Dietary Patterns of Rural Older Adults Are Associated with Weight and Nutritional Status

Jenny H. Ledikwe, Helen Smiciklas-Wright, Diane Crisman Mitchell, Carla K. Miller, Gordon Lee Jensen

Research output: Contribution to journalArticle

85 Citations (Scopus)

Abstract

OBJECTIVES: To characterize dietary patterns of rural older adults and relate patterns to weight and nutritional status. DESIGN: Cross-sectional. SETTING: Rural Pennsylvania. PARTICIPANTS: One hundred seventy-nine community-dwelling adults aged 66 to 87 years. MEASUREMENTS: A home visit was conducted to collect demographic, health behavior, and anthropometric data and a blood sample. Five 24-hour dietary recall were administered. Cluster analysis classified participants into dietary patterns using food subgroup servings. Chi-square, analysis of covariance, and logistic regression were used to assess differences across clusters. RESULTS: A low-nutrient-dense cluster (n = 107), with higher intake of breads, sweet breads/desserts, dairy desserts, processed meats, eggs, and fats/oils, and a high-nutrient-dense cluster (n = 72) with higher intake of cereals, dark green/yellow vegetables, other vegetables, citrus/melons/berries, fruit juices, other fruits, milks, poultry, fish, and beans, were identified. Those in the high-nutrient-dense cluster had lower energy intake; higher energy-adjusted intake of fiber, iron, zinc, folate, and vitamins B6, B12, and D; higher Healthy Eating Index scores; higher plasma vitamin B12 levels; and a lower waist circumference. Those with a low-nutrient-dense dietary pattern were twice as likely to be obese, twice as likely to have low plasma vitamin B12 levels, and three to 17 times more likely to have low nutrient intake. CONCLUSION: This study provides support for recommending a high-nutrient-dense dietary pattern for older adults. Behavioral interventions encouraging diets characterized by high-nutrient-dense foods may improve weight and nutritional status of older adults.

Original languageEnglish (US)
Pages (from-to)589-595
Number of pages7
JournalJournal of the American Geriatrics Society
Volume52
Issue number4
DOIs
StatePublished - Apr 1 2004

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Nutritional Status
Weights and Measures
Food
Vitamin B 12
Bread
Energy Intake
Vegetables
Fruit
Independent Living
Cucurbitaceae
House Calls
Vitamin B 6
Citrus
Health Behavior
Waist Circumference
Poultry
Folic Acid
Vitamin D
Meat
Cluster Analysis

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

Cite this

Ledikwe, Jenny H. ; Smiciklas-Wright, Helen ; Mitchell, Diane Crisman ; Miller, Carla K. ; Jensen, Gordon Lee. / Dietary Patterns of Rural Older Adults Are Associated with Weight and Nutritional Status. In: Journal of the American Geriatrics Society. 2004 ; Vol. 52, No. 4. pp. 589-595.
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abstract = "OBJECTIVES: To characterize dietary patterns of rural older adults and relate patterns to weight and nutritional status. DESIGN: Cross-sectional. SETTING: Rural Pennsylvania. PARTICIPANTS: One hundred seventy-nine community-dwelling adults aged 66 to 87 years. MEASUREMENTS: A home visit was conducted to collect demographic, health behavior, and anthropometric data and a blood sample. Five 24-hour dietary recall were administered. Cluster analysis classified participants into dietary patterns using food subgroup servings. Chi-square, analysis of covariance, and logistic regression were used to assess differences across clusters. RESULTS: A low-nutrient-dense cluster (n = 107), with higher intake of breads, sweet breads/desserts, dairy desserts, processed meats, eggs, and fats/oils, and a high-nutrient-dense cluster (n = 72) with higher intake of cereals, dark green/yellow vegetables, other vegetables, citrus/melons/berries, fruit juices, other fruits, milks, poultry, fish, and beans, were identified. Those in the high-nutrient-dense cluster had lower energy intake; higher energy-adjusted intake of fiber, iron, zinc, folate, and vitamins B6, B12, and D; higher Healthy Eating Index scores; higher plasma vitamin B12 levels; and a lower waist circumference. Those with a low-nutrient-dense dietary pattern were twice as likely to be obese, twice as likely to have low plasma vitamin B12 levels, and three to 17 times more likely to have low nutrient intake. CONCLUSION: This study provides support for recommending a high-nutrient-dense dietary pattern for older adults. Behavioral interventions encouraging diets characterized by high-nutrient-dense foods may improve weight and nutritional status of older adults.",
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Dietary Patterns of Rural Older Adults Are Associated with Weight and Nutritional Status. / Ledikwe, Jenny H.; Smiciklas-Wright, Helen; Mitchell, Diane Crisman; Miller, Carla K.; Jensen, Gordon Lee.

In: Journal of the American Geriatrics Society, Vol. 52, No. 4, 01.04.2004, p. 589-595.

Research output: Contribution to journalArticle

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N2 - OBJECTIVES: To characterize dietary patterns of rural older adults and relate patterns to weight and nutritional status. DESIGN: Cross-sectional. SETTING: Rural Pennsylvania. PARTICIPANTS: One hundred seventy-nine community-dwelling adults aged 66 to 87 years. MEASUREMENTS: A home visit was conducted to collect demographic, health behavior, and anthropometric data and a blood sample. Five 24-hour dietary recall were administered. Cluster analysis classified participants into dietary patterns using food subgroup servings. Chi-square, analysis of covariance, and logistic regression were used to assess differences across clusters. RESULTS: A low-nutrient-dense cluster (n = 107), with higher intake of breads, sweet breads/desserts, dairy desserts, processed meats, eggs, and fats/oils, and a high-nutrient-dense cluster (n = 72) with higher intake of cereals, dark green/yellow vegetables, other vegetables, citrus/melons/berries, fruit juices, other fruits, milks, poultry, fish, and beans, were identified. Those in the high-nutrient-dense cluster had lower energy intake; higher energy-adjusted intake of fiber, iron, zinc, folate, and vitamins B6, B12, and D; higher Healthy Eating Index scores; higher plasma vitamin B12 levels; and a lower waist circumference. Those with a low-nutrient-dense dietary pattern were twice as likely to be obese, twice as likely to have low plasma vitamin B12 levels, and three to 17 times more likely to have low nutrient intake. CONCLUSION: This study provides support for recommending a high-nutrient-dense dietary pattern for older adults. Behavioral interventions encouraging diets characterized by high-nutrient-dense foods may improve weight and nutritional status of older adults.

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