scholarly journals Nutritional Status and Diet in Elderly with Low and High Socioeconomic Status

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Y Zhu ◽  
I Minović ◽  
L H Dekker ◽  
M Eggersdorfer ◽  
S K R van Zon ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Risk Factor ◽  
Health Disparities ◽  
Folic Acid ◽  
Nutritional Status ◽  
Diet Quality ◽  
Vitamin B6 ◽  
The Elderly ◽  
Low Ses ◽  
Vitamin Status

Abstract Background Socioeconomic status (SES) patterned health disparities have been related to differences in dietary intake, especially in the elderly. Still, it is not known to what extent these differences culminate in vitamin deficiencies, as most studies have assessed nutrient intake, instead of measuring nutritional biomarkers. Hence, we aimed to objectively assess nutritional status in elderly with low and high SES and to investigate whether potential differences therein were mediated by diet. Methods 1605 individuals (60-75 years) were selected from the LifeLines Cohort Study to create two gender-matched groups with different SES. Nutritional status was assessed by measuring folic acid, vitamin B6, B12, D, A, E and K in the collected samples. SES-groups were defined according to highest completed education as high and low, and dietary quality was assessed the Lifelines Diet Score. Multiple linear regression and logistic regression were first used for the association between SES and vitamin status; and mediation analysis was used to explore the relationship of SES, diet and vitamin status. Results The overall prevalence of vitamin deficiency ranged from 4.1% (vitamin B6) to 19.5% (folic acid). The low SES group had significantly poorer status (p ≤ 0.04) of most vitamins, including the B vitamins (i.e., folic acid, B12 and B6) as well as multivitamin deficiencies (p ≤ 0.02). Low SES was independently associated with decreased folic acid, vitamin B6, vitamin B12, and vitamin A serum concentrations (p ≤ 0.03 for all). Diet quality was found to partially mediate the association between SES, and folic acid (39.1%), vitamin B6 (37.1%) and vitamin B12 (37.2%)(P ≤ 0.03). Conclusions Low SES is a risk factor for suboptimal nutritional status. The association between SES and nutritional status can be partially explained by diet quality, suggesting that policy makers can mitigate socioeconomic inequality in nutritional status by improving diet quality among elderly. Key messages Revealed that low SES was a risk factor for a suboptimal nutritional status among the elderly and a possible self-reinforcing trap has formed which causes low SES and hidden hunger to persist. Highlighted the importance of diet quality in socioeconomically patterned health disparities and indicating the need for SES-tailored public health strategies.

scholarly journals Vitamin Status and Diet in Elderly with Low and High Socioeconomic Status: The Lifelines-MINUTHE Study

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2659
Author(s):  
Yinjie Zhu ◽  
Isidor Minović ◽  
Louise H. Dekker ◽  
Manfred L. Eggersdorfer ◽  
Sander K.R. van Zon ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Folic Acid ◽  
Vitamin B12 ◽  
Health Inequalities ◽  
Diet Quality ◽  
Vitamin B6 ◽  
Low Ses ◽  
Vitamin Deficiencies ◽  
Vitamin Status ◽  
Increased Risk

Socioeconomic health inequalities are an important global public health problem. However, it is not well known to what extent socioeconomic inequalities culminate in impaired vitamin status and whether this is mediated by diet. We, therefore, aimed to assess vitamin status in a population already at increased risk of micronutrient deficiency, i.e., elderly with high and low socioeconomic status (SES), and to investigate whether potential differences therein were mediated by diet quality. Vitamin status in 1605 individuals (60–75 years) from the Lifelines- Micronutrients and Health inequalities in Elderly (MINUTHE) Study was assessed by measuring folic acid and the vitamins B6, B12, D, A, E, and K. Multinomial logistic and linear regression analyses were applied to test the associations between SES and vitamin status. Mediation analysis was used to explore the interrelationship between SES, diet quality, and vitamin status. Low SES was associated with poorer status of vitamin B6, vitamin B12, and, notably, folic acid. Moreover, multivitamin deficiencies were more prevalent in the low SES group. Diet quality was found to mediate the associations of SES with folic acid (for 39.1%), vitamin B6 (for 37.1%), and vitamin B12 (for 37.2%). We conclude that low SES is a risk factor for a spectrum of vitamin deficiencies. Diet quality can partially explain the socioeconomic differences in vitamin status, suggesting that policymakers can mitigate socioeconomic inequality in nutritional status through improving diet quality.

