Economic determinants of diet in older adults: systematic review

Conklin, Annalijn; Maguire, Eva R.; Monsivais, Pablo

doi:10.1136/jech-2013-202513

Cited by 57 publications

(50 citation statements)

References 30 publications

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“…We examined older men, of predominantly white European ethnic origin. The results are, therefore, limited to this population and should not be applied to women, due to sex differences in dietary intake ( 56 , 57 ) . Further research is needed to replicate findings in other populations.…”

Section: Discussionmentioning

confidence: 99%

Diet quality in older age: the influence of childhood and adult socio-economic circumstances

et al. 2015

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Socio-economic gradients in diet quality are well established. However, the influence of material socio-economic conditions particularly in childhood, and the use of multiple disaggregated socio-economic measures on diet quality have been little studied in the elderly. In the present study, we examined childhood and adult socio-economic measures, and social relationships, as determinants of diet quality cross-sectionally in 4252 older British men (aged 60–79 years). A FFQ provided data on daily fruit and vegetable consumption and the Elderly Dietary Index (EDI), with higher scores indicating better diet quality. Adult and childhood socio-economic measures included occupation/father's occupation, education and household amenities, which combined to create composite scores. Social relationships included social contact, living arrangements and marital status. Both childhood and adult socio-economic factors were independently associated with diet quality. Compared with non-manual social class, men of childhood manual social class were less likely to consume fruit and vegetables daily (OR 0·80, 95 % CI 0·66, 0·97), as were men of adult manual social class (OR 0·65, 95 % CI 0·54, 0·79), and less likely to be in the top EDI quartile (OR 0·73, 95 % CI 0·61, 0·88), similar to men of adult manual social class (OR 0·66, 95 % CI 0·55, 0·79). Diet quality decreased with increasing adverse adult socio-economic scores; however, the association with adverse childhood socio-economic scores diminished with adult social class adjustment. A combined adverse childhood and adulthood socio-economic score was associated with poor diet quality. Diet quality was most favourable in married men and those not living alone, but was not associated with social contact. Diet quality in older men is influenced by childhood and adulthood socio-economic factors, marital status and living arrangements.

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Section: Discussionmentioning

confidence: 99%

Diet quality in older age: the influence of childhood and adult socio-economic circumstances

et al. 2015

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“…Analyses were performed separately in men and women as it has been suggested that some differences based on gender existed through retirement [8, 21]. Changes in energy, nutrients, and food groups’ intake, as well as adherence to French dietary guidelines through the mPNNS-GS score were studied.…”

Section: Methodsmentioning

confidence: 99%

“…However, results on food groups’ consumption are equivocal [15–17]. Regarding nutrient intake, findings are not concordant [8]: either decrease, no difference or increase in the considered nutrient intakes were observed in previous studies [15–18]. …”

Section: Introductionmentioning

confidence: 95%

Associations between transition to retirement and changes in dietary intakes in French adults (NutriNet-Santé cohort study)

Hassen

Castetbon

Lelièvre

et al. 2017

Int J Behav Nutr Phys Act

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BackgroundFew studies have focused on the influence of retirement on dietary behaviors. Our study aimed at assessing the associations between transition to retirement and changes in dietary intake in French adults, particularly according to spousal retirement and baseline income.MethodsThis prospective study included 577 French participants from the NutriNet-Santé cohort who retired over a 5-year follow-up (2009–2014 or 2010–2015). At baseline and every year, dietary intakes were assessed using 24 h records. Repeated measures of dietary intake were analysed using mixed models adjusted for energy with random effects of time and period (before and after retirement) to assess changes following retirement for each gender.ResultsAfter retirement, intakes of saturated fatty acids and sodium increased in both genders. Women showed specific changes after retirement: decrease in the score of adherence to recommendations and in intakes of fruits, proteins, vitamins; increase in intakes of fatty sweet products. In men with the lowest income at baseline, specific changes in intake were associated with retirement such as decrease in intake of dairy products and increase in intake of lipids.ConclusionsTransition to retirement was associated with unhealthier dietary intakes. These results may help defining interventions during this vulnerable life-period.Trial registrationThis study was conducted according to guidelines laid down in the Declaration of Helsinki and all procedures were approved by the Institutional Review Board of the French Institute for Health and Medical Research (IRB Inserm No. 0000388FWA00005831) and the French Data Protection Authority (Commission Nationale Informatique et Libertés No. 908450 and No. 909216). Electronic informed consents were obtained from all participants.Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-017-0527-6) contains supplementary material, which is available to authorized users.

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“…not premature retirement, such as early retirement or disability retirement) is a major life event which can affect many aspects of retirees' lives including daily routines, availability of time, income and social relationships (4,13,14) . It is a critical time in life in terms of changes in health and health behaviours, and thus food habits might also be affected (15) . Only a few studies have focused on the associations between transition to retirement and food habits, and results have been inconsistent.…”

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confidence: 99%

Changes in fruit, vegetable and fish consumption after statutory retirement: a prospective cohort study

et al. 2020

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Retirement is a major life transition affecting health and health behaviour, but evidence on how this transition contributes to changes in healthy food habits is scarce. We examined whether the consumption of fruit and vegetables as well as fish changes after transition into statutory retirement. The data were derived from the prospective Helsinki Health Study. At phase 1 in 2000–2002, all participants were 40- to 60-year-old employees of the City of Helsinki, Finland (n 8960, response rate 67 %). Follow-up surveys were conducted in 2007, 2012 and 2017 (response rates 79–83 %). Using the four phases, we formed three nested cohorts in which the participants either continued working or moved to statutory retirement. The final analytical sample consisted of 6887 participants (14 357 observations). Frequency of fruit, vegetable and fish consumption was calculated from a twenty-two-item FFQ. Analyses of repeated measures of food consumption before and after retirement transition were conducted with a negative binomial mixed model, adjusting for age, marital status, limiting long-standing illness and household income. During the follow-up, altogether 3526 participants retired. Transition to retirement was associated with a decrease in vegetable consumption among women and, contrarily, with an increase in fruit consumption among men (P < 0·05 for interaction between time and employment status). Fish consumption did not differ by the change in employment status. Statutory retirement can have mixed effects on healthy food habits, and these can differ between food groups and sex. Healthy food habits should be promoted among employees transitioning to retirement.

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Economic determinants of diet in older adults: systematic review

Cited by 57 publications

References 30 publications

Diet quality in older age: the influence of childhood and adult socio-economic circumstances

Diet quality in older age: the influence of childhood and adult socio-economic circumstances

Associations between transition to retirement and changes in dietary intakes in French adults (NutriNet-Santé cohort study)

Changes in fruit, vegetable and fish consumption after statutory retirement: a prospective cohort study

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