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Luong R, Ribeiro RV, Rangan A, Naganathan V, Blyth F, Waite LM, Handelsman DJ, Le Couteur DG, Seibel MJ, Hirani V. Haem Iron Intake Is Associated with Increased Major Adverse Cardiovascular Events, All-Cause Mortality, Congestive Cardiac Failure, and Coronary Revascularisation in Older Men: The Concord Health and Ageing in Men Project. J Nutr Health Aging 2023; 27:559-570. [PMID: 37498103 DOI: 10.1007/s12603-023-1945-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 06/22/2023] [Indexed: 07/28/2023]
Abstract
BACKGROUND Nutritional intake can influence major adverse cardiovascular events (MACE). Dietary iron is found in two forms: haem-iron (HI) only found in animal sources and non-haem iron (NHI) present mostly in plant sources. OBJECTIVE We evaluated the associations between dietary iron intakes with MACE and iron status biomarkers. DESIGN Prospective cohort study. SETTING The Concord Health and Ageing in Men Project, Sydney, Australia. PARTICIPANTS 539 community-dwelling older Australian men aged 75 years and older. METHODS Men underwent nutritional assessment using a validated diet history questionnaire. Entries were converted to food groups and nutrients. The dietary calculation was used to derive HI and NHI intakes from total iron intakes. Analyses of iron intakes with iron status biomarkers were conducted using linear regression, and with MACE and individual endpoints were conducted using Cox regression. Five-point MACE comprised of all-cause mortality, myocardial infarction (MI), congestive cardiac failure (CCF), coronary revascularisation, and/or ischaemic stroke. Four-point MACE included the four endpoints of MI, CCF, coronary revascularisation, and/or ischaemic stroke, and excluded all-cause mortality. RESULTS At a median of 5.3 (4.6 - 6.3) years follow-up, the incidences were: 31.2% (n = 168) five-point MACE, 17.8% (n = 96) four-point MACE excluding all-cause mortality, 20.1% (n = 111) all-cause mortality, 11.3% (n = 61) CCF, and 3.1% (n = 15) coronary revascularisation. In adjusted analyses, higher HI intake (per 1mg increment) was associated with increased five-point MACE (HR: 1.45 [95% CI: 1.16, 1.80, P = .001]), four-point MACE excluding all-cause mortality (HR: 1.64 [95% CI: 1.26, 2.15, P <.001]), all-cause mortality (HR: 1.51 [95% CI: 1.15, 1.99, P = .003]), CCF (HR: 2.08 [95% CI: 1.45, 2.98, P <.001]), and coronary revascularisation (HR: 1.89 [95% CI: 1.15, 3.10, P = .012]). Compared with the bottom tertile of NHI intake, the middle tertile of NHI intake was associated with reduced risk of all-cause mortality (HR: 0.56 [95% CI: 0.33, 0.96, P = .035]). Total iron intake was not associated with MACE and individual endpoints. Dietary iron intakes were not associated with serum iron and haemoglobin. CONCLUSION Higher haem iron intake was independently associated with increased risks of five-point MACE, four-point MACE excluding all-cause mortality, all-cause mortality, CCF, and coronary revascularisation in older men over 5 years.
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Affiliation(s)
- R Luong
- Rebecca Luong, Level 4, Charles Perkins Centre D17, University of Sydney, NSW 2006, Australia,
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Scott D, Hirani V, Waite LM, Blyth F, Le Couteur DG, Cumming R, Jones G. Letter to the Editor: 'Giant' Claims Require Strong Evidence: A Comment on 'Osteosarcopenia: A Geriatric Giant of the XXI Century'. J Nutr Health Aging 2021; 25:946-947. [PMID: 34409977 DOI: 10.1007/s12603-021-1659-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- D Scott
- Associate Professor David Scott, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia 3125, , Telephone: +61 3 9246 8438
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Chan H, Ribeiro RV, Haden S, Hirani V. Plant-Based Dietary Patterns, Body Composition, Muscle Strength and Function in Middle and Older Age: A Systematic Review. J Nutr Health Aging 2021; 25:1012-1022. [PMID: 34545922 DOI: 10.1007/s12603-021-1666-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Sarcopenia is prevalent in middle-aged and older adults. A plant-based diet may be linked to changes in body composition and musculoskeletal health. OBJECTIVE This systematic review aimed to investigate the effects of plant-based dietary patterns on the body composition, muscle strength and function in middle-aged and older adults. PRISMA guidelines were followed. METHOD A systematic search was completed on databases including MEDLINE, Embase, Global Health, PREMEDLINE, Cochrane library, CINAHL and Scopus on articles published until 1st March 2019. Search terms included 'middle-aged', 'older adult', 'plant-based diet' and 'muscle strength'. Title and abstract screening were conducted on 1,868 publications after deduplication. Sample size, subject characteristics, recruitment, inclusion and exclusion criteria, dietary measures, health outcome measures, statistical results and confounders were sorted by author, study type, year and country. The quality of evidence of extracted data was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) tools. RESULTS/CONCLUSIONS 17 papers were included from 31 articles selected for full review. The majority of the studies were cross-sectional studies (n = 9) and RCTs (n = 6).The remaining studies were cohort studies. Positive associations were found between plant-based dietary patterns; negative association with body composition; and inconclusive association with muscle function. However, further studies are needed to improve the understanding.