Does health literacy mediate the relationship between socioeconomic status and health disparities? Integrative review

2018 ◽  
Vol 34 (5) ◽  
pp. e1-e17 ◽  
Author(s):  
Coraline Stormacq ◽  
Stephan Van den Broucke ◽  
Jacqueline Wosinski
Keyword(s):  
Socioeconomic Status ◽  
Risk Factor ◽  
Health Disparities ◽  
Health Literacy ◽  
Comparison Method ◽  
Socioeconomic Disparities ◽  
Modifiable Risk Factor ◽  
Mediating Role ◽  
The Relationship

Summary While socioeconomic disparities are among the most fundamental causes of health disparities, socioeconomic status (SES) does not impact health directly. One of the potential mediating factors that link SES and health is health literacy (HL). Yet although HL can be considered a modifiable risk factor of socioeconomic disparities in health, the relationship between SES, HL and health disparities is not well understood. This study reviewed the evidence regarding the mediating role of HL in the relationship between socioeconomic and health disparities. Medline, Cinahl, Embase, PsychInfo, Eric, Web of Science, Google, Google Scholar, Mednar, Doaj and Worldcat were used to retrieve studies that specifically addressed socioeconomic and socio-demographic factors related to low HL levels, as well as the mediating role of HL in the relationship between SES and disparities in health outcomes. Selected studies were assessed for methodological quality. Sixteen published studies were retained for inclusion and content analyzed using the constant comparison method. The review indicates that disadvantaged social and socioeconomic conditions contribute to low HL levels, whereby low SES, and particularly educational attainment, is the most important determinant of HL, and that HL mediates the relationship between SES and health status, quality of life, specific health-related outcomes, health behaviors and use of preventive services. HL can be considered as a modifiable risk factor of socioeconomic disparities in health. Enhancing the level of HL in the population or making health services more accessible to people with low HL may be a means to reach a greater equity in health.

scholarly journals Vitamin B6, B12, Asam Folat, Tekanan Darah dan Demensia pada Lanjut Usia

2020 ◽  
Vol 4 (2) ◽  
pp. 123
Author(s):  
Bekti Krisdyana ◽  
Diffah Hanim ◽  
Sugiarto Sugiarto
Keyword(s):  
Blood Pressure ◽  
Folic Acid ◽  
Junior High School ◽  
Random Sampling ◽  
Vitamin B6 ◽  
Sampling Technique ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Cluster Random Sampling

