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Erschienen in: The journal of nutrition, health & aging 6/2017

12.07.2016

Dietary risk factors by race/ethnicity, age-group, and gender in a representative sample of us older adults

verfasst von: Joan A. Vaccaro, F. G. Huffman

Erschienen in: The journal of nutrition, health & aging | Ausgabe 6/2017

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Abstract

Objective

To explore the relationships among ethnicity/race, gender, demographics, age-group and dietary health in a nationally representative sample of older adults.

Design

Cross-sectional study.

Setting

Data for this study were collected by interview in the mobile examination centers from the National Health and Nutrition Examination Surveys, 2011 - 2012.

Participants

U.S. representative sample of adults aged 55 years and older (N = 1860) from five ethnic/racial groups. All participants read, understood, and signed informed consent forms under data collection procedures by trained individuals.

Measurements

Sociodemographics were collected by trained interviewers using a general questionnaire. Food groups were determined by 24-hour recall using the validated USDA Automated Multiple-Pass Method. Data were presented by cross-tabulation and logistic regression to investigate relationships among race/ethnicity, gender, and age groups.

Results

Over 70% of older adults failed to consume 2.75 cups of combined fruits and vegetables. Other Hispanics (Hispanics excluding Mexican Americans) had higher Odds of sugar-containing food consumption compared to non-Hispanic Whites (adjusted model). Being older and female were protective factors for over-consumption of sugar.

