scholarly journals An Ultra-Processed Food Dietary Pattern Is Associated with Lower Diet Quality in Portuguese Adults and the Elderly: The UPPER Project

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4119
Author(s):  
Milena Miranda de Moraes ◽  
Bruno Oliveira ◽  
Cláudia Afonso ◽  
Cristina Santos ◽  
Duarte Torres ◽  
...  

This study aimed to identify dietary patterns (DPs) and their associations with sociodemographic factors and diet quality in Portuguese adults and the elderly. Cross-sectional data were obtained from the National Food, Nutrition and Physical Activity Survey (2015–2016), with two non-consecutive dietary 24 h recalls. Food items were classified according to the NOVA system and its proportion (in grams) in the total daily diet was considered to identify DPs by latent class analysis, using age and sex as concomitant variables. Multinomial logistic and linear regressions were performed to test associations of DPs with sociodemographic characteristics and diet quality, respectively. Three DPs were identified: “Traditional” (higher vegetables, fish, olive oil, breads, beer and wine intake), “Unhealthy” (higher pasta, sugar-sweetened beverages, confectionery and sausages intake) and “Diet concerns” (lower intake of cereals, red meat, sugar-sweetened and alcoholic beverages). “Unhealthy” was associated with being younger and lower intake of dietary fiber and vitamins and the highest free sugars and ultra-processed foods (UPF). “Diet concerns” was associated with being female and a more favorable nutrient profile, but both DPs presented a higher contribution of UPF than the “Traditional” DP. These findings should be considered for the design of food-based interventions and public policies for these age groups in Portugal.

Author(s):  
Elżbieta Biernat ◽  
Monika Piątkowska

Objective, the aim is an analysis of sociodemographic factors that had an essential relation with undertaking leisure-time physical activity—LTPA (with particular emphasis on World Health Organization (WHO) health recommendations) by adult Poles from a time-trend perspective. Methods, the paper is based on data retrieved from five large-scale surveys carried out on the representative samples of Poles aged 15–69 in 2014–2018 (n = 7347). In each wave, the Polish long version of the International Physical Activity Questionnaire was used. Results, the participation of Poles in LTPA constantly increases (p < 0.001) and the percentage of people meeting the dose of PA required for health recommendations is growing (on average, met by 43.9% of Polish men and 43.5% of women), which indicates a trend of behaviour of citizens of this country. The probability of realisation of WHO norms was determined by sex, age, place of residence and occupational status. Conclusion: it seems reasonable to develop Polish recommendations and guidelines for specific groups, including females and males, those who live in the villages and in the towns, different age groups: children/adolescents, adults (aged 50 to 59—most vulnerable to physical inactivity), the elderly, and various professional groups (especially farmers and physical workers).


2020 ◽  
pp. 1-13 ◽  
Author(s):  
Kentaro Murakami ◽  
Nana Shinozaki ◽  
M Barbara E Livingstone ◽  
Aya Fujiwara ◽  
Keiko Asakura ◽  
...  

Abstract Objective: To characterise different meal types by examining the contribution of specific meals to the total intakes and the nutritional quality of each meal. Design: A cross-sectional analysis was conducted based on dietary data collected using 4-d dietary record. Diet quality was assessed by the Healthy Eating Index-2015 and Nutrient-Rich Food Index 9.3. Setting: Japan. Participants: Adults aged 20–81 years (n 639). Results: Diet quality was, on average, highest for dinner, followed, in order, by lunch, breakfast and snacks. Breakfast, lunch, dinner and snacks, on average, accounted for 21 %, 32 %, 40 % and 11 % of total energy intake, respectively. For many nutrients, the percentage contribution to total intake did not vary within each meal, broadly in line with that for energy: 18–24 % for breakfast, 26–35 % for lunch, 35–49 % for dinner and 4–15 % for snacks. However, intakes of many foods largely depended on one meal type. The foods mainly eaten at dinner were potatoes, pulses, total vegetables, fish, meat and alcoholic beverages (52–70 %), in contrast to noodles (58 %) at lunch and bread (71 %) and dairy products (50 %) at breakfast. The foods mainly eaten at snacks were confectioneries (79 %) and sugar-sweetened beverages (52 %). Conversely, rice and eggs were more evenly distributed across three main meals (19–41 % and 30–38 %, respectively), while fruit and non-energetic beverages were more evenly distributed across all meal types (17–30 % and 19–35 %, respectively). Conclusions: These findings provide the background information on each meal type in Japanese and may help inform the development of meal-based guidelines and public health messages.