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Affiliation(s)
- H Chan
- Hilaria Hin Lam Chan, The University of Sydney, Australia,
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Hsu B, Naganathan V, Blyth FM, Hirani V, Le Couteur DG, Waite LM, Seibel MJ, Handelsman DJ, Cumming RG. Frailty and Cause-Specific Hospitalizations in Community-Dwelling Older Men. J Nutr Health Aging 2020; 24:563-569. [PMID: 32510107 DOI: 10.1007/s12603-020-1352-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The types of medical conditions leading to hospitalization in frail older people have not been investigated. The objectives were to evaluate associations between frailty and (a) risk of all-cause and cause-specific hospitalization, and (b) rate of all-cause and cause-specific hospitalizations. DESIGN, SETTING AND PARTICIPANTS Community-dwelling men aged 70+ years in the Concord Health and Ageing in Men Project (CHAMP) were assessed for frailty at baseline (2005-2007, n=1705). MEASUREMENTS Frailty was determined by both the Fried frailty phenotype (FP) and the Rockwood frailty index (FI). Non-elective and elective hospitalization data were accessed from the New South Wales (NSW) Admitted Patient Data Collection and mortality from the NSW Deaths Registry for the period 2005-2017. Causes of hospitalization were categorized using ICD-10 classification of principal diagnoses based on organ system involved into 14 major categories. RESULTS Nearly 80% of CHAMP men had at least one non-elective hospitalization and 63% had an elective hospitalization over a 9-year follow-up. Men with FP frailty were twice as likely to have a non-elective hospitalization (HR: 1.98, 95%CI: 1.61-2.44) and a greater number of non-elective hospitalizations (IRR: 1.44, 95%CI: 1.22-1.70). Similar relationships were found between FI frailty and non-elective hospitalizations. Men with frailty (either FP or FI) were more likely to have at least one non-elective hospitalization for 13 of the 14 cause-related admissions. In contrast, frailty was only associated with 3 cause-related elective hospitalizations. Men with frailty were also more likely to have an increased number of non-elective hospitalizations for all 14 causes, but only for 6 causes of elective hospitalizations. CONCLUSIONS Our findings suggest frailty increases the risk and number of non-elective hospitalizations in older men for a wide range of cause. Strategies on early identification of frailty, followed by appropriate preventative strategies to lower the risk of non-elective hospital admissions are warranted.
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Affiliation(s)
- B Hsu
- Benjumin Hsu, Centre for Big Data Research in Health, UNSW Sydney, New South Wales, Australia 2052. E-mail:
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Tran J, Wright F, Takara S, Shu CC, Chu SY, Naganathan V, Hirani V, Blyth FM, Le Couteur DG, Waite LM, Handelsman DJ, Seibel MJ, Milledge KL, Cumming RG. Oral health behaviours of older Australian men: the Concord Health and Ageing in Men Project. Aust Dent J 2019; 64:246-255. [PMID: 30972755 DOI: 10.1111/adj.12694] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND The Concord Health and Ageing in Men Project (CHAMP) is a cohort study of the health of a representative sample of older Australian men. The aim of this paper is to describe the oral health behaviours and dental service use of CHAMP participants and explore associations between oral health behaviours with and general health status. METHOD Information collected related to socio-demographics, general health, oral health service-use and oral health behaviours. Key general health conditions were ascertained from the health questionnaire and included physical capacity and cognitive status. RESULTS Fifty-seven percent of the men reported visiting a dental provider at least once or more a year and 56.7% did so for a "dental check-up". Of those with some natural teeth, 59.3% claimed to brush their teeth at least twice or more a day. Most men (96%) used a standard fluoride toothpaste. Few participants used dental floss, tooth picks or mouth-rinses to supplement oral hygiene. Cognitive status and self-rated general health were associated with dental visiting patterns and toothbrushing behaviour. CONCLUSIONS Most older men in CHAMP perform favourable oral health behaviours. Smoking behaviour is associated with less favourable dental visiting patterns, and cognitive status with toothbrushing behaviour.