Conclusion

Older Americans are not meeting dietary guidelines and there are differences by gender and ethnicity. Since diet has been associated with quality of life and medical costs, public health interventions can benefit by knowing age-, gender- and racial/ethnic- specific dietary behaviors.
Literatur
1.
Zurück zum Zitat Center for Disease Control and Prevention. Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion. General information about the older adult population. 2015. Available from: http://www.cdc.gov/aging/emergency/general.htm Accessed November 7, 2015. Center for Disease Control and Prevention. Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion. General information about the older adult population. 2015. Available from: http://​www.​cdc.​gov/​aging/​emergency/​general.​htm Accessed November 7, 2015.
2.
Zurück zum Zitat Centers for Disease Control and Prevention. The State of Aging and Health in America 2013. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services. 2013. Available from: http://www.cdc. gov/aging/pdf/state-aging-health-in-america-2013.pdf Accessed November 7, 2015. Centers for Disease Control and Prevention. The State of Aging and Health in America 2013. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services. 2013. Available from: http://​www.​cdc.​ gov/aging/pdf/state-aging-health-in-america-2013.pdf Accessed November 7, 2015.
3.
Zurück zum Zitat Mokdad AH, Marks JS, Donna F, Stroup DF, Gerberding JL. Actual Causes of Death in the United States, 2000. J Am Med Assoc 2004; 291(10), 1238–1245. doi:10.1001/jama.291.10.1238CrossRef Mokdad AH, Marks JS, Donna F, Stroup DF, Gerberding JL. Actual Causes of Death in the United States, 2000. J Am Med Assoc 2004; 291(10), 1238–1245. doi:10.1001/jama.291.10.1238CrossRef
4.
Zurück zum Zitat Johnson NB, Hayes LD, Brown K, Hoo EC, Ethier KA. CDC National Health Report: Leading Causes of Morbidity and Mortality and Associated Behavioral Risk and Protective Factors—United States, 2005–2013. Morbidity and Mortality Weekly Reports (MMWR), 2014;63(04): 3–27. Available from: http://www.cdc.gov/mmwr/preview/mmwrhtml/su6304a2.htm Retrieved November 11, 2015. Johnson NB, Hayes LD, Brown K, Hoo EC, Ethier KA. CDC National Health Report: Leading Causes of Morbidity and Mortality and Associated Behavioral Risk and Protective Factors—United States, 2005–2013. Morbidity and Mortality Weekly Reports (MMWR), 2014;63(04): 3–27. Available from: http://​www.​cdc.​gov/​mmwr/​preview/​mmwrhtml/​su6304a2.​htm Retrieved November 11, 2015.
5.
Zurück zum Zitat Institutes of Medicine (IOM) Dietary reference intakes (DRI) for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids (2002/2005). Available from: http://www.nal.usda.gov/fnic/DRI/DRI_Tables/DRI_RDAs_Adequate_Intakes_Total_Water_Macronutrients.pdf Accessed November 12, 2015. Institutes of Medicine (IOM) Dietary reference intakes (DRI) for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids (2002/2005). Available from: http://​www.​nal.​usda.​gov/​fnic/​DRI/​DRI_​Tables/​DRI_​RDAs_​Adequate_​Intakes_​Total_​Water_​Macronutrients.​pdf Accessed November 12, 2015.
6.
Zurück zum Zitat U.S. Department of Agriculture and U.S. Department of Health and Human Services (2010). Dietary Guidelines for Americans, 2010. 7th ed. Washington, DC: U.S. Government Printing Office. Available from: http://www.cnpp.usda.gov/sites/default/files/dietary_guidelines_for_americans/PolicyDoc.pdf Accessed November 16, 2015. U.S. Department of Agriculture and U.S. Department of Health and Human Services (2010). Dietary Guidelines for Americans, 2010. 7th ed. Washington, DC: U.S. Government Printing Office. Available from: http://​www.​cnpp.​usda.​gov/​sites/​default/​files/​dietary_​guidelines_​for_​americans/​PolicyDoc.​pdf Accessed November 16, 2015.
7.
Zurück zum Zitat Yang Q, Zhang Z, Gregg EW, Flanders WD, Merritt R, Hu FB. Added sugar intake and cardiovascular diseases mortality among US adults. J Am Med Assoc 2014;174(4): 516–524. doi: 10.1001/jamainternmed.2013.13563. Yang Q, Zhang Z, Gregg EW, Flanders WD, Merritt R, Hu FB. Added sugar intake and cardiovascular diseases mortality among US adults. J Am Med Assoc 2014;174(4): 516–524. doi: 10.1001/jamainternmed.2013.13563.
8.
Zurück zum Zitat Huth PJ, Fulgoni III VL, Larson BT. (2015). A systematic review of high-oleic vegetable oil substitutions for other fats and oils on cardiovascular disease risk factors: Implications for novel high-oleic soybean oils. Adv Nutr 2015;6: 674–693.PubMed Huth PJ, Fulgoni III VL, Larson BT. (2015). A systematic review of high-oleic vegetable oil substitutions for other fats and oils on cardiovascular disease risk factors: Implications for novel high-oleic soybean oils. Adv Nutr 2015;6: 674–693.PubMed
9.
Zurück zum Zitat Staessen L, de Bacquer D, de Henauw S, de Backer G, van Peteghem C. Relation between fat intake and mortality: an ecological analysis in Belgium. European Journal of Cancer Prevention 1997;6(4): 374–881.CrossRefPubMed Staessen L, de Bacquer D, de Henauw S, de Backer G, van Peteghem C. Relation between fat intake and mortality: an ecological analysis in Belgium. European Journal of Cancer Prevention 1997;6(4): 374–881.CrossRefPubMed
10.
Zurück zum Zitat Joshipura KJ, Hu FB, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, Colditz G, Ascherio A, Rosner B, Spiegelman D, Willett WC. The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med 2001;134: 1106–1114.CrossRefPubMed Joshipura KJ, Hu FB, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, Colditz G, Ascherio A, Rosner B, Spiegelman D, Willett WC. The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med 2001;134: 1106–1114.CrossRefPubMed
11.
Zurück zum Zitat Nicklett EJ, Kadell AR. Fruit and vegetable intake among older adults: a scoping review, Maturitas, 2013;75(4): 305–312. doi:10.1016/j.maturitas.2013.05.005.CrossRefPubMedPubMedCentral Nicklett EJ, Kadell AR. Fruit and vegetable intake among older adults: a scoping review, Maturitas, 2013;75(4): 305–312. doi:10.1016/j.maturitas.2013.05.005.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Wang X, Ouyang Y, Liu J, Zhu M, Zhao G, Bao W, Hu FB. Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose response meta-analysis of prospective cohort studies. BMJ 2014; 29:349:g4490.doi: http://dx.doi.org/10.1136/bmj.g4490. Wang X, Ouyang Y, Liu J, Zhu M, Zhao G, Bao W, Hu FB. Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose response meta-analysis of prospective cohort studies. BMJ 2014; 29:349:g4490.doi: http://​dx.​doi.​org/​10.​1136/​bmj.​g4490.​
13.
Zurück zum Zitat Jakobsen MU, O’Reilly EJ, Heitmann BL, et al. Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am J Clin Nutr, 2009;89: 1425–1432.CrossRefPubMedPubMedCentral Jakobsen MU, O’Reilly EJ, Heitmann BL, et al. Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am J Clin Nutr, 2009;89: 1425–1432.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat National Health and Examination Survey. Questionnaires, datasets, and relate documentation. 2014. Available from: http://wwwn.cdc.gov/Nchs/Nhanes/Search/nhanes11_12.aspx Accessed October 7, 2015. National Health and Examination Survey. Questionnaires, datasets, and relate documentation. 2014. Available from: http://​wwwn.​cdc.​gov/​Nchs/​Nhanes/​Search/​nhanes11_​12.​aspx Accessed October 7, 2015.
15.
Zurück zum Zitat NCHS Research Ethics Review Board (ERB): Approval National Health and Nutrition Examination, National Center of Health Statistics (NHANES-NCHS), NCHS Research Ethics Review Board (ERB) Approval. Available from: http://www. cdc.gov/nchs/nhanes/irba98.htm Accessed November 20, 2015. NCHS Research Ethics Review Board (ERB): Approval National Health and Nutrition Examination, National Center of Health Statistics (NHANES-NCHS), NCHS Research Ethics Review Board (ERB) Approval. Available from: http://​www.​ cdc.gov/nchs/nhanes/irba98.htm Accessed November 20, 2015.
16.
Zurück zum Zitat U.S. Census Bureau, Population Division, Fertility & Family Statistics Branch. (2004). Current Population Survey: Definitions and explanations. Available from http://www.census.gov/population/www/cps/cpsdef.html Accessed November 5, 2015. U.S. Census Bureau, Population Division, Fertility & Family Statistics Branch. (2004). Current Population Survey: Definitions and explanations. Available from http://​www.​census.​gov/​population/​www/​cps/​cpsdef.​html Accessed November 5, 2015.
17.
Zurück zum Zitat Blanton CA, Moshfegh AJ, Baer DJ, Kretsch MJ. The USDA Automated Multiple-Pass Method Accurately Estimates Group Total Energy and Nutrient Intake J. Nutr. 2006;136: 2594–2599. Blanton CA, Moshfegh AJ, Baer DJ, Kretsch MJ. The USDA Automated Multiple-Pass Method Accurately Estimates Group Total Energy and Nutrient Intake J. Nutr. 2006;136: 2594–2599.
18.
Zurück zum Zitat Bowman SA, Friday JE, Moshfegh A. (2008). MyPyramid Equivalents Database, 2.0 for USDA Survey Foods, 2003–2004. Food Surveys Research Group. Beltsville Human Nutrition Research Center, Agricultural Research Service, U.S. Department of Agriculture, Beltsville, MD. Available from http://www.ars.usda.gov/ba/bhnrc/fsrg Accessed October 4, 2015. Bowman SA, Friday JE, Moshfegh A. (2008). MyPyramid Equivalents Database, 2.0 for USDA Survey Foods, 2003–2004. Food Surveys Research Group. Beltsville Human Nutrition Research Center, Agricultural Research Service, U.S. Department of Agriculture, Beltsville, MD. Available from http://​www.​ars.​usda.​gov/​ba/​bhnrc/​fsrg Accessed October 4, 2015.
19.
Zurück zum Zitat World Health Organization. Report of the joint WHO/FAO expert consultation. Diet, nutrition, and the prevalence of chronic diseases, 2003.Geneva, Switzerland: WHO Technical Report Series, No. 916 (TRS 916). World Health Organization. Report of the joint WHO/FAO expert consultation. Diet, nutrition, and the prevalence of chronic diseases, 2003.Geneva, Switzerland: WHO Technical Report Series, No. 916 (TRS 916).
