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Influences on diet quality in older age: the importance of social factors.

ABSTRACT: Background:poor diet quality is common among older people, but little is known about influences on food choice, including the role of psychosocial factors at this age. Objective:to identify psychosocial correlates of diet quality in a community-dwelling population of men and women aged 59-73 years; to describe relationships with change in diet quality over 10 years. Design:Longitudinal cohort, Hertfordshire Cohort Study (HCS). Subjects:HCS participants assessed at baseline (1998-2003: 1,048 men, 862 women); 183 men and 189 women re-assessed in 2011. Methods:diet was assessed by administered food frequency questionnaire; diet scores were calculated to describe diet quality at baseline and follow-up. A range of psychosocial factors (social support, social network, participation in leisure activities, depression and anxiety, sense of control) were assessed by questionnaire. Results:at baseline, better diet quality was related to a range of social factors, including increased confiding/emotional social support (men and women), practical support (men) and a larger social network (women) (all P < 0.05). For both men and women, greater participation in social and cognitive leisure activities was related to better diet quality (P < 0.005). There were few associations between measured psychosocial factors at baseline and change in diet score over 10 years, in the follow-up sub-group. However, greater participation in leisure activities, especially cognitive activities, at baseline was associated with smaller declines in diet quality over the 10-year follow-up period for both men (P = 0.017) and women (P = 0.014). Conclusions:in community-dwelling older adults, a range of social factors, that includes greater participation in leisure activities, were associated with diets of better quality.

SUBMITTER: Bloom I

PROVIDER: S-EPMC5390861 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature

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Influences on diet quality in older age: the importance of social factors.

Bloom Ilse I Edwards Mark M Jameson Karen A KA Syddall Holly E HE Dennison Elaine E Gale Catharine R CR Baird Janis J Cooper Cyrus C Aihie Sayer Avan A Robinson Sian S

Age and ageing 20170301 2

<h4>Background</h4>poor diet quality is common among older people, but little is known about influences on food choice, including the role of psychosocial factors at this age.<h4>Objective</h4>to identify psychosocial correlates of diet quality in a community-dwelling population of men and women aged 59-73 years; to describe relationships with change in diet quality over 10 years.<h4>Design</h4>Longitudinal cohort, Hertfordshire Cohort Study (HCS).<h4>Subjects</h4>HCS participants assessed at ba ...[more]

PMID: 27744301

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Project description:ObjectiveThis analysis examined whether specific social, physical, and financial factors were associated with diet quality among older, community-dwelling women.MethodsThis cross-sectional analysis was conducted in a subset of 6,094 community-dwelling Women's Health Initiative participants who completed a food frequency questionnaire, administered from 2012 to 2013, and a self-administered supplemental questionnaire, administered approximately 1 year later. The supplemental questionnaire included five questions assessing social, physical, and financial factors related to eating. Diet quality was assessed with the Healthy Eating Index-2010 (HEI-2010; range of 0-100; higher score indicates a higher quality diet). The total HEI-2010 score was calculated by summing individual scores representing the intake of nine adequacy components (beneficial food groups) and three moderation components (food groups to limit). Associations of responses to the five questions on the supplemental questionnaire with HEI-2010 scores were examined with multiple linear regression, adjusting for relevant covariates.ResultsMean ± standard deviation age of participants was 78.8 ± 6.7 years. Reporting eating fewer than two meals per day, having dental or other mouth problems causing problems with eating, and not always being able to shop, cook, or feed oneself were associated with statistically significantly lower HEI-2010 scores, compared with those not reporting these issues, after multivariable adjustment: 5.37, 2.98, and 2.39 lower scores, respectively (all P values <0.0001). Reporting eating alone most of the time and not always having enough money to buy food were not associated with HEI-2010 scores.ConclusionsAmong older, community-dwelling women, eating fewer than two meals per day, dental and other mouth problems, and diminished ability to shop for food, prepare meals, and feed oneself were associated with lower diet quality. These are potential targets for interventions to improve diet quality in older women. : Video Summary:http://links.lww.com/MENO/A561.

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Influences on diet quality in older age: the importance of social factors.

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Influences on diet quality in older age: the importance of social factors.

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