2020 ◽  
pp. 1-13
Author(s):  
Teresa Gontijo de Castro ◽  
Helen Eyles ◽  
Cliona Ni Mhurchu ◽  
Leanne Young ◽  
Sally Mackay

Abstract Objective: To assess trends in relative availability, sugar content and serve size of ready-to-drink non-alcoholic beverages available for sale in supermarkets from 2013 to 2019. Design: Repeat cross-sectional surveys. Data on single-serve beverages to be consumed in one sitting were obtained from an updated brand-specific food composition database. Trends in beverages availability and proportions with serve size ≤ 250 ml were assessed by χ2 tests. Sugar content trends were examined using linear regressions. The proportion of beverages exceeding the sugar threshold of the United Kingdom Soft Drinks Industry Levy (SDIL) was assessed. Setting: New Zealand. Results: From 2013 to 2019, there was (i) an increase in the availability of sugar-free/low-sugar beverages (n 25 (8·4 %) to n 75 (19·1 %); P < 0·001) and craft sugar-sweetened soft drinks (n 11 (3·7 %) to n 36 (9·2 %); P < 0·001), and a decrease in availability of fruit/vegetable juices/drinks (n 94 (31·8 %) to n 75 (19·4 %); P < 0·001); (ii) small decreases in sugar content (mean g/100 ml) of sugar-sweetened soft drinks (3·03; 95 % CI 3·77, 2·29); fruit/vegetable juices/drinks (1·08; 95 % CI 2·14, 0·01) and energy drinks (0·98; 95 % CI 1·63, 0·32) and (iii) slight reduction in the proportion of beverages with serve size ≤ 250 ml (21·6 to 18·9 %; P < 0·001). In 2019, most beverages were sugar-sweetened or had naturally occurring sugars (79·1 %) and serve size > 250 ml (81·1 %) and most sugar-sweetened beverages exceeded the SDIL lower benchmark (72·9 %). Conclusions: Most single-serve beverages available for sale in 2019 were sugary drinks with high sugar content and large serve sizes; therefore, changes made across the years were not meaningful for population’s health.


2018 ◽  
Vol 46 (5-6) ◽  
pp. 298-309 ◽  
Author(s):  
Sophie Vandepitte ◽  
Koen Putman ◽  
Nele Van Den Noortgate ◽  
Sofie Verhaeghe ◽  
Eric Mormont ◽  
...  

Background/Aims: Dementia is one of the main reasons for institutionalization among the elderly. Few studies have explored factors associated with the caregivers’ (CG) desire to institutionalize (DTI) a person with dementia (PWD). The objective of this study is to identify modifiable and non-modifiable psychosocial and sociodemographic factors associated with a caregiver’s DTI. Methods: Cross-sectional data of 355 informal CG of community-dwelling PWD were analyzed. Several characteristics were identified in CG and PWD to be included in a multivariable regression model based on the purposeful selection method. Results: Positively modifiable associated factors were: higher CG burden, being affected by behavioral problems, and respite care use. Positively associated non-modifiable factors were: CG older age, being professionally active, and CG higher educational level. Cohabitation and change of professional situation were negatively associated. Conclusion: Although no causality can be assumed, several practical recommendations can be suggested. First of all, these results reconfirm the importance of multicomponent strategies, especially support aimed at decreasing burden and in learning coping strategies. Also, CG might benefit from information about support options, such as respite care services. Finally, special attention should be given to older and working CG. In the latter, flexible and adaptive working conditions might alleviate burden and therefore reduce the DTI of the PWD.


Author(s):  
C. Dussaillant ◽  
G. Echeverría ◽  
L. Villarroel ◽  
C.B. Yu ◽  
A. Rigotti ◽  
...  

Objectives: To analyze the relationship between the prevalence of metabolic syndrome, food intake, and diet quality in elderly (≥65 years old) Chilean population. Design: Cross sectional analysis based on the last national health survey performed in the years 2009 and 2010 (ChNHS 2009-2010). Setting: Non-institutionalized individuals of 65 years or older were selected and visited at home. Participants: A subsample of 505 elderly adults from the ChNHS 2009-2010 who answered a food questionnaire and had appropriate information to diagnose metabolic syndrome following the ATPIII-NCEP guidelines. Measurements: Fasting blood samples were obtained in order to measure blood lipids and fasting blood glucose. Blood pressure, waist circumference, and body mass index (BMI) were also measured. A 5-item food frequency questionnaire was applied to all the participants of NHS 2009-2010. Results: The overall prevalence of metabolic syndrome in the Chilean adult population was 37.7%, increasing in frequency with advancing age. Among the elderly (≥65 years old), metabolic syndrome was found in 57.2% of the sample. Elevated blood pressure and increased waist circumference were the most prevalent metabolic syndrome components among this group (88% and 80%, respectively). Low intake of fruits, vegetables, whole cereals, fish, and dairy was seen among the elderly, and no association was found between food intake nor diet quality and metabolic syndrome prevalence. Conclusion: Metabolic syndrome is highly prevalent among the Chilean elderly population and its prevalence is not associated with food intake or diet quality in this age group.


