Journal ArticleDOI
Baseline determinants of global diet quality in older men and women from the NuAge cohort
Bryna Shatenstein,Lise Gauvin,Heather H. Keller,Lucie Richard,Pierrette Gaudreau,F. Giroux,Katherine Gray-Donald,Mira Jabbour,José A. Morais,Hélène Payette +9 more
Reads0
Chats0
TLDR
These results point to several key factors influencing global DQ in older adults and also show gender-based differences, which need to be understood to ensure good diet quality as people age.Abstract:
Judicious food choices are of prime importance during aging. This study was conducted to identify individual and collective attributes determining global diet quality (DQ). Participants were 1,793 adults (52% women) from the NuAge study on nutrition and successful aging. Subjects aged 67 to 84 years in relatively good health were recruited from the Quebec Medicare Database. Sociodemographic, affective, and cognitive data, health conditions, perceived physical health and functional status, dietary habits and dietary attributes and community resources were obtained using questionnaires. Body weight and height were measured and body mass index (BMI) was calculated. Three non-consecutive 24-hour diet recalls were collected at recruitment. DQ, assessed using the Canadian Healthy Eating Index (C-HEI, /100), was computed on the mean intakes from the diet recalls. Analyses were stratified by gender. Variables significantly related to DQ in bivariate analyses (p<.05) were entered into backward stepwise multiple regression analyses. Among men, the final model showed higher education (β=0.23, p=.01), diet knowledge (β=0.96, p<.0001), number of daily meals (β=1.91, p=.02) and perceived physical health (β=0.06, p=.01) to be positive determinants of DQ, whereas alcohol consumption (β=−2.25, p=.05), wearing dentures (β=−2.31, p=.01) and eating regularly in restaurants (β=− 1.65, p=.03) were negative determinants of DQ (adjusted R2 = 13.7%). Among women, higher education (β=0.29, p=.002), diet knowledge (β=0.54, p=.002), number of daily meals (β=3.61, p<.0001), and hunger (β=0.61, p<.0001) were positive determinants of global DQ; greater BMI (β=−0.16, p=.03) and chewing problems (β=−0.48, p=.03) were negative determinants of DQ (adjusted R2 = 7.8%). These results point to several key factors influencing global DQ in older adults and also show gender-based differences. More research must be done to better understand how these factors change with aging and exert their impact on diet, particularly since variance in DQ was largely unexplained. As diet knowledge was an independent predictor for both genders, targeted, sustainable interventions are needed to ensure good diet quality as people age.read more
Citations
More filters
Journal ArticleDOI
Understanding meal patterns: definitions, methodology and impact on nutrient intake and diet quality
TL;DR: An understanding of the influence of different meal definitions on the characterisation of meal patterns will facilitate the interpretation of the existing literature, and may provide guidance on the most appropriate definitions to use.
Journal ArticleDOI
Long-term intake of nuts in relation to cognitive function in older women
Jacqueline O'Brien,Jacqueline O'Brien,Olivia I. Okereke,Olivia I. Okereke,Elizabeth E. Devore,Bernard Rosner,Bernard Rosner,Monique M.B. Breteler,Monique M.B. Breteler,Francine Grodstein,Francine Grodstein +10 more
TL;DR: Higher nut intake may be related to better overall cognition at older ages, and could be an easily-modifiable public health intervention.
Journal ArticleDOI
Factors influencing food choice for independently living older people - a systematic literature review
TL;DR: A systematic review of the literature consistent with PRISMA guidelines was performed to identify articles investigating influences on food choice among older people and suggest the need for further investigations involving larger, more demographically diverse samples of participants.
Journal ArticleDOI
Improving nutrition to support healthy ageing: what are the opportunities for intervention?
TL;DR: There is a need for wider recognition of malnutrition risk among older adults, including implementation of routine screening of nutritional status and early diagnosis, and for opportunities to intervene earlier in the lifecourse.
References
More filters
Journal ArticleDOI
Socio-economic status, place of residence and dietary habits among the elderly: the Mediterranean islands study.
Alexia Katsarou,Stefanos Tyrovolas,Theodora Psaltopoulou,Akis Zeimbekis,Nikos Tsakountakis,Vassiliki Bountziouka,Efthimios Gotsis,George Metallinos,Evangelos Polychronopoulos,Christos Lionis,Demosthenes B. Panagiotakos +10 more
TL;DR: Older Greek people of higher SES seem to follow a relatively healthier diet, and public health policy makers should focus on people with low SES in order to improve their quality of diet and, consequently, their health status.
Journal ArticleDOI
Association Between Dietary Quality of Rural Older Adults and Self-Reported Food Avoidance and Food Modification Due to Oral Health Problems
Margaret R. Savoca,Thomas A. Arcury,Xiaoyan Leng,Haiying Chen,Ronny A. Bell,Andrea Anderson,Teresa Kohrman,Gregg H. Gilbert,Sara A. Quandt +8 more
TL;DR: To quantify the association between food avoidance and modification due to oral health problems and to determine foods associated with these self‐management behaviors, a study of food practices and dietary quality is conducted.
Journal ArticleDOI
Barriers to increasing fruit and vegetable intakes in the older population of Northern Ireland: low levels of liking and low awareness of current recommendations.
TL;DR: Interventions aiming to increase f + v intakes in the older population of NI should focus predominantly on improving liking and improving knowledge and awareness of current recommendations, according to current intakes.
Journal ArticleDOI
Impact of Health Conditions on Food Intakes Among Older Adults
TL;DR: A recurring theme in the research examined in this review was older adults' desire to improve their diet, coupled with their frustration at not being offered sufficient counseling by their health care providers.
Journal ArticleDOI
Diet quality and the influence of social and physical factors on food consumption and nutrient intake in materially deprived older people
Bridget Holmes,Caireen Roberts +1 more
TL;DR: 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.
Related Papers (5)
Position of the Academy of Nutrition and Dietetics: Food and Nutrition for Older Adults: Promoting Health and Wellness
Melissa Bernstein,Nancy Munoz +1 more
Determinants of healthy eating in community-dwelling elderly people.
Hélène Payette,Bryna Shatenstein +1 more