scholarly journals Dietary Energy Density, Not Caloric Intake, Is Associated with Sedentary Behavior in Older US Adults

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 84-84
Author(s):  
Jacqueline Vernarelli ◽  
Sarah Poirier

Abstract Objectives National surveillance data has demonstrated that fewer than 1 in 5 older adults meet physical activity (PA) guidelines, despite research showing that PA is associated with decreased functional limitations in older adults. Most strategies for healthy eating focus on caloric intake as opposed to overall diet quality. Energy density (ED; kcal/g) is an established indicator of diet quality as well as an established risk factor for chronic disease. Studies in children and adolescents have also demonstrated that dietary ED is associated with physical functioning, however there has been minimal research in older adults. The objective of the present study was to evaluate the association between dietary energy density and physical activity in a nationally representative sample of older adults. Methods Using data from a sample of 4484 adults > 60y who participated in the 2014–2016 NHANES, the association between dietary ED and physical functioning was assessed. During the NHANES, participants were asked to report whether or not they engaged in moderate PA (mPA) and report hours of sedentary behaviors. All data were analyzed using SAS 9.4 survey procedures to account for the unequal sampling probability and complex survey design of the NHANES. Results Energy-dense diets were associated with sedentary behavior and lower physical abilities in older adults. Individuals who reported engaging in mPA had a significantly lower dietary ED than those who did not engage in any mPA; this was observed in men (1.71 vs. 1.87, P = 0.03) and women (1.61 vs. 1.72, P = 0.02) after controlling for age, education, race/ethnicity, and beverage ED. Further, each unit increase in dietary energy density was associated with a 39% decrease in probability of engaging in mPA (P < 0.001). In contrast, there was no association between caloric intake and sedentary behavior in this population Low-ED diets were also lower in saturated fat; higher in vegetable, fiber and micronutrient content, offering additional health benefits. Conclusions These results indicate the energy density of the diet is associated with diet quality and active lifestyle behaviors. Strategies that promote low-ED diets may be effective tools in the promotion of healthy aging in the US population. Funding Sources None.

Appetite ◽  
2016 ◽  
Vol 97 ◽  
pp. 120-126 ◽  
Author(s):  
Aline Mendes ◽  
Jaqueline Lopes Pereira ◽  
Regina Mara Fisberg ◽  
Dirce Maria Lobo Marchioni

2014 ◽  
Vol 111 (8) ◽  
pp. 1474-1480 ◽  
Author(s):  
Yong Zhu ◽  
James H. Hollis

Epidemiological studies have revealed that soup consumption is associated with a lower risk of obesity. Moreover, intervention studies have reported that soup consumption aids in body-weight management. However, little is known about mechanisms that can explain these findings. The objective of the present study was to investigate associations between soup consumption and daily energy intake, dietary energy density (ED), nutrient intake and diet quality. Adults aged 19–64 years who participated in the National Health and Nutrition Examination Surveys during 2003–8 were included in the study. Soup consumers were identified from the first dietary recall using the United States Department of Agriculture food codes and combination food type from the dietary data. Compared with non-consumers (n9307), soup consumers (n1291) had a lower body weight (P= 0·002), a lower waist circumference (P= 0·001) and a trend towards a lower total energy intake (P= 0·087). Soup consumption was associated with a lower dietary ED (P< 0·001); this was independent of whether data on beverage or water consumption were included. Diet quality, as measured by the Healthy Eating Index 2005, was significantly better in soup consumers (P= 0·008). Soup consumption was also associated with a reduced intake of total fat and an increased intake of protein, carbohydrate and dietary fibre, as well as several vitamins and minerals (P< 0·05 for all). However, it was also associated with a higher intake of Na (P< 0·001). The relationship between soup consumption and body weight could be due to a reduced dietary ED and an improved diet quality. Consumers need to pay attention to their Na intake and choose low-Na products for a healthier diet.


2020 ◽  
Author(s):  
Niloofarsadat Maddahi ◽  
Habib Yarizadeh ◽  
Leila Setayesh ◽  
Yasaman Nasir ◽  
Shahab Alizadeh ◽  
...  

