Age, marital status and changes in dietary habits in later life: a 21-year follow-up among Finnish women

Haapala, Irja; Prättälä, Ritva; Patja, Kristiina; Männikkö, Reija; Hassinen, Maija; Komulainen, Pirjo; Rauramaa, Rainer

doi:10.1017/s1368980012000602

Cited by 13 publications

(12 citation statements)

References 33 publications

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“…Worldwide, few studies have specifically examined longitudinal intra-individual changes in diet quality in adult and that have compared these changes with the national dietary recommendations [ 8 , 11 – 17 , 19 ]. In general terms, these cohorts have also shown improvements in food patterns, as we found in our investigation.…”

Section: Resultsmentioning

confidence: 99%

“…There was a reduction in the consumption of butter, high-fat milk products, eggs and sugar and an increase in the consumption of vegetable oils in cooking, low-fat and fat-free milk products. Overall, change was generally in a positive direction [ 8 ]. Finally, several investigations about changes in diet and profile of energy and nutrient intakes in British birth cohort over 8 or 17 years, suggested that most of the trends observed are in line with the accepted dietary guidelines and with our results, such as the increased consumption of fruit and vegetable and a shift away from whole milk and red meat [ 11 , 13 , 19 ].…”

Section: Resultsmentioning

confidence: 99%

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Beneficial changes in food consumption and nutrient intake after 10 years of follow-up in a Mediterranean cohort: the SUN project

et al. 2016

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BackgroundThe assessment of changes in dietary habits provides interesting information on whether or not the observed trends are in line with accepted nutritional guidelines. The objective was to evaluate within-subject longitudinal changes in food consumption and nutrient intake and in a 10-year follow-up study.MethodsThe SUN (Seguimiento Universidad de Navarra) project is a prospective Spanish cohort study. Diet was assessed using a 136-item food-frequency questionnaire (FFQ), previously validated in Spain. The participants were 3036 university graduates (55.8 % women) of Spain and the main outcome measures the changes in dietary quality and in food consumption and nutrient intake. Paired t-tests and conditional logistic regression models were used to evaluate within-subject longitudinal dietary changes and the risk of inadequacy respectively, after 10 years of follow-up.ResultsDuring follow-up, participants showed a relevant and significant increase (p < 0.001) in the consumption of fruits (7.4 %), vegetables (8.6 %), low-fat dairy products (35.2 %), lean meat (12.4 %), fish (2.9 %), whole grains (53.2 %), nuts (52.4 %) and a significant decrease in legumes (−7.4 %), whole-fat dairy products (−44.2 %), red meat (−17.6 %), sugar-sweetened beverages (−58.7 %) and wine (−11.9 %). With respect to nutrients, we found a higher proportion of carbohydrates (3.6 %) and fiber (7.4 %) and a decrease in total energy intake (2.7 %), total fat (−4.5 %), SFA (−9.4 %), MUFA (−4.9 %), PUFA (−12.7 %), w-3 and w-6 fatty acids (−9.1 and −20.5 % respectively) and cholesterol (−9.6 %).ConclusionsIn this Mediterranean cohort study, mainly beneficial changes in the consumption of most foods and macronutrients were observed after 10 years of follow-up.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Beneficial changes in food consumption and nutrient intake after 10 years of follow-up in a Mediterranean cohort: the SUN project

et al. 2016

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“…Previous evidence suggests that those living solitary are more likely to have poorer dietary patterns [ 60 – 62 ]. In a longitudinal study improvements in dietary behaviours over 21 years in women were demonstrated whether they remained married or became single [ 63 ]. Another longitudinal study demonstrated remarriage or cohabitation had a positive effect on diet while marital break-up had adverse effects on diet and other health behaviours [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

A comparison of the dietary patterns derived by principal component analysis and cluster analysis in older Australians

