Relationship between dietary inflammation index and frailty status and fatigue in elderly patients with chronic pneumonia
10.3969/j.issn.1006-2483.2026.04.038
- VernacularTitle:老年慢性肺炎患者膳食炎症指数及衰弱与疲劳症状分析
- Author:
Ting WU
1
;
Fangfang XU
2
;
Lu CHEN
3
Author Information
1. Department of Nursing, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing , Jiangsu 210008, China;Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Xuzhou Medical University, Xuzhou , Jiangsu 221006, China
2. Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Xuzhou Medical University, Xuzhou , Jiangsu 221006, China
3. Department of Nursing, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, China
- Publication Type:Journal Article
- Keywords:
Elderly;
Chronic pneumonia;
Dietary inflammation index;
Frailty;
Fatigue
- From:
Journal of Public Health and Preventive Medicine
2026;37(4):181-184
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship of dietary inflammation index (DII) and frailty status with fatigue in elderly patients with chronic pneumonia. Methods A total of 306 elderly patients with chronic pneumonia admitted to the hospital from October 2022 to March 2025 were selected for the investigation of food frequency questionnaire (FFQ25), Fried frailty phenotype and fatigue severity scale (FSS). The DII was calculated. The patients were divided into a fatigue group and a non-fatigue group. The DII and frailty status of the two groups were compared, and the relationship of DII and frailty status with FSS score was analyzed to explore the influencing factors of fatigue in elderly patients with chronic pneumonia. Results Analysis of DII in 306 elderly patients with chronic pneumonia revealed 97 cases in T1, 102 cases in T2, and 107 cases in T3. Investigation of frailty status found no frailty in 42 cases, pre-frailty in 115 cases, and frailty in 149 cases. There were 223 cases with fatigue. There were significant differences in age, type of underlying diseases, course of pneumonia, DII, and frailty degree between the fatigue group and the non-fatigue group (P<0.05). DII and frailty were positively correlated with fatigue in elderly patients with chronic pneumonia (P<0.05). Age, type of underlying disease, course of pneumonia, DII, and frailty were the influencing factors of fatigue in elderly patients with chronic pneumonia (P<0.05). Conclusion DII and frailty are significantly associated with fatigue in elderly patients with chronic pneumonia. High inflammatory diet and frailty can significantly increase the occurrence risk of fatigue in patients. In clinical practice, it is necessary to pay attention to nutritional intervention to reduce the level of dietary inflammation, and perform early identification and management of frailty.
