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Healthier diet quality and dietary patterns are associated with lower risk of mobility limitation in older men

Parsons, TJ; Papachristou, E; Atkins, JL; Papacosta, O; Ash, S; Lennon, LT; Whincup, PH; Ramsay, SE; Wannamethee, SG (2019) Healthier diet quality and dietary patterns are associated with lower risk of mobility limitation in older men. European Journal of Nutrition, 58 (6). pp. 2335-2343. ISSN 1436-6215 https://doi.org/10.1007/s00394-018-1786-y
SGUL Authors: Whincup, Peter Hynes

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Abstract

Purpose To investigate associations between diet quality, dietary patterns and mobility limitation 15 years later in a population-based sample of older British men. Methods We used longitudinal data from 1234 men from the British Regional Heart Study, mean age 66 years at baseline. Mobility limitation was defined as difficulty going up- or downstairs or walking 400 yards as a result of a long-term health problem. Dietary intake was measured using a food frequency questionnaire data from which the Healthy Diet Indicator (HDI), the Elderly Dietary Index (EDI), and three a posteriori dietary patterns were derived. The a posteriori dietary patterns were identified using principal components analysis: (1) high fat/low fibre, (2) prudent and (3) high sugar. Results Men with greater adherence to the EDI or HDI were less likely to have mobility limitation at follow-up, top vs bottom category odds ratio for the EDI OR 0.50, 95% CI 0.34, 0.75, and for the HDI OR 0.55, 95% CI 0.35, 0.85, after adjusting for age, social class, region of residence, smoking, alcohol consumption and energy intake. Men with a higher score for the high-fat/low-fibre pattern at baseline were more likely to have mobility limitation at follow-up, top vs bottom quartile odds ratio OR 3.28 95% CI 2.05, 5.24. These associations were little changed by adjusting for BMI and physical activity. Conclusion Our study provides evidence that healthier eating patterns could contribute to prevention or delay of mobility limitation in older British men.

Item Type: Article
Additional Information: © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Nutrition & Dietetics, 1111 Nutrition And Dietetics
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: European Journal of Nutrition
ISSN: 1436-6215
Dates:
DateEvent
September 2019Published
23 July 2018Published Online
17 July 2018Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
R419/0515Dunhill Medical Trusthttp://dx.doi.org/10.13039/501100000377
RG/08/013/25942British Heart Foundationhttp://dx.doi.org/10.13039/501100000274
URI: https://openaccess.sgul.ac.uk/id/eprint/110015
Publisher's version: https://doi.org/10.1007/s00394-018-1786-y

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