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Characteristics and determinants of high volume dispensing in long-term oral nutritional supplement users in primary care: a secondary analysis. BJGP Open 2021; 5:BJGPO.2020.0131. [PMID: 33495164 PMCID: PMC8170613 DOI: 10.3399/bjgpo.2020.0131] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 09/24/2020] [Indexed: 01/04/2023] Open
Abstract
Background Oral nutritional supplements (ONS) are recommended for patients who are malnourished or at risk of malnutrition. Appropriate ONS prescribing requires regular monitoring to assess its continued requirement. Previous research identified long-term ONS prescriptions (>6 months) without review, with 70% of these influenced by social factors. Aim To investigate the characteristics of long-term ONS users in Ireland and the determinants of larger volumes of ONS dispensing. Design & setting Secondary analysis of anonymous dispensed pharmacy claims data of patients dispensed standard ONS for 12 consecutive months in 2018 (n = 912). Method Factors showing significant (P<0.05) univariate associations with above the median consumption of ONS units were entered into a multivariable model. Results Median age was 76 (range 18 to 101) years, with 66.9% of the sample being ≥65 years. Almost 70% of the samples were on polypharmacy (45.6%; ≥5 medications) or excessive polypharmacy (21.5%; ≥10 medications). Younger age and being on polypharmacy for drugs having an effect on the central nervous system (CNS) were significantly associated with being dispensed more ONS units in univariate and multivariate analysis. Those patients in the age range 18 to 44 were 2.5 fold more likely to be prescribed more ONS units (odds ratio [OR] 2.5; 95% confidence interval [CI] 1.5 to 4.3; P<0.001). Patients using CNS drugs or on CNS polypharmacy were more likely to be prescribed more ONS units (ORs 1.2 and 2.4; 95% CI 0.9 to 1.4 and 1.3 to 4.4 respectively; P = 0.029). Conclusion Older age and polypharmacy characterise long-term ONS users in this study. Younger age and CNS medication polypharmacy are predictors of more ONS units prescribed over a year.
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Collins AJ, Clemett V, McNaughton A. Malnutrition: evaluating the effectiveness of supplements. Br J Community Nurs 2020; 24:S18-S25. [PMID: 31264457 DOI: 10.12968/bjcn.2019.24.sup7.s18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This article explores the effectiveness of oral nutritional supplements through a literature review. A literature search was performed throughout various medical databases and one article was selected for a critical appraisal. The study focused on the use of high-energy, low-volume supplements for people living in care homes who are at risk of malnutrtion or who are already manourished. The methods and conclusions of the study are then scrutinised. This article recommends further research to be carried out into the type and volume of supplements needed and the implementation of evidence-based practice.
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Affiliation(s)
- Abbie Jane Collins
- Third Year Student, BSc in Adult Nursing, the Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King's College, London
| | - Victoria Clemett
- Lecturer, the Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King's College, London
| | - Amanda McNaughton
- Lecturer, the Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King's College, London
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Alam I, Almajwal AM, Alam W, Alam I, Ullah N, Abulmeaaty M, Razak S, Khan S, Pawelec G, Paracha PI. The immune-nutrition interplay in aging – facts and controversies. ACTA ACUST UNITED AC 2019. [DOI: 10.3233/nha-170034] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Iftikhar Alam
- Department of Community Health Sciences, Clinical Nutrition Program, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
- Department of Human Nutrition & Dietetics, Bacha Khan University Charsadda, Charsadda, Khyber Pakhtunkhwa, Pakistan
- Tübingen Ageing and Tumour Immunology Group, Zentrum für Medizinische Forschung, University of Tübingen, Tübingen, Germany
| | - Ali M. Almajwal
- Department of Community Health Sciences, Clinical Nutrition Program, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Wajid Alam
- Oral and Maxillofacial Surgery, Khyber Colleg of Dentistry, KPK, Peshawar, Pakistan
| | - Ibrar Alam
- Department of Biotechnology, Bacha Khan University Charsadda, Charsadda, Khyber Pakhtunkhwa, Pakistan
| | - Niamat Ullah
- Department of Human Nutrition, The Agriculture University Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - Mahmoud Abulmeaaty
