Dietary differences between centenarians residing in communities and in skilled nursing facilities: the Georgia Centenarian Study

Johnson, Mary Ann; Davey, Adam; Hausman, Dorothy B.; Park, Sohyun; Poon, Leonard W.

doi:10.1007/s11357-006-9021-9

Cited by 21 publications

(16 citation statements)

References 16 publications

(13 reference statements)

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“…However, in this study we found that compared to centenarians residing in the community, centenarians in skilled nursing facilities had a superior dietary patterns with higher dairy food intake (41) and they were more likely to take a vitamin D-containing supplement (32.8% vs. 54.1%, unadjusted, p < 0.01). Thus, residence in a nursing home is not necessarily a strong risk factor for vitamin D insufficiency when dairy foods (e.g., vitamin D-fortified as indicated milk) and vitamin D-containing supplements are provided.…”

Section: Discussionmentioning

confidence: 50%

Vitamin B12 deficiency in African American and white octogenarians and centenarians in Georgia

Johnson¹,

Hausman²,

Davey³

et al. 2009

J Nutr Health Aging

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Objective Poor vitamin D status has been associated with osteoporosis, falls, cardiovascular diseases, cancer, autoimmune diseases, pain, nursing home placement, and other age-related conditions, but little is known about the prevalence and predictors of vitamin D status in those aged 80 and older. Thus, this study tested the hypothesis that vitamin D status would be 1) poorer in a population-based multi-ethnic sample of centenarians as compared with octogenarians and 2) predicted by specific dietary, demographic or environmental factors. Design Cross-sectional population-based analyses. Setting Northern Georgia in the United States. Participants Men and women aged 80 to 89 (octogenarians, n = 80) and 98 and older (centenarians, n = 237). Measurements Regression analyses were used to examine the associations of serum 25-hydroxyvitamin D [25(OH)D] with age, gender, race, living arrangements, dairy food intake, supplement intake, and season. Results The prevalence of vitamin D insufficiency [25(OH)D < 50 nmol/L] was higher in centenarians than in octogenarians (p < 0.02). In logistic regression analyses, the risk of being vitamin D insufficient was significantly increased by being a centenarian vs. octogenarian (p<0.005) and by being African American vs. white (p < 0.001) and decreased by taking a supplement with vitamin D (p < 0.001) or by having vitamin D status measured in the summer or fall (each p < 0.05), compared with spring. Conclusions Centenarians and octogenarians are at high risk for vitamin D insufficiency for many of the same reasons identified in younger populations. Given the numerous potential adverse consequences of poor vitamin D status, efforts are needed to ensure vitamin D adequacy in these older adults.

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Section: Discussionmentioning

confidence: 50%

Vitamin B12 deficiency in African American and white octogenarians and centenarians in Georgia

Johnson¹,

Hausman²,

Davey³

et al. 2009

J Nutr Health Aging

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“…Participants who had missing data for supplement use were categorized as not receiving supplements. Questions regarding food intake were adapted from the Mini-Nutritional Assessment (30,31) and the response categories represented current frequency of consumption of food groups, including dairy products (milk, yogurt, and cheese); meat, fish, or poultry; orange/yellow vegetables; green vegetables; and citrus and non-citrus fruit and juice. The total food score, ranging from 0 to 5, was based on comparisons with the Dietary Guidelines for Americans (32) 1,600-calorie meal pattern for sedentary older adults, as previously described (31).…”

Section: Methodsmentioning

confidence: 99%

The oldest old: Red blood cell and plasma folate in African American and white octogenarians and centenarians in Georgia