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Affiliation(s)
- J Tran
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia
| | - Fac Wright
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia
| | - S Takara
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia.,Department of Oral Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan
| | - C-C Shu
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia
| | - Sk-Y Chu
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia
| | - V Naganathan
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia.,Ageing and Alzheimer's Institute, Geriatric Medicine and Rehabilitation, Concord Repatriation General Hospital, Concord, New South Wales, Australia
| | - V Hirani
- School of Life and Environmental Sciences, Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia
| | - F M Blyth
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia.,Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, New South Wales, Australia
| | - D G Le Couteur
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia.,Department of Geriatric Medicine, Concord Repatriation General Hospital, Concord, New South Wales, Australia
| | - L M Waite
- Centre for Education and Research and Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia.,Department of Geriatric Medicine, Concord Repatriation General Hospital, Concord, New South Wales, Australia
| | - D J Handelsman
- ANZAC Research Institute, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia
| | - M J Seibel
- Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, New South Wales, Australia
| | - K L Milledge
- School of Public Health, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia
| | - R G Cumming
- School of Public Health, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia
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Zanker J, Scott D, Reijnierse EM, Brennan-Olsen SL, Daly RM, Girgis CM, Grossmann M, Hayes A, Henwood T, Hirani V, Inderjeeth CA, Iuliano S, Keogh JWL, Lewis JR, Maier AB, Pasco JA, Phu S, Sanders KM, Sim M, Visvanathan R, Waters DL, Yu SCY, Duque G. Establishing an Operational Definition of Sarcopenia in Australia and New Zealand: Delphi Method Based Consensus Statement. J Nutr Health Aging 2019; 23:105-110. [PMID: 30569078 DOI: 10.1007/s12603-018-1113-6] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND Globally there are several operational definitions for sarcopenia, complicating clinical and research applications. OBJECTIVE The objective of the Australian and New Zealand Society for Sarcopenia and Frailty Research (ANZSSFR) Task Force on Diagnostic Criteria for Sarcopenia was to reach consensus on the operational definition of sarcopenia for regional use by clinicians and researchers. METHOD A four-Phase modified Delphi process was undertaken in which 24 individuals with expertise or a recognised interest in sarcopenia from different fields across Australia and New Zealand were invited to be Task Force members. An initial face-to-face meeting was held in Adelaide, South Australia, in November 2017, followed by two subsequent online Phases conducted by electronic surveys. A final Phase was used to approve the final statements. Responses were analysed using a pre-specified strategy. The level of agreement required for consensus was 80%. RESULTS In Phase 2, 94.1% of Task Force respondents voted in favour of adopting an existing operational definition of sarcopenia. In Phase 3, 94.4% of respondents voted in favour of adopting the European Working Group on Sarcopenia in Older People (EWGSOP) definition as the operational definition for sarcopenia in Australia and New Zealand. CONCLUSION With consensus achieved, the ANZSSFR will adopt, promote and validate the EWGSOP operational definition of sarcopenia for use by clinicians and researchers in Australia and New Zealand.
