Poor Appetite and Dietary Intake in Community‐Dwelling Older Adults

Background/objectives Poor appetite in older adults leads to sub‐optimal food intake and increases the risk of undernutrition. The impact of poor appetite on food intake in older adults is unknown. The aim of this study was to examine the differences in food intake among older community‐dwelling adu...

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Vydáno v:Journal of the American Geriatrics Society (JAGS) Ročník 65; číslo 10; s. 2190 - 2197
Hlavní autoři: Meij, Barbara S., Wijnhoven, Hanneke A. H., Lee, Jung S., Houston, Denise K., Hue, Trisha, Harris, Tamara B., Kritchevsky, Stephen B., Newman, Anne B., Visser, Marjolein
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Wiley Subscription Services, Inc 01.10.2017
Témata:
Adults
Age differences
Aged
Aging
Appetite
Appetite loss
Biting
Body composition
Chewing
Community
Consumption
Cross-Sectional Studies
Dairy products
Data processing
Diet
Diet Surveys - methods
Diet Surveys - statistics & numerical data
Dietary fiber
Dietary intake
Eating - psychology
Eating behavior
Edible oils
elderly
Energy intake
Fats
Feeding Behavior - psychology
Female
Food
Food consumption
Food intake
food preferences
Geriatric Assessment - methods
Geriatric Assessment - statistics & numerical data
Healthy food
Humans
Independent Living - statistics & numerical data
Longitudinal Studies
Male
Nutrition
Nutrition research
Oils
Older people
Prospective Studies
Surveys and Questionnaires
Undernutrition
United States
Vegetables
aged
appetite
elderly
undernutrition
food preferences
ISSN:0002-8614, 1532-5415, 1532-5415
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Popis
Shrnutí:Background/objectives Poor appetite in older adults leads to sub‐optimal food intake and increases the risk of undernutrition. The impact of poor appetite on food intake in older adults is unknown. The aim of this study was to examine the differences in food intake among older community‐dwelling adults with different reported appetite levels. Design Cross‐sectional analysis of data from a longitudinal prospective study. Setting Health, aging, and body composition study performed in the USA. Participants 2,597 community‐dwelling adults aged 70–79. Measurements A semi‐quantitative, interviewer‐administered, 108‐item food frequency questionnaire designed to estimate dietary intake. Poor appetite was defined as the report of a moderate, poor, or very poor appetite in the past month and was compared with good or very good appetite. Results The mean age of the study sample was 74.5 ± 2.8 years; 48.2% were men, 37.7% were black, and 21.8% reported a poor appetite. After adjustment for total energy intake and potential confounders (including biting/chewing problems), participants with a poor appetite had a significantly lower consumption of protein and dietary fiber, solid foods, protein rich foods, whole grains, fruits, and vegetables, but a higher consumption of dairy foods, fats, oils, sweets, and sodas compared to participants with very good appetite. In addition, they were less likely to report consumption of significant larger portion sizes. Conclusion Older adults reporting a poor appetite showed a different dietary intake pattern compared to those with (very) good appetite. Better understanding of the specific dietary intake pattern related to a poor appetite in older adults can be used for nutrition interventions to enhance food intake, diet variety, and diet quality.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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DR. BARBARA SUZANNE VAN DER MEIJ (Orcid ID : 0000-0002-0412-2801)
ISSN:0002-8614
1532-5415
1532-5415
DOI:10.1111/jgs.15017