- Department of Community Health Sciences, Clinical Nutrition Program, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Suhail Razak
- Department of Community Health Sciences, Clinical Nutrition Program, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Saleem Khan
- Department of Human Nutrition, The Agriculture University Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - Graham Pawelec
- Tübingen Ageing and Tumour Immunology Group, Zentrum für Medizinische Forschung, University of Tübingen, Tübingen, Germany
- Health Sciences North Research Institute, Sudbury, ON, Canada
- John van Geest Cancer Research Centre, Nottingham Trent University, Nottingham, UK
| | - Parvez Iqbal Paracha
- Department of Human Nutrition, The Agriculture University Peshawar, Khyber Pakhtunkhwa, Pakistan
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Price JS, Larsen SE, Miller LA, Smith HM, Apps JA, Weis JM. Clinical Biopsychosocial Reflection on Coping With Chronic Illness and Reliance Upon Nutrition Support: An Integrated Healthcare Approach. Nutr Clin Pract 2019; 34:220-225. [DOI: 10.1002/ncp.10263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Affiliation(s)
| | | | | | | | | | - Jo M. Weis
- Medical College of Wisconsin; Milwaukee Wisconsin USA
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Yannakoulia M, Mamalaki E, Anastasiou CA, Mourtzi N, Lambrinoudaki I, Scarmeas N. Eating habits and behaviors of older people: Where are we now and where should we go? Maturitas 2018; 114:14-21. [DOI: 10.1016/j.maturitas.2018.05.001] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Revised: 05/02/2018] [Accepted: 05/08/2018] [Indexed: 12/28/2022]
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Hawkesworth S, Silverwood R, Armstrong B, Pliakas T, Nanchahal K, Sartini C, Amuzu A, Wannamethee G, Atkins J, Ramsay S, Casas J, Morris R, Whincup P, Lock K. Investigating the importance of the local food environment for fruit and vegetable intake in older men and women in 20 UK towns: a cross-sectional analysis of two national cohorts using novel methods. Int J Behav Nutr Phys Act 2017; 14:128. [PMID: 28923064 PMCID: PMC5604417 DOI: 10.1186/s12966-017-0581-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Accepted: 09/03/2017] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Local neighbourhood environments can influence dietary behavior. There is limited evidence focused on older people who are likely to have greater dependence on local areas and may suffer functional limitations that amplify any neighbourhood impact. METHODS Using multi-level ordinal regression analysis we investigated the association between multiple dimensions of neighbourhood food environments (captured by fine-detail, foot-based environmental audits and secondary data) and self-reported frequency of fruit and vegetable intake. The study was a cross-sectional analysis nested within two nationally representative cohorts in the UK: the British Regional Heart Study and the British Women's Heart and Health Study. Main exposures of interest were density of food retail outlets selling fruits and vegetables, the density of fast food outlets and a novel measure of diversity of the food retail environment. RESULTS A total of 1124 men and 883 women, aged 69 - 92 years, living in 20 British towns were included in the analysis. There was strong evidence of an association between area income deprivation and fruit and vegetable consumption, with study members in the most deprived areas estimated to have 27% (95% CI: 7, 42) lower odds of being in a higher fruit and vegetable consumption category relative to those in the least deprived areas. We found no consistent evidence for an association between fruit and vegetable consumption and a range of other food environment domains, including density of shops selling fruits and vegetables, density of premises selling fast food, the area food retail diversity, area walkability, transport accessibility, or the local food marketing environment. For example, individuals living in areas with greatest fruit and vegetable outlet density had 2% (95% CI: -22, 21) lower odds of being in a higher fruit and vegetable consumption category relative to those in areas with no shops. CONCLUSIONS Although small effect sizes in environment-diet relationships cannot be discounted, this study suggests that older people are less influenced by physical characteristics of neighbourhood food environments than is suggested in the literature. The association between area income deprivation and diet may be capturing an important social aspect of neighbourhoods that influence food intake in older adults and warrants further research.