Background: Dementia is a multifactorial disease due to genetic and environmental influences. Lack of intake of vitamins B6, B12, folic acid and blood pressure are one of the environmental factors that cause dementia.Objective: To analyze the relationship between the adequacy of vitamins B6, B12, folic acid and blood pressure with dementia in the elderlyMethod: This research was a cross sectional study, which was carried out in Tulungagung Regency. The sampling technique was cluster random sampling and a sample size of 100 elderly from 7 elderly Posyandu in Tulungagung Regency, with independent variables such as adequacy of vitamin B6, B12, folic acid and blood pressure, while the dependent variable was dementia. Data were analyzed with chi square testResults: Respondents in this study were generally aged 60-74 years (70.0%), women (48.0%), were educated in elementary / junior high school (60.0%) and did not work (69.0%). Most respondents have insufficient vitamin B6, B12 and folic acid in the less category, with percentages of 57.0%, 54% and 64%, respectively. There was an association between the adequacy of vitamins B6, B12 and folic acid with dementia in the elderly (OR=2.302; 95% CI=1.011-5.241; p=0.045; OR=2.397; 95% CI=1.060-5.422; p=0.034; OR=2.516; 95% CI=1.015-6.238; p=0.043). Blood pressure is associated with dementia in the elderly (OR=3.000; 95% CI=1.288-6.988; p=0.010). The average consumption of vitamin B6, B12 and folic acid in the normal group was higher than the dementia group, with a difference of 0.16 ± 0.04 mg, 0.54 ± 0.05 mcg and 65.89 ± 4.95 respectively mcgConclusionABSTRAKLatar Belakang: Demensia merupakan penyakit multifaktorial karena pengaruh genetik dan lingkungan. Minimnya asupan vitamin B6, B12, asam folat dan tekanan darah menjadi salah satu faktor lingkungan yang menyebabkan demensia.Tujuan:  Tujuan penelitian ini adalah menganalisis hubungan antara kecukupan vitamin B6, B12, asam folat dan tekanan darah dengan demensia pada lanjut usiaMetode: Penelitian ini berupa penelitian cross sectional, yang dilakukan di Kabupaten Tulungagung. Teknik sampling dengan cluster random sampling dan besar sampel 100 lansia dari 7 posyandu lansia di Kabupaten Tulungagung, dengan variabel bebas berupa kecukupan vitamin B6, B12, asam folat dan tekanan darah, sedangkan variabel terikatnya adalah demensia. Data dianalisis dengan uji chi squareHasil: Responden penelitian ini umumnya berusia 60-74 tahun (70,0 %), wanita (48,0 %), berpendidikan terakhir SD/SMP (60,0 %) dan tidak bekerja (69,0 %). Kebanyakan responden memiliki kecukupan vitamin B6, B12 dan asam folat dalam kategori kurang, dengan persentase masing-masing  57,0 %, 54 % dan 64 %. Ditemukan hubungan antara kecukupan vitamin B6, B12 dan asam folat dengan demensia pada lanjut usia (OR=2,302, 95% CI=1,011-5,241, p=0,045; OR=2,397, 95% CI=1,060-5,422, p=0,034; OR=2,516,95% CI=1,015-6,238, p=0,043). Tekanan darah berhubungan dengan demensia pada lanjut usia (OR=3,000,95% CI=1,288-6,988,p=0,010). Rata-rata konsumsi vitamin B6, B12 dan asam folat kelompok normal lebih tinggi dibandingkan kelompok demensia, dengan selisih masing-masing sebesar 0,16±0,04 mg, 0,54±0,05 mcg dan 65,89 ±4,95 mcg.Kesimpulan: Terdapat hubungan antara kecukupan vitamin B6, B12, asam folat dan tekanan darah dengan demensia pada lanjut usia. 

scholarly journals Transient Ischemic Stroke due to Hyperhomocysteinemia: A Rare Case Report

2016 ◽  
Vol 02 (01) ◽  
pp. 028-029
Author(s):  
Ashok Jagtap ◽  
Ankit Gupta ◽  
Prakhar Mohniya ◽  
Priyanka Karande
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Folic Acid ◽  
Case Report ◽  
Amino Acid ◽  
Vitamin B6 ◽  
Rare Case ◽  
Vascular Diseases ◽  
Rare Case Report ◽  
Sulfur Containing

Abstract Introduction: Cerebrovascular disease in childhood is relatively rare. Recently, there has been much interest in homocysteine, a sulfur-containing amino acid, as an important risk factor for vascular diseases including stroke. We report the case of a 13-year-old girl presented with ischemic stroke due to hyperhomocysteinemia. Case report: This case report describes a 13-year-old girl with repeated episodes of hemiplegia due to hyperhomocysteinemia. Conclusion: There are strong clues in favor of a causal relationship between hyperhomocysteinemia and athero-trombotic diseases. Homocysteine levels can be lowered effectively by a combination therapy of folic acid, vitamin B12, and vitamin B6.

