AGE

, Volume 28, Issue 4, pp 333–341

Dietary differences between centenarians residing in communities and in skilled nursing facilities: the Georgia Centenarian Study

  • Mary Ann Johnson
  • Adam Davey
  • Dorothy B. Hausman
  • Sohyun Park
  • Leonard W. Poon
  • The Georgia Centenarian Study
Research Article

Abstract

The purpose of this study was to examine the dietary habits among centenarians residing in community settings (n=105) and in skilled nursing facilities (n=139). The sample was a population-based multi-ethnic sample of adults aged 98 years and older (N=244) from northern Georgia in the US. Compared to centenarians in skilled nursing facilities, those residing in the community were more than twice as likely to be able to eat without help and to receive most of their nourishment from typical foods, but they had a lower frequency of intake of all of the food groups examined, including dairy, meat, poultry and fish, eggs, green vegetables, orange/yellow vegetables, citrus fruit or juice, non-citrus fruit or juice, and oral liquid supplements. A food summary score was created (the sum of the meeting recommendations for five food groups). In multiple regression analyses, the food summary scores were positively associated with residing in a nursing facility and negatively associated with eating without help and receiving most nourishment from typical foods. These data suggest that centenarians residing in communities may have limited access to foods that are known to provide nutrients essential to health and well-being. Also, centenarians who are able to eat without help and/or who eat mainly typical foods may have inadequate intakes of recommended food groups. Given the essential role of foods and nutrition to health and well-being throughout life, these findings require further exploration through the detailed dietary analyses of centenarians living in various settings.