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Affiliation(s)
- J Zanker
- Prof. Gustavo Duque, MD, PhD, FRACP, FGSA, Australian Institute for Musculoskeletal Science (AIMSS), 176 Furlong Road, St. Albans, VIC, Australia 3021, e-mail: , phone: +61 8395 8121
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Laaksonen M, Arriaga M, Canfell K, MacInnis R, Hull P, Banks E, Giles G, Mitchell P, Cumming R, Byles J, Magliano D, Shaw J, Taylor A, Gill T, Hirani V, Marker J, McCullough S, Velentzis L, Adelstein BA, Vajdic C. Future Burden of Cancer Attributable to Current Modifiable Behaviours: A Pooled Study of Seven Australian Cohorts. J Glob Oncol 2018. [DOI: 10.1200/jgo.18.18500] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: The Population Attributable Fraction (PAF) quantifies the fraction of cancer cases attributable to specific exposures. PAF estimates for the future burden of cancer preventable through modifications to current exposure distributions are lacking. Previous PAF studies have also not compared population subgroup differences. Aim: To apply a novel PAF method and i) assess the future burden of cancer in Australia preventable through modifications to current behaviors, and ii) compare the distribution of the preventable cancer burden between population subgroups. Methods: We harmonized and pooled data from seven Australian cohort studies (N=367058) and linked them to national registries to identify cancers and deaths. We estimated the strength of the associations between behaviors and cancer incidence and death using a proportional hazards model, adjusting for age, sex, study and other risk factors. Exposure prevalence was estimated from contemporary national health surveys. We then combined these estimates to calculate PAFs and their 95% confidence intervals for both individual and joint behavior modifications using a novel method accounting for competing risk of death and risk factor interdependence. We also compared PAFs between population subgroups by calculating the 95% confidence interval of the difference in PAF estimates. Results: During the first 10 years of follow-up, there were 22078 deaths and 27483 incident cancers, including 2025 lung, 3471 colorectal, 640 premenopausal and 2632 postmenopausal breast cancers. The leading preventable cause for lung cancer is current smoking (PAF = 53.7%), for colorectal and postmenopausal breast cancer body fatness or BMI ≥ 25 kg/m2 (PAF = 11.1% and 10.9% respectively), and for premenopausal breast cancer regular alcohol intake (PAF = 12.3%). Three in five lung cancers, but only one in five colorectal and breast cancers, are jointly attributable to potentially modifiable exposures, which also included physical inactivity and inadequate fruit intake for lung, excessive alcohol intake and current smoking for colorectal, regular alcohol intake and current menopausal hormone therapy for 1 year or more for postmenopausal breast and current oral contraceptive use for 5 years or more for premenopausal breast cancer. The cancer burden attributable to modifiable factors is markedly higher in certain population subgroups, including men (lung, colorectal), people with risk factor clustering (lung, colorectal, breast), and individuals with low educational attainment (lung, breast). Conclusion: We provided up-to-date estimates of the future Australian cancer burden attributable to modifiable risk factors, and identified population subgroups that experience the highest preventable burden. Application of the novel PAF method can inform timely public health action to improve health and health equity, by identifying those with the most to gain from programs that support behavior change and early detection.
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Affiliation(s)
| | - M.E. Arriaga
- University of New South Wales, Sydney, Australia
| | | | | | - P. Hull
- University of New South Wales, Sydney, Australia
| | - E. Banks
- Australian National University, Canberra, Australia
| | - G.G. Giles
- Cancer Council Victoria, Melbourne, Australia
| | | | | | - J.E. Byles
- University of Newcastle, Newcastle, Australia
| | - D.J. Magliano
- Baker Heart and Diabetes Institute, Melbourne, Australia
| | - J.E. Shaw
- Baker Heart and Diabetes Institute, Melbourne, Australia
| | | | - T.K. Gill
- University of Adelaide, Adelaide, Australia
| | - V. Hirani
- University of Sydney, Sydney, Australia
| | - J. Marker
- Cancer Voices South Australia, Adelaide, Australia
| | | | | | | | - C.M. Vajdic
- University of New South Wales, Sydney, Australia
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Wright FAC, Chu SK, Milledge KL, Valdez E, Law G, Hsu B, Naganathan V, Hirani V, Blyth FM, Le Couteur DG, Harford J, Waite LM, Handelsman DJ, Seibel MJ, Cumming RG. Oral health of community-dwelling older Australian men: the Concord Health and Ageing in Men Project (CHAMP). Aust Dent J 2018; 63:55-65. [PMID: 28853154 PMCID: PMC6635750 DOI: 10.1111/adj.12564] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2017] [Indexed: 01/30/2023]
Abstract
BACKGROUND The Concord Health and Ageing in Men Project (CHAMP) is a cohort study of the health of a representative sample of Australian men aged 70 years and older. The aim of this report is to describe the oral health of these men. METHODS Oral health was assessed when the men were all aged 78 years or older. Two calibrated examiners conducted a standardized intraoral assessment. Descriptive data were analysed by statistical association tests. Participants were excluded from the collection of some periodontal assessments if they had a medical contraindication. RESULTS Dental assessments of 614 participants revealed 90 (14.6%) were edentate. Men had a mean of 13.8 missing teeth and 10.3 filled teeth. Dentate participants had a mean of 1.1 teeth with active coronal decay. Those in the low-income group had a higher rate of decayed teeth and lower rate of filled teeth. Thirty-four participants (5.5%) had one or more dental implants, and 66.3% relied on substitute natural teeth for functional occlusion. Of those with full periodontal assessments; 90.9% had sites with pocket depths of 3 mm or more, 96.6% had sites with CAL of 5 mm or more, and 79.7% had three or more sites with GI scores of 2 or more. CONCLUSIONS There was a high prevalence of periodontal diseases and restorative burden of dentitions, which suggests that greater attention needs to be given to prevention and health maintenance in older Australian men.
