scholarly journals Association of the Healthy Eating Index with Metabolic Abnormalities among Middle-Aged Adults Living in Single-Person Households in Korea

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3937
Author(s):  
Yun-Jung Bae ◽  
Kwang-Won Yu ◽  
Kyung-Haeng Lee ◽  
Keum-Il Jang
Keyword(s):  
Healthy Eating ◽  
The Elderly ◽  
Healthy Eating Index ◽  
Living Alone ◽  
Older Individuals ◽  
Middle Aged ◽  
Health And Nutrition ◽  
Recall Data ◽  
Single Person ◽  
Middle Aged Adults

This study aimed to analyze the association between the dietary lifestyles and health outcomes among middle-aged (40–64 years old) and elderly (65 years old and older) individuals living alone using the Korean Healthy Eating Index (KHEI). The study was conducted with 1442 participants (475 men and 967 women) aged 40 years and older living in single-person households using the Korea National Health and Nutrition Examination Survey from 2016 to 2018. The KHEI scores were calculated based on the 24-h recall data of dietary intake. Among women living alone, the total KHEI score of the participants aged 40–64 years was 65.92, which was significantly lower than the 70.66 of those aged 65 years and older (p = 0.0152). In addition, the total score in the adequacy domain was significantly lower among the 40~64-year-old group than those aged 65 years and older (p = 0.0011). Among the elderly in single-person households, the odds of diabetes in the T1 group were 2.08 times higher than those in the T3 group according to the KHEI (95% confidence interval: 1.36–3.17). The results of this study are expected to be used as baseline data to establish nutrition, home meal replacement utilization, and health policies for the elderly living alone.

scholarly journals Association between healthy eating index-2015 and cognitive function among the United States elderly adults: the National Health and Nutrition Examination Survey (NHANES) 2011–2012

2021 ◽  
Author(s):  
Yameng Fan ◽  
Yinyin Zhang ◽  
Jiaqiao Li ◽  
Yamei Liu ◽  
Huan Chang ◽  
...  
Keyword(s):  
United States ◽  
Cognitive Function ◽  
Healthy Eating ◽  
The Elderly ◽  
The United States ◽  
Healthy Eating Index ◽  
Nutrition Examination Survey ◽  
Elderly Adults ◽  
Health And Nutrition ◽  
Global Cognition

Abstract BackgroundDiet quality plays an important role in the development of age-related chronic diseases. However, the association between dietary quality assessed by Healthy Eating Index (HEI)-2015 and cognitive function among the United States (US) elderly adults remains unclear. The present study aims to explore the association between HEI-2015 and cognitive function in elderly adults using data from National Health and Nutrition Examination Survey (NHANES) 2011-2012. MethodsHEI-2015 scores were calculated from two days 24-hour recall interviews. The cognitive function was evaluated by Digit Symbol Substitution Test (DSST), Animal Fluency Test (AFT) and a global cognition level derived by summing the z scores of individual tests. The associations between HEI-2015 and cognitive function were explored using multiple linear regression and binary logistic regression models. ResultsA total of 1278 participants aged 60 years or older were included. Compared to the lowest HEI-2015 tertile, the elderly adults in highest tertile had a higher global cognition, DSST and AFT scores (P＜0.05); with the lowest quartile of global cognition as cognitive impairment, those who were in the highest HEI-2015 tertile had 38% lower odds of cognitive impairment (OR: 0.62; 95%CI: 0.42-0.91). Among HEI-2015 components, the elderly adults adhering to recommended intake of whole grains and whole fruits components were more likely to have better performance on global cognition (P＜0.05). ConclusionThe higher HEI-2015 was positively associated the better cognitive performance on the global cognition, DSST, and AFT in the US elderly adults.