Key words

Dietary habits centenarian community-dwelling nursing home 

References

  1. Akisaka M, Asato L, Chan YC, Suzuki M, Uezato T, Yamamoto S (1996) Energy and nutrient intakes of Okinawan centenarians. J Nutr Sci Vitaminol (Tokyo) 42(3):241–248Google Scholar
  2. Antonini FM, Petruzzi E, Pinzani P, Orlando C, Petruzzi I, Pazzagli M, Masotti G (2005) Effect of diet and red wine consumption on serum total antioxidant capacity (TAC), dehydroepiandrosterone-sulphate (DHEAS) and insulin-like growth factor-1 (IGF-1) in Italian centenarians. Arch Gerontol Geriatr 41(2):151–157PubMedCrossRefGoogle Scholar
  3. Beregi E (ed) (1990) Interdisciplinary topics in gerontology, vol 27. Centenarians in Hungary: a sociomedical and demographic study. Karger, Basel, Switzerland, pp 53–64Google Scholar
  4. Callahan E, Jensen GL (2004) Weight issues in later years. Generations 28(3):39–44Google Scholar
  5. Castellanos VH (2004) Food and nutrition in nursing homes. Generations 28(3):65–71Google Scholar
  6. Chan YC, Suzuki M, Yamamoto S (1997a) Dietary, anthropometric, hematological and biochemical assessment of the nutritional status of centenarians and elderly people in Okinawa, Japan. J Am Coll Nutr 16(3):229–235PubMedGoogle Scholar
  7. Chan YC, Suzuki M, Yamamoto S (1997b) Nutritional status of centenarians assessed by activity and anthropometric, hematological and biochemical characteristics. J Nutr Sci Vitaminol (Tokyo) 43(1):73–81Google Scholar
  8. Chen C (2001) A survey of the dietary nutritional composition of centenarians. Chin Med J (Engl) 114(10):1095–1097Google Scholar
  9. Fillenbaum G (1988) The OARS assessment methodology: multidimensional functional assessment questionnaire, 2nd edn. Duke University Center for the Study of Aging and Human Development, Durham, North CarolinaGoogle Scholar
  10. Fischer JG, Johnson MA, Poon LW, Martin P (1995) Dairy product intake of the oldest old. J Am Diet Assoc 95(8):918–921PubMedCrossRefGoogle Scholar
  11. Houston DK, Johnson MA, Poon LW, Clayton GM (1994) Individual foods and food group patterns of the oldest old. J Nutr Elder 13(4):5–23PubMedGoogle Scholar
  12. Institute of Medicine (1997) Dietary reference intakes for calcium, phosphorous, magnesium, vitamin D, and fluoride. National Academy Press, Washington, DCGoogle Scholar
  13. Institute of Medicine (1998) Dietary reference intakes for thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, panthothenic acid, biotin, and choline. National Academy Press, Washington, DCGoogle Scholar
  14. Institute of Medicine (2000) Dietary reference intakes for vitamin C, vitamin E, selenium, and carotenoids. National Academy Press, Washington, DCGoogle Scholar
  15. Institute of Medicine (2001) Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. National Academy Press, Washington, DCGoogle Scholar
  16. Institute of Medicine (2002) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. National Academy Press, Washington, DCGoogle Scholar
  17. Johnson MA (2004) Hype and hope about foods and supplements for healthy aging. Generations 28(3):45–53Google Scholar
  18. Johnson MA, Fischer JG (2004) Eating and appetite: common problems and practical remedies. Generations 28(3):11–17Google Scholar
  19. Johnson MA, Park S (in press) Nutrition in the later years. In: Berdanier CD, Feldman E (eds) Handbook of nutrition and food, 2nd edn. CRC Press, Boca Raton, FloridaGoogle Scholar
  20. Johnson MA, Brown MA, Poon LW, Martin P, Clayton GM (1992) Nutritional patterns of centenarians. Int J Aging Hum Dev 34(1):57–76PubMedGoogle Scholar
  21. Kuczmarski MF, Weddle DO; American Diertetic Association (2005) Position paper of the American Dietetic Association: nutrition across the spectrum of aging. J Am Diet Assoc 105(4):616–633PubMedCrossRefGoogle Scholar
  22. Mimura G, Murakami K, Gushiken M (1992) Nutritional factors for longevity in Okinawa—present and future. Nutr Health 8(2–3):159–163PubMedGoogle Scholar
  23. Nickols-Richardson SM, Johnson MA, Poon LW, Martin P (1996) Mental health and number of illnesses are predictors of nutritional risk in elderly persons. Exp Aging Res 22(2):141–154PubMedGoogle Scholar
  24. Niedert KC; American Diertetic Association (2005) American Dietetic Association Position of the American Dietetic Association: liberalization of the diet prescription improves quality of life for older adults in long-term care. J Am Diet Assoc 105(12):1955–1965PubMedCrossRefGoogle Scholar
  25. Poon LW, Jazwinski SM, Green RC, Woodard JL, Martin P, Rodgers WL, Johnson MA, Hausman D, Arnold J, Davey A, Batzer MA, Markesbery WR, Gearing M, Siegler IC, Tenover JS, Cress E, Miller LS, MacDonald M, Rott C, Reynolds S, Dai J (in press) Contributors of longevity and adaptation: findings and new directions from the Georgia Centenarian Studies. In: Perls TT (ed) Exceptional longevity. Johns Hopkins University Press, Baltimore, MarylandGoogle Scholar
  26. Shibata H, Nagai H, Haga H, Yasumura S, Suzuki T, Suyama Y (1992) Nutrition for the Japanese elderly. Nutr Health 8(2–3):165–175PubMedGoogle Scholar
  27. Stathakos D, Pratsinis H, Zachos I, Vlahaki I, Gianakopoulou A, Zianni D, Kletsas D (2005) Greek centenarians: assessment of functional health status and life-style characteristics. Exp Gerontol 40(6):512–518PubMedCrossRefGoogle Scholar
  28. Thompson FE, Subar AF (2001) Dietary assessment methodology. In: Coulston AM, Rock CL, Monsen ER (eds) Nutrition in the prevention and treatment of disease. Academic Press, San Diego, California, pp 3–30Google Scholar
  29. US Department of Health and Human Services and US Department of Agriculture (2000) Nutrition and Your Health: Dietary Guidelines for Americans. Available online at http://www.health.gov/DietaryGuidelines/dga2000/DIETGD.PDF
  30. US Department of Health and Human Services and US Department of Agriculture (2005) Dietary Guidelines for Americans 2005. Available online at http://www.health.gov/dietaryguidelines/dga2005/document/pdf/DGA2005.pdf
  31. Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 15(2):116–122PubMedCrossRefGoogle Scholar
  32. Wellman NS, Kamp B (2004) Federal food and nutrition assistance programs for older people. Generations 28(3):78–85Google Scholar
  33. Willcox BJ, Willcox DC, Suzuki M (2001) The Okinawa program. Clarkson Potter, New YorkGoogle Scholar
  34. Williams LA, Johnson MA, Poon LW, Martin P (1995) Oral health and demographic risk factors for poor nutrient intake in the elderly. Age Nutr 6(1):4–9Google Scholar

Copyright information

© American Aging Association, Media, PA, USA 2006

Authors and Affiliations

  • Mary Ann Johnson
    • 1
  • Adam Davey
    • 2
  • Dorothy B. Hausman
    • 3
  • Sohyun Park
    • 3
  • Leonard W. Poon
    • 4
  • The Georgia Centenarian Study
  1. 1.University of GeorgiaAthensUSA
  2. 2.Temple UniversityPhiladelphiaUSA
  3. 3.University of GeorgiaAthensUSA
  4. 4.Institute of GerontologyUniversity of GeorgiaAthensUSA

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