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Affiliation(s)
- S. Hawkesworth
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, WC1E 7HT UK
| | - R.J. Silverwood
- Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, WC1E 7HT UK
| | - B. Armstrong
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, WC1E 7HT UK
| | - T. Pliakas
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, WC1E 7HT UK
| | - K. Nanchahal
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, WC1E 7HT UK
| | - C. Sartini
- UCL Department of Primary Care & Population Health, UCL Medical School, Rowland Hill Street, London, NW3 2PF UK
| | - A. Amuzu
- University of Exeter Medical School, Wonford Barrack Road, Exeter, EX2 5DW UK
| | - G. Wannamethee
- UCL Department of Primary Care & Population Health, UCL Medical School, Rowland Hill Street, London, NW3 2PF UK
| | - J. Atkins
- University of Exeter Medical School, Wonford Barrack Road, Exeter, EX2 5DW UK
| | - S.E. Ramsay
- Institute of Health & Society, Newcastle University, Newcastle upon Tyne, NE2 4AX UK
| | - J.P. Casas
- Farr Institute of Health Informatics, Faculty of Population Health Sciences, 222 Euston Road, London, NW1 2DA UK
| | - R.W. Morris
- School of Social and Community Medicine, University of Bristol, Bristol, BS8 2PS UK
| | - P.H. Whincup
- Population Health Research Institute, St George’s, University of London, London, SW17 0RE UK
| | - Karen Lock
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, WC1E 7HT UK
- London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, UK
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Petroka K, Campbell-Bussiere R, Dychtwald DK, Milliron BJ. Barriers and facilitators to healthy eating and disease self-management among older adults residing in subsidized housing. Nutr Health 2017; 23:167-175. [PMID: 28748738 DOI: 10.1177/0260106017722724] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
BACKGROUND As adults transition into older ages, meeting age-specific dietary recommendations can become increasingly challenging, especially for low-income seniors who reside in publicly subsidized rental housing. AIM The primary objectives of this study were to: 1) identify barriers and facilitators to healthy eating and self-management of nutrition-related chronic illnesses experienced by low-income seniors residing in a subsidized housing setting; and 2) assess the interest in community nutrition programming among low-income seniors residing in a subsidized housing setting. METHOD A qualitative study design, using food focus groups and food pantry observations, was used. Participants included 24 male and female senior adults, between 65 and 75 years of age, residing in a subsidized housing community in Philadelphia, PA. This setting also included the unique features of a community garden and food pantry. Data were manually analyzed using a content analysis approach, which included familiarization, identification of themes, categorization and interpretation; and verified using NVivo 10. RESULTS Personal barriers, including food cost and accessibility, physical limitations, desire for convenience, and low self-efficacy to change dietary habits, inhibited motivation to change. External barriers in the food environment, including lack of transportation and distance of markets to access fresh produce, were commonly cited; as well as negative influences of the internal environment, such as the presence of vending machines, common cultural cooking and eating practices, and the lack of social cohesion. Facilitators focused on food preparation and recipe adaptation. CONCLUSIONS Participants expressed an interest in learning more about food, nutrition, and health through community-based programming.
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Affiliation(s)
- Katherine Petroka
- 1 Department of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, USA
| | | | - Dan K Dychtwald
- 1 Department of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, USA
| | - Brandy-Joe Milliron
- 1 Department of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, USA
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Ivery JM, Benton L, Harrison A, Paul M, Cortés M. The DASH Pilot Project: Developing Community-Based Nutrition Education for Older Adults. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2017; 60:286-299. [PMID: 28402217 DOI: 10.1080/01634372.2017.1318197] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Nutrition-related chronic health conditions among older adults are a growing concern. In this study, nutrition education materials were created for use in senior centers by graduate nutrition students. After the materials were presented, focus groups were conducted with participants (n = 62) to obtain feedback on the content and presentation. Findings related to the participant's knowledge of nutrition-related information, strategies to improve future class sessions, and participant recruitment will be discussed. These findings will be useful to program administrators as they develop nutrition programs for older adults who are vulnerable to nutrition-related health problems.
