Characterization of Dietary Protein among Older Adults in the United States: Amount, Animal Sources, and Meal Patterns

Berner, Louise A.; Becker, Gabriel; Wise, Maxwell; Doi, Jimmy A.

doi:10.1016/j.jand.2013.01.014

Cited by 151 publications

(165 citation statements)

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“…We expressed protein intake per adjusted body weight to estimate the prevalence of low protein intake (< 0.8 g/kg aBW) as used in the National Health and Nutrition Examination Survey (NHANES) 2005–2006 of over 1700 participants aged 51 and over [20]. The use of actual or adjusted body weight (adjusted to reflect a healthy BMI range of 22–27 associated with favourable health outcomes in those ≥ 71 years) affected the estimate for the prevalence of protein inadequacy by 1% ( n = 10) and mostly in women.…”

Section: Discussionmentioning

confidence: 99%

“…Individual foods were coded and allocated to 15 first level food groups: cereals and cereal products (CCP), milk and milk products, eggs and egg dishes, oils and fat spreads, meat and meat products (MMP), fish and fish dishes, vegetables, potatoes, savoury snacks, nuts and seeds, fruit, sugar, preserves and confectionery, non-alcoholic beverages, alcoholic beverages and miscellaneous. One approach to estimate protein inadequacy and base recommendations for protein RDA of 0.8 g/kg BW/day is to use adjusted body weight (aBW) defined as the nearest (ideal) body weight that would put an older adult aged ≥ 71 years into a healthy body mass index (BMI) of 22–27 kg/m 2 [19, 20]. Low protein intake was defined as an intake < 0.8 g/kg of unadjusted bodyweight per day (g/kg aBW/day) and adequate protein intake as ≥ 0.8 g/kg aBW/day.…”

Section: Methodsmentioning

confidence: 99%

“…Body weight was adjusted to reflect a healthy body mass index (BMI) in older adults of 22–27 kg/m 2 and calculated as described in Berner et al [20]. Briefly, if necessary, the actual body weight was adjusted to the nearest (ideal) weight that would put an individual into an age-appropriate (≥ 71 years) healthy BMI range associated with a decreased risk of mortality.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence and determinants of low protein intake in very old adults: insights from the Newcastle 85+ Study

et al. 2017

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PurposeThe very old (aged ≥ 85 years), fastest growing age group in most western societies, are at especially high risk of muscle mass and strength loss. The amount, sources and timing of protein intake may play important roles in the aetiology and management of sarcopenia. This study investigated the prevalence and determinants of low protein intake in 722 very old adults participating in the Newcastle 85+ Study.MethodsProtein intake was estimated with 2 × 24-h multiple pass recalls (24 h-MPR) and contribution (%) of food groups to protein intake was calculated. Low protein intake was defined as intake < 0.8 g of protein per adjusted body weight per day. A backward stepwise multivariate linear regression model was used to explore socioeconomic, health and lifestyle predictors of protein intake.ResultsTwenty-eight percent (n = 199) of the community-living very old in the Newcastle 85+ Study had low protein intake. Low protein intake was less likely when participants had a higher percent contribution of meat and meat products to total protein intake (OR 0.97, 95% CI 0.95, 1.00) but more likely with a higher percent contribution of cereal and cereal products and non-alcoholic beverages. Morning eating occasions contributed more to total protein intake in the low than in the adequate protein intake group (p < 0.001). Being a woman (p < 0.001), having higher energy intake (p < 0.001) and higher tooth count (p = 0.047) was associated with higher protein intake in adjusted models.ConclusionThis study provides novel evidence on the prevalence of low protein intake, diurnal protein intake patterns and food group contributors to protein intake in the very old.Electronic supplementary materialThe online version of this article (doi:10.1007/s00394-017-1537-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Prevalence and determinants of low protein intake in very old adults: insights from the Newcastle 85+ Study

et al. 2017

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“…Dichos resultados concuerdan con lo reportado por diferentes autores (15)(16)(17)(18), lo que se puede ejemplarizar con los patrones de consumo de alimentos en China (país que en la última década ha tenido un importante desarrollo económico), que ha conducido a un cambio en los patrones de consumo, reemplazando los alimentos de origen vegetal por animal (19). Otras variables como los conflictos armados, desigualdad, entre otros, pueden ser las causantes de que en algunas regiones del mundo se den cambios drásticos en los patrones de consumo, ejemplo de ello es la región del Oriente próximo, la cual ha tenido una disminución considerable en los consumos de alimentos de tipo vegetal (Figura 6).…”