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Affiliation(s)
- FAC Wright
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
| | - SK‐Y Chu
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
| | - KL Milledge
- School of Public HealthSydney Medical SchoolUniversity of SydneySydneyNew South WalesAustralia
| | - E Valdez
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
| | - G Law
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
| | - B Hsu
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
- ARC Centre of Excellence in Population Ageing ResearchSydney Medical SchoolSydneyNew South WalesAustralia
- ANZAC Research InstituteUniversity of SydneyConcord HospitalConcordNew South WalesAustralia
| | - V Naganathan
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
- Ageing and Alzheimer's InstituteAged Chronic Care and RehabilitationConcord Repatriation General HospitalSydney Local Health DistrictConcordNew South WalesAustralia
| | - V Hirani
- ARC Centre of Excellence in Population Ageing ResearchSydney Medical SchoolSydneyNew South WalesAustralia
- School of Life and Environmental SciencesCharles Perkins CentreUniversity of SydneySydneyNew South WalesAustralia
| | - FM Blyth
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
- Concord Clinical SchoolUniversity of SydneyConcord Repatriation General HospitalConcordNew South WalesAustralia
| | - DG Le Couteur
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
- Ageing and Alzheimer's InstituteAged Chronic Care and RehabilitationConcord Repatriation General HospitalSydney Local Health DistrictConcordNew South WalesAustralia
| | - J Harford
- Australian Research Centre for Population Oral HealthUniversity of AdelaideAdelaideSouth AustraliaAustralia
| | - LM Waite
- Centre for Education and Research on AgeingConcord Clinical School and Sydney Local Health DistrictConcord Repatriation General HospitalConcordNew South WalesAustralia
- Concord Clinical SchoolUniversity of SydneyConcord Repatriation General HospitalConcordNew South WalesAustralia
| | - DJ Handelsman
- ANZAC Research InstituteUniversity of SydneyConcord HospitalConcordNew South WalesAustralia
| | - MJ Seibel
- Concord Clinical SchoolUniversity of SydneyConcord Repatriation General HospitalConcordNew South WalesAustralia
| | - RG Cumming
- School of Public HealthSydney Medical SchoolUniversity of SydneySydneyNew South WalesAustralia
- ARC Centre of Excellence in Population Ageing ResearchSydney Medical SchoolSydneyNew South WalesAustralia
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Hirani V, Blyth F, Naganathan V, Cumming R. PT01.5: Longitudinal Associations Between Vitamin D Metabolites and Sarcopenia in Older Australian Men: The Concord Health and Ageing in Men Project. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30714-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hirani V, Cumming R, Blyth F, Naganathan V, Seibel M. VITAMIN D METABOLITES AND SARCOPENIA IN OLDER MEN: THE CONCORD HEALTH AND AGEING IN MEN PROJECT. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- V. Hirani
- School of Life and Environmental Sciences Charles Perkins Centre, Faculty of Science, University of Sydney, Sydney, New South Wales, Australia,
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia,
| | - R. Cumming
- School of Public Health, University of Sydney, Sydney, New South Wales, Australia,
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia,
- ARC CEPAR, Sydney, New South Wales, Australia
| | - F. Blyth
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia,
| | - V. Naganathan
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia,
| | - M. Seibel
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia,
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Milledge K, Cumming R, Wright F, Blyth F, Naganathan V, Le Couteur D, Hirani V. FUNCTIONAL TOOTH UNIT COMPOSITION AND NUTRIENT INTAKES: THE CONCORD HEALTH AND AGEING IN MEN PROJECT. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- K.L. Milledge