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Affiliation(s)
- Jan M Ivery
- a Georgia State University School of Social Work , Atlanta , Georgia , USA
| | | | - Ashley Harrison
- c Departmetn of Diabetes Services , Wellstar Health System , Atlanta , Georgia , USA
| | - Melissa Paul
- d Department of Clinical Nutrition , Children's Healthcare of Atlanta , Egleston, Atlanta , Georgia , USA
| | - Marielysse Cortés
- e College of Nursing and Health Innovation , Arizona State University , Phoenix , Arizona , USA
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9
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Stewart MW, Traylor AC, Bratzke LC. Nutrition and Cognition in Older Adults With Heart Failure: A Systematic Review. J Gerontol Nurs 2017; 41:50-9. [PMID: 26505248 DOI: 10.3928/00989134-20151015-06] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Accepted: 09/02/2015] [Indexed: 11/20/2022]
Abstract
Cognitive impairment is commonly observed in older adults with heart failure; nutrition is a possible contributing factor. The purpose of the current systematic review is to examine the relationship between nutrition and cognition in older adults with heart failure. A literature review was performed through August 2015 that examined published, peer-reviewed studies from PubMed, PsycINFO, CINAHL, and Web of Science. Four articles were selected for inclusion. Findings revealed that poorer nutritional habits were associated with poorer attention, executive functioning, and memory in older adults with heart failure. Nutritional biomarkers, including anemia, hyponatremia, hypokalemia, hyperglycemia, and hypoalbuminemia, were also associated with cognitive impairment. More research is needed to explore the relationship between nutrition and cognition in this population. Descriptive studies will inform scientists as they design and test nutritional interventions to optimize cognitive function in older adults with heart failure.
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Abstract
The number of older adults living in the USA, 65 years of age and older, has been steadily increasing. Data from the National Health and Nutrition Examination Survey (NHANES), 2007-2010, indicate that more than one-third of older adults, 65 years of age and older, were obese. With the increased rate of obesity in older adults, the purpose of this paper is to present research on different methods to prevent or manage obesity in older adults, namely dietary interventions, physical activity interventions, and a combination of dietary and physical activity interventions. In addition, research on community assistance programs in the prevention of obesity with aging will be discussed. Finally, data on federal programs for older adults will also be presented.
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Affiliation(s)
- Stella Lucia Volpe
- Department of Nutrition Sciences, Drexel University, Room 381, 3rd Floor, Parkway Building, 1601 Cherry Street, Mail Stop 31030, Philadelphia, PA, 19102, USA.
| | - Deeptha Sukumar
- Department of Nutrition Sciences, Drexel University, Room 381, 3rd Floor, Parkway Building, 1601 Cherry Street, Mail Stop 31030, Philadelphia, PA, 19102, USA
| | - Brandy-Joe Milliron
- Department of Nutrition Sciences, Drexel University, Room 381, 3rd Floor, Parkway Building, 1601 Cherry Street, Mail Stop 31030, Philadelphia, PA, 19102, USA
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11
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Morilla-Herrera JC, Martín-Santos FJ, Caro-Bautista J, Saucedo-Figueredo C, García-Mayor S, Morales-Asencio JM. Effectiveness of Food-Based Fortification in Older People. A Systematic Review and Meta-Analysis. J Nutr Health Aging 2016; 20:178-84. [PMID: 26812514 DOI: 10.1007/s12603-015-0591-z] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Early intervention with nutritional support has been found to stop weight loss in older people malnourished or at risk of malnutrition. Enriched food could be a more attractive alternative to improve meals, than conventional oral nutritional supplements. AIMS To determine the effectiveness of food-based fortification to prevent risk of malnutrition in elderly patients in community or institutionalized elderly patients. METHODS A systematic review was conducted of randomized controlled trials, quasi-experimental, and interrupted time series including a longitudinal analysis. PARTICIPANTS Elderly patients who are institutionalized, hospitalized or community-dwelling, with a minimum average age of 65 years. All type of patient groups, with the exception of people in critical care, or those who were recovering from cancer treatment, were included. INTERVENTION Studies had to compare food-based fortification against alternatives. Studies that used oral nutritional supplementation such as commercial sip feeds, vitamin or mineral supplements were excluded. The search was conducted in Cochrane, CINAHL, PubMed, EMBASE, LILACS, and Cuiden. An independent peer review was carried out. RESULTS From 1011 studies obtained, 7 were included for the systematic review, with 588 participants. It was possible to perform meta-analysis of four studies that provided results on caloric and protein intake. Food-based fortification yielded positive results in the total amount of ingested calories and protein. Nevertheless, due to the small number of participants and the poor quality of some studies, further high quality studies are required to provide reliable evidence. IMPLICATIONS FOR PRACTICE Despite the limited evidence, due to their simplicity, low cost, and positive results in protein and calories intake, simple dietary interventions based on the food-based fortification or densification with protein or energy of the standard diet could be considered in patients at risk of malnutrition.
