Higher dietary variety is associated with better nutritional status in frail elderly people

Bernstein, Melissa; Tucker, Katherine L.; Ryan, Nancy; O’Neill, Evelyn F.; Clements, Karen M.; Nelson, Miriam E.; Evans, William J.; Singh, Maria A. Fiatarone

doi:10.1016/s0002-8223(02)90246-4

Cited by 258 publications

(97 citation statements)

References 49 publications

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“…The Diet Quality Index Revised developed by Hains et al (51) was reported to correlate with plasma biomarkers (52) for micronutrient intake. Dietary variety and diversity were shown to be associated with nutrient adequacy (53) , biomarkers (54) and lower disease risk (55) . These indices, with some modifications, have been used previously in Mexicans (41) , Haitian immigrants in Canada (56) and a sample of the African population (40) , but not in a nationally representative sample.…”

Section: Discussionmentioning

confidence: 99%

Dietary quality indices vary with sociodemographic variables and anthropometric status among Mexican adults: a cross-sectional study. Results from the 2006 National Health and Nutrition Survey

Ponce

Rodríguez‐Ramírez

Mundo‐Rosas

et al. 2013

Public Health Nutr.

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Objective: To evaluate the dietary quality of Mexican adults' diet, we constructed three dietary quality indices: a cardioprotective index (CPI), a micronutrient adequacy index (MAI) and a dietary diversity index (DDI). Design: Data were derived from the 2006 National Health and Nutrition Survey, which is a national survey representative of the Mexican population with a stratified, multistage, probabilistic sample design. Dietary intake was assessed from an FFQ with 101 different foods and daily nutrient intakes were computed. The CPI evaluated compliance with seven WHO recommendations for the prevention of CVD, the MAI evaluated the intake of six micronutrients based on the estimated average requirements from the US Institute of Medicine and the DDI was constructed based on the consumption of thirty different food groups. Settings: Mexico. Subjects: Mexican adults aged 19-59 years old. Results: We evaluated the diet of 15 675 males and females. Adjusted means and adjusted proportions by age and sex were computed to predict adherence to dietary recommendations. Rural inhabitants, those living in the South and those from the lowest socio-economic status reported a significantly higher CPI (4?5 (SE 0?08), 4?3 (SE 0?08) and 4?2 (SE 0?09), respectively; P , 0?05), but a significantly lower MAI and DDI, compared with urban inhabitants, those from the North and those of upper socio-economic status (P , 0?05). Conclusions:The constructed diet quality indices identify nutrients and foods whose recommended intakes are not adequately consumed by the population. Given the epidemiological and nutritional transition that Mexico is experiencing, the CPI is the most relevant index and its components should be considered in Mexican dietary guidelines as well as in any food and nutrition programmes developed.

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Section: Discussionmentioning

confidence: 99%

Dietary quality indices vary with sociodemographic variables and anthropometric status among Mexican adults: a cross-sectional study. Results from the 2006 National Health and Nutrition Survey

Ponce

Rodríguez‐Ramírez

Mundo‐Rosas

et al. 2013

Public Health Nutr.

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“…Thus a varied diet is seen as a healthy diet, as food variety enables food component needs to be met adequately and comprehensively (2,(10)(11)(12) .…”

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confidence: 99%

Factors influencing eating a varied diet in old age

Dean

Raats

Grunert

et al. 2009

Public Health Nutr.

133

117

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“…Our results suggest that this may well be the case for women in early old age but that as women get older, they struggle to sustain eating well because cooking and shopping become more problematic and/or appetite decreases. Consuming a wide variety of foods is often considered one of the key components of dietary adequacy (Bernstein et al, 2002). However obtaining a balanced and nutritionally adequate diet is harder when dietary choices are limited.…”

Section: Discussionmentioning

confidence: 99%

Diet quality and the influence of social and physical factors on food consumption and nutrient intake in materially deprived older people

Holmes

Roberts²

2011

Eur J Clin Nutr

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Background/Objectives: To investigate the influence of social and physical factors on diet quality in materially deprived (low income) older people in the United Kingdom. Subjects/Methods: A diet quality index was obtained for 222 men and 440 women aged 65 and over living alone or with other adults of retirement age from the United Kingdom Low Income Diet and Nutrition Survey (2003-2005). The association between diet quality and social and physical factors was investigated by logistic regression analysis. Results: Analysis revealed several barriers to an adequate diet in the older low-income population. For both men and women, having the best quality diet was inversely associated with usually eating meals on one's lap as opposed to at the table (Adjusted odds ratio (ORs) ¼ 0.3, 95% confidence interval: 0.12-0.77 (men), 0.3, 0.17-0.56 (women)). For men, difficulty chewing was inversely associated with the best quality diet (OR ¼ 0.4; 0.13-0.99), whereas for women, current smoking and being 75 years or over were inversely associated with the best quality diet (OR ¼ 0.2; 0.06-0.42 and 0.5; 0.27-0.87, respectively); P value for all associations was o0.05. Conclusions: Results suggest that the social setting is an important determinant of diet quality in this group and future studies should collect details on where and with whom meals are taken to fully investigate the extent of this influence.

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Higher dietary variety is associated with better nutritional status in frail elderly people

Cited by 258 publications

References 49 publications

Dietary quality indices vary with sociodemographic variables and anthropometric status among Mexican adults: a cross-sectional study. Results from the 2006 National Health and Nutrition Survey

Dietary quality indices vary with sociodemographic variables and anthropometric status among Mexican adults: a cross-sectional study. Results from the 2006 National Health and Nutrition Survey

Factors influencing eating a varied diet in old age

Diet quality and the influence of social and physical factors on food consumption and nutrient intake in materially deprived older people

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