- Centre for Education and Research on Ageing, Concord RG Hospital/University of Sydney, Sydney, New South Wales, Australia,
- School of Life and Environmental Sciences, University of Sydney, Sydney, New South Wales, Australia,
- ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, New South Wales, Australia,
| | - R. Cumming
- Centre for Education and Research on Ageing, Concord RG Hospital/University of Sydney, Sydney, New South Wales, Australia,
- ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, New South Wales, Australia,
- School of Public Health, University of Sydney, Sydney, New South Wales, Australia,
| | - F. Wright
- Centre for Education and Research on Ageing, Concord RG Hospital/University of Sydney, Sydney, New South Wales, Australia,
| | - F. Blyth
- Centre for Education and Research on Ageing, Concord RG Hospital/University of Sydney, Sydney, New South Wales, Australia,
| | - V. Naganathan
- Centre for Education and Research on Ageing, Concord RG Hospital/University of Sydney, Sydney, New South Wales, Australia,
| | - D.G. Le Couteur
- ANZAC Research Institute & Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia
| | - V. Hirani
- Centre for Education and Research on Ageing, Concord RG Hospital/University of Sydney, Sydney, New South Wales, Australia,
- School of Life and Environmental Sciences, University of Sydney, Sydney, New South Wales, Australia,
- ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, New South Wales, Australia,
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Hirani V, Blyth F, Naganathan V, Cumming R. MON-PP027: Sarcopenic Obesity, But not Obesity is Associated with Incident Frailty, Institutionalisation and Mortality in Community Dwelling Older Men: The Concord Health and Ageing in Men Project. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30459-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Hirani V, Blyth F, Naganathan V, Cumming R. OR035: Sarcopenia and Sarcopenic Obesity is Associated with Activities of Daily Living Disability in Community Dwelling Older Men: The Concord Health and Ageing in Men Project. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30135-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Rosilene WVR, Cumming R, Travison T, Blyth F, Naganathan V, Allman-Farinelli M, Hirani V. Relative Validity of a Diet History Questionnaire Against a Four-Day Weighed Food Record among Older Men in Australia: The Concord Health and Ageing in Men Project (CHAMP). J Nutr Health Aging 2015; 19:603-10. [PMID: 26054496 DOI: 10.1007/s12603-015-0499-7] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To evaluate the relative validity of the diet history questionnaire (DHQ) used in the Concord Health and Ageing in Men Project (CHAMP) against a four-day weighed food record (4dWFR) as the reference method. DESIGN AND MEASUREMENTS Detailed DHQ followed by a 4dWFR were completed between July 2012 and October of 2013. SETTING Burwood, Canada Bay and Strathfield in Sydney, Australia. PARTICIPANTS Fifty six community- dwelling men aged 75 years and over (mean=79 years). RESULTS DHQ estimates of intakes were generally higher than estimates from 4dWFR. Differences between the two methods were generally less than 20% with the exception of β-carotene (37%). Fixed and proportional biases were only present for retinol, β-carotene, magnesium, phosphorus and percentage of energy from protein; however, 95% limits of agreement were in some cases wide. Pearson correlation coefficient of log-transformed unadjusted values ranged from 0.15 (zinc) to 0.70 (alcohol), and from 0.06 (iron) to 0.63 (thiamin) after energy-adjustment. Spearman's correlation coefficients ranged from 0.16 (zinc) to 0.80 (alcohol) before energy adjustment, and from 0.15(zinc) to 0.81(alcohol) after energy adjustment. CONCLUSION Our findings suggest that the DHQ used in CHAMP to measure the nutritional intake of its participants is appropriate to this age group and provides reasonably similar results to the 4dWFR for the majority of nutrients analysed.
