Dietary patterns and diet quality among diverse older adults: The university of Alabama at Birmingham study of aging
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To characterize dietary patterns among a diverse sample of older adults (≥ 65 years).
Five counties in west central Alabama.
Community-dwelling Medicare beneficiaries (N=416; 76.8 ±5.2 years, 56% female, 39% African American) in the University of Alabama at Birmingham (UAB) Study of Aging.
Dietary data collected via three, unannounced 24-hour dietary recalls was used to identify dietary patterns. Foods were aggregated into 13 groups. Finite mixture modeling (FMM) was used to classify individuals into three dietary patterns. Differences across dietary patterns for nutrient intakes, sociodemographic, and anthropometric measurements were examined using chi-square and general linear models.
Three dietary patterns were derived. A “More healthful” dietary pattern, with relatively higher intakes of fruit, vegetables, whole grains, eggs, nuts, legumes and dairy, was associated with lower energy density, higher quality diets as determined by Healthy Eating Index (HEI)-2005 scores and higher intakes of fiber, folate, vitamins C and B6, calcium, iron, magnesium, and zinc. The “Westernlike” pattern was defined by an intake of starchy vegetables, refined grains, meats, fried poultry and fish, oils and fats and was associated with lower HEI-2005 scores. The “Low produce, high sweets” pattern was characterized by high saturated fat, and low dietary fiber and vitamin C intakes. The strongest predictors of better diet quality were female gender and non-Hispanic white race.
The dietary patterns identified may provide a useful basis on which to base dietary interventions targeted at older adults. Examination of nutrient intakes regardless of the dietary pattern suggests that older adults are not meeting nutrient recommendations and should continue to be encouraged to choose high quality diets.
- Nicolas, A.S., Andrieu, S., Nourhashemi, F. (2001) Successful aging and nutrition. Nutr Rev 59: pp. S88-S91 CrossRef
- Flegal, K.M., Carroll, M.D., Ogden, C.L. (2010) Prevalence and trends in obesity among US adults, 1999–2008. Jama 303: pp. 235-241 CrossRef
- Park, S.-Y., Murphy, S.P., Wilkens, L.R. (2005) Dietary Patterns Using the Food Guide Pyramid Groups Are Associated with Sociodemographic and Lifestyle Factors: The Multiethnic Cohort Study. J Nutr 135: pp. 843-849
- Allman, R.M., Sawyer, P., Roseman, J.M. (2006) The UAB Study of Aging: background and insights into life-space mobility among older Americans in rural and urban settings. Aging Health 2: pp. 417-429 CrossRef
- Yesavage, J.A., Brink, T.L., Rose, T.L. (1982) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17: pp. 37-49 CrossRef
- Pfeiffer, E. (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 23: pp. 433-441
- Allman, R.M., Sawyer, P., Crowther, M. (2011) Predictors of 4-Year Retention Among African American and White Community-Dwelling Participants in the UAB Study of Aging. Gerontologist 51: pp. S46-S58 CrossRef
- Folstein, M.F., Folstein, S.E., McHugh, P.R. (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12: pp. 189-198 CrossRef
- The Alabama Rural Health Association (1998) Health Status of Rural Alabamians. Montgomery, AL.
- Ledikwe, J.H., Blanck, H.M., Khan, L.K. (2005) Dietary energy density determined by eight calculation methods in a nationally representative United States population. J Nutr 135: pp. 273-278
- Miller, P.E., Mitchell, D.C., Harala, P.L. (2011) Development and evaluation of a method for calculating the Healthy Eating Index-2005 using the Nutrition Data System for Research. Public Health Nutr 14: pp. 306-313 CrossRef
- Dietary Guidelines for Americans, 2005. U.S. Government Printing Office, Washington D.C.
- Schwarz, G. (1978) Estimating the Dimension of a Model. The Annals of Statistics 6: pp. 461-464 CrossRef
- Tooze, J.A., Vitolins, M.Z., Smith, S.L. (2007) High levels of low energy reporting on 24-hour recalls and three questionnaires in an elderly low-socioeconomic status population. J Nutr 137: pp. 1286-1293
- McCrory, M.A., Hajduk, C.L., Roberts, S.B. (2002) Procedures for screening out inaccurate reports of dietary energy intake. Public Health Nutr 5: pp. 873-882 CrossRef
- Guenther PM, Juan WY, Reedy J et al. (2007) Diet quality of Americans in 1994–96 and 2001–02 as measured by the Healthy Eating Index-2005. Washington D. C.