Higher diet quality is associated with higher diet costs when eating at home and away from home: National Health and Nutrition Examination Survey, 2005-2016

2021 ◽  
pp. 1-29
Author(s):  
Zach Conrad ◽  
Sarah Reinhardt ◽  
Rebecca Boehm ◽  
Acree McDowell
Keyword(s):  
Healthy Eating ◽  
National Health ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Food Prices ◽  
Nutrition Examination Survey ◽  
Food Away From Home ◽  
Health And Nutrition ◽  
Food Consumed ◽  
At Home

Abstract Objectives: To evaluate the association between diet quality and cost for foods purchased for consumption at home and away from home. Design: Cross-sectional analysis. Multivariable linear regression models evaluated the association between diet quality and cost for all food, food at home, and food away from home. Setting: Daily food intake data from the National Health and Nutrition Examination Survey (2005-2016). Food prices were derived using data from multiple, publicly available databases. Diet quality was assessed using the Healthy Eating Index-2015 and the Alternative Healthy Eating Index-2010. Participants: 30,564 individuals ≥20 y with complete and reliable dietary data. Results: Mean per capita daily diet cost was $14.19 (95% CI: $13.91-14.48), including $6.92 ($6.73-7.10) for food consumed at home and $7.28 ($7.05-7.50) for food consumed away from home. Diet quality was higher for food at home compared to food away from home (P<0.001). Higher diet quality was associated with higher food costs overall, at home, and away from home (P<0.001 for all comparisons). Conclusions: These findings demonstrate that higher diet quality is associated with higher costs for all food, food consumed at home, and food consumed away from home. This research provides policymakers, public health professionals, and clinicians with information needed to support healthy eating habits. These findings are particularly relevant to contemporary health and economic concerns that have worsened because of the COVID-19 pandemic.

Educational Differences in Self-Rated Health Trends Among Middle-Aged and Older Adults Living Alone, 1972–2018

2022 ◽  
pp. 089826432110527
Author(s):  
Esther O. Lamidi
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Living Alone ◽  
Middle Aged ◽  
Older Americans ◽  
Health Trends ◽  
Self Rated Health ◽  
Educational Differences ◽  
Middle Aged Adults

Objectives: This study examines educational differences in living alone and in self-rated health trends among middle-aged and older adults. Methods: We used logistic regression to analyze data from the 1972–2018 National Health Interview Survey ( n = 795,239 aged 40–64; n = 357,974 aged 65–84). Results: Between 1972–1974 and 2015–2018, living alone became more prevalent, particularly among men and at lower levels of education. Self-rated health trends varied by living arrangement and education. We found self-rated health declines among middle-aged adults having no college degree and living alone, but trends in self-rated health were mostly stable or even improved among middle-aged adults living with others. Among older adults, self-rated health improved over time, but for the least-educated older Americans living alone, the probability of reporting fair or poor health increased between 1972–1974 and 2015–2018. Discussion: The findings suggest growing disparities by social class, in living arrangements and in self-rated health.

scholarly journals The Influence of the Interface Button Design of Touch Screens on Operation and Interpretation by Elderly and Middle-Aged Adults

Designs ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 35
Author(s):  
Yeh Po-Chan
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
Middle Aged ◽  
Aged People ◽  
Display Position ◽  
Ideal Image ◽  
Self Testing ◽  
Middle Aged Adults ◽  
Good Interpretation ◽  
The Ideal

Body function begins to decline in middle age, with changes becoming increasingly noticeable over time. With the popularization of educational and information technology, people know more about healthcare and are becoming accustomed to self-testing using health equipment. Technological changes are reflected in products, which present innovations including the switch from traditional to touch-controlled interface designs. This can cause difficulties in the interpretation and interface operation for older adults, who may be facing physiological and psychological alterations. Understanding users’ physiological limitations has become an important aspect of product design. This study explored the effects of physiological limitations on touch-screen operation in middle-aged and elderly people, specifically regarding button type, display position, and button size. A total of 64 participants were included in the study: 32 middle-aged people (aged 45–64 years) and 32 elderly people (65 years of age and older). Each participant was asked to complete 32 tasks (two button categories × four button sizes × four presentation positions). The results revealed no differences between the elderly and the middle-aged groups with regard to the interpretation of image buttons and text buttons; however, button size affected the operation and interpretation time. Middle-aged participants demonstrated good interpretation performance when the buttons were displayed in the upper or lower part of the screen, whereas elderly participants only had a good interpretation performance when the buttons were in the upper part. For both groups, the ideal image button size was 16 mm with a text font size of 22.