Section: Discussionunclassified

Evolución de la relación entre el consumo de huevo de gallina en el mundo (Gallus gallus domesticus) y los principales alimentos entre 1961 y 2009

Velázquez

Pareja

Betancur

2017

Perspect Nutr Humana

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ResumenIntroducción: el huevo de gallina es un alimento de gran valor nutricional y es importante conocer las relaciones existentes del consumo de éste con respecto a los principales alimentos de origen animal y vegetal. Objetivo: determinar las relaciones entre los alimentos respecto al consumo de huevo, para el período entre1961 y el 2009 en el mundo. Materiales y métodos: teniendo en cuenta la base de datos de la FAO, se extrajo el consumo per-cápita de los principales grupos alimenticios, se aplicó la técnica de componentes principales (ACP), para detectar el porcentaje total de variabilidad y a la vez el nivel de asociación entre un grupo con predominio de las fuentes de origen animal, otro con predominio de fuentes de origen vegetal y el consumo de huevo. Resultados: en la década del 60 el huevo tuvo un aporte del 14,4 % en la explicación de la relación asociada con el grupo de alimentos predominantemente de origen animal, mientras para la primera década del 2000 solo fue del 4,2 %. Conclusión: las tendencias del consumo de huevo a nivel mundial han cambiado a través del tiempo en las décadas del 60 y el 70, y se ubicaba como el quinto alimento más importante consumido en el mundo, mientras en la primera década del 2000 se localizó en el octavo lugar.Palabras clave: consumo per-cápita de huevo, fuentes alimenticias, proteína animal, proteína vegetal, patrones de consumo, preferencias del consumidor. Using FAO databases, per capita consumption of major food groups was extracted and the principal component analysis (PCA) was applied to detect the total percentage of variability and the level of association between groups with predominant animal source intake and those with predominant vegetable and egg source intakes. Results: In the 1960's the egg contributed 14.5 % of intake in its food group, while in the decade 2000, the egg's contribution to its food groups was just 4.8 %. Conclusion: Egg consumption trends worldwide have changed over time; in the 1960s and 1970s the egg is ranked as the fifth most consumed food in the world, while in the 2000s it ranked eighth.

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“…Nutrition is of particular concern in the elderly, where malnutrition affects up to 40 % of those living in institutions. Moreover, 20 % of older individuals in the USA consume inadequate protein, as defined by <0.66 g/kg/actual body weight per day [99, 100]. Although an association between dietary protein intake and lean mass exists [101], the use of protein supplementation to reduce sarcopenia is controversial.…”

Section: Exercise and Nutritionmentioning

confidence: 99%

Therapies for Musculoskeletal Disease: Can we Treat Two Birds with One Stone?

Girgis

Mokbel

DiGirolamo

2014

Curr Osteoporos Rep

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Musculoskeletal diseases are highly prevalent with staggering annual health care costs across the globe. The combined wasting of muscle (sarcopenia) and bone (osteoporosis)— both in normal aging and pathologic states—can lead to vastly compounded risk for fracture in patients. Until now, our therapeutic approach to the prevention of such fractures has focused solely on bone, but our increasing understanding of the interconnected biology of muscle and bone has begun to shift our treatment paradigm for musculoskeletal disease. Targeting pathways that centrally regulate both bone and muscle (eg, GH/IGF-1, sex steroids, etc.) and newly emerging pathways that might facilitate communication between these 2 tissues (eg, activin/myostatin) might allow a greater therapeutic benefit and/or previously unanticipated means by which to treat these frail patients and prevent fracture. In this review, we will discuss a number of therapies currently under development that aim to treat musculoskeletal disease in precisely such a holistic fashion.

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Characterization of Dietary Protein among Older Adults in the United States: Amount, Animal Sources, and Meal Patterns

Cited by 151 publications

References 22 publications

Prevalence and determinants of low protein intake in very old adults: insights from the Newcastle 85+ Study

Prevalence and determinants of low protein intake in very old adults: insights from the Newcastle 85+ Study

Evolución de la relación entre el consumo de huevo de gallina en el mundo (Gallus gallus domesticus) y los principales alimentos entre 1961 y 2009

Therapies for Musculoskeletal Disease: Can we Treat Two Birds with One Stone?

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