Skip to main content Accessibility help
×
Home

Diet-related practices and BMI are associated with diet quality in older adults

  • Dara W Ford (a1), Terryl J Hartman (a2), Christopher Still (a3), Craig Wood (a3), Diane Mitchell (a1), Pao Ying Hsiao (a1), Regan Bailey (a4), Helen Smiciklas-Wright (a1), Donna L Coffman (a5) and Gordon L Jensen (a1)...

Abstract

Objective

To assess the association of diet-related practices and BMI with diet quality in rural adults aged ≥74 years.

Design

Cross-sectional. Dietary quality was assessed by the twenty-five-item Dietary Screening Tool (DST). Diet-related practices were self-reported. Multivariate linear regression models were used to analyse associations of DST scores with BMI and diet-related practices after controlling for gender, age, education, smoking and self- v. proxy reporting.

Setting

Geisinger Rural Aging Study (GRAS) in Pennsylvania, USA.

Subjects

A total of 4009 (1722 males, 2287 females; mean age 81·5 years) participants aged ≥74 years.

Results

Individuals with BMI < 18·5 kg/m2 had a significantly lower DST score (mean 55·8, 95 % CI 52·9, 58·7) than those individuals with BMI = 18·5–24·9 kg/m2 (mean 60·7, 95 % CI 60·1, 61·5; P = 0·001). Older adults with higher, more favourable DST scores were significantly more likely to be food sufficient, report eating breakfast, have no chewing difficulties and report no decline in intake in the previous 6 months.

Conclusions

The DST may identify potential targets for improving diet quality in older adults including promotion of healthy BMI, breakfast consumption, improving dentition and identifying strategies to decrease concern about food sufficiency.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Diet-related practices and BMI are associated with diet quality in older adults
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Diet-related practices and BMI are associated with diet quality in older adults
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Diet-related practices and BMI are associated with diet quality in older adults
      Available formats
      ×

Copyright

Corresponding author

*Corresponding author: Email djw5083@psu.edu

References

Hide All
1. Russell, J, Flood, V, Rochtchina, E et al. (2012) Adherence to dietary guidelines and 15-year risk of all-cause mortality. Br J Nutr (Epublication ahead of print version).
2. Jensen, GL & McGee M & Binkley, J (2001) Nutrition in the elderly. Gastroenterol Clin North Am 30, 313334.
3. Brownie, S (2006) Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 12, 110118.
4. Bailey, R, Gueldner, S, Ledikwe, J et al. (2005) The oral health of older adults: an interdisciplinary mandate. J Gerontol Nurs 31, 1117.
5. Bailey, R, Miller, PE, Mitchell, DC et al. (2009) Dietary screening tool identifies nutritional risk in older adults. Am J Clin Nutr 90, 177183.
6. Jensen, GL, Kita, K, Fish, J et al. (1997) Nutrition risk screening characteristics of rural older persons: relation to functional limitations and health care charges. Am J Clin Nutr 66, 819828.
7. Bailey, RL, Mitchell, DC, Miller, CK et al. (2007) A dietary screening questionnaire identifies dietary patterns in older adults. J Nutr 137, 421426.
8. Guenther, PM, Krebs-Smith, SM, Reedy, J et al. (2008) Healthy Eating Index-2005. Alexandria, VA: Center for Nutrition Policy and Promotion.
9. Locher, JL, Roth, DL, Ritchie, CS et al. (2007) Body mass index, weight loss, and mortality in community-dwelling older adults. J Gerontol A Biol Sci Med Sci 62, 13891392.
10. Takata, Y, Ansai, T, Soh, I et al. (2007) Association between body mass index and mortality in an 80-year-old population. J Am Geriatr Soc 55, 913917.
11. Stessman, J, Jacobs, JM, Ein-Mor, E et al. (2009) Normal body mass index rather than obesity predicts greater mortality in elderly people: the Jerusalem longitudinal study. J Am Geriatr Soc 57, 22322238.
12. Ledikwe, JH, Smiciklas-Wright, H, Mitchell, DC et al. (2004) Dietary patterns of rural older adults are associated with weight and nutritional status. J Am Geriatr Soc 52, 589595.
13. Gollub, EA & Weddle, DO (2004) Improvements in nutritional intake and quality of life among frail homebound older adults receiving home-delivered breakfast and lunch. J Am Diet Assoc 104, 12271235.
14. Lee, JS & Frongillo, EA Jr (2001) Nutritional and health consequences are associated with food insecurity among US elderly persons. J Nutr 131, 15031509.
15. Chapman, IM (2007) The anorexia of aging. Clin Geriatr Med 23, 735756.
16. Miller, SL & Wolfe, RR (2008) The danger of weight loss in the elderly. J Nutr Health Aging 12, 487491.
17. Goins, RT, Williams, KA, Carter, MW et al. (2005) Perceived barriers to health care access among rural older adults: a qualitative study. J Rural Health 21, 206213.
18. Drewnowski, A & Evans, WJ (2001) Nutrition, physical activity, and quality of life in older adults. J Gerontol A Biol Sci Med Sci 56, Suppl. 2, 8994.
19. Centers for Disease Control and Prevention (2003) Public health and aging: trends in aging – United States and worldwide. MMWR Morb Mortal Wkly Rep 52, issue 6, 101106.

Keywords

Type Description Title
PDF
Supplementary materials

Ford Supplementary Material
Appendix

 PDF (48 KB)
48 KB

Diet-related practices and BMI are associated with diet quality in older adults

  • Dara W Ford (a1), Terryl J Hartman (a2), Christopher Still (a3), Craig Wood (a3), Diane Mitchell (a1), Pao Ying Hsiao (a1), Regan Bailey (a4), Helen Smiciklas-Wright (a1), Donna L Coffman (a5) and Gordon L Jensen (a1)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed