TY - JOUR
T1 - The Association of Dietary Patterns and Weight Change in Rural Older Adults 75 Years and Older
AU - Hsiao, Pao Ying
AU - Mitchell, Diane C.
AU - Craig Wood, G.
AU - Jensen, Gordon L.
AU - Still, Christopher D.
AU - Hartman, Terryl J.
N1 - Funding Information:
This research was supported in part by USDA #1950-51530-010-00D.
Publisher Copyright:
© 2014,Taylor & Francis Group, LL.
PY - 2014/10/2
Y1 - 2014/10/2
N2 - Little is known about the relationship between weight change and dietary patterns (DP) in older adults, especially in those of advanced age (≥75 years). We examined the association of DP with obesity and five-year weight change in community-dwelling older adults (n = 270; mean ± SD age: 78.6 ± 3.9 years). Dietary data were collected from four, random, 24-hour dietary recalls over a 10-month period. Weight change was examined as: (1) 10-pound weight loss; (2) 10-pound weight gain; (3) 10% weight loss; and (4) 10% weight gain. Cluster analysis was used to derive 3 DP (“Health-conscious,” “Sweets and dairy,” and “Western”). Kaplan-Meier plots and Cox proportional hazards regression models were used. About 39% of participants lost at least 10 pounds during follow up. In the unadjusted model, five-year weight loss was not associated with dietary pattern. However, when stratified by gender, females who were characterized by the Sweets and Dairy and the Western DP were three and two times more likely to lose 10 pounds, respectively, compared to those in the Health-conscious DP (P < 0.05). These observations suggest that it is appropriate to recommend a Health-conscious DP for women 75 years and older who may be at risk for weight loss.
AB - Little is known about the relationship between weight change and dietary patterns (DP) in older adults, especially in those of advanced age (≥75 years). We examined the association of DP with obesity and five-year weight change in community-dwelling older adults (n = 270; mean ± SD age: 78.6 ± 3.9 years). Dietary data were collected from four, random, 24-hour dietary recalls over a 10-month period. Weight change was examined as: (1) 10-pound weight loss; (2) 10-pound weight gain; (3) 10% weight loss; and (4) 10% weight gain. Cluster analysis was used to derive 3 DP (“Health-conscious,” “Sweets and dairy,” and “Western”). Kaplan-Meier plots and Cox proportional hazards regression models were used. About 39% of participants lost at least 10 pounds during follow up. In the unadjusted model, five-year weight loss was not associated with dietary pattern. However, when stratified by gender, females who were characterized by the Sweets and Dairy and the Western DP were three and two times more likely to lose 10 pounds, respectively, compared to those in the Health-conscious DP (P < 0.05). These observations suggest that it is appropriate to recommend a Health-conscious DP for women 75 years and older who may be at risk for weight loss.
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U2 - 10.1080/21551197.2014.959681
DO - 10.1080/21551197.2014.959681
M3 - Article
C2 - 25424511
AN - SCOPUS:84912089897
SN - 2155-1197
VL - 33
SP - 357
EP - 375
JO - Journal of Nutrition in Gerontology and Geriatrics
JF - Journal of Nutrition in Gerontology and Geriatrics
IS - 4
ER -