Hausman

Johnson

Davey

et al. 2011

The Journal of nutrition, health and aging

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Objective-To determine the overall folate status of a population-based multi-ethnic sample of octogenarians and centenarians and the specific dietary, demographic and physiological factors associated with observed abnormalities.Design-Population-based multiethnic sample of adults aged 80 to 89 and 98 and above. Setting: Northern Georgia, USA Setting-Northern Georgia, USA Participants-Men and women aged 80 to 89 (octogenarians, n = 77) and 98 and older (centenarians, n = 198) Analyses-Wilcoxon rank sum tests, and Chi square and logistic regression analyses were used to examine associations of low and high folate status with hematological indicators and other variables of interest.Results-The prevalence of low red blood cell (RBC) folate was low overall, but tended to be higher in centenarians than in octogenarians (6.5% vs. 1.3%, p = 0.058; defined as RBC folate < 317 nmol/L). The risk of having lower RBC folate (< 25 th vs. 2. Two of the authors (SPS and RHA) and the University of Colorado hold patents on the use of assays for total homocysteine and other metabolites to diagnose vitamin B12 and folate deficiencies, and a company has been formed at the University of Colorado to perform such assays. Conclusions-Low RBC folate status (< 317 nmol/L) was rare in this post folic acid fortification sample of octogenarians and centenarians. RBC folate status (< 25 th percentile) was strongly associated with 1) vitamin B12 deficiency, which has strong implications for vitamin treatment, and 2) with being African American, suggesting racial disparities exist even in the oldest old. Additional investigators in the Georgia

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“…Rather, most studies have focused on individuals who are community-dwelling, autonomous and almost exclusively on those who are cognitively intact (e.g., Chou & Chi, 2002;Hsu, 2010;Willcox, Willcox, Shimajiri, Kurechi, & Suzuki, 2007). Studies that distinguished between dwelling differences among participants have generally noted higher levels of impairment in multiple areas of functioning among the institutionalized relative to their community-dwelling peers with little emphasis placed on subjective financial perceptions (Johnson, Davey, Hausman, Park, & Poon, 2006). Nevertheless, Randall et al (2010) found that centenarians living in nursing homes self-reported significantly lower social resources than centenarians living in either private homes or personal care facilities and concluded that residential setting was associated with social resource adequacy.…”

Section: Economic Perceptions and Institutional Statusmentioning

confidence: 99%

“…Noninstitutionalized respondents who reported not having resources to meet future needs had mean depression scale scores that were more than double of those who reported being able to meet future needs. While no study of centenarians that we know of has examined differences in economic perceptions by dwelling status, this study adds to the work of others who have examined other outcomes (e.g., Johnson et al, 2006) regarding dietary differences or Randall, Martin, MacDonald, and Poon (2010) regarding social resources) in this way.…”

mentioning

confidence: 93%

Understanding Perceptions of Economic Status among Centenarians

Garasky

Martin

Margrett

et al. 2012

Int J Aging Hum Dev

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Centenarians are often concerned with outliving their accumulated resources. Yet, research consistently finds that older adults, despite low incomes, are more financially satisfied than younger adults. This "satisfaction paradox" has been attributed to psychological accommodation to poor financial circumstances and lower expectations. As a result, scholars differentiate between objective levels of need and subjective perceptions. Missing is an understanding of whether feeling economically secure is associated with physical, mental, and/or psychological well-being and whether it varies by institutionalization status. This study examined data from 152 centenarians who participated in the first wave of the Iowa Centenarian Study. Analyses examined six perceived economic status variables (sufficiency of financial resources, ability to meet expenses, finances compared to others, meeting needs, ability to purchase extras, and having enough money for the future) and measures derived from activities of daily living, the Short Portable Mental Status Questionnaire (Pfeiffer, 1975) and the Geriatric Depression Scale (Yesavage, Brink, Rose, Lum, Huang, Adey, et al., 1983). Findings indicated that most centenarians do not feel able to handle their finances, yet believe that they are doing relatively well financially. Perceived economic status was positively associated with ability to complete daily living activities, cognitive ability, and psychological well-being with results differing by institutional status. In the end, we agree with other scholars that these relationships are rarely simple and require future exploration.

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Dietary differences between centenarians residing in communities and in skilled nursing facilities: the Georgia Centenarian Study

Cited by 21 publications

References 16 publications

Vitamin B12 deficiency in African American and white octogenarians and centenarians in Georgia

Vitamin B12 deficiency in African American and white octogenarians and centenarians in Georgia

The oldest old: Red blood cell and plasma folate in African American and white octogenarians and centenarians in Georgia

Understanding Perceptions of Economic Status among Centenarians

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