2019 ◽  
Vol 5 (1) ◽  
pp. 209-220
Author(s):  
Syam'ani Syam'ani

The population of the population in the world is increasing day by day. One of the age groups that have a significant increase in the elderly group. Projections and data found about the elderly are a concern that is of interest to the whole world because along with the increase in population it is accompanied by physical and psychological problems that accompany it. This study aims to identify factors that affect depression in retired elderly people. The design used in this study uses a research design: "CROSS-SECTIONAL". In this study, the population is elderly retirees who live in the area of Jekan Raya Subdistrict, Palangka Raya City. The sampling technique in this study uses consecutive sampling technique, which is the best type of non-probability sampling, that is, all objects that come sequentially and meet the selection criteria are included in the study until the number of subjects needed is fulfilled, namely as many as 100 people. The results showed that there was no significant relationship between sex (p: 0.671), employment status (p: 0.994), marital status (p: 0.726), education (p: 0.988), and the level of depression in retired civil servants in Jekan Subdistrict Raya Kota Palangka Raya. This research is expected to contribute positively to the management of elderly people with depression so that they are able to adapt to changes that occur due to the aging process.


2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Keshab Prasad Timalsina

The elderly abuse in a family is one of the most challenging problems in a society. The present study aims to assess the prevalence of elderly abuse in the family environment of JureliTole of Bakaiya Rural Municipality. The study also presents various risk factors that influence the prevalence of Elderly abuse. A descriptive cross-sectional study was carried out among 103 elders taken from household survey by using census method. The data were collected through a face-to-face structured interview schedule. The descriptive and regression analysis of the collected data showed that the prevalence of elderly abuse was 46.6% in the study population. This study measured significant association (p<0.05) of overall abuse against the elder with only two socio-demographic variables (literacy status and health status) among the variables (gender, age groups, living with or without spouse, literacy status, health status, dependency status, and income level). The results showed that the elders with/without spouse had the highest odds ratio to be abused (2.19 times) followed by gender (1.64 times), and health status (1.25 times). Although this study found lower prevalence than many previous studies, it is still significant and needs to be prevented. Based on the study, it can be said that living without a spouse, with poor health, and being female are the major predictive descriptors for elderly abuse.The policies and programs are needed for the prevention of elderly abuse which may require collective action from social, health and justice sectors. 


Author(s):  
Cesar Tello-Torres ◽  
Akram Hernández-Vásquez ◽  
Karla F. Dongo ◽  
Rodrigo Vargas-Fernández ◽  
Guido Bendezu-Quispe

Abstract Objective To determine the adequacy of compliance with antenatal care (ANC) by pregnant women in Peru and to identify the associated factors. Methods An analytical cross-sectional study of data from the 2019 Peruvian Demographic and Family Health Survey (Encuesta Demográfica y de Salud Familiar, ENDES, in Spanish) was conducted. The dependent variable was adequate compliance with ANC (provided by skilled health care professionals; first ANC visit during the first trimester of pregnancy; six or more ANC visits during pregnancy; ANC visits with appropriate content) by women aged 15 to 49 years in their last delivery within the five years prior to the survey. Crude and adjusted prevalence ratios and their 95% confidence intervals were calculated using a log-binomial regression model. Results A total of 18,386 women were analyzed, 35.0% of whom adequately complied with ANC. The lowest proportion of compliance was found with the content of ANC (42.6%). Sociodemographic factors and those related to pregnancy, such as being in the age groups of 20 to 34 years and 35 to 49 years, having secondary or higher education, belonging to a wealth quintile of the population other than the poorest, being from the Amazon region, not being of native ethnicity, having a second or third pregnancy, and having a desired pregnancy, increased the probability of presenting adequate compliance with ANC. Conclusion Only 3 out of 10 women in Peru showed adequate compliance with ANC. Compliance with the content of ANC must be improved, and strategies must be developed to increase the proportion of adequate compliance with ANC.


Author(s):  
Saleh Habibi ◽  
Arefeh Babazadeh ◽  
Soheil Ebrahimpour ◽  
Parisa Sabbagh ◽  
Mehran Shokri

Abstract Morbidity and mortality are higher in older adults with community-acquired pneumonia (CAP) than in other age groups. Also, CAP in older adults has various clinical manifestations with other. A higher mortality rate in the elderly with CAP may contribute to a delay in management. Consequently, the purpose of this study was to investigate the clinical and laboratory manifestations of CAP in the elderly. This cross-sectional study was conducted on 221 elderly patients with CAP who were admitted to Ayatollah Rouhani Hospital, in Babol, northern of Iran, in 2017-2019. Patient outcomes included 170 cases that recovered from CAP, and 51 cases that died of complications. Patients were evaluated in terms of their clinical and laboratory manifestations. The most common symptoms of pneumonia were cough (79.6%), sputum (73.8%), weakness (72.9%), fever (56%), dyspnea (46.2%). The most frequent underlying disease was ischemic heart disease (43.9%). In our study, clinical and laboratory characteristics in older patients with CAP were evaluated and compared with other studies confirming past findings, but there were differences in some cases, such as vital signs, gastrointestinal symptoms, and disturbance of the level of consciousness. Therefore, it recommends carefully taking the patients’ initial histories and accurately recording their clinical and laboratory symptoms.


2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
Camila de Almeida Costa Alencar ◽  
Sancha Mohana Brito Goes Rios

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.


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