scholarly journals Socioeconomic Status Impact on Diet Quality and Body Mass Index in Eight Latin American Countries: ELANS Study Results

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2404
Author(s):  
Georgina Gómez ◽  
Irina Kovalskys ◽  
Ana Leme ◽  
Dayana Quesada ◽  
Attilio Rigotti ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Socioeconomic Status ◽  
Body Mass ◽  
Latin American ◽  
Diet Quality ◽  
Dietary Diversity ◽  
Quality Level ◽  
Low Ses ◽  
Study Results ◽  
The Impact

Poor health and diet quality are associated with living within a low socioeconomic status (SES). This study aimed to investigate the impact of SES on diet quality and body mass index in Latin America. Data from the “Latin American Health and Nutrition Study (ELANS)”, a multi-country, population-based study of 9218 participants, were used. Dietary intake was collected through two 24 h recalls from participants of Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru and Venezuela. Diet quality was assessed using the dietary quality score (DQS), the dietary diversity score (DDS) and the nutrients adequacy ratio (NAR). Chi-squared and multivariate-variance analyses were used to estimate possible associations. We found that participants from the low SES consumed less fruits, vegetables, whole grains, fiber and fish and seafood and more legumes than those in the high SES. Also, the diet quality level, assessed by DQS, DDS and NAR mean, increased with SES. Women in the low SES also showed a larger prevalence of abdominal obesity and excess weight than those in the middle and high SES. Health policies and behavioral-change strategies should be addressed to reduce the impact of socioeconomic factors on diet quality and body weight, with gender as an additional level of vulnerability.

scholarly journals The nutritional status of the elderly patient infected with COVID-19: the forgotten risk factor?

2021 ◽  
pp. 1-9
Author(s):  
Jessica Abadía Otero ◽  
Laisa Socorro Briongos Figuero ◽  
Miriam Gabella Mattín ◽  
Iciar Usategui Martín ◽  
Pablo Cubero Morais ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Risk Factor ◽  
Nutritional Status ◽  
The Elderly

Nutritional status in the elderly with fragility syndrome

2021 ◽  
pp. 15-20
Author(s):  
Ana Popescu ◽  
◽  
Gabriela Soric ◽  
Felicia Lupascu-Volentir ◽  
Anatolie Negara ◽  
...  
Keyword(s):  
Risk Factors ◽  
Weight Loss ◽  
Risk Factor ◽  
Nutritional Status ◽  
Elderly Population ◽  
The Elderly ◽  
Geriatric Syndrome ◽  
Physical Status ◽  
Loss Of Autonomy ◽  
The Impact

During the twentieth century life expectancy has increased significantly and it was estimated that by 2030, 21% of the world’s population will be >65 years. According to observations, fragility syndrome and nutritional status problems are very common among the elderly population, especially in old age. Fragility syndrome has a multifactorial origin and is a fundamental risk factor for deteriorating health and the installation of disability in the elderly. The purpose of the study was to establish the interrelationship of nutritional status with fragility syndrome and the impact on the functionality of the elderly. The information was searched in the PubMed, Hinari, Cochrane, Elsevier, Springer databases, including the offi cial pages of the European Geriatric Society, European Society for Clinical Nutrition and Metabolism, to identify scientifi c journals dedicated to nutrition in the elderly with fragility syndrome. Studies published in the period 2010-2020, in romanian and english, were selected. Th e specialized literature, scientifi c journals, clinical studies were researched, from which the most relevant 34 were selected. Elderly malnutrition is currently a global problem, its prevalence in people is 10-40%. Th e diagnosis of malnutrition aims to identify it and elucidate the causes. Weight loss is a criterion of the development of fragility, and nutrition-focused interventions can prevent the progression of fragility syndrome and loss of autonomy with the onset of dependence. Fragility is a geriatric syndrome that aff ects several areas of physical status, and malnutrition is one of the risk factors for this syndrome.

Vitamin Status of Elderly People in Germany

1999 ◽  
Vol 69 (3) ◽  
pp. 154-159 ◽  
Author(s):  
Volkert ◽  
Stehle
Keyword(s):  
Nutritional Status ◽  
Elderly Population ◽  
The Elderly ◽  
Old People ◽  
Younger Adults ◽  
Blood Concentrations ◽  
Vitamin Status ◽  
Gastrointestinal Problems ◽  
Chronic Drug Use ◽  
Lower Vitamin

In the last decade several attempts (Nationale Verzehrsstudie, NVS; Verbundstudie Ernährungserhebung und Risikofaktoren-Analytik, VERA; Bethanien-Ernährungsstudie, BEST) have been made to assess the nutritional status of the elderly in Germany. A careful evaluation of those data describing the vitamin status clearly indicate that healthy older people are not at higher risk for vitamin deficiency compared to younger adults. The results of the NVS showed that, except for folic acid, mean intake of all vitamins exceeded 80% of the current recommendations. Only 5% of blood vitamin concentrations analyzed in a subpopulation (VERA-Study) were founded to be below the physiological range. Only the incidence of low cobalamin values increased with age, presumably due to gastrointestinal problems (atrophic gastritis). In contrast, geriatric patients showed markedly lower vitamin blood concentrations compared to healthy subjects of the same age (BEST-Study). This might be explained by physical and mental deterioration, handicaps, chronic diseases and multiple chronic drug use. Underrepresentation of very old people, lack of reliable reference values for biomarkers and uncertainties in data collection may have contributed to misinterpretations. Representative studies are needed to objectively assess the nutritional status of the elderly population in Germany.

scholarly journals The economic burden of health disparities related to socioeconomic status in Israel

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Eran Politzer ◽  
Amir Shmueli ◽  
Shlomit Avni
Keyword(s):  
Socioeconomic Status ◽  
Health Disparities ◽  
Health Outcomes ◽  
Health Inequalities ◽  
Low Income ◽  
Health Care Expenditures ◽  
Low Ses ◽  
Disability Benefits ◽  
Excess Morbidity ◽  
Product Loss

Abstract Background Low socioeconomic status (SES) is often associated with excess morbidity and premature mortality. Such health disparities claim a steep economic cost: Possibly-preventable poor health outcomes harm societal welfare, impair the domestic product, and increase health care expenditures. We estimate the economic costs of health inequalities associated with socioeconomic status in Israel. Methods The monetary cost of health inequalities is estimated relative to a counterfactual with a more equal outcome, in which the submedian SES group achieves the average health outcome of the above-median group. We use three SES measures: the socioeceonmic ranking of localities, individuals’ income, and individuals’ education level. We examine costs related to the often-worse health outcomes in submedian SES groups, mainly: The welfare and product loss from excess mortality, the product loss from excess morbidity among workers and working-age adults, the costs of excess medical care provided, and the excess government expenditure on disability benefits. We use data from the Central Bureau of Statistics’ (CBS) surveys and socio-health profile of localities, from the National Insurance Institute, from the Ministry of Health, and from the Israel Tax Authority. All costs are adjusted to 2014 terms. Results The annual welfare loss due to higher mortality in socioeconomically submedian localities is estimated at about 1.1–3.1 billion USD. Excess absenteeism and joblessness occasioned by illness among low-income and poorly educated workers are associated with 1.4 billion USD in lost product every year. Low SES is associated with overuse of inpatient care and underuse of community care, with a net annual cost of about 80 million USD a year. The government bears additional cost of 450 million USD a year, mainly due to extra outlays for disability benefits. We estimate the total cost of the estimated health disparities at a sum equal to 0.7–1.6% of Israel’s GDP. Conclusions Our estimates underline the substantial economic impact of SES-related health disparities in Israel. The descriptive evidence presented in this paper highlights possible benefits to the economy from policies that will improve health outcomes of low SES groups.

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