Abstract Objectives: Mental health, sleep quality and dietary intake are interlinked. Impairment of mental health and low sleep quality may contribute to obesity through the consumption of diets high in energy density. Nevertheless, it is not clear whether dietary energy density (DED) influences mental health. This study aimed to examine the association of DED with mental health indices, including depression, anxiety, stress, and sleep quality in overweight/obese women.Results: After adjustment for age, BMI, and physical activity, subjects in the highest quartile of DED had higher systolic and diastolic blood pressure, but lower serum triglyceride, than those in the lowest quartile (p <0.05). DED was significantly associated with increased odds of stress in the crude (OR =2.15, 95%CI: 1.01-4.56, p= 0.04) and adjusted model for age, BMI, and physical activity (OR = 2.56, 95%CI: 1.13-5.79, p=0.02). No significant relationship was observed between DED and depression, anxiety and sleep quality.


2020 ◽  
Author(s):  
Niloofarsadat Maddahi ◽  
Habib Yarizadeh ◽  
Leila Setayesh ◽  
Yasaman Nasir ◽  
Shahab Alizadeh ◽  
...  

Abstract Objectives : Mental health, sleep quality and dietary intake are interlinked. Impairment of mental health and low sleep quality may contribute to obesity through the consumption of diets high in energy density. Nevertheless, it is not clear whether dietary energy density (DED) influences mental health. This study aimed to examine the association of DED with mental health indices, including depression, anxiety, stress, and sleep quality in overweight/obese women. Results: After adjustment for age, BMI, and physical activity, subjects in the highest quartile of DED had higher systolic and diastolic blood pressure, but lower serum triglyceride, than those in the lowest quartile (p <0.05). DED was significantly associated with increased odds of stress in the crude (OR =2.15, 95%CI: 1.01-4.56, p= 0.04) and adjusted model for age, BMI, and physical activity (OR = 2.56, 95%CI: 1.13-5.79, p=0.02). No significant relationship was observed between DED and depression, anxiety and sleep quality.


2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Shilpa Dogra ◽  
Liza Stathokostas

Background. Sedentary behavior is emerging as an important risk factor for poor health. Physical activity has proven to be important in determining overall successful aging (SA) among older adults; however, no data exists on the influence of sedentary behavior on SA. The purpose of this analysis was to determine whether there is an association between sedentary behavior and successful aging, independent of physical activity levels.Methods. 9,478 older (M= 4,245;F= 5,233) and 10,060 middle-aged (M= 4.621;F= 5,439) adults from the Healthy Aging cycle of the Canadian Community Health Survey were analyzed. Multivariate logistic regressions were conducted with SA and its three components as outcomes while physical activity and sedentary behavior were entered as main exposures.Results. Among older adults, compared to those who were sedentary (4 hours or more/day), those who were moderately (2–4 hours/day) and least sedentary (<2 hours/day) were 38% (OR: 1.38; CI: 1.12–1.69) and 43% (OR: 1.43; CI: 1.23–1.67) more likely to age successfully, respectively. Among middle-aged adults, those who were least sedentary were 43% (OR: 1.43; CI: 1.25–1.63) more likely to age successfully.Conclusions. These novel findings suggest that sedentary activities are significantly associated with lower odds of SA among middle-aged and older adults, potentially in a dose-dependent manner.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 441-441
Author(s):  
Sofia Pendley ◽  
Melanie Reyes ◽  
Jacqueline Vernarelli