20.
Zurück zum Zitat Semba RD, Lauretani F, Ferrucci L. Carotenoids as protection against sarcopenia in older adults. Arch Biochem Biophys 2007;458: 141–145.CrossRefPubMed Semba RD, Lauretani F, Ferrucci L. Carotenoids as protection against sarcopenia in older adults. Arch Biochem Biophys 2007;458: 141–145.CrossRefPubMed
21.
Zurück zum Zitat Peltzer K, Phaswana-Mafuya N. Global Health Action, 5, 18668., 2012. Available from http://dx.doi.org/10.3402/gha.v5i0.18668. Accessed November 20, 2015. Peltzer K, Phaswana-Mafuya N. Global Health Action, 5, 18668., 2012. Available from http://​dx.​doi.​org/​10.​3402/​gha.​v5i0.​18668.​ Accessed November 20, 2015.
22.
Zurück zum Zitat Hall JN, Moore S, Harper SB, Lynch JW. Global variability in fruit and vegetable consumption. Am J Prev Med 2009; 36:402–9.e5.CrossRefPubMed Hall JN, Moore S, Harper SB, Lynch JW. Global variability in fruit and vegetable consumption. Am J Prev Med 2009; 36:402–9.e5.CrossRefPubMed
23.
Zurück zum Zitat Baker AH, Wardle J. Sex differences in fruit and vegetable intake in older adults. Appetite 2003;40: 269–275.CrossRefPubMed Baker AH, Wardle J. Sex differences in fruit and vegetable intake in older adults. Appetite 2003;40: 269–275.CrossRefPubMed
24.
Zurück zum Zitat Langlois K, Garriguet D. Sugar consumption of Canadians of all ages. Component of Statistics Canada Catalogue no. 82-003-X. Health Rep, 2011;22(3). Available from: http://www.statcan.gc.ca/pub/82-003-x/2011003/article/11540-eng.pdf Accessed November 20, 2015. Langlois K, Garriguet D. Sugar consumption of Canadians of all ages. Component of Statistics Canada Catalogue no. 82-003-X. Health Rep, 2011;22(3). Available from: http://​www.​statcan.​gc.​ca/​pub/​82-003-x/​2011003/​article/​11540-eng.​pdf Accessed November 20, 2015.
25.
Zurück zum Zitat Sharma S, Wilkens LR, Shen L, Kolonel LN. Dietary sources of five nutrients in ethnic groups represented in the Multiethnic Cohort. Br J Nutr 2013;28:109(8), 1479–1489. doi:10.1017/S0007114512003388. Sharma S, Wilkens LR, Shen L, Kolonel LN. Dietary sources of five nutrients in ethnic groups represented in the Multiethnic Cohort. Br J Nutr 2013;28:109(8), 1479–1489. doi:10.1017/S0007114512003388.
26.
Zurück zum Zitat Ervin RB, Ogden CL. Consumption of added sugars among U.S. adults, 2005–2010. 2013;NCHS data brief, no 122. Hyattsville, MD: National Center for Health Statistics. Ervin RB, Ogden CL. Consumption of added sugars among U.S. adults, 2005–2010. 2013;NCHS data brief, no 122. Hyattsville, MD: National Center for Health Statistics.
27.
Zurück zum Zitat O’Sullivan TA, Hafekost K, Mitrou R, Lawrence D. Food sources of saturated fat and the association with mortality: A meta-analysis. Am J Pub Health 2013;103: (9), e31–e42. doi: 10.2105/AJPH.2013.301492CrossRef O’Sullivan TA, Hafekost K, Mitrou R, Lawrence D. Food sources of saturated fat and the association with mortality: A meta-analysis. Am J Pub Health 2013;103: (9), e31–e42. doi: 10.2105/AJPH.2013.301492CrossRef
28.
Zurück zum Zitat Handing EP, Small B., Reynolds SL, Kumar NB. Impact of dietary factors and inflammation on cognition among older adults. J Prev Alz Dis 2015;2(4): 220–226. doi:10.14283/jpad.2015.50. Handing EP, Small B., Reynolds SL, Kumar NB. Impact of dietary factors and inflammation on cognition among older adults. J Prev Alz Dis 2015;2(4): 220–226. doi:10.14283/jpad.2015.50.
29.
Zurück zum Zitat Pohlhausen S, Uhlig K, Kiesswetter E, Diekmann R, Heseker H, Volkert D, Stehle P, Lesser S. Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers-A Cross-sectional Study in Germany (ErnSIPP Study). J Nutr Health Aging. 2016;20(3): 361–8. doi: 10.1007/s12603-015-0586-9.CrossRefPubMed Pohlhausen S, Uhlig K, Kiesswetter E, Diekmann R, Heseker H, Volkert D, Stehle P, Lesser S. Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers-A Cross-sectional Study in Germany (ErnSIPP Study). J Nutr Health Aging. 2016;20(3): 361–8. doi: 10.1007/s12603-015-0586-9.CrossRefPubMed
30.
Zurück zum Zitat Miller GD, Robinson SL. Impact of body composition on physical performance of tasks in older obese women undergoing a moderate weight loss program. J Frailty Aging 2013;2(1): 27–32. http://dx.doi.org/10.14283/jfa.2013.5PubMed Miller GD, Robinson SL. Impact of body composition on physical performance of tasks in older obese women undergoing a moderate weight loss program. J Frailty Aging 2013;2(1): 27–32. http://​dx.​doi.​org/​10.​14283/​jfa.​2013.​5PubMed
Metadaten
Titel
Dietary risk factors by race/ethnicity, age-group, and gender in a representative sample of us older adults
verfasst von
Joan A. Vaccaro
F. G. Huffman
Publikationsdatum
12.07.2016
Verlag
Springer Paris
Erschienen in
The journal of nutrition, health & aging / Ausgabe 6/2017
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-016-0778-y

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