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Affiliation(s)
- W V R Rosilene
- Waern Rosilene, Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, NSW, Australia,
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Hirani V, Naganathan V, Blyth F, Le Couteur D, Cumming R. P482: Common multiple risk factors that predict mortality in older people: the Concord Health and Ageing in Men Project. Eur Geriatr Med 2014. [DOI: 10.1016/s1878-7649(14)70647-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Hirani V, Naganathan V, Blyth F, Le Couteur D, Cumming R. P498: Cross-sectional and longitudinal associations between anaemia and frailty in older Australian men: the Concord Health and Ageing in Men Project. Eur Geriatr Med 2014. [DOI: 10.1016/s1878-7649(14)70663-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Hirani V, Cumming RG, Blyth FM, Naganathan V, Le Couteur DG, Handelsman DJ, Waite LM, Seibel MJ. Vitamin D status among older community dwelling men living in a sunny country and associations with lifestyle factors: the Concord Health and Ageing in Men Project, Sydney, Australia. J Nutr Health Aging 2013; 17:587-93. [PMID: 23933868 DOI: 10.1007/s12603-013-0013-z] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVES Inadequate vitamin D status (25-hydroxyvitamin D (25(OH)D) concentrations <50 nmol/L) is an increasingly important public health issue in Australia. The aim of this analysis is to describe 25(OH)D levels in community dwelling men aged ≥70 years in Sydney, Australia, and to determine associations between serum 25(OH)D levels and socioeconomic and lifestyle factors. DESIGN A population-based, cross-sectional analysis of the baseline phase of the Concord Health and Ageing in Men Project (CHAMP), a large epidemiological study conducted in Sydney between January 2005 and May 2007. PARTICIPANTS 1659 non-institutionalised men aged ≥70 years. METHODS The cross-sectional analysis of the baseline phase of the Concord Health and Ageing in Men Project (CHAMP), a large epidemiological study conducted in Sydney between January 2005 and May 2007. Participants included 1659 community dwelling men who were interviewed and had clinical assessments. Main outcome measurements included serum 25(OH)D levels measured in blood samples using a radioimmunoassay kit (DiaSorin Inc., Stillwater, MN). Covariates included age, socioeconomic measures, season of blood sample, physical activity, sun exposure, vitamin D supplement use, cigarette smoking status, alcohol consumption, obesity and measures of health. RESULTS Prevalence of vitamin D insufficiency was 43.0%; highest in winter (55.5%) and spring (53.9%), and was associated with season (winter and spring), low physical activity, avoidance of sun exposure, current smoking and obesity, even after adjustment for confounding factors. CONCLUSION Inadequate vitamin D status is highly prevalent among Australian older men and is associated with specific lifestyle factors. These findings emphasize the need to screen and monitor 25(OH)D levels in this population group, despite living in a sunny country such as Australia.
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Affiliation(s)
- V Hirani
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, NSW, Australia.
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Hirani V, Naganathan V, Cumming RG, Blyth F, Le Couteur DG, Handelsman DJ, Waite LM, Seibel MJ. Associations Between Frailty and Serum 25-Hydroxyvitamin D and 1,25-Dihydroxyvitamin D Concentrations in Older Australian Men: The Concord Health and Ageing in Men Project. J Gerontol A Biol Sci Med Sci 2013; 68:1112-21. [DOI: 10.1093/gerona/glt059] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
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Mindell J, Biddulph JP, Hirani V, Stamatakis E, Craig R, Nunn S, Shelton N. Cohort Profile: The Health Survey for England. Int J Epidemiol 2012; 41:1585-93. [DOI: 10.1093/ije/dyr199] [Citation(s) in RCA: 225] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Hirani V. Generalised and abdominal adiposity are important risk factors for chronic disease in older people: results from a nationally representative survey. J Nutr Health Aging 2011; 15:469-78. [PMID: 21623469 DOI: 10.1007/s12603-011-0051-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVES To look at the trends in prevalence of generalised (body mass index (BMI) ≥ 25 kg/m2) and abdominal obesity (waist circumference (WC) >102 cm, men; > 88 cm, women) among older people from 1993 to 2008, prevalence of chronic disease by overweight/obesity and WC categories in England 2005 and evaluate the association of these measures with chronic diseases. DESIGN Analyses of nationally representative cross-sectional population surveys, the Health Survey for England (HSE). PARTICIPANTS Non-institutionalised men and women aged ≥ 65 years (in HSE 2005, 1512 men and 1747 women). MEASUREMENTS Height, weight, waist circumference, blood pressure measurements were taken according to standardised HSE protocols. Information collected on socio-demographic, health behaviour and doctor diagnosed health conditions. RESULTS Generalised obesity and abdominal obesity increased among men and women from 1993 to 2008. In 2005, the HSE 2005 focussed on older people. 