Prevalence and associated socioeconomic factors of multimorbidity in 10 regions of China: an analysis of 0.5 million adults

2020 ◽  
Author(s):  
Siyu Zou ◽  
Zhicheng Wang ◽  
Maria Bhura ◽  
Guoting Zhang ◽  
Kun Tang
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Absolute Number ◽  
Health Concern ◽  
Multiple Chronic Conditions ◽  
Middle Aged ◽  
Multivariable Logistic Regression Model ◽  
Lower Socioeconomic ◽  
Elderly Males ◽  
Middle Aged Adults

Abstract Background The epidemiology of multiple chronic conditions in China is poorly understood. We investigated the prevalence of multimorbidity among the middle-aged and elderly population in China and analyzed its demographic and socioeconomic correlates. Methods Data were obtained from the baseline of the China Kadoorie Biobank Study, which recruited over 0.5 million participants between 2004 and 2008. We calculated the prevalence by the characteristics of multimorbidity. The demographic and socioeconomic correlates were analyzed using a multivariable logistic regression model. Results 15.9% of the participants were multimorbid. Although the prevalence of multimorbidity increased with age, the absolute number of people with multimorbidity was much higher among middle-aged adults (30–60 years, n = 42 041) than the elderly group (&gt;60 years, n = 38 834). The odd of multimorbidity was higher in males (aOR =1.09, 95% CI: 1.07–1.11) and among those who were unemployed (aOR = 1.58, 95% CI: 1.55–1.62). Those who received the highest level of education were most likely to be multimorbid compared with those with no education (aOR = 1.14, 95% CI: 1.09–1.19). Such an association was similar when treating multimorbidity as multinomial variable. Conclusions Multimorbidity is a public health concern, with higher prevalence among the elderly, males and those who belong to a lower socioeconomic stratum. Actions are needed to curb multimorbidity epidemic in China.

scholarly journals Cumulative social disadvantage and hospitalisations due to ambulatory care-sensitive conditions in Finland in 2011─2013: a register study

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e038338
Author(s):  
Sonja Lumme ◽  
Kristiina Manderbacka ◽  
Martti Arffman ◽  
Sakari Karvonen ◽  
Ilmo Keskimaki
Keyword(s):  
Ambulatory Care ◽  
The Elderly ◽  
Social Disadvantage ◽  
Living Alone ◽  
Register Study ◽  
Ambulatory Care Sensitive Conditions ◽  
Middle Aged ◽  
Level Of Education ◽  
Low Level ◽  
Ambulatory Care Sensitive

ObjectivesTo study the interplay between several indicators of social disadvantage and hospitalisations due to ambulatory care-sensitive conditions (ACSC) in 2011─2013. To evaluate whether the accumulation of preceding social disadvantage in one point of time or prolongation of social disadvantage had an effect on hospitalisations due to ACSCs. Four common indicators of disadvantage are examined: living alone, low level of education, poverty and unemployment.DesignA population-based register study.SettingNationwide individual-level register data on hospitalisations due to ACSCs for the years 2011–2013 and preceding data on social and socioeconomic factors for the years 2006─2010.ParticipantsFinnish residents aged 45 or older on 1 January 2011.Outcome measureHospitalisations due to ACSCs in 2011–2013. The effect of accumulation of preceding disadvantage in one point of time and its prolongation on ACSCs was studied using modified Poisson regression.ResultsPeople with preceding cumulative social disadvantage were more likely to be hospitalised due to ACSCs. The most hazardous combination was simultaneously living alone, low level of education and poverty among the middle-aged individuals (aged 45–64 years) and the elderly (over 64 years). Risk ratio (RR) of being hospitalised due to ACSC was 3.16 (95% CI 3.03–3.29) among middle-aged men and 3.54 (3.36–3.73) among middle-aged women compared with individuals without any of these risk factors when controlling for age and residential area. For the elderly, the RR was 1.61 (1.57–1.66) among men and 1.69 (1.64–1.74) among women.ConclusionsTo improve social equity in healthcare, it is important to recognise not only patients with cumulative disadvantage but also—as this study shows—patients with particular combinations of disadvantage who may be more susceptible. The identification of these vulnerable patient groups is also necessary to reduce the use of more expensive treatment in specialised healthcare.

Incidence and mortality trends for four major cancers in the elderly and middle-aged adults: An international comparison

2013 ◽  
Vol 22 (2) ◽  
pp. e31-e38 ◽  
Author(s):  
Alberto Quaglia ◽  
Roberto Lillini ◽  
Emanuele Crocetti ◽  
Carlotta Buzzoni ◽  
Marina Vercelli
Keyword(s):  
International Comparison ◽  
The Elderly ◽  
Middle Aged ◽  
Mortality Trends ◽  
Incidence And Mortality ◽  
Middle Aged Adults
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