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Affiliation(s)
- J C Morilla-Herrera
- Dr Jose Miguel Morales Asencio.C/ Arquitecto Francisco Peñalosa, 3. 29071 Malaga, Spain,
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Fang EF, Scheibye-Knudsen M, Jahn HJ, Li J, Ling L, Guo H, Zhu X, Preedy V, Lu H, Bohr VA, Chan WY, Liu Y, Ng TB. A research agenda for aging in China in the 21st century. Ageing Res Rev 2015; 24:197-205. [PMID: 26304837 PMCID: PMC5179143 DOI: 10.1016/j.arr.2015.08.003] [Citation(s) in RCA: 324] [Impact Index Per Article: 36.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Revised: 08/03/2015] [Accepted: 08/17/2015] [Indexed: 12/19/2022]
Abstract
China is encountering formidable healthcare challenges brought about by the problem of aging. By 2050, there will be 400 million Chinese citizens aged 65+, 150 million of whom will be 80+. The undesirable consequences of the one-child policy, rural-to-urban migration, and expansion of the population of 'empty nest' elders are eroding the traditional family care of the elders, further exacerbating the burden borne by the current public healthcare system. The challenges of geriatric care demand prompt attention by proposing strategies for improvement in several key areas. Major diseases of the elderly that need more attention include chronic non-communicable diseases and mental health disorders. We suggest the establishment of a home care-dominated geriatric care system, and a proactive role for researchers on aging in reforming geriatric care through policy dialogs. We propose ideas for preparation of the impending aging burden and the creation of a nurturing environment conducive to healthy aging in China.
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Affiliation(s)
- Evandro Fei Fang
- School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China; Laboratory of Molecular Gerontology, National Institute on Ageing, National Institutes of Health, Baltimore, MD 21224, USA.
| | - Morten Scheibye-Knudsen
- Laboratory of Molecular Gerontology, National Institute on Ageing, National Institutes of Health, Baltimore, MD 21224, USA.
| | - Heiko J Jahn
- Department of Public Health Medicine, School of Public Health, Bielefeld University, Bielefeld 33615, Germany.
| | - Juan Li
- Center on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China.
| | - Li Ling
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Sun Yat-sen Center for Migrant Health Policy, Guangzhou 510080, China.
| | - Hongwei Guo
- School of Public Health, Fudan University, Shanghai 200032, China.
| | - Xinqiang Zhu
- Institute of Nutrition and Food Safety, and Department of Toxicology and Nutrition, School of Public Health, Zhejiang University, Hangzhou 310058, China.
| | - Victor Preedy
- Diabetes & Nutritional Sciences Division, School of Medicine, King's College London, London WC2R 2LS, UK.
| | - Huiming Lu
- Laboratory of Molecular Gerontology, National Institute on Ageing, National Institutes of Health, Baltimore, MD 21224, USA.
| | - Vilhelm A Bohr
- Laboratory of Molecular Gerontology, National Institute on Ageing, National Institutes of Health, Baltimore, MD 21224, USA.
