Risk factors for dietary variety decline among Japanese elderly in a rural community: a 8-year follow-up study from TMIG-LISA

Abstract

Objective: To examine the factors related to the decline of dietary variety among the rural community-dwelling Japanese elderly people and the implication on the planning of elderly people's nutritional improvement program in the future. Design: A prospective cohort study during 8-year follow-up from 1992 to 2000. Setting: This study was conducted in Nangai Village, a rural and mainly agricultural area of Akita Prefecture in the northern part of Honshu, one of four main islands in Japan. Subjects: A total of 417 elderly people (160 men, 257 women) who completed interviews and food intake frequency surveys conducted in 1992, 1994, 1996, 1998, and 2000 were studied. Methods: Dietary variety and variables potentially associated with dietary variety decline were identified from a face-to-face interview at the baseline and 8-year follow-up surveys. The dietary variety was measured using the dietary variety score (DVS), which covers the 10 main food groups in Japanese meals. Results: During the 8-year follow-up, 36.2% of the subjects showed a decline in dietary variety. Health characteristics also change among the 8-year follow-up and these changes have an effect on the decline of dietary variety. Significant predictors for decline in dietary variety included loss of spouse, deterioration in self-perceived chewing ability, and decrease in intellectual activity score. Conclusions: Loss of spouse, deterioration in chewing ability, and decline in intellectual activity may increase the risk of decline in dietary variety in community-dwelling Japanese elderly people.

Depression status as a reliable predictor of functional decline among Japanese community‐dwelling older adults: a 12‐year population‐based prospective cohort study

“…The participants took part in a face-to-face interview and medical checkups in 1992 (baseline) (Suzuki et al, 2003;Kwon et al, 2006). Medical doctors, other medical professionals, and trained research assistants administered the instruments to obtain the data described in the checkups.…”

“…Dietary habits were assessed using the food frequency questionnaire (Kumagai et al, 1999;Kwon et al, 2006), where weekly food intake frequency was measured. The questionnaire covered the 10 main food groups in everyday meals (meat, eggs, fish and shellfish, milk, dark-colored vegetables, soybean products, potatoes, fruit, seaweeds, fats, and oils).…”

Personality Traits as Predictors of Decline in Higher-Level Functional Capacity over a 7-Year Follow-Up in Older Adults: The Ohasama Study

“…The validity and reliability of the TMIG questionnaire have been established (Koyano et al 1991), and the high predictive validity was previously confirmed using 1-year mortality as a criterion variable (Koyano et al 1991;Koyano and Shibata 1992). The TMIGindex has been widely used in Japan (Koyano et al 1991;Fujiwara et al 2003b, c;Kwon et al 2006). …”

Evde sağlık birimine başvuran yaşlı hastaların beslenme durumları

“…[1,2] Sa¤l›kl› bir yafllanma sürecinde bile ya¤ dokusundan metabolik olarak daha aktif olan kas dokusunun ve fiziksel aktivitenin azalmas› ile günlük enerji gereksinimi azal›r; di¤er yandan besin ayarlayabilme kapasitesi de azal›r ve afl›r› yeme veya yetersiz yeme olarak ortaya ç›kar. [3] Literatürde toplum içinde yaflayan yafll›larda ilerlemifl yafl›n, [4][5][6][7] çoklu komorbidite varl›¤›n›n, [5][6][7] bir ön-ceki sene hastane yat›fl öyküsünün, [7] entelektüel kapasite azalmas›n›n, [8] fonksiyonel ba¤›ml›l›¤›n [6][7] malnütrisyon riski veya malnütrisyon ile iliflkisi gösterilmifltir. Efl kayb›, tek bafl›na yaflamak, düflük e¤itim düzeyi, kötü sa¤l›k alg›-s› bozulmufl beslenme durumu ile iliflkili di¤er faktörler-dir.…”

“…Efl kayb›, tek bafl›na yaflamak, düflük e¤itim düzeyi, kötü sa¤l›k alg›-s› bozulmufl beslenme durumu ile iliflkili di¤er faktörler-dir. [6][7][8][9][10][11][12] Bak›mevinde kalanlarda ve hastanede yatan yafll›larda malnütrisyon riski ve malnütrisyon daha s›kl›kla gözlen-mektedir. [13][14][15] Epidemiyolojik çal›flmalara bak›ld›¤›nda toplum içinde yaflayan yafll›lar›n %5-10'unda malnütris-yon mevcuttur.…”