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10 - Nutrition and Well-Being

Published online by Cambridge University Press:  05 August 2012

By
Mary Ann Johnson ,
Dorothy Hausman ,
Peter Martin ,
Leonard W. Poon ,
Elisabeth Lilian Pia Sattler  and
Adam Davey
Edited by
Leonard W. Poon  and
Jiska Cohen-Mansfield
Mary Ann Johnson
Affiliation:
University of Georgia
Dorothy Hausman
Affiliation:
University of Georgia
Peter Martin
Affiliation:
Iowa State University
Leonard W. Poon
Affiliation:
University of Georgia
Elisabeth Lilian Pia Sattler
Affiliation:
University of Georgia
Adam Davey
Affiliation:
Temple University
Leonard W. Poon
Affiliation:
University of Georgia
Jiska Cohen-Mansfield
Affiliation:
Tel-Aviv University
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Summary

ABSTRACT

The relationship of nutrition-related factors with well-being in people 80 and older has received little attention. Therefore, this chapter explores the relationships of depression and depressive symptoms, as a measure of well-being, with appetite, body weight changes, underweight, and obesity as measures of nutritional status. The sample is from the Georgia Centenarian Study (aged 80 to 89 and 98+ years, see Chapter 9). In bivariate analyses, centenarians with depression consistently had the highest prevalence of underweight when compared to centenarians without depression and all octogenarians (23% to 33% vs. 0% to 16%). When controlled for other demographic factors, clinically relevant depressive symptomatology was associated with appetite loss, while a current diagnosis of depression was associated with recent changes in body weight. However, taking antidepressant medications was not associated with any of the nutrition-related measures. Demographic factors emerged as important predictors of nutritional status. Living in a skilled nursing facility compared to living in the community was associated with a lower risk of appetite loss and higher risk of weight gain; being a centenarian or being female was associated with underweight; and being Black (vs. White) was associated with obesity. Thus, risk factors for poor nutritional status in the oldest may be related to depression as well as to specific demographic factors including age, gender, race, and residence in a skilled nursing facility.

Type
Chapter
Information
Understanding Well-Being in the Oldest Old , pp. 171 - 185
Publisher: Cambridge University Press
Print publication year: 2011

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