Abstract Objectives The Dietary Guidelines Advisory Committee (DGAC) 2020 report indicates a need for examining the association between acculturation, dietary behaviors and disease risk. Dietary energy density (ED, kcal/g) is an established indicator of diet quality and a risk factor for chronic disease. Because ED is calculated using the whole diet, it is culturally relevant for use in a variety of populations. Past research on acculturation and diet indicates a need for more research using indicators that measure diet quality. The objective of the present study was to examine the relationship between acculturation, dietary intake, and dietary energy density. Methods Dietary data was collected using 24hour-recall in a nationally representative sample of 10 622 adults who participated in the 2013–2016 NHANES. Specific questions about acculturation were asked of participants. All data were analyzed using SAS 9.4 survey procedures to account for the complex survey design of the NHANES. Results A linear relationship between dietary ED and length of time in the US was observed (p-trend &lt; 0.0001). Individuals who were in the US for &lt; 5 years had the lowest dietary ED compared to those who had been in the US for the longest (1.39 vs. 1.84 kcal/g, P &lt; 0.0004) representing ∼450 kcal/day difference after adjusting for relevant cofactors. Despite this difference, there was no difference in the amount of money spent on food compared with length of time in the US. Conclusions This study is consistent with other studies that examine changes in dietary patterns among those who have immigrated to the US. Findings from this study, specifically using ED as an indicator of diet quality, may provide recommendations to developing culturally inclusive efforts to encourage healthy diets. Funding Sources None.


2020 ◽  
Author(s):  
Niloofarsadat Maddahi ◽  
Habib Yarizadeh ◽  
Leila Setayesh ◽  
Yasaman Nasir ◽  
Shahab Alizadeh ◽  
...  

Abstract Objectives : Mental health, sleep quality and dietary intake are interlinked. Impairment of mental health and low sleep quality may contribute to obesity through the consumption of diets high in energy density. Nevertheless, it is not clear whether dietary energy density (DED) influences mental health. This study aimed to examine the association of DED with mental health indices, including depression, anxiety, stress, and sleep quality in overweight/obese women. Results: After adjustment for age, BMI, and physical activity, subjects in the highest quartile of DED had higher systolic and diastolic blood pressure, but lower serum triglyceride, than those in the lowest quartile (p <0.05). DED was significantly associated with increased odds of stress in the crude (OR =2.15, 95%CI: 1.01-4.56, p= 0.04) and adjusted model for age, BMI, and physical activity (OR = 2.56, 95%CI: 1.13-5.79, p=0.02). No significant relationship was observed between DED and depression, anxiety and sleep quality.


2016 ◽  
Vol 115 (5) ◽  
pp. 921-929 ◽  
Author(s):  
Esther M. F. van Sluijs ◽  
Stephen J. Sharp ◽  
Gina L. Ambrosini ◽  
Aedin Cassidy ◽  
Simon J. Griffin ◽  
...  

AbstractThere is limited evidence on the prospective association of time spent in activity intensity (sedentary (SED), moderate (MPA) or vigorous (VPA) physical activity) and dietary intake with adiposity indicators in young people. This study aimed to assess associations between (1) baseline objectively measured activity intensity, dietary energy density (DED) and 4-year change in adiposity and (2) 4-year change in activity intensity/DED and adiposity at follow-up. We conducted cohort analyses including 367 participants (10 years at baseline, 14 years at follow-up) with valid data for objectively measured activity (Actigraph), DED (4-d food diary), anthropometry (waist circumference (WC), %body fat (%BF), fat mass index (FMI), weight status) and covariates. Linear and logistic regression models were fit, including adjustment for DED and moderate-to-vigorous physical activity. Results showed that baseline DED was associated with change in WC (β for 1kJ/g difference: 0·71; 95% CI 0·26, 1·17), particularly in boys (1·26; 95% CI 0·41, 2·16 v. girls: 0·26; 95% CI −0·34, 0·87), but not with %BF, FMI or weight status. In contrast, baseline SED, MPA or VPA were not associated with any of the outcomes. Change in DED was negatively associated with FMI (β for 1kJ/g increase: −0·86; 95% CI −1·59, −0·12) and %BF (−0·86; 95% CI −1·25, −0·11) but not WC (−0·27; 95% CI −1·02, 0·48). Change in SED, MPA and VPA did not predict adiposity at follow-up. In conclusion, activity intensity was not prospectively associated with adiposity, whereas the directions of associations with DED were inconsistent. To inform public health efforts, future studies should continue to analyse longitudinal data to further understand the independent role of different energy-balance behaviours in changes in adiposity in early adolescence.


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