| | - Wai Yee Chan
- School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
| | - Yuanli Liu
- Peking Union School of Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100006, China; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
| | - Tzi Bun Ng
- School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
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Hsu KJ, Lee HE, Wu YM, Lan SJ, Huang ST, Yen YY. Masticatory factors as predictors of oral health-related quality of life among elderly people in Kaohsiung City, Taiwan. Qual Life Res 2013; 23:1395-405. [DOI: 10.1007/s11136-013-0574-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2013] [Indexed: 11/29/2022]
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Conklin AI, Maguire ER, Monsivais P. Economic determinants of diet in older adults: systematic review. J Epidemiol Community Health 2013; 67:721-7. [PMID: 23761410 PMCID: PMC3756433 DOI: 10.1136/jech-2013-202513] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2013] [Revised: 05/02/2013] [Accepted: 05/07/2013] [Indexed: 12/04/2022]
Abstract
BACKGROUND AND AIMS Many economic factors are associated with diet, yet the evidence is generally cross-sectional. Older people are considered especially vulnerable to poor diets from negative changes to varied economic factors. This review extends current knowledge on known correlates to decipher actual economic determinants of diet in older adults. METHODS Eight bibliometric databases were searched between May and December 2012, supplemented by hand-searches, with no restrictions on publication date or country. Longitudinal studies, or reviews, were eligible when examining diet as a function of change in an economic factor in non-institutionalised adults ≥60 years. Data were extracted using a standardised evidence table and quality assessed before narrative synthesis. RESULTS We found nine original studies for inclusion, of which eight examined change from work to retirement and one evaluated a food price intervention. Designs were generally pre-post without controls and varying in follow-up. Studies reported mixed impact on food spending and/or food intake. Retirement was shown to both reduce and have no impact on food spending and to have either positive and negative, or positive and no impact on food intake. Subgroup differences were observed, especially between men and women. CONCLUSIONS Despite ample research on economic correlates of older adults' diets, little is still known about actual economic determinants of diet in this population. Studies of retirement suggest divergent effects in some but not all older people. Robust high-quality longitudinal studies to decipher economic drivers of diet must be prioritised in research and policy as firm conclusions remain elusive.
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Affiliation(s)
- Annalijn I Conklin
- MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge, Cambridge, UK
- UK Clinical Research Collaboration Centre for Diet and Activity Research (CEDAR), University of Cambridge, Cambridge, UK
| | - Eva R Maguire
- UK Clinical Research Collaboration Centre for Diet and Activity Research (CEDAR), University of Cambridge, Cambridge, UK
| | - Pablo Monsivais
- UK Clinical Research Collaboration Centre for Diet and Activity Research (CEDAR), University of Cambridge, Cambridge, UK
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Cho EP, Hwang SJ, Clovis JB, Lee TY, Paik DI, Hwang YS. Enhancing the quality of life in elderly women through a programme to improve the condition of salivary hypofunction. Gerodontology 2011; 29:e972-80. [PMID: 22126433 DOI: 10.1111/j.1741-2358.2011.00594.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE The purposes of this study were to examine the effects of oral exercise intended to improve the function of the oral cavity in the elderly and their quality of life to pave the way for the development of oral-health promotion programmes geared towards the elderly. METHODS The subjects were 78 female Koreans who resided in Seoul and were aged 65 years and older. During a 3-month period, an oral function promotion programme was conducted twice a week, between 10.00 am and 12.00 pm, applying oral exercise suggested by a Japanese public health centre. A survey was conducted by interviewing the selected women to determine the state of their subjective dry mouth, quality of life related to oral health and jaw functional limitation. Their opening, unstimulated whole saliva and pronunciation speed were measured before and after the oral function exercise programme. RESULTS The subjects showed a significant improvement in subjective dry mouth symptoms, relevant behaviour, the level of discomfort caused by dry mouth and subjective jaw functional limitation during mastication and swallowing and emotional expression after receiving the oral exercise. After the oral exercise, there was a significant increase in mouth opening, unstimulated whole saliva and speaking speed ('patakala' pronunciation) after oral exercise. There was also significant progress in their quality of life related to oral health. Overall improvement in subjective dry mouth symptoms and relevant behaviour over time after oral exercise had a positive correlation with the level of improvement in discomfort triggered by dry mouth and mastication. The level of improvement in OHIP-14 had a positive correlation with the level of overall improvement in dry mouth symptoms and behaviour, the level of improvement in discomfort by dry mouth and that in mastication and swallowing. CONCLUSION This study showed the effects of the oral function promotion programme and correlation of oral condition and oral health-related quality of life. It is suggested that this oral function promotion programme has positive effects on both objective and subjective oral conditions. It is strongly recommended that this programme, along with other oral health promotion programmes, be implemented to improve oral function and oral health-related quality of life for the elderly.
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Affiliation(s)
- Eun-Pyol Cho
- Oral Health Service Team, Korea Health Promotion Foundation, Seoul, Korea
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