- Juan WY, Guenther PM & Kott PS (2008) Diet quality of older Americans in 1994–96 and 2001–02 as measured by the Healthy Eating Index-2005. Washington D. C.
- Savoca, M.R., Arcury, T.A., Leng, X. (2009) The diet quality of rural older adults in the South as measured by healthy eating index-2005 varies by ethnicity. J Am Diet Assoc 109: pp. 2063-2067 CrossRef
- Anderson, A., Harris, T., Houston, D. (2010) Relationships of dietary patterns with body composition in older adults differ by gender and PPAR-γ Pro12Ala genotype. European Journal of Nutrition 49: pp. 385-394 CrossRef
- Schulze, M.B., Hoffmann, K., Kroke, A. (2001) Dietary patterns and their association with food and nutrient intake in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam study. Br J Nutr 85: pp. 363-373 CrossRef
- Barker, M.E., McClean, S.I., Thompson, K.A. (1990) Dietary behaviours and sociocultural demographics in Northern Ireland. Br J Nutr 64: pp. 319-329 CrossRef
- Eng, P.M., Kawachi, I., Fitzmaurice, G. (2005) Effects of marital transitions on changes in dietary and other health behaviours in US male health professionals. J Epidemiol Community Health 59: pp. 56-62 CrossRef
- Ledikwe, J.H., Smiciklas-Wright, H., Mitchell, D.C. (2003) Nutritional risk assessment and obesity in rural older adults: a sex difference. Am J Clin Nutr 77: pp. 551-558
- Locher, J.L., Ritchie, C.S., Roth, D.L. (2005) Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences. Soc Sci Med 60: pp. 747-761 CrossRef
- Boynton, A., Neuhouser, M.L., Sorensen, B. (2008) Predictors of Diet Quality among Overweight and Obese Postmenopausal Women. J Am Diet Assoc 108: pp. 125-130 CrossRef
- Thiele, S., Mensink, G.B., Beitz, R. (2004) Determinants of diet quality. Public Health Nutr 7: pp. 29-37 CrossRef
- Bailey, R.L., Mitchell, D.C., Miller, C. (2007) Assessing the effect of underreporting energy intake on dietary patterns and weight status. J Am Diet Assoc 107: pp. 64-71 CrossRef
- Ledikwe, J.H., Smiciklas-Wright, H., Mitchell, D.C. (2004) Dietary patterns of rural older adults are associated with weight and nutritional status. J Am Geriatr Soc 52: pp. 589-595 CrossRef
- Schroder, H., Vila, J., Marrugat, J. (2008) Low energy density diets are associated with favorable nutrient intake profile and adequacy in free-living elderly men and women. J Nutr 138: pp. 1476-1481
- Nagin, D.S. (2005) Group-based Modeling of Development. Harvard University Press, Cambridge, MA
- The Older Population: 2010. Government Printing Office, Washington D.C.
- Cubanski, J., Huang, J., Damico, A. (2010) Medicare Chartbook. The Kaiser Family Foundation, Menlo Park, CA
- Dietary patterns and diet quality among diverse older adults: The university of Alabama at Birmingham study of aging
The journal of nutrition, health & aging
Volume 17, Issue 1 , pp 19-25
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- Dietary pattern
- finite mixture modeling
- older adults
- Industry Sectors
- Author Affiliations
- 1. Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA
- 8. The Pennsylvania State University, 110 Chandlee Laboratory, University Park, PA, 16802, USA
- 2. The Methodology Center, The Pennsylvania State University, State College, PA, USA
- 3. Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Birmingham, AL, USA
- 4. Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA
- 5. UAB Center for Aging, Birmingham, AL, USA
- 6. UAB Nutrition Obesity Research Center, Birmingham, AL, USA
- 7. Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA