scholarly journals Lifestyle Intervention Development Study to Improve Physical Function in Older Adults With Cancer: Outcomes From Project LEAD

2006 ◽  
Vol 24 (21) ◽  
pp. 3465-3473 ◽  
Author(s):  
Wendy Demark-Wahnefried ◽  
Elizabeth C. Clipp ◽  
Miriam C. Morey ◽  
Carl F. Pieper ◽  
Richard Sloane ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Diet Quality ◽  
Quality Index ◽  
Intervention Development ◽  
Lifestyle Behaviors ◽  
Development Study ◽  
Diet Quality Index ◽  
Home Based ◽  
Diet And Exercise

Purpose Declines in physical functioning (PF) among elderly cancer patients threaten quality of life and the ability to maintain independence. Adherence to healthy lifestyle behaviors may prevent functional decline. Patients and Methods Project Leading the Way in Exercise and Diet (LEAD), an intervention development study of the Pepper Older Americans Independence Center, aimed to determine whether breast and prostate cancer survivors (age 65+ years) assigned to a 6-month home-based diet and exercise intervention experienced improvements in PF when compared with an attention control arm receiving general health information. An accrual target was set at 420, and PF (Short Form-36 subscale), physical activity (Community Healthy Activities Models Program for Seniors), and diet quality (index from 3-day recalls) were assessed at baseline and at 6 and 12 months (6 months after intervention). Results This developmental project did not achieve its accrual target (N = 182); however, PF change scores were in the direction and of the magnitude projected. Baseline to 6-month change scores in the intervention versus the control arms were as follows: PF, +3.1 v −0.5 (P = .23); physical activity energy expenditure, +111 kcal/wk v −400 kcal/wk (P = .13); and diet quality index, +2.2 v −2.9 (P = .003), respectively. Differences between arms diminished during the postintervention period. Conclusion These findings suggest that home-based diet and exercise interventions hold promise in improving lifestyle behaviors among older cancer survivors, changes that trend toward improved PF. Future studies should incorporate larger sample sizes and interventions that sustain long-term effects and also take into account secular trends; these efforts will require adequate planning and resources to overcome the numerous barriers to intervening in this difficult to reach yet vulnerable population.

scholarly journals KUALITAS DIET DAN DAYA TAHAN (ENDURANCE) ATLET BULUTANGKIS REMAJA DI KOTA SEMARANG

2019 ◽  
Vol 8 (1) ◽  
pp. 29
Author(s):  
Mailina Prima Sahara ◽  
Nurmasari Widyastuti ◽  
Aryu Candra
Keyword(s):  
Physical Activity ◽  
Diet Quality ◽  
Food Frequency Questionnaire ◽  
Quality Index ◽  
Cross Sectional ◽  
Food Frequency ◽  
Fitness Test ◽  
Diet Quality Index ◽  
Kolmogorov Smirnov

Latar Belakang: Prestasi olahraga bulutangkis cenderung menurun beberapa tahun terakhir. Salah satu faktor yang mempengaruhi prestasi adalah daya tahan (endurance). Kualitas diet akan mempengaruhi daya tahan (endurance) sehingga seseorang dapat melakukan pekerjaan secara efektif dan efisien dalam waktu yang lama tanpa menimbulkan kelelahan yang berlebihan. Tujuan: Mengetahui hubungan antara kualitas diet dan daya tahan atlet bulutangkis remaja di Kota SemarangMetode: Penelitian ini merupakan penelitian cross sectional. Subjek adalah 60 atlet bulutangkis usia 12-18 tahun. Variabel perancu adalah aktivitas fisik dan persen lemak tubuh subjek. Pengukuran daya tahan dengan metode Multistage Fitness Test (MFT). Data yang dikumpulkan yaitu kebiasaan makan yang diambil menggunakan Semi Quantitative Food Frequency Questionnaire (SQFFQ) dan data aktivitas fisik menggunakan Physical Activity Quistionnaires for Adolescent (PAQ-A). Kualitas diet dinilai menggunakan kuisioner Diet Quality Index International (DQI-I). Data antropometri meliputi tinggi badan, berat badan, dan persen lemak tubuh. Uji kenormalan data dengan uji Kolmogorov-Smirnov dan  analisis data dengan uji korelasi Rank Spearman.Hasil: Terdapat 1,7% subjek yang memiliki kualitas diet baik. Sebagian besar atlet memiliki daya tahan yang cukup (35%). Persen lemak tubuh subjek sebagian besar tergolong optimal (61,7%). Tidak terdapat hubungan antara kualitas diet dan daya tahan (endurance) (r = 0,122, p=0,353). Tidak terdapat hubungan antara aktivitas fisik dan daya tahan (endurance) (r = 0,209, p= 0,109). Ada hubungan antara persen lemak tubuh dan daya tahan (endurance) ( r = -0,480, p=0,0001). Simpulan: Kualitas diet yang baik akan meningkatkan daya tahan (endurance), namun bersifat lemah dan secara statistik tidak berhubungan. Persen lemak tubuh yang optimal berkontribusi penting dalam menjaga daya tahan (endurance) atlet. Faktor perancu aktivitas fisik tidak mempengaruhi daya tahan (endurance).

scholarly journals PERBEDAAN STATUS GIZI DAN KUALITAS ASUPAN MAKANAN PADA LANSIA YANG MENGIKUTI DAN TIDAK MENGIKUTI PROLANIS

2019 ◽  
Vol 8 (3) ◽  
pp. 178-186
Author(s):  
Rosiana Dwi Astiti ◽  
Ani Margawati ◽  
Ayu Rahadiyanti ◽  
A Fahmy Arif Tsani
Keyword(s):  
Physical Activity ◽  
Diet Quality ◽  
Quality Index ◽  
International Physical Activity Questionnaire ◽  
T Test ◽  
Cross Sectional ◽  
Physical Activity Questionnaire ◽  
Diet Quality Index ◽  
Activity Questionnaire

Latar Belakang: Populasi lansia terus mengalami peningkatan. Peningkatan ini harus diikuti dengan perbaikan fasilitas kesehatan sehingga derajat kesehatan dan kualitas asupan makanan lansia meningkat. Salah satu strategi yang dilaksanakan pemerintah yaitu Program Pengelolaan Penyakit Kronis (Prolanis). Penelitian ini bertujuan untuk mengetahui perbedaan status gizi dan kualitas asupan makanan pada lansia yang mengikuti dan tidak mengikuti prolanis.Metode: Penelitian ini merupakan studi cross sectional. Subjek merupakan lansia yang mengikuti dan tidak mengikuti prolanis. Data meliputi karakteristik subjek, tingkat pendapatan, status gizi berdasarkan Indeks Massa Tubuh (IMT), kualitas asupan makanan menggunakan formulir Diet Quality Index-International (DQI-I), dan aktivitas fisik dengan metode International Physical Activity Questionnaire (IPAQ). Analisis data menggunakan uji independent t-test dan Mann-Whitney.Hasil: Rerata skor kualitas asupan makanan subjek yaitu 48,5±6,7 yang tergolong rendah. Rerata status gizi subjek yaitu 24,5±4,2 kg/m2. Kualitas asupan makanan subjek yang mengikuti prolanis (49,0±7,5) lebih tinggi dibandingkan subjek yang tidak mengikuti prolanis (47,6±6,1). Hasil uji beda menunjukkan terdapat perbedaan pada status gizi antara subjek yang mengikuti dan tidak mengikuti prolanis (p=0,029), tetapi tidak terdapat perbedaan pada kualitas asupan makanan (p=0,538).Simpulan: Ada perbedaan signifikan status gizi berdasarkan keikutsertaan prolanis (p=0,029). Tidak ada perbedaan signifikan kualitas asupan makanan berdasarkan keikutsertaan prolanis (p=0,538).

Healthy lifestyle challenges among older female cancer survivors.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 156-156
Author(s):  
Jessica L. Krok-Schoen ◽  
Janell Pisegna ◽  
Elizabeth Arthur ◽  
Emily Ridgway ◽  
Christian Stephens ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Lifestyle Behaviors ◽  
Healthy Weight ◽  
Mental Hrqol ◽  
Diet History Questionnaire ◽  
Diet History ◽  
Female Cancer Survivors

156 Background: Healthy lifestyles including consuming a healthy diet, being physically active, and maintaining a normal weight can improve prognosis and health-related quality of life (HRQoL) among cancer survivors. The largest proportion of cancer survivors are older adults (≥65 years), yet their lifestyle behaviors are understudied. This study examined the lifestyle behaviors (diet quality, physical activity, maintaining healthy weight) of older female cancer survivors and associations with HRQoL. Methods: Women aged 65 years or older, with all cancer subtypes and stages, who had completed primary cancer treatment (i.e., chemotherapy, surgery, radiation) within the past five years, were eligible to participate. Older female cancer survivors (n = 171) completed one-time surveys to assess HRQoL (RAND-36), unintentional weight loss, body mass index (BMI), diet quality (Diet History Questionnaire II), and physical activity. Demographic information and medical record data were also collected. Diet History Questionnaire II results were converted to Healthy Eating Index (HEI)-2015 scores. Descriptive analyses, correlations, and stepwise linear regressions were utilized. Results: The majority of the sample (median age = 74.50±8.43 years) were white (90%), married (54.7%), breast cancer survivors (67.7%), and completed at least a bachelor’s degree (54.7%). Physical and mental HRQoL of the sample were low; 41.94±10.50 and 48.47±7.18, respectively, out of 100. Physical activity was low; 75.3%, 54.2%, and 68.1% reported no strenuous, moderate, and mild physical activity, respectively. Mean BMI was 27.71±6.24 (overweight), with 64% of the participants being overweight or obese. Mean HEI-2015 scores were 66.54+10.0 out of 100 and below the cutoff score of 80, which represents a “good diet”. Participating in moderate physical activity was associated with higher physical HRQoL (β = 0.42, p = 0.004). Being older (β = 0.27, p = 0.025), white (β = 0.53, p < 0.001), and having higher HEI scores (β = 0.30, p = 0.011) was associated with higher mental HRQoL. Conclusions: Older female cancer survivors reported lifestyle challenges including poor diet quality, low levels of physical activity, and high rates of being overweight or obese, which were associated with HRQoL. Results indicate the need for tailored health interventions for older female cancer survivors regarding their lifestyle behaviors to improve prognosis and HRQoL.

scholarly journals Diet Quality Index and Health Behavior Index Generated from a Food Liking Survey Explains Variability in Cardiometabolic Factors in Young Adults (P08-027-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Bruce Blanchard ◽  
Jeanne McCaffery ◽  
Stephen Woolley ◽  
Lauren Corso ◽  
Valerie Duffy
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Health Behavior ◽  
Diet Quality ◽  
Quality Index ◽  
Cardiometabolic Health ◽  
Diet Quality Index ◽  
Patient Status ◽  
Food Liking ◽  
Behavior Index

Abstract Objectives To test the relationship of diet quality and health behavior indexes derived from a validated food liking survey with cardiometabolic health in a convenience sample of non-diabetic patients with diagnosed depression from a psychiatric facility and age-gender matched students from a University setting. Methods One hundred six patients and 106 controls (62% female, mean age = 21) completed a 100-item liking survey comprised of foods, beverages, and physical and sedentary activities. Nutritional items were conceptually grouped, weighted and averaged into a Diet Quality Index (DQI). A Healthy Behavior Index (HBI) was the average of the weighted nutritional and physical activity groups. Higher indexes reflected healthier behaviors. Multiple linear regression was used to relate DQI and HBI with blood pressure and fasting insulin, glucose and serum lipids. BMI, biologic sex and patient status were included as covariates. Some serum markers required transformation to approach normal distribution. Results From BMI, 4% were underweight, 57% normal, 25% overweight, and 14% obese. The liking survey took minutes for participants to complete and little processing to generate the indexes. The DQI and HBI were internally reliable (α = 0.68–0.69), reflected greater than one dimension (principal component analysis), and were normally distributed. Higher DQI scores were significantly related to higher HDL (standardized β = 0.16, P = 0.019) and lower glucose (β = –0.19, P = 0.005), insulin (β = –0.18, P = 0.005) and diastolic blood pressure (β = –0.32, P < 0.001). Adding physical activity, HBI also was related to glucose (β = –0.19, P = 0.008), triglycerides (β =–0.14, P = 0.04) and insulin (β = –0.18, P = 0.006). Patient status was not a significant independent contributor in the models. Conclusions A simple liking survey can produce reliable and valid indexes of diet quality and health behaviors that significantly associated with multiple cardiometabolic risk factors. Funding Sources USDA NIFA, Hatch project.

scholarly journals Lifestyle Challenges Among Older Female Cancer Survivors

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 479-479
Author(s):  
Jessica Krok-Schoen ◽  
Janell Pisegna ◽  
Elizabeth Arthur ◽  
Emily Ridgway ◽  
Ashley Rosko
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Diet Quality ◽  
Breast Cancer Survivors ◽  
Healthy Lifestyle ◽  
Lifestyle Behaviors ◽  
Healthy Weight ◽  
Cancer Society ◽  
Sample Mean ◽  
Female Cancer Survivors

Abstract The American Cancer Society recommends that survivors maintain a healthy lifestyle including a normal weight, being physically active, and maintaining a healthy diet to improve prognosis and health-related quality of life (HRQoL). Unfortunately, the majority of cancer survivors do not engage in a healthy lifestyle. The largest proportion of cancer survivors are older adults (≥65 years), yet they are often understudied, particularly regarding healthy lifestyles. This study sought to examine the lifestyle behaviors (maintaining healthy weight, dietary intake, physical activity) of older female cancer survivors and to identify associations with HRQoL. Older female cancer survivors (n=170) completed surveys to assess HRQoL (RAND-36), diet quality (HEI-2015), physical activity, malnutrition, and BMI. Descriptive analyses, correlations, and stepwise linear regressions were utilized. The majority of the sample (mean age=74.67±8.43 years) were white (90%), married (54.4%), college-educated (63.9%), and breast cancer survivors (67.4%). Self-reported health was very good (42.6%) and good (39.6%) and general HRQoL was 59.48±15.34 out of 100. Self-reported physical activity was low; 75.3%, 54.2%, and 68.1% reported no strenuous, moderate, and mild physical activity, respectively. Mean BMI was 27.71±6.24 with 64% of the participants being overweight or obese. Mean HEI-2015 scores were 66.39±10.00, below the “good” diet quality score of 80. Risk of malnutrition was present in 27.4% of participants. Regressions found that being White (β=-0.528, p=0.001) and lower BMI (β =-0.405, p=0.024) were significant predictors of HRQoL. Results indicate the need for tailored health coaching for older cancer survivors regarding their lifestyle behaviors to improve prognosis and HRQoL.

scholarly journals Development and Application of a Total Diet Quality Index for Toddlers

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1943
Author(s):  
Melissa C. Kay ◽  
Emily W. Duffy ◽  
Lisa J. Harnack ◽  
Andrea S. Anater ◽  
Joel C. Hampton ◽  
...  
Keyword(s):  
Young Children ◽  
Diet Quality ◽  
Quality Index ◽  
National Sample ◽  
Dietary Guidelines ◽  
Dietary Quality ◽  
Measurement Tool ◽  
Infants And Toddlers ◽  
Dietary Recall ◽  
Diet Quality Index

For the first time, the 2020–2025 Dietary Guidelines for Americans include recommendations for infants and toddlers under 2 years old. We aimed to create a diet quality index based on a scoring system for ages 12 to 23.9 months, the Toddler Diet Quality Index (DQI), and evaluate its construct validity using 24 h dietary recall data collected from a national sample of children from the Feeding Infants and Toddlers Study (FITS) 2016. The mean (standard error) Toddler DQI was 49 (0.6) out of 100 possible points, indicating room for improvement. Toddlers under-consumed seafood, greens and beans, and plant proteins and over-consumed refined grains and added sugars. Toddler DQI scores were higher among children who were ever breastfed, lived in households with higher incomes, and who were Hispanic. The Toddler DQI performed as expected and offers a measurement tool to assess the dietary quality of young children in accordance with federal nutrition guidelines. This is important for providing guidance that can be used to inform public health nutrition policies, programs, and practices to improve diets of young children.

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