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Comparison of diet quality, physical activity and biochemical values of older adults either reporting or not reporting use of lipid-lowering medication

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The journal of nutrition, health & aging

Abstract

Objectives

The aim of this study was to compare standard lipid profile, reported dietary intake, and physical activity in older adults who reported taking or not taking a lipid-lowering medication, namely statins.

Design

Cross-sectional study utilizing baseline data collected from a subsample of a larger randomized clinical trial, The Study of Exercise and Nutrition in Older Rhode Islanders (SENIOR) Project.

Participants and Setting

A total of 115 participants, 33 males and 82 females, over the age of 60, community-dwelling, primarily retired, and from East Providence, Rhode Island and surrounding communities in Rhode Island and Massachusetts.

Measurements

Height and weight were measured and used to calculate body mass index. Waist circumference was measured. Medical history and medication use surveys were completed. Dietary assessment was done via three 24 hour recalls using NDS-R. The Yale Physical Activity Survey was used to determine energy expenditure during exercise and a physical activity summary score. Fasting blood samples were obtained to determine lipid profile.

Results

37 participants (32.2%) reported taking lipid-lowering medication, statins exclusively, and 78 (67.8%) reported not taking any lipid-lowering medication. Participants who reported taking statins had better lipid profiles than those participants who reported not taking statins but had significantly lower intakes of vitamin B12, vitamin K, calcium, and potassium. There were no differences between groups on reported physical activity. However, the mean intakes for both groups did not meet the Dietary Reference Intakes for multiple nutrients.

Conclusion

Older adults need additional education on the importance of lifestyle changes in reducing CHD risk, whether taking lipid-lowering medications or not.

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References

  1. American Heart Association. Heart Disease and Stroke Statistics — 2008 Update. Dallas, Texas: American Heart Association, 2008.

    Google Scholar 

  2. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). Jama 2001;285:2486–2497.

    Google Scholar 

  3. Jenkins DJ, Kendall CW, Marchie A, et al. Direct comparison of a dietary portfolio of cholesterol-lowering foods with a statin in hypercholesterolemic participants. Am J Clin Nutr 2005;81:380–387.

    PubMed  CAS  Google Scholar 

  4. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 2002;106:3143–3421.

    Google Scholar 

  5. Grundy SM, Cleeman JI, Merz CN, et al. Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation 2004;110:227–239.

    Article  PubMed  Google Scholar 

  6. Mann DM, Allegrante JP, Natarajan S, Montori VM, Halm EA, Charlson M. Dietary indiscretion and statin use. Mayo Clin Proc 2007;82:951–957.

    Article  PubMed  CAS  Google Scholar 

  7. Lichtenstein AH, Appel LJ, Brands M, et al. Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee. Circulation 2006;114:82–96.

    Article  PubMed  Google Scholar 

  8. Seagle HM, Strain GW, Makris A, Reeves RS. Position of the American Dietetic Association: weight management. J Am Diet Assoc 2009;109:330–346.

    Article  PubMed  Google Scholar 

  9. Nutrition and Your Health: Dietary Guidelines for Americans, 2005. 6th Edition. Washington, D.C.: US Government Printing Office, 2005:1–19.

    Google Scholar 

  10. Nelson ME, Rejeski WJ, Blair SN, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007;39:1435–1445.

    Article  PubMed  Google Scholar 

  11. McGinnis B, Olson KL, Magid D, et al. Factors related to adherence to statin therapy. Ann Pharmacother 2007;41:1805–1811.

    Article  PubMed  Google Scholar 

  12. Perreault S, Blais L, Lamarre D, et al. Persistence and determinants of statin therapy among middle-aged patients for primary and secondary prevention. Br J Clin Pharmacol 2005;59:564–573.

    Article  PubMed  CAS  Google Scholar 

  13. Munger MA, Van Tassell BW, LaFleur J. Medication nonadherence: an unrecognized cardiovascular risk factor. MedGenMed 2007;9:58.

    PubMed  Google Scholar 

  14. Wang PS, Bohn RL, Knight E, Glynn RJ, Mogun H, Avorn J. Noncompliance with antihypertensive medications: the impact of depressive symptoms and psychosocial factors. J Gen Intern Med 2002;17:504–511.

