Ten-year trends in dietary intake, health status and mortality rates in free-living elderly people

Toffanello, Elena Debora; Inelmen, Eminè Meral; Minicuci, Nadia; Campigotto, Federico; Sergi, Giuseppe; Coin, Alessandra; Miotto, Fabrizia; Enzi, Giuliano; Manzato, Enzo

doi:10.1007/s12603-010-0058-1

Cited by 25 publications

(26 citation statements)

References 23 publications

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“…Nevertheless, BIA is inexpensive and easy to perform in most settings, and the formula we used has been validated in several Chinese populations [38, 70]. Second, the DDS was derived from a 24-h dietary recall, which may not represent long-term dietary habits; however, community-dwelling older adults have relatively stable diets [40, 71]. Dietary patterns, like those based on several food groups, in our case 6 groups, may be stable from day-to-day while having different foods which contribute to the components of the pattern in question.…”

Section: Discussionmentioning

confidence: 99%

Medical costs of a low skeletal muscle mass are modulated by dietary diversity and physical activity in community-dwelling older Taiwanese: a longitudinal study

Wahlqvist

Huang

et al. 2017

Int J Behav Nutr Phys Act

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BackgroundAge-related loss of skeletal muscle mass (SMM) and function (sarcopenia) are associated with poor health outcomes and an economic burden on health care services. An appropriate diet and physical activity have been proposed for prevention and treatment of sarcopenia. Nevertheless, the effects on medical service utilization and costs remain unclear. This study determined the effects of SMM in conjunction with diet quality and physical activity on medical service utilization and expenditure in community-dwelling older Taiwanese.MethodsIn total, 1337 participants from the Elderly Nutrition and Health Survey in Taiwan (1999–2000) were enrolled. An SMM index [SMMI, calculated by dividing SMM (kg) by height (m2)] was used as the marker of sarcopenia. Participants with the lowest SMMI quartiles (<11.4 kg/m2 for men and 8.50 kg/m2 for women) comprised the high-risk group, and the remainder comprised the low-risk group. Dietary information (dietary diversity: low and high) and physical activity (low and moderate) were obtained at baseline. Annual medical service utilization and expenditure were calculated from National Health Insurance claims until December 31, 2006. Generalized linear models were used to determine the association between the SMMI and annual medical service utilization and costs in conjunction with dietary diversity or physical activity.ResultsAfter 8 follow-up years, regardless of gender, participants in the high-risk group reported significantly more hospitalization (days and expenditure) and total medical expenditure. Participants in the high-risk group who had low dietary diversity made fewer annual outpatient (14%), preventive care (19%), and dental (40%) visits, but exhibited longer hospitalization (102%) than did those who had a low SMMI and high dietary diversity. Similar patterns were observed in the corresponding medical expenditures. The findings were similar when considering physical activity. Being in the low-risk group in conjunction with having high dietary diversity or more physical activity was associated with the lowest annual adjusted mean hospitalization days with expenditure, and also total expenditure.ConclusionsA lower SMMI was associated with more hospitalization days and costs. However, high dietary diversity and more physical activity can attenuate the effects of lower SMMI on medical service utilization and expenditure.

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Section: Discussionmentioning

confidence: 99%

Medical costs of a low skeletal muscle mass are modulated by dietary diversity and physical activity in community-dwelling older Taiwanese: a longitudinal study

Wahlqvist

Huang

et al. 2017

Int J Behav Nutr Phys Act

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“…; Toffanello et al . ). Table summarises findings from these 12 papers about the type and amount of daily fluid intake consumed by the study participants.…”

Section: Resultsmentioning

confidence: 97%

Fluid intake and recommendations in older adults: More data are needed

et al. 2016

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Older people are vulnerable to hypohydration due to physiological and cognitive changes that occur with age. Inadequate fluid intake is the main contributor to hypohydration in this age group, but very little is known about their drinking habits and specific fluid intake recommendations are lacking. Therefore, the aim of this short review was to summarise published data on fluid consumption in adults aged 65 years and older. The PubMed database was searched for all relevant studies published between 1995 and 2014 globally. The search identified 12 suitable papers for review. Results indicated that reported fluid intake in older adults varied considerably between studies. Lack of standardisation for reporting 'fluid intake' is a problem in this literature. In conclusion, data about fluid intake in older adults are scarce and inconclusive. Consensus on a definition for 'fluid intake' is necessary if an international age-specific reference range for the elderly is to be set.

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“…No supplementation of this vitamin is needed in healthily aging subjects because their servings of vegetables and fruit are consistent with the nutritional guidelines, reflecting the Mediterranean food pyramid as seen in the companion paper (4). No supplementation of this vitamin is needed in healthily aging subjects because their servings of vegetables and fruit are consistent with the nutritional guidelines, reflecting the Mediterranean food pyramid as seen in the companion paper (4).…”

Section: Discussionmentioning

confidence: 99%

“…A tendency for vitamin intake to decline with increasing age has been reported in several studies (1,2). Several recent cross-sectional and longitudinal studies concur in saying, however, that there are no specific deficiencies in terms of total energy and macronutrient intake among healthy free-living and successfully aging elderly, and that their intake remains adequate and fairly stable with age (4)(5)(6)(7)(8). Several recent cross-sectional and longitudinal studies concur in saying, however, that there are no specific deficiencies in terms of total energy and macronutrient intake among healthy free-living and successfully aging elderly, and that their intake remains adequate and fairly stable with age (4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 87%

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Ten-year trends in vitamin intake in free-living healthy elderly people: The risk of subclinical malnutrition

Toffanello

Inelmen

Minicuci

et al. 2011

The Journal of nutrition, health and aging

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despite an adequate nutritional/functional status and a total energy intake that could be expected to cover the recommendations for micronutrients too, a considerable proportion of our successfully aging elderly were already deficient in, or at high risk of becoming deficient in several essential vitamins. Multivitamin supplementation may be necessary, even in healthy individuals, to ensure an adequate micronutrient intake in the elderly.

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Ten-year trends in dietary intake, health status and mortality rates in free-living elderly people

Cited by 25 publications

References 23 publications

Medical costs of a low skeletal muscle mass are modulated by dietary diversity and physical activity in community-dwelling older Taiwanese: a longitudinal study

Medical costs of a low skeletal muscle mass are modulated by dietary diversity and physical activity in community-dwelling older Taiwanese: a longitudinal study

Fluid intake and recommendations in older adults: More data are needed

Ten-year trends in vitamin intake in free-living healthy elderly people: The risk of subclinical malnutrition

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