Factors associated with diet quality of older adults

Freitas, Tatiana Império de; Previdelli, Ágatha Nogueira; Ferreira, Marcela Previato do Nascimento; Marques, Karina Maffei; Goulart, Rita Maria Monteiro; Aquino, Rita de Cássia de

doi:10.1590/1678-98652017000300003

Cited by 27 publications

(23 citation statements)

References 22 publications

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“…We observed that across all indices, both men and women in the 3rd tertile were more likely to be more educated and physically active, have never smoked, and consume dietary supplements. This is consistent with previous studies [56,57,58] showing that people with higher diet quality are more likely to have higher levels of education and healthier lifestyles than those who have lower diet quality. We also observed that across all indices, men in the 3rd tertile had higher BMIs, compared to those in the lowest tertile, and women in the 3rd tertile had higher energy intakes when compared to those in the lowest tertile.…”

Section: Discussionsupporting

confidence: 93%

Higher Diet Quality is Associated with Lower Odds of Low Hand Grip Strength in the Korean Elderly Population

Kim

Kwon

2019

Nutrients

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Single nutrients or food groups have been associated with physical performance. However, little is known about the association of overall diet quality with hand grip strength (HGS), a predictive parameter in the prognosis of chronic disease morbidity and mortality, or quality of life. This study examined the association between HGS and three indices—the Korean Healthy Eating Index (KHEI), the Alternate Mediterranean Diet (aMED), and Dietary Approaches to Stop Hypertension (DASH)—using data obtained on Korean elderly persons aged ≥65 years (n = 3675) from a nationally representative database. The cross-sectional data was collected as part of the Korea National Health and Nutrition Examination Survey (KNHANES, 2014–2016). Dietary intake data from the 24-h recall method were used to calculate diet quality scores. The cutoff value for low HGS was defined as the value corresponding to the lowest 20th percentile of HGS of the study population (men, 28.6 kg; women, 16.5 kg). Higher index scores for diet quality were associated with 32%–53% lower odds of low HGS. Better overall diet quality may be associated with higher HGS in the elderly Korean population.

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Section: Discussionsupporting

confidence: 93%

Higher Diet Quality is Associated with Lower Odds of Low Hand Grip Strength in the Korean Elderly Population

Kim

Kwon

2019

Nutrients

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“…In our study, non-smokers and drinkers of low quantities of alcohol showed higher DDS. Several studies have reported that smoking and drinking status are directly associated with less variety of food choices and poor nutrient intakes, consistent with our results [44,45]. However these findings have not been supported by a study carried out in middle-aged adults in Japan, probably because of socio-cultural differences and small sample size [46].…”

Section: Discussionsupporting

confidence: 83%

Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis

et al. 2019

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Dietary guidelines emphasize the importance of a varied diet to provide an adequate nutrient intake. However, an older age is often associated with consumption of monotonous diets that can be nutritionally inadequate, increasing the risk for the development or progression of diet-related chronic diseases, such as metabolic syndrome (MetS). To assess the association between dietary diversity (DD) and nutrient intake adequacy and to identify demographic variables associated with DD, we cross-sectionally analyzed baseline data from the PREDIMED-Plus trial: 6587 Spanish adults aged 55–75 years, with overweight/obesity who also had MetS. An energy-adjusted dietary diversity score (DDS) was calculated using a 143-item validated semi-quantitative food frequency questionnaire (FFQ). Nutrient inadequacy was defined as an intake below 2/3 of the dietary reference intake (DRI) forat least four of 17 nutrients proposed by the Institute of Medicine (IOM). Logistic regression models were used to evaluate the association between DDS and the risk of nutritionally inadequate intakes. In the higher DDS quartile there were more women and less current smokers. Compared with subjects in the highest DDS quartile, those in the lowest DDS quartile had a higher risk of inadequate nutrient intake: odds ratio (OR) = 28.56 (95% confidence interval (CI) 20.80–39.21). When we estimated food varietyfor each of the food groups, participants in the lowest quartile had a higher risk of inadequate nutrient intake for the groups of vegetables, OR = 14.03 (95% CI 10.55–18.65), fruits OR = 11.62 (95% CI 6.81–19.81), dairy products OR = 6.54 (95% CI 4.64–9.22) and protein foods OR = 6.60 (95% CI 1.96–22.24). As DDS decreased, the risk of inadequate nutrients intake rose. Given the impact of nutrient intake adequacy on the prevention of non-communicable diseases, health policies should focus on the promotion of a healthy varied diet, specifically promoting the intake of vegetables and fruit among population groups with lower DDS such as men, smokers or widow(er)s.

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“…22,23 In other word, studies justified that those in higher SES families had higher income, education and better knowledge about foods. [24][25][26] In the present analysis, girls showed better diet quality than boys, a finding consistent with other researches. 15,27,28 Better diet quality among girls despite a higher intake of sodium and fats was owing to a higher score for vegetables and a lower score for SSB.…”

Section: Discussionsupporting

confidence: 92%

“…A higher score represents a better diet quality. 26 In other words, AHEI-2010 makes no explicit division between adequacy and moderation. 12…”

Section: Calculating Hei Scoresmentioning

confidence: 99%

Healthy eating index in a nationally representative sample of children and adolescents by socio-demographic characteristics: the Weight disorders survey of the CASPIAN-IV Study

et al. 2020

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Background. To date, the diet quality of Iranian students in relation to socio-demographic characteristics was not studied. The present study aimed to explore the association between the healthy eating index and sociodemographic characteristics among a nationally representative sample of Iranian children and adolescents. Methods. This nationwide study was conducted in 5187 children and adolescents, aged 6-18 years. Data regarding socio-demographic variables, lifestyle factors, family and student dietary habits, and quality of life were gathered via validated questionnaires. The Alternate Healthy Eating Index-2010 (AHEI-2010) was used to calculate diet quality scores. Results. The odds of high diet quality was 24% lower in adolescents (13-18years) compared to children aged 6-12 years (OR 0.76, CI 0.64-0.89, p= 0.001). Students in families with moderate (OR 1.30, CI 1.13-1.49, p < 0.001) and high socioeconomic status (OR 1.36, CI 1.18-1.57, p < 0.001) were 30% and 36% more likely to have a higher diet quality score, respectively. Lower mean AHEI-2010 scores (CI) were found for low socio-economic status (46.18-47.10), adolescents 47.40 (46.94-47.82), boys 47.51 (47.14-47.88) and South-East area 47.19 (46.54-49.15) (p < 0.05) due to lower intake of fruits and vegetables and high intake of sodium and sugar-sweetened beverages. Conclusions. The overall diet quality of Iranian children and adolescents was low with disparities across sociodemographic variables notably age and familial socio-economic status.

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Factors associated with diet quality of older adults

Cited by 27 publications

References 22 publications

Higher Diet Quality is Associated with Lower Odds of Low Hand Grip Strength in the Korean Elderly Population

Higher Diet Quality is Associated with Lower Odds of Low Hand Grip Strength in the Korean Elderly Population

Dietary Diversity and Nutritional Adequacy among an Older Spanish Population with Metabolic Syndrome in the PREDIMED-Plus Study: A Cross-Sectional Analysis

Healthy eating index in a nationally representative sample of children and adolescents by socio-demographic characteristics: the Weight disorders survey of the CASPIAN-IV Study

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