    Article  PubMed  Google Scholar 

  15. Clark PG, Nigg CR, Greene G, Riebe D, Saunders SD. The Study of Exercise and Nutrition in Older Rhode Islanders (SENIOR): translating theory into research. Health Educ Res 2002;17:552–561.

    Article  PubMed  Google Scholar 

  16. Clark PG, Rossi JS, Greaney ML, et al. Intervening on exercise and nutrition in older adults: the Rhode Island SENIOR Project. J Aging Health 2005;17:753–778.

    Article  PubMed  Google Scholar 

  17. Saunders SD, Greaney ML, Lees FD, Clark PG. Achieving recruitment goals through community partnerships: the SENIOR Project. Fam Community Health 2003;26:194–202.

    PubMed  Google Scholar 

  18. Mulligan JE, Greene GW, Caldwell M. Sources of folate and serum folate levels in older adults. J Am Diet Assoc 2007;107:495–499.

    Article  PubMed  CAS  Google Scholar 

  19. United States Department of Agriculture. What we eat in America 1994–96, Continuing Survey of Food Intakes by Individuals (CSFII) 1994–1996 [public use CD-ROM].

  20. Yaroch AL, Nebeling L, Thompson FE, et al. Baseline design elements and sample characteristics for seven sites participating in the Nutrition Working Group of the Behavior Change Consortium. J Nutr 2008;138:185S–192S.

    PubMed  CAS  Google Scholar 

  21. Dipietro L, Caspersen CJ, Ostfeld AM, Nadel ER. A survey for assessing physical activity among older adults. Med Sci Sports Exerc 1993;25:628–642.

    PubMed  CAS  Google Scholar 

  22. Harada ND, Chiu V, King AC, Stewart AL. An evaluation of three self-report physical activity instruments for older adults. Med Sci Sports Exerc 2001;33:962–970.

    Article  PubMed  CAS  Google Scholar 

  23. Young DR, Jee SH, Appel LJ. A comparison of the Yale Physical Activity Survey with other physical activity measures. Med Sci Sports Exerc 2001;33:955–961.

    Article  PubMed  CAS  Google Scholar 

  24. Kruskall LJ, Campbell WW, Evans WJ. The Yale Physical Activity Survey for older adults: predictions in the energy expenditure due to physical activity. J Am Diet Assoc 2004;104:1251–1257.

    Article  PubMed  Google Scholar 

  25. Gidez LI, Miller GJ, Burstein M, Slagle S, Eder HA. Separation and quantitation of subclasses of human plasma high density lipoproteins by a simple precipitation procedure. J Lipid Res 1982;23:1206–1223.

    PubMed  CAS  Google Scholar 

  26. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972;18:499–502.

    PubMed  CAS  Google Scholar 

  27. Thompson FE, Subar AF, Smith AF, et al. Fruit and vegetable assessment: performance of 2 new short instruments and a food frequency questionnaire. J Am Diet Assoc 2002;102:1764–1772.

    Article  PubMed  Google Scholar 

  28. Boumendil EF. Descriptive study of lipid-modulating drug use in a French professional population. J Clin Epidemiol 1994;47:1163–1171.

    Article  PubMed  CAS  Google Scholar 

  29. Avorn J, Monette J, Lacour A, et al. Persistence of use of lipid-lowering medications: a cross-national study. Jama 1998;279:1458–1462.

    Article  PubMed  CAS  Google Scholar 

  30. Lytsy P, Westerling R. Patient expectations on lipid-lowering drugs. Patient Educ Couns 2007;67:143–150.

    Article  PubMed  Google Scholar 

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Correspondence to I. Lofgren.

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Lofgren, I., Greene, G., Schembre, S. et al. Comparison of diet quality, physical activity and biochemical values of older adults either reporting or not reporting use of lipid-lowering medication. J Nutr Health Aging 14, 168–172 (2010). https://doi.org/10.1007/s12603-010-0030-0

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  • DOI: https://doi.org/10.1007/s12603-010-0030-0

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