72% of men and 68% of women aged over 65 were either overweight or obese. Prevalence of raised WC was higher in women (58%) than in men (46%). The prevalence of diabetes and arthritis was higher in people with generalised obesity in both sexes. Men were more likely to have had a joint replacement and had a higher prevalence of stroke if they were overweight only but women were more likely to have had a joint replacement only if they were obese (13%) and had a higher risk of falls with generalised obesity. The pattern was similar for the prevalence of chronic diseases by raised WC. Multivariate analysis showed that generalised and abdominal obesity was independently associated with risk of hypertension, diabetes and arthritis in both men and women. In women only, there was an association between generalised obesity and having a fall in the last year (OR: 1.5), and between abdominal obesity and having a joint replacement (OR: 1.9, p=0.01). CONCLUSION Complications of obesity such as diabetes, hypertension and arthritis, are more common in men and women aged over 65 who are overweight or obese, as well as in those with a raised WC. These conditions impact on morbidity, mortality and have cost implications for the health service and are known to improve with weight loss even in old age. Treatment strategies to address these conditions such as weight management and prevention of overweight and obesity are important even in older people. There is a need to ensure that older people are given appropriate advice about keeping physically active and eating sensibly.
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Affiliation(s)
- V Hirani
- Department of Epidemiology and Public Health, University College London Medical School, University College London, 1-19 Torrington Place, London WC1E 6BT.
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Hirani V, Serpell L, Willoughby K, Neiderman M, Lask B. Typology of obsessive-compulsive symptoms in children and adolescents with anorexia nervosa. Eat Weight Disord 2010; 15:e86-9. [PMID: 20571326 DOI: 10.1007/bf03325284] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Previous studies have shown that symptoms of obsessive compulsive disorder are common in both adults and children and adolescents with anorexia nervosa. Until now, no study has explored the specific obsessive compulsive symptoms shown in children and adolescents with AN. METHOD In this study we report types of symptoms displayed by young people with AN and explore similarities and differences with adults with AN and with people with OCD. RESULTS Common obsessions concerned contamination, aggressive and somatic concerns, and common compulsions were related to ordering/arranging, and checking. CONCLUSION It is important for clinicians to be aware of the obsessions and compulsions they are most likely to encounter when working with these patients. If missed or ignored, such symptoms may interact with eating disorder symptoms and impede treatment.
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Affiliation(s)
- V Hirani
- Ellern Mede Centre for Eating Disorders, London, UK
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Zaninotto P, Mindell J, Hirani V. Prevalence of cardiovascular risk factors among ethnic groups: results from the Health Surveys for England. Atherosclerosis 2007; 195:e48-57. [PMID: 17395185 DOI: 10.1016/j.atherosclerosis.2007.02.017] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2006] [Revised: 02/06/2007] [Accepted: 02/19/2007] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To identify independent risk factors associated with cardiovascular disease (CVD) and diabetes for each minority ethnic group and the general population in England and explore the independent association of ethnicity and CVD and diabetes. PARTICIPANTS Nationally representative samples of 2362 Black Caribbean, 2467 Indian, 2204 Pakistanis, 1985 Bangladeshis, 1385 Chinese, 2398 Irish, and 30,744 adults from the general population living in private households. RESULTS CVD was relatively more common among: Indian and Chinese men with high waist-hip ratio; Indian, Bangladeshi and Irish with diabetes; Black Caribbean, Indian and Pakistani with hypertension; Bangladeshi and Pakistani ex-smokers and Indian ex-smokers and current-smokers; Pakistani that were moderate-drinkers and Indian heavy drinkers; Black Carribean Indian, Pakistani and Irish physically inactive; Pakistani in manual social class; and Bangladeshi in low income. Black Caribbean, Bangladeshi and Chinese participants and Indian and Pakistani women had significantly lower odds ratios of having CVD, compared with the general population. The odds of having diabetes were significantly higher for Black Caribbean, Indian, Pakistani and Bangladeshi, Chinese (men only) than participants from the general population. CONCLUSIONS CVD prevention through control of risk factors, especially diabetes and hypertension, should not only address the general population, but also target people from these groups.
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Affiliation(s)
- P Zaninotto
- Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, WC1E 7HB London, UK.
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