Thorpe

Milte

Crawford

et al. 2016

Int J Behav Nutr Phys Act

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BackgroundDespite increased use of dietary pattern methods in nutritional epidemiology, there have been few direct comparisons of methods. Older adults are a particularly understudied population in the dietary pattern literature. This study aimed to compare dietary patterns derived by principal component analysis (PCA) and cluster analysis (CA) in older adults and to examine their associations with socio-demographic and health behaviours.MethodsMen (n = 1888) and women (n = 2071) aged 55–65 years completed a 111-item food frequency questionnaire in 2010. Food items were collapsed into 52 food groups and dietary patterns were determined by PCA and CA. Associations between dietary patterns and participant characteristics were examined using Chi-square analysis. The standardised PCA-derived dietary patterns were compared across the clusters using one-way ANOVA.ResultsPCA identified four dietary patterns in men and two dietary patterns in women. CA identified three dietary patterns in both men and women. Men in cluster 1 (fruit, vegetables, wholegrains, fish and poultry) scored higher on PCA factor 1 (vegetable dishes, fruit, fish and poultry) and factor 4 (vegetables) compared to factor 2 (spreads, biscuits, cakes and confectionery) and factor 3 (red meat, processed meat, white-bread and hot chips) (mean, 95 % CI; 0.92, 0.82–1.02 vs. 0.74, 0.63–0.84 vs. −0.43, −0.50– −0.35 vs. 0.60 0.46–0.74, respectively). Women in cluster 1 (fruit, vegetables and fish) scored highest on PCA factor 1 (fruit, vegetables and fish) compared to factor 2 (processed meat, hot chips cakes and confectionery) (1.05, 0.97–1.14 vs. −0.14, −0.21– −0.07, respectively). Cluster 3 (small eaters) in both men and women had negative factor scores for all the identified PCA dietary patterns. Those with dietary patterns characterised by higher consumption of red and processed meat and refined grains were more likely to be Australian-born, have a lower level of education, a higher BMI, smoke and did not meet physical activity recommendations (all P < 0.05).ConclusionsPCA and CA identified comparable dietary patterns within older Australians. However, PCA may provide some advantages compared to CA with respect to interpretability of the resulting dietary patterns. Older adults with poor dietary patterns also displayed other negative lifestyle behaviours. Food-based dietary pattern methods may inform dietary advice that is understood by the community.Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-016-0353-2) contains supplementary material, which is available to authorized users.

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“…[ 26 ] In another study, the score of unhealthy diet decreased in Finnish women aged 50-60 years over a 20-year period. [ 27 ]…”

Section: Discussionmentioning

confidence: 99%

Increased waist-to-height ratio may contribute to age-related increase in cardiovascular risk factors

et al. 2016

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Background:The risk of cardiovascular diseases (CVDs) increases with age. The objective was to determine whether lifestyle and dietary behaviors and anthropometric measures, which are affected by these behaviors, contribute to the increase of CVD risk factors across age categories of 20–50-year-old.Methods:In a cross-sectional design, 437 adults aged 20–50-year-old were selected from households living in Shiraz. Risk factors of CVD, including body mass index (BMI), waist-to-height ratio (WHtR), blood pressure, fasting blood glucose (FBG), serum triglycerides, total cholesterol, and low- and high-density lipoprotein cholesterol (LDL-C and HDL-C, respectively) as well as lifestyle behaviors (physical activity and smoking), dietary habits, and food intakes were assessed across the age categories of 20–29, 30–39, and 40–50 years. Linear regression was used to examine the contribution of different variables to the age-related increase of CVD risk factors.Results:All CVD risk factors, except for HDL-C, significantly increased across age categories. Older subjects had healthier dietary habits and food intakes, but they possessed nonsignificantly lower physical activity and higher smoking rate compared to younger adults. Adjusting for physical activity, smoking, and BMI did not change the significant positive association between age and CVD risk factors but adjusting for WHtR disappeared associations for blood pressure, triglycerides, and metabolic syndrome although significant associations remained for FBG and total and LDL-C.Conclusions:Age-related increase of CVD risk factors occurred independent of lifestyle habits. WHtR, but not BMI, may partially contribute to the age-related increase in CVD risk factors.

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Age, marital status and changes in dietary habits in later life: a 21-year follow-up among Finnish women

Cited by 13 publications

References 33 publications

Beneficial changes in food consumption and nutrient intake after 10 years of follow-up in a Mediterranean cohort: the SUN project

Beneficial changes in food consumption and nutrient intake after 10 years of follow-up in a Mediterranean cohort: the SUN project

A comparison of the dietary patterns derived by principal component analysis and cluster analysis in older Australians

Increased waist-to-height ratio may contribute to age-related increase in cardiovascular risk factors

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