğlu and Şerife Akpınar Şentüre and Esra Çataltepe and Eda Çeker and Ayşe Fadıloğlu and Hacer Doğan Varan and Nilüfer Acar Tek},
  journal = {BMC geriatrics},
  year = {2026},
  month = aug,
  doi = {10.1186/s12877-026-08039-9},
  url = {https://europepmc.org/article/MED/42958060},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Eating disorder-related attitudes as predictors of pre-frailty/frailty in older adults: a cross-sectional clinical study.
AU  - Merve Esra Çıtar Dazıroğlu
AU  - Şerife Akpınar Şentüre
AU  - Esra Çataltepe
AU  - Eda Çeker
AU  - Ayşe Fadıloğlu
AU  - Hacer Doğan Varan
AU  - Nilüfer Acar Tek
PY  - 2026
DA  - 2026/08/01
JO  - BMC geriatrics
DO  - 10.1186/s12877-026-08039-9
UR  - https://europepmc.org/article/MED/42958060
AB  - Objective  Frailty is a prevalent geriatric syndrome influenced by nutritional status, body composition, and functional capacity. Nevertheless, the role of eating disorder-related attitudes and behaviors in older adults is not definitively known. Therefore, this study was conducted to investigate the association between frailty and eating disorder-related attitudes and behaviors in older adults.Methods  This cross-sectional study included 79 older adults (73.2 ± 6.14 years) attending a geriatric outpatient clinic. Frailty was assessed using the Frailty score, and participants were classified as non-frail or pre-frail/frail. Eating disorder-related attitudes were evaluated using the Eating Disorder Examination Questionnaire (EDE-Q). Anthropometric measurements, body composition assessed by bioelectrical impedance analysis, and handgrip strength were obtained. Spearman correlation and logistic regression analyses were performed.Results  Pre-frail/frail individuals had significantly higher scores for thoughts about body shape and weight compared with non-frail participants (p = 0.029). Disordered eating behaviors showed positive correlations with visceral fat and body mass index (BMI), while body fat percentage was positively correlated with the frailty score (p < 0.05). Furthermore, logistic regression analysis showed that higher total EDE-Q scores were associated with higher odds of frailty risk (p = 0.036).Conclusion  Eating disorder-related attitudes may be associated with increased frailty risk in older adults, highlighting the potential importance of integrating disordered eating assessments into geriatric evaluation.
SN  - 1471-2318
ER  -